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ST AGNES HEALTHCARE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ST AGNES HEALTHCARE INC (EIN 52-0591657)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-09
IRS object ID
201611309349301046
Schema version
2014v6.0
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)
Return2016-05-09T12:03:07-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1191 Peachtree Street NE Suite 2000AddressLine1Txt
CityAtlantaCityNm
State AbbreviationGAStateAbbreviationCd
ZIP303031749ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

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
Phone4103683130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Caton AvenueAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT FURNISSPersonNm
Person TitleSENIOR VP/CFOPersonTitleTxt
Signature2016-05-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn W Sadoff JrPreparerPersonNm
PTINP00540589PTIN
Phone4042201500PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1BONNIE PHIPPSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Caton AvenueAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$450,841,205GrossReceiptsAmt
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 MissionSt. Agnes Healthcare is committed to spiritually-centered health care which is rooted in the healing ministry of Jesus, 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.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee3515TotalEmployeeCnt
Total Volunteers333TotalVolunteersCnt
Total Gross UBI$4,283,499TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$66,446NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,180,206PYContributionsGrantsAmt
CY Contributions Grants$2,269,297CYContributionsGrantsAmt
PY Program Service Revenue$425,783,971PYProgramServiceRevenueAmt
CY Program Service Revenue$437,342,782CYProgramServiceRevenueAmt
PY Investment Income$7,738,025PYInvestmentIncomeAmt
CY Investment Income$6,579,277CYInvestmentIncomeAmt
PY Other Revenue$3,927,120PYOtherRevenueAmt
CY Other Revenue$4,649,849CYOtherRevenueAmt
PY Total Revenue$439,629,322PYTotalRevenueAmt
CY Total Revenue$450,841,205CYTotalRevenueAmt
PY Grants And Similar Paid$64,863PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$112,100CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$198,707,486PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$205,625,256CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$204,409,029PYOtherExpensesAmt
CY Other Expenses$206,081,377CYOtherExpensesAmt
PY Total Expenses$403,181,378PYTotalExpensesAmt
CY Total Expenses$411,818,733CYTotalExpensesAmt
PY Revenues Less Expenses$36,447,944PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,022,472CYRevenuesLessExpensesAmt
Total Assets BOY$558,192,127TotalAssetsBOYAmt
Total Assets EOY$546,532,550TotalAssetsEOYAmt
Total Liabilities BOY$146,245,573TotalLiabilitiesBOYAmt
Total Liabilities EOY$148,320,538TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$411,946,554NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$398,212,012NetAssetsOrFundBalancesEOYAmt
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$218,120,722ExpenseAmt
Grant$0GrantAmt
Revenue$286,436,130RevenueAmt
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, 2015, 42.8% OF THE VALUE OF SERVICES WAS TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND 19.2% WAS TO PATIENTS WHO WERE DEEMED INDIGENT UNDER STATE, COUNTY, OR HOSPITAL GUIDELINES. THIS VALUE OF THESE SERVICES TO THE ELDERLY AND POOR TOTALED $286,436,130 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, 2015, THE ESTIMATED UNREIMBURSED COST OF SERVICES PROVIDED TO THE ELDERLY, UNINSURED, AND UNDER INSURED TOTALED $19,709,083, INCLUDING $12,075,671 FOR CHARITY CARE, AND $7,633,413 OF UNREIMBURSED MEDICAID.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$121,607,133ExpenseAmt
Grant$0GrantAmt
Revenue$143,428,415RevenueAmt
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, 2015, OUR HOSPITAL TREATED 16,381 INPATIENT ADULTS AND CHILDREN IN THE COMMUNITY FOR A TOTAL OF 71,068 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES TO 511,212 OUTPATIENTS, INCLUDING 6,221 OUTPATIENT SURGERY PATIENTS, 80,822 EMERGENCY ROOM VISITS, AND 62,231 CLINIC VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$18,003,340ExpenseAmt
Grant$112,100GrantAmt
Revenue$3,194,738RevenueAmt
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 186 SURGEONS IN 10 SURGICAL SPECIALTIES. THERE ARE TWENTY-EIGHT 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 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$357,731,195TotalProgramServiceExpensesAmt
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 InvstfalseReportProgramRelatedInvstInd
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 LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3515EmployeeCnt
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 Members19GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
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 (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CARLOS S INCE JR MD
SECRETARY50.000Yes (X)Yes (X)$402,891$0$34,306
PATRICK MUTCH
PRESIDENT (INTERIM)48.621.38Yes (X)Yes (X)$249,316$0$28,075
BONNIE L PHIPPS
PRESIDENT49.082.92Yes (X)Yes (X)$1,796,439$0$34,585
PAUL J CHEW
BOARD CHAIR3.500Yes (X)Yes (X)$0$0$0
NORMAN C FROST
BOARD DIRECTOR3.000Yes (X)$0$0$0
BRUCE R GRINDROD JR
BOARD DIRECTOR2.400Yes (X)$0$0$0
SISTER ELLEN MARIE HAGAR DC
BOARD DIRECTOR2.400Yes (X)$0$0$0
MARGARET HAYES
BOARD DIRECTOR2.200Yes (X)$0$0$0
MOHANNAD F JISHI
BOARD DIRECTOR2.100Yes (X)$0$0$0
A GREGORY KELLY JR
BOARD DIRECTOR3.000Yes (X)$0$0$0
IRENE D KNOTT
BOARD DIRECTOR2.100Yes (X)$0$0$0
M SUE LOVELL
BOARD DIRECTOR1.400Yes (X)$0$0$0
CAROLE B MILLER MD
BOARD DIRECTOR50.000Yes (X)$415,819$0$39,354
JAMES B SELLINGER
BOARD DIRECTOR2.700Yes (X)$0$0$0
JOHN B STANSBURY
BOARD DIRECTOR2.400Yes (X)$0$0$0
SISTER MARY LOU STUBBS
BOARD DIRECTOR2.200Yes (X)$0$0$0
JEFF SUBE
BOARD DIRECTOR1.800Yes (X)$0$0$0
SAM V SYDNEY MD
BOARD DIRECTOR2.101.27Yes (X)$0$0$0
JOHN E WHEELER JR
BOARD DIRECTOR2.800Yes (X)$0$0$0
SISTER PATRICIA ANNE BOSSLE DC
BOARD DIRECTOR1.800Yes (X)$0$0$0
SCOTT FURNISS
SENIOR VP/CFO47.242.76Yes (X)$302,215$0$37,631
DR ADRIAN LONG MD
EXECUTIVE VP/CMO48.621.38$424,221$0$26,200Yes (X)
GEORGE T GRACE
MEDICAL DIRECTOR PLASTIC/HAND RECONSTRUCTIVE SURGERY50.000$873,906$0$41,804Yes (X)
HOWARD S HESSAN
MEDICAL DIRECTOR - OTOLARYNGOLOGY50.000$830,668$0$35,301Yes (X)
LAWRENCE SHIN
ORTHOPEDIC SURGEON50.000$787,814$0$46,296Yes (X)
JOHN T ANTONIADES
PHYSICIAN50.000$580,244$0$33,878Yes (X)
MICHAEL A ZATINA
SURGICAL DIRECTOR - CARDIOVASCULAR INST50.000$572,748$0$38,248Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,236,281TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$395,678TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K250IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NONEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Compensation$0CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$1,346,611RelatedOrganizationsAmt
Government Grants$922,686GovernmentGrantsAmt
Total Contributions$2,269,297TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Revenue621990$430,050,842$425,767,343$4,283,499$0
Ancillary Joint Venture900099$3,756,610$3,756,610$0$0
Meaningful Use900099$1,984,466$1,984,466$0$0
Admin Fee900099$870,864$870,864
Medical Student900099$680,000$680,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$437,342,782TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,579,277TotalRevenueColumnAmt
Exclusion$6,579,277ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$748,322RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$748,322RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$748,322TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$748,322ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria Revenue900099$1,483,640$1,483,640
Net Assets Released from Restriction900099$700,000$700,000
Gift Shop900099$254,161$254,161

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,463,726TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,463,726ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,901,527OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$450,841,205TotalRevenueColumnAmt
Related Or Exempt Func Income$433,059,283RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,283,499UnrelatedBusinessRevenueAmt
Exclusion$11,229,126ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$112,100TotalAmt
Program Services$112,100ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,552,341TotalAmt
Management And General$3,552,341ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$18,334,689TotalAmt
Program Services$17,535,318ProgramServicesAmt
Management And General$799,371ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$157,552,501TotalAmt
Program Services$141,414,732ProgramServicesAmt
Management And General$16,137,769ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$2,283,613TotalAmt
Program Services-$2,048,957ProgramServicesAmt
Management And General-$234,656ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,309,999TotalAmt
Program Services$14,634,043ProgramServicesAmt
Management And General$1,675,956ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,159,339TotalAmt
Program Services$10,909,890ProgramServicesAmt
Management And General$1,249,449ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$194,025TotalAmt
Program Services$55,560ProgramServicesAmt
Management And General$138,465ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$763,433TotalAmt
Program Services$154,779ProgramServicesAmt
Management And General$608,654ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$477,454TotalAmt
Management And General$477,454ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$29,698TotalAmt
Management And General$29,698ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$49,369,073TotalAmt
Program Services$42,315,262ProgramServicesAmt
Management And General$7,053,811ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,951,504TotalAmt
Program Services$35,010ProgramServicesAmt
Management And General$1,916,494ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,233,624TotalAmt
Program Services$1,947,618ProgramServicesAmt
Management And General$1,286,006ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,646,257TotalAmt
Program Services$14,646,257ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,090,215TotalAmt
Program Services$4,035,138ProgramServicesAmt
Management And General$55,077ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$351,355TotalAmt
Program Services$165,207ProgramServicesAmt
Management And General$186,148ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$363,360TotalAmt
Program Services$312,701ProgramServicesAmt
Management And General$50,659ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,447,319TotalAmt
Management And General$2,447,319ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,284,673TotalAmt
Program Services$11,472,204ProgramServicesAmt
Management And General$5,812,469ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,529,948TotalAmt
Program Services$2,448,300ProgramServicesAmt
Management And General$2,081,648ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$63,869,130$63,869,130
Utilization$12,775,690$12,775,690
Bad Debts$9,582,830$9,582,830
System Office Service Fees$4,533,333$4,533,333

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,588,456TotalAmt
Program Services$11,358,383ProgramServicesAmt
Management And General$4,230,073ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$411,818,733TotalAmt
Program Services$357,731,195ProgramServicesAmt
Management And General$54,087,538ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,529,662BOYAmt
EOY$6,263,070EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$100BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$54,753,077BOYAmt
EOY$53,995,217EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,726,651BOYAmt
EOY$7,885,485EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,914,807BOYAmt
EOY$1,633,664EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$414,539,924LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$186,863,911LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$229,658,661BOYAmt
EOY$227,676,013EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$518,819BOYAmt
EOY$798,502EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$16,495,577BOYAmt
EOY$20,252,186EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,629,225BOYAmt
EOY$5,046,295EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$235,965,548BOYAmt
EOY$222,982,118EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$558,192,127BOYAmt
EOY$546,532,550EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,766,202BOYAmt
EOY$35,677,169EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,001BOYAmt
EOY$601,317EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$78,270,252BOYAmt
EOY$77,125,663EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,208,118BOYAmt
EOY$34,916,389EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$146,245,573BOYAmt
EOY$148,320,538EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$406,932,207BOYAmt
EOY$393,382,983EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,880,849BOYAmt
EOY$4,699,319EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$133,498BOYAmt
EOY$129,710EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$411,946,554BOYAmt
EOY$398,212,012EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$558,192,127BOYAmt
EOY$546,532,550EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$39,022,472ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$8,614,339NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$44,142,675OtherChangesInNetAssetsAmt
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 CommitteeYes (true)AuditCommitteeInd
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$29,698OtherActivitiesAmt
Total Lobbying Expenditures$29,698TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationLobbying 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.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,098,333BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses-$153,860InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$2,944,473EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,685,977BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$412,356InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$3,098,333EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.21PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.79TermEndowmentBalanceEOYPct
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$279,022,226OtherCostOrOtherBasisAmt
Depreciation$107,566,075DepreciationAmt
Book Value$171,456,151BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,369,413OtherCostOrOtherBasisAmt
Depreciation$2,739,679DepreciationAmt
Book Value$6,629,734BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$89,218,614OtherCostOrOtherBasisAmt
Depreciation$71,459,467DepreciationAmt
Book Value$17,759,147BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,676,881OtherCostOrOtherBasisAmt
Depreciation$5,098,690DepreciationAmt
Book Value$21,578,191BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$227,676,013TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (13 entries)

DescDescBook ValueBookValueAmt
HEALTH SYSTEM DEPOSIT (HSD)$208,033,105
INVESTMENT - DEFERRED COMPENSATION$9,970,025
INTEREST IN FOUNDATION NET ASSETS$2,046,236
AH PENSION ASSET
CASH SURRENDER VALUE - LIFE$766,990
CARROLTON BANK ACCOUNT
CLINICAL RESEARCH A/R
INTERCOMPANY RECEIVABLES
OTHER RECEIVABLES$1,725,250
OTHER ASSETS$362,700
AFFILIATES RECEIVABLES$72,050
PHYSICIAN RECEIVABLES$5,762
INTERCOMPANY RECEIVABLES
FieldValueIRS element (for citing)
Total Book Value Other Assets$222,982,118TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
OTHER LIABILITIES$5,931
THIRD PARTY ADVANCES$14,345,322
DEFERRED COMPENSATION$9,970,025
SELF INSURANCE LIABILITY$4,794,599
SAVINGS PLAN LIABILITY$2,521,421
INCURRED BUT NOT REPORTED (IBNR)$2,025,525
THIRD PARTY SETTLEMENTS$53,838
PENSION$1,199,728
FieldValueIRS element (for citing)
Total Liability$34,916,389TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsWhiteford Endowment - 50% to be utilized to erect a wing or additional building, additional 50% may be used to support hospital operations. Browne Endowment - established for use by cardiac unit to aid the indigent. Gittings Endowment - created to provide a bed in the children's ward.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFrom the consolidated audited financial statements of ascension health alliance and its member organizations ("the system") which include the activity of St. Agnes healthcare, Inc.,: The member healthcare entities of the System are primarily tax-exempt organizations under Internal Revenue Code Section 501(c)(3) or Section 501(c)(2), and their related income is exempt from federal income tax under Section 501(a). The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2015.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
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$12,075,671TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,075,671NetCommunityBenefitExpnsAmt
Total Expense0.0300TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,139,279TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,505,866DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,633,413NetCommunityBenefitExpnsAmt
Total Expense0.0190TotalExpensePct

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$28,214,950TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,505,866DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,709,083NetCommunityBenefitExpnsAmt
Total Expense0.0490TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,533,296TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$240,380DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,292,916NetCommunityBenefitExpnsAmt
Total Expense0.0057TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,916,632TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,916,632NetCommunityBenefitExpnsAmt
Total Expense0.0172TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,581,813TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,704,929DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,876,884NetCommunityBenefitExpnsAmt
Total Expense0.0121TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$394,655TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$249,429DirectOffsettingRevenueAmt
Net Community Benefit Expns$145,226NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$576,944TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$576,944NetCommunityBenefitExpnsAmt
Total Expense0.0014TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$18,003,340TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,194,738DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,808,601NetCommunityBenefitExpnsAmt
Total Expense0.0368TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$46,218,289TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,700,605DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,517,684NetCommunityBenefitExpnsAmt
Total Expense0.0858TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$282,144TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$282,144NetCommunityBenefitExpnsAmt
Total Expense0.0007TotalExpensePct

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$80,707TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$63,207NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

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$362,851TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$345,351NetCommunityBenefitExpnsAmt
Total Expense0.0009TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$9,631,415BadDebtExpenseAmt
Bad Debt Expense Attributable$488,230BadDebtExpenseAttributableAmt
Reimbursed By Medicare$154,272,621ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$134,879,212CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$19,393,409MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
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
FieldValueIRS element (for citing)
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 Conducted12CHNAConductedYr
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/wp-content/uploads/2014/10/Community_Health_Needs_Assessment_2013.pdfOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.stagnes.org/wp-content/uploads/2014/10/Community_Health_Needs_Assessment_2013.pdfStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care2.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care3.0FPGFamilyIncmLmtDscntCarePct
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
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - St. Agnes Healthcare, Inc.. The assessment process involved both quantitative and qualitative components. Saint Agnes engaged the participation of key internal and external stakeholders who represent the broad interest of the communities served by Saint Agnes to review the quantitative analysis. The stakeholders provided input through a structured online survey and via focus groups across the assessment process during late Fiscal Year 2012 and early Fiscal Year 2013. The stakeholders were individuals with expertise in provision of health care services and public health and included community leaders, physicians, nursing, social work, pastoral care, care management, emergency outpatient and management representatives.
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.. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS SURFACED A WIDE RANGE OF NEEDS IN THE COMMUNITIES WHICH SAINT AGNES SERVES. IN ACCORDANCE WITH THE CRITERIA OUTLINED IN THE HEALTH CARE AFFORDABILITY ACT AND 501(R)(3) REGULATORY REQUIREMENTS, SAINT AGNES DEVELOPED AN IMPLEMENTATION STRATEGY TO ADDRESS THE MOST CRITICAL OF HEALTH NEEDS AND GEOGRAPHIES. WHILE A FOCUSED NUMBER OF COMMUNITY HEALTH NEEDS AND RESPONSE INITIATIVES ARE ADDRESSED IN THE IMPLEMENTATION STRATEGY, SAINT AGNES WILL CONTINUE TO OFFER ITS FULL SPECTRUM OF SERVICES TO THOSE WHOM SEEK CARE. FOR COMMUNITIES IN WHICH SAINT AGNES IS NOT THE PRIMARY HOSPITAL PROVIDER, THE PRIMARY PROVIDER IS BETTER POSITIONED TO ADDRESS THEIR COMMUNITY'S HEALTH NEEDS. NON-HEALTHCARE AREAS FOR WHICH SAINT AGNES DOES NOT HAVE THE REQUISITE KNOWLEDGE OR EXPERTISE TO ADDRESS THE NEEDS, OTHER COMMUNITY ORGANIZATIONS WILL BE BETTER POSITIONED TO ADDRESS THESE NEEDS. THE PROCESS OF THE ASSESSMENT UTILIZED QUANTITATIVE AND QUALITATIVE DATA ANALYSIS TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS. THE PRIORITIZATION PROCESS UTILIZED MULTIPLE TECHNIQUES SUCH AS ONLINE SURVEY AND STAKEHOLDER FOCUS GROUPS WHICH EMPLOYED TOP-OF-MIND, RANK SCALING, OPEN END RESPONSE, AND NOMINAL GROUP TECHNIQUE TO ACHIEVE CONSENSUS PRIORITIZATION OF MOST CRITICAL COMMUNITY HEALTH NEEDS. THE FOLLOWING HEALTH NEEDS AND GEOGRAPHIES WERE IDENTIFIED AS PRIORITY AREAS TOWARD WHICH SAINT AGNES SHOULD FOCUS ITS EFFORTS: THE PRIORITY NEEDS IDENTIFIED WERE: 1. OBESITY & RELATED CONDITIONS 2. CARDIOVASCULAR DISEASE 3. ACCESS/LINKAGES TO PRIMARY CARE, ESPECIALLY TO THE POOR AND VULNERABLE POPULATIONS RECOGNIZING THERE ARE A WIDE VARIETY OF RESOURCES AVAILABLE TO RESPOND TO THE NEEDS OF THE COMMUNITY, PARTICULARLY THE OTHER HOSPITAL PROVIDERS LOCATED IN AND AROUND THE SAINT AGNES SERVICE AREA, IN ORDER TO HAVE THE MOST IMPACT SAINT AGNES WILL FOCUS COMMUNITY HEALTH INITIATIVES IN THE COMMUNITIES OF SOUTHWEST BALTIMORE CITY (21229), CATONSVILLE (21228), AND ARBUTUS (21227). THE NEEDS THAT ARE NOT PRIORITIZED AS A CRITICAL COMMUNITY HEALTH NEED INCLUDE THE FOLLOWING: ASTHMA, BEHAVIORAL HEALTH SERVICES, CANCER, COMMUNITY CARE MANAGEMENT/CARE COORDINATION, GENERAL COMMUNITY OUTREACH, HIV, MEDICATION/TREATMENT PLAN COMPLIANCE, SPECIAL CARE NEEDS FOR CHILDREN, SPECIAL CARE NEEDS FOR IMMIGRANT POPULATIONS, SPECIAL CARE NEEDS FOR SENIORS, WOMEN'S HEALTH/PRENATAL CARE, CHRONIC DISEASE MANAGEMENT, DIABETES & HYPERTENSION, EARLY DETECTION & SCREENING PROGRAMS, HEALTHY LIFESTYLE BEHAVIORS, NUTRITION EDUCATION & ACCESS TO HEALTHY FOODS, SERVICES TO POOR & VULNERABLE, SUBSTANCE ABUSE (TOBACCO, ALCOHOL, DRUGS), COMMUNITY HOUSING/LIVING CONDITIONS, CRIME, JOBS/SKILLS TRAINING, LITERACY EDUCATION, MEDICATION AFFORDABILITY, STRESS MANAGEMENT, TRANSPORTATION.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - St. Agnes Healthcare, Inc.. A notice of charity is posted within the Baltimore Sun on an annual basis. Additionally, 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."
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - St. Agnes Healthcare, Inc.. Maryland hospital regulated rates are determined by the HSCRC. By law, regulated rates charged to all payors, including self pay patients, are the same.
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 ParkwaySuite L6ColumbiaMD21044Outpatient Surgical Center
Plastic and Reconstructive Surgery
300 Frederick RoadSuite 200CatonsvilleMD21228Plastic Surgery
Angelos Medical Pavilion
3407 Wilkens AvenueSuite 420BaltimoreMD21229Blood Drawing Station
St Agnes Medical Center
6501-D Baltimore National PikeBaltimoreMD21228Blood Drawing Station
Women's Center in Columbia
8945 Guilford RoadSuite 100ColumbiaMD21046Blood Drawing Station
Pine Heights Professional Building
1001 Pine Heights AvenueSuite 202BaltimoreMD21229Blood Drawing Station
Seton Imaging Center
3449 Wilkins AvenueBaltimoreMD21229Diagnostic Imaging

Supplemental Information Detail SupplementalInformationDetail (22 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 $9,582,830.
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 III, Line 2 Bad Debt Expense DisclosureThe amount of bad debt expense is obtained from the Saint Agnes Hospital financial statements. It is a combination of actual bad debt write-offs and estimates of future bad debt write-offs on existing accounts receivable. A cost to charge ratio was not applied to the reported bad debt expense.
Schedule H, Part II Community Building ActivitiesThe Community Building activities reported as physical improvements and housing relate to the Gibbons Commons Campus. Construction is ongoing at Gibbons Commons, a 32-acre mixed use community space located across Caton Avenue from Saint Agnes Hospital providing Southwest Baltimore with much needed green space, recreational facilities, and community housing. Gibbons Commons also preserves an area with a rich history. Community Housing Bon Secours Baltimore Health System and Enterprise Homes will offer community housing on the property with the construction of Bon Secours Gibbons Apartments. Upon completion, the four story Bon Secours Gibbons Apartments will offer 80 one-, two-, and three-bedroom apartments; community and recreational space; and underground parking for all residents. Food Options In order to provide residents of the property and community members with a wider variety of food choices, especially healthy options, Royal Farms has agreed to terms with Gibbons Commons, offering one of its Fresh Kitchens on the campus, and the local Kibby's Restaurant & Lounge will be relocating from its current location on Wilkens Avenue to Gibbons Commons. Royal Farms' Fresh Kitchen will give community residents access to nutritional choices by offering high quality salads, fresh deli options, custom-made sandwiches and more. Royal Farms will offer indoor and outdoor seating, as well as a full gas station. Kibby's plans to transform into a sports-themed restaurant, specifically dedicated to preserving the legend of Babe Ruth. Recreational and Green Space The redevelopment plan for Gibbons Commons is also designed to add green and recreational space while remaining respectful of the history of the property. Plans to honor Cardinal Gibbons High School and alumni with a commemorative courtyard are in development. The property will also honor the former St. Mary's Industrial School for Boys and one of its most famous graduates - Babe Ruth. The Cal Ripken, Sr. Foundation has been working with Saint Agnes since 2013 on a plan to preserve and enhance the Babe Ruth Field. The turf field will be positioned on the exact site where Babe Ruth played in the early 1900's and will be expanded to provide space for community residents to play baseball, football and lacrosse. The Y of Central Maryland will manage Baby Ruth Field and work closely with the Cal Ripken Sr., Foundation to support youth and sports programming, encouraging activity and exercise within the community. The Y is also considering the opportunity to renovate the 30,000-square foot Cardinal Gibbons gym into 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 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 2015 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 2015, 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 I, Line 7 Bad Debt Expense excluded from financial assistance calculation9582830
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe costing methodology used to complete Line 7a (Charity Care) and Line 7B (Unreimbursed Medicaid) in the table was the cost to charge ratio. The cost to charge ratio was calculated in accordance with worksheet 2 of the Internal Revenue Service instructions for Schedule H, which suggests using the operating expenses from the filing entity's financial statements, excluding bad debt and certain other adjustments, and applying the result to the gross charges from the filing entity's financial statements. The resulting ratio is used to calculate charity care at cost and unreimbursed Medicaid.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThe bad debt expense reported was estimated using the bad debt expense from the consolidated St. Agnes Healthcare financial statements. The state of Maryland is an "all payor" state regulated by the Health Services Cost Review Commission (HSCRC) where all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Therefore, self pay discounts are largely not applicable for regulated activity and have no impact on bad debt expense. The estimated amount of bad debt expense attributable to patients eligible under the organization's charity care policy was estimated by examining all bad debt write-offs at the patient account level during the fiscal year. Those accounts that had an insurance classification of charity, charity pending, or Medicaid pending that was subsequently written off to bad debt, are assumed to be patients that would have been eligible for assistance under the charity care policy if sufficient information had been provided to make that determination.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteNet patient service revenue is reported at the estimated realizable amounts from patients, third-party payors, and others for services provided and includes estimated retroactive adjustments under reimbursement agreements with third-party payors. Revenue under certain third party payor agreements is subject to audit, retroactive adjustments, and significant regulatory actions. Provisions for third-party payor settlements and adjustments are estimated in the period the related services are provided and adjusted in future periods as additional information becomes available and as final settlements are determined. Laws and regulations governing the Medicare and Medicaid programs are complex and subject to interpretation. As a result, there is at least a possibility that recorded estimates will change by a material amount in the near term. During 2015 and 2014, approximately 42.8% and 41.5%, respectively, of net patient service revenue was received under the Medicare program and 19.2% and 17.9%, respectively, under various state Medicaid programs. The Health Ministry grants credit without collateral to its patients, most of whom are local residents insured under third-party payor arrangements. Significant concentrations of accounts receivable at June 30, 2015 and 2014 include Medicare (26.61% and 30.26%, respectively) and various states' Medicaid (26.28% and 22.69%, respectively) programs. The provision for bad debts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible 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 bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Health Ministry follows established guidelines for placing certain past due patient balances with 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 Health Ministry's policies.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsMedicare allowable costs and reimbursement are reported on the Hospital's Medicare Cost Report. This includes reimbursable acute hospital services. In addition, the Hospital has also included Medicare net revenues and expenses for non-hospital services necessary to support hospital operations. This includes professional radiology, anesthesia and other physician specialty services. The Medicare surplus of $19,393,409 for hospital services was calculated by subtracting the Medicare costs (gross Medicare revenue multiplied by the cost to charge ratios reported on the Medicare cost report) from the Medicare payments. Non-hospital services shortfall of $15,917,495 was calculated by multiplying each non-hospital services' Medicare patient share by the non-hospital services' annual operating loss. Maryland'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. This unique payment system is designed for all payors to share the cost of healthcare equally, meaning the cost shifting to private payors, that is commonly seen in other states, is not experienced in Maryland. This model results in a surplus of payment over expense.
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 VI, Line 2 Needs assessmentSaint Agnes conducted its CHNA in two phases. The first phase was a quantitative assessment utilizing readily available secondary data sources to analyze twenty six indicators of health status. Each of the eleven communities within the Saint Agnes service area was compared to Central Maryland average for each indicator to identify critical community health gaps. Within each community, if the health status for each indicator was at least 10% worse than the Central Maryland average it was flagged as a potential critical health needs gap. The twenty six health indicators were grouped into four categories: 1. Demographic and socio-economic characteristics: Age under 5, Age 65+, High School Diploma/Less, Diversity, Primary Care Access Age 18+, Uninsured, Low Income Households 2. Lifestyle & behavioral factors: Obesity, Behavioral health, HIV Positive, Insufficient Prenatal Care, Substance Abuse, Tobacco Use 3. Co-morbid precursor diagnoses: Arthritis, Back and Joint Pain, Asthma, Chronic Bronchitis, Diabetes, Hypertension, Ambulatory Sensitive Admissions 4. Major disease diagnoses: Cancer, Cardiovascular, Coronary Heart Disease, Coronary Heart Failure, Heart Attack, Stroke, Joint & Spine Procedures, Infant Mortality, Cancer-GYN In addition to the health indicator profiles, Saint Agnes reviewed the Community Health Plans of the local health jurisdictions including Baltimore City and Anne Arundel, Baltimore, Carroll, and Howard Counties. In addition, Saint Agnes is an active participant of the Community Health Planning Task Force for Baltimore City and Baltimore County. The information from the local health jurisdictions was included in the second phase of the CHNA process. The second phase of the assessment was a qualitative assessment utilizing internal and external stakeholders that represented the broad interest of the communities served and/or had expertise in health care services/public health. Stakeholders completed an online survey utilizing multiple techniques (top-of-mind, rank scaling, nominal group) to identify and prioritize community health needs. In addition to the online survey, stakeholders participated in focus group meetings. During the focus groups, the results of the qualitative assessment were shared as well as the results of the online survey and local health jurisdiction summaries. The result of the stakeholder focus groups was a recommendation to focus on the three most critical health priorities in Saint Agnes' community health improvement initiatives.
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' primary and secondary service areas (Southwest Baltimore City and Baltimore County, Northern Anne Arundel County, Eastern Howard County, and Southern Carroll County) have a population of approximately 738,000. The service area for study in the Community Health Needs assessment represents the zip codes that comprise 80% of Saint Agnes Hospital discharges, 60% of those discharges come from the primary service area, with the remaining 20% from the secondary service area. Within the service area, Saint Agnes has defined eleven different communities. The communities are groupings of zip codes in the defined service area based on similar demographic characteristics and geographic boundaries. Arbutus (Zip Code 21227): Arbutus is an older suburban community, located south of Caton and Wilkens Avenue, and has a population of 33,139. 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 40,179. 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 48,659, 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 48,659. 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 75,243, 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 58,941, 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/southeast of Caton and Wilkens Avenues, and has a population of 62,268. 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 52,287, 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 46,881. 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 134,531. 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 healths 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 83,180, 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 nineteen voting members, sixteen 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 H, Part VI, Line 7 State filing of community benefit reportMD

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
BALTIMORE CITY FOUNDATION INC
10 N CALVERT STREETSUITE 915BALTIMOREMD21202521212473501 (C)(3)$20,000$0FMVSPONSORSHIP
SETON KEOUGH HIGH SCHOOL
1201 CATON AVENUEBALTIMOREMD21229520810937501(C)(3)$10,000$0FMVSPONSORSHIP
GREATER BALTIMORE COMMITTEE
111 SOUTH CALVERT STREETSUITE 1700BALTIMOREMD21202520645650501(C)(4)$9,500$0FMVSPONSORSHIP
CRISTO REY CORPORATE INTERNSHIP PROGRAM INC
420 S CHESTER STREETBALTIMOREMD21231205300491501(C)(3)$7,000$0FMVSPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant FundsDiscretionary grants or assistance to other organizations are approved by either the Chief Executive Officer or the Chief Financial Officer.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.Discretionary grants or assistance to other organizations are approved by either the Chief Executive Officer or the Chief Financial Officer.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
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 (11 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$400,409$0$1,851$0$631$0$13,000$0$21,306$0$437,197$0$0$0
PATRICK MUTCH
PRESIDENT (INTERIM)$213,836$0$25,813$0$9,667$0$11,617$0$16,458$0$277,391$0$0$0
BONNIE L PHIPPS
PRESIDENT$620,861$0$958,057$0$217,521$0$2,875$0$31,710$0$1,831,024$0$0$0
CAROLE B MILLER MD
BOARD DIRECTOR$358,748$0$55,438$0$1,633$0$15,600$0$23,754$0$455,173$0$0$0
SCOTT FURNISS
SENIOR VP/CFO$268,233$0$30,410$0$3,572$0$16,417$0$21,214$0$339,846$0$0$0
DR ADRIAN LONG MD
EXECUTIVE VP/CMO$349,395$0$47,226$0$27,600$0$15,600$0$10,600$0$450,421$0$0$0
GEORGE T GRACE
MEDICAL DIRECTOR PLASTIC/HAND RECONSTRUCTIVE SURGERY$777,341$0$92,778$0$3,787$0$14,300$0$27,504$0$915,710$0$0$0
HOWARD S HESSAN
MEDICAL DIRECTOR - OTOLARYNGOLOGY$826,645$0$0$0$4,023$0$14,300$0$21,001$0$865,969$0$0$0
LAWRENCE SHIN
ORTHOPEDIC SURGEON$679,446$0$107,005$0$1,363$0$14,300$0$31,996$0$834,110$0$0$0
JOHN T ANTONIADES
PHYSICIAN$478,384$0$86,530$0$15,330$0$13,000$0$20,878$0$614,122$0$0$0
MICHAEL A ZATINA
SURGICAL DIRECTOR - CARDIOVASCULAR INST$568,590$0$0$0$4,158$0$16,900$0$21,348$0$610,996$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a HOURS WORKED & PRESIDENT'S COMPENSATIONAVERAGE HOURS PER WEEK; ALL PERSONS LISTED AT PART VII AND SCHEDULE J AS WORKING 50 HOURS ARE FULL-TIME EMPLOYEES OF THE ORGANIZATION. THE USE OF 50 HOURS ON THIS RETURN IS INTENDED TO DENOTE THAT SUCH PERSONS MAY WORK SIGNIFICANTLY MORE HOURS DURING THE WEEK ON AVERAGE. ST. AGNES HEALTHCARE IS A MEMBER OF ASCENSION HEALTH. BONNIE PHIPPS, PRESIDENT AND CEO OF ST. AGNES HEALTHCARE, ALSO SERVES IN AN OVERSIGHT ROLE TO OTHER ASCENSION HEALTH FACILITIES AS A MINISTRY MARKET LEADER. THE COMPENSATION EARNED AS A MINISTRY MARKET LEADER IS PAID THROUGH ST. AGNES HEALTHCARE, AND THEREFORE, REPORTED ON THIS FORM 990. THE COMPENSATION HAS NOT BEEN ALLOCATED BACK TO THE ENTITIES DERIVING THE BENEFIT.
Schedule J, Part I, Line 3 CEO COMPENSATION ANALYSISTHE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER (CEO) OF ST. AGNES HEALTHCARE IS DETERMINED BY ASCENSION HEALTH, THE PARENT COMPANY OF ST. AGNES HEALTHCARE. ASCENSION HEALTH USES INDEPENDENT COMPENSATION CONSULTANTS, WHO USE COMPENSATION SURVEYS AND STUDIES, TO ESTABLISH THE PAY RANGE FOR THE CEO OF ST. AGNES HEALTHCARE. THE ASCENSION HEALTH EXECUTIVE COMPENSATION COMMITTEE APPROVES THE RECOMMENDED SALARY FOR THE CEO OF ST. AGNES HEALTHCARE. THE ASCENSION HEALTH EXECUTIVE COMPENSATION COMMITTEE PROVIDES THE LOCAL ST. AGNES HEALTHCARE COMPENSATION COMMITTEE THE ANALYSIS PERFORMED BY THE INDEPENDENT CONSULTANT FOR REVIEW AND APPROVAL.
Schedule J, Part I, Line 1a Health or social club dues or initiation feesClub dues are available to senior leadership and are shown as a taxable fringe benefit.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15a PART VI SECTION B, LINE 15A:IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. AGNES HEALTHCARE, INC., 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 HER COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsCERTAIN PERSONS REPORTED ON PART VII ARE EMPLOYED BY AND/OR SERVE AS OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE AT A RELATED TAX EXEMPT ORGANIZATION. - Business relationship
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 and major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic and financial plans; system policies and procedures. These areas are subject to certain levels of approval by Ascension Health per the System Authority Matrix. Ascension Health also establishes operating targets/ budgets for each Health Ministry and retains key direction regarding major strategic initiatives.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyManagement, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the form to the Finance Committee and certain members of the Audit Committee and addresses any questions that arise. Once the Finance Committee and Audit Committee review is completed, the Form 990 is then made available to the full Board of Directors via a secure website. Management team members are available to respond to any Board member questions. After the Board of Directors' review is complete, management files the Form 990 with the Internal Revenue Service.
Form 990, Part VI, Line 12c Conflict of interest policyAnnually, a conflicts of interest disclosure form is distributed to board members, the executive team, board committees, purchasing agents, legal counsel, medical leadership, and certain members of management. Officers, directors and key employees are required to complete the annual disclosure. Any conflicts, or potential conflicts that are identified are examined by the Corporate Responsibility Officer and appropriate measures are taken.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesIn determining compensation of other officers or key employees of the organization, 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.
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 11d Other Miscellaneous RevenueAll Other Revenue - Total Revenue: 1158688, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1158688; Durable Medical Equipment - Total Revenue: 27780, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 27780; Medical Records Revenue - Total Revenue: 115556, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 115556; Telephone - Total Revenue: 161702, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 161702;
Form 990, Part IX, Line 11g Other FeesBiomedical & Facilities Services - Total Expense: 8860279, Program Service Expense: 8860279, Management and General Expenses: , Fundraising Expenses: ; Food Service - Total Expense: 5075053, Program Service Expense: 5075053, Management and General Expenses: , Fundraising Expenses: ; Environmental Services - Total Expense: 4143022, Program Service Expense: 4143022, Management and General Expenses: , Fundraising Expenses: ; Shared Service Center Fees - Total Expense: 1957888, Program Service Expense: , Management and General Expenses: 1957888, Fundraising Expenses: ; Printing Services - Total Expense: 690673, Program Service Expense: 690673, Management and General Expenses: , Fundraising Expenses: ; Contract Labor - Total Expense: 9612329, Program Service Expense: 8713746, Management and General Expenses: 898583, Fundraising Expenses: ; Physician Contractual Labor - Total Expense: 9595773, Program Service Expense: 9595773, Management and General Expenses: , Fundraising Expenses: ; Reference Lab - Total Expense: 1439278, Program Service Expense: 1439278, Management and General Expenses: , Fundraising Expenses: ; Consulting Fees - Total Expense: 1575478, Program Service Expense: 396178, Management and General Expenses: 1179300, Fundraising Expenses: ; All Other - Total Expense: 6419300, Program Service Expense: 3401260, Management and General Expenses: 3018040, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesSystem office funding reclassification to service fees - 4533333; Deferred Pension Costs - -19025628; Lab Outreach Utilization - -387625; Transfers to Affiliates - -8274483; Donated Equipment - 1150000; Settlement of Seton Medical Group Intercompany Balances - -17990632; Special Purpose Funds Restricted Contributions - 767522; Special Purpose Funds Net Assets Released from Restriction - -700000; Special Purpose Investment Income - 13057; Lab Outreach Expenses and Bad Debt - -3962320; Net Change in Interest in Foundation Assets - -263702; Special Purpose Funds Unrealized Gains - -2196; Rounding - -1;
FORM 990, Part V, Line 1a Independent Contractor ReportingCOMPENSATION OF INDEPENDENT CONTRACTORS IS PAID BY AND REPORTED ON THE FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS, OF ASCENSION HEALTH EIN 31-1662309. EXPENSES ARE ALLOCATED TO AND REIMBURSED BY THE FILING ORGANIZATION TO ASCENSION HEALTH. AS SUCH, THE ORGANIZATION HAS NOT REPORTED INDEPENDENT CONTRACTORS PAID ON FORM 990, PART VII, SECTION B.

Schedule R IRS990ScheduleR

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)(3Type INAfalse
ASCENSION HEALTH
PO BOX 45998STLOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3Type IAscension Health Alliancefalse
SAINT AGNES FOUNDATION
521415083Provides Funding to the Hospital and to the CommunityMD501(c)(3Type ISTAGNES HOSPITALYes (true)
ST AGNES AUXILIARY
900 CATON AVENUEBALTIMOREMD21229520643673FUNDRAISINGMD501(c)(39STAGNES HOSPITALYes (true)
SETON MEDICAL GROUP
900 CATON AVENUEBALTIMOREMD21229392064992PROVIDE HEALTH CARE SERVICES TO THE COMMUNITYMD501(c)(33STAGNES 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$440ShareOfTotalIncomeAmt
Share Of EOY Assets$1,235,868ShareOfEOYAssetsAmt
Ownership1OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
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 OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SETON MEDICAL GROUP
B$17,875,738FAIR MARKET VALUE
Ascension Health
M$4,533,333Fair Market Value
St Agnes Foundation
C$1,346,611Fair Market Value
St Agnes Foundation
M$519,508Fair Market Value