2011-08-15T15:31:56-05:00 2010-09-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 ST LOUIS MO 63105 990 2009-10-01 550688201 PALLOTTINE HEALTH SERVICES INC PALL 3045261296 2900 FIRST AVENUE HUNTINGTON WV 25702 Michael G Sellards 2011-08-03 3043438971 2009 2016-02-24 21:20:13Z Michael G Sellards 2900 First Avenue Huntington WV 25702 6331380 false 0928 X N/A X 1988 WV 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) 9 8 4 6 39075 0 0 0 883336 962089 -1289650 179942 2173 110767 -404141 1252798 81533 43750 0 0 1070313 1162244 0 0 0 744603 693609 1896449 1899603 -2300590 -646805 15711213 17228178 7948397 9898324 7762816 7329854 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. false false 1899603 43750 923014 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. 1899603 true false false false false false false false false true false true false false false false false false false false false true false true true false false false false false false false false false false false false true true false false true 8 0 true 4 true true true false false false false false false false false false false 9 8 false false false false true true true true true false true true false true true true true true true true false CA WV X ANGELA SWEARINGEN 3045261224 2900 FIRST AVENUE Huntington WV 25702 SR M CELESTE LYNCH SAC 37.0 X X 0 0 0 SR M DIANE BUSHEE SAC 2.0 X X 0 0 0 SR M ROBERTA FROHNAPFEL SAC 2.0 X 0 0 0 SR MARY GRACE BARILE SAC 2.0 X 0 0 0 Sister Marian Creamer SAC 2.0 X 0 0 0 SR BARBARA JAKSCHIK SAC 1.0 X 0 0 0 BARBARA STEVENS 2.0 X 0 0 0 ROBERT YOST 1.0 X 0 0 0 DAVID ALKIRE 1.0 X 0 0 0 Sr M Francesca Lowis SAC 2.0 X X 0 0 0 Michael G Sellards 2.0 X 1125855 0 152327 Sue Johnson-Phillippe 2.0 X 0 257414 0 Tony Atkins X 145602 0 0 S David Creech X 594740 0 0 J Thomas Jones X 12442 0 0 1878639 257414 152327 3 true true false 0 0 MGMT FEES 541900 923014 923014 PREMIER PURCHASING PTR LP 900003 39075 39075 962089 123753 123753 0 0 5134771 5078582 56189 56189 56189 0 0 0 CLASS ACTION SUIT 900099 3967 3967 MISCELLANEOUS 900099 106800 106800 110767 1252798 923014 39075 290709 43750 43750 0 0 0 876581 876581 0 0 206968 206968 35231 35231 43464 43464 3180 3180 350 350 42941 42941 0 0 0 565080 565080 0 3153 3153 0 0 6350 6350 9643 9643 0 26798 26798 5008 5008 0 9986 9986 21004 21004 MISCELLANEOUS EXPENSE 116 116 1899603 1899603 0 0 2058614 1740305 1108777 991758 4615828 7316216 22591 11305 19692 10081 80049 60662 29374 19387 7266734 6115339 589603 1023787 15711213 17228178 5187217 8048218 0 0 24032 17624 2737148 1832482 7948397 9898324 X 7762816 7329854 7762816 7329854 15711213 17228178 X false true true X false X X false false false 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 4 0 80049 60662 19387 19387 PREMIER PURCHASING PARTNERS 435677 CHART SERVICES 588110 1023787 0 SEPARATION LIABILITY 840723 RETIREMENT FUNDS PAYABLE 991759 1832482 true 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 2 Organization's Procedures for Monitoring use of grant funds in US Schedule I, Part I, Line 2 Grants paid in the U.S. are only paid to healthcare providers sponsored by religious community of missionary sisters of the Catholic Apostolate (Pallottine). As disclosed on Schedule A , Part I the filing organization is 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. X true true X X X X true true false false false false false false false 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 Schedule J, Supplemental Information 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 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 63053469 4166263 546375 0 38872275 2006 true false true true 37211294 3512939 462632 0 33633662 2013 false false false true 17529982 12503 120000 0 17432510 2010 false false true true false false true false true 0.00500 0.00500 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false true false false false false true true false true FIFTH THIRD BANK 2. true true false false true false false false false Form 990, Supplemental Information 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. 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 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 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 false false false true true false false false false false true false false false false true false false 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