ST AGNES HEALTHCARE INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ST AGNES HEALTHCARE INC (EIN 52-0591657)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201501359349307365
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T15:59:18-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 Peachtree Street NE Suite 2000 | AddressLine1 |
| City | Atlanta | City |
| State | GA | State |
| ZIP Code | 30303 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520591657 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Agnes Healthcare Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STAG | BusinessNameControlTxt |
| Phone | 4103683130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Caton Avenue No 040 | AddressLine1 |
| City | Baltimore | City |
| State | MD | State |
| ZIP Code | 212295201 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Scott Furniss | PersonNm |
| Person Title | Senior VP/CFO | PersonTitleTxt |
| Phone | 4103683130 | PhoneNum |
| Signature | 2015-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jennifer E Ernteman | PreparerPersonNm |
| PTIN | P00693666 | PTIN |
| Phone | 4042201500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Bonnie Phipps | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Caton Avenue No 040 | AddressLine1 |
| City | Baltimore | City |
| State | MD | State |
| ZIP Code | 212295201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $439,629,322 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stagnes.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1862 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | St. Agnes Healthcare is committed to spiritually-centered health care (To be Cont. on Sch.O) 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 Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 3590 | TotalEmployeeCnt |
| Total Volunteers | 374 | TotalVolunteersCnt |
| Total Gross UBI | $4,814,227 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$59,594 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,757,659 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,180,206 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $414,857,515 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $425,783,971 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,903,544 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,738,025 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,361,390 | PYOtherRevenueAmt |
| CY Other Revenue | $3,927,120 | CYOtherRevenueAmt |
| PY Total Revenue | $433,880,108 | PYTotalRevenueAmt |
| CY Total Revenue | $439,629,322 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $321,490 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $64,863 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $205,705,563 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $198,707,486 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $183,150,012 | PYOtherExpensesAmt |
| CY Other Expenses | $204,409,029 | CYOtherExpensesAmt |
| PY Total Expenses | $389,177,065 | PYTotalExpensesAmt |
| CY Total Expenses | $403,181,378 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $44,703,043 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $36,447,944 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $524,798,059 | TotalAssetsBOYAmt |
| Total Assets EOY | $558,192,127 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $146,523,140 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $146,245,573 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $378,274,919 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $411,946,554 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | St. 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 (To be Cont. on Sch.O)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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $200,007,274 | ExpenseAmt |
| Revenue | $264,659,869 | RevenueAmt |
| Desc | St. Agnes Hospital provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30,2014, approximately 41.5% of the value of services rendered was to elderly patients under the Medicare program, and approximately 17.9% of the value of services was provided to patients who were deemed indigent under state, county, or hospital guidelines. 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, underinsured, and the underserved. During the fiscal year ending June 30, 2014, the estimated unreimbursed cost of services provided to the elderly, uninsured, and (To be Cont. on Sch.O)underinsured totaled $13,556,193, including $7,831,651 for charity care, and $5,724,542 of unreimbursed medicaid. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,557,003 | ExpenseAmt |
| Grant | $64,863 | GrantAmt |
| Revenue | $2,222,057 | RevenueAmt |
| Desc | Community 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; (To be Cont. on Sch.O) 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 198 surgeons in 10 surgical specialties. There are twenty-six 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 |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $127,439,627 | ExpenseAmt |
| Revenue | $154,087,818 | RevenueAmt |
| Desc | St. 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 (To be Cont. on Sch.O)care needs. During the fiscal year ending June 30, 2014, our Hospital treated 17,550 inpatient adults and children in the community for a total of 73,284 patient days of service. The Hospital also provided services to 499,632 outpatients, including 5,991 outpatient surgery patients, 73,100 emergency room visits, and 60,500 clinic visits. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $336,003,904 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 324 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3590 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Scott Furniss | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4103683130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Caton Avenue | AddressLine1 |
| City | Baltimore | City |
| State | MD | State |
| ZIP Code | 21229 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Sister Patricia Ann Bossle DC | |||||||||
| Board Director | 1.80 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Norman C Frost | |||||||||
| Board Director | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Bruce R Grindrod Jr | |||||||||
| Board Director | 2.40 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sister Ellen Marie Hagar DC | |||||||||
| Board Director | 2.40 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mohannad F Jishi | |||||||||
| Board Director | 2.10 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| A Gregory Kelly Jr | |||||||||
| Board Director | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Irene D Knott | |||||||||
| Board Director | 2.10 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| M Sue Lovell | |||||||||
| Board Director | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Carole B Miller MD | |||||||||
| Board Director | 50.00 | 0.00 | Yes (X) | $466,247 | $0 | $54,636 | |||
| James B Sellinger | |||||||||
| Board Director | 2.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John B Stansbury | |||||||||
| Board Director | 2.40 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sister Mary Lou Stubbs | |||||||||
| Board Director | 2.20 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sam V Sydney MD | |||||||||
| Board Director | 2.10 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Margaret Hayes | |||||||||
| Board Director | 2.20 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Hector L Torres | |||||||||
| Board Director | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John E Wheeler Jr | |||||||||
| Board Director | 2.40 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Gary N Geisel | |||||||||
| Board Chair | 4.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Paul J Chew | |||||||||
| Board Vice Chair/Treasurer | 2.80 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Bonnie Phipps | |||||||||
| President | 48.50 | 1.50 | Yes (X) | $1,809,356 | $0 | $25,111 | Yes (X) | ||
| Carlos S Ince Jr MD | |||||||||
| Secretary | 50.00 | 0.00 | Yes (X) | $404,922 | $0 | $32,934 | Yes (X) | ||
| Scott Furniss | |||||||||
| Senior VP/CFO | 47.20 | 2.80 | $325,378 | $0 | $34,467 | Yes (X) | |||
| Adrian Long MD | |||||||||
| Executive VP/CMO | 48.60 | 1.40 | $479,131 | $0 | $36,970 | Yes (X) | |||
| George T Grace MD | |||||||||
| Med. Director Plastic/Hand | 50.00 | 0.00 | $900,835 | $0 | $53,088 | Yes (X) | |||
| Howard S Hessan MD | |||||||||
| Med. Dir. Otolaryngology | 50.00 | 0.00 | $832,349 | $0 | $44,890 | Yes (X) | |||
| Lawrence Shin MD | |||||||||
| Orthopedic Surgeon | 50.00 | 0.00 | $775,354 | $0 | $33,088 | Yes (X) | |||
| Michel A Zatina MD | |||||||||
| Surg Dir Cardiovascular | 50.00 | 0.00 | $650,624 | $0 | $47,214 | Yes (X) | |||
| Juan Sanchez MD | |||||||||
| Chairman of Surgery | 50.00 | 0.00 | $544,790 | $0 | $26,374 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,188,986 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $388,772 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 282 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Emcare Inc | |||||
| 7032 Collection Center Drive | Chicago | IL | 60693 | Contractual Services | $1,173,331 |
| EagleEye Radiology Inc | |||||
| 21525 Ridgetop Circle | Sterling | VA | 20166 | Radiology Services | $1,111,000 |
| Progressive Nursing Staffers Inc | |||||
| 5531 Hempstead Way | Springfield | VA | 22151 | Nursing Services | $903,753 |
| Drs Hicken Cranley & Taylor PA | |||||
| 2330 W Joppa Road | Lutherville | MD | 21093 | Contractual Services | $792,594 |
| California Emergency Physicians Med | |||||
| 1601 Cummins Drive | Modesto | CA | 95358 | Contractual ER Physicians | $790,379 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 54 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,588,081 | RelatedOrganizationsAmt |
| Government Grants | $592,125 | GovernmentGrantsAmt |
| Total Contributions | $2,180,206 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Revenue | 621990 | $421,363,546 | $416,549,319 | $4,814,227 | $0 |
| Meaningful Use | 900099 | $2,790,586 | $2,790,586 | $0 | |
| Admin Fee | 900099 | $870,864 | $870,864 | $0 | |
| Medical Student | 900099 | $540,021 | $540,021 | $0 | |
| Ancillary Joint Venture | 900099 | $218,954 | $218,954 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $425,783,971 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,738,025 | TotalRevenueColumnAmt |
| Exclusion | $7,738,025 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $732,810 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $732,810 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $732,810 | TotalRevenueColumnAmt |
| Exclusion | $732,810 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria Revenue | 900099 | $1,468,513 | $1,468,513 |
| Net Assets Released From Restrict | 900099 | $819,703 | $819,703 |
| Gift Shop | 900099 | $251,196 | $251,196 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $654,898 | TotalRevenueColumnAmt |
| Exclusion | $654,898 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,194,310 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $439,629,322 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $420,969,744 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,814,227 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,665,145 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,477 | TotalAmt |
| Program Services | $57,477 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,386 | TotalAmt |
| Program Services | $7,386 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,257,640 | TotalAmt |
| Management And General | $3,257,640 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,945,934 | TotalAmt |
| Program Services | $10,899,578 | ProgramServicesAmt |
| Management And General | $1,046,356 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,953,781 | TotalAmt |
| Program Services | $138,727,930 | ProgramServicesAmt |
| Management And General | $17,225,851 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$780,877 | TotalAmt |
| Program Services | -$694,625 | ProgramServicesAmt |
| Management And General | -$86,252 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,525,582 | TotalAmt |
| Program Services | $13,794,563 | ProgramServicesAmt |
| Management And General | $1,731,019 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,805,426 | TotalAmt |
| Program Services | $11,391,005 | ProgramServicesAmt |
| Management And General | $1,414,421 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,284 | TotalAmt |
| Program Services | $2,076 | ProgramServicesAmt |
| Management And General | $127,208 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,341 | TotalAmt |
| Program Services | $64,007 | ProgramServicesAmt |
| Management And General | $663,334 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,909 | TotalAmt |
| Management And General | $515,909 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,369 | TotalAmt |
| Management And General | $32,369 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,036,604 | TotalAmt |
| Program Services | $20,050,394 | ProgramServicesAmt |
| Management And General | $18,986,210 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,690,135 | TotalAmt |
| Program Services | $42,436 | ProgramServicesAmt |
| Management And General | $1,647,699 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,860,327 | TotalAmt |
| Program Services | $1,291,266 | ProgramServicesAmt |
| Management And General | $1,569,061 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,001,601 | TotalAmt |
| Program Services | $14,001,601 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,081,901 | TotalAmt |
| Program Services | $4,003,848 | ProgramServicesAmt |
| Management And General | $78,053 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,787 | TotalAmt |
| Program Services | $105,235 | ProgramServicesAmt |
| Management And General | $94,552 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,200 | TotalAmt |
| Program Services | $589,413 | ProgramServicesAmt |
| Management And General | $44,787 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,521,322 | TotalAmt |
| Management And General | $2,521,322 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,240,307 | TotalAmt |
| Program Services | $16,041,324 | ProgramServicesAmt |
| Management And General | $3,198,983 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,785,912 | TotalAmt |
| Program Services | $2,437,858 | ProgramServicesAmt |
| Management And General | $1,348,054 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $61,176,297 | $61,176,297 | $0 |
| Bad Debts | $21,071,615 | $21,071,615 | $0 |
| Utilization | $11,549,567 | $11,549,567 | $0 |
| System Office Srvc. Fee | $4,013,615 | $0 | $4,013,615 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,140,936 | TotalAmt |
| Program Services | $9,393,653 | ProgramServicesAmt |
| Management And General | $7,747,283 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,181,378 | TotalAmt |
| Program Services | $336,003,904 | ProgramServicesAmt |
| Management And General | $67,177,474 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,451,559 | BOYAmt |
| EOY | $8,529,662 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,843 | BOYAmt |
| EOY | $100 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,600,085 | BOYAmt |
| EOY | $54,753,077 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,985,323 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,633,119 | BOYAmt |
| EOY | $7,726,651 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,949,022 | BOYAmt |
| EOY | $1,914,807 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $400,175,645 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $170,516,984 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $239,589,128 | BOYAmt |
| EOY | $229,658,661 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $485,179 | BOYAmt |
| EOY | $518,819 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,151,623 | BOYAmt |
| EOY | $16,495,577 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,618,821 | BOYAmt |
| EOY | $2,629,225 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,043,357 | BOYAmt |
| EOY | $235,965,548 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $524,798,059 | BOYAmt |
| EOY | $558,192,127 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,058,685 | BOYAmt |
| EOY | $36,766,202 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,001 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,270,252 | BOYAmt |
| EOY | $78,270,252 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,193,203 | BOYAmt |
| EOY | $31,208,118 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,523,140 | BOYAmt |
| EOY | $146,245,573 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $372,776,608 | BOYAmt |
| EOY | $406,932,207 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,370,974 | BOYAmt |
| EOY | $4,880,849 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,337 | BOYAmt |
| EOY | $133,498 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,274,919 | BOYAmt |
| EOY | $411,946,554 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $524,798,059 | BOYAmt |
| EOY | $558,192,127 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $36,447,944 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $12,792,077 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$15,568,386 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $32,369 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $32,369 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lobbying expenses represent the dues paid to national and state hospital associations, a portion of which is specifically allocable to lobbying. St. Agnes Healthcare, Inc. does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $570,832 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $43,497 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $614,329 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,944,473 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$4,774,700 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$2,401,059 | OtherExpendituresAmt |
| End Year Balance | $570,832 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,098,333 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$153,860 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,944,473 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,685,977 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $412,356 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,098,333 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,374,969 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $311,008 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,685,977 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.22000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.78000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,252,790 | OtherCostOrOtherBasisAmt |
| Book Value | $10,252,790 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $269,517,504 | OtherCostOrOtherBasisAmt |
| Depreciation | $98,266,134 | DepreciationAmt |
| Book Value | $171,251,370 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,179,238 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,019,160 | DepreciationAmt |
| Book Value | $7,160,078 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $85,563,020 | OtherCostOrOtherBasisAmt |
| Depreciation | $66,049,592 | DepreciationAmt |
| Book Value | $19,513,428 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,663,093 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,182,098 | DepreciationAmt |
| Book Value | $21,480,995 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $229,658,661 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (13 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Health System Depository (HSD) | $202,928,917 |
| Investment - Deferred Compensation | $8,763,585 |
| Interest in Foundation Net Assets | $2,309,938 |
| AH Pension Asset | $8,549,945 |
| Cash Surrender Value - LIFE | $1,063,633 |
| Carrolton Bank Account | $503,245 |
| Clinical Research A/R | $181,972 |
| Intercompany Receivables | $1,727,178 |
| Other Receivables | $1,857,909 |
| Other Assets | $76,332 |
| Affiliates Receivables | $72,050 |
| Physician Receivables | $5,525 |
| Intercompany Receivables - Posting Error | $7,925,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $235,965,548 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Liabilities | $5,931 |
| Third Party Advances | $13,395,743 |
| Deferred Compensation | $8,763,585 |
| Self Insurance Liability | $4,474,750 |
| Savings Plan Liability | $2,425,000 |
| Incurred But Not Reported (IBNR) | $2,063,000 |
| Third Party Settlements | $80,109 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $31,208,118 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Whiteford 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. |
| Part X, Line 2: | From 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 system accounts for uncertainty in income tax provisions 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, 2014. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,831,651 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,831,651 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,069,071 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,344,529 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,724,542 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01500 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,900,722 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,344,529 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,556,193 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03560 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,019,019 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $695,511 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,323,508 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00870 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,505,081 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,345,729 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,159,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $432,310 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $180,817 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $251,493 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $600,593 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $600,593 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,557,003 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,222,057 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,334,946 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01670 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,457,725 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,566,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,891,139 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05230 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $136,371 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $136,371 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,727 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $198,098 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $158,098 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $21,071,615 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $452,617 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $143,600,511 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $130,949,917 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $12,650,594 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Agnes Healthcare Inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Caton Avenue | AddressLine1 |
| City | Baltimore | City |
| State | MD | State |
| ZIP Code | 21229 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Agnes Healthcare Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.stagnes.org/wp-content/uploads | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Agnes Healthcare, Inc. | Part V, Section B, Line 3: 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. |
| St. Agnes Healthcare, Inc. | Part V, Section B, Line 5d: Management gave multiple presentations of the CHNA to various community groups and the Baltimore City Health Department. |
| St. Agnes Healthcare, Inc. | Part V, Section B, Line 7: 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 followinghealth needs and geographies were identified as priority areas toward which Saint Agnes should focus its efforts:The priority needs identified were:1. Obesity & Related Conditions2. Cardiovascular Disease3. Access/Linkages to Primary Care, especially to the poor and vulnerable populationsRecognizing 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. |
| St. Agnes Healthcare, Inc. | Part V, Section B, Line 14g: A notice of charity is posted within the Baltimore Sun on an annual basis. |
| St. Agnes Healthcare, Inc. | Part V, Section B, Line 16e: Individuals were notified of the FAP by methods as noted in Question 14. This includes, but is not limited to, providing the following:-A brief description of eligibility requirements and assistance provided-Directions on how to access the FAP and application on our website and physical location of application forms-Instructions to obtain free copy of FAP and application by mail-Contact information for an individual/nonprofit organization to assist if the individual has questions-For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP-For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP-We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12) |
| St. Agnes Healthcare, Inc. | Part V, Section B, Line 17e: Individuals were notified of the FAP as noted in Question 14. This includes, but is not limited to, the following:-Brief description of eligibility requirements and assistance provided-Direct individuals to our website and physical location of application forms-Provided instructions to obtain free copy of FAP and application by mail-Provided contact information for an individual/nonprofit organization to assist if the individual has questions-For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP-For individuals who submitted a completed FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP-We determined eligibility based on other means such as establishing that the individual is eligible under one or more means |
| St. Agnes Healthcare, Inc. | Part V, Section B, Line 18e: Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy of St. Agnes Healthcare does not allow a hospital to engage in extraordinary collection actions before the organization made reasonable efforts to determine whether the individual is eligible for assistance under the financial assistance policy. Reasonable efforts taken include but are not limited to:-Notifying individuals of the financial assistance policy on admission-Notifying individuals of the financial assistance policy prior to discharge-Notifying individuals of the financial assistance policy in communications with the patients regarding the patients' bills-Documenting its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy |
| St. Agnes Healthcare, Inc. | Part V, Section B, Line 20d: Maryland hospital regulated rates are determined by the HSCRC. By law, regulated rates charged to all payors, including self pay patients, are the same. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt | Address Line2USAddress/AddressLine2 |
|---|---|---|---|---|---|
| Plastic and Reconstructive Surgery | |||||
| 300 Frederick Road Suite 200 | Catonsville | MD | 21228 | Plastic Surgery | |
| Women's Center in Columbia | |||||
| 10910 Little Patuxent Pkwy Ste 100 | Columbia | MD | 21044 | Blood Drawing Station | |
| St Agnes Medical Center | |||||
| 700 Geipe Road | Baltimore | MD | 21228 | Blood Drawing Station | |
| Community Center Outreach at Baltimore | |||||
| 900 Caton Avenue | Baltimore | MD | 21229 | Blood Drawing Station | |
| Pine Heights Professional Building | |||||
| 1001 Pine Heights Avenue Suite 202 | Baltimore | MD | 21229 | Blood Drawing Station | |
| Benson Avenue Medical Center | |||||
| 3421 Benson Avenue | Baltimore | MD | 21227 | Wound Care Center | |
| Seton Imaging Center | |||||
| 3449 Wilkins Avenue | Baltimore | MD | 21229 | Diagnostic Imaging | |
| Surgery Center of Ellicott City | |||||
| 10025 Governor Warfield Pkwy Ste | Columbia | MD | 21044 | Outpatient Surgical Center | 410 |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Generally, 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 St. Agnes Healthcare. The patient and any immediate family member of the patient living in the same household are eligible. |
| Part I, Line 7: | The 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 usedto calculate charity care at cost and unreimburse Medicaid.Part I, Line 7, Unreimbursed Medicaid - Column C,D,E,FMaryland'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. Community 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. |
| Part I, Ln 7 Col(f): | Bad debt expense from Part IX, Statement of Functional Expenses, excluded from the denominator used to calculate total charity care expense was $21,071,615. |
| Part III, Line 3: | The 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.Part III, Line 4 Section A:Net 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 2014 and 2013, approximately 41.5% and 44.65%, respectively, of net patient service revenue was received under the Medicare program and 17.9% and 15.33%, 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-partypayor arrangements. Significant concentrations of accounts receivable at June 30, 2014 and 2013 include Medicare (30.26% and 34.3%, respectively) and various states' Medicaid (22.69% and 22.2%, 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 through out 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. |
| Part III, Line 8: | Medicare allowable costs and reimbursement 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 $12,650,594 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 $14,091,939 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. |
| Part III, Line 9b: | St. Agnes Healthcare's policy 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. |
| Part VI, Line 2: | Saint 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 that 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 Households2. Lifestyle & behavioral factors:Obesity, Behavioral health, HIV Positive, InsufficientPrenatal Care, Substance Abuse, Tobacco Use3. Co-morbid precursor diagnoses:Arthritis, Back and Joint Pain, Asthma, Chronic Bronchitis,Diabetes, Hypertension, Ambulatory Sensitive Admissions4. Major disease diagnoses:Cancer, Cardiovascular, Coronary Heart Disease, CoronaryHeart Failure, Heart Attack, Stroke, Joint & SpineProcedures, Infant Mortality, Cancer-GYNIn addition to the health indicator profiles, Saint Agnesreviewed the Community Health Plans of the local healthjurisdictions including Baltimore City and Anne Arundel,Baltimore, Carroll, and Howard Counties. In addition,Saint Agnes is an active participant of the CommunityHealth Planning Task Force for Baltimore City and BaltimoreCounty. The information from the local health jurisdictionswas included in the second phase of the CHNA process.The second phase of the assessment was a qualitative assessmentutilizing internal and external stakeholders that representedthe broad interest of the communities served and/or had expertisein health care services/public health. Stakeholders completedan online survey utilizing multiple techniques (top-of-mind,rank scaling, nominal group) to identify and prioritizecommunity health needs. In addition to the online survey,stakeholders participated in focus group meetings. During the focusgroups, the results of the qualitative assessment were shared as wellas the results of the online survey and local health jurisditionsummaries. The result of the stakeholder focus groups wasa recommendation to focus on the three most critical healthpriorities in Saint Agnes' community health improvementinitiatives. |
| Part VI, Line 3: | St. 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. |
| Part VI, Line 4: | Due 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 andWilkens Avenue, and has a population of 33,139. Thetraditionally blue collar community is part of the BaltimoreCounty Health Jurisdiction. Saint Agnes Hospital is the primaryhospital provider best positioned to address the specifichealth 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 haspopulation of 40,179. The industrial and blue collar communityhas seen an increase in the uninsured population and ispart of both the Baltimore City and Baltimore County HealthJurisdictions. Harbor Hospital is the primary hospitalprovider best positioned to address the specific health needsof 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, locatedwest/southwest of Caton and Wilkens Avenues, and has apopulation of 48,659. The predominantly white collar communityis part of the Howard County Health Jurisdiction. Howard CountyGeneral Hospital is the primary hospital provider bestpositioned to address the specific health needs of thiscommunity.Glen Burnie (Zip Codes 21060, 21061):Glen Burnie is an older suburban community, located west/southwest of Caton and Wilkens Avenues, and has a populationof 75,243, with a growing proportion of seniors. Thetraditionally blue collar community is part of the AnneArundel County Health Jurisdiction. Baltimore WashingtonMedical Center is the primary hospital provider best positionedto address the specific health needs of this community.Pasadena (Zip Code 21122):Pasadena is a suburban community, located southeast of Catonand Wilkens Avenues, and has a population of 58,941, with agrowing proportion of seniors. The growing community is primarilyserved by Baltimore Washington Medical Center and is part of the AnneArundel County Health Jurisdiction. Baltimore WashingtonMedical Center and Anne Arundel Medical Center are theprimary hospital providers best positioned to addressthe specific health needs of this community.South Baltimore City (Zip Code 21223, 21230):South Baltimore City is an older urban community, locatedeast/southeast of Caton and Wilkens Avenues, and has apopulation of 62,268. The urban community is projectedto experience population declines. South Baltimore Cityis part of the Baltimore City Health Jurisdiction. BaltimoreWashington Medical Center is the primary hospital providerbest positioned to address the specific health needs of thiscommunity.South Carroll (Zip Codes 21104, 21163, 21784):South Carroll is a suburban community, located northwest ofCaton and Wilkens Avenues, and has a population of 52,287,with a growing proportion of seniors. The traditionally ruralcommunity has transitioned to a growing suburb of the MetroBaltimore Region. South Carroll is part of Carroll CountyHealth Jurisdiction. Carroll County General Hospital andNorthwest Hospital are the primary hospital providers bestpositioned to address the specific health needs of thiscommunity.Southwest Baltimore City (Zip Code 21229):Southwest Baltimore City is an older urban community, located atCaton 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 ofCaton and Wilkens Avenues, and has a population of134,531. Similar to other urban areas, West Baltimore is projectedto experience population declines. West Baltimore City ispart of the Baltimore City Health Jurisdiction. Sinai Hospital,University of Maryland and Bon Secours Hospital are theprimary hospital providers best positioned to addressthe specific healths needs of this community.Woodlawn (Zip Code 21207, 21244):Woodlawn is a suburban community, located northwest of Catonand Wilkens Avenues, and has a population of 83,180, witha growing proportion of seniors. Woodlawn is part of theBaltimore County Health Jurisdiction. Northwest Hospitalis the primary hospital provider best positioned to addressthe specific health needs of this community. |
| Part VI, Line 5: | The 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 promotingthe health of the community in various ways. A majority of theorganization's governing body resides in St. Agnes Healthcare'sservice area and is neither composed of employees nor contractors ofthe organization. The governing body had eighteen votingmembers, seventeen of which were independent communitymembers. Additionally, St. Agnes Healthcare has an openmedical staff and credentials all qualified medical staff,including community based providers. St. Agnes Healthcareapplies surplus funds to improve patient care in variousways. For instance, surplus funds are used to reinvestin the latest equipment and technologies to improvepatient safety, comfort, and outcomes. Surplus funds arealso used to renovate existing facilities and constructnew 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 alsobe directed to Ascension Health to apply towards strategicinitiatives or to be re-distributed to other memberhealthcare providers within Ascension Health. This allowsSt. Agnes to not only service the surrounding community, but also helpfund the care for the underprivileged throughout many parts of the UnitedStates. |
| Part VI, Line 6: | St. Agnes Healthcare is a member of Ascension Health, a national health care system. Ascension Health is the sole corporate member of St. Agnes Healthcare. St. Agnes Healthcare is the sole corporate member of Seton Medical Group Inc., which provides Primary Care, Gynecology and Obstetrics care for patients in St. Agnes Healthcare's service area. St. Agnes Healthcare is also the sole corporate member of St. Agnes Foundation, the philanthropic arm of St. Agnes Healthcare.Part VI, Line 7:St. 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 St. Agnes Healthcare Annual Report and the St. Agnes Healthcare Fact Sheet. Both documents are available on the hospital website. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maryland Patient Safety | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6820 Deerpath Road | AddressLine1 |
| City | Baltimore | City |
| State | MD | State |
| ZIP Code | 21201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 262188491 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $9,500 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Purpose Of Grant | Sponsorship | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Student Internship Recruitment Scholarship | GrantTypeTxt |
| Recipient | 1 | RecipientCnt |
| Cash Grant | $7,386 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Discretionary grants or assistance to other organizations are approved by either the Chief Executive Officer or the Chief Finanical Officer. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Carole B Miller MD | ||||||||||||||
| Board Director | $326,968 | $0 | $137,327 | $0 | $1,952 | $0 | $33,820 | $0 | $20,816 | $0 | $520,883 | $0 | $0 | $0 |
| Bonnie Phipps | ||||||||||||||
| President | $735,578 | $0 | $815,119 | $0 | $258,659 | $0 | $9,725 | $0 | $15,386 | $0 | $1,834,467 | $0 | $0 | $0 |
| Carlos S Ince Jr MD | ||||||||||||||
| Secretary | $403,768 | $0 | $0 | $0 | $1,154 | $0 | $12,750 | $0 | $20,184 | $0 | $437,856 | $0 | $0 | $0 |
| Scott Furniss | ||||||||||||||
| Senior VP/CFO | $297,213 | $0 | $27,253 | $0 | $912 | $0 | $13,964 | $0 | $20,503 | $0 | $359,845 | $0 | $0 | $0 |
| Adrian Long MD | ||||||||||||||
| Executive VP/CMO | $381,198 | $0 | $41,767 | $0 | $56,166 | $0 | $16,320 | $0 | $20,650 | $0 | $516,101 | $0 | $0 | $0 |
| George T Grace MD | ||||||||||||||
| Med. Director Plastic/Hand | $779,246 | $0 | $117,228 | $0 | $4,361 | $0 | $30,250 | $0 | $22,838 | $0 | $953,923 | $0 | $0 | $0 |
| Howard S Hessan MD | ||||||||||||||
| Med. Dir. Otolaryngology | $827,749 | $0 | $0 | $0 | $4,600 | $0 | $30,250 | $0 | $14,640 | $0 | $877,239 | $0 | $0 | $0 |
| Lawrence Shin MD | ||||||||||||||
| Orthopedic Surgeon | $701,378 | $0 | $73,476 | $0 | $500 | $0 | $12,750 | $0 | $20,338 | $0 | $808,442 | $0 | $0 | $0 |
| Michel A Zatina MD | ||||||||||||||
| Surg Dir Cardiovascular | $580,091 | $0 | $65,771 | $0 | $4,762 | $0 | $29,910 | $0 | $17,304 | $0 | $697,838 | $0 | $0 | $0 |
| Juan Sanchez MD | ||||||||||||||
| Chairman of Surgery | $527,479 | $0 | $15,750 | $0 | $1,561 | $0 | $5,100 | $0 | $21,274 | $0 | $571,164 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Club dues are available to senior leadership and are shown as a taxable fringe benefit. Average 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. |
| Part I, Line 3 | The 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Certain persons reported on Part VII are employed by and/or serve as officer, director, trustee, or key employee at a related tax exempt organization. |
| Form 990, Part VI, Section A, line 6 | St. Agnes Healthcare has a sole corporate member, Ascension Health. |
| Form 990, Part VI, Section A, line 7a | St. 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, Section A, line 7b | Ascension 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, Section B, line 11 | Management, 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, Section B, line 12c | Annually, 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, Section B, line 15b | In 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 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, Section C, line 19 | The organization will provide any documents open to public inspection upon written request. |
| Form 990, Part XI, line 9: | Transfers to Affiliates -14,754,883. Transfer to Sponsor -195,471. Deferred Pension Costs -2,659,539. Capital Transfer to Seton Medical Group 2,078,087. Lab Outreach Expenses & Bad Debts -4,376,174. Lab Outreach Utilization -351,489. Donated Equipment 1,307,585. Net Change in Interest in Foundation Assets -645,084. Special Purpose Funds Unrealized Gains 42,714. Special Purpose Funds Restricted Contributions 979,964. Special Purpose Funds Net Assets Released from Restriction -862,342. Special Purpose Funds Investment Income 783. Rounding 5. Systems Office funding reclass to service fees 4,013,615. Lab Outreach Benefits Allocation -146,157. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health | |||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health Office | MO | Section 501(c)(3) | Box 11a | AHA | 0 | |
| Seton Medical Group | |||||||||||
| 900 Caton Avenue | Baltimore | MD | 21229 | 392064992 | Provides Health Care Services to the Community | MD | Section 501(c)(3) | Box 3 - Hospital | St Agnes Hospital | Yes (1) | |
| St Agnes Foundation | |||||||||||
| 900 Caton Avenue | Baltimore | MD | 21229 | 521415083 | Provides funding to the hospital and to the Community | MD | Section 501(c)(3) | Box 11-509(a)(3)-Typ | St Agnes Hospital | Yes (1) | |
| St Agnes Auxiliary | |||||||||||
| 900 Caton Avenue | Baltimore | MD | 21229 | 520643673 | Fundraising | MD | Section 501(c)(3) | Box 9 | St Agnes Hospital | Yes (1) | |
| Ascension Health Alliance | |||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | Section 501(c)(3) | SCHEDULE A, LINE 11A | 0 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Agnes Health Ventures Inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Caton Avenue | AddressLine1 |
| City | Baltimore | City |
| State | MD | State |
| ZIP Code | 21229 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521733632 | EIN |
| Primary Activities | Holding Company | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $11,527 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,215,384 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Seton Medical Group | ||
| B | -$2,078,091 | Fair Market Value |
| St Agnes Foundation | ||
| C | $1,588,081 | Fair Market Value |
| St agnes Foundation | ||
| M | $483,213 | Fair Market Value |
| St Agnes Foundation | ||
| Q | $833,109 | Fair Market Value |