PALLOTTINE HEALTH SERVICES: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- PALLOTTINE HEALTH SERVICES (EIN 55-0688201)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201102279349303625
- Schema version
- 2009v1.7
- 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 | 2011-08-15T15:31:56-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 CARONDELET PLAZA SUITE 1300 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | 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 | 3045261296 | 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 |
| Date Signed | 2011-08-03 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3043438971 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | 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 | 6331380 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| 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 THE WV AFFILIATES SPONSORED BY THE RELIGIOUS COMMUNITY OF THE MISSIONARY SISTERS OF THE CATHOLIC APOSTOLATE(PALLOTTINE) | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4 | TotalNbrEmployees |
| Total Nbr Volunteers | 6 | TotalNbrVolunteers |
| Total Gross UBI | 39075 | 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 | 883336 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 962089 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1289650 | InvestmentIncomePriorYear |
| Investment Income Current Year | 179942 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2173 | OtherRevenuePriorYear |
| Other Revenue Current Year | 110767 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | -404141 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1252798 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 81533 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 43750 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1070313 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1162244 | 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 | 744603 | OtherExpensePriorYear |
| Other Expenses Current Year | 693609 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1896449 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1899603 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2300590 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -646805 | RevenuesLessExpensesCY |
| Total Assets BOY | 15711213 | TotalAssetsBOY |
| Total Assets EOY | 17228178 | TotalAssetsEOY |
| Total Liabilities BOY | 7948397 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9898324 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7762816 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7329854 | NetAssetsOrFundBalancesEOY |
| 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 ecumenism and equality in an atmosphere of Christian community; and respond, within the limits of available resources, to the health needs of the communities they serve with special concern for the poor. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1899603 | Expense |
| Grants | 43750 | Grants |
| Revenue | 923014 | Revenue |
| Description | MANAGEMENT SERVICES, ADVICE AND CONSULTATION PROVIDED TO THe west virginia affiliates SPONSORED BY THE RELIGIOUS COMMUNITY OF THE MISSIONARY SISTERS OF THE CATHOLIC APOSTOLATE (PALLOTTINE) - ST. JOSEPH'S HOSPITAL OF BUCKHANNON, INC. & ST. MARY'S MEDICAL CENTER, INC. | Description |
| Total Program Service Expense | 1899603 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 8 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 4 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | WV | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ANGELA SWEARINGEN | NamePerson |
| 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 | 37.0 | X | X | 0 | 0 | 0 | ||
| SR M DIANE BUSHEE SAC | ||||||||
| SECRETARY,TREASURER | 2.0 | X | X | 0 | 0 | 0 | ||
| SR M ROBERTA FROHNAPFEL SAC | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| SR MARY GRACE BARILE SAC | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| Sister Marian Creamer SAC | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| SR BARBARA JAKSCHIK SAC | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| BARBARA STEVENS | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ROBERT YOST | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| DAVID ALKIRE | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| Sr M Francesca Lowis SAC | ||||||||
| Vice President | 2.0 | X | X | 0 | 0 | 0 | ||
| Michael G Sellards | ||||||||
| President & CEO SMMC | 2.0 | X | 1125855 | 0 | 152327 | |||
| Sue Johnson-Phillippe | ||||||||
| CEO - St. Joseph's | 2.0 | 0 | 257414 | 0 | X | |||
| Tony Atkins | ||||||||
| Officer | 145602 | 0 | 0 | X | ||||
| S David Creech | ||||||||
| Officer | 594740 | 0 | 0 | X | ||||
| J Thomas Jones | ||||||||
| Officer | 12442 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1878639 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 257414 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 152327 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MGMT FEES | 541900 | 923014 | 923014 | |
| PREMIER PURCHASING PTR LP | 900003 | 39075 | 39075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 962089 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 123753 | TotalRevenueColumn |
| Exclusion | $123,753 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 | 5078582 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 56189 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 56189 | TotalRevenueColumn |
| Exclusion | $56,189 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CLASS ACTION SUIT | 900099 | 3967 | $3,967 |
| MISCELLANEOUS | 900099 | 106800 | $106,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 110767 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1252798 | TotalRevenueColumn |
| Related Or Exempt Function Income | 923014 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 39075 | UnrelatedBusinessRevenue |
| Exclusion | $290,709 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43750 | Total |
| Program Services | 43750 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 876581 | Total |
| Program Services | 876581 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206968 | Total |
| Program Services | 206968 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35231 | Total |
| Program Services | 35231 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43464 | Total |
| Program Services | 43464 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3180 | Total |
| Program Services | 3180 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 350 | Total |
| Program Services | 350 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42941 | Total |
| Program Services | 42941 | ProgramServices |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 565080 | Total |
| Program Services | 565080 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3153 | Total |
| Program Services | 3153 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6350 | Total |
| Program Services | 6350 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9643 | Total |
| Program Services | 9643 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26798 | Total |
| Program Services | 26798 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5008 | Total |
| Program Services | 5008 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9986 | Total |
| Program Services | 9986 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21004 | Total |
| Program Services | 21004 | ProgramServices |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS EXPENSE | Description |
| Total | 116 | Total |
| Program Services | 116 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1899603 | Total |
| Program Services | 1899603 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2058614 | BOY |
| EOY | 1740305 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1108777 | BOY |
| EOY | 991758 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4615828 | BOY |
| EOY | 7316216 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22591 | BOY |
| EOY | 11305 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19692 | BOY |
| EOY | 10081 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 80049 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 60662 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29374 | BOY |
| EOY | 19387 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7266734 | BOY |
| EOY | 6115339 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 589603 | BOY |
| EOY | 1023787 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15711213 | BOY |
| EOY | 17228178 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5187217 | BOY |
| EOY | 8048218 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24032 | BOY |
| EOY | 17624 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2737148 | BOY |
| EOY | 1832482 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7948397 | BOY |
| EOY | 9898324 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7762816 | BOY |
| EOY | 7329854 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7762816 | BOY |
| EOY | 7329854 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15711213 | BOY |
| EOY | 17228178 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | AmountAmount |
|---|---|---|---|
| ST JOSEPH'S HOSPITAL OF BUCKHANNON INC | |||
| 550356996 | 03 | true | $0 |
| ST MARY'S MEDICAL CENTER INC | |||
| 550357050 | 03 | true | $0 |
| ST JOSEPH'S FOUNDATION OF BUCKHANNON INC | |||
| 550727650 | 03 | false | $0 |
| ST MARY'S MEDICAL CENTER FOUNDATION | |||
| 141887211 | 03 | false | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 80049 | OtherCostOrOtherBasis |
| Depreciation | 60662 | Depreciation |
| Book Value | 19387 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 19387 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| PREMIER PURCHASING PARTNERS | 435677 |
| CHART SERVICES | 588110 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1023787 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SEPARATION LIABILITY | $840,723 |
| RETIREMENT FUNDS PAYABLE | $991,759 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1832482 | TotalOfAmounts |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 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) | 13000 | Working Capital Operations |
| St Joseph's Hospital Foundation | |||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | 501(c)(3) | 7750 | Property purchase |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Organization's Procedures for Monitoring use of grant funds in US | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | 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 organized and operated to mainly support the West Virginia affiliates of Pallottine, 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 |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | 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 | |||||||||||||
| 484000 | 0 | 213200 | 0 | 428655 | 0 | 133988 | 0 | 18339 | 0 | 1278182 | 0 | 0 | 0 |
| Sue Johnson-Phillippe | |||||||||||||
| 0 | 212098 | 0 | 36566 | 0 | 8750 | 0 | 0 | 0 | 0 | 0 | 257414 | 0 | 0 |
| Tony Atkins | |||||||||||||
| 0 | 0 | 0 | 0 | 145602 | 0 | 0 | 0 | 0 | 0 | 145602 | 0 | 0 | 0 |
| S David Creech | |||||||||||||
| 0 | 0 | 0 | 0 | 594740 | 0 | 0 | 0 | 0 | 0 | 594740 | 0 | 0 | 0 |
| J Thomas Jones | |||||||||||||
| 0 | 0 | 0 | 0 | 12442 | 0 | 0 | 0 | 0 | 0 | 12442 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule J, Supplemental Information | Identifier |
| Explanation | HEALTH OR SOCIAL CLUB DUES/TRAVEL FOR COMPANIONS, SCHEDULE J, 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. Severence Payments, Schedule J, Part I, Line 4A S David Creech, a former officer, received severence payments during the year in the amount of $552,889. Tony Atkins, a former officer, received noncompete payments in the amount of $123,727. Executive Deferred Retirement Plan, Schedule J, Part I, Line 4B During the year, the following officers and key employees listed on Form 990, Part VII, Section A participated in the executive deferred retirement plan: Michael G Sellards and Sister Celeste Lynch, SAC. Employer and employee contributions during the year to this plan have been reported, as required, on Schedule J, Part II columns (B)(III) and (c). During 2010 fiscal year, the following officers of the organization received payments under a supplemental non-qualified retirement (SERP) Plan: Michael G Sellards - $92,800 Todd Campbell - $39,574 | Explanation |
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 |
|---|---|---|---|---|---|---|
| WEST VIRGINIA HOSPITAL FINANCE AUTHORITY | ||||||
| 621256910 | 956624AL4 | 2003-12-18 | 61000000 | See Schedule O | false | false |
| WEST VIRGINIA HOSPITAL FINANCE AUTHORITY | ||||||
| 621256910 | 956624AM2 | 2006-04-26 | 35000000 | See Schedule O | false | false |
| WEST VIRGINIA HOSPITAL FINANCE AUTHORITY | ||||||
| 621256910 | 2009-06-23 | 17500000 | See Schedule O | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|
| 63053469 | 4166263 | 546375 | 0 | 38872275 | 2006 | true | false | true | true | |
| 37211294 | 462632 | 0 | 33633662 | 2013 | false | false | false | true | 3512939 | |
| 17529982 | 120000 | 0 | 17432510 | 2010 | false | false | true | true | 12503 |
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 | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI |
|---|---|---|---|---|---|---|---|---|
| false | false | true | false | true | 0.00500 | 0.00500 | true | |
| false | false | false | false | true | 0.00000 | 0.00000 | true | 0.00000 |
| false | false | false | false | true | 0.00000 | 0.00000 | true | 0.00000 |
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 GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied |
|---|---|---|---|---|---|---|---|
| (no name) | |||||||
| false | true | false | false | false | false | ||
| FIFTH THIRD BANK | |||||||
| true | true | false | true | true | false | 2. | true |
| (no name) | |||||||
| false | true | false | false | false | false | ||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Supplemental Information | Identifier |
| Explanation | ORGANIZATION'S MEMBER & MEMBER'S RIGHTS, PART VI, LINE 6, 7A & 7B PART VI, QUESTION 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. PART VI, QUESTION 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 ORGANIZATIONS BOARD OF DIRECTORS. PART VI, QUESTION 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 ORGANZATION. REVIEW PROCESS FOR FORM 990, PART VI, LINE 11A 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. BEFORE THE FORM 990 IS FILED WITH THE IRS, REPRESENTATIVES OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990. A COMPLETE COPY OF THE SAME WILL BE PROVIDED TO THE PALLOTTINE HEALTH SERVICES FULL BOARD AT THEIR BOARD MEETING ON OCTOBER 19, 2011. CONFLICT OF INTEREST POLICY, PART VI, LINE 12C 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. COMPENSATION APPROVAL PROCESS, PART VI, LINE 15A & 15B 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. ACCESS TO ORGANIZATIONAL DOCUMENTS, PART VI, LINE 19 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. Hours Devoted to Related Organizations, Part VII The following individuals listed in Part VII devoted the following hours to related organizations: Michael Sellards - 38 hours (SMMC, SJH and SMF) Sue Johnson-Phillippe - 38 hours (SJH) Sr. Celeste Lynch - 3 hours (SMMC & SMF) Sr. Diane Bushee - 38 hours (SMMC, SJH and SMF) Sr. Roberta Frohnapfel - 38 hours (SJH & SJF) Sr. Mary Grace Barile - 38 hours (SJH) Sr. Francesca Lowis - 38 hours (SJH) Sr. Marian Ruth Creamer - 38 hours (SMMC) Barbara Stevens - 2 hours (SMF) SCHEDULE K The tax exempt bonds are reported on the accounting books 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. | Explanation |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| St Mary's Medical Center | |||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 550357050 | Hospital | WV | 501C3 | 3 | NA |
| Pallottine Missionary Sisters | |||||||||
| 15270 Old Halls Ferry Rd | Florissant | MO | 63034 | 431783315 | Church | MO | 501C3 | 1 | na |
| St Joseph's Hospital of Buckhannon | |||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 550356996 | Hospital | WV | 501C3 | 3 | na |
| St Joseph's Foundation of Buckhannon | |||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727650 | Foundation | WV | 501C3 | 11, B | SJH |
| St Mary's Medical Center Foundation | |||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 141887211 | Foundation | WV | 501C3 | 11, B | SMMC |
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 | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| St Mary's Occupational Health Center | ||||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 542136110 | Medical Servi | WV | SMMC | RELATED | $0 | true |
| Tri State Cyberknife | ||||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 205744723 | Medical Servi | WV | SMMC | RELATED | $0 | true |
| Tri State MRI | ||||||||||
| PO Box 3108 | Huntington | WV | 25702 | 550669726 | Medical Servi | WV | SMMC | RELATED | $0 | true |
| Claire Frances Health Services PLLC | ||||||||||
| 200 Mall Road Suite 3 | Ashland | KY | 41101 | 311517507 | Medical Servi | WV | SMMC | RELATED | $0 | true |
| Huntington Area MRI Services LLC | ||||||||||
| 2900 First Avenue | Huntington | WV | 25702 | 261877332 | Medical Servi | WV | SMMC | RELATED | $0 | true |
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 | SMMC | C Corp |
| Upshur Medical Management Services | ||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727649 | Inactive | WV | SJH | C Corp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | 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 | |
| e | 4953493 |
| St Mary's Medical Center | |
| k | 634308 |
| St Joseph's Hospital of Buckhannon | |
| k | 288706 |
| St Mary's Medical Center | |
| p | 1616708 |
| St Joseph's Hospital of Buckhannon | |
| p | 550063 |