PALLOTTINE HEALTH SERVICES: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PALLOTTINE HEALTH SERVICES (EIN 55-0688201)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-05-10
- IRS object ID
- 201221319349301122
- Schema version
- 2010v3.4
- 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) |
|---|---|---|
| Timestamp | 2012-05-10T10:37:32-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Arnett & Foster PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 2629 | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25329 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550688201 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pallottine Health Services Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PALL | NameControl |
| Phone | 3045261224 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 First Avenue | AddressLine1 |
| City | Huntington | City |
| State | WV | State |
| ZIP Code | 25702 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael G Sellards | Name |
| Title | President & CEO | Title |
| Phone | 3045261224 | Phone |
| Date Signed | 2012-05-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Harry C Harless | Name |
| Phone | 3043460441 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Michael G Sellards | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 First Avenue | AddressLine1 |
| City | Huntington | City |
| State | WV | State |
| ZIP Code | 25702 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7918381 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | The organization provides management services, advice and consultation to West Virginia affiliates sponsored by the religious community of the Missionary Sisters of the Catholic Apostolate (Pallottine). | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5 | TotalNbrEmployees |
| Total Nbr Volunteers | 7 | TotalNbrVolunteers |
| Total Gross UBI | 1744 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 962089 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1172783 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 179942 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1182695 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 110767 | OtherRevenuePriorYear |
| Other Revenue Current Year | 884411 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1252798 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3239889 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 43750 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 33000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1162244 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1611423 | 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 | 693609 | OtherExpensePriorYear |
| Other Expenses Current Year | 702567 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1899603 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2346990 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -646805 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 892899 | RevenuesLessExpensesCY |
| Total Assets BOY | 17228178 | TotalAssetsBOY |
| Total Assets EOY | 17150011 | TotalAssetsEOY |
| Total Liabilities BOY | 9898324 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10416101 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7329854 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6733910 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The mission of Pallottine Health Services, Inc. is to sponsor Health Care institutions that promote and demonstrate the human\religious, professional and economic values of the Pallottine sisters which are consistent with the teachings of the Roman Catholic Church and the ethical and religious directives for Catholic health care services. Adherence to these values will ensure that services provided in Pallottine health facilities respect the dignity of the human person and the sacredness of human life; are carried out in a spirit of ecumenisn and equality in an atmosphere of Christian community; and respond, within the limits of available resources, to the health need of the communities they serve with special concern for the poor. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1957672 | Expense |
| Grants | 33000 | Grants |
| Revenue | 1172783 | Revenue |
| Description | Management services, advice and consultation provided to the West Virginia Affiliates sponsored by the religious community of Missionary Sisters of the Catholic Apostolate (Pallottine) - St. Joseph's Hospital of Buckhannon, Inc. and St. Mary's Medical Center, Inc. | Description |
| Total Program Service Expense | 1957672 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 3 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 5 | 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| 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 |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Angela Swearingen | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3045261224 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 First Avenue | AddressLine1 |
| City | Huntington | City |
| State | WV | State |
| ZIP Code | 25702 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Sr M Celeste Lynch SAC | ||||||||
| President | 37.00 | X | X | 0 | 0 | 0 | ||
| Sr M Diane Bushee SAC | ||||||||
| Secretary/Treasurer | 2.00 | X | X | 0 | 0 | 0 | ||
| Sr M Francesca Lowis SAC | ||||||||
| Vice-President | 2.00 | X | X | 0 | 0 | 0 | ||
| Sr Barbara Jakschik SAC | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Sr Mary Grace Barile SAC | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Sr Marian Creamer SAC | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Sr Gail Borgmeyer SAC | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Barbara Stevens | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Robert Yost | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| David Alkire | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Michael G Sellards | ||||||||
| President & CEO - SMMC | 2.00 | X | 628376 | 0 | 74071 | |||
| Sue Johnson-Phillippe | ||||||||
| CEO, St. Joseph's Hospital | 2.00 | 290212 | 0 | 0 | X | |||
| Todd Campbell | ||||||||
| COO - SMMC | 2.00 | 0 | 346813 | 53551 | X | |||
| J Thomas Jones | ||||||||
| Former CEO - SMMC | 148994 | 0 | 0 | X | ||||
| S David Creech | ||||||||
| Former CEO | 558248 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1625830 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 346813 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 127622 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Management fees | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 1172783 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1172783 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1172783 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 726416 | TotalRevenueColumn |
| Exclusion | $726,416 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5134771 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4678492 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 456279 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 456279 | TotalRevenueColumn |
| Exclusion | $456,279 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| Premier Purchasing, LL | 900003 | 882554 | 1744 | $880,810 |
| Other Income | 900099 | 1857 | $1,857 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 884411 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3239889 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1172783 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1744 | UnrelatedBusinessRevenue |
| Exclusion | $2,065,362 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33000 | Total |
| Program Services | 33000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1483437 | Total |
| Program Services | 1281986 | ProgramServices |
| Management And General | 201451 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45206 | Total |
| Program Services | 39067 | ProgramServices |
| Management And General | 6139 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9092 | Total |
| Program Services | 7857 | ProgramServices |
| Management And General | 1235 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25543 | Total |
| Program Services | 22074 | ProgramServices |
| Management And General | 3469 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48145 | Total |
| Program Services | 41607 | ProgramServices |
| Management And General | 6538 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67185 | Total |
| Management And General | 67185 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 300 | Total |
| Management And General | 300 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19408 | Total |
| Management And General | 19408 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 552008 | Total |
| Program Services | 477045 | ProgramServices |
| Management And General | 74963 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1156 | Total |
| Program Services | 999 | ProgramServices |
| Management And General | 157 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6350 | Total |
| Program Services | 5488 | ProgramServices |
| Management And General | 862 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14467 | Total |
| Program Services | 12502 | ProgramServices |
| Management And General | 1965 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1122 | Total |
| Program Services | 970 | ProgramServices |
| Management And General | 152 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5833 | Total |
| Program Services | 5041 | ProgramServices |
| Management And General | 792 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21004 | Total |
| Program Services | 18152 | ProgramServices |
| Management And General | 2852 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Dues & subscriptions | 7862 | 6794 | 1068 |
| Other expenses | 5872 | 5090 | 782 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2346990 | Total |
| Program Services | 1957672 | ProgramServices |
| Management And General | 389318 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1740305 | BOY |
| EOY | 940893 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 991758 | BOY |
| EOY | 1043781 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7316216 | BOY |
| EOY | 7420668 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11305 | BOY |
| EOY | 12007 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10081 | BOY |
| EOY | 119783 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 80049 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 66495 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19387 | BOY |
| EOY | 13554 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6115339 | BOY |
| EOY | 6031049 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1023787 | BOY |
| EOY | 1568276 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17228178 | BOY |
| EOY | 17150011 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8048218 | BOY |
| EOY | 9098985 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17624 | BOY |
| EOY | 10858 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1832482 | BOY |
| EOY | 1306258 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9898324 | BOY |
| EOY | 10416101 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7329854 | BOY |
| EOY | 6733910 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7329854 | BOY |
| EOY | 6733910 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17228178 | BOY |
| EOY | 17150011 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 892899 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1488843 | 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| St Joseph's of Buckhannon Inc | |||||
| 550356996 | 3 | 1 | 1 | 1 | $2,000 |
| St Mary's Medical Center Inc | |||||
| 550357050 | 3 | 1 | 1 | 1 | $0 |
| St Joseph's Foundation of Buckhannon Inc | |||||
| 550727650 | 3 | 0 | 1 | 1 | $7,000 |
| St Mary's Medical Center Foundation | |||||
| 141887211 | 3 | 0 | 1 | 1 | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 19000 | SumOfAmounts |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 80049 | OtherCostOrOtherBasis |
| Depreciation | 66495 | Depreciation |
| Book Value | 13554 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13554 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Premier Purchasing Partners | 453962 |
| Chart Services | 1114314 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1568276 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Separation Liability | $262,477 |
| Retirement Funds Payable | $1,043,781 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1306258 | TotalOfAmounts |
| Total Revenue | 3239889 | TotalRevenue |
| Total Expenses | 2346990 | TotalExpenses |
| Excess Or Deficit For Year | 892899 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -635623 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | -39075 | PriorPeriodAdjustments |
| Other | -$814,145 | OtherAmount |
| Total Adjustments | -1488843 | TotalAdjustments |
| Excess Or Deficit Per FS | -595944 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 2425744 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 68409 | OtherRevenues |
| Revenue Not Rptd F990 | 68409 | RevenueNotRptdF990 |
| Revenue Subtotal | 2357335 | RevenueSubtotal |
| Other Revenues Not Included | 882554 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 882554 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 3239889 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2346990 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2346990 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2346990 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | Premier Purchasing dividends 68,409. Premier Purchasing K-1 income -882,554. |
| Part XII, Line 2d - Other Adjustments: | Premier Purchasing dividends 68,409. |
| Part XII, Line 4b - Other Adjustments: | Premier Purchasing K-1 income 882,554. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| St Mary's Medical Center Foundation | |||||||
| 2900 First Avenue | Huntington | WV | 25702 | 141887211 | 501(c)(3) | 10000 | To support 2011 Gala. |
| St Joseph's Hospital Foundation | |||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | 501(c)(3) | 3000 | To support 2011 Gala. |
| St Joseph's Hospital Foundation | |||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | 501(c)(3) | 1000 | To support 2011 Golf Tournament. |
| St Joseph's Hospital Foundation | |||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | 501(c)(3) | 3000 | To be used for general purposes of the tax-exempt organization. |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Grants paid in the U.S. are only paid to healthcare providers sponsored by religious community of Missionary Sisters of the Catholic Apostolate (Pallottine). As disclosed on schedule A, Part I the filing organization is organizaed and operated to mainly support the West Virginia affiliates of Pallotine, St. Joseph's Hospital of Buckhannon, Inc. and St. Mary's Medical Center and their related foundations. The use of the grants to these organizations is monitored through a review of their financial statements and budgets. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael G Sellards | |||||||||||||
| 522720 | 0 | 0 | 0 | 105656 | 0 | 57688 | 0 | 17543 | 0 | 703607 | 0 | 94386 | 0 |
| Sue Johnson-Phillippe | |||||||||||||
| 290212 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 290212 | 0 | 0 | 0 |
| Todd Campbell | |||||||||||||
| 0 | 346813 | 0 | 0 | 0 | 0 | 16500 | 15607 | 0 | 22267 | 16500 | 384687 | 0 | 0 |
| J Thomas Jones | |||||||||||||
| 0 | 0 | 0 | 0 | 148994 | 0 | 0 | 0 | 0 | 0 | 148994 | 0 | 0 | 0 |
| S David Creech | |||||||||||||
| 0 | 0 | 0 | 0 | 558248 | 0 | 0 | 0 | 0 | 0 | 558248 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Michael Sellards, the CEO, is entitled to reimbursement for reasonable travel expense for his spouse to accompany him to three educational meetings per year; one of which being the West Virginia Hospital Association annual meeting. |
| Part I, Lines 4a-b | S. David Creech, a former officer, received severance payments during the year in the amount of $553,221, Tony Atkins, a former officer received noncompete payments in the amount of $73,139. During 2011 fiscal year, the following officers of the organization received payment under a supplemental non-qualified retirement (SERP) plan: Michael G. Sellards - $94,376 Todd Campbell - $27,757 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| West Virginia Hospital Finance Authority | |||||||
| 621256910 | 956624AL4 | 2003-12-18 | 61000000 | See Schedule O. | 0 | 0 | 0 |
| West Virginia Hospital Finance Authority | |||||||
| 621256910 | 956624AM2 | 2006-04-26 | 35000000 | See Schedule O. | 0 | 0 | 0 |
| West Virginia Hospital Finance Authority | |||||||
| 621256910 | NoneAvail | 2009-06-23 | 17500000 | See Schedule O. | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 63222662 | 4335455 | 546375 | 38872275 | 2006 | 1 | 0 | 1 | 1 |
| 37212762 | 462632 | 34778643 | 2013 | 0 | 0 | 0 | 1 | |
| 17543356 | 120000 | 17432510 | 2010 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 1 | 0 | 1 | 0.50000 | 0.00000 | 0.50000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied |
|---|---|---|---|---|---|---|---|---|---|
| (no name) | |||||||||
| 0 | 1 | 0 | 0 | 0 | 0 | ||||
| Fifth Third Bank | |||||||||
| 1 | 1 | 1 | 1 | 1 | 0 | 2.000000000000 | 0 | 0 | 0 |
| (no name) | |||||||||
| 0 | 1 | 0 | 0 | 0 | 0 | ||||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | The organization is a membership (not a stock) Corporation under West Virginia state law. The organization's sole Corporate sponsor is Pallottine Missionary Sisters(PMS), a related not-for-profit organization. | |
| Form 990, Part VI, Section A, line 7a | In accordance with the terms and requirements of its governing documents (i.e. bylaws), on an annual basis, the organization's current board members recommend the list of candidates for membership to the governing body for the subsequent term. The Board of Directors of its sponsor, PMS, approve these candidates to serve as the organization's Board of Directors. | |
| Form 990, Part VI, Section A, line 7b | Pallottine Missionary Sisters, as the sole Corporate member, also has the right to approve or ratify significant decisions of the organization's governing body including the amendment of bylaws and charters, removal of members of the governing body, and the decision to dissolve the organization. | |
| Form 990, Part VI, Section B, line 11 | The Form 990 is reviewed by the organization's management in consultation with an independent accounting firm. The financial review is based on the organization's audited financial statements for the relevant time period. The Board of Directors has reviewed the Form 990 at the board meeting on April 18, 2012 prior to filing the Form 990. | |
| Upon employment and annually thereafter each key employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing sufficient information about his/her personal interests and relationships so the organization can: (1) determine whether any potential or actual conflicts of interest may exist, and (2) monitor work or service assignments to avoid placing the key employee, officer or director in a position where there may be an appearance, potential or actual, of a conflict of interest or a question of objectivity. The completed conflicts of interest and disclosure forms for directors are returned to the organization. In the event that any board member is deemed to lack independence or a conflict of interest exists, he/she is required to leave the room and cannot be part of the discussion or vote. | Form 990, Part VI, Section B, line 12c | |
| On a regular basis, the organization provides documentation to the compensation committee of the board with respect to the compensation of the organization's officers and key employees for review and approval. Such information includes comparable data from similar size tax-exempt organizations in the Huntington, West Virginia community as well as compensation for these positions (as disclosed on form 990) with other organizations in the health care industry that are of similar size, demographics, and geography. Review and approval of the compensation arrangement by the officers/executive committee is documented. | Form 990, Part VI, Section B, line 15 | |
| The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request at its office at 2900 First Avenue, Huntington, WV 25702. A nominal fee is charged if copies are requested. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Net unrealized losses on investments: -635,623. Prior period adjustments: -39,075. Premier Purchasing dividends 68,409. Premier Purchasing K-1 income -882,554. Total to Form 990, Part XI, Line 5: -1,488,843. | Form 990, Part XI, line 5: |
| Audit oversight | There was no change in the procedure for oversight of the audit of financial statements from prior year. | Part XII, Line 2c |
| Description of purpose | The tax exempt bonds are reported in the accounting records of St. Josephs's Hospital of Buckhannon, Inc. and St. Mary's Medical Center. Since the bond proceeds are issued on behalf of Pallottine Health Services, Inc., we have reported them on our form 990. SCHEDULE K, PART I, LINE A, COLUMN (F): Constructing/renovating and equipping healthcare facilities. Refunded bonds issued November 24, 1987. SCHEDULE K, PART I, LINE B, COLUMN (F): Constructing/renovating and equipping healthcare facilities. SCHEDULE K, PART I, LINE C, COLUMN (F): Constructing/renovating and equipping healthcare facilities. | Schedule K, column F |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St Mary's Medical Center | |||||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 550357050 | Hospital | WV | 501(c)(3) | Line 3 | N/A | 0 | |
| Pallottine Missionary Sisters | |||||||||||
| 15270 Old Halls Ferry Road | Florissant | MO | 63034 | 431783315 | Church | MO | 501(c)(3) | Line 1 | N/A | 0 | |
| St Joseph's Hospital of Buckhannon | |||||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 550356996 | Hospital | WV | 501(c)(3) | Line 3 | N/A | 0 | |
| St Joseph's Foundation of Buckhannon | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727650 | Foundation | WV | 501(c)(3) | Line 11b, II | 0 | St Joseph Hospital of Buckhannon | |
| St Mary's Medical Center Foundation | |||||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 141887211 | Foundation | WV | 501(c)(3) | Line 11b, II | 0 | St Mary's Medical Center | |
Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| St Mary's Occupational Health Services | ||||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 542136110 | Medical Services | WV | St Mary's Medical Center | Related | 0 | 1 |
| Tri State Cyberknife | ||||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 205744723 | Medical Services | WV | St Mary's Medical Center | Related | 0 | 1 |
| Tri State MRI | ||||||||||
| PO Box 3108 | Huntington | WV | 25702 | 550669726 | Medical Services | WV | St Mary's Medical Center | Related | 0 | 1 |
| Claire Frances Health Services PLLC | ||||||||||
| 200 Mall Road Suite 3 | Ashland | KY | 41101 | 311517507 | Medical Services | WV | St Mary's Medical Center | Related | 0 | 1 |
| Huntington Area MRI Services LLC | ||||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 261877332 | Medical Services | WV | Related | 0 | 1 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Vanguard Financial Services | ||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 450496141 | Collection AG | WV | St Mary's Medical Center | C |
| Upshur Medical Management Services | ||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727649 | Medical Services | WV | St Joseph's Hospital of Buckhannon | 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 | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | 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 | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| St Joseph's Hospital of Buckhannon | |
| D | 1540000 |
| St Mary's Medical Center | |
| D | 8161555 |
| St Mary's Medical Center | |
| K | 872783 |
| St Joseph's Hospital of Buckhannon | |
| K | 300000 |
| St Mary's Medical Center | |
| P | 8794091 |
| St Joseph's Hospital of Buckhannon | |
| P | 549321 |