St Mary's Medical Center: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- St Mary's Medical Center (EIN 43-1284526)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201341349349305419
- Schema version
- 2011v1.5
- 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 J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T14:03:01-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431284526 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 8162285900 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Steve Cleary | Name |
| Title | CFO - Carondelet Health | Title |
| Phone | 8166424400 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rebecca Lyons | Name |
| PTIN | P01487105 | PTIN |
| Phone | 5137847100 | Phone |
| Date Prepared | 2013-05-06 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Steve Cleary | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 90924328 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.carondelethealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | 146-bed medical center offering a full array of acute care, outpatient and extended care services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 551 | TotalNbrEmployees |
| Total Nbr Volunteers | 152 | TotalNbrVolunteers |
| Total Gross UBI | -327 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -7354 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 81222 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 83810 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 86479789 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 87963860 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 744641 | InvestmentIncomePriorYear |
| Investment Income Current Year | 607931 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1084753 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1226867 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 88390405 | TotalRevenuePriorYear |
| Total Revenue Current Year | 89882468 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 33119879 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 31567756 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 53125027 | OtherExpensePriorYear |
| Other Expenses Current Year | 55327519 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 86244906 | TotalExpensesPriorYear |
| Total Expenses Current Year | 86895275 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2145499 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2987193 | RevenuesLessExpensesCY |
| Total Assets BOY | 64399268 | TotalAssetsBOY |
| Total Assets EOY | 71072573 | TotalAssetsEOY |
| Total Liabilities BOY | 24650454 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 29291604 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 39748814 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 41780969 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | St. Mary's Medical Center (SMMC) is a Catholic organzation 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 13820459 | Expense |
| Revenue | 12812804 | Revenue |
| Description | Medical inpatient services encompass 1,954 patient admissions and 8,077 patient days. St. Mary's Medical Center provides diagnostic services and high quality care to patients admitted with a wide range of diagnoses. 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 17024599 | Expense |
| Revenue | 15640638 | Revenue |
| Description | Surgical Services include 927 inpatient admissions, 4,092 patient days and 719 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8528160 | Expense |
| Revenue | 10862981 | Revenue |
| Description | Emergency services include 26,663 patient visits in the 24-hour emergency department. These patients are diagnosed, treated and discharged by our highly qualified clinicians and emergency physicians. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 28586972 | Expense |
| Grants | 0 | Grants |
| Revenue | 48943599 | Revenue |
| Description | 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 2,469 inpatient admissions with 8,834 patient days and 33,164 outpatient visits. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 28586972 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 48943599 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 67960190 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 42 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 551 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Steve Cleary | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8169424400 | TelephoneNumber |
Address US AddressUS
| 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 | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Fleury Yelvington Sch O | |||||||
| CEO-CH/President | 2.00 | X | X | 0 | 954787 | 53367 | |
| Annette Small | |||||||
| CEO-SMMC | 2.00 | X | X | 0 | 215945 | 35064 | |
| Steve Cleary Sch O | |||||||
| CFO-CH | 2.00 | X | X | 0 | 311916 | 59188 | |
| Noel Graham MD Ex-officio | |||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||
| Daniel Dunker MD Ex-Offico | |||||||
| Board Member/Medical Staff | 2.00 | X | 7000 | 0 | 0 | ||
| Alan Scharrer MD | |||||||
| Medical Staff Board | 2.00 | X | 7000 | 0 | 0 | ||
| Joseph Mackey MD | |||||||
| Medical Staff Board | 2.00 | X | 3997 | 0 | 0 | ||
| Carla Brogdon Sch O | |||||||
| Assistant Secretary | 2.00 | X | 0 | 52908 | 14886 | ||
| Thomas Mammen | |||||||
| Pharmacist | 40.00 | 135231 | 0 | 62227 | X | ||
| Cynthia Peters | |||||||
| Director Cardiac Imaginig | 40.00 | 125014 | 0 | 40412 | X | ||
| Dolores Sabia | |||||||
| Director Women's Health | 40.00 | 127970 | 0 | 31493 | X | ||
| Amy McKay | |||||||
| Chief Nursing Officer | 40.00 | 114845 | 0 | 28538 | X | ||
| Alicia Selsor | |||||||
| Pharmacist | 40.00 | 127970 | 0 | 15281 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 649027 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1535556 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 340456 | TotalOtherCompensation |
| Number Individuals GT100 K | 13 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Physicians Reference Lab LLC | |||||
| PO Box 802262 | Kansas City | MO | 64180 | Lab Services | 2011197 |
| Lytle Construction | |||||
| 1100 SE Hamblen Road | Lees Summit | MO | 64081 | Construction | 1496987 |
| Anesthesia Svcs of Blue Springs | |||||
| 1209-B NW North Ridge Dr | Blue Springs | MO | 64015 | Physician Services | 1304914 |
| TriMedx | |||||
| 6325 Digital Way Suite 400 | Indianapolis | IN | 46278 | Bio-Med Services | 957966 |
| Children's Mercy Hospital | |||||
| 2401 Gillham Road | Kansas City | MO | 64108 | Physician Services | 774177 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| Membership Dues | 72805 | MembershipDues |
| Related Organizations | 11005 | RelatedOrganizations |
| Total Contributions | 83810 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Revenue | 621990 | 47340974 | 47340974 |
| Medicare/Medicaid | 621990 | 39972018 | 39972018 |
| St. Mary's Manor | 621990 | 650868 | 650868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 87963860 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 604525 | TotalRevenueColumn |
| Exclusion | $604,525 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 880601 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 956554 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -75953 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -75953 | TotalRevenueColumn |
| Exclusion | -$75,953 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 5000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1594 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3406 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3406 | TotalRevenueColumn |
| Exclusion | $3,406 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 119035 | GrossSalesOfInventory |
| Cost Of Goods Sold | 83712 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35323 | TotalRevenueColumn |
| Exclusion | $35,323 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Income from Subsidiary | 621990 | 639785 | $639,785 |
| Unassigned Misc Rev | 621990 | 215208 | $215,208 |
| Dietary Income | 624200 | 66314 | $66,314 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 346190 | TotalRevenueColumn |
| Related Or Exempt Function Income | 296162 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 6541 | UnrelatedBusinessRevenue |
| Exclusion | $43,487 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1267497 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 89882468 | TotalRevenueColumn |
| Related Or Exempt Function Income | 88260022 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 6541 | UnrelatedBusinessRevenue |
| Exclusion | $1,532,095 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17997 | Total |
| Management And General | 17997 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26028540 | Total |
| Program Services | 23531001 | ProgramServices |
| Management And General | 2497539 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 736801 | Total |
| Program Services | 666102 | ProgramServices |
| Management And General | 70699 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2913179 | Total |
| Program Services | 2633648 | ProgramServices |
| Management And General | 279531 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1871239 | Total |
| Program Services | 1699155 | ProgramServices |
| Management And General | 172084 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46795 | Total |
| Management And General | 46795 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9323 | Total |
| Management And General | 9323 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7301648 | Total |
| Program Services | 6704310 | ProgramServices |
| Management And General | 597338 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165344 | Total |
| Program Services | 45008 | ProgramServices |
| Management And General | 120336 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11474316 | Total |
| Program Services | 11127393 | ProgramServices |
| Management And General | 346923 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11775 | Total |
| Management And General | 11775 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1943342 | Total |
| Program Services | 1351574 | ProgramServices |
| Management And General | 591768 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48422 | Total |
| Program Services | 42785 | ProgramServices |
| Management And General | 5637 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68796 | Total |
| Program Services | 66585 | ProgramServices |
| Management And General | 2211 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 683894 | Total |
| Program Services | 630040 | ProgramServices |
| Management And General | 53854 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2368310 | Total |
| Program Services | 2141944 | ProgramServices |
| Management And General | 226366 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126048 | Total |
| Program Services | 126048 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Corporate Allocation | 13461523 | 194031 | 13267492 |
| Bad Debt Expense | 11886563 | 11886563 | |
| MO State Assess Fee | 4480632 | 4480632 | |
| Purchased Services | 1120356 | 503106 | 617250 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130432 | Total |
| Program Services | 130265 | ProgramServices |
| Management And General | 167 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86895275 | Total |
| Program Services | 67960190 | ProgramServices |
| Management And General | 18935085 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 422024 | BOY |
| EOY | 631018 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3712427 | BOY |
| EOY | 1769657 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8113661 | BOY |
| EOY | 10354743 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 987808 | BOY |
| EOY | 1129149 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 349814 | BOY |
| EOY | 393813 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 61769914 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 23340276 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38262038 | BOY |
| EOY | 38429638 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12551496 | BOY |
| EOY | 18364555 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64399268 | BOY |
| EOY | 71072573 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5603008 | BOY |
| EOY | 11802453 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19047446 | BOY |
| EOY | 17489151 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24650454 | BOY |
| EOY | 29291604 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39748814 | BOY |
| EOY | 41780969 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39748814 | BOY |
| EOY | 41780969 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64399268 | BOY |
| EOY | 71072573 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2987193 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -955038 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $9,323 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 9323 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Lobbying expenses represent the portions of dues paid to national and state hospital 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. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Balance | 0 | BeginningBalance |
| Ending Balance | 0 | EndingBalance |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5270000 | OtherCostOrOtherBasis |
| Book Value | 5270000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39307164 | OtherCostOrOtherBasis |
| Depreciation | 13061772 | Depreciation |
| Book Value | 26245392 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16267205 | OtherCostOrOtherBasis |
| Depreciation | 9509398 | Depreciation |
| Book Value | 6757807 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 925545 | OtherCostOrOtherBasis |
| Depreciation | 769106 | Depreciation |
| Book Value | 156439 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 38429638 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Interest in investments held by Ascension Health Alliance's Alpha Fund | 14512093 |
| Miscellaneous Long-Term Assets | 3202282 |
| Other Receivables | 103627 |
| Under Bond Indenture | 439340 |
| Estimated Third Party | 107213 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 18364555 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Self Insurance Liability | $604,468 |
| Other Long-Term Debt | $3,522,423 |
| Intercompany Debt to Ascension Health Alliance | $13,360,670 |
| Intercompany Payables | $1,590 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 17489151 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1024584 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1024584 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01370 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10914852 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9214548 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1700304 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02270 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11939436 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9214548 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2724888 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03640 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 73 | NumberOfActivitiesOrPrograms |
| Persons Served | 5790 | PersonsServed |
| Total Community Benefit Expense | 202750 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23347 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 179403 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 581008 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 581008 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00770 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 1197 | PersonsServed |
| Total Community Benefit Expense | 5595080 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3919529 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1675551 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02230 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 350 | PersonsServed |
| Total Community Benefit Expense | 105592 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 105592 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 78 | NumberOfActivitiesOrPrograms |
| Persons Served | 7337 | PersonsServed |
| Total Community Benefit Expense | 6484430 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3942876 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2541554 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03380 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 78 | NumberOfActivitiesOrPrograms |
| Persons Served | 7337 | PersonsServed |
| Total Community Benefit Expense | 18423866 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13157424 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5266442 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07020 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 95 | PersonsServed |
| Total Community Building Expense | 992 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 992 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 101 | PersonsServed |
| Total Community Building Expense | 333 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 333 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 196 | PersonsServed |
| Total Community Building Expense | 1325 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1325 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $3,242,856 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 29996075 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 33232175 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3236100 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Mecial Center | BusinessNameLine1 |
Address Address
| 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) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
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) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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 ration 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 I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 11886563. | ||
| Part II: Carondelet Health provided the following community building activities in Fiscal year 2012:- 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. St. Mary's participated in community sponsored physical fitness activities as part of the "Let's Move" program. - 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.The organization's share of bad debt expense in fiscal year 2012 was $11,886,563 at charges ($3,242,856 at cost). | ||
| 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 V, Section B, Line 19d: 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 a 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 CH Business Office Discretionary Discount Policy. | St. Mary's Medical Center | |
| 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. Last fall, 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 of 1.2 million people. 13.8 percent of households live at or below federal poverty guidelines, and uninsured and underinsured persons represent 25 percent of the population. 42.4 percent of the population are minority and 7 percent 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 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 21 of the United States and the District of Columbia.Sponsorship:Ascension Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, St. Louise Province, the Congregation of St. Joseph, theCongregation of the Sisters of St. Joseph of Carondelet, and the Congregation of Alexian Brothers of the Immaculate Conception Province - American Province. As more fully described in the Organizational Changes note, Alexian Brothers Health System, which was previously sponsored bythe Congregation of Alexian Brothers of the Immaculate Conception Province - American Province, became part of Ascension Health on January 1, 2012.Mission:The 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 health care because of inadequate resources and/or who are uninsured or underinsured.- Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for the 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 poor, 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 who are poor and community benefit programs. The cost of providing care of persons who are poor and community benefit programs is estimated using internal cost data. | ||
| MO | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fleury Yelvington Sch O | |||||||||||||
| 0 | 482482 | 0 | 328758 | 0 | 143547 | 0 | 40633 | 0 | 12734 | 0 | 1008154 | 0 | 0 |
| Annette Small | |||||||||||||
| 0 | 187406 | 0 | 10004 | 0 | 18535 | 0 | 15804 | 0 | 19260 | 0 | 251009 | 0 | 0 |
| Steve Cleary Sch O | |||||||||||||
| 0 | 286774 | 0 | 0 | 0 | 25142 | 0 | 45381 | 0 | 13807 | 0 | 371104 | 0 | 0 |
| Thomas Mammen | |||||||||||||
| 119445 | 0 | 10 | 0 | 15776 | 0 | 50993 | 0 | 11234 | 0 | 197458 | 0 | 0 | 0 |
| Cynthia Peters | |||||||||||||
| 111027 | 0 | 120 | 0 | 13867 | 0 | 39393 | 0 | 1019 | 0 | 165426 | 0 | 0 | 0 |
| Dolores Sabia | |||||||||||||
| 96040 | 0 | 30312 | 0 | 1618 | 0 | 20343 | 0 | 11150 | 0 | 159463 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Information | Part III | 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: - Compensation Committee - Independent Compensation Consultant - Written Employment Contract - Compensation Survey or Study - Approval by the Board or Compensation Committee. |
| Supplemental Information | Part III | 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. A related organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amount as noted: - Fleury Yelvington - $114,060 - Annette Small - $17,429 - Steve Cleary - $20,265 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 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 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 board minutes. Individual was not present when her compensation was decided. In determining compensation of other officers of the organization, 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 other officers 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 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 A: | Fleury Yelvington, Steve Cleary, and Carla Brogdon receive compensation from Carondelet Health, a related organization of St. Mary's Medical Center. The compensation they receive is for their role at Carondelet Health, and not for their role as a director of St. Mary's Medical Center. | |
| Form 990, Part VII, Section B: | The payments reported on Form 990, Part VII, Section B from Lytle Construction represents payments for both good and services. These amounts cannot be separated. | |
| Form 990, Part XI, line 5: | Net unrealized losses on investments: -843,208. Transfers to Affiliates 203. Transfers to Sponsors -150,000. Restricted Contributions Used for Property 37,967. Total to Form 990, Part XI, Line 5: -955,038. | Changes in Net Assets or Fund Balances: |
| Form 990, Part XII, Line 2: | The financial statements of St. Mary's Medical Center fall under the limited scope audit of Carondelet Health. The activity of St. Mary's Medical Center and other members of the Carondelet Health System are reported in the consolidated financial statements of Ascension Health Alliance. No individual audit report of St. Mary's Medical Center is completed. | |
| Form 990, Part IV, Line 20b: | The financials statements of Carondelet Health, which include the activity of St. Mary's Medical Center, fall under a limited scope audit. The activity of St. Mary's Medical Center and other member of Carondelet Health are reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Mary's Medical Center is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates (which include the activity of St. Mary's Medical Center). | Explanation of Attached Audited Financial Statements: |
| Form 990, Part III, Line 4: | Carondelet Health Community Benefit Report For the year ended June 30, 2012 Ever 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 Mission Carondelet 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 Community Compassion 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 Beginnings The 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 Seniors At 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 Groups. Both 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 Space. Space 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 Events. In 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 Groups. Carondelet 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 Health Wise, our community online health magazine dedicated to interesting and educational health features. Caring for the Poor Charitable Losses by Carondelet Health of Kansas City Fiscal Year 2012 (July 1, 2011-June 30, 2012) Unpaid Medicare Cost: $18.1 million Unpaid Medicaid Cost: $ 6.7 million Traditional Charity: $ 2.8 million Community Services: $ 4.8 million Total: $32.4 million |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health | ||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662306 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | Ascension Health Alliance | 0 |
| Carondelet Health | ||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431276738 | System Parent | MO | Section 501(c)(3) | Schedule A, Line 11c | Ascension Health | 0 |
| Carondelet Health Corp & Affil Emp Health & Dental Care | ||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431116849 | VEBA | MO | Section 501(c)(9) | N/A | Carondelet Health | 1 |
| Carondelet Home Care Services | ||||||||||
| 11050 Roe Suite 120 | Overland Park | MO | 66211 | 431379352 | Home Health Care Services | MO | Section 501(c)(3) | Schedule A, Line 3 | Carondelet Health | 1 |
| Carondelet Long-Term Care Faciliites Inc | ||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 742505427 | Long-Term Care | MO | Section 501(c)(3) | Schedule A, Line 9 | Carondelet Health | 1 |
| St Joseph Medical Center | ||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 440546292 | Health Care | MO | Section 501(c)(3) | Schedule A, Line 3 | Carondelet Health | 1 |
| St Mary's Medical Center Foundation | ||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431918107 | Fundraising | MO | Section 501(c)(3) | Schedule A, Line 11c | Carondelet Health | 1 |
| St Joseph Medical Center Foundation | ||||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431388461 | Fundraising | MO | Section 501(c)(3) | Schedule A, Line 11c | Carondelet Health | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Kansas City Surgical Center LLC | BusinessNameLine1 |
Address US AddressUS
| 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) |
|---|---|---|
| Primary Activity | Health Care | PrimaryActivity |
| Legal Domicile State | KS | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Indian Creek Center Inc | ||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 480956627 | Management | MO | N/A | C |
| Carondelet Management Company Inc | ||||||||
| 11050 Roe Suite 110 | Overland Park | KS | 66211 | 431352545 | Health Management | KS | N/A | C |
| Carondelet Pharmacy | ||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431699329 | Pharmacy | MO | N/A | C |
| Carondelet Primary Care Network Inc | ||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 431596702 | Health Care | MO | N/A | C |
| Saint Joseph Ambulatory Surgical Center LLC | ||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 251905706 | Health Care | MO | N/A | C |
| Carondelet Occupational Health Wellness & Edu Serv Inc | ||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 861144194 | Health Care | MO | N/A | C |
| Carondelet Physician Services | ||||||||
| 1000 Carondelet Drive | Kansas City | MO | 64114 | 562661265 | Health Care | MO | N/A | C |
| Carondelet Medical Enterprises | ||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 562661165 | Office Admin. Services | MO | N/A | C |
| Carondelet Cardiology Services | ||||||||
| 1000 Carondelet Drive | Kansas City | MO | 641144673 | 271322670 | Cardiology Services | MO | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Carondelet Health Corp & Affiliates Employee Health and Dental Care | ||
| Q | 3365062 | Journal Entry |
| St Joseph Medical Center | ||
| R | 1978844 | Journal Entry |
| Carondelet Health | ||
| Q | 6500000 | Journal Entry |
| Carondelet Health | ||
| N | 4038457 | Journal Entry |
| Carondelet Health | ||
| R | 518292 | Journal Entry |
| Carondelet Health | ||
| P | 4556749 | Journal Entry |