STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ST AGNES HEALTHCARE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ST AGNES HEALTHCARE INC (EIN 52-0591657)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-09
IRS object ID
201821299349301217
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-09T13:03:47-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520591657EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Agnes Healthcare IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTAGBusinessNameControlTxt
Phone3147338000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Caton Avenue 040AddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTonya MershonPersonNm
Person TitleTax OfficerPersonTitleTxt
Signature2017-10-12SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1KEITH VANDER KOLKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Caton Avenue 040AddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$440,778,663GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STAGNES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1862FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTo improve the health and well-being of all people in the communities we serve.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee3480TotalEmployeeCnt
Total Volunteers302TotalVolunteersCnt
Total Gross UBI$3,972,539TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,101,515PYContributionsGrantsAmt
CY Contributions Grants$1,476,708CYContributionsGrantsAmt
PY Program Service Revenue$438,752,391PYProgramServiceRevenueAmt
CY Program Service Revenue$433,684,456CYProgramServiceRevenueAmt
PY Investment Income$1,080,666PYInvestmentIncomeAmt
CY Investment Income$89,136CYInvestmentIncomeAmt
PY Other Revenue$4,352,044PYOtherRevenueAmt
CY Other Revenue$5,315,539CYOtherRevenueAmt
PY Total Revenue$445,286,616PYTotalRevenueAmt
CY Total Revenue$440,565,839CYTotalRevenueAmt
PY Grants And Similar Paid$90,715PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,034,740CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$213,694,874PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$221,077,540CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$219,102,184PYOtherExpensesAmt
CY Other Expenses$191,144,336CYOtherExpensesAmt
PY Total Expenses$432,887,773PYTotalExpensesAmt
CY Total Expenses$413,256,616CYTotalExpensesAmt
PY Revenues Less Expenses$12,398,843PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$27,309,223CYRevenuesLessExpensesAmt
Total Assets BOY$540,122,410TotalAssetsBOYAmt
Total Assets EOY$347,832,846TotalAssetsEOYAmt
Total Liabilities BOY$162,076,064TotalLiabilitiesBOYAmt
Total Liabilities EOY$201,430,379TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$378,046,346NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$146,402,467NetAssetsOrFundBalancesEOYAmt
MissionSt. Agnes Healthcare is a spiritually centered hospital which is rooted in the healing ministry of Jesus. In the spirit of St. Elizabeth Ann Seton, and in collaboration with others, we continually reach out to all persons in our community with a special concern for those who are poor and vulnerable. As a catholic healthcare ministry, we are dedicated to the art of healing to improve the lives of those that we serve; we advocate for a just society. Through our words and deeds, we minister in an atmosphere of deep respect, love and compassion. Patients are our passion. Our physicians, nurses and associates are our pride. Healing is our joy. We are widely known for the way our physician, nurses and associates combine sophisticated medical technology with spirituality and compassion. Shoulder to shoulder, we stand united in our commitment to care for those in need. We will be a leader in service excellence.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$178,970,695ExpenseAmt
Grant$888,256GrantAmt
Revenue$303,476,509RevenueAmt
DescST. AGNES HOSPITAL PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. OF THE OVERALL SERVICES RENDERED DURING THE FISCAL YEAR ENDED JUNE 30, 2017, 43% OF THE VALUE OF SERVICES WAS TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND 21% WAS TO PATIENTS WHO WERE DEEMED INDIGENT UNDER STATE, COUNTY, OR HOSPITAL GUIDELINES. THIS VALUE OF THESE SERVICES TO THE ELDERLY AND POOR TOTALED $303,322,904 FOR THE YEAR. IN THE SPIRIT OF PRINCIPLES ADOPTED BY ASCENSION HEALTH, ST. AGNES HOSPITAL HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBILITY, THE FINANCING, AND THE DELIVERY OF HEALTHCARE TO ALL PERSONS, ESPECIALLY THE UNINSURED, UNDER INSURED, AND THE UNDER SERVED. DURING THE FISCAL YEAR ENDING JUNE 30, 2017, THE ESTIMATED UNREIMBURSED COST OF SERVICES PROVIDED TO THE ELDERLY, UNINSURED, AND UNDER INSURED TOTALED $21,425,111, INCLUDING $14,212,189 FOR CHARITY CARE, AND $7,212,922 OF UNREIMBURSED MEDICAID.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$91,619,890ExpenseAmt
Revenue$118,470,293RevenueAmt
DescST. AGNES HOSPITAL PROVIDES THE FOLLOWING INPATIENT AND OUTPATIENT MEDICAL SERVICES TO THE COMMUNITY: AMBULATORY CARE CENTER SERVICES, CARDIOVASCULAR SERVICES, CANCER TREATMENT SERVICES, EMERGENCY CARE CENTER SERVICES, LABORATORY SERVICES, ORTHOPEDIC SERVICES, PAIN MANAGEMENT, PRIMARY CARE PHYSICIANS, RADIOLOGY SERVICES, REHABILITATION SERVICES, SLEEP STUDIES, STROKE SERVICES, OBSTETRICS, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, WOUND CARE, RESPIRATORY THERAPY, SURGERY, PEDIATRICS, IMAGING CLINIC, BARIATRIC SERVICES, RESPIRATORY THERAPY, WOMEN'S HEALTH SERVICES, DIABETES WELLNESS PROGRAMS, PALLIATIVE CARE SERVICES, AND AN ANTICOAGULATION CLINIC. SOME OF THE SERVICES LISTED OPERATE AT A LOSS IN ORDER TO ENSURE THAT ALL SERVICES ARE AVAILABLE TO MEET COMMUNITY HEALTH CARE NEEDS. DURING THE FISCAL YEAR ENDING JUNE 30, 2017, OUR HOSPITAL TREATED 15,802 INPATIENT ADULTS AND CHILDREN IN THE COMMUNITY FOR A TOTAL OF 69,648 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES TO 512,610 OUTPATIENTS, INCLUDING 4,942 OUTPATIENT SURGERY PATIENTS, 80,841 EMERGENCY ROOM VISITS, AND 58,215 CLINIC VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$37,957,357ExpenseAmt
Grant$146,484GrantAmt
Revenue$12,883,579RevenueAmt
DescCOMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. IN AN EFFORT TO PROMOTE HEALTHY LIVING, ST. AGNES HAS MADE AVAILABLE WELLNESS PROGRAMS TO THE COMMUNITY. THESE PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO: ADULT, INFANT AND CHILD CPR CLASSES; ASTHMA CURRICULA; BARIATRIC SEMINARS; BASIC LIFE SUPPORT CLASSES; BREAST HEALTH CLINICS AND SEMINARS; FIRST AID CLASSES; JOINT AND PAIN SEMINARS; RUNNING CLINICS; BABYSITTING CLASSES; BLOOD PRESSURE, CHOLESTEROL, AND BLOOD SUGAR SCREENINGS; DIABETES AND HEART DISEASE PREVENTION EDUCATION; INTERNATIONAL EARLY LUNG CARE ACTION PROJECT STUDIES; HEART HEALTH AWARENESS PROGRAMS FOR AFRICAN AMERICAN WOMEN; GASTRO ESOPHAGEAL REFLUX DISEASE SEMINARS; ACTIVITIES IN THE PEDIATRICS WAITING ROOM OF THE COMMUNITY CARE CLINIC PROMOTING EARLY DEVELOPMENT OF READING SKILLS; ACTIVITIES RELATED TO THE SUCCESSFUL DISCHARGE OF PATIENTS SUCH AS PROVIDING TRANSPORTATION, PRESCRIPTIONS, OXYGEN, DURABLE MEDICAL EQUIPMENT, AND SHORT-TERM STAYS IN NURSING OR REHABILITATION CENTERS; PROVIDING GYNECOLOGICAL SERVICES TO UNINSURED, LARGELY SPANISH SPEAKING PERSONS AT THE ESPERANZA CLINIC; AND THE WELL4LIFE PROGRAM, WHICH USES A MULTIDISCIPLINARY APPROACH TO WEIGHT LOSS, EXERCISE, LIFESTYLE AND MINDSET CHANGES, FOCUSED ON BATTLING OBESITY CHALLENGES. ST. AGNES HEALTHCARE HAS A LONG STANDING TRADITION OF PROVIDING MEDICAL EDUCATION AND TRAINING. ST. AGNES ADMINISTERS A FIVE YEAR, FULLY ACCREDITED, GENERAL SURGERY RESIDENCY PROGRAM CONSISTING OF TWENTY SURGICAL RESIDENTS. THIS ACADEMICALLY ORIENTED, COMMUNITY BASED, UNIVERSITY AFFILIATED RESIDENCY PROGRAM IS THE SECOND OLDEST SURGICAL RESIDENCY PROGRAM IN THE UNITED STATES. THE PROGRAM IS ACTIVE IN BOTH BASIC AND ADVANCED LAPAROSCOPIC SURGERY. RESIDENTS ARE OFFERED A BROAD-BASED SURGICAL EXPERIENCE WITH EXPOSURE NOT ONLY TO THE FIELD OF GREATER GENERAL SURGERY, BUT ALSO TO ALL THE SURGICAL SPECIALTIES. THERE IS EXTENSIVE EXPERIENCE AND TRAINING IN MANAGING THE CRITICALLY ILL SURGICAL PATIENT. ADDITIONALLY, THE PROGRAM ALSO CONTAINS ROTATIONS IN BURN MANAGEMENT, TRAUMA, TRANSPLANT AND GASTROINTESTINAL ENDOSCOPY. THE DEPARTMENT OF SURGERY INCLUDES MORE THAN 152 SURGEONS IN 10 SURGICAL SPECIALTIES. THERE ARE THIRTY FULL-TIME SURGEONS IN THE DEPARTMENT COMPLEMENTED BY ATTENDING SURGEONS WHO ARE DEDICATED TO THE RESIDENCY- TRAINING PROGRAM AND ARE ACTIVELY INVOLVED IN THE TEACHING PROGRAM. MEDICAL STUDENTS HAVE ALSO BEEN A PART OF ST. AGNES' TRAINING PROGRAM FOR MORE THAN SIX DECADES. THE OPPORTUNITY FOR THE RESIDENTS TO TEACH THE STUDENTS CONTRIBUTES SIGNIFICANTLY TO THE PROFESSIONAL DEVELOPMENT OF THE RESIDENT AND PROVIDES A VITAL SERVICE TO THE STUDENT. ST. AGNES ALSO HAS A MEDICAL RESIDENCY PROGRAM CONSISTING OF FORTY-FIVE RESIDENTS. THE DYNAMIC INTERACTION BETWEEN THE FACULTY AND THE HOUSE STAFF CREATES A STIMULATING INTELLECTUAL ENVIRONMENT CENTERED ON THE KEY PRINCIPLES OF PATIENT CARE, EDUCATION AND CLINICAL RESEARCH. SIMILAR TO THE SURGICAL RESIDENTS, THE MEDICAL RESIDENTS ARE INVOLVED IN THE TEACHING OF MEDICAL STUDENTS. DUE TO ST. AGNES' AFFILIATION WITH THE UNIVERSITY OF MARYLAND MEDICAL SCHOOL AND JOHNS HOPKINS SCHOOL OF MEDICINE, THE RESIDENTS ARE PRESENTED AN OPPORTUNITY TO ROTATE THROUGH THOSE HOSPITALS, FURTHER ENRICHING THE PATIENT CARE EXPERIENCE. THE RESIDENCY PROGRAM ALLOWS THE RESIDENTS TO BECOME PROFICIENT IN OBTAINING CLINICAL DATA BY PATIENT INTERVIEW, PHYSICAL EXAMINATION, AND INTERPRETATION OF LABORATORY DATA. THE RESIDENTS ALSO BECOME PROFICIENT IN UTILIZING CLINICAL DATA TO PRIORITIZE PROBLEMS AND FORMULATE DIFFERENTIAL DIAGNOSES. THE TRAINING PROGRAM HELPS THE RESIDENTS LEARN TO FORMULATE DIAGNOSTIC AND THERAPEUTIC PLANS DEMONSTRATING AWARENESS OF RISKS, BENEFITS, COSTS, PATIENT PREFERENCES, AND ETHICAL AND PSYCHOSOCIAL ISSUES. To further the objective of improving community health Saint Agnes HealthCare is developing Gibbons Commons. Gibbons Commons is a vibrant, 32-acre, mixed-use community, being developed and designed by Saint Agnes Healthcare- in collaboration with major community partners -in order to provide southwest Baltimore residents with a safe and healthy place to live, work, play and learn. Since purchasing the property, Saint Agnes has worked closely with community partners, neighbors, the city and developers to ensure we are creating a community asset that will improve the quality of life of those we have served for over 150 years. Our vision is to provide green space, community services, recreational facilities and community housing.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$308,547,942TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationYes (true)PartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document283IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3480EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCOTT FURNISSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4103683130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 CATON AVENUEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CARLOS S INCE JR MD
SECRETARY/PHYSICIAN50.00Yes (X)Yes (X)$443,995$0$43,097
PATRICK F MUTCH
PRESIDENT & CEO (INTERIM) (END 7/2016)48.61.4Yes (X)Yes (X)$390,849$0$26,926
KEITH VANDER KOLK
PRESIDENT & CEO47.72.3Yes (X)Yes (X)$541,031$0$30,106
JOHN E WHEELER JR
BOARD CHAIR (START 7/2016)2.70Yes (X)Yes (X)$0$0$0
BRUCE R GRINDROD JR
BOARD DIRECTOR2.00Yes (X)$0$0$0
MARGARET HAYES
BOARD DIRECTOR1.50Yes (X)$0$0$0
MOHANNAD F JISHI
BOARD DIRECTOR2.00Yes (X)$0$0$0
A GREGORY KELLY JR
BOARD DIRECTOR2.40Yes (X)$0$0$0
IRENE D KNOTT
BOARD DIRECTOR1.40Yes (X)$0$0$0
CAROLE B MILLER MD
BOARD DIRECTOR/PHYSICIAN50.00Yes (X)$449,817$0$47,230
JAMES B SELLINGER
BOARD DIRECTOR1.30Yes (X)$0$0$0
JOHN B STANSBURY
BOARD DIRECTOR1.70Yes (X)$0$0$0
SISTER MARY LOU STUBBS
BOARD DIRECTOR2.00Yes (X)$0$0$0
SAM V SYDNEY MD
BOARD DIRECTOR1.40Yes (X)$0$0$0
SCOTT M FURNISS
CFO-MINISTRY MKT DC/BALTIMORE27.122.9Yes (X)$437,628$0$32,131
NANCY M HAMMOND MD
EXECUTIVE VP/CMO48.61.4$354,224$0$42,150Yes (X)
ANDREW M AVERBACH MD
GENERAL SURGEON50.00$637,853$0$37,712Yes (X)
GEORGE T GRACE MD
MEDICAL DIRECTOR - PLASTIC HAND RECONSTRUCTIVE SURGEON50.00$806,938$0$45,071Yes (X)
HOWARD S HESSAN MD
MEDICAL DIRECTOR - OTOLARYNGOLOGY50.00$853,566$0$39,435Yes (X)
AJAY V KUMAR MD
PLASTIC SURGEON50.00$691,142$0$42,547Yes (X)
MICHAEL A ZATINA MD
SURGERY DIRECTOR - CARDIOVASCULAR INST50.00$642,035$0$43,242Yes (X)
Bonnie L Phipps
FORMER OFFICER0.050.0$0$1,905,534$34,144Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,249,078TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,905,534TotReportableCompRltdOrgAmt
Total Other Compensation$463,791TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K312IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CEP AMERICA LLC
2100 POWELL STREETSUITE 900EMERYVILLECA946081844MEDICAL STAFFING SERVICES$1,532,745
CONTEMPORARY NURSING SOLUTIONS INC
1000 JEFFERSON STREETSUITE 1ALYNCHBURGVA245041724NURSING SERVICES$1,288,141
EAGLE EYE RADIOLOGY INC
12100 SUNRISE VALLEY DRIVESUITE 290 BRESTONVA20191RADIOLOGY SERVICES$949,056
DVA RENAL HEALTHCARE INC
P O BOX 40308ATLANTAGA31192MEDICAL SERVICES$931,739
DRS HICKEN CRANLEY & TAYLOR PA
900 S CATON AVEBALTIMOREMD21229MEDICAL SERVICES$832,392
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K39CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$208,697RelatedOrganizationsAmt
Government Grants$1,268,011GovernmentGrantsAmt
Total Contributions$1,476,708TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE621990$423,447,478$420,795,832$2,651,646
JOINT VENTURE REVENUE900099$6,911,137$6,911,137
LAB REVENUE621500$1,320,893$1,320,893
REVENUE FROM AFFILIATES561000$855,737$855,737
PHYSICIAN ADMIN AND CALL SERVICES621990$935,442$935,442

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$213,769TotalRevenueColumnAmt
Related Or Exempt Func Income$213,769RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$433,684,456TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$143,208TotalRevenueColumnAmt
Exclusion$143,208ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$889,323RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$889,323RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$889,323TotalRevenueColumnAmt
Exclusion$889,323ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$20OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$54,092OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$54,072OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$54,072TotalRevenueColumnAmt
Exclusion-$54,072ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$256,560GrossSalesOfInventoryAmt
Cost Of Goods Sold$158,732CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$97,828TotalRevenueColumnAmt
Exclusion$97,828ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE722514$1,552,731$1,552,731
EDUCATION REVENUE611430$1,262,740$1,262,740
ESCHEAT REVENUE900099$450,646$450,646

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,062,271TotalRevenueColumnAmt
Related Or Exempt Func Income$153,185RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$909,086ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,328,388OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$440,565,839TotalRevenueColumnAmt
Related Or Exempt Func Income$431,127,842RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,972,539UnrelatedBusinessRevenueAmt
Exclusion$3,988,750ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,034,740TotalAmt
Program Services$1,034,740ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,839,184TotalAmt
Management And General$2,839,184ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$186,298,910TotalAmt
Program Services$169,594,130ProgramServicesAmt
Management And General$16,704,780ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$26,283TotalAmt
Program Services$54,952ProgramServicesAmt
Management And General-$81,235ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,367,853TotalAmt
Program Services$17,507,338ProgramServicesAmt
Management And General$1,860,515ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,597,876TotalAmt
Program Services$11,309,369ProgramServicesAmt
Management And General$1,288,507ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,651TotalAmt
Program Services$14,569ProgramServicesAmt
Management And General-$10,918ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$93,095TotalAmt
Program Services$10,370ProgramServicesAmt
Management And General$82,725ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$325,618TotalAmt
Program Services$18,515ProgramServicesAmt
Management And General$307,103ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$24,844TotalAmt
Management And General$24,844ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,259,855TotalAmt
Program Services$11,643,016ProgramServicesAmt
Management And General$3,616,839ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$730,854TotalAmt
Program Services$68,921ProgramServicesAmt
Management And General$661,933ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,731,193TotalAmt
Program Services$648,022ProgramServicesAmt
Management And General$1,083,171ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,603,756TotalAmt
Program Services$1,209,151ProgramServicesAmt
Management And General$394,605ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,969,568TotalAmt
Program Services$4,056,737ProgramServicesAmt
Management And General$5,912,831ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$246,820TotalAmt
Program Services$181,467ProgramServicesAmt
Management And General$65,353ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$317,640TotalAmt
Program Services$258,194ProgramServicesAmt
Management And General$59,446ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,640,094TotalAmt
Management And General$2,640,094ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,699,393TotalAmt
Program Services$12,059,725ProgramServicesAmt
Management And General$6,639,668ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,829,951TotalAmt
Program Services$2,692,032ProgramServicesAmt
Management And General$4,137,919ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$52,104,541$10,567,507$41,537,034
MEDICAL SUPPLIES$52,076,508$52,076,508
CORPORATE ALLOCATIONS$8,795,994$8,795,994
CONTRACT LABOR$7,489,409$6,420,393$1,069,016

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,201,552TotalAmt
Program Services$7,122,286ProgramServicesAmt
Management And General$5,079,266ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$413,256,616TotalAmt
Program Services$308,547,942ProgramServicesAmt
Management And General$104,708,674ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,712,028BOYAmt
EOY$5,030,130EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$3,330,101EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$50,061,659BOYAmt
EOY$56,916,621EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,829,072BOYAmt
EOY$7,914,894EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,185,716BOYAmt
EOY$892,278EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$407,531,805LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$186,002,688LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$229,023,146BOYAmt
EOY$221,529,117EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$766,503BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$20,093,436BOYAmt
EOY$27,004,573EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,997,231BOYAmt
EOY$5,187,107EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$220,453,619BOYAmt
EOY$20,028,025EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$540,122,410BOYAmt
EOY$347,832,846EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,814,256BOYAmt
EOY$45,845,634EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$601,318BOYAmt
EOY$601,318EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$123,660,490BOYAmt
EOY$154,983,427EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$162,076,064BOYAmt
EOY$201,430,379EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$373,501,973BOYAmt
EOY$142,219,446EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,417,841BOYAmt
EOY$4,053,684EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$126,532BOYAmt
EOY$129,337EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$378,046,346BOYAmt
EOY$146,402,467EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$540,122,410BOYAmt
EOY$347,832,846EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$27,309,223ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$90,849NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$259,043,951OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$24,844OtherActivitiesAmt
Total Lobbying Expenditures$24,844TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLobbying expenses represent the dues paid to national and state hospital associations, a portion of which is specifically allocable to lobbying. St. Agnes, Inc. does not participate in or intervene in (including the publishing or distributing of 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 ACTIVITYLobbying expenses represent the dues paid to national and state hospital associations, a portion of which is specifically allocable to lobbying. St. Agnes, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$624,222BeginningYearBalanceAmt
Investment Earnings Or Losses$34,141InvestmentEarningsOrLossesAmt
End Year Balance$658,363EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$625,190BeginningYearBalanceAmt
Investment Earnings Or Losses-$968InvestmentEarningsOrLossesAmt
End Year Balance$624,222EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$614,329BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$10,861InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$625,190EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$570,832BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$43,497InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$614,329EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,944,473BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses-$4,774,700InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures-$2,401,059OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$570,832EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.2PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.8TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,252,790OtherCostOrOtherBasisAmt
Book Value$10,252,790BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$261,686,954OtherCostOrOtherBasisAmt
Depreciation$101,395,671DepreciationAmt
Book Value$160,291,283BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,388,056OtherCostOrOtherBasisAmt
Depreciation$3,876,298DepreciationAmt
Book Value$5,511,758BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,911,202OtherCostOrOtherBasisAmt
Depreciation$75,603,485DepreciationAmt
Book Value$24,307,717BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,292,803OtherCostOrOtherBasisAmt
Depreciation$5,127,234DepreciationAmt
Book Value$21,165,569BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$221,529,117TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescEquity Investment in Maryland Physicians CareDesc
Book Value$27,004,573BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$27,004,573TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDescBook ValueBookValueAmt
ALPHA FUND INVESTMENTS
INTEREST IN FOUNDATION NET ASSETS$1,787,655
CASH SURRENDER VALUE - LIFE
OTHER RECEIVABLES
AFFILIATES RECEIVABLES
Deferred Compensation Asset$12,979,392
Due From Affiliates$3,753,461
Other Receivables$921,111
Other Assets$277,648
Security Deposits$308,758
FieldValueIRS element (for citing)
Total Book Value Other Assets$20,028,025TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDescAmtAmt
THIRD PARTY ADVANCES
SELF INSURANCE LIABILITY
Debt with Ascension Health Alliance$75,167,980
Estimated Settlement to Third-Party Payor$31,355
Pension Plan Liability$17,128,587
AH Savings Plan Liability$2,350,000
Deferred Compensation Liability$12,979,392
Due to Affiliates$42,607,515
At-Risk Liability$1,475,000
Other Liabilities$26,338
Recovery Tail Liability$307,099
Valuation Allowance$2,910,161
FieldValueIRS element (for citing)
Total Liability$154,983,427TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE 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, 2017.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,212,189TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,212,189NetCommunityBenefitExpnsAmt
Total Expense0.0344TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,372,673TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,159,751DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,212,922NetCommunityBenefitExpnsAmt
Total Expense0.0175TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$31,584,862TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,159,751DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,425,111NetCommunityBenefitExpnsAmt
Total Expense0.0518TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,972,194TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,270DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,932,924NetCommunityBenefitExpnsAmt
Total Expense0.0047TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,546,994TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,546,994NetCommunityBenefitExpnsAmt
Total Expense0.0183TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,389,970TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,559,417DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,830,553NetCommunityBenefitExpnsAmt
Total Expense0.0359TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$476,509TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$284,892DirectOffsettingRevenueAmt
Net Community Benefit Expns$191,617NetCommunityBenefitExpnsAmt
Total Expense0.0005TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$571,690TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$571,690NetCommunityBenefitExpnsAmt
Total Expense0.0014TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$37,957,357TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,883,579DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,073,778NetCommunityBenefitExpnsAmt
Total Expense0.0607TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$69,542,219TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,043,330DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,498,889NetCommunityBenefitExpnsAmt
Total Expense0.1125TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$514,018TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$490,018NetCommunityBenefitExpnsAmt
Total Expense0.0012TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,866TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,000DirectOffsettingRevenueAmt
Net Community Benefit Expns-$24,134NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$519,884TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$465,884NetCommunityBenefitExpnsAmt
Total Expense0.0011TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$517,616BadDebtExpenseAmt
Bad Debt Expense Attributable-$82,608BadDebtExpenseAttributableAmt
Reimbursed By Medicare$161,179,746ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$146,052,614CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$15,127,132MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Agnes Healthcare IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Caton AvenueAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.stagnes.org/WebsiteAddressTxt
State License30-059StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Agnes Healthcare IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.stagnes.org/about-us/community/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.stagnes.org/about-us/community/StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
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FAP Available On Website URLhttp://www.stagnes.org/patients-visitors/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
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FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.stagnes.org/patients-visitors/financial-assistance/FAPSummaryOnWebsiteURLTxt
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Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
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Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - St. Agnes Healthcare, Inc.. The assessment process involved quantitative and qualitative components. St. Agnes engaged the participation of the general public as well as key internal and external stakeholders who represent the broad interest of the communities served by St. Agnes to review the quantitative analysis. The public provided input through a structured online survey and via focus groups across the assessment process during fiscal year 2016. The internal and external stakeholders were individuals with expertise in provision of health care services and public health and included community leaders, physicians, nursing, social work, pastoral care, emergency outpatient and management representatives and a broad range of community organizations. A full list of internal and external stakeholders can be found in Appendix 6 of the Community Health Needs Assessment which is located on the Saint Agnes HealthCare website using the following link: http://www.stagnes.org/about-us/community/ Key external stakeholders include representatives from the American Diabetes Association, Baltimore City Health Department, Baltimore Medical Systems, Catholic Charities, Equity Matters, Green and Healthy Homes, HealthCare Access Maryland, The Caroline Center, University of Maryland School of Nursing, University of Maryland School of Social Work, and West Baltimore Maha Sampath. A quantitative assessment was conducted using a survey administered electronically and on paper to gain broad public input. A copy of the survey is included as Appendix 2 of the Community Health Needs Assessment which is available on the hospital's website. A qualitative assessment was conducted using focus groups facilitated by Observation Baltimore; a division of The Research Group/Family Research Center. Six focus groups were conducted for Saint Agnes Hospital to better understand the healthcare needs of the medically underserved, low-income, and minority populations in the most vulnerable communities identified in the FY13 assessment. The composition of the focus groups was recruited to match the demographic composition of the community's survey. Participants were also included by either a personal history or family history of chronic disease with a consideration of environmental risks (specifically smoking tobacco, drinking alcohol daily or occasionally, and use of non-prescription drugs). The Hispanic population was also targeted to ensure input from all ethnicities.
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - St. Agnes Healthcare, Inc.. Management gave multiple presentations of the CHNA to various community groups and the Baltimore City Health Department.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - ST. AGNES HEALTHCARE, INC.. After using both primary and secondary research methods to assess the health needs of the community and taking into account the input received from persons who represent the broad interests of the community, including those with special knowledge of or expertise in public health, the Community Health Advisory Council prioritized the top three health needs as a result of the assessment. Address Obesity and Diabetes Prevalance - The goal of addressing obesity and diabetes prevalence is to increase awareness of and access to medical and surgical options for reducing obesity and diabetes, particularly for the vulnerable population. The strategy to achieve this goal is to provide increased outreach, education and medical intervention when appropriate to patients suffering from the physical and mental effects of morbid obesity and seeking a change in their health status. There are two objectives. First, decrease the proportion of adults with comorbidities associated with obesity through effective education, outreach, and medical intervention. The second objective is within one year of intervention decrease Body Mass Index by 20% for patients engaging in medical weight loss techniques and or bariatric surgery. The following activities were conducted during fiscal year 2017: 1,424 individuals attended bariatric educational seminars 28.6% of bariatric educational seminar attendees followed up with an appointment with a bariatric surgeon 213 individuals attended National Diabetes Prevention Program Classes 47.4% of individuals attending completed the National Diabetes Prevention Program Classes 11.9% of National Diabetes Prevention Program graduates decreased their weight by at least 5% 527 bariatric surgery procedures were performed 53.4% of bariatric surgery patients lowered their BMI by at least 20% within one year from the surgery The second goal is to reduce the incidence and burden of cardiovascular disease in the community. The strategy to achieve this goal is to continue to offer and promote a series of community based programs providing education, screening and case management to reduce the incidence and burden of cardiovascular disease. There are two objectives. First, increase by a percentage the implementation of effective community based education programs, screening, and case management for cardiovascular disease for the target population. The second objective is to decrease the rate of inpatient and Reduce Cardiovascular Disease Burden - Emergency Department use by cardiovascular patients as measured by a decrease in Prevention Quality Indicator discharges. The following activities were conducted during fiscal year 2017: 3,202 adults participated in a hypertension screening program 29.7% of those screened for hypertension were at risk and referred to a primary care physician 12 adults participated in a women's heart screening program 443 adults participated in a lung screening program 218 adults with diagnosed heart failure participated in an educational initiative to understand advance directives and goals of care 27 adults received education and care for heart failure through a collaboration with emergency department physicians and the Saint Agnes Heart Failure Center The Preventive Quality Indicator for the Hypertension Admission Rate decreased from a baseline of .66% to .23% The third priority is to create person-centered healthy neighborhoods. There are two goals related to this priority. First, collaborate with community agencies to provide health education and care management for populations that have the greatest needs and least resources. There are two primary objectives related to this goal. First, by 2020, increase the proportion of adults who have a primary health care provider. The second objective is to decrease acute care utilization (Inpatient, Inpatient Observation, Emergency Department), particularly potentially avoidable utilization by high needs patients through community based care management initiatives. The second goal is to become a community partner to create healthy, thriving neighborhoods with a visible presence where the community needs us the most. The strategy to achieve this goal is to transform the 32 acre former Cardinal Gibbons High School and create Gibbons Commons, a healthy neighborhood with housing, retail, recreation, and support services in Southwest Baltimore. There are three objectives with this strategy. The first objective is to have at least 100% of the apartments under rental contracts by 2017. The Creaste Person Centered Healthy Neighborhoods - second objective is to provide indoor and outdoor space for physical activity that is safe and affordable by 2018. The final objective is to provide education and job training to community residents by 2016 in conjunction with the Caroline Center. The following activities were conducted during fiscal year 2017: In partnership with Baltimore Medical Systems, a Federally Qualified Health Center located on the St. Agnes campus, 48,455 patient visits occurred during fiscal year 2017 Baltimore Medical Systems saw 3,950 new patient visits St. Agnes Medical Group - Medicaid enrolled patient visits: 9.6% of patient visits The Fiscal Year 2016 Community Health Needs Assessment identified a wide variety of community health needs including behavioral health, cancer, arthritis, HIV and or AIDS, lung diseases, alzheimer's or dementia, socio-economic conditions, community violence, and access to health insurance and physician providers. However, through prioritization exercises with community members, health expertise and other community stakeholders, Obesity and Diabetes, Cardiovascular Disease, and Healthy Neighborhoods were determined to be the greatest unmet needs. While Saint Agnes Hospital will focus the majority of our efforts on the identified strategic programs outlined above, we will review the complete set of needs identified in the Community Health Needs Assessment for future collaboration. These needs, while important to the health of the community, will be met through existing Saint Agnes or other area hospital clinical programs or though collaborations with other health care organizations as needed. The unmet needs not addressed specifically by Saint Agnes Hospital in its community health initiatives, such as community violence, socio economic conditions, and access to insurance will continue to be addressed by key governmental agencies and other existing community based organizations. The Saint Agnes identified core community health priorities target the intersection of the identified community needs and the Saint Agnes's key strengths and mission.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - ST. AGNES HEALTHCARE, INC.. The following paragraph appears on the hospital website (http://www.stagnes.org/about-us/mission-and-values/): "In accordance with our mission and values, Saint Agnes Hospital is committed to caring for all people regardless of their ability to pay, with special attention to those who are poor and vulnerable. Saint Agnes offers financial counseling and assistance to help address any financial concerns patients or families may have regarding their care. Our financial aid policies reflect the hospital's dedication to working together with our patients in a compassionate and caring manner to identify options for resolving their financial obligations. Copies of our Financial Aid Polices and requests for assistance are available by contacting our Patient Advocacy Department at 667-234-2140, by e-mail at kthomps@stagnes.org, or in person at the Patient Advocacy Department in the hospital's main level."
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Maryland Surgeons Surgery Center of Columbia
11055 Little Patuxent Parkway SuiteL6ColumbiaMD21044Outpatient Surgical Center
Plastic and Reconstructive Surgery
300 Frederick Road Suite 200CatonsvilleMD21228Plastic Surgery
Angelos Medical Pavilion
3407 Wilkens Avenue Suite 420BaltimoreMD21229Blood Drawing Station
St Agnes Medical Center
6501-D Baltimore National PikeBaltimoreMD21228Blood Drawing Station and Diagnostic Imaging
Women's Center in Columbia
8945 Guilford Road Suite 100ColumbiaMD21046Blood Drawing Station
Pine Heights Professional Building
1001 Pine Heights Avenue Suite 202BaltimoreMD21229Blood Drawing Station
Seton Imaging Center
3449 Wilkins AvenueBaltimoreMD21229Diagnostic Imaging

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c OTHER CRITERIA FOR DETERMINING FREE OR DISCOUNTED CAREGENERALLY, DISCOUNTED CARE TO LOW INCOME INDIVIDUALS IS PROVIDED ON A SLIDING SCALE FOR THOSE NOT EXCEEDING 300% OF THE FEDERAL POVERTY LEVEL. FOR EMERGENCY DEPARTMENT PATIENTS AND OTHER OUTPATIENTS (ACCOUNT BALANCES UNDER $500.00) MAY BE GRANTED CHARITY EXCLUSIVELY BASED UPON THE USE OF THE AUTOMATED ELIGIBILITY SOFTWARE ONLY. IN THOSE INSTANCES, A SIGNED/COMPLETED APPLICATION WILL NOT BE REQUIRED. ADDITIONALLY, PATIENTS MAY ALSO BE ELIGIBLE FOR CHARITY CARE IF THEY MEET CRITERIA THAT WOULD DETERMINE THAT THEY ARE EXPERIENCING A FINANCIAL HARDSHIP. FINANCIAL HARDSHIP IS DEFINED AS MEDICAL DEBT FOR MEDICALLY NECESSARY SERVICES INCURRED BY A FAMILY WITH INCOME BELOW 500% OF THE FEDERAL POVERTY LEVEL THAT EXCEEDS 25% OF THE FAMILY INCOME OVER A 12 MONTH PERIOD. MEDICAL DEBT IS OUT OF POCKET EXPENSES, EXCLUDING COPAYMENTS, COINSURANCE AND DEDUCTIBLES FOR MEDICAL COSTS BILLED BY SAINT AGNES HEALTHCARE. THE PATIENT AND ANY IMMEDIATE FAMILY MEMBER OF THE PATIENT LIVING IN THE SAME HOUSEHOLD ARE ELIGIBLE.
Schedule H, Part I, Line 7b STATE WIDE DISCLOSURE FOR MARYLAND HOSPITALSMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK OUT ANY DIRECTED OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO; MEDICAID RECOGNIZES FULL REIMBURSEMENT. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. THE AMOUNTS REPORTED IN PART I, LINE 7B REPRESENT UNREIMBURSED MEDICAID COSTS FOR UNREGULATED HEALTH CARE ACTIVITIES AND THE MEDICAID ASSESSMENT.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORTSAINT AGNES HEALTHCARE FILES A COMMUNITY BENEFITS REPORT WITH THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), THE REGULATORY AGENCY IN THE STATE OF MARYLAND. THE REPORT IS THEN MADE PUBLIC BY THE HSCRC. ADDITIONALLY, COMMUNITY BENEFIT INFORMATION IS AVAILABLE IN THE SAINT AGNES HEALTHCARE ANNUAL REPORT AND THE SAINT AGNES HEALTHCARE FACT SHEET. BOTH DOCUMENTS ARE AVAILABLE ON THE HOSPITAL WEBSITE.
Schedule H, Part I, Line 7f CHARITY PERCENTAGE CALCULATIONBAD DEBT EXPENSE FROM PART IX, STATEMENT OF FUNCTIONAL EXPENSES, EXCLUDED FROM THE DENOMINATOR USED TO CALCULATE TOTAL CHARITY CARE EXPENSE WAS $217,576.
Schedule H, Part I, Line 6a Community Benefit Report DisclousreSummary Community Benefit Information is included in the Saint Agnes Hospital Annual Report which is posted on the hospital website.
Schedule H, Part I, Line 7f HEALTH PROFESSIONS EDUCATIONMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
Schedule H, Part I, Line 7a CHARITY CARE AT COSTMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK OUT OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
Schedule H, Part I, Line 7a PRESUMPTIVE CHARITY CAREDURING FISCAL YEAR 2016 ST. AGNES HEALTHCARE IMPLEMENTED A PRESUMPTIVE CHARITY POLICY WHICH ALLOWED CHARITY TO BE GRANTED TO QUALIFIED PATIENTS WHO FOR VARIOUS REASONS FAIL TO COMPLETE THE FULL CHARITY APPLICATION PROCESS, BUT WHO NEVERTHELESS HAVE VERY LIMITED MEANS TO PAY. THE DECISION TO GRANT FULL OR PARTIAL CHARITY WAS BASED ON THE USE OF A PROPRIETARY THIRD-PARTY SCREENING TOOL WHICH TAKES INTO ACCOUNT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY INCOME GUIDELINES FOR GRANTING CHARITY, THE PATIENT'S CREDIT SCORE, AND THE PATIENT'S TRACK RECORD OF PAYING MEDICAL DEBT. DURING FISCAL YEAR 2016, MANAGEMENT RETROACTIVELY APPLIED THE NEW PROCESS USING AN 18 MONTH LOOKBACK, RESULTING IN SIGNIFICANT RECLASSIFICATIONS FROM BAD DEBT EXPENSE TO CHARITY THAT MANAGEMENT BELIEVES ARE FAR MORE REFLECTIVE OF THE PATIENT'S ABILITY TO PAY.
Schedule H, Part V, Section B, Line 17 Billing and Collection PolicyDuring tax year 2017, the organization learned via verbal comments of IRS agents at public events that the IRS intends that the "readily obtainable" standard in the 501(r) regulations for the AGB calculation and billing and collection policy is only met if those items are posted to the organization's web site. The organization had interpreted that web posting standard to be a safe harbor after consulting with external counsel and tax advisors, and timely took other steps to make the information readily obtainable. Consequently, the organization does not believe its decision to not post these documents to its web site rises to the level of a failure, nor does it believe the circumstances were either willful or egregious, having otherwise timely taken the steps necessary to attain and continue to maintain compliance with the other requirements related to the billing and collection policy and the AGB, as part of its policies and procedures for ensuring compliance with all aspects of 501(r). However, the organization is making this voluntary disclosure in order to communicate to the IRS the changes it is undertaking in response to the recent IRS informal guidance on this specific point concerning the "readily obtainable" standard, and the fact that the organization has started the work necessary to post its AGB information and billing and collection policy to its web site and will complete those additional postings as soon as reasonably possible. The other web postings required under 501(r) (i.e., those related to the community health needs assessment and the financial assistance policy) were timely completed and continue to remain in place as required. The organization believes its safeguards worked as intended in this case (i.e., the organization has regular communications with a number of external law firms and tax consultants and the timely attention to the recent guidance was supported by the framework of regular access to subject matter experts). These changes are in the process of being incorporated into corporate policies and procedures that apply to the organization.
Schedule H, Part I, Line 7g Subsidized Health ServicesSchedule H, Line 7g includes $352,031 attributable to a subsidized primary care clinic on campus in West Baltimore.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe cost of providing charity care, means-tested government programs, and other 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 the information in the table, a cost-to-charge ratio was calculated and applied.
Schedule H, Part II Community Building ActivitiesGibbons Commons is a vibrant, 32-acre, mixed-use community, being developed and designed by Saint Agnes Healthcare- in collaboration with major community partners -in order to provide southwest Baltimore residents with a safe and healthy place to live, work, play and learn. Since purchasing the property, Saint Agnes has worked closely with community partners, neighbors, the city and developers to ensure we are creating a community asset that will improve the quality of life of those we have served for over 150 years. Our vision is to provide green space, community services, recreational facilities and community housing. Saint Agnes has been fortunate in partnering and collaborating with like-minded organizations, bringing to the community: * Housing- Bon Secours Gibbons Apartments, built and managed by Bon Secours Baltimore Health System and Enterprise Homes, offers community housing on the property. This four-story facility offers 80 one-, two- and three-bedroom apartments; community and recreational space; and underground parking for all residents. * Babe Ruth Field-Providing much needed green and recreation space for the community while honoring the properties rich history, most notably Babe Ruth. Built by the Cal Ripken, Sr. Foundation and managed by the Y of Central Maryland, this new turf field is positioned on the exact site where Ruth played in the early 1900s and provides space for community residents to play baseball, football and lacrosse. * Saint Agnes continues to have conversations with the Y of Central Maryland who are considering the opportunity to expand their offerings at Gibbons Commons to include a full service family center, including a warm water pool, a gymnasium and full cardio and strength fitness floor, group exercise rooms, multi-purpose family/youth space, locker rooms and community gathering space. The amounts reported for community support relate to the Federal Hospital Preparedness Program and the Public Health Emergency Preparedness Aligned Cooperative Agreements.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAfter satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2017 was $786,710 at charges, ($517,616 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThe provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteThe 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 19.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceSt. Agnes Healthcare's policy is to place accounts that have been written off to bad debt with a collection agency for additional collection effort. Patients may apply for financial assistance at any time during the revenue cycle. Patients who work to apply for charity care whose account resides at the agency will be referred to the hospital by the agency. The agency will delete the account and the hospital will work with the patient to complete the charity care application process. Emergency department patients and other outpatients (account balances under $500.00) may be granted charity exclusively based upon the use of an automated eligibility software. A signed/completed application will not be required in those instances.
Schedule H, Part V, Section B, Line 16a FAP website- St. Agnes Healthcare, Inc.: Line 16a URL: http://www.stagnes.org/patients-visitors/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website- St. Agnes Healthcare, Inc.: Line 16b URL: http://www.stagnes.org/patients-visitors/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- St. Agnes Healthcare, Inc.: Line 16c URL: http://www.stagnes.org/patients-visitors/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessmentThe assessment process involved quantitative and qualitative components. St. Agnes engaged the participation of the general public as well as key internal and external stakeholders who represent the broad interest of the communities served by St. Agnes to review the quantitative analysis. The public provided input through a structured online survey and via focus groups across the assessment process during fiscal year 2016. The internal and external stakeholders were individuals with expertise in provision of health care services and public health and included community leaders, physicians, nursing, social work, pastoral care, emergency outpatient and management representatives and a broad range of community organizations. A quantitative assessment was conducted using a survey administered electronically and on paper to gain broad public input. A copy of the survey is included as Appendix 2 of the Community Health Needs Assessment which is available on the hospital's website. A qualitative assessment was conducted using focus groups facilitated by Observation Baltimore; a division of The Research Group/Family Research Center. Six focus groups were conducted for Saint Agnes Hospital to better understand the healthcare needs of the medically underserved, low-income, and minority populations in the most vulnerable communities identified in the FY13 assessment. The composition of the focus groups was recruited to match the demographic composition of the community's survey. Participants were also included by either a personal history or family history of chronic disease with a consideration of environmental risks (specifically smoking tobacco, drinking alcohol daily or occasionally, and use of non-prescription drugs). The Hispanic population was also targeted to ensure input from all ethnicities.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceSt. Agnes Healthcare displays signage, in both English and Spanish in all registration areas that inform patients of the availability of financial assistance programs and contact information. The signage is accompanied by brochures that explain the various financial assistance programs that are available. The Maryland State Financial Assistance application is also available. Registration areas are routinely checked to insure these materials are prominently displayed. St. Agnes Healthcare has employees who are responsible for screening admissions to identify patients who may be eligible for charity, Medicaid, or other state programs. Once these patients are identified, St. Agnes Healthcare employees assist them with completing the eligibility process. All inpatients are provided the Patient Billing and Financial Assistance Information Sheet at the time of admission. It is also mailed to the patient with the summary bill that is sent after discharge. The information sheet is provided in both English and Spanish and provides the patient with information regarding St. Agnes Healthcare's financial assistance policy, how to apply for financial assistance and medical assistance and the patient's rights and obligations. A public notice is also published annually in the Baltimore Sun newspaper notifying the public of the availability of uncompensated care at St. Agnes Healthcare.
Schedule H, Part VI, Line 4 Community informationDue to its location in the southwest segment of the Baltimore Metropolitan Area, Saint Agnes' serves a diverse patient population. Saint Agnes community benefit service area (Southwest Baltimore City and Baltimore County, Northern Anne Arundel County, Eastern Howard County, and Southern Carroll County) has a population of approximately 766,900 and represents the zip codes that comprise eighty percent of Saint Agnes Hospital patient population. A map of the communities Saint Agnes serves can be found in the Community Health Needs Assessment which is available for download on the hospital's website. Within the community benefit service area (CBSA), Saint Agnes has defined eleven communities based on grouping zip codes that have similar demographic characteristics and considering various geographic boundaries. A brief overview description of each of the individual community's is provided below. Arbutus (Zip Code 21227): Arbutus is an older suburban community, located south of Caton and Wilkens Avenues, and has a population of 34,245. The traditionally blue collar community is part of the Baltimore County Health Jurisdiction. Saint Agnes Hospital is the primary hospital provider best positioned to address the specific health needs of this community. Brooklyn Linthicum (Zip Codes 21090, 21225): Brooklyn Linthicum is an older urban suburban community, located southeast of Caton and Wilkens Avenues, and has a population of 43,816. The industrial and blue collar community has seen an increase in the uninsured population and is part of both the Baltimore City and Baltimore County Health Jurisdictions. Harbor Hospital is the primary hospital provider best positioned to address the specific health needs of this community. Catonsville (Zip Code 21228): Catonsville is an older suburban community, located west of Caton and Wilkens Avenues, and has a population of 49,586, with a growing proportion of seniors. The traditionally white collar community is part of the Baltimore County Health Jurisdiction. Saint Agnes Hospital is the primary hospital provider best positioned to address the specific health needs of this community. Ellicott City (Zip Codes 21042, 21043, 21075): Ellicott City is a growing suburban community, located west/southwest of Caton and Wilkens Avenues, and has a population of 119,615. The predominantly white collar community is part of the Howard County Health Jurisdiction. Howard County General Hospital is the primary hospital provider best positioned to address the specific health needs of this community. Glen Burnie (Zip Codes 21060, 21061): Glen Burnie is an older suburban community, located west southwest of Caton and Wilkens Avenues, and has a population of 87,752, with a growing proportion of seniors. The traditionally blue collar community is part of the Anne Arundel County Health Jurisdiction. Baltimore Washington Medical Center is the primary hospital provider best positioned to address the specific health needs of this community. Pasadena (Zip Code 21122): Pasadena is a suburban community, located southeast of Caton and Wilkens Avenues, and has a population of 62,625, with a growing proportion of seniors. The growing community is primarily served by Baltimore Washington Medical Center and is part of the Anne Arundel County Health Jurisdiction. Baltimore Washington Medical Center and Anne Arundel Medical Center are the primary hospital providers best positioned to address the specific health needs of this community. South Baltimore City (Zip Code 21223, 21230): South Baltimore City is an older urban community, located east or southeast of Caton and Wilkens Avenues, and has a population of 60,356. The urban community is projected to experience population declines. South Baltimore City is part of the Baltimore City Health Jurisdiction. Baltimore Washington Medical Center is the primary hospital provider best positioned to address the specific health needs of this community. South Carroll (Zip Codes 21104, 21163, 21784): South Carroll is a suburban community, located northwest of Caton and Wilkens Avenues, and has a population of 52,609, with a growing proportion of seniors. The traditionally rural community has transitioned to a growing suburb of the Metro Baltimore Region. South Carroll is part of Carroll County Health Jurisdiction. Carroll County General Hospital and Northwest Hospital are the primary hospital providers best positioned to address the specific health needs of this community. Southwest Baltimore City (Zip Code 21229): Southwest Baltimore City is an older urban community, located at Caton and Wilkens Avenues, and has a population of 44,997. Similar to other urban areas, Southwest Baltimore is projected to experience population declines. Southwest Baltimore City is part of the Baltimore City Health Jurisdiction. Saint Agnes Hospital is the primary hospital provider best positioned to address the specific health needs of this community. West Baltimore City (Zip Code 21215, 21216, 21217): West Baltimore City is an older urban community, located north of Caton and Wilkens Avenues, and has a population of 126,744. Similar to other urban areas, West Baltimore is projected to experience population declines. West Baltimore City is part of the Baltimore City Health Jurisdiction. Sinai Hospital, University of Maryland and Bon Secours Hospital are the primary hospital providers best positioned to address the specific health needs of this community. Woodlawn (Zip Code 21207, 21244): Woodlawn is a suburban community, located northwest of Caton and Wilkens Avenues, and has a population of 84,545, with a growing proportion of seniors. Woodlawn is part of the Baltimore County Health Jurisdiction. Northwest Hospital is the primary hospital provider best positioned to address the specific health needs of this community.
Schedule H, Part VI, Line 5 Promotion of community healthThe information provided as Community Support, in Part II, Community Building Activities, represents funds spent for disaster readiness and public health emergency activities. These costs, which are partially funded by the Department of Health and Mental Hygiene, support activities such as education and preparedness training, decontamination equipment and supplies needed for victim's ease, comfort and tracking during decontamination. St. Agnes Healthcare furthers its exempt purpose by promoting the health of the community in various ways. A majority of the organization's governing body resides in St. Agnes Healthcare's service area and is neither composed of employees nor contractors of the organization. The governing body had sixteen voting members, thirteen of which were independent community members. Additionally, St. Agnes Healthcare has an open medical staff and credentials all qualified medical staff, including community based providers. St. Agnes Healthcare applies surplus funds to improve patient care in various ways. For instance, surplus funds are used to reinvest in the latest equipment and technologies to improve patient safety, comfort, and outcomes. Surplus funds are also used to renovate existing facilities and construct new facilities in order to improve the healthcare environment. As a member of a national health system, Ascension Health, surplus funds generated by St. Agnes Healthcare may also be directed to Ascension Health to apply towards strategic initiatives or to be re-distributed to other member healthcare providers within Ascension Health. This allows St. Agnes to not only service the surrounding community, but also help fund the care for the underprivileged throughout many parts of the United States.
Schedule H, Part VI, Line 6 Affiliated health care systemST. AGNES HEALTHCARE IS A MEMBER OF ASCENSION HEALTH, A NATIONAL HEALTH CARE SYSTEM. ASCENSION HEALTH IS THE SOLE CORPORATE MEMBER OF SAINT AGNES HEALTHCARE. SAINT AGNES HEALTHCARE IS THE SOLE CORPORATE MEMBER OF SETON MEDICAL GROUP INC., WHICH PROVIDES PRIMARY CARE, GYNECOLOGY AND OBSTETRICS CARE FOR PATIENTS IN THE SAINT AGNES HEALTHCARE'S SERVICE AREA. SAINT AGNES HEALTHCARE IS ALSO THE SOLE CORPORATE MEMBER OF SAINT AGNES FOUNDATION, THE PHILANTHROPIC ARM OF SAINT AGNES HEALTHCARE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ST AGNES FOUNDATION INC
900 CATON AVENUEBALTIMOREMD21229521415083501 (C)(3)$6,000OPERATING SUPPORT
BALTIMORE MEDICAL SYSTEM INC
PO BOX 1593MERRIFIELDVA22116521358241501(C)(3)$888,255OPERATING SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationDiscretionary grants or assistance to other organizations are approved by either the Chief Executive Officer or the Chief Financial Officer.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CARLOS S INCE JR MD
SECRETARY/PHYSICIAN$400,954$0$40,938$0$2,103$0$14,575$0$28,522$0$487,092$0$0$0
PATRICK F MUTCH
PRESIDENT & CEO (INTERIM) (END 7/2016)$165,367$0$64,408$0$161,074$0$9,659$0$17,267$0$417,775$0$0$0
KEITH VANDER KOLK
PRESIDENT & CEO$420,555$0$73,950$0$46,526$0$12,656$0$17,450$0$571,137$0$0$0
CAROLE B MILLER MD
BOARD DIRECTOR/PHYSICIAN$403,942$0$41,861$0$4,014$0$17,225$0$30,005$0$497,047$0$0$0
Bonnie L Phipps
FORMER OFFICER$0$422,604$0$977,694$0$505,236$0$15,334$0$18,810$0$1,939,678$0$0
SCOTT M FURNISS
CFO-MINISTRY MKT DC/BALTIMORE$320,367$0$86,365$0$30,896$0$16,347$0$15,784$0$469,759$0$0$0
NANCY M HAMMOND MD
EXECUTIVE VP/CMO$350,433$0$0$0$3,791$0$17,034$0$25,116$0$396,374$0$0$0
ANDREW M AVERBACH MD
GENERAL SURGEON$578,465$0$51,864$0$7,524$0$14,575$0$23,137$0$675,565$0$0$0
GEORGE T GRACE MD
MEDICAL DIRECTOR - PLASTIC HAND RECONSTRUCTIVE SURGEON$799,414$0$0$0$7,524$0$14,575$0$30,496$0$852,009$0$0$0
HOWARD S HESSAN MD
MEDICAL DIRECTOR - OTOLARYNGOLOGY$848,664$0$0$0$4,902$0$14,575$0$24,860$0$893,001$0$0$0
AJAY V KUMAR MD
PLASTIC SURGEON$345,108$0$345,096$0$938$0$14,575$0$27,972$0$733,689$0$0$0
MICHAEL A ZATINA MD
SURGERY DIRECTOR - CARDIOVASCULAR INST$566,633$0$67,878$0$7,524$0$17,225$0$26,017$0$685,277$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationASCENSION HEALTH, A RELATED ORGANIZATION OF ST. AGNES HEALTHCARE, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT, - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4a Severance or change-of-control paymentThe following individual(s) received severance payments from the organization or a related organization: Bonnie L Phipps - $269,231
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planEligible 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 N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidCASH ACCOUNTS TRANSFERRED TO PARENT'S BALANCE SHEETAssetsDistriOrExpnssPaidDesc
Distribution2016-07-01DistributionDt
Fair Market Value Of Asset$204,620,391FairMarketValueOfAssetAmt
Method Of FMV DeterminationFMVMethodOfFMVDeterminationTxt
EIN453358926EIN
PersonASCENSION HEALTH ALLIANCEPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 45998AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63145ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2Ind
Employee Of Successor2falseEmployeeOfSuccessor2Ind
Owner Of Successor2falseOwnerOfSuccessor2Ind
Receive Compensation2falseReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule N, Part II CASH TRANSFERREDFormAndLineReferenceDesc
ExplanationST. AGNES HEALTHCARE, INC. TRANSFERRED ITS BEGINNING HSD CASH BALANCES TO ASCENSION HEALTH ALLIANCE (45-3358926) AS OF JULY 1, 2016.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALIn determining the compensation of the Organization's CEO, the process performed by Ascension Health, a related organization of St. Agnes Healthcare, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO 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 Committee minutes. The individual was not present when his compensation was decided.
Form 990, Part VI, Line 6 Classes of members or stockholdersSt. Agnes Healthcare has a sole corporate member, Ascension Health.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySt. Agnes Healthcare has a sole corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Agnes Healthcare.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAscension Health has designed a system 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 organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & 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 bodyDURING 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 policyThe 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 disclose 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 delegated 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 delegated powers annually signs a statement which affirms such person has received a copy of the conflicts 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 15b Process to establish compensation of other employeesIn determining compensation of THE ORGANIZATION'S OFFICERS or key employees, the process, performed by St. Agnes healthcare, Inc. included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization 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 committee minutes. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization will provide any documents open to public inspection upon written request.
Form 990, Part VIII, Line 2f Other Program Service RevenuePHARMACY REVENUE - Total Revenue: 8139, Related or Exempt Function Revenue: 8139, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; GOVERNMENT INCENTIVES - Total Revenue: 205630, Related or Exempt Function Revenue: 205630, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueRESEARCH - Total Revenue: 290143, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 290143; PHONE REVENUE - Total Revenue: 190704, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 190704; MEDICAL RECORDS FEES - Total Revenue: 119720, Related or Exempt Function Revenue: 119720, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; DME SALES - Total Revenue: 33465, Related or Exempt Function Revenue: 33465, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MEDICAL STAFF DUES - Total Revenue: 31500, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 31500; FITNESS CLUB - Total Revenue: 17918, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 17918; OTHER MISCELLANEOUS REVENUE - Total Revenue: 378821, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 378821;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesDEFERRED PENSION COSTS - -9172509; Net Transfers with Alpha Fund - -45251051; Transfer Interest in Investments Held by Ascension Health Alliance Back to AHA - -XXX-XX-XXXX;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTSTHE ACTIVITY OF ST. AGNES HEALTHCARE IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ST. AGNES HEALTHCARE IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ST. AGNES HEALTHCARE.
Form 990, Part XII, Line 2c audit committeeST. AGNES HEALTHCARE, INC. 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 Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1GIBBONS COMMONS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 CATON AVENUEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd
FieldValueIRS element (for citing)
EIN520591657EIN
Primary ActivitiesREAL PROPERTY TO SUPPORT COMMUNITY ACTIVITIESPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
Total Income$24,000TotalIncomeAmt
End Of Year Assets$16,812,798EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST AGNES HEALTHCARE INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998STLOUISMO63145453358926NATIONAL HEALTH SYSTEMMO501(c)(3)Type INAfalse
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3)Type IASCENSION HEALTH ALLIANCEfalse
ST AGNES AUXILIARY
900 CATON AVENUEBALTIMOREMD21229520643673FUNDRAISINGMD501(c)(3)10STAGNES HOSPITALYes (true)
SETON MEDICAL GROUP
900 CATON AVENUEBALTIMOREMD21229392064992PROVIDE HEALTH CARE SERVICES TO THE COMMUNITYMD501(c)(3)3STAGNES HOSPITALYes (true)
SAINT AGNES FOUNDATION
900 CATON AVENUEBALTIMOREMD21229521415083PROVIDES FUNDING TO THE HOSPITAL AND TO THE COMMUNITYMD501(c)(3)Type IST AGNES HOSPITALYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST AGNES HEALTH VENTURES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 CATON AVENUEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd
FieldValueIRS element (for citing)
EIN521733632EIN
Primary ActivitiesHOLDING COMPANYPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Share Of Total Income$2,468ShareOfTotalIncomeAmt
Share Of EOY Assets$1,235,681ShareOfEOYAssetsAmt
Ownership1OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST AGNES FOUNDATION INC
L$115,489FAIR MARKET VALUE
ST AGNES FOUNDATION INC
P$65,673FAIR MARKET VALUE
SETON MEDICAL GROUP INC
L$1,262,609FAIR MARKET VALUE
SETON MEDICAL GROUP INC
P$1,052,859FAIR MARKET VALUE
SETON MEDICAL GROUP INC
R$5,574,767FAIR MARKET VALUE
ST AGNES FOUNDATION
C$158,697FAIR MARKET VALUE
ST AGNES FOUNDATION
M$638,897FAIR MARKET VALUE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part II Seton Medical GroupFormAndLineReferenceDesc
ExplanationDue to a corporate reorganization during FY 2017, the sole corporate member of Seton Medical Group changed from St. Agnes Healthcare, Inc. to Ascension Medical Group, a disregarded entity of Ascension Health, EIN 31-1662309. At that time, Seton Medical Group ceased to be a member of the Ascension Baltimore group.ExplanationTxt