St Mary's Medical Center: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- St Mary's Medical Center (EIN 43-1284526)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201531349349305378
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T14:13:28-05:00 | 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 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | 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 | 431284526 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 8162285900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 West RD Mize Road | AddressLine1 |
| City | Blue Springs | City |
| State | MO | State |
| ZIP Code | 64014 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Steve Cleary | PersonNm |
| Person Title | Director of Taxation | PersonTitleTxt |
| Phone | 8166424400 | PhoneNum |
| Signature | 2015-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Cody Cain | PreparerPersonNm |
| PTIN | P00902498 | PTIN |
| Phone | 5137847100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Steve Cleary | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 Carondelet Dr | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 64114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $67,965,197 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.carondelethealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | 146-bed medical center offering a full array of acute care, outpatient and extended care services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 543 | TotalEmployeeCnt |
| Total Volunteers | 145 | TotalVolunteersCnt |
| Total Gross UBI | -$325 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$325 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $70,425 | PYContributionsGrantsAmt |
| CY Contributions Grants | $57,700 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $75,271,542 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $65,743,491 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,141,325 | PYInvestmentIncomeAmt |
| CY Investment Income | $399,652 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,000,656 | PYOtherRevenueAmt |
| CY Other Revenue | $1,002,786 | CYOtherRevenueAmt |
| PY Total Revenue | $77,483,948 | PYTotalRevenueAmt |
| CY Total Revenue | $67,203,629 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,859,528 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $29,542,802 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $44,716,491 | PYOtherExpensesAmt |
| CY Other Expenses | $39,786,292 | CYOtherExpensesAmt |
| PY Total Expenses | $76,576,019 | PYTotalExpensesAmt |
| CY Total Expenses | $69,329,094 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $907,929 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,125,465 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $69,802,289 | TotalAssetsBOYAmt |
| Total Assets EOY | $54,398,905 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,831,878 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,990,250 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $40,970,411 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $38,408,655 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | St. Mary's Medical Center (SMMC) is a Catholic organization dedicated to the healing ministry of Jesus Christ. Our commitment to human dignity compels us to provide compassionate, quality health care for the body, mind and spirit, with special concern for the poor. We are responsible stewards serving the needs of all people from conception to death. At St. Mary's Medical Center we are committed to providing our patients with the best care possible, in a safe & compassionate environment. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,680,869 | ExpenseAmt |
| Revenue | $12,773,356 | RevenueAmt |
| Desc | Medical inpatient services encompass 2,123 patient admissions and 8,518 patient days. St. Mary's Medical Center provides diagnostic services and high quality care to patients admitted with a wide range of diagnosis. Services includes radiology disciplines such as MRI, CT-Scans, and Ultrasound as well as laboratory tests, respiratory procedures, therapy treatments, pharmacy services and bedside nursing care. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,989,990 | ExpenseAmt |
| Revenue | $13,689,678 | RevenueAmt |
| Desc | Surgical Services include 782 inpatient admissions,3,762 patient days and 394 outpatient surgeries. St. Mary's Medical Center offers a wide range of both invasive and non-invasive surgical procedures and is equipped with the latest diagnostic and surgical equipment operated by our highly qualified nursing staff and physicians. Our medical center embraces major disciplines of care ranging from minimally invasive procedures to complex multi-disciplinary surgical interventions. We offer a wide range of outpatient and inpatient surgical interventions including vascular surgery, surgical management of breast disease, surgical oncology, orthopedic surgery, gynecological surgery, and ENT procedures. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,125,426 | ExpenseAmt |
| Revenue | $8,552,399 | RevenueAmt |
| Desc | Emergency services include 20,833 patient visits in the 24-hour emergency department. These patients are diagnosed, treated and discharged by our highly qualified clinicians and emergency physicians. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,351,055 | ExpenseAmt |
| Revenue | $30,728,058 | RevenueAmt |
| Desc | All other program services include Cardiology, Orthopedics, Neurology, Oncology, Rehab services, Women's Services, Radiology, Sleep Lab, Pain Center, Wound Care and other outpatient areas. These services represent 1,195 inpatient admissions with 5,082 patient days and 25,852 outpatient visits. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $15,351,055 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $30,728,058 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $54,147,340 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 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 | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 543 | 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 | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Steve Cleary | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8169424400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 Carondelet Drive | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 64114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Fleury Yelvington | ||||||||
| CEO/President-CH | 2.00 | 46.00 | Yes (X) | Yes (X) | $0 | $1,170,800 | $37,924 | |
| Steve Cleary | ||||||||
| Board Member/CFO-CH | 2.00 | 46.00 | Yes (X) | Yes (X) | $0 | $349,261 | $37,977 | |
| Annette Small | ||||||||
| Board Member/CEO-SMMC | 2.00 | 44.00 | Yes (X) | Yes (X) | $0 | $214,961 | $37,772 | |
| Bryan Hughes MD | ||||||||
| Ex-officio | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Adam Kramer DO | ||||||||
| Ex-officio | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Vicki Elmore | ||||||||
| Assistant Secretary | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Christopher Hughes | ||||||||
| Nurse Resource Manager | 40.00 | 0.00 | $149,964 | $0 | $32,477 | Yes (X) | ||
| Carol Bailey | ||||||||
| Pharmacist | 40.00 | 0.00 | $144,491 | $0 | $16,439 | Yes (X) | ||
| Thomas Mammen | ||||||||
| Pharmacist | 40.00 | 0.00 | $145,844 | $0 | $33,067 | Yes (X) | ||
| Edwin Hodges | ||||||||
| Pharmacist | 40.00 | 0.00 | $143,307 | $0 | $13,686 | Yes (X) | ||
| Alan Greenwood | ||||||||
| Surgery Director | 40.00 | 0.00 | $138,187 | $0 | $30,860 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $721,793 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,735,022 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $240,202 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | 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 |
|---|---|---|---|---|---|
| Anesthesia Svcs of Blue Springs | |||||
| 1209-B NW N Ridge Dr | Blue Ridge | MO | 64015 | Physician Services | $1,693,434 |
| TriMedx LLC | |||||
| 6325 Digital Way Suite 400 | Indianapolis | IN | 46278 | Bio-Med Services | $1,673,643 |
| Physicians Reference Lab LLC | |||||
| PO Box 802262 | Kansas City | MO | 64180 | Lab Services | $1,609,354 |
| Aramark | |||||
| PO Box 651009 | Charlotte | NC | 28265 | Enviromental and Food Services | $1,157,474 |
| GI Coverage | |||||
| 206 NW Mock Suite 100 | Blue Springs | MO | 64014 | Physician Services | $365,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $57,700 | MembershipDuesAmt |
| Total Contributions | $57,700 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medicare/Medicaid | 621990 | $38,949,656 | $38,949,656 |
| Patient Revenue | 621990 | $25,481,558 | $25,481,558 |
| Medicaid Incentive | 621990 | $1,312,277 | $1,312,277 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $65,743,491 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $399,082 | TotalRevenueColumnAmt |
| Exclusion | $399,082 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $748,995 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $689,904 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $59,091 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,091 | TotalRevenueColumnAmt |
| Exclusion | $59,091 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $570 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $570 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $570 | TotalRevenueColumnAmt |
| Exclusion | $570 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $115,103 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $71,664 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,439 | TotalRevenueColumnAmt |
| Exclusion | $43,439 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Income from Subsidiary | 621990 | $625,943 | $625,943 |
| Surgical Center | 621990 | $138,499 | $138,499 |
| Dietary Instruction | 621990 | $62,355 | $62,355 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,459 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$325 | UnrelatedBusinessRevenueAmt |
| Exclusion | $73,784 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $900,256 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,203,629 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,743,491 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$325 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,402,763 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,208,332 | TotalAmt |
| Program Services | $21,827,959 | ProgramServicesAmt |
| Management And General | $2,380,373 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,481 | TotalAmt |
| Program Services | $238,475 | ProgramServicesAmt |
| Management And General | $26,006 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,314,340 | TotalAmt |
| Program Services | $2,988,445 | ProgramServicesAmt |
| Management And General | $325,895 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,755,649 | TotalAmt |
| Program Services | $1,587,517 | ProgramServicesAmt |
| Management And General | $168,132 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,015 | TotalAmt |
| Management And General | $11,015 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,043,847 | TotalAmt |
| Program Services | $6,865,307 | ProgramServicesAmt |
| Management And General | $178,540 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,377 | TotalAmt |
| Management And General | $56,377 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,509,444 | TotalAmt |
| Program Services | $2,412,911 | ProgramServicesAmt |
| Management And General | $96,533 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,760 | TotalAmt |
| Management And General | $5,760 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,039,555 | TotalAmt |
| Program Services | $1,374,432 | ProgramServicesAmt |
| Management And General | $665,123 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,118 | TotalAmt |
| Program Services | $16,606 | ProgramServicesAmt |
| Management And General | $1,512 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,229 | TotalAmt |
| Program Services | $45,751 | ProgramServicesAmt |
| Management And General | $14,478 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,787 | TotalAmt |
| Program Services | $528,787 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,407,628 | TotalAmt |
| Program Services | $2,313,606 | ProgramServicesAmt |
| Management And General | $94,022 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,835 | TotalAmt |
| Program Services | $142,835 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Corporate Allocation | $10,124,285 | $198,608 | $9,925,677 |
| Medical Supplies | $8,151,018 | $7,837,467 | $313,551 |
| MO State Assess Fee | $4,636,282 | $4,636,282 | |
| Purchased Services | $1,413,299 | $494,539 | $918,760 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $637,813 | TotalAmt |
| Program Services | $637,813 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,329,094 | TotalAmt |
| Program Services | $54,147,340 | ProgramServicesAmt |
| Management And General | $15,181,754 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,710 | BOYAmt |
| EOY | $466,202 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,822,394 | BOYAmt |
| EOY | $7,610,984 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,312,111 | BOYAmt |
| EOY | $1,157,419 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,844 | BOYAmt |
| EOY | $327,343 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $56,333,594 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,110,048 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,295,490 | BOYAmt |
| EOY | $34,223,546 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,585,740 | BOYAmt |
| EOY | $10,613,411 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,802,289 | BOYAmt |
| EOY | $54,398,905 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,084,044 | BOYAmt |
| EOY | $2,026,886 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,747,834 | BOYAmt |
| EOY | $13,963,364 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,831,878 | BOYAmt |
| EOY | $15,990,250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,970,411 | BOYAmt |
| EOY | $38,408,655 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,970,411 | BOYAmt |
| EOY | $38,408,655 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,802,289 | BOYAmt |
| EOY | $54,398,905 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,125,465 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $811,573 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,247,864 | 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 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 | $11,015 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,015 | 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 portions of dues paid to national and state hospitlal associations that are specifically allocable to lobbying. St. Mary's Medical Center does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,400,000 | OtherCostOrOtherBasisAmt |
| Book Value | $4,400,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,865,758 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,963,608 | DepreciationAmt |
| Book Value | $22,902,150 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,241,984 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,418,522 | DepreciationAmt |
| Book Value | $6,823,462 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $825,852 | OtherCostOrOtherBasisAmt |
| Depreciation | $727,918 | DepreciationAmt |
| Book Value | $97,934 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $34,223,546 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Interest in Investments held by Ascension Health Alliance | $6,924,463 |
| Miscellaneous Long-Term Assets | $3,153,307 |
| Under Bond Indenture | $439,340 |
| Other Receivables | $58,751 |
| Estimated Third Party | $37,550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,613,411 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Intercompany Debt with Ascension Health Alliance | $12,985,469 |
| Other Long-Term Debt | $412,475 |
| Self Insurance Liability | $565,420 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,963,364 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of St. Mary's Medical Center.: 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. | ExplanationTxt |
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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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 | $1,693,903 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,693,903 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02440 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,857,111 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,044,135 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,812,976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02620 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,551,014 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,044,135 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,506,879 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05060 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 924 | PersonsServedCnt |
| Total Community Benefit Expns | $105,085 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,194 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $86,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,627,890 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $778,152 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $849,738 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01230 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 146 | PersonsServedCnt |
| Total Community Benefit Expns | $213,523 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $148,743 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $64,780 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $48,191 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $48,191 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 1070 | PersonsServedCnt |
| Total Community Benefit Expns | $1,994,689 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $945,089 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,049,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 1070 | PersonsServedCnt |
| Total Community Benefit Expns | $12,545,703 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,989,224 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,556,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06580 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,990 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,990 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,990 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,990 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,081,736 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $31,474,585 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $37,060,577 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,585,992 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| 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 Mary's Mecial Center | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 West RD Mize Rd | AddressLine1 |
| City | Blue Springs | City |
| State | MO | State |
| ZIP Code | 64014 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.carondelethealth.org | WebsiteAddressTxt |
| State License | 15344711 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Medical Center | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| 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 | See Part V, Section C, Supplemental Info. | OwnWebsiteURLTxt |
| 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 |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| 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 |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Mary's Medical Center | Part V, Section B, Line 3: Interviews with key stakeholders within Jackson County, MO were conducted between January and February 2013. Attachment A of CHNA lists the names, titles and organizations of those participating in the 30-minute interviews. In total, 50 interviews were completed. Physicians from the St. Mary's Medical Executive Committee and members of the St. Mary's Patient Advisory Committee also participated in this research by providing feedback on the consumer health needs in Jackson County.The individuals who participated in the community stakeholders' interviews represent the broad interests of the community served by St. Mary's Medical Center and included members of organizations serving low-income, minority populations and populations with chronic disease needs. Representatives from the three public health departments serving Jackson County, MO were also included in this research. These community leaders assisted our hospital in ranking the health needs that were determined to be a priority in the community. For a full list of organizations represented by the community stakeholders, reference Appendix A of CHNA. For a copy of the key stakeholder interview guide, including a ranking worksheet of top priorities in Jackson County, MO, reference Appendix B of CHNA. |
| St. Mary's Medical Center | Part V, Section B, Line 5d: The community health needs assessment ("CHNA") of the hospital facility can be located at the following web address:http://www.stmaryskc.com/media/stmaryskc/documents/St%20%20Mary's%20Medical%20Center%20Community%20Health%20Needs%20Assessment.pdf |
| St. Mary's Medical Center | Part V, Section B, Line 7: Needs Not Being Addressed as a Priority:- Access to Healthcare: This need will not be addressed as a priority. Our mission is to improve the health and lives of our patients and community. We take great pride in putting our patients first and that is the reason we have our charity and financial assistance programs available to offer assistance. St. Mary's also works with the Shared Free Clinic and several Stand Up! Blue Springs projects that provide dental care for children. However, due to resource restraints there are other organizations, some non-hospital settings, more equipped to deal with this issue. There are various community organizations and program addressing this need. - Addiction/Substance Abuse: This need will not be addressed as a priority. St. Mary's does not have a behavioral health program but collaborates with many organizations that focus on addiction and/or substance abuse to ensure our patients have continuity of care in the appropriate setting. This need is being addressed by a variety of organizations in Jackson County and throughout the Kansas City area. - Infectious Diseases: This need will not be addressed as a priority. Jackson County Health Department manages this issue.- Maternal, Infant and Child Health: This is a need we were addressing until the close of our Birthing Center in July of 2013. This is not a need we will be addressing going forward. Pregnant women in Jackson County are significantly more likely to receive no or inadequate prenatal care when compared to the statewide average; the percentage of low birth weight infants and infant mortality rates in Jackson county are also significantly higher. Teenage pregnancy is still very taboo and an issue in the community.St. Mary's Medical Center was awarded The Mader Family Foundation grant and created the St. Mary's Healthy Beginnings Program to address these issues. The St. Mary's Medical Center Foundation, with the support of local community agencies, made it possible to offer a unique prenatal program free of charge. Healthy Beginnings was for young mothers who were socially at risk. That included those who were on Medicaid, teens and those dealing with other social situations that could benefit from additional support. Members of this group received three to five individual visits with an RN for one-on-one education. Participants also receive a free car seat, childbirth classes, a breast pump, a breast-feeding class, prenatal education, referral to community resources (WIC, Healthy Families and Hope House), infant and maternity clothing, and much more. With the close of the Birthing Center, it was very important to keep the intent of the grant intact. The remaining $16,000 was given to Children's Mercy East, the Boy Scouts (obesity program) and the Rainbow Center to support children in Eastern Jackson County.- Mental Health and Mental Disorders: This need will not be addressed as a priority. St. Mary's does not have a behavioral health program and lacks the resources needed to combat this monumental problem. We do, however, collaborate with many organizations that focus on mental health to ensure our patients have continuity of care in the appropriate setting. This need is being addressed by a variety of organizations in Jackson County and throughout the Kansas City area.- Violence Prevention: This need will not be addressed as a priority. St. Mary's has an ongoing relationship with Hope House and helps promote awareness among our patients and employees to ensure they are receiving the care and support they need. However, there are other organizations in the community better served to address this need. |
| St. Mary's Medical Center | Part V, Section B, Line 20d: For cases that apply for our charity care program, upon receipt of a completed application, collection activity will cease until a determination has been made. For presumptive charity cases (cases where an application is not necessarily completed), collection activity may continue while the due diligence is being completed or until the patient's account is reviewed. Additionally, for all patients identified as full charity care patients, Carondelet Health:- Will not place a lien on a charity care patient's primary residence or include the primary residence in the asset calculation unless the value of the property clearly indicates an ability to assume the financial obligation and subject to senior management approval.- Will not execute a lien or force the sale or foreclosure of a charity care patient's primary residence/property to pay for an outstanding medical bill.- Will not use forced court appearance to require the charity care patient or responsible party to appear in court.- Will not garnish wages.Hospital charity policy has a yearly maximum to be charged for medical care for catastrophic medical cases where patient/guarantor medical bills exceed 20% of their gross income plus assets for the year.Uninsured Patient Discount Eligibility Criteria: An uninsured patient who does not qualify as financially or medically indigent shall receive a discount. Effective 7/1/10, the uninsured discount will be 30%.Prompt Pay: Prompt payment discounts are extended to all self-pay balances in return for immediate payment of patient/guarantor's. The prompt pay discount provides patients with balances due an alternative method of payment, as well as expedites the resolution of self-pay receivables. A prompt pay discount of 10% of charges is applicable for patients who meet the terms as stated in Carondelet Health Business Office Discretionary Discount Policy. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | The annual community benefit report is completed for Carondelet Health, the parent organization for St. Mary's Medical Center. |
| Part I, Line 7: | The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio were calculated and applied. |
| Part I, Line 7g: | St. Mary's Medical Center provides several clinical services that result in a financial loss. These services include Nursery Intensive Care Unit (NICU), Cardiac Rehab and the Obstetric/Newborn program. These services are hospital programs and do not include physician clinic services. |
| Part II, Community Building Activities: | Carondelet Health provided the following community building activities in Fiscal year 2013:- Support Groups at both St. Joseph & St. Mary's Medical Centers offer information and comfort in a supportive environment to people in the community. These include support for bereavement, Alzheimer's, stroke, breast cancer, cardiac rehab and diabetes. - Employees of Carondelet Health participated in community coalitions to address health and safety issues. St. Mary's Medical Center was actively involved in the national Let's Move initiative to address childhood obesity by participating in community sponsored physical fitness activities. - Efforts to improve public health resulted in St. Joseph Medical Center hosting a legislative update on healthcare issues to allow community leaders an opportunity to learn about healthcare issues potentially impacting their community. - Employees also participated in the Kansas City area Cover the Uninsured Coalition to improve access to health care for metro-area residents without insurance coverage. - St. Joseph Medical Center sponsored a Stroke Consortium to educate the community on the signs and dangers of strokes and participated in the BiState Stroke Consortium.- Activities also included participation in community organizations such as local Chamber of Commerce to address health/safety issues. |
| Part III, Line 4: | From the consolidated audited financial statements of Ascension Health Alliance (which includes the activity of St. Mary's Medical Center):The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System 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 the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies. |
| Part III, Line 8: | Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. |
| Part III, Line 9b: | The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply. |
| Part VI, Line 2: | The health care needs of our community are assessed every year by the Mid-America Regional Council. The assessment is based on data collected through surveys of safety net clinics and information provided by the Missouri and Kansas Hospital Associations and public health records. A committee comprised of representatives from medical data to develop recommendations for improving access to health care in the community. Carondelet Health implemented a new process that will comply with the Patient Protection and Affordable Care Act of 2010 requirement for a community health needs assessment including both qualitative and quantitative research. |
| Part VI, Line 3: | For uninsured patients, at time of service, we interview the patient looking for "found" insurance (Medicaid, Cobra, automobile insurance or local government programs). If no insurance coverage is discovered, we discuss payment arrangements and the hospital's financial assistance/charity programs. After time of service, when patients contact the business office regarding their patient care liability and the patients indicate a financial hardship in making payment, we discuss payment arrangements and the hospital's financial assistance/charity program. |
| Part VI, Line 4: | Carondelet Health is comprised of two acute care hospitals, St. Joseph Medical Center and St. Mary's Medical Center, along with Carondelet Home Care Services, a home health agency. Carondelet Health primarily serves the southern and eastern areas of metropolitan Kansas City, which comprise approximately two-thirds of the entire Kansas City population or 2.4 million people. 13.8% of households live at or below federal poverty guidelines, and uninsured and underinsured persons represent 25% of the population. 22% of the population are minority and 7% speak a language other than English, predominantly Spanish. |
| Part VI, Line 5: | Carondelet Health's board is comprised of individuals from throughout the community. Medical staff privileges are extended to all physicians who apply and meet qualifications.Carondelet Health provides a wide variety of resources to help improve the health of the community. Our Web site provides a free comprehensive health library with information on general wellness and specific health conditions, along with additional direct links to other health care support organizations. Meeting space is offered on the campuses of St. Joseph and St. Mary's Medical Centers for use by community groups. A wide range of support groups provide counseling for patients and their families coping with health concerns. In addition, Carondelet Health's community outreach efforts provide health and wellness resources that otherwise may be unavailable to many community members, including free health screenings and health educational materials. |
| Part VI, Line 6: | Carondelet Health is a member of Ascension Health.Ascension Health Alliance, d/b/a Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or Health Ministries, located in 23 of the United States and the District of Columbia.SPONSORSHIPAscension is sponsored by Ascension Sponsor, a Public Juridic Person. The Participating Entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province; the Congregation of St. Joseph; the Congregation of the Sisters of St. Joseph of Carondelet; the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province. As more fully described in the Organizational Changes note, Marian Health System, which was previously sponsored by the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province, became part of Ascension Health on April 1, 2013.MISSIONThe System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs:- Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured.- Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons.- Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and other community benefit programs; The cost of providing care to persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care.The amount of traditional charity care provided, determined on the basis of cost, was $580,606 and $524,605 for the years ended June 30, 2014 and 2013, respectively. |
| Part VI, Line 7, Reports Filed With States | MO |
| Community Benefit Report | Carondelet HealthFor the year ended June 30, 2014Ever since the Sisters of St. Joseph of Carondelet began treating patients in a three-story house in downtown Kansas City, the emphasis has been compassion--compassionate care that encompasses the body, mind and spirit, with a special concern for the poor.It comes in the form of a smile and gentle touch behind the technology that reaches the lives of so many patients who grace our doors. It comes also in the form of financial assistance to uninsured patients at both St. Joseph and St. Mary's Medical Centers, regardless of their employment or credit history. Whether our patients need help applying for Medicaid assistance or just more time to settle their bills with an interest-free, extended-term payment plan, Carondelet Health will be that helping hand.Our mission inspires us to be a united community where we exceed the expectations of every individual with every interaction through unwavering advocacy. Educating the public about the challenges of those lacking health insurance include joining other organizations in Cover the Uninsured Week, along with outreach resource guides in English and Spanish.OUR MISSIONCarondelet Health consists of Catholic organizations dedicated to the healing ministry of Jesus Christ. Our commitment to human dignity compels us to provide compassionate, quality healthcare for body, mind and spirit, with a special concern for the poor. We are responsible stewards serving the needs of all people from conception to death.We are united in this mission. Upholding the commitment of our founding Sisters of St. Joseph of Carondelet and the Sisters of St. Mary, we turn away no one in need. Compassionate, quality care remains the standard at all our facilities.CARING FOR OUR COMMUNITYCompassion goes beyond those financially challenged. It encompasses those who are vulnerable due to age and circumstance. Carondelet Health's facilities actively commit its resources to the communities they serve, through a wide variety of programs and services for the physical, mental, social and spiritual care of area residents:HEALTHY BEGINNINGSThe St. Joseph and St. Mary's Medical Center Foundations, with the support of local community agencies, make it possible to offer a unique prenatal program free of charge for patients who are on Medicaid, teens, or for others socially at risk, that could benefit from additional support. Members of this group receive three to five individual visits with a RN for one-on-one education. Participants also receive a free car seat, childbirth and breastfeeding classes, a breast pump and much more.HEALTHWISE SENIORSAt St. Joseph Medical Center, we recognize the special health needs of our seniors. We are committed to help the aging population in our community remain as active and independent as long as possible through a variety of programs.St. Joseph's Seniors Clinic addresses health needs of homebound seniors and residents of long-term care and assisted living facilities. The clinic provides a comfortable, convenient and ost-effective setting where seniors' needs can be assessed, diagnosed and treated by physicians. The clinic also provides free transportation for many patients. Seniors can now also take health assessments online and receive information on coping with:- Sleep disorders - Emotional health - Cognitive health- Nutritional health - Urinary incontinence - Skin issues- Fall risk.Free Wellness Services. Carondelet Health provides wellness services to nine churches in our service area and to designated low-income patients.SUPPORT GROUPSBoth medical centers offer groups for Alzheimer's, battered women, bereavement, breast cancer survivors, breastfeeding, diabetes, infant loss, Lyme disease, stroke and other areas of need.CLASSROOM SPACESpace is provided for alternative high school classes offered by the Kansas City School District. Other not-for-profit agencies are invited to host meetings and seminars in the medical centers for a nominal fee.INVOLVEMENT WITH COMMUNITY EVENTSIn addition to free blood pressure, blood sugar and prostate cancer screenings, St. Joseph and St. Mary's participate in numerous health fairs, including the annual Fall Family Health Celebration at St. Joseph and the annual community event at St. Mary's which kicks off Eastern Jackson County Family Week activities. Together the medical centers sponsor a domestic violence rally to raise awareness and support area victims. St. Joseph also coordinates a free informational seminar with the American Diabetes Association.CONTRIBUTIONS TO COMMUNITY GROUPSCarondelet Health contributes to many worthwhile organizations, including Cristo Rey High School, the American Cancer Society, the American Heart Association and Catholic Charities of Kansas City. It supports the Seton Center Family and Health Services by providing human resources, maintenance and wellness services; and funds after school programs for at-risk children at YMCAs in Kansas City and Blue Springs.CarondeletHealth.org offers the latest in health information and direct links to more than 50 health-related organizations and support groups, including.CARING FOR THE POORCharitable Losses by Carondelet Health of Kansas CityFiscal Year 2014 (July 1, 2013-June 30, 2014)Unpaid Medicaid: $1,812,976Unpaid Medicare: $5,585,992Traditional Charity: $1,693,903Community Services: $1,058,490Total: $10,151,361 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fleury Yelvington | ||||||||||||||
| CEO/President-CH | $0 | $499,188 | $0 | $534,508 | $0 | $137,104 | $0 | $19,995 | $0 | $17,929 | $0 | $1,208,724 | $0 | $0 |
| Steve Cleary | ||||||||||||||
| Board Member/CFO-CH | $0 | $301,388 | $0 | $0 | $0 | $47,873 | $0 | $23,160 | $0 | $14,817 | $0 | $387,238 | $0 | $0 |
| Annette Small | ||||||||||||||
| Board Member/CEO-SMMC | $0 | $197,462 | $0 | $0 | $0 | $17,499 | $0 | $14,777 | $0 | $22,995 | $0 | $252,733 | $0 | $0 |
| Christopher Hughes | ||||||||||||||
| Nurse Resource Manager | $145,269 | $0 | $55 | $0 | $4,640 | $0 | $12,910 | $0 | $19,567 | $0 | $182,441 | $0 | $0 | $0 |
| Carol Bailey | ||||||||||||||
| Pharmacist | $143,859 | $0 | $0 | $0 | $632 | $0 | $7,922 | $0 | $8,517 | $0 | $160,930 | $0 | $0 | $0 |
| Thomas Mammen | ||||||||||||||
| Pharmacist | $131,252 | $0 | $100 | $0 | $14,492 | $0 | $27,419 | $0 | $5,648 | $0 | $178,911 | $0 | $0 | $0 |
| Edwin Hodges | ||||||||||||||
| Pharmacist | $117,589 | $0 | $25 | $0 | $25,693 | $0 | $4,244 | $0 | $9,442 | $0 | $156,993 | $0 | $0 | $0 |
| Alan Greenwood | ||||||||||||||
| Surgery Director | $136,912 | $0 | $225 | $0 | $1,050 | $0 | $10,278 | $0 | $20,582 | $0 | $169,047 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Carondelet Health, a related organization of St. Mary's Medical Center, uses the following to establish the compensation of the organization's CEO (Annette Small): - Compensation Committee - Independent Compensation Consultant - Form 990 of Other Organizations - Compensation Survey or Study - Approval by the Board or Compensation Committee. |
| Part I, Line 4b | Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. There are no distributions from the supplemental nonqualified retirement plan for the current year. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related Carondelet Health entity boards. |
| Form 990, Part VI, Section A, line 6 | St. Mary's Medical Center has a single corporate member, Carondelet Health. |
| Form 990, Part VI, Section A, line 7a | St. Mary's Medical Center has a single corporate member, Carondelet Health, who has the ability to elect members to the governing body of the St. Mary's Medical Center. |
| Form 990, Part VI, Section A, line 7b | All decisions that have a material impact to St. Mary's Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, Carondelet Health. |
| 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. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. |
| Form 990, Part VI, Section B, line 12c | The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Section B, line 15 | In determining compensation of the organization's CEO (Annette Small), the process performed by Carondelet Health (a related organization) 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 CEO was compared to other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individual was not present when her compensation was decided. In determining compensation of other officers of the organization, the process 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 compensations, the other officers of the organization were compared to other organizations employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. |
| Form 990, Part VI, Section C, line 19 | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part VII, Section B: | The payments reported on Form 990, Part VII, Section B from TriMedx, LLC and Aramark, represent payments for both goods and services. These amounts cannot be separated. |
| Form 990, Part IX, line 11g | Purchased Medical Services: Program service expenses 1,144,274. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,144,274. TriMedx Labor: Program service expenses 932,722. Management and general expenses 0. Fundraising expenses 0. Total expenses 932,722. Medical Services: Program service expenses 3,560,061. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,560,061. Purchase Environmental Services: Program service expenses 0. Management and general expenses 84,000. Fundraising expenses 0. Total expenses 84,000. Purchase Food Services: Program service expenses 0. Management and general expenses 94,540. Fundraising expenses 0. Total expenses 94,540. Purch Medical Service Labor: Program service expenses 578,941. Management and general expenses 0. Fundraising expenses 0. Total expenses 578,941. Management Fees: Program service expenses 216,776. Management and general expenses 0. Fundraising expenses 0. Total expenses 216,776. Other Purchased Labor: Program service expenses 432,533. Management and general expenses 0. Fundraising expenses 0. Total expenses 432,533. |
| Form 990, Part XI, line 9: | Difference from Previous Year -4,925. Transfer to Sponsor -150,000. Transfers to/from Affiliates -1,410,164. Additional Min Pension Liab 317,225. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health Alliance | |||||||||||
| PO Box 45998 | St Louis | MO | 631455998 | 453358926 | National Health system | MO | Section 501(c)(3) | Schedule A, Line 11a | N/A | 0 | |
| Ascension Health | |||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health system | MO | Section 501(c)(3) | Schedule A, Line 11a | 0 | Ascension Health Alliance | |
| Carondelet Health | |||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431276738 | System parent | MO | Section 501(c)(9) | Schedule A, Line 11c | 0 | Ascension Health | |
| Carondelet Health Corp & Affil Emp Health & Dental Care | |||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431116849 | VEBA | MO | Section 501(c)(3) | N/A | Yes (1) | Carondelet Health | |
| Carondelet Home Care Services Inc | |||||||||||
| 11050 Roe Suite 120 | Overland Park | MO | 66211 | 431379352 | Home Health Care Services | MO | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Carondelet Health | |
| Carondelet Cardiology Services Inc | |||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 271322670 | Health Care | MO | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Carondelet Health | |
| St Joseph Medical Center | |||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 440546292 | Health Care | MO | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Carondelet Health | |
| St Mary's Medical Center Foundation | |||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431918107 | Fundraising | MO | Section 501(c)(3) | Schedule A, Line 11c | Yes (1) | Carondelet Health | |
| St Joseph Medical Center Foundation | |||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431388461 | Fundraising | MO | Section 501(c)(3) | Schedule A, Line 11c | Yes (1) | Carondelet Health | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Kansas City Surgical Center LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10730 Nall Ste 100 | AddressLine1 |
| City | Overland Park | City |
| State | KS | State |
| ZIP Code | 66211 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202181884 | EIN |
| Primary Activities | Health Care | PrimaryActivitiesTxt |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Indian Creek Center Inc | |||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 480956627 | Management | MO | N/A | C | 0 |
| Carondelet Management Company Inc | |||||||||
| 11050 Roe Suite 110 | Overland Park | KS | 66211 | 431352545 | Health Management | KS | N/A | C | 0 |
| Carondelet Pharmacy | |||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431699329 | Pharmacy | MO | N/A | C | 0 |
| Carondelet Primary Care Network Inc | |||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431596702 | Health Care | MO | N/A | C | 0 |
| Saint Joseph Ambulatory Surgical Center LLC | |||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 251905706 | Health Care | MO | N/A | C | 0 |
| Carondelet Occupational Health Wellness & Edu Serv Inc | |||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 861144194 | Health Care | MO | N/A | C | 0 |
| Carondelet Physician Services | |||||||||
| 1000 Carondelet Drive | Kansas City | MO | 64114 | 562661265 | Health Care | MO | N/A | C | 0 |
| Carondelet Medical Enterprises | |||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 562661165 | Office Admin. Services | MO | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Carondelet Cardiology Services Inc | ||
| J | $64,795 | Journal Entry |
| Carondelet Health | ||
| O | $4,339,502 | Journal Entry |
| St Joseph Medical Center | ||
| Q | $15,031,248 | Journal Entry |
| Caronelet Health | ||
| Q | $6,337,274 | Journal Entry |
| Carondelet Health Corp and Affiliates Employee Health & Dental Care | ||
| R | $3,831,180 | Journal Entry |
| St Mary's Medical Center Foundation | ||
| C | $326,526 | Journal Entry |