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ST AGNES HEALTHCARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST AGNES HEALTHCARE INC (EIN 52-0591657)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201241329349301609
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

FieldValueIRS element (for citing)
Timestamp2012-05-11T10:29:32-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 RENAISSANCE CENTER SUITE 3900AddressLine1
CityDETROITCity
StateMIState
ZIP Code48243ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520591657EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST AGNES HEALTHCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTAGNameControl
Phone4103682491Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 CATON AVENUE NO 040AddressLine1
CityBALTIMORECity
StateMDState
ZIP Code212295201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSCOTT FURNISSName
TitleSENIOR VICE PRESIDENT/CFOTitle
Phone4103683130Phone
Date Signed2012-05-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJENNIFER L GILARDIName
Phone3133963000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBONNIE PHIPPSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1900 CATON AVENUE NO 040AddressLine1
CityBALTIMORECity
StateMDState
ZIP Code212295201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts426961229GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STAGNES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1862YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionST. AGNES HEALTHCARE IS COMMITTED TO SPIRITUALLY-CENTERED HEALTH CARE WHICH IS ROOTED IN THE HEALING MINISTRY OF JESUS, WITH A SPECIAL CONCERN FOR THOSE WHO ARE POOR AND VULNERABLE. AS A CATHOLIC HEALTHCARE MINISTRY, WE ARE DEDICATED TO THE ART OF HEALING TO IMPROVE THE LIVES OF THOSE THAT WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees3342TotalNbrEmployees
Total Nbr Volunteers202TotalNbrVolunteers
Total Gross UBI4810453TotalGrossUBI
Net Unrelated Business Txbl Income-340992NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3150286ContributionsGrantsPriorYear
Contributions Grants Current Year2538629ContributionsGrantsCurrentYear
Program Service Revenue Prior Year370493603ProgramServiceRevenuePriorYear
Program Service Revenue CY390651963ProgramServiceRevenueCY
Investment Income Prior Year23425917InvestmentIncomePriorYear
Investment Income Current Year29360028InvestmentIncomeCurrentYear
Other Revenue Prior Year3242726OtherRevenuePriorYear
Other Revenue Current Year4260951OtherRevenueCurrentYear
Total Revenue Prior Year400312532TotalRevenuePriorYear
Total Revenue Current Year426811571TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year220297GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY172827GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year185283470SalariesEtcPriorYear
Salaries Etc Current Year193953318SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year55500TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year163981672OtherExpensePriorYear
Other Expenses Current Year168869193OtherExpensesCurrentYear
Total Expenses Prior Year349540939TotalExpensesPriorYear
Total Expenses Current Year362995338TotalExpensesCurrentYear
Revenues Less Expenses Prior Year50771593RevenuesLessExpensesPriorYear
Revenues Less Expenses CY63816233RevenuesLessExpensesCY
Total Assets BOY418680261TotalAssetsBOY
Total Assets EOY484392822TotalAssetsEOY
Total Liabilities BOY171668134TotalLiabilitiesBOY
Total Liabilities EOY153786674TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY247012127NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY330606148NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionST. AGNES HEALTHCARE IS A SPIRITUALLY CENTERED HOSPITAL WHICH IS ROOTED IN THE HEALING MINISTRY OF JESUS. IN THE SPIRIT OF ST. ELIZABETH ANN SETON, AND IN COLLABORATION WITH OTHERS, WE CONTINUALLY REACH OUT TO ALL PERSONS IN OUR COMMUNITY WITH A SPECIAL CONCERN FOR THOSE WHO ARE POOR AND VULNERABLE. AS A CATHOLIC HEALTHCARE MINISTRY AND A MEMBER OF ASCENSION HEALTH, WE ARE DEDICATED TO THE ART OF HEALING TO SUSTAIN AND IMPROVE THE LIVES OF THE INDIVIDUALS, FAMILIES AND COMMUNITIES WE SERVE; WE ADVOCATE FOR A JUST SOCIETY.THROUGH OUR WORDS AND DEEDS, WE MINISTER IN AN ATMOSPHERE OF DEEP RESPECT, LOVE AND COMPASSION.PATIENTS ARE OUR PASSION. OUR PHYSICIANS, NURSES AND ASSOCIATES ARE OUR PRIDE. HEALING IS OUR JOY. WE ARE WIDELY KNOWN FOR THE WAY OUR PHYSICIANS, NURSES AND ASSOCIATES COMBINE SOPHISTICATED MEDICAL TECHNOLOGY WITH SPIRITUALITY AND COMPASSION. SHOULDER-TO-SHOULDER, WE STAND UNITED IN OUR COMMITMENT TO CARE FOR THOSE IN NEED. WE WILL BE A LEADER IN SERVICE EXCELLENCE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense183032490Expense
Grants0Grants
Revenue232827903Revenue
DescriptionST. AGNES HOSPITAL PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TOTHE ELDERLY AND POOR. DURING THE FISCAL YEAR ENDING JUNE 30, 2011, APPROXIMATELY 45% OF THE VALUE OF SERVICES RENDERED WAS TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 15% OF THE VALUE OF SERVICES WAS PROVIDED TO PATIENTS WHO WERE DEEMED INDIGENT UNDER STATE, COUNTY, OR HOSPITAL GUIDELINES. IN THE SPIRIT OF PRINCIPLES ADOPTED BY ASCENSION HEALTH, ST. AGNES HOSPITAL HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBILITY, THE FINANCING, AND THE DELIVERY OF HEALTHCARE TO ALL PERSONS, ESPECIALLY THE UNINSURED, UNDERINSURED, AND THE UNDERSERVED. DURING THE FISCAL YEAR ENDING JUNE 30, 2011, THE ESTIMATED UNREIMBURSED COST OF SERVICES PROVIDED TO THE ELDERLY, UNINSURED, AND UNDERINSURED TOTALED $16,617,518, INCLUDING $12,314,893 FOR CHARITY CARE, AND $4,302,625 OF UNREIMBURSED MEDICAID.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6820772Expense
Grants172827Grants
Revenue713045Revenue
DescriptionCOMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENTAND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITYNEEDS. IN AN EFFORT TO PROMOTE HEALTHY LIVING, ST. AGNES HAS MADE AVAILABLE WELLNESS PROGRAMS TO THE COMMUNITY. THESE PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO: ADULT, INFANT AND CHILD CPR CLASSES; ASTHMA CURRICULA; BARIATRIC SEMINARS; BASIC LIFE SUPPORT CLASSES; BREAST HEALTH CLINICS AND SEMINARS; FIRST AID CLASSES; JOINT AND PAIN SEMINARS; RUNNING CLINICS; BABYSITTING CLASSES; BLOOD PRESSURE, CHOLESTEROL, AND BLOOD SUGAR SCREENINGS; DIABETES AND HEART DISEASE PREVENTION EDUCATION; INTERNATIONAL EARLY LUNG CARE ACTION PROJECT STUDIES; HEART HEALTH AWARENESS PROGRAMS FOR AFRICAN AMERICAN WOMEN; GASTRO ESOPHAGEAL REFLUX DISEASE SEMINARS; ACTIVITIES IN THE PEDIATRICS WAITING ROOM OF THE COMMUNITY CARE CLINIC PROMOTING EARLY DEVELOPMENT OF READING SKILLS; ACTIVITIES RELATED TO THE SUCCESSFUL DISCHARGE OF PATIENTS SUCH AS PROVIDING TRANSPORTATION, PRESCRIPTIONS, OXYGEN, DURABLE MEDICAL EQUIPMENT, AND SHORT-TERM STAYSIN NURSING OR REHABILITATION CENTERS; AND PROVIDING GYNECOLOGICAL SERVICES TO UNINSURED, LARGELY SPANISH SPEAKING PERSONS AT THE ESPERANZA CLINIC; AND THE WELL4LIFE PROGRAM, WHICH USES A MULTIDISCIPLINARY APPROACH TO WEIGHT LOSS, EXERCISE, LIFESTYLE AND MINDSET CHANGES, FOCUSED ON BATTLING OBESITY CHALLENGES.ST. AGNES HEALTHCARE HAS A LONG STANDING TRADITION OF PROVIDING MEDICALEDUCATION AND TRAINING. ST. AGNES ADMINISTERS A FIVE YEAR, FULLYACCREDITED, GENERAL SURGERY RESIDENCY PROGRAM CONSISTING OF TWENTYSURGICAL RESIDENTS. THIS ACADEMICALLY ORIENTED, COMMUNITY BASED, UNIVERSITY AFFILIATED RESIDENCY PROGRAM IS THE SECOND OLDEST SURGICAL RESIDENCY PROGRAM IN THE UNITED STATES. THE PROGRAM IS ACTIVE IN BOTH BASIC AND ADVANCED LAPAROSCOPIC SURGERY. RESIDENTS ARE OFFERED A BROAD BASED SURGICAL EXPERIENCE WITH EXPOSURE NOT ONLY TO THE FIELD OF GREATER GENERAL SURGERY, BUT ALSO TO ALL THE SURGICAL SPECIALTIES. THERE IS EXTENSIVE EXPERIENCE AND TRAINING IN MANAGING THE CRITICALLY ILL SURGICAL PATIENT. ADDITIONALLY, THE PROGRAM ALSO CONTAINS ROTATIONS IN BURN MANAGEMENT, TRAUMA, TRANSPLANT AND GASTROINTESTINAL ENDOSCOPY. THE DEPARTMENT OF SURGERY INCLUDES MORE THAN 198 SURGEONS IN 10 SURGICAL SPECIALTIES. THERE ARE TWENTY-SIX FULL-TIME SURGEONS IN THE DEPARTMENT COMPLEMENTED BY ATTENDING SURGEONS WHO ARE DEDICATED TO THE RESIDENCY-TRAINING PROGRAM AND ARE ACTIVELY INVOLVED IN THE TEACHING PROGRAM. MEDICAL STUDENTS HAVE ALSO BEEN A PART OF ST. AGNES' TRAINING PROGRAM FOR MORE THAN SIX DECADES. THE OPPORTUNITY FOR THE RESIDENTS TO TEACH THE STUDENTS CONTRIBUTES SIGNIFICANTLY TO THE PROFESSIONAL DEVELOPMENT OF THE RESIDENT AND PROVIDES A VITAL SERVICE TO THE STUDENT.ST. AGNES ALSO HAS A MEDICAL RESIDENCY PROGRAM CONSISTING OF FORTYRESIDENTS. THE DYNAMIC INTERACTION BETWEEN THE FACULTY AND THE HOUSESTAFF CREATES A STIMULATING INTELLECTUAL ENVIRONMENT CENTERED ON THEKEY PRINCIPLES OF PATIENT CARE, EDUCATION AND CLINICAL RESEARCH. SIMILAR TO THE SURGICAL RESIDENTS, THE MEDICAL RESIDENTS ARE INVOLVED IN THE TEACHING OF MEDICAL STUDENTS. DUE TO ST. AGNES' AFFILIATION WITH THE UNIVERSITY OF MARYLAND MEDICAL SCHOOL AND JOHNS HOPKINS SCHOOL OF MEDICINE, THE RESIDENTS ARE PRESENTED AN OPPORTUNITY TO ROTATE THROUGH THOSE HOSPITALS, FURTHER ENRICHING THE PATIENT CARE EXPERIENCE. THE RESIDENCY PROGRAM ALLOWS THE RESIDENTS TO BECOME PROFICIENT IN OBTAINING CLINICAL DATA BY PATIENT INTERVIEW, PHYSICAL EXAMINATION, AND INTERPRETATION OF LABORATORY DATA. THE RESIDENTS ALSO BECOME PROFICIENT IN UTILIZING CLINICAL DATA TO PRIORITIZE PROBLEMS AND FORMULATE DIFFERENTIAL DIAGNOSES. THE TRAINING PROGRAM HELPS THE RESIDENTS LEARN TO FORMULATE DIAGNOSTIC AND THERAPEUTIC PLANS DEMONSTRATING AWARENESS OF RISKS, BENEFITS, COSTS, PATIENT PREFERENCES, AND ETHICAL AND PSYCHOSOCIAL ISSUES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense110943315Expense
Grants0Grants
Revenue192209230Revenue
DescriptionST. AGNES HOSPITAL PROVIDES THE FOLLOWING IN-PATIENT AND OUTPATIENT MEDICAL SERVICES TO THE COMMUNITY: AMBULATORY CARE CENTER SERVICES, CARDIOVASCULAR SERVICES, CANCER TREATMENT SERVICES, EMERGENCY CARE CENTER SERVICES, LABORATORY SERVICES, ORTHOPEDIC SERVICES, PAIN MANAGEMENT, PRIMARY CARE PHYSICIANS, RADIOLOGY SERVICES, REHABILITATION SERVICES, SLEEP STUDIES, STROKE SERVICES, OBSTETRICS, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, WOUND CARE, RESPIRATORY THERAPY, SURGERY, PEDIATRICS, IMAGING CLINIC, BARIATRIC SERVICES, RESPIRATORY THERAPY, WOMEN'S HEALTH SERVICES, DIABETES WELLNESS PROGRAMS, PALLIATIVE CARE SERVICES, AND AN ANTICOAGULATION CLINIC. SOME OF THE SERVICES LISTED OPERATE AT A LOSS IN ORDER TO ENSURE THAT ALL SERVICES ARE AVAILABLE TO MEET COMMUNITY HEALTH CARE NEEDS. DURING THE FISCAL YEAR ENDING JUNE 30, 2011, OUR HOSPITAL TREATED 19,618 INPATIENT ADULTS AND CHILDREN IN THE COMMUNITY FOR A TOTAL OF 80,500 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES TO 499,369 OUTPATIENTS, INCLUDING 6,432 OUTPATIENT SURGERY PATIENTS, 68,705 EMERGENCY ROOM VISITS, AND 43,823 CLINIC VISITS.Description
FieldValueIRS element (for citing)
Total Program Service Expense300796577TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096295NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3342NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SCOTT FURNISSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4103683130TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1900 CATON AVENUEAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21229ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SISTER PATRICIA ANN BOSSLE DC
BOARD DIRECTOR1.40X000
SAM SYDNEY
BOARD DIRECTOR2.10X000
MARC BUNTING
BOARD DIRECTOR2.40X000
HECTOR L TORRES
BOARD DIRECTOR1.50X000
A GREGORY KELLY JR
BOARD DIRECTOR3.00X000
CHARLES G TILDON III
BOARD DIRECTOR2.10X000
GARY N GEISEL
BOARD DIRECTOR2.10X000
BRUCE R GRINDROD JR
BOARD DIRECTOR1.50X000
SISTER ELLEN MARIE HAGAR
BOARD DIRECTOR1.70X000
M SUE LOVELL
BOARD DIRECTOR1.40X000
JAMES B SELLINGER
BOARD DIRECTOR2.70X000
RONALD H SCHACK
BOARD DIRECTOR2.80X000
ALBERT R COUNSELMAN
BOARD DIRECTOR2.00X000
BARBARA BOZZUTO
BOARD CHAIR4.40X000X
JOHN E WHEELER
VICE CHAIR3.70X000X
BONNIE PHIPPS
PRESIDENT50.00X1104994027244X
ADIL TOTOONCHIE MD MBA
SECRETARY3.10X000X
PAUL J CHEW
TREASURER2.10X000X
SCOTT FURNISS
SENIOR VP/CFO50.00263838025222X
ADRIAN LONG
EXECUTIVE VP/CMO50.00430702032399X
WILLIAM GRESKOVICH
VP OPERATIONS & CAPITAL PROJECTS50.00265548042785X
YOLANDA COPELAND
SENIOR VP PATIENT CARE SERVICES50.00277150031518X
GEORGE GRACE
MEDICAL DIR. PLASTIC/HAND SURGERY50.00843960051498X
HOWARD HESSAN
MEDICAL DIRECTOR OTOLARYNGOLOGY50.00778208043745X
LAWRENCE SHIN
ORTHOPEDIC SURGEON50.00665947029987X
VINEY SETYA
CHIEF GENERAL SURGERY50.00561808021884X
ROBERT PALEY
CHAIRMAN DIAGNOSTIC IMAGING50.00520115034229X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5712270TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation340511TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EAGLEEYE RADIOLOGY INC
12100 SUNRISE VALLEY DRIVERESTONVA20191RADIOLOGY SERVICES1168000
DRS HICKEN CRANLEY & TAYLOR PA CLINICA
3455 WILKENS AVENUEBALTIMOREMD21229CONTRACTUAL SERVICES1000519
MIDATLANTIC CARDIOVASCULAR
1838 GREENE TREE ROADBALTIMOREMD21208CARDIOLOGY SERVICES711113
EMCARE INC
7032 COLLECTION CENTER DRIVECHICAGOIL60693CONTRACTUAL SERVICES534376
ACCESS NURSING SERVICES
411 MANVILLE ROADPLEASANTVILLENY10570NURSING SERVICES326932
FieldValueIRS element (for citing)
Number Of Contractors GT100 K51NumberOfContractorsGT100K
Related Organizations1815903RelatedOrganizations
Government Grants722726GovernmentGrants
Total Contributions2538629TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE6219903844339133796234604810453
ANCILLARY JOINT VENT.90009947323054732305
SYSTEM SUPPORT900099780914780914
MEDICAL STUDENT900099704831704831
FieldValueIRS element (for citing)
Total Program Service Revenue390651963TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29360028TotalRevenueColumn
Exclusion$29,360,028ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real710041Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real149658Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real560383Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column560383TotalRevenueColumn
Exclusion$560,383ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA REVENUE9000991428053$1,428,053
NET ASSETS RELEASED900099670409$670,409

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1602106TotalRevenueColumn
Exclusion$1,602,106ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3700568TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column426811571TotalRevenueColumn
Related Or Exempt Function Income385841510RelatedOrExemptFunctionIncome
Unrelated Business Revenue4810453UnrelatedBusinessRevenue
Exclusion$33,620,979ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total156232Total
Program Services156232ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total16595Total
Program Services16595ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2528595Total
Management And General2528595ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total11257102Total
Program Services9682840ProgramServices
Management And General1574262ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total148677368Total
Program Services126755890ProgramServices
Management And General21921478ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9828468Total
Program Services8254083ProgramServices
Management And General1574385ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10117752Total
Program Services8497028ProgramServices
Management And General1620724ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11544033Total
Program Services9694839ProgramServices
Management And General1849194ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total907968Total
Program Services89620ProgramServices
Management And General818348ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total96872Total
Management And General96872ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total36287Total
Management And General36287ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total27292637Total
Program Services18681003ProgramServices
Management And General8611634ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1137338Total
Program Services53597ProgramServices
Management And General1083741ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total67892491Total
Program Services64635280ProgramServices
Management And General3257211ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8571483Total
Program Services8571483ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1865886Total
Program Services1200263ProgramServices
Management And General665623ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total216743Total
Program Services79660ProgramServices
Management And General137083ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total242266Total
Program Services171131ProgramServices
Management And General71135ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total372542Total
Management And General372542ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total2562467Total
Management And General2562467ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14799226Total
Program Services8726233ProgramServices
Management And General6072993ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2193702Total
Program Services2740362ProgramServices
Management And General-546660ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS1669198116691981
UTILIZATION77672557767255
UTILITIES43118804311880
RECRUITING COSTS728017201389526628
CME2907262864314295

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10891426Total
Program Services3531502ProgramServices
Management And General7359924ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total362995338Total
Program Services300796577ProgramServices
Management And General62198761ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8274448BOY
EOY10174402EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3408039BOY
EOY3295641EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY42184727BOY
EOY45978875EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY580541BOY
EOY554544EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4148141BOY
EOY4775336EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1204806BOY
EOY1888963EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis341726561LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec129384358LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY171293200BOY
EOY212342203EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2618082BOY
EOY3017359EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY13312673BOY
EOY16044977EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY1486920EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY171655604BOY
EOY184833602EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY418680261BOY
EOY484392822EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY34712034BOY
EOY48101034EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY11710BOY
EOY11710EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY80586587BOY
EOY80006845EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY56357803BOY
EOY25667085EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY171668134BOY
EOY153786674EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY235998571BOY
EOY319306971EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10889313BOY
EOY11168819EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY124243BOY
EOY130358EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY247012127BOY
EOY330606148EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY418680261BOY
EOY484392822EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses63816233ReconcilationRevenueExpenses
Reconcilation Other Changes19777788ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$36,287OtherActivitiesAmount
Total Lobbying Expenditures IIB36287TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationLOBBYING EXPENSES REPRESENT THE DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS, A PORTION OF WHICH IS SPECIFICALLY ALLOCABLE TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2685977BeginningOfYearBalance
Investment Earnings Or Losses412356InvestmentEarningsOrLosses
End Of Year Balance3098333EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2374969BeginningOfYearBalance
Investment Earnings Or Losses311008InvestmentEarningsOrLosses
End Of Year Balance2685977EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2926667BeginningOfYearBalance
Investment Earnings Or Losses-551698InvestmentEarningsOrLosses
End Of Year Balance2374969EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.96000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.04000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis488600OtherCostOrOtherBasis
Book Value488600BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis141545890OtherCostOrOtherBasis
Depreciation23010916Depreciation
Book Value118534974BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2728008OtherCostOrOtherBasis
Depreciation1422152Depreciation
Book Value1305856BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis78914707OtherCostOrOtherBasis
Depreciation53850477Depreciation
Book Value25064230BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis118049356OtherCostOrOtherBasis
Depreciation51100813Depreciation
Book Value66948543BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings212342203TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT - DEFERRED COMPENSATION4702427
INVESTMENT IN EXEC FLEX CAA151016
CASH SURRENDER VALUE - LIFE778728
HEALTH SYSTEM DEPOSITORY (HSD)175228322
INTEREST IN FOUNDATION NET ASSETS2164778
OTHER NON CURRENT ASSET-FICA RECEIVABLE1795501
DUE FROM DCNHS-AHRQ GRANT12830
FieldValueIRS element (for citing)
Total Book Value Other Assets184833602TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PENSION$410,113
CURRENT PORTION OF L/T DEBT$579,742
OTHER CURRENT LIABILITIES$14,108,314
OTHER NON-CURRENT LIABILITIES$6,417,976
SELF INSURANCE LIABILITY$4,150,940
FieldValueIRS element (for citing)
Total Of Amounts25667085TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPART V, LINE 4, ENDOWMENT FUNDS : WHITEFORD ENDOWMENT - 50% TO BE UTILIZED TO ERECT A WING OR ADDITIONAL BUILDING, ADDITIONAL 50% MAY BE USED TO SUPPORT HOSPITAL OPERATIONS. JENKINS ENDOWMENT - THIS ENDOWMENT WAS ESTABLISHED IN 1911, A PORTION OF THE EARNINGS FROM THE FUND IS RESTRICTED FOR THE CARE OF CANCER PATIENTS. IN AUGUST 2012, THE TIME RESTRICTIONS WILL HAVE BEEN MET AND ST. AGNES PLANS TO USE THE REMAINING BALANCE TO FUND THE CAMPUS REVITILIZATION PROJECT. BROWNE ENDOWMENT - ESTABLISHED FOR USE BY CARDIAC UNIT TO AID THE INDIGENT. GITTINGS ENDOWMENT - CREATED TO PROVIDE A BED IN THE CHILDREN'S WARD. PART X, THE ORGANIZATION DOES NOT CONDUCT A SEPARATE AUDIT OF ITS FINANCIAL STATEMENTS, BUT IS INCLUDED IN THE ASCENSION HEALTH SYSTEM CONSOLIDATED AUDITED FINANCIAL STATEMENTS. PER THE FINANCIAL STATEMENTS OF ASCENSION HEALTH, THERE IS NO CURRENT YEAR ASC 740 (FORMERLY KNOWN AS FIN 48 FOOTNOTE.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref Fundraising1AgreementRefFundraising
Licensed StatesMDLicensedStates

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12314893TotalCommunityBenefitExpense
Net Community Benefit Expense12314893NetCommunityBenefitExpense
Percent Of Total Expense0.03560PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8928787TotalCommunityBenefitExpense
Direct Offsetting Revenue4626162DirectOffsettingRevenue
Net Community Benefit Expense4302625NetCommunityBenefitExpense
Percent Of Total Expense0.01190PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense21243680TotalCommunityBenefitExpense
Direct Offsetting Revenue4626162DirectOffsettingRevenue
Net Community Benefit Expense16617518NetCommunityBenefitExpense
Percent Of Total Expense0.04750PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2996448TotalCommunityBenefitExpense
Direct Offsetting Revenue46948DirectOffsettingRevenue
Net Community Benefit Expense2949500NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2563049TotalCommunityBenefitExpense
Direct Offsetting Revenue524088DirectOffsettingRevenue
Net Community Benefit Expense2038961NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense443228TotalCommunityBenefitExpense
Direct Offsetting Revenue142009DirectOffsettingRevenue
Net Community Benefit Expense301219NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense818047TotalCommunityBenefitExpense
Net Community Benefit Expense818047NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6820772TotalCommunityBenefitExpense
Direct Offsetting Revenue713045DirectOffsettingRevenue
Net Community Benefit Expense6107727NetCommunityBenefitExpense
Percent Of Total Expense0.01680PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense28064452TotalCommunityBenefitExpense
Direct Offsetting Revenue5339207DirectOffsettingRevenue
Net Community Benefit Expense22725245NetCommunityBenefitExpense
Percent Of Total Expense0.06430PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense45527TotalCommunityBuildingExpense
Direct Offsetting Revenue30000DirectOffsettingRevenue
Net Community Building Expense15527NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense45527TotalCommunityBuildingExpense
Direct Offsetting Revenue30000DirectOffsettingRevenue
Net Community Building Expense15527NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$11,783,985BadDebtExpenseAmount
Amount Attributable To147658AmountAttributableTo
Amount Reimbursed By Medicare137281270AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare131768096CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall5513174MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST AGNES HEALTHCARE INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1900 CATON AVENUEAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21229ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST AGNES HEALTHCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities8NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
PLASTIC AND RECONSTRUCTIVE SURGERY
300 FREDERICK ROAD SUITE 200CATONSVILLEMD21228PLASTIC SURGERY
WOMEN'S CENTER IN COLUMBIA
10910 LITTLE PATUXENT PARKWAY STECOLUMBIAMD21044BLOOD DRAWING STATION100
ST AGNES MEDICAL CENTER
700 GEIPE ROADBALTIMOREMD21228BLOOD DRAWING STATION
COMMUNITY CENTER OUTREACH AT BALTIMORE M
900 CATON AVENUEBALTIMOREMD21229BLOOD DRAWING STATION
PINE HEIGHTS PROFESSIONAL BUILDING
1001 PINE HEIGHTS AVENUE SUITE 202BALTIMOREMD21229BLOOD DRAWING STATION
BENSON AVENUE MEDICAL CENTER
3421 BENSON AVENUEBALTIMOREMD21227WOUND CARE CENTER
SETON IMAGING CENTER
3449 WILKINS AVENUEBALTIMOREMD21229DIAGNOSTIC IMAGING
SURGERY CENTER OF ELLICOTT CITY
10025 GOVERNOR WARFIELD PKWY SUITECOLUMBIAMD21044OUTPATIENT SURGICAL CENTER410

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 3C: GENERALLY, DISCOUNTED CARE TO LOW INCOME INDIVIDUALS IS PROVIDED ON A SLIDING SCALE FOR THOSE NOT EXCEEDING 300% OF THE FEDERAL POVERTY LEVEL. FOR EMERGENCY DEPARTMENT PATIENTS AND OTHER OUTPATIENTS (ACCOUNT BALANCES UNDER $500.00) MAY BE GRANTED CHARITY EXCLUSIVELY BASED UPON THE USE OF THE AUTOMATED ELIGIBILITY SOFTWARE ONLY. IN THOSE INSTANCES, A SIGNED/COMPLETED APPLICATION WILL NOT BE REQUIRED. ADDITIONALLY, PATIENTS MAY ALSO BE ELIGIBLE FOR CHARITY CARE IF THEY MEET CRITERIA THAT WOULD DETERMINE THAT THEY ARE EXPERIENCING A FINANCIAL HARDSHIP. FINANCIAL HARDSHIP IS DEFINED AS MEDICAL DEBT FOR MEDICALLY NECESSARY SERVICES INCURRED BY A FAMILY WITH INCOME BELOW 500% OF THE FEDERAL POVERTY LEVEL THAT EXCEEDS 25% OF THE FAMILY INCOME OVER A 12 MONTH PERIOD. MEDICAL DEBT IS OUT OF POCKET EXPENSES, EXCLUDING COPAYMENTS, COINSURANCE AND DEDUCTIBLES FOR MEDICAL COSTS BILLED BY ST. AGNES HEALTHCARE. THE PATIENT AND ANY IMMEDIATE FAMILY MEMBER OF THE PATIENT LIVING IN THE SAME HOUSEHOLD ARE ELIGIBLE.
PART I, LINE 7: THE COSTING METHODOLOGY USED TO COMPLETE LINE 7A (CHARITY CARE) AND LINE 7B (UNREIMBURSED MEDICAID) IN THE TABLE WAS THE COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS CALCULATED IN ACCORDANCE WITH WORKSHEET 2 OF THE INTERNAL REVENUE SERVICE INSTRUCTIONS FOR SCHEDULE H, WHICH SUGGESTS USING THE OPERATING EXPENSES FROM THE FILING ENTITY'S FINANCIAL STATEMENTS, EXCLUDING BAD DEBT AND CERTAIN OTHER ADJUSTMENTS, AND APPLYING THE RESULT TO THE GROSS CHARGES FROM THE FILING ENTITY'S FINANCIAL STATEMENTS. THE RESULTING RATIO IS USED TO CALCULATE CHARITY CARE AT COST AND UNREIMBURSED MEDICAID.PART I LINE 7 CHARITY CARE AT COST - LINE 7A COLUMN D MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.PT I LINE 7 UNREIMBURSED MEDICAID - COLUMN C,D,E,FMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECTED OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO; MEDICAID RECOGNIZES FULL REIMBURSEMENT. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.THE AMOUNTS REPORTED IN PART I,LINE 7B REPRESENT UNREIMBURSED MEDICAID COSTS FOR UNREGULATED HEALTH CARE ACTIVITIES AND THE MEDICAID ASSESSMENT.PART I LINE 7 COLUMN FBAD DEBT EXPENSE FROM PART IX, STATEMENT OF FUNCTIONAL EXPENSES,EXCLUDED FROM THE DENOMINATOR USED TO CALCULATE TOTALCHARITY CARE EXPENSE WAS $16,691,981.
PART III, LINE 4: PART III SECTION A - BAD DEBT EXPENSE LINE 2 & 3THE BAD DEBT EXPENSE REPORTED AT COST WAS ESTIMATED USING THE BAD DEBT EXPENSE FROM THE CONSOLIDATED ST. AGNES HEALTHCARE FINANCIAL STATEMENTS, APPLYING THE COST TO CHARGE RATIO DEVELOPED USING WORKSHEET 2 FROM THE SCHEDULE H INSTRUCTIONS. THE STATE OF MARYLAND IS AN "ALL PAYOR" STATE REGULATED BY THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) WHERE ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. THEREFORE, SELF PAY DISCOUNTS, ARE LARGELY NOT APPLICABLE FOR REGULATED ACTIVITY AND HAVE NO IMPACT ON BAD DEBT EXPENSE. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE, AT COST, ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS ESTIMATED BY EXAMINING ALL BAD DEBT WRITE-OFFS AT THE PATIENT ACCOUNT LEVEL DURING THE FISCAL YEAR. THOSE ACCOUNTS THAT HAD AN INSURANCE CLASSIFICATIONS OF CHARITY, CHARITY PENDING, OR MEDICAID PENDING THAT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT, ARE ASSUMED TO BE PATIENTS THAT WOULD HAVE BEEN ELIGIBLE FOR ASSISTANCE UNDER THE CHARITY CARE POLICY IF SUFFICIENT INFORMATION WOULD HAVE BEEN PROVIDED TO MAKE THAT DETERMINATION. THE SUM OF THOSE ACCOUNTS, MULTIPLIED BY THE COST TO CHARGE RATIO, IS REPORTED IN SECTION A, LINE 3.PART III LINE 4 SECTION A - BAD DEBT EXPENSENET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES PROVIDED AND INCLUDES ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. REVENUE UNDER CERTAIN THIRD-PARTY PAYOR AGREEMENTS IS SUBJECT TO AUDIT, RETROACTIVE ADJUSTMENTS, AND SIGNIFICANT REGULATORY ACTIONS. PROVISIONS FOR THIRD-PARTY PAYOR SETTLEMENTS AND ADJUSTMENTS ARE ESTIMATED IN THE PERIOD THE RELATED SERVICES ARE PROVIDED AND ADJUSTED IN FUTURE PERIODS AS ADDITIONAL INFORMATION BECOMES AVAILABLE AND AS FINAL SETTLEMENTS ARE DETERMINED. LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE COMPLEX AND SUBJECT TO INTERPRETATION. AS A RESULT, THERE IS AT LEAST A POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. DURING 2011 AND 2010, APPROXIMATELY 45% AND 44%, RESPECTIVELY, OF NET PATIENT SERVICE REVENUE WAS RECEIVED UNDER THE MEDICARE PROGRAM AND 15% AND 14%, RESPECTIVELY, UNDER VARIOUS STATE MEDICAID PROGRAMS. THE HEALTH MINISTRY GRANTS CREDIT WITHOUT COLLATERAL TO ITS PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY PAYOR ARRANGEMENTS. SIGNIFICANT CONCENTRATIONS OF ACCOUNTS RECEIVABLE AT JUNE 30, 2011 AND 2010 INCLUDE MEDICARE (29% AND 31%, RESPECTIVELY) AND VARIOUS STATES' MEDICAID (22% AND 20%, RESPECTIVELY) PROGRAMS. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS, HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE HEALTH MINISTRY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HEALTH MINISTRY'S POLICIES.
PART III, LINE 8: INCLUDED IN LINE 5 AND 6 OF SECTION B ARE MEDICARE ALLOWABLE COSTS AND REIMBURSEMENT REPORTED ON THE HOSPITAL'S MEDICARE COST REPORT. THIS INCLUDES REIMBURSABLE ACUTE HOSPITAL SERVICES. IN ADDITION, THE HOSPITAL HAS ALSO INCLUDED MEDICARE NET REVENUES AND EXPENSES FOR NON-HOSPITAL SERVICES NECESSARY TO SUPPORT HOSPITAL OPERATIONS. THIS INCLUDES PROFESSIONAL RADIOLOGY, ANESTHESIA AND OTHER PHYSICIAN SPECIALTY SERVICES.THE MEDICARE SURPLUS OF $17,349,080 FOR HOSPITAL SERVICES WAS CALCULATED BY SUBTRACTING THE MEDICARE COSTS (GROSS MEDICARE REVENUE MULTIPLIED BY THE COST TO CHARGE RATIOS REPORTED ON THE MEDICARE COST REPORT) FROM THE MEDICARE PAYMENTS. NON-HOSPITAL SERVICES SHORTFALL OF $11,835,906 WAS CALCULATED BY MULTIPLYING EACH NON-HOSPITAL SERVICES' MEDICARE PATIENT SHARE BY THE NON-HOSPITAL SERVICES' ANNUAL OPERATING LOSS. MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. THIS UNIQUE PAYMENT SYSTEM IS DESIGNED FOR ALL PAYORS TO SHARE THE COST OF HEALTHCARE EQUALLY, MEANING THE COST SHIFTING TO PRIVATE PAYORS, THAT IS COMMONLY SEEN IN OTHER STATES, IS NOT EXPERIENCED IN MARYLAND. THIS MODEL RESULTS IN A SURPLUS OF PAYMENT OVER EXPENSE.
PART III, LINE 9B: IT IS ST. AGNES HEALTHCARE'S POLICY TO PLACE ACCOUNTS THAT HAVE BEEN WRITTEN OFF TO BAD DEBT WITH A COLLECTION AGENCY FOR ADDITIONAL COLLECTION EFFORT. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE REVENUE CYCLE. PATIENTS WHO WORK TO APPLY FOR CHARITY CARE WHOSE ACCOUNT RESIDES AT THE AGENCY WILL BE REFERRED TO THE HOSPITAL BY THE AGENCY. THE AGENCY WILL DELETE THE ACCOUNT AND THE HOSPITAL WILL WORK WITH THE PATIENT TO COMPLETE THE CHARITY CARE APPLICATION PROCESS. EMERGENCY DEPARTMENT PATIENTS AND OTHER OUTPATIENTS (ACCOUNT BALANCES UNDER $500.00) MAY BE GRANTED CHARITY EXCLUSIVELY BASED UPON THE USE OF AN AUTOMATED ELIGIBILITY SOFTWARE. A SIGNED/ COMPLETED APPLICATION WILL NOT BE REQUIRED IN THOSE INSTANCES.
PART VI, LINE 2: ST. AGNES HEALTHCARE PREPARES A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS, WHICH WAS LAST UPDATED IN APRIL 2007. THE HEALTH STATUS OF A COMMUNITY CAN BE MEASURED BY A VARIETY OF METHODS. CONSIDERATIONS CAN INCLUDE BIRTH AND DEATH RATES, LIFE EXPECTANCY, MORBIDITY, HEALTH INSURANCE COVERAGE, HEALTH RESOURCES AVAILABILITY, AND POPULATION DATA. TO THE EXTENT POSSIBLE, ST. AGNES HEALTHCARE SEEKS TO CONSIDER MANY OF THESE FACTORS. ST. AGNES HEALTHCARE'S COMMUNITY NEEDS ASSESSMENT FOCUSES ON HEALTH STATUS INDICATORS THAT HAVE BEEN GROUPED INTO FOUR KEY AREAS: DEMOGRAPHICS, SOCIOECONOMIC STATUS, HEALTH STATUS, AND HEALTH RESOURCE UTILIZATION/PHYSICIAN MANPOWER NEEDS. TO SUPPORT THE ANALYSIS, READILY AVAILABLE DATA WAS GATHERED FROM THE U.S. CENSUS AND MARYLAND DISCHARGE DATABASES FOR INPATIENT AND EMERGENCY SERVICES, AND POPULATION FORECASTS.THE FIRST HEALTH STATUS INDICATOR GROUPING INVOLVES DEMOGRAPHICS. THE ANALYSIS OF DEMOGRAPHIC DATA INCLUDES A REVIEW OF POPULATION DENSITY, POPULATION AGE LESS THAN OR EQUAL TO FIVE YEARS OLD, POPULATION AGE GREATER THAN OR EQUAL TO SIXTY-FIVE YEARS OLD, FEMALE POPULATION AGES FIFTEEN TO FORTY-FOUR, FEMALE POPULATION GROWTH AGES FIFTEEN TO FORTY-FOUR, POPULATION GROWTH AGE GREATER THAN OR EQUAL TO SEVENTY-FIVEYEARS OLD, AND MINORITY POPULATION.THE SECOND HEALTH STATUS INDICATOR GROUPING INVOLVES SOCIOECONOMIC STATUS. THE ANALYSIS OF SOCIOECONOMIC DATA INCLUDES A REVIEW OF THE PERCENT OF HOUSEHOLDS IN POVERTY, CHILDREN LIVING IN POVERTY, AVERAGE HOUSEHOLD INCOME, POPULATION OF UNINSURED, POPULATION AGE EIGHTEEN TO TWENTY-FOUR WITH A HIGH SCHOOL DIPLOMA, TOTAL POPULATION WITHOUT A HIGH SCHOOL DIPLOMA, POPULATION WITH DISABILITIES, UNEMPLOYED CIVILIAN LABOR FORCE, LEVEL OF RENTAL HOUSING, AND LEVEL OF VACANT HOUSING.THE THIRD DATA GROUPING INVOLVES A MORE DETAILED REVIEW OF CERTAIN ADDITIONAL HEALTH STATUS INDICATORS. THE HEALTH STATUS ANALYSIS REVIEWS AMBULATORY SENSITIVE HOSPITALIZATIONS, SUCH AS ASTHMA, CONGESTIVE HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, DIABETES, HYPERTENSION, AND PNEUMONIA. THE HEALTH STATUS ANALYSIS ALSO EXAMINES MATERNAL AND INFANT HEALTH, INCLUDING THE LEVEL OF BIRTHS TO TEEN MOMS, THE LEVEL OFLOW BIRTH WEIGHT INFANTS, THE LEVEL OF BIRTH DEFECTS, THE LEVEL OF INFANT MORTALITY, AND THE LEVEL OF BIRTHS WITH INSUFFICIENT PRENATAL CARE. ADDITIONALLY, MAJOR DISEASE PREVALENCE IS ALSO EXAMINED. THIS INCLUDES EXAMINING THE CANCER, CARDIOVASCULAR, AND STROKE DISCHARGES PER ONE THOUSAND POPULATION. MAJOR DISEASE PREVALENCE ALSO INCLUDES EXAMINING LIFESTYLE BEHAVIORS AND INDICATORS, SUCH AS OBESITY, MENTAL HEALTH, SUBSTANCE ABUSE, TOBACCO USE AND HIV.THE FINAL DATA GROUPING EXAMINES HEALTH RESOURCE UTILIZATION AND THE PHYSICIAN MANPOWER NEED. THIS ANALYSIS REVIEWS ACUTE CARE DISCHARGES, ACUTE CARE INPATIENT DAYS, AND OUTPATIENT EMERGENCY VISITS PER ONE THOUSAND POPULATION. FURTHERMORE, PRIMARY CARE AND SPECIALTY PHYSICIAN NEEDS ARE EVALUATED.THE ASSESSMENT PROVIDES A COMPARATIVE ANALYSIS OF THE COMMUNITIES THAT COMPRISE ST. AGNES HEALTHCARE'S SERVICE AREA. THE PRIMARY METHODOLOGY UTILIZED IS A RANKING OF THE COMMUNITY SCORES FOR EACH INDICATOR AGAINST THE CENTRAL MARYLAND AVERAGE. AN INDEX IS CREATED WHERE 1.0 IS THE AVERAGE OF CENTRAL MARYLAND. IN THE ANALYSIS, ANY SCORE ABOVE 1.0 IS WORSE THAN AVERAGE AND ANYTHING BELOW 1.0 IS BETTER THAN AVERAGE. COMPOSITE SCORES ARE DEVELOPED FOR EACH OF THE FOUR MAJOR ASSESSMENT AREAS AND THESE ARE THEN SUMMARIZED TO GENERATE A COMPOSITE OVERALL NEED INDEX. THIS METHODOLOGY IS MODELED AFTER THE APPROACH FORMERLY UTILIZED BY THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE FOR THE STATEWIDE PRIMARY CARE ACCESS PLAN.
PART VI, LINE 3: ST. AGNES HEALTHCARE DISPLAYS SIGNAGE, IN BOTH ENGLISH AND SPANISH IN ALL REGISTRATION AREAS THAT INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS AND CONTACT INFORMATION. THE SIGNAGE IS ACCOMPANIED BY BROCHURES THAT EXPLAIN THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE. THE MARYLAND STATE FINANCIAL ASSISTANCE APPLICATION IS ALSO AVAILABLE. REGISTRATION AREAS ARE ROUTINELY CHECKED TO INSURE THESE MATERIALS ARE PROMINENTLY DISPLAYED. ST. AGNES HEALTHCARE HAS EMPLOYEES WHO ARE RESPONSIBLE FOR SCREENING ADMISSIONS TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY, MEDICAID, OR OTHER STATE PROGRAMS. ONCE THESE PATIENTS ARE IDENTIFIED, ST. AGNES HEALTHCARE EMPLOYEES ASSIST THEM WITH COMPLETING THE ELIGIBILITY PROCESS.ALL INPATIENTS ARE PROVIDED THE PATIENT BILLING AND FINANCIAL ASSISTANCE INFORMATION SHEET AT THE TIME OF ADMISSION. IT IS ALSO MAILED TO THE PATIENT WITH THE SUMMARY BILL THAT IS SENT AFTER DISCHARGE. THE INFORMATION SHEET IS PROVIDED IN BOTH ENGLISH AND SPANISH AND PROVIDES THE PATIENT WITH INFORMATION REGARDING ST. AGNES HEALTHCARE'S FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE AND MEDICAL ASSISTANCE AND THE PATIENT'S RIGHTS AND OBLIGATIONS. A PUBLIC NOTICE IS ALSO PUBLISHED ANNUALLY IN THE BALTIMORE SUN NEWSPAPER NOTIFYING THE PUBLIC OF THE AVAILABILITY OF UNCOMPENSATED CARE AT ST. AGNES HEALTHCARE.
PART VI, LINE 4: THE AREAS SURROUNDING ST. AGNES HEALTHCARE HAVE A DIVERSE SOCIOECONOMIC COMPOSITION WITH A MIX OF URBAN AND SUBURBAN COMMUNITIES THAT ARE CONSISTENT WITH THE RANGE OF COMMUNITIES FOUND IN ANY LARGE METROPOLITAN REGION. FOR ST. AGNES HEALTHCARE, THE CHALLENGE OF SERVING THESE COMMUNITIES LIES IN MEETING THE DIFFERENT NEEDS ASSOCIATED BETWEEN SOME OF THE POOREST AND MOST AFFLUENT NEIGHBORHOODS IN CENTRAL MARYLAND ALL LOCATED WITHIN A THREE MILE RADIUS OF THE HOSPITAL CAMPUS. A FURTHER CHALLENGE IS THE RAPIDLY CHANGING COMPOSITION OF THE NEIGHBORHOODS LOCATED MOST IMMEDIATE TO ST. AGNES HEALTHCARE, WHICH OVER THE LAST FIVE YEARS, HAVE EXPERIENCED INCREASING URBAN BLIGHT.ST. AGNES HEALTHCARE'S SERVICE AREA SPANS FIVE MARYLAND COUNTIES INCLUDING BALTIMORE COUNTY, BALTIMORE CITY, ANNE ARUNDEL COUNTY, HOWARD COUNTY, AND CARROLL COUNTY. WITHIN THOSE COUNTIES, ELEVEN COMMUNITIES ARE SERVED REPRESENTING 22 POSTAL ZIP CODES. THOSE COMMUNITIES INCLUDE ARBUTUS, BROOKLYN/LINTHICUM, CATONSVILLE, ELLICOTT CITY, GLEN BURNIE, SOUTH CARROLL, PASADENA, SOUTH BALTIMORE CITY, SOUTHWEST BALTIMORE CITY, WEST BALTIMORE CITY, AND WOODLAWN. THIS STUDY AREA REPRESENTS APPROXIMATELY 81% OF THE DISCHARGES FOR ST. AGNES HEALTHCARE, WITH ARBUTUS AND CATONSVILLE RELYING MOST HEAVILY ON ST. AGNES HEALTHCARE FOR THEIR INPATIENT HEALTH CARE NEEDS. THE DEMOGRAPHICS OF ST. AGNES HEALTHCARE'S SERVICE AREA AVERAGE OUT TO BE THE SAME AS CENTRAL MARYLAND OVERALL. HOWEVER, INDEPENDENTLY EACH INDICATOR VARIES SUBSTANTIALLY FROM CENTRAL MARYLAND. THE SERVICE AREA SHOWS A SIGNIFICANTLY HIGHER THAN AVERAGE POPULATION DENSITY OF 2,345 PER SQUARE MILE, COMPARED TO 1,155 FOR CENTRAL MARYLAND.CHILDREN UNDER AGE FIVE AND ADULTS SIXTY-FIVE AND OLDER TOTALED 49,793 AND 89,932 RESPECTIVELY, COMPARED TO CENTRAL MARYLAND AVERAGES OF 165,227 AND 314,862 RESPECTIVELY. FEMALES AGES FIFTEEN TO FORTY-FOUR TOTALED 157,576 FOR THE SERVICE AREA WHILE THE CENTRAL MARYLAND AVERAGE WAS 554,037. THE SERVICE AREA IS SIGNIFICANTLY MORE RACIALLY AND ETHNICALLY DIVERSE THAN THE CENTRAL MARYLAND AVERAGES. SPECIFICALLY, COMMUNITIES THAT COMPRISE THE SOUTHWEST CORNER OF BALTIMORE CITY AND BALTIMORE COUNTY CONTAIN POPULATIONS WHERE 90% OF THE POPULATIONS CONSIST OF NONWHITE RACIAL OR ETHNIC GROUPS.TYPICAL TO THE URBAN ENVIRONMENT, EACH COMMUNITY LOCATED IN BALTIMORE CITY IS PROJECTED TO EXPERIENCE A POPULATION DECLINE, WHILE SUBURBAN AREAS LIKE ELLICOTT CITY, SOUTH CARROLL, AND PASADENA ARE PROJECTED TO HAVE POPULATION GROWTH. THE OVERALL POPULATION GROWTH IS EXPECTED TO EXCEED THE CENTRAL MARYLAND AVERAGE, BUT THE GROWTH RATE OF PERSONS OVER THE AGE OF SEVENTY-FIVE IS EXPECTED TO LAG BEHIND. THE DEMOGRAPHIC ANALYSIS SHOWS THAT WEST BALTIMORE CITY CONTINUES TO EXHIBIT DEMOGRAPHIC CHARACTERISTICS WITH HIGHER NEED, WHILE ARBUTUS AND CATONSVILLE EXHIBIT COMPARITIVELY LOWER NEED CHARACTERISTICS. LOWER SOCIOECONOMIC STATUS IS HIGHLY CORRELATED WITH POOR HEALTH OUTCOMES, DECREASED ACCESS TO HEALTH SERVICES, AND UNHEALTHY LIFESTYLES. OVERALL, THE ST. AGNES HEALTHCARE SERVICE AREA IS MARKED BY A LESS FAVORABLE SOCIOECONOMIC STATUS THAN THAT OF CENTRAL MARYLAND AS A WHOLE. THE INDICES ARE DIVIDED AS URBAN COMMUNITIES ARE LESS FAVORABLE AND SUBURBAN COMMUNITIES ARE MORE FAVORABLE THAN THE CENTRAL MARYLAND AVERAGE. THE PERCENTAGE OF HOUSEHOLDS WITH LOW INCOME WAS 40% FOR THE SERVICE AREA, COMPARED TO 30% FOR THE CENTRAL MARYLAND AVERAGE. THE AVERAGE HOUSEHOLD INCOME IN THE SERVICE AREA WAS LOWEST IN WEST BALTIMORE CITY AT $39,014 AND HIGHEST IN ELLICOTT CITY AT $101,620. THE OVERALL AVERAGE FOR THE SERVICE AREA WAS $68,017 COMPARED TO THE CENTRAL MARYLAND AVERAGE WHICH WAS $83,587. THE RATE OF UNINSURED PATIENTS WAS CLOSELY TIED TO AVERAGE HOUSEHOLD INCOME WITH WEST BALTIMORE CITY SHOWING THE HIGHEST UNINSURED RATE, 39%, AND ELLICOTT CITY SHOWING THE LOWEST UNINSURED RATE, 6%. OVERALL, THE SERVICE AREA HAD A 20% UNINSURED RATE WHILE THE CENTRAL MARYLAND AVERAGE HAD A 16% RATE.INCOME AND EDUCATION ATTAINMENT CAN BE CAUSAL FACTORS FOR MANY HEALTH DISPARITIES IN THE COMMUNITY. HIGHER EDUCATION PROVIDES GREATER POTENTIAL FOR HIGHER INCOME, WHICH ENABLES INCREASED ACCESS TO MEDICAL CARE, BETTER HOUSING, ACCESS TO SAFER NEIGHBORHOODS, AND INCREASED LIKELIHOOD OF DEVELOPING HEALTHIER LIFESTYLE BEHAVIORS. THE NEEDS ASSESSMENT DATA SHOWED THAT ST. AGNES HEALTHCARE'S SERVICE AREA UNDERPERFORMED THE CENTRAL MARYLAND AVERAGE IN OTHER SOCIOECONOMIC MEASURES. THIS INCLUDES THE PERCENTAGE OF INDIVIDUALS AGE TWENTY-FIVE AND OLDER WITH LESS THAN A HIGH SCHOOL DIPLOMA, THE UNEMPLOYMENT RATE, THE PERCENTAGE OF RENTED HOUSING, AND THE PERCENTAGE OF VACANT HOUSING. ST. AGNES HEALTHCARE ALSO PERFORMS A COMMUNITY HEALTH STATUS ASSESSMENT. THIS ASSESSMENT CAPTURES DATA FOR WHITE AND NONWHITE POPULATIONS SEPARATELY, WHICH HIGHLIGHTS THE RACIAL DISPARITIES PRESENT WITHIN EACH COMMUNITY AND THE INFLUENCE ON HEALTH STATUS AND HOSPITALIZATION RATES. ST. AGNES HEALTHCARE EVALUATES AMBULATORY SENSITIVE HOSPITALIZATIONS, WHICH ARE ACUTE CARE HOSPITAL ADMISSIONS THAT POTENTIALLY COULD HAVE BEEN PREVENTED THROUGH BETTER OVERALL PATIENT MANAGEMENT, PRIMARILY THROUGH PRIMARY CARE SYSTEMS. ST. AGNES HEALTHCARE COLLECTED DATA ON SIX DIFFERENT CHRONIC ILLNESSES, WHICH INCLUDE ASTHMA, CONGESTIVE HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, DIABETES, HYPERTENSION, AND PNEUMONIA. FOR EACH CHRONIC ILLNESS EXAMINED, ST. AGNES HEALTHCARE'S SERVICE AREA HAD HIGHER RATES OF ILLNESS, FOR BOTH WHITE AND NONWHITE POPULATIONS, WHEN COMPARED TO THE CENTRAL MARYLAND AVERAGE. IN COMPARING THE RACIAL DISPARITIES, THE RATE OF HOSPITALIZATION IN THE ST. AGNES HEALTHCARE SERVICE AREA PROVES TO BE INFLUENCED BY SOCIOECONOMIC FACTORS MORE SO THAN RACE. IN LESS AFFLUENT COMMUNITIES, THE NONWHITE POPULATION HAD A HIGHER RATE OF HOSPITALIZATION THAN THE WHITE POPULATION OF THE SAME COMMUNITY. HOWEVER, THE INVERSE IS TRUE IN THE AFFLUENT COMMUNITIES WHERE THE NONWHITE POPULATION HAS A LOWER ADMISSION RATE THAN THEIR WHITE COUNTERPARTS.ST. AGNES HEALTHCARE COMPILES AND ANALYZES MATERNAL AND INFANT HEALTH DATA. ONE OF THE MOST POTENTIALLY VULNERABLE POPULATIONS IN THE SERVICE AREA IS POVERTY-STRICKEN WOMEN AND THEIR CHILDREN, ESPECIALLY THOSE LIVING IN POVERTY. THE SOCIOECONOMIC ANALYSIS REVEALED THAT AN ESTIMATED 40% OF CHILDREN IN THE SERVICE AREA ARE LIVING IN POVERTY, WITH THE URBAN AREAS EXPERIENCING RATES OF GREATER THAN 50%. THE QUALITY OF LIFE AND HEALTH STATUS OF WOMEN HAS FAR REACHING IMPLICATIONS. TEEN PREGNANCY,ACCESS TO ADEQUATE PRENATAL CARE, LOW BIRTH WEIGHT AND BIRTH DEFECTS GENERATE INCREASED DEMANDS FOR FUTURE HEALTH CARE NEEDS AND IMPACT NOT JUST THIS GENERATION, BUT SUBSEQUENT GENERATIONS AS THE CYCLE OF POVERTY IS CONTINUED. THE HEALTH STATUS ASSESSMENT EXAMINED THE PERCENTAGE OF BIRTHS TO TEEN MOMS, PERCENTAGE OF NEWBORNS WITH LOW BIRTH WEIGHTS, THEPERCENTAGE OF BIRTH DEFECTS, INFANT MORTALITY, AND THE PERCENTAGE OF MOTHERS WITH INSUFFICIENT PRENATAL CARE. IN NEARLY EVERY CATEGORY, THE SERVICE AREA HAD MORE INCIDENCES THAN THE CENTRAL MARYLAND AVERAGE. THE PERCENTAGE OF INFANTS WITH LOW BIRTH WEIGHT, FOR WHITE POPULATIONS, AND THE INFANT MORTALITY RATES, WITH NONWHITE POPULATIONS, WERE THE ONLY TWO AREAS THAT HAD SLIGHTLY LESS INCIDENCES THAN THE CENTRAL MARYLAND AVERAGE. UNLIKE AMBULATORY HOSPITALIZATION, THE NONWHITE POPULATIONS HAVE SUBSTANTIALLY HIGHER RATES OF BIRTHS TO TEEN MOTHERS, INFANTS WITH LOW BIRTH WEIGHT, INFANTS WITH BIRTH DEFECTS, AS WELL AS BIRTHS WITH INSUFFICIENT PRENATAL CARE IN ALL COMMUNITIES WITHIN THE SERVICE AREA.ST. AGNES HEALTHCARE ALSO ANALYZES MAJOR DISEASE PREVALENCE. TRADITIONALLY, MORTALITY DATA IS UTILIZED TO EVALUATE THE IMPACT OF LEADING CAUSES OF DISEASE AND ILLNESS IN THE COMMUNITY. HOWEVER, VITAL STATISTIC DATA IS NOT READILY AVAILABLE AT THE ZIP CODE LEVEL. THEREFORE, AS A PROXY, THE ASSESSMENT UTILIZED ACUTE CARE DISCHARGE DATA FROM THE LEADING CAUSES OF MORTALITY, INCLUDING CANCER, CARDIOVASCULAR, AND STROKE. THE ANALYSIS REVEALED ONCE AGAIN THAT THE SERVICE AREA EXPERIENCEDHIGHER DISEASE PREVALENCE OF CANCER, CARDIOVASCULAR, AND STROKE THAN THE CENTRAL MARYLAND AVERAGE, WITH STROKE BEING THE LEAST FAVORABLE. FURTHERMORE, NONWHITE POPULATIONS SHOWED A GREATER NEED IN EACH OF THE THREE MAJOR DISEASE CATEGORIES THAN WHITE POPULATIONS. ALSO, CONTINUING THE TREND, THE URBAN AREAS OF WEST BALTIMORE, SOUTH BALTIMORE, SOUTHWESTBALTIMORE, AND BROOKLYN HAVE THE LEAST FAVORABLE INDICES FOR THESE MAJOR DISEASES.FINALLY, THE NEEDS ASSESSMENT ALSO EXAMINES LIFESTYLE BEHAVIOR AS A COMPONENT OF THE OVERALL HEALTH STATUS, WHICH INCLUDES INDICATORS RELATED TO OBESITY, MENTAL HEALTH, HIV, SUBSTANCE ABUSE, AND TOBACCO USE. THIS DATA IS ACCUMULATED BY EXAMINING ICD-9 DIAGNOSIS CODING. SIMILAR TO THE OTHER HEALTH AND WELLNESS MEASURES, THE SERVICE AREA WAS LESS FAVORABLE THAN THE CENTRAL MARYLAND AVERAGE FOR EVERY LIFESTYLE BEHAVIOR INDICATOR.
PART VI, LINE 6: THE INFORMATION PROVIDED AS COMMUNITY SUPPORT, IN PART II, COMMUNITY BUILDING ACTIVITIES, REPRESENTS FUNDS SPENT FOR DISASTER READINESS AND PUBLIC HEALTH EMERGENCY ACTIVITIES. THESE COSTS, WHICH ARE PARTIALLY FUNDED BY THE DEPARTMENT OF HEALTH AND MENTAL HYGIENE, SUPPORT ACTIVITIES SUCH AS EDUCATION AND PREPAREDNESS TRAINING, DECONTAMINATION EQUIPMENT AND SUPPLIES NEEDED FOR VICTIM'S EASE, COMFORT AND TRACKING DURING DECONTAMINATION.PART VI, LINE 5: ST. AGNES HEALTHCARE FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN VARIOUS WAYS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY RESIDES IN ST. AGNES HEALTHCARE'S SERVICE AREA AND IS NEITHER COMPOSED OF EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE GOVERNING BODY HAD EIGHTEEN VOTING MEMBERS, SEVENTEEN OF WHICH WERE INDEPENDENT COMMUNITY MEMBERS. ADDITIONALLY, ST. AGNES HEALTHCARE HAS AN OPEN MEDICAL STAFF AND CREDENTIALS ALL QUALIFIED MEDICAL STAFF, INCLUDING COMMUNITY BASED PROVIDERS. ST. AGNES HEALTHCARE APPLIES SURPLUS FUNDS TO IMPROVE PATIENT CARE IN VARIOUS WAYS. FOR INSTANCE, SURPLUS FUNDS ARE USED TO REINVEST IN THE LATEST EQUIPMENT AND TECHNOLOGIES TO IMPROVE PATIENT SAFETY, COMFORT, AND OUTCOMES. SURPLUS FUNDS ARE ALSO USED TO RENOVATE EXISTING FACILITIES AND CONSTRUCT NEW FACILITIES IN ORDER TO IMPROVE THE HEALTHCARE ENVIRONMENT. AS A MEMBER OF A NATIONAL HEALTH SYSTEM, ASCENSION HEALTH, SURPLUS FUNDS GENERATED BY ST. AGNES HEALTHCARE MAY ALSO BE DIRECTED TO ASCENSION HEALTH TO APPLY TOWARDS STRATEGIC INITIATIVES OR TO BE RE-DISTRIBUTED TO OTHER MEMBER HEALTHCARE PROVIDERS WITHIN ASCENSION HEALTH. THIS ALLOWS ST. AGNES TO NOT ONLY SERVICE THE SURROUNDING COMMUNITY, BUT ALSO HELP FUND THE CARE FOR THE UNDERPRIVILEGED THROUGHOUT MANY PARTS OF THE UNITED STATES.
PART VI, LINE 7: ST. AGNES HEALTHCARE IS A MEMBER OF ASCENSION HEALTH, A NATIONAL HEALTH CARE SYSTEM. ASCENSION HEALTH IS THE SOLE CORPORATE MEMBER OF ST. AGNES HEALTHCARE. ST. AGNES HEALTHCARE IS THE SOLE CORPORATE MEMBER OF SETON MEDICAL GROUP INC., WHICH PROVIDES PRIMARY CARE, GYNECOLOGY AND OBSTETRICS CARE FOR PATIENTS IN ST. AGNES HEALTHCARE'S SERVICE AREA. ST. AGNES HEALTHCARE IS ALSO THE SOLE CORPORATE MEMBER OF ST. AGNES FOUNDATION, THE PHILANTHROPIC ARM OF ST. AGNES HEALTHCARE.
ALSO, CONSISTENT WITH THE PREVIOUS MEASURES, THE URBAN AREAS EXPERIENCED THE LEAST FAVORABLE RESULTS. THE LEAST FAVORABLE OVERALL WAS SOUTH BALTIMORE CITY, WHICH WAS FOUND TO HAVE THE HIGHEST UTILIZATION RATES FOR MENTAL HEALTH, HIV, AND EMERGENCY ROOM SUBSTANCE ABUSE VISITS. RACIAL DISPARITIES ARE EVIDENT IN URBAN AREAS, WHERE THE RATE OF ADMISSION FOR THE NONWHITE POPULATION IS SIGNIFICANTLY HIGHER THAN THAT OF THE WHITE POPULATION, ESPECIALLY IN THE CASES OF OBESITY, HIV AND TOBACCO USE. THE MOST FAVORABLE COMPOSITE INDEX SCORES WERE IN SUBURBAN AREAS LIKE ELLICOTT CITY AND SOUTH CARROLL, WHICH WERE NEARLY 100% BELOW THEIR URBAN COMMUNITY COUNTERPARTS.THE FINAL COMPONENT OF THE COMMUNITY NEEDS ASSESSMENT EXAMINED HEALTH RESOURCE UTILIZATION AND PHYSICIAN MANPOWER NEED. THIS ANALYSIS UTILIZES ACUTE CARE ADMISSION RATES, ACUTE CARE DAYS, AND OUTPATIENT EMERGENCY ROOM VISIT RATES. THE LOGIC UNDERLYING OUR ANALYSIS OF THESE INDICATORS IS THAT COMMUNITIES WITH HIGH UTILIZATION RATES HAVE A GREATER NEED FOR HEALTH CARE RESOURCES. ALL THREE MEASURES SHOWED LESS FAVORABLE RESULTS THAN THE CENTRAL MARYLAND AVERAGE. THE INDEX SCORES WERE 1.12, 1.22,AND 1.22 FOR ADMISSIONS, DAYS, AND EMERGENCY ROOM VISITS, RESPECTIVELY. THE PHYSICIAN MANPOWER NEED INDEX SCORE WAS .89. THE CENTRAL MARYLAND AVERAGE IS INDEXED AT 1.0, WITH SCORES GREATER THAN 1.0 INDICATING LESS FAVORABLE RESULTS AND SCORES LESS THAN 1.0 INDICATING FAVORABLE RESULTS. THE OVERALL AVERAGE INDEX SCORE FOR HEALTH RESOURCE UTILIZATION AND PHYSICIAN MANPOWER NEED WAS .89. IN SUMMARY, ALL OF THE COMPONENTS OF THE NEEDS ASSESSMENT WERE SUMMARIZED AND INDEXED RESULTING IN AN OVERALL INDEX SCORE OF 1.09. OVERALL, THE ST. AGNES HEALTHCARE SERVICE AREA HAS HIGHER DEMONSTRATED NEED ACROSS ALL MEASURES WHEN COMPARED TO THE CENTRAL MARYLAND REGION. THE OVERALL NEED IS HIGHLY CORRELATED TO SOCIOECONOMIC STATUS, WITH RACIAL DIVERSITY ALONE HAVING LESS OF AN INFLUENCE ON HEALTH CARE STATUS.PART VI, LINE 4, CONTINUED:
PART VI, LINE 8 SUPPLEMENT INFORMATION: ST. AGNES HEALTHCARE FILES A COMMUNITY BENEFITS REPORT WITH THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), THE REGULATORY AGENCY IN THE STATE OF MARYLAND. THE REPORT IS THEN MADE PUBLIC BY THE HSCRC. ADDITIONALLY, COMMUNITY BENEFIT INFORMATION IS AVAILABLE IN THE ST. AGNES HEALTHCARE ANNUAL REPORT AND THE ST. AGNES HEALTHCARE FACT SHEET. BOTH DOCUMENTS ARE AVAILABLE ON THE HOSPITAL WEBSITE.PT V PART V LINE 13G: A NOTICE OF CHARITY IS POSTED WITHIN THE BALTIMORE SUN ON AN ANNUAL BASIS.PT V PART V LINES 19 AND 21: MARYLAND HOSPITAL REGULATED RATES ARE DETERMINED BY THE HSCRC. BY LAW, REGULATED RATES CHARGED TO ALL PAYORS,INCLUDING SELF PAY PATIENTS, ARE THE SAME.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
MHEI WHO WILL CARE
6820 DEERPATH ROADELKRIDGEMD21075520901664501(C)(3)500000FMVNURSING
AMERICAN HEART ASSOCIATION
415 N CHARLES STREETBALTIMOREMD21203135613797501(C)(3)113760FMVHEART WALK
ST BONIFACE HAITI FOUNDATION
400 MAIN STREETRANDOLPHMA02368043067595501(C)(3)85500FMVHAITI RELIEF
GREATER BALTIMORE COMMITTEE
111 SOUTH CALVERT STREETBALTIMOREMD21202520645650501(C)(4)60000FMVSPONSORSHIP
ASSOCIATED BLACK CHARITIES
1114 CATHEDRAL STREETBALTIMOREMD21201521427774501(C)(3)55250FMVSPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantNURSING SCHOLARSHIP/WORKSTUDY PROGRAMTypeOfGrant
Number Of Recipients4NumberOfRecipients
Amount Of Cash Grant16595AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: DISCRETIONARY GRANTS OR ASSISTANCE TO OTHER ORGANIZATIONS ARE APPROVED BY EITHER THE CHIEF EXECUTIVE OFFICER OR THE CHIEF FINANICAL OFFICER. THE NURSING WORKSTUDY PROGRAM IS AVAILABLE TO NURSING STUDENTS IN THEIR SENIOR YEAR OF SCHOOLING. AVAILABILITY IS LIMITED AND AWARDED ON A FIRST COME FIRST SERVE BASIS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BONNIE PHIPPS
5310060210613036337501102501621901132238000
SCOTT FURNISS
2348310281450862063070189150289060000
ADRIAN LONG
3399070373170534780113920210070463101000
WILLIAM GRESKOVICH
231856030346033460230180197670308333000
YOLANDA COPELAND
2206000292550272950101960213220308668000
GEORGE GRACE
7189670119743052500275250239730895458000
HOWARD HESSAN
76761608105024870275250162200821953000
LAWRENCE SHIN
684428000-18481061250238620695934000
VINEY SETYA
55867600031320113920104920583692000
ROBERT PALEY
516051000406401102502320405543440214630

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATRAVEL FOR COMPANIONS IS AVAILABLE FOR SENIOR LEADERSHIP AND MUST BE PRE-APPROVED BY THE CHIEF FINANCIAL OFFICER. IT IS RECORDED AS A TAXABLE FRINGE BENEFIT. PART I, LINE 1A THE AMOUNT OF PERSONAL USAGE OF CELL PHONES IS GROSSED-UP AND RECORDED AS TAXABLE INCOME FOR INDIVIDUALS IDENTIFIED AS DISQUALIFIED PERSONS. DISQUALIFIED PERSONS INCLUDE THOSE LISTED ON PART VII AS WELL AS ANY OTHER PHYSICIANS WITH SIGNIFICANT ADMISSIONS. PART I, LINE 1A CLUB DUES ARE AVAILABLE TO SENIOR LEADERSHIP AND ARE SHOWN AS A TAXABLE FRINGE BENEFIT. AVERAGE HOURS PER WEEK; ALL PERSONS LISTED AT PART VII AND SCHEDULE J AS WORKING 50 HOURS ARE FULL-TIME EMPLOYEES OF THE ORGANIZATION. THE USE OF 50 HOURS ON THIS RETURN IS INTENDED TO DENOTE THAT SUCH PERSONS MAY WORK SIGNIFICANTLY MORE HOURS DURING THE WEEK ON AVERAGE. ST. AGNES HEALTHCARE IS A MEMBER OF ASCENSION HEALTH. BONNIE PHIPPS, PRESIDENT AND CEO OF ST. AGNES HEALTHCARE, ALSO SERVES IN AN OVERSIGHT ROLE TO OTHER ASCENSION HEALTH FACILITIES AS A MINISTRY MARKET LEADER. THE COMPENSATION EARNED AS A MINISTRY MARKET LEADER IS PAID THROUGH ST. AGNES HEALTHCARE, AND THEREFORE, REPORTED ON THIS FORM 990. THE COMPENSATION HAS NOT BEEN ALLOCATED BACK TO THE ENTITIES DERIVING THE BENEFIT. PART I, LINE 3 THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER (CEO) OF ST. AGNES HEALTHCARE IS DETERMINED BY ASCENSION HEALTH, THE PARENT COMPANY OF ST. AGNES HEALTHCARE. ASCENSION HEALTH USES INDEPENDENT COMPENSATION CONSULTANTS, WHO USE COMPENSATION SURVEYS AND STUDIES, TO ESTABLISH THE PAY RANGE FOR THE CEO OF ST. AGNES HEALTHCARE. THE ASCENSION HEALTH EXECUTIVE COMPENSATION COMMITTEE APPROVES THE RECOMMENDED SALARY FOR THE CEO OF ST. AGNES HEALTHCARE. THE ASCENSION HEALTH EXECUTIVE COMPENSATION COMMITTEE PROVIDES THE LOCAL ST. AGNES HEALTHCARE COMPENSATION COMMITTEE THE ANALYSIS PERFORMED BY THE INDEPENDENT CONSULTANT FOR REVIEW AND APPROVAL.
PART I, LINE 4BROBERT PALEY, HOWARD HESSAN, GEORGE GRACE AND BILL GRESKOVICH PARTICIPATED IN 457F SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. ROBERT PALEY'S NON-VESTED PLAN VALUE WAS $66,167.46. HOWARD HESSAN'S NON-VESTED PLAN VALUE WAS $49,288.99. GEORGE GRACE'S NON-VESTED VALUE WAS $19,906.04. BILL GRESKOVICH'S NON-VESTED VALUE WAS $156,005.18 AT JUNE 30, 2011.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ALBERT COUNSELMANBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipFORMER BOARD MEMBER/FAMILY MEMBERRelationship
Amount Of Transaction43649AmountOfTransaction
Description Of TransactionCOMPENSATIONDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2CERTAIN PERSONS REPORTED ON PART VII ARE EMPLOYED BY AND/OR SERVE AS OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE AT A RELATED TAX EXEMPT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6ST. AGNES HEALTHCARE HAS A SOLE CORPORATE MEMBER, ASCENSION HEALTH.
FORM 990, PART VI, SECTION A, LINE 7AST. AGNES HEALTHCARE HAS A SOLE CORPORATE MEMBER, ASCENSION HEALTH, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ST. AGNES HEALTHCARE.
FORM 990, PART VI, SECTION A, LINE 7BASCENSION HEALTH HAS DESIGNED A SYSTEM AUTHORITY MATRIX WHICH ASSIGNS AUTHORITY FOR KEY DECISIONS THAT ARE NECESSARY IN THE OPERATION OF THE SYSTEM. SPECIFIC AREAS THAT ARE IDENTIFIED IN THE AUTHORITY MATRIX ARE: NEW ORGANIZATIONS AND MAJOR TRANSACTIONS; GOVERNING DOCUMENTS; APPOINTMENTS/REMOVALS; EVALUATION; DEBT LIMITS; STRATEGIC AND FINANCIAL PLANS; SYSTEM POLICIES AND PROCEDURES. THESE AREAS ARE SUBJECT TO CERTAIN LEVELS OF APPROVAL BY ASCENSION HEALTH PER THE SYSTEM AUTHORITY MATRIX.
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT,INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. MANAGEMENT PRESENTS THE FORM TO THE FINANCE COMMITTEE AND CERTAIN MEMBERS OF THE AUDIT COMMITTEE AND ADDRESSES ANY QUESTIONS THAT ARISE. ONCE THE FINANCE COMMITTEE AND AUDIT COMMITTEE REVIEW IS COMPLETED, THE FORM 990 IS THEN MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS VIA A SECURE WEBSITE. MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBER QUESTIONS. AFTER THE BOARD OF DIRECTORS REVIEW IS COMPLETE, MANAGEMENT FILES THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.
ANNUALLY, A CONFLICTS OF INTEREST DISCLOSURE FORM IS DISTRIBUTED TO BOARD MEMBERS, THE EXECUTIVE TEAM, BOARD COMMITTEES, PURCHASING AGENTS, LEGAL COUNSEL, MEDICAL LEADERSHIP, AND CERTAIN MEMBERS OF MANAGEMENT. OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE THE ANNUAL DISCLOSURE. ANY CONFLICTS, OR POTENTIAL CONFLICTS THAT ARE IDENTIFIED ARE EXAMINED BY THE CORPORATE RESPONSIBILITY OFFICER AND APPROPRIATE MEASURES ARE TAKEN.FORM 990, PART VI, SECTION B, LINE 12C
THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER (CEO) OF ST. AGNES HEALTHCARE IS DETERMINED BY ASCENSION HEALTH, THE PARENT COMPANY OF ST. AGNES HEALTHCARE. ASCENSION HEALTH USES INDEPENDENT COMPENSATION CONSULTANTS, WHO USE COMPENSATION SURVEYS AND STUDIES, TO ESTABLISH THE PAY RANGE FOR THE CEO OF ST. AGNES HEALTHCARE. THE ASCENSION HEALTH EXECUTIVE COMPENSATION COMMITTEE APPROVES THE RECOMMENDED SALARY FOR THE CEO OF ST. AGNES HEALTHCARE. THE ASCENSION HEALTH EXECUTIVE COMPENSATION COMMITTEE PROVIDES THE LOCAL ST. AGNES HEALTHCARE COMPENSATION COMMITTEE THE ANALYSIS PERFORMED BY THE INDEPENDENT CONSULTANT FOR REVIEW AND APPROVAL. FORM 990, PAART VI, SECTION B, LINE 15B: THE ANNUAL COMPENSATION REVIEW FOR OFFICER LEVEL STAFF IS PERFORMED BY AN OUTSIDE COMPENSATION CONSULTING FIRM, WHICH SPECIALIZES IN EXECUTIVE COMPENSATION. ON AN ANNUAL BASIS, THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, SENDS AN ENGAGEMENT LETTER OUTLINING THE POSITIONS REQUIRING COMPENSATION ANALYSIS, AND SEEKS ANALYSIS AND RECOMMENDATIONS. THE CONSULTING FIRM THEN PERFORMS A MARKET ANALYSIS OF COMPENSATION AND BENEFITS FOR THE EXECUTIVES WITH RECOMMENDED SALARY RANGES BY EXECUTIVE POSITION, AND THOSE ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. THE SENIOR VP/CHIEF FINANCIAL OFFICER, EXECUTIVE VP/CHIEF MEDICAL OFFICER, VP OPERATIONS & CAPITAL PROJECTS, SENIOR VP PATIENT CARE SERVICES ARE ALL INCLUDED IN THE GROUP OF PERSONS WHOSE COMPENSATION IS REVIEWED BY AN OUTSIDE CONSULTING FIRM.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON WRITTEN REQUEST.FORM 990, PART VI, SECTION C, LINE 19
BOARD MEMBER, BONNIE PHIPPS, AND KEY EMPLOYEES SCOTT FURNISS, YOLANDA COPELAND AND ADRIAN LONG WORK AT ST. AGNES HEALTHCARE AS WELL AS RELATED ORGANIZATIONS, SETON MEDICAL GROUP AND ST. AGNES FOUNDATION. FOR DISCLOSURE PURPOSES, THE AVERAGE HOURS WORKED AT RELATED ORGANIZATIONS IS ESTIMATED BY USING THE NUMBER OF HOURS SERVCED ON BOARD COMMITTEES FOR RELATED ORGANIZATIONS. BONNIE PHIPPS WORKS 3.77 HOURS PER WEEK, ON AVERAGE, SERVING ON COMMITTEES AT SETON MEDICAL GROUP AND ST. AGNES FOUNDATION. SCOTT FURNISS WORKS 2.76 HOURS PER WEEK, ON AVERAGE, SERVING ON COMMITTEES AT SETON MEDICAL GROUP AND ST. AGNES FOUNDATION. YOLANDA COPELAND WORKS 0.92 HOURS PER WEEK, ON AVERAGE, SERVING ON COMMITTEES AT ST. AGNES FOUNDATION. ADRIAN LONG WORKS 1.38 HOURS PER WEEK, ON AVERAGE, SERVING ON COMMITTEES AT SETON MEDICAL GROUP.HOURS DEVOTED TO A RELATED ORGANIZATION
CHANGES IN NET ASSETS OR FUND BALANCES:TRANSFER TO ASCENSION HEALTH -6,884,840. TRANSFER TO SPONSOR -548,045. DEFERRED PENSION COSTS 36,593,482. STATE GRANT 560,000. CAPITAL TRANSFER TO SETON MEDICAL GROUP -6,581,495. LAB OUTREACH EXPENSES -4,756,079. LAB OUTREACH UTILIZATION -395,366. DONATED EQUIPMENT 1,504,506. NET CHANGE IN INTEREST IN FOUNDATION ASSETS -260,269. SPECIAL PURPOSE FUNDS UNREALIZED GAINS 421,375. SPECIAL PURPOSE FUNDS RESTRICTED CONTRIBUTIONS 803,945. NET ASSETS RELEASED FROM RESTRICTION -670,408. SPECIAL PURPOSE FUNDS INVESTMENT INCOME -9,018. TOTAL TO FORM 990, PART XI, LINE 5: 19,777,788.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH OFFICEMO501(C)(3)BOX 11AN/A0
SETON MEDICAL GROUP
900 CATON AVENUEBALTIMOREMD21229392064992PROVIDE HEALTH CARE SERVICES TO THE COMMUNITYMD501(C)(3)BOX 3-HOSPITAL1ST AGNES HOSPITAL
ST AGNES FOUNDATION
900 CATON AVENUEBALTIMOREMD21229521415083PROVIDES FUNDING TO THE HOSPITAL AND THE COMMUNITYMD501(C)(3)BOX 11-509(A)3-TYPE1ST AGNES HOSPITAL
ST AGNES AUXILIARY
900 CATON AVENUEBALTIMOREMD21229520643673FUNDRAISINGMD501(C)(3)BOX 91ST AGNES HOSPITAL

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ST AGNES HEALTH VENTURES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1900 CATON AVENUEAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21229ZIPCode
FieldValueIRS element (for citing)
EIN521733632EIN
Primary ActivityHOLDING COMPANYPrimaryActivity
Legal Domicile StateMDLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income11233ShareOfTotalIncome
Share Of EOY Assets1119531ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SETON MEDICAL GROUP
B6581495FAIR MARKET VALUE
ST AGNES FOUNDATION
C1815903FAIR MARKET VALUE
ST AGNES FOUNDATION
L522366FAIR MARKET VALUE
ST AGNES FOUNDATION
P595550FAIR MARKET VALUE