2024-08-15T13:27:34-05:00 2023-09-30 550538163 SUTTLE & STALNAKER PLLC 501 5TH AVENUE SUITE 1 HUNTINGTON WV 25701 990 2022-10-01 141887211 ST MARY'S MEDICAL CENTER FOUNDATION STMA 3045261296 2900 FIRST AVENUE HUNTINGTON WV 25702 BRADLEY BURCK PRESIDENT 3045261296 2024-08-14 1 0 WADE NEWELL CPA P01051041 3045250301 2024-08-14 2022 2024-08-08 14:25:15Z BRADLEY BURCK 2900 FIRST AVENUE HUNTINGTON WV 25702 1606854 0 X N/A X 2003 WV FUNDRAISING AND ASSET MANAGEMENT FOR AFFILIATE ST MARY'S MEDICAL CENTER 13 10 0 125 0 0 1368866 773249 0 0 -164778 59124 204475 219871 1408563 1052244 408196 88551 0 0 0 0 0 0 144437 542948 718978 951144 807529 457419 244715 3302228 3825457 263396 462620 3038832 3362837 THE FOUNDATION WILL NOT ONLY PROVIDE LONG-TERM FINANCIAL SUPPORT FOR SUSTAINING AND ENHANCING ST. MARY'S MISSION, BUT ALSO COMMUNITY AWARENESS OF QUALITY, CREATIVE AND COST EFFECTIVE PROGRAMS THAT PROMOTE WELLNESS AS WELL AS TREAT ILLNESS. 0 0 401035 88551 THE FOUNDATION WILL NOT ONLY PROVIDE LONG-TERM FINANCIAL SUPPORT FOR SUSTAINING AND ENHANCING ST. MARY'S MISSION, BUT ALSO COMMUNITY AWARENESS OF QUALITY, CREATIVE AND COST EFFECTIVE PROGRAMS THAT PROMOTE WELLNESS AS WELL AS TREAT ILLNESS. 401035 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 1 0 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 4 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 X 13 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X BRADLEY BURCK 3045261211 2900 FIRST AVENUE HUNTINGTON WV 25702 X ANGELA SWEARINGEN BOARD MEMBER 1.00 39.00 X 0 625824 117480 MARK MORGAN VICE CHAIR 1.00 39.00 X X 0 353192 47801 BRADLEY BURCK PRESIDENT 40.00 X X 0 231019 37811 SISTER MARY GRACE BARILE BOARD MEMBER 1.00 39.00 X 0 124568 16116 SISTER DIANE BUSHEE BOARD MEMBER 1.00 39.00 X 0 0 0 STEVE GOLDER CHARIMAN 1.00 X X 0 0 0 JIM TURNER SECRETARY 1.00 X X 0 0 0 TERRI WALTERS BOARD MEMBER 1.00 X 0 0 0 BOB WELTY BOARD MEMBER 1.00 X 0 0 0 ANDREW DAWSON BOARD MEMBER 1.00 X 0 0 0 COURTNEY HATFIELD BOARD MEMBER 1.00 X 0 0 0 ORA MUTH TREASURER 1.00 X X 0 0 0 PAT REGER BOARD MEMBER 1.00 X 0 0 0 VALERIE SELLARDS BOARD MEMBER 1.00 X 0 0 0 KEVIN YINGLING PRESIDENT & CEO MHN 1.00 X 0 862472 27019 DAVID M WARD SR. VP, CHIEF FINANCIAL OFFICER 1.00 X 0 764329 23006 0 2961404 269233 0 0 1 0 0 19114 754135 773249 56112 56112 315320 312308 3012 3012 3012 392963 209577 183386 183386 69210 32725 36485 36485 1052244 3012 0 275983 X 88551 88551 18372 18372 313570 169685 143885 4600 4600 24332 14599 9733 202809 121685 81124 FUNDRAISING EXPENSES 144437 144437 OTHER EXPENSES 7073 4244 2829 MISCELLANEOUS EXPENSES 3785 2271 1514 807529 401035 262057 144437 3099446 3396974 197175 422876 5607 5607 3302228 3825457 234374 433598 29022 29022 263396 462620 X 160337 -258415 2878495 3621252 3038832 3362837 3302228 3825457 244715 79290 0 X X 0 1 X 1 0 X X 1 ST MARY'S MEDICAL CENTER INC 550357050 3 1 4814 11013 1 4814 11013 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2893139 970522 152285 105214 370076 3540653 2456120 1557395 -342876 417330 360170 2893139 1872303 498822 317538 232543 2456120 1936991 279267 79736 422791 900 1872303 1946284 527166 -44358 270610 221480 1936991 0.00000 1.00000 0 0 0 X PART X, LINE 2: AS PER NOTE 1 OF THE CONSOLIDATED FINANCIAL STATEMENTS MANAGEMENT HAS EVALUATED THE TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS MAINTAINED ITS TAX EXEMPT STATUS AND HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. SCH D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE FOR THE FOLLOWING PROGRAMS SCHOOL OF MEDICINE $1,090,401 H.E.A.R.T./KIDS IN MOTION $ 576,883 AUXILIARY $ 418,222 PINK RIBBON FUND $ 312,573 SPURLOCK ESTATE-SCHOOL OF NURSING $ 278,178 NAPIER ESTATE-SCHOOL OF NURSING $ 270,821 HOSPITALITY HOUSE $ 76,915 VARIOUS OTHER HOSPITAL PROGRAMS $ 516,660 X X X X X X X 0 GALA 392963 392963 43001 166576 392963 392963 43001 166576 209577 183386 69210 32725 0 69210 32725 32725 36485 WV 1 0 1 0 1.00000 0 NA 0 1 ST MARY'S MEDICAL CENTER 2900 FIRST AVENUE HUNTINGTON WV 25702 550357050 501(C)(3) 4814 11013 FMV MEDICAL EQUIPMENT PURCHASED PURCHASE OF EQUIPMENT PART I, LINE 2: ALL GRANTS AND OTHER ASSISTANCE GOES TOWARD THE SUPPORT OF ST. MARY'S MEDICAL CENTER, INC. 0 1 0 0 0 0 0 0 0 KEVIN YINGLING PRESIDENT & CEO MHN 0 858908 0 0 0 3564 0 0 0 27019 0 889491 0 0 DAVID M WARD SR. VP, CHIEF FINANCIAL OFFICER 0 721926 0 26030 0 16373 0 0 0 23006 0 787335 0 0 ANGELA SWEARINGEN BOARD MEMBER 0 597329 0 28495 0 0 0 78229 0 39251 0 743304 0 0 MARK MORGAN VICE CHAIR 0 336868 0 16324 0 0 0 9150 0 38651 0 400993 0 0 BRADLEY BURCK PRESIDENT 0 221140 0 8411 0 1468 0 0 0 37811 0 268830 0 0 SCHEDULE J, PAGE 2, PART II THE FOUNDATION DOES NOT PAY ANY SALARIES AND NO DONATIONS TO THE FOUNDATION ARE USED FOR COMPENSATION PURPOSES. ALL COMPENSATION IS PAID BY RELATED ENTITIES. BRADLEY BURCK DAUGHTER 625 FOUNDATION CONDUCTS BUSINESS WITH FS DATA MANAGEMENT & ACCOUNTING WHICH IS OWNED BY BRADLEY BURCK'S DAUGHTER. 0 DAVID M WARD OFFICER DIRECTOR FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 FORM 990, PART VI, SECTION A, LINE 3 MOUNTAIN HEALTH NETWORK, INC. (MHN) PROVIDES SERVICES AND RESOURCES FOR THE BENEFIT OF CABELL HUNTINGTON HOSPITAL, INC. AND ITS RELATED ORGANIZATIONS WHICH ARE WEST VIRGINIA NONPROFIT CORPORATIONS QUALIFIED AS TAX EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OPERATING FULL SERVICE ACUTE CARE HOSPITALS AND FOUNDATIONS RELATED TO THOSE HOSPITALS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER WEST VIRGINIA STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ST. MARY'S MEDICAL CENTER (SMMC), A RELATED NOT-FOR-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A IN ACCORDANCE WITH THE TERMS AND REQUIREMENTS OF ITS GOVERNING DOCUMENTS (IE 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 SMMC APPROVE THESE CANDIDATES TO SERVE AS THE FOUNDATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B ST MARY'S MEDICAL CENTER, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY INCLUDING THE AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT IN CONSULTATION WITH AN INDEPENDENT ACCOUNTING FIRM. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. THE CFO WILL REVIEW THE 990 WITH THE FINANCE/AUDIT COMMITTEE AND THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C UPON EMPLOYMENT AND ANNUALY 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 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 DISCLOSURE OR VOTE. FORM 990, PART VI, SECTION B, LINE 15 ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF ITS SOLE COPRORATE MEMBER, ST MARY'S MEDICAL CENTER, WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S OFFICERS 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 EXECUTIVE COMMITTEE IS DOCUMENTED. THE PRESIDENT OF THE FOUNDATION IS PAID BY ST MARY'S MEDICAL CENTER. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL INFORMATION (STATEMENTS CONSOLIDATED WITH ITS SOLE MEMBER ST MARY'S MEDICAL CENTER) AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE AT 2900 FIRST AVENUE, HUNTINGTON, WV 25702. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORMS 1023 AND 990 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. PART VII, SECTION A THE FOUNDATION DOES NOT PAY ANY SALARIES AND NO DONATIONS TO THE FOUNDATION ARE USED FOR COMPENSATION PURPOSES. ALL COMPENSATION IS PAID BY RELATED ENTITIES. FORM 990, PART IX, LINE 11G LEASED EMPLOYEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 143,885. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 143,885. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 169,685. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,685. PART XII, LINE 2C THE FINANCE/AUDIT COMMITTEE SHALL REVIEW THE RESULTS OF THE ANNUAL AUDIT AND ALL OTHER REPORTS FROM INDEPENDENT EXTERNAL AUDITORS AND SHALL ARRANGE FOR THOSE REPORTS, TOGETHER WITH ANY RECOMMENDATIONS FROM THE FINANCE/AUDIT COMMITTEE, TO BE PRESENTED TO THE BOARD OF DIRECTORS AT SUCH A TIME AS THE BOARD OF DIRECTORS MAY SCHEDULE FOR THAT PURPOSE. ST MARY'S MEDICAL CENTER INC 2900 FIRST AVENUE HUNTINGTON WV 25702 550357050 HOSPITAL WV 501(C)(3) LINE 3 CHH INC 1 CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BLVD HUNTINGTON WV 25701 550675666 CURR PARENT WV 501(C)(3) LINE 3 N/A 0 CABELL HUNTINGTON HOSPITAL FOUNDATION INC PO BOX 1427 HUNTINGTON WV 25716 311096222 FUNDRAISING WV 501(C)(3) LINE 12A CHH INC 1 PLEASANT VALLEY HOSPITAL FOUNDATION INC 2520 VALLEY DRIVE POINT PLEASANT WV 25550 200120079 FUNDRAISING WV 501(C)(3) LINE 12A CHH INC 1 MOUNTAIN HEALTH NETWORK INC 1340 HAL GREER BLVD HUNTINGTON WV 25701 320573122 MANAGEMENT SERVICES WV 501(C)(3) LINE 12A CHH INC 1 CABELL HUNTINGTON AUXILIARY INC 1340 HAL GREER BLVD HUNTINGTON WV 25701 556014510 FUNDRAISING WV 501(C)(3) LINE 12A CHH INC 1 AUXILIARY TO ST MARY'S MEDICAL CENTER INC 2900 FIRST AVENUE HUNTINGTON WV 25702 556021771 FUNDRAISING WV 501(C)(3) LINE 12A CHH INC 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 ST MARY'S MEDICAL CENTER INC B 11013 FMV ST MARY'S MEDICAL CENTER INC B 4814 CASH ST MARY'S MEDICAL CENTER INC C 33516 CASH CABELL HUNTINGTON HOSPITAL FOUNDATION INC Q 128539 CASH ST MARY'S MEDICAL CENTER INC O 7233 CASH CABELL HUNTINGTON HOSPITAL INC O 55368 CASH MOUNTAIN HEALTH NETWORK INC O 173032 CASH CABELL HUNTINGTON HOSPITAL INC C 7000 CASH ST MARY'S MEDICAL CENTER INC N FMV