ST MARYS HEALTHCARE: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS HEALTHCARE (EIN 14-1347719)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-06
- IRS object ID
- 201921269349301277
- Schema version
- 2017v2.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-06T13:26:37-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141347719 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Healthcare | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 3147338000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 427 Guy Park Avenue | AddressLine1Txt |
| City | Amsterdam | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 120101054 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tonya Mershon | PersonNm |
| Person Title | Tax Officer | PersonTitleTxt |
| Signature | 2019-05-06 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Victor Giulianelli | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 427 Guy Park Avenue | AddressLine1Txt |
| City | Amsterdam | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 120101054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $174,773,390 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.smha.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1903 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | To improve the health and well-being of all people in the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1936 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $649,440 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$114,611 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,032,811 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,336,113 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $157,581,407 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $165,298,549 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,255,727 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,993,078 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,346,644 | PYOtherRevenueAmt |
| CY Other Revenue | $964,980 | CYOtherRevenueAmt |
| PY Total Revenue | $168,216,589 | PYTotalRevenueAmt |
| CY Total Revenue | $174,592,720 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $53,690 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $18,337 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $105,890,058 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $102,783,441 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $66,894,653 | PYOtherExpensesAmt |
| CY Other Expenses | $70,500,431 | CYOtherExpensesAmt |
| PY Total Expenses | $172,838,401 | PYTotalExpensesAmt |
| CY Total Expenses | $173,302,209 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,621,812 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,290,511 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $172,889,674 | TotalAssetsBOYAmt |
| Total Assets EOY | $172,611,414 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $67,854,573 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $64,531,772 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $105,035,101 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $108,079,642 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $141,455,320 | ExpenseAmt |
| Grant | $18,337 | GrantAmt |
| Revenue | $164,868,117 | RevenueAmt |
| Desc | St. Mary's Healthcare is a 290-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, St. Mary's Healthcare treated 6,376 adults and children for a total of 87,676 patient days of service. The hospital also provided services for 438,194 outpatient visits, which included 6,785 outpatient surgeries and 31,286 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. | Desc |
| Total Program Service Expenses | $141,455,320 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 153 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1936 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | Yes (true) | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sara O'Brien | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3147338070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11775 BORMAN DRIVE | AddressLine1Txt |
| City | MARYLAND HEIGHTS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63146 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| EMILY T ETZKORN MD | ||||||||||
| CHAIRPERSON | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ANDREW HECK | ||||||||||
| VICE CHAIRPERSON | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SISTER MARY ANNE HEENAN | ||||||||||
| SECRETARY | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| THOMAS F CICHY | ||||||||||
| TREASURER | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| VICTOR F GIULIANELLI | ||||||||||
| PRESIDENT & CEO | 40.0 | 2.0 | Yes (X) | Yes (X) | $816,778 | $0 | $37,873 | |||
| GREGORY J ABBATTISTI | ||||||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| MOHAMMED R GHAZI-MOGHADAM MD | ||||||||||
| TRUSTEE/PHYSICIAN | 40.0 | 0 | Yes (X) | $560,359 | $0 | $35,997 | ||||
| RONALD LIMONCELLI | ||||||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| RONALD MARSH MD | ||||||||||
| TRUSTEE/PHYSICIAN | 40.0 | 0 | Yes (X) | $919,329 | $0 | $40,628 | ||||
| MICHAEL J PEPE | ||||||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| BRENT E PHETTEPLACE | ||||||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL M SHERIDAN DO | ||||||||||
| TRUSTEE/MEDICAL DIRECTOR | 40.0 | 0 | Yes (X) | $260,964 | $0 | $27,698 | ||||
| FREDERICK E HENZE JR | ||||||||||
| VP, FINANCE | 40.0 | 1.0 | Yes (X) | $244,000 | $0 | $13,010 | ||||
| SCOTT M BRUCE | ||||||||||
| VP, OPERATIONS | 40.0 | 1.0 | $372,971 | $0 | $38,545 | Yes (X) | ||||
| WILLIAM D MAYER MD | ||||||||||
| VP, MEDICAL AFFAIRS | 40.0 | 0 | $439,952 | $0 | $23,837 | Yes (X) | ||||
| MICHELE M WALSH RN | ||||||||||
| VP, NURSING | 40.0 | 0 | $253,363 | $0 | $19,673 | Yes (X) | ||||
| JAMES M CHARLAND MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $605,130 | $0 | $40,720 | Yes (X) | ||||
| KEVIN P COPE MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $446,614 | $0 | $38,864 | Yes (X) | ||||
| MICHAEL J FINNEGAN MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $749,839 | $0 | $41,663 | Yes (X) | ||||
| GARY SINENSKY MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $541,295 | $0 | $34,237 | Yes (X) | ||||
| JAY ZIMMERMAN MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $517,130 | $0 | $39,931 | Yes (X) | ||||
| DONALD W MASSEY | ||||||||||
| FORMER KEY EMPLOYEE (END 6/2017) | 40.0 | 0 | $221,410 | $0 | $17,307 | Yes (X) | ||||
| DUANE S MILLER | ||||||||||
| FORMER KEY EMPLOYEE (END 6/2017) | 40.0 | 0 | $192,551 | $0 | $31,420 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,141,686 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $481,405 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 90 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| ATLANTIC PROFESSIONAL SERVICES OF RI | ||||||
| PO BOX 2467 | SANTA ROSA | CA | 95405 | HOSPITALISTS | $2,363,841 | |
| ARUP LABORATORIES | ||||||
| 500 S CIPETA WAY | SALT LAKE CITY | UT | 84108 | LABORATORY SERVICES | $1,406,476 | |
| ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC | ||||||
| 315 S MANNING BLVD | ALBANY | NY | 122081707 | MEDICAL SERVICES | $1,049,514 | |
| MEDSPEED LLC | ||||||
| 655 W GRAND AVE STE 320 | ELMHURST | IL | 60126 | COURIER SERVICE | $361,990 | |
| MOHWAK VALLEY MRI | ||||||
| 5010 STATE HIGHWAY 30 | AMSTERDAM | NY | 12010 | MEDICAL SERVICES | $314,791 | SUITE 205 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $528,001 | RelatedOrganizationsAmt |
| Government Grants | $5,808,112 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $6,336,113 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Service Revenue | 621990 | $159,341,536 | $158,794,448 | $547,088 |
| Pharmacy Revenue | 446110 | $5,817,817 | $5,817,817 | |
| Services to Affiliates | 561000 | $58,514 | $58,514 | |
| Sports Medicine Revenue | 621990 | $80,682 | $80,682 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $165,298,549 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,001,809 | TotalRevenueColumnAmt |
| Exclusion | $2,001,809 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $86,647 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $171,439 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$84,792 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$84,792 | TotalRevenueColumnAmt |
| Exclusion | -$84,792 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,231 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$8,731 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,731 | TotalRevenueColumnAmt |
| Exclusion | -$8,731 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Cafeteria/Vending Revenue | 722514 | $666,793 | $666,793 | |
| Medical Records Fees | 900099 | $22,647 | $22,647 | |
| Nursing Home Medical Director Services | 900099 | $21,670 | $21,670 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $338,662 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $197,338 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $141,324 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,049,772 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,592,720 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $164,868,117 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $649,440 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,739,050 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,650 | TotalAmt |
| Program Services | $12,650 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,687 | TotalAmt |
| Program Services | $5,687 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,978,415 | TotalAmt |
| Program Services | $72,693,698 | ProgramServicesAmt |
| Management And General | $13,284,717 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,887,205 | TotalAmt |
| Program Services | $3,286,584 | ProgramServicesAmt |
| Management And General | $600,621 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,010,311 | TotalAmt |
| Program Services | $5,927,132 | ProgramServicesAmt |
| Management And General | $1,083,179 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,907,510 | TotalAmt |
| Program Services | $4,994,727 | ProgramServicesAmt |
| Management And General | $912,783 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,722 | TotalAmt |
| Management And General | $208,722 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,575 | TotalAmt |
| Management And General | $22,575 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,355,147 | TotalAmt |
| Program Services | $3,753,467 | ProgramServicesAmt |
| Management And General | $601,680 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,860 | TotalAmt |
| Program Services | $85,652 | ProgramServicesAmt |
| Management And General | $19,208 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $983,793 | TotalAmt |
| Program Services | $412,991 | ProgramServicesAmt |
| Management And General | $570,802 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,860 | TotalAmt |
| Program Services | $24,661 | ProgramServicesAmt |
| Management And General | $14,199 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,931,768 | TotalAmt |
| Program Services | $788,217 | ProgramServicesAmt |
| Management And General | $2,143,551 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,378 | TotalAmt |
| Program Services | $156,748 | ProgramServicesAmt |
| Management And General | $90,630 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,418 | TotalAmt |
| Program Services | $107,410 | ProgramServicesAmt |
| Management And General | $43,008 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,816 | TotalAmt |
| Management And General | $299,816 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,038,668 | TotalAmt |
| Program Services | $3,512,845 | ProgramServicesAmt |
| Management And General | $3,525,823 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,664,404 | TotalAmt |
| Program Services | $280,688 | ProgramServicesAmt |
| Management And General | $1,383,716 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $20,466,183 | $20,346,345 | $119,838 |
| Management Fee to Affiliate | $15,649,293 | $15,649,293 | |
| Purchased Services | $11,271,094 | $4,149,680 | $7,121,414 |
| Provider Tax | $1,326,275 | $1,326,275 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,741,177 | TotalAmt |
| Program Services | $3,940,570 | ProgramServicesAmt |
| Management And General | -$199,393 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,302,209 | TotalAmt |
| Program Services | $141,455,320 | ProgramServicesAmt |
| Management And General | $31,846,889 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $4,125 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,164,211 | BOYAmt |
| EOY | $464,184 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $868,982 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,477,436 | BOYAmt |
| EOY | $19,197,951 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $285,909 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,842,570 | BOYAmt |
| EOY | $2,582,453 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $462,287 | BOYAmt |
| EOY | $200,029 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $118,347,255 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $63,916,246 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,437,992 | BOYAmt |
| EOY | $54,431,009 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,246,555 | BOYAmt |
| EOY | $860,336 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,258,623 | BOYAmt |
| EOY | $93,716,436 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,889,674 | BOYAmt |
| EOY | $172,611,414 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,913,277 | BOYAmt |
| EOY | $15,188,568 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,241,701 | BOYAmt |
| EOY | $794,030 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,782 | BOYAmt |
| EOY | $115,131 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,620,813 | BOYAmt |
| EOY | $48,434,043 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,854,573 | BOYAmt |
| EOY | $64,531,772 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,069,179 | BOYAmt |
| EOY | $97,946,251 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,460,177 | BOYAmt |
| EOY | $3,627,621 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,505,745 | BOYAmt |
| EOY | $6,505,770 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,035,101 | BOYAmt |
| EOY | $108,079,642 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,889,674 | BOYAmt |
| EOY | $172,611,414 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,290,511 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $546,390 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,207,640 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $22,575 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $22,575 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | Lobbying expenses represent the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. St. Mary's Healthcare does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | Lobbying expenses represent the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. St. Mary's Healthcare does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,104,949 | BeginningYearBalanceAmt |
| Contributions | $25 | ContributionsAmt |
| Investment Earnings Or Losses | $1,076,429 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $88,300 | OtherExpendituresAmt |
| End Year Balance | $10,093,103 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,423,426 | BeginningYearBalanceAmt |
| Contributions | $225 | ContributionsAmt |
| Investment Earnings Or Losses | $950,998 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $269,700 | OtherExpendituresAmt |
| End Year Balance | $9,104,949 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,505,491 | BeginningYearBalanceAmt |
| Contributions | $4,152 | ContributionsAmt |
| Investment Earnings Or Losses | $170,156 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,256,373 | OtherExpendituresAmt |
| End Year Balance | $8,423,426 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,044,819 | BeginningYearBalanceAmt |
| Contributions | $1,760 | ContributionsAmt |
| Investment Earnings Or Losses | $466,208 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,296 | OtherExpendituresAmt |
| End Year Balance | $10,505,491 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,561,895 | BeginningYearBalanceAmt |
| Contributions | $11,814 | ContributionsAmt |
| Investment Earnings Or Losses | $471,685 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $575 | OtherExpendituresAmt |
| End Year Balance | $10,044,819 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.64 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.36 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,591,798 | OtherCostOrOtherBasisAmt |
| Book Value | $7,591,798 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,556,979 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,006,434 | DepreciationAmt |
| Book Value | $32,550,545 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,778 | DepreciationAmt |
| Book Value | $8,442 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,359,354 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,629,108 | DepreciationAmt |
| Book Value | $12,730,246 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,804,904 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,254,926 | DepreciationAmt |
| Book Value | $1,549,978 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $54,431,009 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Assets | $398,297 |
| Due from Affiliates | $2,596,121 |
| Other Receivables | $4,953,777 |
| Deferred Compensation/Retirement/Pension Asset | $2,294,921 |
| Physician Guarantee Asset | $647,794 |
| Beneficial Interest in Foundation | $10,133,392 |
| Estimated 3rd Party Payor Settlements | $737,373 |
| Interest in Investments Held by Ascension Health Alliance | $71,937,739 |
| Deposits | $17,022 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $93,716,436 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)
| DescDesc | AmtAmt |
|---|---|
| Asset Retirement Obligation | $1,500,000 |
| Patient Credit Liabilities | |
| Other Liabilities | $237,679 |
| INCOME GUARANTEE | |
| VALUATION GUARANTEE | $433,382 |
| HISTORICAL ALLOWANCES | |
| Due to Affiliates | $33,024,440 |
| Deferred Compensation/Retirement/Pension Liability | $2,294,921 |
| Estimated 3rd Party Payor Settlement | $1,955,479 |
| Physician Guarantee Liability | $346,836 |
| Recovery Tail Liability | $416,225 |
| Debt with Ascension Health Alliance | $8,225,081 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $48,434,043 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part IV, Line 2b Explanation of escrow agreement | THE HOSPITAL MAINTAINS ACCOUNTS FOR RESIDENTS OF THE SKILLED NURSING FACILITY WHICH TOTALED $115,131 AT 06/30/2018. |
| Schedule D, Part V, Line 4 Intended uses of endowment funds | The intended use of the endowment fund is to assist St. Mary's Healthcare at Amsterdam to develop and expand its services to the community. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | false | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,010,360 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $158,017 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $852,343 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0049 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,404,364 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,452,715 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,951,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0517 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $46,414,724 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,610,732 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,803,992 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0566 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,245,014 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $77,476 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,167,538 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0183 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $637,188 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $637,188 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0037 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,258,011 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,360,797 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,897,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0167 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $312,199 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $312,199 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0018 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $20,452,412 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,438,273 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,014,139 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0405 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $66,867,136 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,049,005 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,818,131 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0970 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,647 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,647 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $10,647 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,647 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,320,345 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $62,225,828 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $70,421,365 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,195,537 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Healthcare | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 427 Guy Park Avenue | AddressLine1Txt |
| City | Amsterdam | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 120101054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.smha.org/ | WebsiteAddressTxt |
| State License | 2801001H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Healthcare | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.smha.org/st-marys/community-health-needs-assessment1 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.smha.org/st-marys/community-health-needs-assessment1 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.0 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | The significant health needs were all identified in our 2015 Community Health Needs Assessment. They were voted on and prioritized by a committee of approximately 50 community stakeholders, consisting of clinicians, business leaders, social workers, etc. The prioritized health needs are as follows: mental health/substance abuse, nutrition/obesity/weight management, and chronic disease, which encompasses cancer, heart disease/stroke, and diabetes. The Implementation Plan was developed after the needs were voted on and prioritized, and the programs/services of the implementation plan reflect those top health priorities. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - St. Mary's Healthcare. As part of the Community Health Assessment, a Community Health Survey was conducted in the Spring of 2015 to the Fall of 2015 for the reporting period of 2015-2018. A random survey 750 individuals 18 and older in St. Mary's Healthcare service area were interviewed by telephone. An online survey was also conducted to solicit input from key informants. St. Mary's Healthcare supplied a list of recommended participants including physicians, public health representatives, other health professionals, social service providers, and a variety of community leaders. The community leaders include those who work with low-income minority populations and medically underserved populations. St. Mary's Healthcare uses reliable, third-party resources, including data from government sources to assess the healthcare needs for the community it serves: Fulton and Montgomery Counties in New York State. These reports include vital information regarding key health status, socioeconomic and demographic indicators that point to areas of need and include, but are not limited to, reports from: Catholic Charities of Fulton and Montgomery Counties, FulMont Community Action Agency, Fulton County Department of Public Health, Fulton County Office for the Aging, Fulton County YMCA, HFM (Hamilton, Fulton and Montgomery) Prevention Council, Montgomery County Department of Public Health, Montgomery County Office for the Aging, US Census Bureau, etc. To access a complete listing of resources, please refer to the St. Mary's Healthcare 2015 Community Health Needs Assessment. St. Mary's Healthcare utilizes these resources to help guide community education programs and provide services throughout the region. In addition, St. Mary's Healthcare considers the healthcare needs of the overall community when evaluation internal financial and operational decisions. Input from persons representing broad interests of the community and populations which are underserved, low-income, minority and/or with chronic disease needs were included through randomized phone surveys and an online key informant survey via email. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - St. Mary's Healthcare. St. Mary's Healthcare conducted its CHNA with the following other hospital facility: St. Mary's Hospital |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - St. Mary's Healthcare - Part I. The CHNA Steering Committee met on January 7, 2016 to determine the health needs to be prioritized for action. The Areas of Opportunity were prioritized by the Committee as follows: Substance Abuse, Mental Health, Nutrition/Physical Activity/Weight Management, Cancer, Heart Disease & Stroke and Diabetes. St. Mary's Healthcare is continually working to meet the goals set forth in their Community Health Needs Assessment (CHNA) Implementation Strategy 2015-2018. Nutrition and Weight Status - St. Mary's continues to work with Johnstown Pediatric Center, Memorial Family Health Center, FulMont Head Start, Dr. Emily Etzkorn's office, and St. Mary's Institute, to implement a childhood obesity prevention program, "5210." This program will help providers talk to children and their families about the importance of healthy eating and physical activity. St. Mary's Healthcare will also enforce the "5210" message to all associates. o St. Mary's Institute has collaborated with the dietary department at St. Mary's to teach the students how to make healthy snacks, such as trail mix and smoothies, and has even helped staff their "fun color run" with volunteers from SMH. The Hospital regularly offers free glucose testing and education as requested by local school, community and civic groups. St. Mary's has a Diabetes and Nutrition Education Center to provide nutritional counseling to the community, the Pregnancy Care Center, and Cardiac Rehabilitation. Primary care providers and their staff discuss nutritional concerns with the patients they see on a regular basis. They are able to make referrals for nutritional counseling as necessary. St. Mary's continues to stock the "Mission Cupboard," in 4 locations, which serves as an emergency food pantry for patients. St. Mary's continues to promote "Baby Friendly" to improve maternal and child health. The goal is to increase the number of women who initiate and exclusively breastfeed without medical reason for formula to 78% by May 2019. (Baseline: 68% in 2015) Cancer Peer Education began a "Fun and Free Walking Program" for Amsterdam residents in June 2017. This continued into the fall 2017 and has begun June 2018-October 2018. Chronic Disease - St. Mary's was the recipient of a grant from the New York State Department of Health for Peer Education. This three- to five-year grant will reduce breast cancer mortality by 10% and increase awareness and education surrounding prostate cancer. In their first year, the team educated 1019 women about breast cancer screenings and 544 men about prostate cancer screenings. They referred 389 women and 197 men to resources in the community. St. Mary's Healthcare is one of only four contractors awarded in New York State with a new Community Cancer Prevention in Action grant. The award has a 5-year contract value of $1,125,000 and is focused on decreasing exposure to ultraviolet radiation to reduce the risk of skin cancer, increasing cancer screening rates for colorectal, breast, and cervical cancers through employer paid time off policies, and providing education on the importance of the HPV vaccine. This program serves as example of the Mission at work. It aims to address the prevention of these cancers by providing educational opportunities to otherwise under-educated and under-served communities. The second annual Medical Mission at Home event was held on April 21st, 2018 at the Family Health Center at the Carondelet Pavilion. This served as an opportunity for anyone in the community to come and receive free healthcare, social and support services, regardless of health insurance status. This was the first year where a bus and multiple vans were provided for the Amish community to come and take advantage of these services. In total, 53 Amish community members were presented and received services. St. Mary's Healthcare, in partnership with Amsterdam and Gloversville Housing Authorities, hosted three diabetes awareness programs and handed out CDC Type 2 Diabetes Risk Assessments to all participants. 650 risk assessments were given out to participants at programs, health fairs, and other events throughout FY18 in preparation for the implementation of the CDC's National Diabetes Prevention Program in FY19. Substance Abuse/Mental Health - St. Mary's Healthcare continues to participate as a member of the Fulton Montgomery Suicide Prevention Task Force. The hospital is available to provide educational materials and resources to schools in Fulton and Montgomery counties. A community program regarding the popular Netflix Series, "13 Reasons Why," was presented at the Broadalbin-Perth High School on October 23, 2017. 32 community members were in attendance. A Human Trafficking Critical Team was formed and meets monthly in order to address the gaps in services for sex and labor trafficking victims. St. Mary's implemented a human trafficking policy along with educational modules about how to respond to potential victims and survivors. St. Mary's added a new ambulatory detox center, which opened December 2016. The second annual Medical Mission at Home event was held on April 21st, 2018 at the Family Health Center at the Carondelet Pavilion. This served as an opportunity for anyone in the community to come and receive free healthcare, social and support services, regardless of health insurance status. Other Needs - St. Mary's Healthcare offers our Pregnancy Care Center, a comprehensive pre-natal program for uninsured, low-income women who become pregnant. The care includes routine pregnancy medical checkups, lab work and access to specialists. The Hospital provides information about pregnancy, labor and delivery as well as hospital care during pregnancy and delivery. Medical care is provided for the mother for at least two months after delivery and for the baby at least one year after birth. St. Mary's asks every patient they see for services if they use tobacco. Medical providers at primary care centers provide counseling and inpatients receive a visit from the Respiratory Therapy Department who provides smoking cessation counseling and materials. St. Mary's Healthcare was recognized for having a five-star rating for the following in 2018: vaginal delivery, hip fracture treatment, spinal fusion, hip replacement, and treatment of pneumonia. St. Mary's has also been rated one of America's Top 100 Hospitals for Orthopedic Surgery in 2016, 2017, and 2018. This information is publicly accessible through www.healthgrades.com. St. Mary's provides free flu shots to the local college and BOCES's students in the CNA, LPN, and RN nursing classes and to our migrant farm workers in the rural sections of Montgomery County. The Hospital partners with local physicians and medical providers to offer educational programs on joint, bone and back health. We have a partnership with a local orthopedic practice to offer "Joint School" which educates candidates for joint replacement on surgery, treatment, care, and management of bone and joint tissues. St. Mary's currently audits patient records to ensure that all diabetics are receiving the care they need to prevent renal disease as a result of complications from their diabetes. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - St. Mary's Healthcare - Part II. In acknowledging the wide range of priority health issues that emerged from the CHNA process, St. Mary's Healthcare determined that it could only effectively focus on those which it deemed most pressing, most under-addressed, and most within its ability to influence. The following identified needs are not being addressed from the CHNA: * Access to Healthcare Services: As evidenced by the CHNA, we have fewer primary care providers than most of NYS. However, we are out-performing most areas when it comes to patients being screened for blood pressure and children attending wellness visits. We also only have 5% of our service area un-insured. SMH employs a full-time Health Insurance Enroller to provide individuals with appropriate health insurance. * Respiratory Diseases: As part of SMH's participation in and leadership of the Alliance for Better Health, a part of DSRIP (Delivery System Reform Incentive Payment Program) of New York State, Project 4.b.i. will focus on tobacco cessation, contributing to respiratory diseases, including asthma and COPD. * Injury and Violence: According to our CHNA, our service area's mortality rate has decreased over much of the past decade, despite some increases in recent years. Also, our rate of children and adults wearing seatbelts has increased significantly over time from 93.7% to 98.6%. We have also had a statistical decrease in violent crimes since 2012. * Potentially Disabling Conditions: SMH continuously partners with local physicians and medical providers to offer free of charge educational programs on joint, bone and back health. Additionally, a SMH inter-disciplinary team partners with a local orthopedic practice to offer a "Joint School," which educates candidates for join replacement |
| Schedule H, Part V, Section B, Line 16 Facility , 1 | Facility , 1 - St. Mary's Healthcare. Individual letters are mailed to all uninsured patients informing them of the financial assistance programs available. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| St Mary's Healthcare | ||||
| 4988 State Highway 30 | Amsterdam | NY | 12010 | Diagnostic Care, Primary Care, Cancer Medicine, and Inpatient Physical Rehab |
| Wilkinson Residential Health Care Fac | ||||
| 4988 State Highway 30 | Amsterdam | NY | 12010 | Residential Health Care Facility |
| Johnstown Family Health Center | ||||
| 700 S Perry Street | Johnstown | NY | 12095 | Family Health Center |
| Amsterdam OBGYN Center | ||||
| 446A Guy Park Ave | Amsterdam | NY | 12010 | OB/GYN Center |
| Canajoharie Family Health Center | ||||
| 48 Erie Boulevard | Canajoharie | NY | 13317 | Family Health Center |
| Montgomery County Addiction Services | ||||
| 76 Guy Park Ave | Amsterdam | NY | 12010 | Addiction Services |
| Broadalbin Health Center | ||||
| 3768 ST HWY 30 | Broadalbin | NY | 12025 | Family Health Center |
| Fulton County Addiction Services | ||||
| 73 North Main Street | Gloversville | NY | 12078 | Addiction Services |
| Carondelet Family Health Center | ||||
| 380 Guy Park Ave | Amsterdam | NY | 12010 | Family Health Center |
| Fulton County Day Rehab Addiction Svc | ||||
| 57 E Fulton Street | Gloversville | NY | 12078 | Addiction Rehabilitation Center |
| Gloversville Family Health Center | ||||
| 84 E State Street | Gloversville | NY | 12078 | Family Health Center |
| Children's Mental Health Clinic | ||||
| 8 Northampton Road | Amsterdam | NY | 12010 | Children's Mental Health Center |
| Diagnostic Service Center | ||||
| 110 Holland Circle Drive | Amsterdam | NY | 12010 | Diagnostic Care Center |
| Northville Family Health Center | ||||
| 331 Bridge Street | Northville | NY | 12134 | Family Health Center |
| Children's Day Treatment Program | ||||
| 234 Lincoln Street | Gloversville | NY | 12078 | Children's Treatment Center |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7g Subsidized Health Services | The organization employs its physicians at physician clinics, so the associated costs and charges relating to those physician services are included in all relevant categories in Part I. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data and is calculated in compliance with Catholic Health Association (CHA) guidelines. The organization uses a cost accounting system that addresses all patient segments (for example: inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For charity care, a specific cost-to-charge ratio was applied; for other categories in the table, a cost accounting system was used. |
| Schedule H, Part II Community Building Activities | St. Mary's Healthcare provided the following community building activities in July 2017 - June 2018. * Donated 30 turkeys to Danielle's House, a local homeless shelter by Interfaith Partnership for the Homeless, in November 2017. St. Mary's associates were also able to donate meals throughout the duration of the winter/early spring, 2017-'18. * In 2017-2018 St. Mary's Healthcare, together with leaders of local community agencies and the Department of Social Services continued to address the homeless issues in Amsterdam. Through their continued collaboration, the homeless shelter continues to operate and provide critical housing services for those in emergent need. Danielle's house also offers intensive case management services, job assistance and low-income apartment rentals for those who need a more permanent place to stay and the support of a case manager. * St. Mary's donated both funding and staff time by four associates to the local Habitat for Humanity Chapter. The first house was built by this chapter over a period of four and a half years. * June 2018: Provided a free community Narcan training program, presented by NYS OASAS, at the St. Mary's Healthcare Carondelet Pavilion * September 30, 2017 and February 3, 2018: Healthy Women's Day at the Rao Outpatient Pavilion was a day where uninsured women could receive free mammograms, PAP smears, blood pressure screenings, and lab work, along with a chance to enroll in health insurance programs. * The second annual Medical Mission at Home event was held on April 21st, 2018 at the Family Health Center at the Carondelet Pavilion. This served as an opportunity for anyone in the community to come and receive free healthcare, social and support services, regardless of health insurance status. 67 patients were seen, (including 53 from the Amish community) 14 local community organizations showcased their programs and services, and St. Mary's had over 70 associates volunteer their time that day. There were nine healthcare providers present, including a chiropractor, primary care providers, a dentist and OB-GYN services. * A community program regarding the popular Netflix Series, "13 Reasons Why," was presented at the Broadalbin-Perth High School on October 23, 2017. 32 community members were in attendance. * Cancer Peer Education held their second annual "Fun and Free Walking Program" for the Amsterdam community, where 74 residents participated, (and growing) while the peer educators were able to encourage healthy behaviors, such as eating well and exercise, along with getting screened regularly for breast and prostate cancers. * "Reach Out and Read" is a well-recognized, national literacy based program for children and primary care providers. Primary care providers "prescribe" a book for the child to read, or for the parents to read to the child. This has been ongoing at St. Mary's for three years. * St. Mary's Healthcare, in partnership with Amsterdam and Gloversville Housing Authorities, hosted three diabetes awareness programs and handed out CDC Type 2 Diabetes Risk Assessments to all participants. 650 risk assessments were given out to participants at programs, health fairs, and other events throughout FY18 in preparation for the implementation of the CDC's National Diabetes Prevention Program in FY19. * St. Mary's held a fundraiser called "Sock it to me" where the volunteer department collected socks for the winter months for Danielle's House (homeless shelter) and the migrant farm workers. They gathered over 700 pairs. * A poverty simulation was done October 2017 in partnership with the HFM Prevention Council for teachers and faculty in the Fulton and Montgomery county school districts. We had 88 participants and 16 volunteers. * Human Trafficking educational modules, provided by Ascension Health, were presented to associates and community at-large in August and October 2017, January and April 2018. * The 22nd Annual Breast Health Luncheon was held at Glen Sanders Mansion in October 2017. This is a fundraiser for the Cancer Services Program of Fulton, Montgomery and Schenectady counties. * St. Mary's held a fundraiser for both the American Heart Association and Relay for Life for the community at-large called "A Night Out." Collectively, the event raised $5000. From all other sources of fundraising, including individual donations, the total amount surpassed $30,000. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | St. Mary's Healthcare writes an account receivable off as a bad debt after collection efforts have been followed in accordance with the hospital's policies. Discounts and insurance payments have been applied to each patient account and reasonable efforts have been made to collect the remaining balance due from the patient. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The bad debt expense attributable to patients eligible under the organization's financial assistance policy is calculated from the amount of bad debt transfers for uninsured patients. The ratio of patient care cost to charges is applied to the total transfers less the cost of the bad debt recoveries. This bad debt is not included as a community benefit. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 21. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | Ascension Health and related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as a community benefit. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance, certain collection practices do not apply. |
| Schedule H, Part VI, Line 2 Needs assessment | IN ADDITION TO the CHNA process described in Sch H Part V, the Hospital sought input from its Board of Trustees, Medical Executive Committee, leadership staff and community partners when completing its annual Integrated Strategic, Operational, and Financial Plan (ISOFP). The ISOFP uses pertinent data and comprehensive feedback to outline current and future critical healthcare needs for the Hospital's service area, as well as the resources needed to address the identified issues. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | St. Mary's Healthcare, in keeping with the mission and policies of Ascension Health, strives to maintain a balance between providing care of the poor with the ability of the Hospital to maintain quality health care for the community it serves. As part of its financial assistance policies, the Hospital offers a self pay discount to all uninsured patients as a percentage off the standard charge; the discounts were set at 38% for inpatient services and 47% for outpatient services. For the twelve month period (July 2017-June 2018), the discounts provided to the uninsured were $2,463,340. The Carondelet Care assistance program is the next level of financial assistance available to the Hospital's patients. This program is available to all patients who can demonstrate a financial burden associated with their patient responsibility. Financial assistance is provided through collaboration between the health insurance enrollment and financial assistance staff. Although the two departments offer different financial assistance services, the enrollment staff is trained to help those individuals who do not qualify for any government sponsored programs to access the Carondelet Care assistance program. Similarly, the Financial Counselors often refer patients in need of insurance to our Enrollment Specialist. The enrollment staff is available to meet with community members at the main hospital, at our Memorial campus and at all six of our off-site family health centers. Staff is also trained to refer individuals to free or low cost health care programs within the community if no other options are immediately available. The Hospital enroller works collaboratively with community agencies to further expand its outreach. Large posters describing the Hospital's willingness to help patients with financial assistance are displayed in all main entrances to the Hospital and the off-site locations, as well as in our multiple registration sites and waiting rooms. The informational posters are in English and Spanish and urge patients to call if they are concerned about bill payment. Translation services are also available as needed via language line telephones and iPad video application. Brochures in English and Spanish are available at all service sites and offer detailed information about the various levels of assistance. In addition to offering discounts, St. Mary's offers options for payment plans and payment schedules. The English and Spanish brochures are also available on the Hospital web site. Information on financial assistance is also contained in the Patient Information Guide given to all inpatients at St. Mary's Healthcare. |
| Schedule H, Part VI, Line 4 Community information | The PSA represents one of the oldest regions in NYS. Estimates indicate that the 65 and older population will continue to grow. According to SG2 Healthcare Analytics, the largest projected segment of our population showing growth over the next 5 years is the 60+, with an average growth rate of 12.14%(1). In fact, within this segment, 67-69+ shows an 18.6% projected increase. The unemployment rate in Fulton and Montgomery Counties has dropped by over 1% to 4.2% in both counties in the past year to be near the state average of 3.8%. There are many factors that contribute to the community's poverty levels, including the high school dropout rate in both counties. Reports indicate an average dropout rate of 12%(3) in Fulton County and 13% in Montgomery County with our two largest school districts averaging an 18% dropout rate. The lack of education affects the workforce, contributes to higher unemployment and greater risk of working without health insurance. In the PSA of Fulton and Montgomery Counties the median poverty rate is 17.45% which is 2.65% higher than the state average. Research indicates a decline in the Caucasian population, which is a consistent trend over several years. The Hispanic community is our largest minority community, with the largest concentration within the city of Amsterdam. US Census 2017 estimates indicate that 29.3% of the residents of Amsterdam are identified as Hispanic which is more than 10% higher than the national average. The Hospital employs bilingual and bicultural healthcare professionals to meet the needs of the Hispanic community. Health statistics relevant to the community's health status are as follows: Over 71.3% of the St. Mary's Healthcare Service Area adults are overweight. Especially alarming is that 37.2% of our children are overweight. The relationship of being overweight with other health issues such as high blood pressure, chronic depression, arthritis and diabetes are significant. Poor nutritional habits and lack of physical activity are significant contributing factors to the overweight status of our community. Access to quality health care services is important for increasing the quality of life for everyone. It impacts overall physical, social and mental health status; the prevention of disease and disability; quality of life; preventable death and life expectancy. Uninsured individuals comprise 5.5% of the population in Fulton and Montgomery Counties. Of the total respondents, 4% of those with low-income went without some type of coverage the past year. The largest segment in our service area reporting a lack of healthcare insurance coverage are men and women aged 18 to 39. Additionally, over 43% of respondents reported some type of difficulty or delays in receiving needed health care in the past year, with those who are uninsured much more likely to report barriers when compared to the insured population. |
| Schedule H, Part VI, Line 5 Promotion of community health | St. Mary's Healthcare's governing body is comprised of persons representing diverse aspects and interests of the community. Many members of St. Mary's Healthcare's governing body reside in the organization's primary service area; who are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties and applies surplus funds to improvements in patient care, medical education, and research. Many surplus funds find their way to mission trips in third world countries or stay here for the annual spring Medical Mission at Home event. St. Mary's Healthcare promotes the health of its community through various activities, including the following: * During July 2017-June 2018, approximately 5,000 people were provided community education on topics such as Concussion Education, Alzheimer's disease, Arthritis, Breast, Cervical and Colorectal Cancer Screenings, Health Insurance, Childbirth Education, Bone and Joint Health, Brain Injury Awareness, Heart Health, Infant CPR, Lactation Support, Ebola, Physical Activity and Nutrition, Suicide Prevention, Health Care Proxys, General Mental Well-Being, Poverty, Gastroenterology, and other wellness areas. St. Mary's associates gave 22,198 hours of their time engaging in these community benefit activities. * Hosted five American Red Cross Blood Drives to address the critical need for blood in our service area. * Provided Healing Touch Treatments to women who have breast cancer or who are breast cancer survivors. * St. Mary's partnered with our local school districts hosting three school tours in the period July 2017 - June 2018, providing children first-hand knowledge and experience of the operations of a hospital. Our Registered Dieticians participated in school wellness days to teach children about the importance of healthy eating and physical activity. * From July 2017- June 2018, St. Mary's associates gave 858 hours back to their community serving on various boards including The Amsterdam Homeless Coalition, DSRIP, Teen Action Alliance, American Heart Association, NAMI, Your Home Care Network, Dear Neighbor, Breast Health Brunch Committee, Children's Steering Committee, PHIP, Health Advisory Committee, Montgomery County United Way, Community Hospice, Catholic Charities of Fulton and Montgomery Counties, Community Health Center (CHC) , Greater Amsterdam Volunteer Ambulance Corp (GAVAC), Regional Perinatal Outreach Advisory, Montgomery County Public Health Quality Assurance Committee, Minority Health Task Force, Sexual Assault Task Force, Fulton-Montgomery Community College, Fulmont Community Action, Liberty ARC Board, Montgomery County Office for the Aging, The Sanford Home, Montgomery County Habitat for Humanity, the Minority Health Task Force, the Suicide Prevention Task Force, Fulton-Montgomery Regional Chamber of Commerce, Glove City and Amsterdam Rotary, Children's Aid Society, New Dimensions in Healthcare and Fulton County Long-term Care Council Boards. * From July 2017 through June 2018, St. Mary's associates gave their time to better the community by participating in walks including the American Cancer Society's Relay for Life, Alzheimer's Association Walk to End Alzheimer's, American Heart Association's Heart Walk, and other awareness walks as well as taking part in clean-up projects in both Fulton and Montgomery Counties. The hospital supported the work of many community groups including the Canajoharie Library, The Mental Health Association of FM Counties, The Office for Aging, Caring Together Ovarian Cancer Association, the Alzheimer's Association of NENY, Catholic Charities, St. Mary's Institute, Boy Scouts, YMCA, Liberty Foundation, Mountain Valley Hospice, Rotary Clubs, Montgomery County SPCA, Montgomery County Habitat for Humanity, Fulton County Habitat for Humanity, Wishful Thinking and numerous school clubs, sport teams and community groups through its fiscal donations. * St. Mary's providers can refer uninsured or underinsured patients with medication needs to the Dispensary of Hope program at the Hospital. This program provides free prescription medications to those who lack prescription drug coverage. * St. Mary's also has a partnership with Palmer's Pharmacy in Johnstown. If patients need medication and cannot either pay for it or pick up their prescriptions, Palmer's will deliver to the hospital, their home, or have it ready for pick-up for the patient. * Continued to be a leader and collaborator with a group of partners from local health care entities and community agencies whose mission is to improve the health status for all we serve. During 2017-2018, we continued to carry out our work we committed to in our Implementation Strategy and Community Service Plan. * In 2017, we continued our fifteenth year of distributing educational information on insurance eligibility for children through the school system, public service announcements, advertising and appearances at "back to school" events such as PTA meetings and open houses. * Enrolled nearly 603 individuals in State-sponsored insurance programs and programs through the newly created NY State of Health Marketplace. * Provided 404 life-saving cancer screenings to 167 uninsured individuals through the Cancer Services Program. * Supported a Promotora who provided outreach education, referral, follow-up, case management and advocacy services to our Latino and migrant community. The goal of the program is to promote needed primary health services and prevention efforts in a culturally appropriate manner. The Promotora has an average of 500 client contacts/communications per month. Additionally, there are countless other communications, educational trainings, community events, individual and family visits, and service navigation that has been made available by the program. * Maintained the importance of culturally sensitive and accurate communication with Latino patients and patients with limited English proficiency through translation services which include professional phone and video translation services and the translation of key documents. English and Spanish are the most prominent languages spoken in the community, so all signage is posted in both English and Spanish throughout the organization. The iPad video services also serve those who need sign language services. * Provided free blood pressure screenings at various health fairs and community events throughout the year. * Provided nutrition education to 650 individuals in the community at health events and educational programs. * Hosted eight different support groups including the Cancer, Brain Injury, Behavioral/Mental Health, Ostomy, Diabetes, Survivors of a Loved One's Suicide (SOLOS), Alzheimer's Caregiver Support and Community Hospice Groups supporting nearly 150 community members who receive peer support and educational opportunities to manage their concerns. * The Medical Explorers, a group for young adults, meets monthly for education and socialization with the goal of assisting youth to explore the various options in healthcare careers. * Club 60, an educational and social group for seniors aged 60 and above, meets monthly for updates on health-related issues such as the flu vaccine and specialized primary care services. * A majority of the Hospital's Board of Trustees is comprised of persons who reside in the organization's primary service area and are neither employees nor independent contractors of the Hospital, nor family members thereof. * The Hospital established the Carondelet Community Fund, which provides modest assistance to local programs and agencies whose values and mission align with the values of St. Mary's Healthcare. Grants from the fund are made to eligible non-profit community agencies which are located within the service area of St. Mary's Healthcare and which share the values of St. Mary's with an emphasis on service to the poor and vulnerable, and holistic care. The total amount awarded from this fund during July 2017-June 2018 in $12,650. |
| Schedule H, Part VI, Line 6 Affiliated health care system | St. Mary's Healthcare (the Hospital) is a member of Ascension Health. In December 2011, Ascension Health Alliance became the sole corporate member and parent organization of Ascension Health, a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 23 of the United States and the District of Columbia. Ascension Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Hospital, located in Amsterdam, New York, is a nonprofit acute care hospital. The consolidated financial statements include the Hospital, Medical Services Enhancement, Inc. (MSE), and an equity interest in The Foundation of St. Mary's Healthcare, Inc. (Foundation). MSE operates a medical office building to retain and attract physician specialists to better serve the healthcare needs of the community. The Foundation's primary purpose is to assist the Hospital to develop and expand its services to the community by providing a focal point as the recipient for philanthropic support and by transferring funds to the Hospital. The Hospital provides acute inpatient, outpatient, and emergency care services for the residents of Montgomery, Fulton, and Hamilton counties. The Hospital also provides an array of Behavioral Health services including inpatient mental health and alcohol rehabilitation plus outpatient mental health and alcohol related services. Admitting physicians are primarily practitioners in the local area. Additionally, the Hospital operates a 160-bed skilled nursing facility which provides housing, healthcare and other related services to residents who are severely limited in their ability to care for themselves due to illness and/or disability, and a medical adult day care program. The Hospital is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services. Ascension Health Alliance directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health Alliance's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. Ascension Health Alliance uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs. - Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured. - Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons. - Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed cost of programs intentionally designed to serve persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with Acquired Immune Deficiency syndrome. - Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings. Discounts are provided to all uninsured patients in the acute care facility, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and community benefit programs. The cost of providing care of persons living in poverty and community benefit programs is estimated using internal cost data and is calculated in compliance with guidelines established by both the Catholic Health Association (CHA) and the Internal Revenue Service (IRS). The amount of traditional charity care provided, determined on the basis of cost, excluding the provision for bad debt expense was approximately $859,000 for the twelve months ended June 30, 2018 and $732,000 for the twelve months ended June 30, 2017. The amount of unpaid cost of public programs, cost of other programs for persons living in poverty and other vulnerable persons, and community benefit cost are reported in the accompanying other financial information. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | NY |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| Family Care - Entitlement Provider | 3 | $2,600 |
| Family Care - Entitlement Resident | 9 | $3,087 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | The grant funds awarded are to clients of the family care, intensive case management, and supportive case management programs which are administered through the Hospital's behavioral health services division. The amounts are determined based on evaluation of client needs as determined by their individual case managers. All amounts are processed in accordance with the Hospital's disbursements practices which require evidence of supporting documentation for all required approvals. The usage of funding for Family Care and Case Management are in accordance with the Office of Mental Health procedural guidelines by program code and funding score. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VICTOR F GIULIANELLI | ||||||||||||||
| PRESIDENT & CEO | $352,103 | $0 | $379,654 | $0 | $85,021 | $0 | $17,550 | $0 | $20,323 | $0 | $854,651 | $0 | $0 | $0 |
| MOHAMMED R GHAZI-MOGHADAM MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $418,201 | $0 | $109,552 | $0 | $32,606 | $0 | $14,850 | $0 | $21,147 | $0 | $596,356 | $0 | $0 | $0 |
| RONALD MARSH MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $752,308 | $0 | $160,979 | $0 | $6,042 | $0 | $13,500 | $0 | $27,128 | $0 | $959,956 | $0 | $0 | $0 |
| MICHAEL M SHERIDAN DO | ||||||||||||||
| TRUSTEE/MEDICAL DIRECTOR | $244,054 | $0 | $13,246 | $0 | $3,664 | $0 | $5,265 | $0 | $22,433 | $0 | $288,662 | $0 | $0 | $0 |
| FREDERICK E HENZE JR | ||||||||||||||
| VP, FINANCE | $189,731 | $0 | $42,995 | $0 | $11,274 | $0 | $9,950 | $0 | $3,060 | $0 | $257,011 | $0 | $0 | $0 |
| DONALD W MASSEY | ||||||||||||||
| FORMER KEY EMPLOYEE (END 6/2017) | $156,701 | $0 | $40,420 | $0 | $24,289 | $0 | $9,449 | $0 | $7,857 | $0 | $238,717 | $0 | $0 | $0 |
| DUANE S MILLER | ||||||||||||||
| FORMER KEY EMPLOYEE (END 6/2017) | $139,857 | $0 | $32,960 | $0 | $19,734 | $0 | $10,226 | $0 | $21,194 | $0 | $223,972 | $0 | $0 | $0 |
| SCOTT M BRUCE | ||||||||||||||
| VP, OPERATIONS | $257,812 | $0 | $59,858 | $0 | $55,301 | $0 | $17,550 | $0 | $20,995 | $0 | $411,516 | $0 | $0 | $0 |
| WILLIAM D MAYER MD | ||||||||||||||
| VP, MEDICAL AFFAIRS | $336,711 | $0 | $76,169 | $0 | $27,072 | $0 | $13,500 | $0 | $10,337 | $0 | $463,790 | $0 | $0 | $0 |
| MICHELE M WALSH RN | ||||||||||||||
| VP, NURSING | $194,715 | $0 | $44,716 | $0 | $13,932 | $0 | $10,784 | $0 | $8,889 | $0 | $273,036 | $0 | $0 | $0 |
| JAMES M CHARLAND MD | ||||||||||||||
| PHYSICIAN | $526,676 | $0 | $43,248 | $0 | $35,205 | $0 | $14,850 | $0 | $25,870 | $0 | $645,850 | $0 | $0 | $0 |
| KEVIN P COPE MD | ||||||||||||||
| PHYSICIAN | $230,992 | $0 | $198,624 | $0 | $16,998 | $0 | $13,500 | $0 | $25,364 | $0 | $485,478 | $0 | $0 | $0 |
| MICHAEL J FINNEGAN MD | ||||||||||||||
| PHYSICIAN | $485,799 | $0 | $261,195 | $0 | $2,846 | $0 | $14,850 | $0 | $26,813 | $0 | $791,503 | $0 | $0 | $0 |
| GARY SINENSKY MD | ||||||||||||||
| PHYSICIAN | $466,960 | $0 | $42,693 | $0 | $31,642 | $0 | $13,500 | $0 | $20,737 | $0 | $575,532 | $0 | $0 | $0 |
| JAY ZIMMERMAN MD | ||||||||||||||
| PHYSICIAN | $492,851 | $0 | $22,569 | $0 | $1,710 | $0 | $13,500 | $0 | $26,431 | $0 | $557,062 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | Certain St. Mary's Healthcare employees are reimbursed for cell phone/PDA expense, which is included on the respective employee's W-2. These payments are grossed up to include tax related obligations paid. St. Mary's Healthcare included imputed income for one of the individuals listed in Part VII. St. Mary's Healthcare "grossed up" applicable non-business expenses and included in the employees' W-2 as additional taxable compensation. |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | Ascension Health, a related organization of St. Mary's Healthcare, uses the following to establish the compensation of the organization's CEO/Executive Director: - Compensation committee - Independent compensation consultant - Compensation survey or study - Approval by the board or compensation committee |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part IV, Line 20b audited financial statements | The activity of St. Mary's Healthcare is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Mary's Healthcare is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Mary's Healthcare. |
| Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PERFORMED BY ASCENSION HEALTH. ASCENSION HEALTH IS THE SOLE CORPORATE MEMBER OF ST. MARY'S HEALTHCARE. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL'S SALARY WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES | THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS PERFORMED BY ASCENSION HEALTH. ASCENSION HEALTH IS THE SOLE CORPORATE MEMBER OF ST. MARY'S HEALTHCARE. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | St. Mary's Healthcare has a single corporate member, Ascension Health. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | St. Mary's Healthcare has a single corporate member, Ascension Health , which has the ability to elect members to the governing body of the Hospital. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Ascension Health has designed a system of authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organization and major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic and financial plans; assets; system policies and procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must describe the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board designated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board designated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax exempt purpose. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization will provide any documents open to the public inspection upon request. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Education Revenue - Total Revenue: 1380, Related or Exempt Function Revenue: 1380, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Escheatment Revenue - Total Revenue: 40, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 40; Miscellaneous Revenue - Total Revenue: 337242, Related or Exempt Function Revenue: 195958, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 141284; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Temporarily Restricted Interest in Foundation - 751362; Permanently Restricted Interest in Foundation - 25; Unrestricted Interest in Foundation - 447344; Transfers with ALPHA - 8909; |
| Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant | ST. MARY'S HEALTHCARE is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3) | Type I | NA | false |
| ASCENSION HEALTH | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3) | Type I | ASCENSION HEALTH ALLIANCE | false |
| THE FOUNDATION OF ST MARY'S HEALTHCARE INC | ||||||||||
| 427 GUY PARK AVE | AMSTERDAM | NY | 12010 | 133254655 | FOUNDATION | NY | 501(c)(3) | Type III-FI | NA | false |
| MEDICAL SERVICES ENHANCEMENT INC | ||||||||||
| 427 GUY PARK AVE | AMSTERDAM | NY | 12010 | 141776546 | MEDICAL OFFICE BUILDING | NY | 501(c)(25) | ST MARY'S HEALTHCARE | Yes (true) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARONDELET REGIONAL MEDICAL PC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 427 GUY PARK AVENUE | AddressLine1Txt |
| City | AMSTERDAM | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814769136 | EIN |
| Primary Activities | CAPTIVE INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | -$150 | ShareOfEOYAssetsAmt |
| Ownership | 1 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEDICAL SERVICES ENHANCEMENT INC | ||
| K | $276,117 | FAIR MARKET VALUE |
| MEDICAL SERVICES ENHANCEMENT INC | ||
| M | $58,514 | FAIR MARKET VALUE |
| MEDICAL SERVICES ENHANCEMENT INC | ||
| P | $1,347,125 | FAIR MARKET VALUE |
| MEDICAL SERVICES ENHANCEMENT INC | ||
| Q | $106,748 | FAIR MARKET VALUE |