TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) SISTER MARY GRACE BARILE...................................................................... SECRETARY/DIRECTOR	1.00 .................	X			129,055	0	15,940
(2) JEFF LEABERRY MD...................................................................... CHAIR/DIRECTOR	2.00 .................	X	X		0	0	0
(3) VICKIE SMITH...................................................................... DIRECTOR	1.00 .................	X			0	0	0
(4) DEV RELLAN MD...................................................................... DIRECTOR	1.00 .................	X			0	64,404	3,849
(5) MARIE REDD...................................................................... DIRECTOR	1.00 .................	X			0	0	0
(6) TODD CAMPBELL...................................................................... TREASURER/DIRECTOR	2.00 .................	X	X		0	0	0
(7) SISTER DANUTA PRZYBYLEK...................................................................... DIRECTOR	1.00 .................	X			6,694	0	276
(8) AUDY PERRY...................................................................... VICE CHAIR/DIRECTOR	2.00 .................	X	X		0	0	0
(9) MICHAEL MISITI...................................................................... DIRECTOR	1.00 .................	X			0	0	0
(10) GEOFF SHEILS...................................................................... SECRETARY/DIRECTOR	2.00 .................	X	X		0	0	0
(11) ANGELA D SWEARINGEN...................................................................... VICE PRESIDENT/COO	45.00 .................		X		562,664	0	77,063
(12) DAVID M WARD...................................................................... SENIOR VP & CFO	0.00 ................. 45.00		X		0	928,179	34,973
(13) KEVIN YINGLING...................................................................... PRESIDENT & CEO	0.00 ................. 45.00		X		0	865,245	168,499
(14) HOYT J BURDICK...................................................................... VP CMO	0.00 ................. 45.00		X		0	508,206	43,433
(15) PAUL E SMITH...................................................................... CHIEF ADMIN OFFICER	0.00 ................. 45.00		X		0	433,194	45,194
(16) BRADLEY BURCK...................................................................... VP CORP FND & DNR PHIL	0.00 ................. 45.00		X		0	263,077	46,408
(17) VERA ROSE MD...................................................................... VICE PRESIDENT/RETIRED	45.00 .................			X	198,398	0	13,262

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SUSAN BETH ROBINSON........................................................................ VICE PRESIDENT	0.00 .......................45.00	X		0	356,742	55,127
(19) MARK MORGAN........................................................................ VICE PRESIDENT	0.00 .......................45.00	X		0	358,442	55,127
(20) REGINA CAMPBELL........................................................................ VICE PRESIDENT	0.00 .......................45.00	X		0	341,453	68,176
(21) DAVID SHEILS........................................................................ VICE PRESIDENT	45.00 .......................	X		235,670	0	31,913
(22) AARON BLEVINS........................................................................ VICE PRESIDENT	0.00 .......................45.00	X		0	259,489	60,316
(23) ROBERT KACZMARCZYK........................................................................ VICE PRESIDENT	45.00 .......................	X		261,390	0	45,461
(24) ANDY MULLINS........................................................................ VICE PRESIDENT	45.00 .......................	X		257,546	0	44,341
(25) LARRY HUTCHISON........................................................................ VICE PRESIDENT	45.00 .......................	X		294,089	0	46,514
(26) LARRY D DIAL........................................................................ CHIEF CLINICAL OFFICER CT	0.00 .......................45.00	X		0	544,214	19,800
(27) LISA C STUMP........................................................................ SYSTEM VP & CSO	0.00 .......................45.00	X		0	488,887	39,199
(28) MELISSA E LEASURE........................................................................ SYSTEM VP & GEN COUNSEL	0.00 .......................45.00	X		0	351,722	55,127
(29) EDUARDO PINO........................................................................ CMIO	0.00 .......................45.00	X		0	312,399	37,959
(30) FAREED AZIZ........................................................................ VP OF REVENUE CYCLE MGMT	0.00 .......................45.00	X		0	260,477	52,745
(31) JOHN K FIFE........................................................................ VP SUPPLY CHAIN OPERATIONS	0.00 .......................45.00	X		0	181,458	43,961
(32) THOMAS A HEFNER........................................................................ VP FINANCE	0.00 .......................45.00	X		0	175,196	33,026
(33) MATTHEW WERTHAMMER MD........................................................................ PHYSICIAN	45.00 .......................		X	1,687,526	0	51,107
(34) DWIGHT SAULLE MD........................................................................ PHYSICIAN	45.00 .......................		X	2,113,905	0	51,049
(35) NEPAL CHOWDHURY MD........................................................................ PHYSICIAN	45.00 .......................		X	2,396,885	0	51,671
(36) DAMIAN SILBERMINS MD........................................................................ PHYSICIAN	45.00 .......................		X	1,425,601	0	49,534
(37) LUIS BOLANO MD........................................................................ PHYSICIAN	45.00 .......................		X	1,688,540	0	37,861

(A) Name and business address	(B) Description of services	(C) Compensation
QUALIVIS PO BOX 123847 DEPT 3847 DALLAS,TX75312	MEDICAL	20,571,789
RIVER CITIES ANESTHESIA PO BOX 515 BARBOURSVILLE,WV25504	MEDICAL	7,461,608
UNIVERSITY PHYSICIANS AND SURGEONS 1600 MEDICAL CENTER DRIVE SUITE B5 HUNTINGTON,WV25701	MEDICAL	7,202,797
CERNER HEALTH SERVICES INC PO BOX 959168 ST LOUIS,MO63195	COMPUTER	2,928,533
AMERGIS HEALTHCARE STAFFING 7227 LEE DEFOREST DR COLUMBIA,MD21046	MEDICAL	2,775,048
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 61

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

ST MARY'S MEDICAL CENTER INC

Employer identification number

55-0357050

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

ST MARY'S MEDICAL CENTER INC

Employer identification number

55-0357050

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization ST MARY'S MEDICAL CENTER INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization ST MARY'S MEDICAL CENTER INC		Employer identification number 55-0357050

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization ST MARY'S MEDICAL CENTER INC			Employer identification number 55-0357050
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ST MARY'S MEDICAL CENTER INC

Employer identification number

55-0357050

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

59,099

Total. Add lines 1c through 1i ....................................................................................................

59,099

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	THE HOSPITAL IS A MEMBER OF THE WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA), THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES (CHA), AND THE AMERICAN HOSPITAL ASSOCIATION (AHA), WHICH ENGAGE IN LOBBYING ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO WVHA, CHA, AND AHA HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES WHICH TOTALED $59,099. SPECIFIC INFORMATION REGARDING THE ADVOCACY AGENDAS OF THE ASSOCIATIONS CAN BE VIEWED ON THEIR WEBSITES, WVHA.ORG, CHAUSA.ORG, AND AHA.ORG.

Return Reference

Explanation

PART II-B, LINE 1:

THE HOSPITAL IS A MEMBER OF THE WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA), THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES (CHA), AND THE AMERICAN HOSPITAL ASSOCIATION (AHA), WHICH ENGAGE IN LOBBYING ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO WVHA, CHA, AND AHA HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES WHICH TOTALED $59,099. SPECIFIC INFORMATION REGARDING THE ADVOCACY AGENDAS OF THE ASSOCIATIONS CAN BE VIEWED ON THEIR WEBSITES, WVHA.ORG, CHAUSA.ORG, AND AHA.ORG.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

ST MARY'S MEDICAL CENTER INC

Employer identification number

55-0357050

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	9,826,586		9,826,586
b	Buildings ....	166,506,102	40,934,861	125,571,241
c	Leasehold improvements
d	Equipment ....	115,994,416	58,085,637	57,908,779
e	Other .....	33,562,682	704,114	32,858,568
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				226,165,174

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)RIGHT-OF-USE ASSETS				35,798,599
(2)OTHER RECEIVABLE				29,320,126
(3)ESTIMATED THIRD-PARTY SETTLEMENTS				9,798,029
(4)OTHER ASSETS				27,494,801
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				102,411,555

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
ACCRUED PENSION COSTS	38,467,976
DEFERRED SALARIES AND WAGES	3,768,359
GENERAL RESERVES	32,770,001
DUE TO AFFILIATE HOSPITAL	100,074,609
LEASE OBLIGATIONS	42,842,965




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	217,923,910
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2024 AND 2023.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
ST MARY'S MEDICAL CENTER INC

Employer identification number

55-0357050

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990) 2023

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 FUNDRAISING (event type)	(b) Event #2 (event type)	(c) Other events (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	461,410			461,410
2	Less: Contributions . . . .
3	Gross income (line 1 minus line 2) . . . . . .	461,410			461,410

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	279,243	279,243
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		279,243
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		182,167

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) 2023

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ST MARY'S MEDICAL CENTER INC

Employer identification number

55-0357050

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .		7,216	546,604		546,604	0.070 %
b	Medicaid (from Worksheet 3, column a) . . . . .		23,184	102,856,543	82,587,831	20,268,712	2.770 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		30,400	103,403,147	82,587,831	20,815,316	2.840 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .	4		14,352,545	4,656,131	9,696,414	1.320 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	2	328	178,103		178,103	0.020 %
j	Total. Other Benefits . .	6	328	14,530,648	4,656,131	9,874,517	1.340 %
k	Total. Add lines 7d and 7j .	6	30,728	117,933,795	87,243,962	30,689,833	4.180 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support			93,917		93,917	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total			93,917		93,917	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

7,394,593

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

1,478,919

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

87,283,987

Enter Medicare allowable costs of care relating to payments on line 5.....

89,798,966

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-2,514,979

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 THREE GABLES SURGERY	OUTPATIENT HEALTH CARE	53.270 %	46.730 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Other (describe)
1	ST MARY'S MEDICAL CENTER INC 2900 FIRST AVENUE HUNTINGTON,WV25702	X	X	X	X	X	URGENT CARE

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST MARY'S MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.ST-MARYS.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.ST-MARYS.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ST MARY'S MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000%
and FPG family income limit for eligibility for discounted care of 200.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://WWW.ST-MARYS.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-POLICY

The FAP application form was widely available on a website (list url):

HTTPS://WWW.ST-MARYS.ORG/ASSETS/SMMC/DOCUMENTS/FAP/FINANCIAL-ASSISTANCE-AP

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.ST-MARYS.ORG/ASSETS/SMMC/DOCUMENTS/FAP/APPENDIX-B-PLAIN-LANGUA

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	ST MARY'S MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	ST MARY'S MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION A:	THIS FACILITY INCLUDES A SCHOOL OF NURSING, SCHOOL OF RESPIRATORY THERAPY, A SCHOOL OF MEDICAL IMAGING AND A CLINICAL PASTORAL EDUCATION PROGRAM. INTERNS AND RESIDENTS FROM MARSHALL UNIVERSITY SCHOOL OF MEDICINE ARE ALSO ASSIGNED AT THE HOSPITAL FOR THEIR CLINICAL ROTATIONS AS ARE STUDENTS IN COMMUNITY BASED PRACTICAL NURSING PROGRAMS.
ST. MARY'S MEDICAL CENTER	PART V, SECTION B, LINE 5: IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, ST. MARY'S MEDICAL CENTER (SMMC) SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SMMC CARES FOR PATIENTS THROUGHOUT WEST VIRGINIA, EASTERN KENTUCKY, AND SOUTHERN OHIO. THE HOSPITAL CONSULTED KEY INFORMANTS FROM THE FOLLOWING ORGANIZATIONS:A.D. LEWIS COMMUNITY CENTERAMERICAN HEART ASSOCIATIONAUTISM SERVICE CENTERBIG BROTHERS BIG SISTERS OF THE TRI-STATEBUCKSKIN COUNCILCABELL COUNTY PUBLIC LIBRARYCABELL HOME HEALTHCABELL HUNTINGTON HOSPITALCABELL HUNTINGTON HOSPITAL HOME CARE MEDICINECABELL-HUNTINGTON COALITION FOR THE HOMELESSCARVERCENTER FOR HEALTHY AGINGCENTRAL UNITED METHODIST CHURCHCHRIST EPISCOPAL CHURCHCITY OF HUNTINGTONCITY OF HUNTINGTON FIRE DEPARTMENTCOX LANDING & SUNRISE UNITED METHODIST CHURCHESEDUCATION ALLIANCEEDWARDS COMPREHENSIVE CANCER CENTERFACING HUNGER FOODBANKFAITHHEALTH APPALACHIAGRACE CHRISTIAN FELLOWSHIPHOSPICE OF HUNTINGTONHUNTINGTON 1ST CHURCH OF THE NAZARENEHUNTINGTON CITY COUNCILHUNTINGTON CITY MISSIONHUNTINGTON INTERNAL MEDICINE GROUPINTERVENTIONAL RADIOLOGYIRONTON IN BLOOMKANAWHA-CHARLESTON HEALTH DEPARTMENTKINDRED COMMUNICATIONSLAWRENCE COUNTY CHAMBER OF COMMERCELAWRENCE ECONOMIC DEVELOPMENT CORPORATIONMARSHALL HEALTH AND MARSHALL UNIVERSITY SCHOOL OF MEDICINEMARSHALL HEALTHMARSHALL HEALTH DIVISION OF ADDICTION SCIENCE IN FAMILY AND COMMUNITY MEDICINE-PROACT/PROJECT HOPEMARSHALL UNIVERSITYMARSHALL UNIVERSITY BEHAVIORAL HEALTH CLINICMARSHALL UNIVERSITY OB/GYNMARSHALL UNIVERSITY PEDIATRICSMARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE FAMILY MEDICINEMARSHALL UNIVERSITY SCHOOL OF PHARMACYMARTIN COUNTY HEALTH DEPARTMENTMILDRED MITCHELL BATEMAN HOSPITALMOUNTAIN HEALTH NETWORKMIDLAND BEHAVIORAL HEALTHPATHWAYS, INC.PROACTQUALITY INSIGHTSRADIOLOGY, INC.ROME PRESBYTERIAN CHURCHSOUTHERN WV HEALTH SYSTEMSST. MARY'S MEDICAL CENTERTEAM FOR WEST VIRGINIA CHILDRENTENTH AVENUE CHURCH OF GODTHE CAUSE, INC.THE CENTER - YOUTH OPPORTUNITY HUBTHE HIGHLAWN COMMUNITY ALLIANCETRANSFORMATION COMMUNITY CHURCHTRI-STATE STEM+M EARLY COLLEGE HIGH SCHOOLUNITED WAY OF THE RIVER CITIESVERTICAL HEALTHCAREWV DEPARTMENT OF HEALTH AND HUMAN RESOURCES/BUREAU OF BEHAVIORAL HEALTHWOMEN INFANTS AND CHILDRENWV FREEYMCA OF HUNTINGTON THESE ORGANIZATIONS WERE REPRESENTED BY PROFESSORS, PHYSICIANS, MID-LEVEL HEALTH CARE PROVIDERS, NURSES, CEOS, CFOS, DIRECTORS OF FACILITIES, PASTORS, AND OTHER CITIZENS OF THE SERVICE AREA.
ST. MARY'S MEDICAL CENTER	PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED ALONG WITH CABELL HUNTINGTON HOSPITAL, INC. BOTH HOSPITALS ARE LOCATED IN HUNTINGTON, WEST VIRGINIA.
ST. MARY'S MEDICAL CENTER	PART V, SECTION B, LINE 11: COMMUNITY-BUILDING ACTIVITIESA THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HAS BEEN DEVELOPED TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS OUR SERVICE AREA. THE CHIP BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES, WHILE RECOGNIZING NEW HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING A CHANGING HEALTH CARE ENVIRONMENT AND THE IMPACT OF THE COVID-19 PANDEMIC. CHIP SEEKS TO ADDRESS NOT ONLY PRIORITY AREAS IDENTIFIED IN THE PAST ASSESSMENTS BUT ALSO TO INCLUDE DISPARITIES IN SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO CARE. THIS IS CONSISTENT WITH A HEALTH EQUITY APPROACH TO LOOK BEYOND THE HEALTH CARE SYSTEM TO BUILD HEALTHIER COMMUNITIES FOR ALL PEOPLE. PRIORITY AREAS FOR CHIP INCLUDE BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AGING POPULATION, AND FOOD INSECURITY. BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER:THE GOAL IS TO SUPPORT SUBSTANCE USE DISORDER (SUD) EFFORTS AND IMPROVED OUTCOMES IN OUR COMMUNITY FOR PEOPLE WITH A BEHAVIORAL HEALTH AND/OR SUBSTANCE USE DISORDER AND THEIR FAMILIES, INCLUDING INFANTS WITH NEONATAL ABSTINENCE SYNDROME (NAS). CONTINUING STRATEGIES: - PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT (PROACT) PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE CHH, ST. MARY'S MEDICAL CENTER, MARSHALL HEALTH, AND THOMAS HEALTH. THE PROACT CENTER, WHICH OPENED IN 2018, WAS CREATED TO ADDRESS THE CLINICAL, BEHAVIORAL, SPIRITUAL, AND PROFESSIONAL ISSUES OF THOSE AFFECTED BY SUBSTANCE USE. IT FUNCTIONS AS THE CENTRALIZED HUB FOR TREATMENT, RECOVERY, THERAPY, EDUCATION, RESEARCH, WORKFORCE OPPORTUNITIES, AND SUPPORT FOR THOSE AFFECTED BY ADDICTION. - HOOPS FAMILY CHILDREN'S HOSPITAL CHILD ADVOCACY CENTER (CAC) THE HOOPS FAMILY CHILDREN'S HOSPITAL AT CHH OPENED THE CAC TO OFFER CHILDREN AND FAMILIES COMPASSIONATE CARE TO REDUCE THE TRAUMA OFTEN EXPERIENCED BY CHILDREN WHO ARE VICTIMS OF ABUSE. - HOOPS FAMILY CHILDREN'S HOSPITAL MATERNAL OPIOID MEDICAL SUPPORT (MOMS) PROGRAMTHE MOMS PROGRAM PROVIDES ADDICTION TREATMENT SERVICES FOR MOTHERS WHILE THEIR BABIES RECOVER FROM NEONATAL ABSTINENCE SYNDROME (NAS) IN THE NEONATAL THERAPEUTIC UNIT (NTU). SERVICES PROVIDED INCLUDE MEDICATION-ASSISTED THERAPY, WOMEN'S HEALTH, CONTRACEPTION, INDIVIDUAL AND GROUP COUNSELING, CASE MANAGEMENT AND PASTORAL CARE. - NEONATAL THERAPEUTIC UNIT (NTU)THE NTU AT CHH PROVIDES CARE FOR BABIES BORN PRENATALLY EXPOSED TO SUBSTANCES THAT CAN CAUSE SYMPTOMS OF WITHDRAWAL AFTER BIRTH. THE UNIT IS DEDICATED TO CARING FOR THE ENTIRE FAMILY BY PROVIDING TREATMENT, EDUCATION, AND SUPPORT IN A NON-JUDGMENTAL ENVIRONMENT. THE NTU IS THE FIRST OF ITS KIND IN THE STATE OF WV AND ONE OF THE FIRST IN THE US IN WHICH NEWBORNS EXPERIENCE THE BENEFIT OF QUIET, SUPPORTIVE HOSPITAL SETTING INVOLVING THE PARENTS AND EXTENDED FAMILY IN FORMING HEALTHY HABITS. - PROJECT HOPE FOR WOMEN AND CHILDREN THIS PROGRAM IS LED BY HEALTHY CONNECTIONS, THE HFCH MOMS PROGRAM, AND MARSHALL HEALTH'S MATERNAL ADDICTION RECOVERY CENTER TO SUPPORT MOTHERS AND THEIR FAMILIES ON THE ROAD TO ADDICTION RECOVERY. AS A COMPREHENSIVE TREATMENT FACILITY, PROJECT HOPE PROVIDES ONSITE PEER AND RESIDENTIAL SUPPORT, LIFE SKILLS TRAINING, MENTAL HEALTH SERVICES, EDUCATIONAL SUPPORT SERVICES, CAREER DEVELOPMENT, NUTRITION, EXERCISE SUPPORT, PARENTING, RELATIONSHIP COURSES, SPIRITUAL CARE, AND FINANCIAL EDUCATION. IT CAN HOUSE UP TO 18 FAMILIES AT A TIME IN SINGLE FAMILY UNITS AVERAGING A SIX MONTH STAY. - LILY'S PLACELILY'S PLACE CARES FOR DRUG EXPOSED NEWBORNS AND THEIR FAMILIES. MEDICAL CARE IS PROVIDED TO INFANTS SUFFERING FROM NAS. THEY PROVIDE SUPPORT, EDUCATION, AND COUNSELING SERVICES TO FAMILIES AND CAREGIVERS. DURING THEIR SHORT-TERM CARE, THEY CONNECT FAMILIES WITH RECOVERY GROUPS. TWO FOLLOW-UP CLINICS EACH MONTH, WITH A PEDIATRIC NEUROLOGIST AND SOCIAL WORKER, ARE CONDUCTED FOR PARENTS AND INFANTS WHO GRADUATE FROM THE PROGRAM. - PRESTERA CENTER FOR MENTAL HEALTH SERVICESCHH COORDINATES SERVICES WITH PRESTERA CENTER, WHICH IS A REGIONAL PROVIDER OF SUPPORT AND SERVICES FOR PEOPLE WITH BEHAVIORAL HEALTH AND SUBSTANCE ABUSE NEEDS. PRESTERA CENTER SPECIALIZES IN HELPING INDIVIDUALS WHO HAVE A DUAL DIAGNOSIS FOR MENTAL HEALTH AND SUBSTANCE USE NEEDS. - PROJECT ENGAGETHIS IS A PROGRAM FOR PATIENTS WHO SEEK TREATMENT THROUGH CHH EMERGENCY DEPARTMENT OR ARE ADMITTED AS AN INPATIENT OR TO MOTHER/BABY UNIT. PROJECT ENGAGE IS A PROGRAM THAT UNIFIES POLICIES AND PROTOCOLS TO INCREASE THE LIKELIHOOD THAT PATIENTS WITH SUB WILL BE PREPARED FOR AND CHOOSE LONG-TERM TREATMENT UPON DISCHARGE. - PERINATAL BEREAVEMENT SUPPORT GROUPS A SUPPORT GROUP FOR BEHAVIORAL HEALTH CONDITIONS AND/OR SUBSTANCE USE DISORDERS. MONTHLY PERINATAL BEREAVEMENT SUPPORT GROUPS WERE HELD WITH 25 PARTICIPANTS THIS FISCAL YEAR.- FAITHHEALTH APPALACHIA (FHA)BASED ON THE FAITHHEALTH MODEL FIRST DEPLOYED BY THE WAKE FOREST BAPTIST MEDICAL CENTER'S FAITHHEALTH PROGRAM, FAITHHEALTH APPALACHIA'S MISSION IS TO "BE THE BRIDGE," A CONDUIT OF TRANSFORMATION THAT CONNECTS COMMUNITY RESOURCES, HOSPITALS, FAITH COMMUNITIES, HEALTH CARE FACILITIES, AND SOCIAL SERVICE PROGRAMS THAT ARE BASED ON TRUTH, CARE, AND EDUCATION TO IMPROVE THE TOTAL WELLNESS OF INDIVIDUALS AND COMMUNITY. CHH SUPPORTS THE MISSION OF FHA AS A MODEL TO INCREASE ACCESS TO MEDICAL CARE AND OTHER RESOURCES TO LOCAL CONGREGATIONS AND EMPLOYS ITS EXECUTIVE DIRECTOR IN THE CHH PASTORAL CARE/CHAPLAINCY DEPARTMENT. - CABELL-HUNTINGTON HEALTH DEPARTMENT HARM REDUCTION PROGRAM (HRP)CHH, IN CONJUNCTION WITH MARSHALL HEALTH AND ST. MARY'S MEDICAL CENTER, SUPPORTS THE HRP. THE HRP PROVIDES STERILE SYRINGES, COLLECTS NON-STERILE (USED) SYRINGES, OFFERS NALOXONE AND RESCUE BREATHING TRAINING, AND ACTS AS POINTS OF ACCESS TO PREVENTION, TESTING AND TREATMENT FOR BLOOD-BORNE DISEASES AS WELL AS PROVIDING FAMILY PLANNING AND REFERRALS TO MEDICAL TREATMENT, SOCIAL SERVICES, MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES FOR CABELL COUNTY RESIDENTS.- REVERSE THE CYCLE PROJECTTHE HOSPITAL ER, IN CONJUNCTION WITH MOSAIC CONSULTING AND MARSHALL HEALTH ADDICTION MEDICINE DIVISION PROVIDE: A. SCREENING FOR SUBSTANCE ABUSE DISORDER IN ER VISITS WITH PEER RECOVERY SPECIALIST FOLLOW-UP. B. PEER RECOVERY SPECIALIST OUTREACH TO OVERDOSE SURVIVORS.C. PRESCRIBING OR PROVIDING OUTPATIENT NARCAN TO ER PATIENTS PRESENTING WITH OVERDOSE.- HEALTH CONNECTIONSA COALITION OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS DEDICATED TO EVIDENCE BASED AND INTER-AGENCY PROGRAMMING FOR THE TREATMENT OF PREGNANT AND PARENTING FAMILIES WHO ARE STRUGGLING WITH SUD.NEW STRATEGIES:- INCREASE THE AWARENESS AND EDUCATION TO ENCOURAGE TREATMENT AND MANAGEMENT OF BEHAVIORAL HEALTH ISSUES AND SUD BY COLLABORATING WITH COMMUNITY PARTNERS TO SOLICIT FEEDBACK FROM PEOPLE WITH LIVED EXPERIENCE AND THEIR FAMILIES FOR BOTH BEHAVIORAL HEALTH AND SUD SERVICES GAP ANALYSIS. - PROVIDE THE NAVIGATING GRIEF SUPPORT GROUPS, WHICH WAS PREVIOUSLY OFFERED BEFORE COVID. - PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT PROTECT FROM AND OFFSET RISK FACTORS FOR BEHAVIORAL HEALTH ISSUES AND SUD BY: A. EXPLORING PARTNERSHIPS WITH ARTS AND CULTURAL VENUES TO PROVIDE YOUTH ENGAGEMENT AND SOCIAL CONNECTIVITY OPPORTUNITIES.B. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS PROVIDING YOUTH MENTORSHIP, SENIOR PROGRAMMING, RELATIONSHIP-BUILDING, AND SOCIAL EMOTIONAL LEARNING OPPORTUNITIES.C. DEVELOPING ARRANGEMENTS WITH COMMUNITY ORGANIZATIONS TO ENCOURAGE SOCIAL ENGAGEMENT AND SELF-MANAGEMENT SKILLS FOR PEOPLE WITH CHRONIC CONDITIONS, CHRONIC PAIN, OR ADVANCING ILLNESS. - IMPROVE ACCESS TO BEHAVIORAL HEALTH AND SUD SERVICES BY SUPPORTING EFFORTS TO EXPAND TELEHEALTH APPLICATIONS. - INCREASE AWARENESS OF SUD TO REDUCE STIGMA AND FEAR OF SEEKING TREATMENT BY PROVIDING SUD AWARENESS SENSITIVITY TRAINING TO EMPLOYEES. - IMPROVE ACCESS TO SUD TREATMENT AND RECOVERY SERVICES BY: A. EXPLORING MOBILE UNIT OUTREACH FOR SERVICES SUCH AS MOBILE MEDICATION ASSISTED TREATMENT (MAT) AND NARCAN DISTRIBUTIONS.B. EXPLORING COMMUNITY PARTNERSHIPS TO ENHANCE TRANSPORTATION OPTIONS FOR SUD TREATMENT AND RECOVERY SERVICES CLIENTS.CHRONIC DISEASE PREVENTION AND MANAGEMENT:THE GOAL FOR CHRONIC DISEASE PREVENTION AND MANAGEMENT IS TO REDUCE THE BURDEN OF CHRONIC DISEASE THROUGH PREVENTION, DETECTION, AND TREATMENT OF RISK FACTORS, AND IMPROVE QUALITY OF LIFE FOR PEOPLE LIVING WITH CHRONIC DISEASE. EMPHASIS WILL BE GIVEN TO OBESITY/DIABETES, HEART DISEASE, AND TOBACCO USE/LUNG DISEASE. HIGH PRIORITY IS THE EQUITABLE LIFE EXPECTANCY AND QUALITY OF LIFE FOR ALL PEOPLE BY ENSURING RESIDENTS HAVE THE RESOURCES THEY NEED TO MAINTAIN THEIR HEALTH.
ST. MARY'S MEDICAL CENTER	PART V, SECTION B, LINE 11: CONTINUING STRATEGIES- VARIOUS SUPPORT GROUPS AND EDUCATIONAL SEMINARS THESE ARE OFFERED FREE AND IN-PERSON MONTHLY. THE FOLLOWING SUPPORT GROUPS WERE OFFERED IN THE THIS FISCAL YEAR:A. BREASTFEEDING SUPPORT GROUP WAS OFFERED MONTHLY AND HAD 8 ATTENDEES.B. CHILD BIRTH SUPPORT GROUP WAS OFFERED MONTHLY AND HAD 182 PARTICIPANTS.C. ECCC SISTERS OF HOPE SUPPORT GROUP WAS OFFERED 11 TIMES WITH 107 PARTICIPANTS.D. CENTER FOR SURGICAL WEIGHT CONTROL SUPPORT GROUP WAS AVAILABLE 7 TIMES AND 117 ATTENDEES WERE PRESENT.E. CENTER FOR SURGICAL WEIGHT CONTROL COMMUNITY EDUCATION SEMINAR WAS OFFERED MONTHLY AND 470 PARTICIPANTS ATTENDED. -HOME HEALTH CARE CHH HOME CARE MEDICINE, IN PARTNERSHIP WITH MARSHALL HEALTH, PROVIDES PRE- AND POST-ACUTE CARE FOR HOME-BOUND PATIENTS AGES 18 AND OLDER, THROUGHOUT THE TRI-STATE. A PHYSICIAN REFERRAL IS NOT NECESSARY TO RECEIVE SERVICES. CHH HOME CARE MEDICINE OFFERS: PHYSICAL EXAMINATIONS, DISEASE MANAGEMENT, MEDICATION MANAGEMENT, COORDINATION OF LAB AND X-RAY SERVICES AND COORDINATION OF CARE (HOSPICE, HOME HEALTH, AND HOSPITALIZATION). - HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN IS A COMMUNITY CENTER, WHERE PEOPLE COME TO LEARN, COOK, AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. THE FACILITY BOASTS A FULLY EQUIPPED KITCHEN THAT ACCOMMODATES UP TO 16 COOKING STUDENTS WHILE THE CLASSROOM CAN HOLD 75 STUDENTS. THE MISSION OF HUNTINGTON'S KITCHEN IS SIMPLE: TO HELP PREVENT AND REDUCE DIET-RELATED DISEASE THROUGH EDUCATION ABOUT HEALTHY FOOD AND HEALTHY COOKING. OUR GOAL IS TO SHARE INFORMATION WITH EVERYONE, REGARDLESS OF COOKING EXPERIENCE. CLASSES TYPICALLY FEATURE ACTIVITIES RELATED TO COOKING BASICS, RECIPES AND INGREDIENTS, NUTRITION BASICS, USING LOCAL AND SEASONAL FOOD, AND SHOPPING ON A BUDGET.HUNTINGTON'S KITCHEN IS A COMMUNITY OUTREACH PROGRAM OF CABELL HUNTINGTON HOSPITAL. THE KITCHEN IS THE HOME OF MARSHALL UNIVERSITY'S DEPARTMENT OF DIETETICS AND ALSO PARTNERS WITH THE WEST VIRGINIA EXTENSION OFFICE, THE CABELL COUNTY DRUG REHABILITATION COURT, AND FACING HUNGER FOODBANK TO TEACH COMMUNITY MEMBERS HOW TO PREPARE HEALTHY MEALS USING FRESH PRODUCE AND CANNED GOODS TYPICALLY DISTRIBUTED THROUGH FOOD BANKS. THE KITCHEN ALSO PROVIDES HEALTHY COOKING CLASSES FOR COMMUNITY ORGANIZATIONS AND CHILDREN OVER THE AGE OF 12. DURING THE FIRST HALF OF THIS FISCAL YEAR, HUNTINGTON'S KITCHEN HAD 623 IN-PERSON PARTICIPANTS AND 3,736 IN-PERSON COMMUNITY OUTREACH ENCOUNTERS.- CHERTOW DIABETES CENTER CHH COLLABORATES WITH THE CHERTOW DIABETES CENTER AT MARSHALL UNIVERSITY TO PROVIDE PATIENT EDUCATION, A DIABETES SUPPORT GROUP, DIABETES EXERCISE CENTER, AND OTHER RESOURCES FOR DIABETIC PATIENTS. THE CENTER, WHICH IS ACCREDITED BY THE AMERICAN DIABETES ASSOCIATION, IS STAFFED BY A COMPLETE TEAM OF ENDOCRINOLOGISTS, DIABETES EDUCATORS, AND SPECIALTY PERSONNEL WHO TREAT AND MANAGE DIABETES. - COMMUNITY HEALTH SCREENINGSCHH PARTICIPATED IN DISCOUNTED HEALTH SCREENINGS FOR HEALTH ISSUES, SUCH AS CHOLESTEROL, BLOOD SUGAR, DIABETIC FOOT SCREENINGS, AND OSTEOPOROSIS. EDUCATION ABOUT STROKE, JOINT REPLACEMENT SURGERY, AND RISK FACTORS FOR DIABETES AND OTHER HEALTH ISSUES WAS ALSO PROVIDED. CHH ALSO PROVIDED FREE FLU SHOT CLINICS TO THE COMMUNITY.- YOUTH AND SENIOR OPPORTUNITIESA. CHH HELPS PROVIDE YOUTH OPPORTUNITIES FOR PHYSICAL ACTIVITY AND HEALTH EDUCATION THROUGH SUPPORT OF LOCAL PARKS, PLAYGROUNDS, FUN RUNS, AND COMMUNITY ORGANIZATIONS.B. UNITED WAY OF THE RIVER CITIES ENVISIONS A COMMUNITY WHERE EVERYONE HAS THE TOOLS AND OPPORTUNITY TO THRIVE BY CONNECTING OUR COMMUNITY WITH RESOURCES TO REDUCE POVERTY AND IMPROVE LIVES. C. YMCA OF HUNTINGTON OFFERS SENIOR GROUP FITNESS CLASSES, PERSONAL TRAINERS FOR LIGHT-WEIGHTED WORKOUTS, YOGA, AND ZUMBA.D. DEVELOPMENTAL THERAPY CENTER (DTC) ENHANCES THE QUALITY OF LIFE FOR CHILDREN AND ADULTS WITH DISABILITIES IN OUR COMMUNITY REGARDLESS OF AGE, INCOME, OR GEOGRAPHIC LOCATION. THEY PROVIDE ACCESS TO OCCUPATIONAL, PHYSICAL, SPEECH-LANGUAGE THERAPY, AND SPECIAL INSTRUCTIONS SERVICES TO MAXIMIZE DAILY LIVING SKILLS.- EBENEZER MEDICAL OUTREACH (EMO)CHH SUPPORTS THE EFFORTS OF THE FULL-SERVICE MEDICAL CLINIC, EBENEZER MEDICAL OUTREACH WHICH PROVIDES ACCESS TO FREE, COMPREHENSIVE HEALTH CARE, PREVENTATIVE CARE, AND PHARMACEUTICALS TO FINANCIALLY ELIGIBLE CLIENTS SUCH AS THE FAIRFIELD WEST COMMUNITY OF HUNTINGTON AND THE SURROUNDING AREAS. NEW STRATEGIES- REDUCE DISPARITIES IN CHRONIC DISEASE PREVALENCE AND DEATH RATES AND PROMOTE HEALTH EQUITY BY:A. ALIGNING WITH STRATEGIC INITIATIVES BY MHN CENTERS OF EXCELLENCE IN CARDIOVASCULAR AND PEDIATRICS. B. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS ADDRESSING KEY SOCIAL DETERMINANTS OF HEALTH BARRIERS, INCLUDING FOOD INSECURITY, HOUSING AND UTILITY INSTABILITY, TRANSPORTATION NEEDS, HEALTH LITERACY, ACCESS TO CARE, DIFFICULTIES IN PAYING FOR CARE AND MEDICATIONS, AND PERSONAL SAFETY.C. SUPPORTING EARLY HEALTH EDUCATION OPPORTUNITIES FOR YOUTH IN PARTNERSHIP WITH AFTERSCHOOL PROGRAMMING AND SCHOOL DISTRICTS. D. PROVIDING LUNG NODULE SCREENINGS FOR EARLIER DETECTION OF LUNG CANCER.- INCREASE ACCESS TO TRADITIONAL AND ALTERNATIVE PLACES PEOPLE CAN ACCESS HEALTH CARE BY: A. EXPANDING NEW PRIMARY CARE SITE LOCATIONS ACROSS THE REGION. B. PARTNERING WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO CO-LOCATE SOCIAL SERVICES.C. EXPANDING ACCESS TO TELEHEALTH VISITS AND PROVIDE ALTERNATIVE MEANS OF CONNECTION FOR THOSE WITHOUT ACCESS TO BROADBAND OR SMARTPHONE SERVICES. D. EXPLORING PARTNERSHIPS WITH CHURCHES, COMMUNITY CENTERS, AND MOBILE DELIVERY OPTIONS TO BRING HEALTH AND SOCIAL SERVICES TO RURAL COMMUNITIES. E. WORKING WITH PRIMARY CARE OFFICES TO ENCOURAGE AND SCHEDULE INDIVIDUALS WHO DELAYED PREVENTIVE CARE DURING THE PANDEMIC. F. SUPPORTING BROADBAND EFFORTS TO PROVIDE ACCESS TO UNSERVED POPULATIONS.AGING POPULATIONTHE GOAL IS TO ACHIEVE EQUITABLE LIFE EXPECTANCY AND QUALITY OF LIFE FOR ALL PEOPLE AGED 65+ YEARS BY ENSURING RESIDENTS HAVE THE RESOURCES THEY NEED TO MAINTAIN THEIR HEALTH. INCLUDING THE IMPROVEMENT TO ACCESS TO HEALTH CARE SERVICES.NEW STRATEGIES- PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT PROTECT FROM AND OFFSET RISK FACTORS FOR SENIORS (65+) FOR BEHAVIORAL HEALTH ISSUES, SUBSTANCE USE DISORDERS, AND CHRONIC HEALTH ISSUES BY: A. EXPLORING PARTNERSHIP WITH SENIOR CENTERS AND OTHER ELDER SERVICE PROVIDERS TO PROVIDE OLDER ADULT ENGAGEMENT, SOCIAL CONNECTIVITY OPPORTUNITIES, BEHAVIORAL HEALTH SERVICES AND SUPPORTS, AND WELLNESS AND SENIOR VITALITY PROGRAMS. B. EXPANDING ACCESS TO TELEHEALTH VISITS AND PROVIDE ALTERNATIVE MEANS OF CONNECTION FOR THOSE WITHOUT ACCESS TO BROADBAND OR SMARTPHONE SERVICES. C. UTILIZE THE ORGANIZATIONS SUCH AS FAITHHEALTH APPALACHIA AND CATHOLIC CHARITIES TO SERVE AS A CONNECTION BETWEEN SOCIAL SERVICES, FAITH-BASED ORGANIZATIONS, MEDICAL FACILITIES, AND OTHER KEY LEADERS TO MEET THE SOCIAL DETERMINANTS OF HEALTH NEEDS OF SENIORS SUCH AS FOOD INSECURITY, MALNUTRITION, HOUSING, TRANSPORTATION NEEDS, AND SOCIAL ISOLATION. - REDUCE DISPARITIES IN CHRONIC DISEASE PREVALENCE AND DEATH RATES BY:A. ALIGNING WITH STRATEGIC INITIATIVES BY THE CENTER FOR HEALTHY AGING.B. EXPLORING AGE-FRIENDLY HEALTH SYSTEMS AND AARP LIVEABLE COMMUNITIES CRITERIA TO ADDRESS THE UNIQUE CARE NEEDS OF OLDER ADULTS.-FOOD INSECURITYTHE GOAL IS TO ENHANCE FOOD SECURITY AND ENCOURAGE AND INCREASE HEALTHY EATING BEHAVIORS ACROSS ALL AGE GROUPS IN THE COMMUNITY.CONTINUING STRATEGIES- EDWARDS COMPREHENSIVE CANCER CENTER (ECCC)ONE OF OUR EMPLOYEES, A REGISTERED DIETITIAN AND NUTRITIONIST, PROVIDES INFORMATION TO COMMUNITY MEMBERS REGARDING NUTRITION AND EDUCATION FOR CANCER PATIENTS AND THEIR FAMILIES. SHE HOSTS A MONTHLY EDUCATIONAL CLASS, OPEN TO THE PUBLIC, CALLED COOKING WITH CANCER (HOSTED AT HUNTINGTON'S KITCHEN). AS A CERTIFIED DIABETES EDUCATOR, SHE ALSO HOLDS NUTRITIONAL CLASSES FOR PATIENTS AND THEIR FAMILIES ON HOW TO PREPARE HEALTHY DIABETIC MEALS.NEW STRATEGIES- INCREASE ACCESS TO HEALTHY FOODS BY:A. UTILIZE THE ORGANIZATIONS SUCH AS FAITHHEALTH APPALACHIA AND CATHOLIC CHARITIES TO SERVE AS A CONNECTION BETWEEN SOCIAL SERVICES, FAITH-BASED ORGANIZATIONS, MEDICAL FACILITIES, AND OTHER KEY LEADERS TO MEET THE SOCIAL DETERMINANTS OF HEALTH NEEDS OF PATIENTS SUCH AS FOOD INSECURITY, MALNUTRITION, HOUSING, TRANSPORTATION NEEDS, AND SOCIAL ISOLATION.B. EXPAND AND ENHANCE USE OF MEDICALLY TAILORED FOOD BOXES AND READY-TO-EAT MEALS WITH FACING HUNGER FOODBANK AND RETAIL FOOD STORES. C. SUPPORTING FARMERS MARKETS AND OTHER FOOD ACCESS INITIATIVES THAT PROVIDE FRESH, LOCALLY GROWN PRODUCE FOR LOW TO MODERATE INCOME UNDERSERVED POPULATIONS.
ST. MARY'S MEDICAL CENTER	PART V, SECTION B, LINE 11: D. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS ADDRESSING KEY SOCIAL DETERMINANTS OF HEALTH BARRIERS, INCLUDING FOOD INSECURITY, HOUSING AND UTILITY INSTABILITY, AND ACCESS TO HEALTHY FOODS.E. EXPLORING PARTNERSHIPS WITH GROCERY STORES AND CORPORATIONS TO INCREASE FOOD SUPPLY, HEALTHIER OPTIONS, AND REDUCE FOOD DESSERTS.F. ENCOURAGING MOBILE FOOD DRIVES.G. ENGAGING IN DEMONSTRATION PROJECTS WITH OTHER PROVIDERS AND PAYERS TO DEVELOP INNOVATIVE WAYS TO ADDRESS FOOD INSECURITY THROUGH INCENTIVES AND SUPPLEMENTAL PROGRAMS.H. STRENGTHENING AND SUPPORTING OPPORTUNITIES FOR HEALTHY LIFESTYLES INCLUDING COMMUNITY GARDENS AND COMMUNITY WALKABILITY.I. EXPLORING COMMUNITY ACTIVITIES THAT FOCUS ON GETTING FAMILIES TOGETHER TO LEARN HOW TO IMPROVE QUALITY OF FOOD AND ACTIVITY. J. SUPPORTING WELLNESS AND NUTRITION EDUCATION EVENTS IN PARTNERSHIP WITH COMMUNITY PARTNERS.K. COLLABORATING WITH NUTRITION AND DIETARY RESOURCES WITHIN THE SYSTEM AND IN THE COMMUNITY TO INTEGRATE NUTRITION EDUCATION INTO CHRONIC DISEASE MANAGEMENT PROGRAMS INCLUDING TELE-NUTRITION PROGRAMS.L. PARTNERING WITH COMMUNITY ORGANIZATIONS TO ADDRESS UNDERLYING DRIVERS OF HEALTH DISPARITIES THROUGH EDUCATION, OUTREACH, AND CHRONIC DISEASE MANAGEMENT PROGRAMS. -VOLUNTEER SERVICE ON COMMUNITY BOARDSCHH LEADERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON A NUMBER OF COMMUNITY BOARDS INCLUDING: DIGNITY HOSPICE, SART (SEXUAL ASSAULT RESPONSE TEAM), STOP (DOMESTIC VIOLENCE RESPONSE), VAB (VICTIM ADVISORY BOARD), MDIT (MULTIDISCIPLINARY INVESTIGATIVE TEAM) CABELL & WAYNE COUNTY, GENERATION HUNTINGTON, HUNTINGTON REGIONAL CHAMBER OF COMMERCE, LAWRENCE COUNTY OHIO CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, FACING HUNGER FOODBANK, GOODWILL FAMILY SERVICES BOARD, KODA DONATE LIFE EVENTS, AND LITTLE VICTORIES ANIMAL RESCUE, TO NAME A FEW.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?10
Name and address		Type of Facility (describe)
1	1 - ST MARY'S FAMILY CARE 147 WILLOW TREE WAY HURRICANE,WV25526	OUPATIENT CLINIC
2	2 - HIMG EAR NOSE AND THROAT 5170 US ROUTE 60 EAST HUNTINGTON,WV25705	OUPATIENT CLINIC
3	3 - ST MARY'S FAMILY CARE 1408 CAMPBELL DRIVE IRONTON,OH45638	OUPATIENT CLINIC
4	4 - HIMG-AUDIOLOGY 5170 US ROUTE 60 EAST HUNTINGTON,WV25705	OUPATIENT CLINIC
5	5 - ULTIMATE PLASTICS AND RECONSTRUCTIVE 5170 US ROUTE 60 EAST HUNTINGTON,WV25705	OUPATIENT CLINIC
6	6 - ST MARY'S HIMG LLC 1290 MONTGOMERY AVE SUITE 1 ASHLAND,KY41101	OUPATIENT CLINIC
7	7 - ST MARY'S MEDICAL MANAGEMENT 38 HOSPITAL DRIVE SUITE G-B LOGAN,WV25601	OUPATIENT CLINIC
8	8 - ST MARY'S MEDICAL MANAGEMENT 414 GREENWAY AVE SUITE 100 SOUTH CHARLESTON,WV25309	OUPATIENT CLINIC
9	9 - SCOTT ORTHOPEDIC CENTER 2828 FIRST AVE SUITE 400 HUNTINGTON,WV25702	OUPATIENT CLINIC
10	10 - ST MARY'S MEDICAL MANAGEMENT 2420 JEFFERSON AVE SUITE 100 POINT PLEASANT,WV25550	OUPATIENT CLINIC

Schedule H (Form 990) 2023

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	ELIGIBILITY IS DETERMINED BY COMPARING HOUSEHOLD FAMILY INCOME AGAINST THE INCOME POVERTY GUIDELINES FOR FINANCIAL INDIGENCE, A RATIO OF TOTAL MEDICAL EXPENSES TO ANNUAL DISPOSABLE INCOME FOR MEDICAL INDIGENCE. INCOME IS DEFINED AS THE TOTAL ANNUAL CASH RECEIPTS BEFORE TAXES FROM ALL SOURCES.FINANCIALLY INDIGENT: UNCOMPENSATED CARE SHALL INCLUDE UNREIMBURSED SERVICES TO THE FINANCIALLY INDIGENT. FINANCIALLY INDIGENT SHALL MEAN UNINSURED OR UNDERINSURED PATIENTS ACCEPTED FOR CARE WITH NO OBLIGATION OR A DISCOUNTED OBLIGATION TO PAY FOR SERVICES RENDERED BASED ON THE MEDICAL CENTER'S ELIGIBILITY SYSTEM WHICH MAY INCLUDE:(A) INCOME LEVELS AND MEANS TESTING OR OTHER CRITERIA FOR DETERMINING A PATIENT'S INABILITY TO PAY; OR B) OTHER CRITERIA FOR DETERMINING A PATIENT'S INABILITY TO PAY THAT ARE CONSISTENT WITH THE MEDICAL CENTER'S MISSION AND ESTABLISHED POLICY. THE FEDERAL POVERTY LEVEL SHALL SERVE AS AN INDEX FOR THE THRESHOLD BELOW WHICH PATIENTS RECEIVING CARE AT ST. NARY'S MEDICAL CENTER ARE DEEMED FINANCIALLY INDIGENT. FINANCIALLY INDIGENT SERVICES INCLUDE NONCOVERED SERVICES FOR PATIENTS ELIGIBLE FOR THE MEDICAID PROGRAM, SERVICES PROVIDED UNDER COUNTY INDIGENT CARE CONTRACTS, AND OTHER STATE OR FEDERAL ASSISTANCE PROGRAMS FOR LOW INCOME GROUPS. MEDICALLY INDIGENT: UNCOMPENSATED CARE SHALL INCLUDE UNREIMBURSED SERVICES TO THE MEDICALLY INDIGENT. MEDICALLY INDIGENT SHALL MEAN PATIENTS WHO ARE RESPONSIBLE FOR THEIR LIVING EXPENSES, BUT WHOSE MEDICAL AND HOSPITAL BILLS, AFTER PAYMENT BY THIRD PARTY PAYERS, WHERE APPLICABLE, EXCEED: (A) A SPECIFIED PERCENTAGE OF THE PATIENT'S ANNUAL GROSS INCOME (I.E.,CATASTROPHIC MEDICAL EXPENSES) IN ACCORDANCE WITH THE MEDICAL CENTER'S FORMAL ELIGIBILITY SYSTEM IN SUCH INSTANCES WHERE PAYMENT WOULD REQUIRE LIQUIDATION OF ASSETS CRITICAL TO LIVING OR EARNING A LIVING; OR (B) THE CRITERIA FOR DETER14INING A PATIENT'S INABILITY TO PAY. WHILE FINANCIAL INDIGENCE IS BASED STRICTLY ON AN INCOME LEVEL, MEDICAL INDIGENCE CONSIDERS BOTH INCOME AND THE FINANCIAL OBLIGATION FOR HEALTHCARE SERVICES TO CALCULATE THE PATIENT'S ABILITY TO PAY WITHOUT LIQUIDATING ASSETS CRITICAL TO LIVING OR EARNING A LIVING, SUCH AS A HOME, CAR, PERSONAL BELONGINGS, ETC. THEREFORE, PATIENTS ARE CONSIDERED FOR MEDICALLY INDIGENT STATUS ON A CASE BY CASE BASIS. THE PATIENT WOULD BE REQUIRED TO PROVIDE DOCUMENTATION OF INCOME TO DETERMINE IF HE/SHE IS TO BE CONSIDERED MEDICALLY INDIGENT. ALL PATIENTS ARE ELIGIBLE TO BE CONSIDERED FOR MEDICALLY INDIGENT STATUS WITH THE EXCEPTION OF PATIENTS WITH INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL AS THESE PATIENTS ARE CONSIDERED FOR SOME LEVEL OF UNCOMPENSATED CARE UNDER THE FINANCIALLY INDIGENT CATEGORY.
PART I, LINE 7:	THE COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED TO DETERMINE COMMUNITY BENEFIT EXPENSES FOR FINANCIAL ASSISTANCE AT COST AND MEDICAID.THE AMOUNT OF CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY GROUPS WAS OBTAINED FROM THE HOSPITAL'S ACCOUNTING RECORDS.PART I, LINE 7, COLUMN (F)THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
PART III, LINE 2:	BAD DEBT EXPENSE WAS ESTIMATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS.
PART III, LINE 3:	BASED ON HISTORICAL INFORMATION, APPROXIMATELY 20% OF BAD DEBT EXPENSE AT COST IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART II AND PART VI, LINE 5	COMMUNITY BUILDING ACTIVITIES:ST. MARY'S MEDICAL CENTER (SMMC) PARTICIPATED IN NUMEROUS COMMUNITY-BUILDING ACTIVITIES THROUGHOUT FY 2024 THAT PROMOTED WELLNESS AND HELPED ENRICH THE LIVES OF PEOPLE IN THE TRI-STATE. THESE INCLUDED:COMMUNITY FLU SHOT CLINICSSMMC, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, OFFERED FREE DRIVE-THRU FLU SHOT CLINICS SATURDAY, OCT. 12, 2024, IN HUNTINGTON AND IN HURRICANE. A TOTAL OF 254 TOTAL VACCINES WERE GIVEN AT BOTH LOCATIONS.FREE WOMEN'S HEALTH SCREENINGSST. MARY'S BREAST CENTER OFFERED TWO FREE WOMEN'S HEALTH SCREENINGS TO THE COMMUNITY: A FREE BREAST SCREENING AND CERVICAL CANCER SCREENING ON 4.20.24, 42 PARTICIPATED. SKIN SCREENING ON 5.17.24, 38 PARTICIPATED AND A BREAST CANCER SCREENING ON 10.25.23, 10 PARTICIPATED. COMMUNITY WELLNESS BLOOD PROFILESSMMC, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND HIMG, PROVIDED LOW-COST WELLNESS BLOOD PROFILES TO THE COMMUNITY DURING THE MONTHS OF OCTOBER, NOVEMBER, FEBRUARY, APRIL, JUNE, AUGUST 2023-2024. BLOOD PROFILES INCLUDED 29 DIFFERENT TESTS, SUCH AS GLUCOSE, CHOLESTEROL AND CALCIUM, WITH OPTIONAL TESTING AVAILABLE AT AN ADDITIONAL COST FOR HEMOGLOBIN A1C, THYROID-STIMULATING HORMONE (TSH), VITAMIN D AND PROSTATE-SPECIFIC ANTIGEN (PSA). THE PROFILES WERE AVAILABLE BY APPOINTMENT AT THE SMMC CONFERENCE CENTER, HIMG AND THE SMMC IRONTON CAMPUS. SMMC'S FACILITIES PROVIDED 2,554 PROFILES. SUPPORT GROUPSSMMC OFFERS FREE SUPPORT GROUPS AND NUTRITION COUNSELING TO THE COMMUNITY:" BREAST CANCER, 11 SUPPORT GROUPS HELD, 127 PARTICIPANTS." NUTRITION COUNSELING, 14 EVENTS, 1,400 PARTICIPANTSSMMC ALSO OFFERS NAVIGATING GRIEF, A FREE QUARTERLY FOUR-WEEK COURSE, TO HELP COMMUNITY MEMBERS WHO ARE STRUGGLING WITH LOSS. EIGHTEEN SUPPORT GROUPS WERE HELD, 417 PARTICIPANTS. AMERICAN RED CROSS BLOOD DRIVESTO ASSIST WITH THE BLOOD SHORTAGE, SMMC HOSTED TWO COMMUNITY BLOOD DRIVES WITH 175 PARTICIPANTS BETWEEN THE MEDICAL CENTER AND THE CENTER FOR EDUCATION. AMERICAN HEART ASSOCIATION EVENTSHUNTINGTON HEART WALK: SMMC REGIONAL HEART INSTITUTE PARTNERED WITH THE AMERICAN HEART ASSOCIATION, THE LARGEST VOLUNTARY HEALTH ORGANIZATION WORKING TO PREVENT, TREAT AND DEFEAT HEART DISEASE, STROKE AND OTHER CARDIOVASCULAR DISEASES, FOR THE 2024 HUNTINGTON HEART WALK, APRIL 20, 2024. THE WALK RAISED FUNDS AND AWARENESS FOR THE AMERICAN HEART ASSOCIATION AND HAD APPROXIMATELY 200 PARTICIPANTS. SMMC STAFF MEMBERS PROVIDED FREE BLOOD PRESSURE SCREENINGS TO WALKERS.GO RED MINI HEALTH FAIR: AS PART OF NATIONAL WEAR RED DAY, THIS FREE EVENT OFFERED FREE BLOOD PRESSURE, BLOOD SUGAR AND CHOLESTEROL SCREENINGS, AS WELL AS INFORMATION ON SLEEP DISORDERS, SMOKING CESSATION, STROKE RISK AND NUTRITION TO 175 ATTENDEES. HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN IS A COMMUNITY FOOD CENTER WHERE PEOPLE COME TO LEARN, COOK AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. SMMC PARTNERED WITH HUNTINGTON'S KITCHEN THROUGHOUT THE YEAR TO PROVIDE SPEAKERS FOR TWO FREE MONTHLY COMMUNITY EVENTS: DINING WITH A DOC, WHICH OFFERS AN EVENING OF HEALTH INFORMATION AND COOKING WITH A PHYSICIAN, AND SENIOR FOCUS FRIDAY, A PROGRAM FOR PEOPLE 50 AND OLDER. TOPICS INCLUDED: MENTAL HEALTH, DIABETES MANAGEMENT, THE IMPORTANCE OF A PRIMARY CARE PROVIDER AND HEART CARE. A TOTAL OF 12 GROUPS WERE HELD WITH 112 PARTICIPANTS. FACING HUNGER FOODBANKSMMC PARTNERED WITH FACING HUNGER FOODBANK TO DISTRIBUTE MEDICALLY INDICATED FOOD BOXES TO OVER 1,300 CLINIC PATIENTS THROUGHOUT THE YEAR. PROACT (PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT)PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE SMMC, CABELL HUNTINGTON HOSPITAL, MARSHALL HEALTH AND THOMAS HEALTH. THE PROACT CENTER, WHICH OPENED IN 2018, WAS CREATED TO ADDRESS THE CLINICAL, BEHAVIORAL, SPIRITUAL AND PROFESSIONAL ISSUES OF THOSE AFFECTED BY SUBSTANCE USE. IT FUNCTIONS AS THE CENTRALIZED HUB FOR TREATMENT, RECOVERY, THERAPY, EDUCATION, RESEARCH, WORKFORCE OPPORTUNITIES AND SUPPORT FOR THOSE AFFECTED BY ADDICTION. SMMC PROVIDES A FULL-TIME CHAPLAIN. 2,459 PATIENTS SUPPORTED BY A SMMC FULL-TIME CHAPLAIN. 6,914 CLIENTS ASSISTED BY PROACT.COMPASS PROGRAMTHE COMPASS PROGRAM PROVIDES TRAINING, CLASSES AND A WELLNESS CENTER TO HELP FIRST RESPONDERS IN HUNTINGTON IMPROVE THEIR MENTAL HEALTH. SMMC PROVIDES SPIRITUAL CARE AND EMPLOYMENT ASSISTANCE PROGRAM (EAP) SERVICES AS PART OF THE PROGRAM. JOSLIN DIABETES CENTERTHE JOSLIN DIABETES CENTER EDUCATION AFFILIATE AT SMMC OFFERS NUTRITION EDUCATION AND COUNSELING, IN PARTNERSHIP WITH THE RENOWNED JOSLIN DIABETES CENTER IN BOSTON, MASSACHUSETTS. JOSLIN WORKED WITH 769 PEOPLE IN 2024.SMOKING CESSATION COUNSELINGSMMC PULMONARY REHABILITATION OFFERS ONE-ON-ONE SMOKING CESSATION COUNSELING BY A CERTIFIED TOBACCO TREATMENT SPECIALIST. 1,344 PEOPLE RECEIVED COUNSELING IN 2024.CANCER SURVIVOR RECEPTIONSFREE EVENTS HELD AT ST. MARY'S CENTER FOR EDUCATION FOR CANCER SURVIVORS AND THEIR FAMILY MEMBERS WITH 55 PARTICIPANTS. COMMUNITY GIVINGWE SUPPORT PROJECTS THAT PROMOTE HEALTHY LIVING, NUTRITION, PHYSICAL ACTIVITY, WELLNESS, AND THE PREVENTION AND MANAGEMENT OF DISEASE. FUNDED INITIATIVES MUST ALIGN WITH PRIORITIES IDENTIFIED IN THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).VOLUNTEER SERVICE ON COMMUNITY BOARDSSMMC MANAGERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON MANY NON-PROFIT BOARDS INCLUDING HUNTINGTON REGIONAL CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, BIG BROTHERS/BIG SISTERS, FACING HUNGER FOODBANK, GOODWILL, HOSPICE OF HUNTINGTON AND THE KEITH-ALBEE PERFORMING ARTS CENTER TO NAME A FEW.
PART III, LINE 4:	THE TEXT OF THE FOOTNOTE READS AS FOLLOWS: "THE SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS A COMPONENT OF NET PATIENT SERVICE REVENUES OR PATIENT ACCOUNTS RECEIVABLE (NOTE 4)." THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2024 OR 2023.
PART III, LINE 8:	MEDICARE COSTS WERE OBTAINED FROM THE HOSPITAL'S MEDICARE COST REPORT.
PART V, SECTION A:	THIS FACILITY INCLUDES A SCHOOL OF NURSING, SCHOOL OF RESPIRATORY THERAPY, A SCHOOL OF MEDICAL IMAGING AND A CLINICAL PASTORAL EDUCATION PROGRAM. INTERNS AND RESIDENTS FROM MARSHALL UNIVERSITY SCHOOL OF MEDICINE ARE ALSO ASSIGNED AT THE HOSPITAL FOR THEIR CLINICAL ROTATIONS AS ARE STUDENTS IN COMMUNITY BASED PRACTICAL NURSING PROGRAMS.
PART VI, LINE 2:	SMMC TAKES STEPS TO DETERMINE WHAT THE MOST PRESSING NEEDS ARE IN ORDER TO PROVIDE SERVICES TO ADDRESS THEM. THE HOSPITAL REGULARLY ASSESSES THE NEEDS OF THE COMMUNITY. PERIODIC NEEDS ASSESSMENTS ARE CONDUCTED IN PARTNERSHIP WITH OUR LOCAL HEALTH DEPARTMENT. ADDITIONALLY, WE MONITOR COUNTY, STATE, AND NATIONAL HEALTH INDICATORS AND WORK IN PARTNERSHIP WITH SERVICE AGENCIES IN THE COMMUNITIES WE SERVE TO MEET IDENTIFIED NEEDS.
PART VI, LINE 3:	SMMC EMPLOYS A VARIETY OF METHODS TO REACH PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE, INCLUDING:* FINANCIAL ASSISTANCE POSTERS ARE DISPLAYED IN ALL EMERGENCY, ADMITTING, OUTPATIENT, AND CLINIC AREAS THAT INCLUDE A PHONE NUMBER TO CALL FOR FINANCIAL ASSISTANCE COUNSELING.* HOSPITAL DEPARTMENTS THAT HAVE INITIAL CONTACT WITH INCOMING INPATIENTS AND OUTPATIENTS ARE SUPPLIED WITH BROCHURES ABOUT FINANCIAL ASSISTANCE FOR DISTRIBUTION TO PATIENTS AND FAMILY MEMBERS.* THE HOSPITAL EMPLOYS TRAINED FINANCIAL ASSISTANCE COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE SUCH AS APPLICATION FOR FEDERAL AND/OR STATE PROGRAMS; QUALIFICATION FOR CHARITY CARE; DETERMINATION OF AUTOMATIC DISCOUNTS AND/OR FURTHER REDUCTIONS IN CHARGES; AND SETTING UP LONG-TERM FINANCIAL ARRANGEMENTS. THE HOSPITAL PUBLISHES FINANCIAL ASSISTANCE INFORMATION, INCLUDING THE FAP POLICY, ON THE INTERNET HOME PAGE.
PART VI, LINE 4:	ST. MARY'S MEDICAL CENTER SERVES THE GREATER HUNTINGTON, WEST VIRGINIA COMMUNITY WITH A PRIMARY SERVICE AREA THAT INCLUDES CABELL, WAYNE, MASON, PUTNAM AND LINCOLN COUNTIES IN WEST VIRGINIA AND LAWRENCE COUNTY IN OHIO. ST. MARY'S ALSO SERVES A MUCH WIDER SERVICE AREA BECAUSE OF SPECIALTY MEDICAL SERVICES INCLUDING ADVANCED EMERGENCY TRAUMA CARE, ADVANCED STROKE CARE, ADVANCED SPINE CARE, ADVANCED HEART CARE, ADVANCED CANCER CARE, AND ADVANCED ORTHOPEDIC CARE. THAT SECONDARY SERVICE AREA INCLUDES LOGAN AND MINGO COUNTIES IN WEST VIRGINIA, AS WELL AS BOYD, GREENUP, CARTER, LAWRENCE, JOHNSON, FLOYD AND PIKE COUNTIES IN KENTUCKY AND SCIOTO AND GALLIA COUNTIES IN OHIO.COMPETITORS WITHIN OUR PRIMARY SERVICE AREA ARE CAMC TEAYS VALLEY (PUTNAM COUNTY) AND KING'S DAUGHTERS HEALTH SYSTEM (ASHLAND, KY). THE MOST RECENT STATISTICS FROM THE U.S. CENSUS BUREAU SHOW THAT THE HIGH SCHOOL GRADUATION RATE (AGE 25+) FOR HUNTINGTON IS 89.2%. THE PERCENTAGE OF HUNTINGTON RESIDENTS LIVING BELOW THAT FEDERAL POVERTY LEVEL IS 27.4%. CABELL COUNTY BIRTH RATES FOR 15 TO 19 YEAR-OLDS IS 13.9 PER 1000 FEMALES.
PART VI, LINE 5:	ST. MARY'S OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AS WELL AS SISTERS FROM THE PALLOTTINE MISSIONARY SISTERS. ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL.ST. MARY'S ENGAGES IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS: PHYSICIANS, NURSES, MEDICAL IMAGING TECH, RESPIRATORY TECHS, AND CHAPLAINS; AND PARTICIPATES IN MEDICARE, MEDICAID, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS.ST. MARY'S ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT."COMMUNITY BENEFIT WORK IS DRIVEN BY COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTH CARE ORGANIZATIONS AND THE BROADER COMMUNITY. COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION, AND STAFF AND BOARD EDUCATION IS CONDUCTED. DEDICATED STAFF IS COMMITTED TO COMMUNITY BENEFIT EFFORTS.THE ST. MARY'S FOUNDATION IS A NON-PROFIT ORGANIZATION THAT PROVIDES GRANT WRITING AND FUNDRAISING FOR BOTH MEDICAL CENTER PROGRAMS AND FOR COMMUNITY BENEFIT PROGRAMS THAT REACH BOTH THE POOR AND THE BROADER COMMUNITY. OPERATIONS OF THE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY.WHEN ST. MARY'S HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE THAT WE WILL BE HERE TO CARE FOR FUTURE GENERATIONS.
PART VI, LINE 6:	THE HOSPITAL IS CONTROLLED BY THE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK INC. MARSHALL HEALTH NETWORK, INC IS ALSO THE SOLE CORPORATE MEMBER OF THE FOLLOWING: CABELL HUNTINGTON HOSPITAL, INC., PLEASANT VALLEY HOSPITAL, INC. DBA RIVERS HEALTH, AND UNIVERSITY PHYSICIANS & SURGEONS, INC DBA MARSHALL HEALTH. THE MARSHALL HEALTH NETWORK AFFILIATED HEALTH CARE SYSTEM IS COMPRISED OF MULTIPLE RELATED HOSPITALS, PHYSICIAN PRACTICES, AMBULATORY FACILITIES, AND CLINICS THAT OPERATE AS SEPARATE LEGAL ENTITIES BUT ARE COORDINATED UNDER A UNIFIED MISSION. MARSHALL HEALTH NETWORK OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF THE ORGANIZATIONS IT CONTROLS. THESE PURPOSES INCLUDE PROMOTING THE HEALTH OF THE COMMUNITIES SERVED THROUGH COMMUNITY BUILDING ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT ALONG WITH SUPPORTING OTHER ORGANIZATIONS IN THEIR MISSIONS AS WELL. THE MISSION OF MARSHALL HEALTH NETWORK AND ALL ITS AFFILIATED ENTITIES, INCLUDING ST. MARY'S MEDICAL CENTER, INC., IS TO "ADVANCE HEALTH, INSPIRE HOPE, AND SERVE YOU". THE ORGANIZATION IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF OVER ONE MILLION CHILDREN AND ADULTS IN 38 COUNTIES ACROSS WEST VIRGINIA, SOUTHERN OHIO, AND EASTERN KENTUCKY THROUGH HIGH QUALITY COMPASSIONATE CARE, EDUCATION, AND RESEARCH.

Schedule H (Form 990) 2023

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
ST MARY'S MEDICAL CENTER INC

Employer identification number
55-0357050

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) ST MARY'S MEDICAL CENTER FOUNDATION 2900 FIRST AVENUE HUNTINGTON,WV25702	14-1887211	501(C)(3)	9,500	0			SPONSOR
(2) EBENEZER MEDICAL OUTREACH 1448 TENTH AVE SUITE 100 HUNTINGTON,WV25701	55-0745033	501(C)(3)	25,000	0			WELLNESS
(3) BIG GREEN SCHOLARSHIP FOUNDATION PO BOX 1360 HUNTINGTON,WV25715	55-0631935	501(C)(3)	7,750	0			SPONSOR
(4) PROACT 800 20TH STREET HUNTINGTON,WV25701	83-2100850	501(C)(3)	0	73,398	OTHER	PERSONNEL-PASTORAL	MENTAL HEALTH
(5) MARSHALL HEALTH NETWORK INC 1340 HAL GREER BLVD HUNTINGTON,WV25701	32-0573122	501(C)(3)	98,500	0			SUPPORT SERVICES
(6) WV MEDICAL PROF HEALTH PROG 4013 BUCKHANNON PIKE MOUNT CLARE,WV26408	74-3226821	501(C)(3)	25,000	0			PHYSICIAN WELLNESS
(7) HUNTINGTON AREA DEVELOPMENT COUNCIL 916 FIFTH AVE SUITE 400 HUNTINGTON,WV25701	55-0714570	501(C)(3)	12,500	0			ECONOMIC GROWTH & DEVELOPMENT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	TO ENSURE PROPER USE OF FUNDS, THE REQUESTING ORGANIZATION IS REQUIRED TO DOCUMENT THE USE OF THE GRANT MONIES. WHEN A REQUEST FOR FUNDS IS RECEIVED AND HAS BEEN APPROVED, THE FUNDS ARE EITHER AUTHORIZED FOR USE OR DISBURSED TO THE REQUESTING ORGANIZATION.

Schedule I (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ST MARY'S MEDICAL CENTER INC

Employer identification number

55-0357050

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1NEPAL CHOWDHURY MD PHYSICIAN	(i) (ii)	2,396,885 ------------- 0	0 ------------- 0	0 ------------- 0	10,350 ------------- 0	41,321 ------------- 0	2,448,556 ------------- 0	0 ------------- 0
2DWIGHT SAULLE MD PHYSICIAN	(i) (ii)	2,113,905 ------------- 0	0 ------------- 0	0 ------------- 0	10,350 ------------- 0	40,699 ------------- 0	2,164,954 ------------- 0	0 ------------- 0
3MATTHEW WERTHAMMER MD PHYSICIAN	(i) (ii)	1,687,526 ------------- 0	0 ------------- 0	0 ------------- 0	10,350 ------------- 0	40,757 ------------- 0	1,738,633 ------------- 0	0 ------------- 0
4LUIS BOLANO MD PHYSICIAN	(i) (ii)	1,688,540 ------------- 0	0 ------------- 0	0 ------------- 0	10,350 ------------- 0	27,511 ------------- 0	1,726,401 ------------- 0	0 ------------- 0
5DAMIAN SILBERMINS MD PHYSICIAN	(i) (ii)	1,425,601 ------------- 0	0 ------------- 0	0 ------------- 0	10,350 ------------- 0	39,184 ------------- 0	1,475,135 ------------- 0	0 ------------- 0
6KEVIN YINGLING PRESIDENT & CEO	(i) (ii)	0 ------------- 846,387	0 ------------- 0	0 ------------- 18,858	0 ------------- 139,800	0 ------------- 28,699	0 ------------- 1,033,744	0 ------------- 0
7DAVID M WARD SENIOR VP & CFO	(i) (ii)	0 ------------- 570,143	0 ------------- 343,513	0 ------------- 14,523	0 ------------- 20,623	0 ------------- 14,350	0 ------------- 963,152	0 ------------- 0
8ANGELA D SWEARINGEN VICE PRESIDENT/COO	(i) (ii)	562,259 ------------- 0	0 ------------- 0	405 ------------- 0	36,623 ------------- 0	40,440 ------------- 0	639,727 ------------- 0	0 ------------- 0
9LARRY D DIAL CHIEF CLINICAL OFFICER CT	(i) (ii)	0 ------------- 493,805	0 ------------- 50,409	0 ------------- 0	0 ------------- 19,800	0 ------------- 0	0 ------------- 564,014	0 ------------- 0
10HOYT J BURDICK VP CMO	(i) (ii)	0 ------------- 500,568	0 ------------- 0	0 ------------- 7,638	0 ------------- 15,738	0 ------------- 27,695	0 ------------- 551,639	0 ------------- 0
11LISA C STUMP SYSTEM VP & CSO	(i) (ii)	0 ------------- 381,398	0 ------------- 105,467	0 ------------- 2,022	0 ------------- 10,500	0 ------------- 28,699	0 ------------- 528,086	0 ------------- 0
12PAUL E SMITH CHIEF ADMIN OFFICER	(i) (ii)	0 ------------- 425,556	0 ------------- 0	0 ------------- 7,638	0 ------------- 16,495	0 ------------- 28,699	0 ------------- 478,388	0 ------------- 0
13MARK MORGAN VICE PRESIDENT	(i) (ii)	0 ------------- 350,503	0 ------------- 6,697	0 ------------- 1,242	0 ------------- 10,500	0 ------------- 44,627	0 ------------- 413,569	0 ------------- 0
14SUSAN BETH ROBINSON VICE PRESIDENT	(i) (ii)	0 ------------- 353,178	0 ------------- 0	0 ------------- 3,564	0 ------------- 10,500	0 ------------- 44,627	0 ------------- 411,869	0 ------------- 0
15REGINA CAMPBELL VICE PRESIDENT	(i) (ii)	0 ------------- 334,595	0 ------------- 0	0 ------------- 6,858	0 ------------- 20,375	0 ------------- 47,801	0 ------------- 409,629	0 ------------- 0
16MELISSA E LEASURE SYSTEM VP & GEN COUNSEL	(i) (ii)	0 ------------- 350,444	0 ------------- 0	0 ------------- 1,278	0 ------------- 10,500	0 ------------- 44,627	0 ------------- 406,849	0 ------------- 0
17EDUARDO PINO CMIO	(i) (ii)	0 ------------- 305,541	0 ------------- 0	0 ------------- 6,858	0 ------------- 9,260	0 ------------- 28,699	0 ------------- 350,358	0 ------------- 0
18LARRY HUTCHISON VICE PRESIDENT	(i) (ii)	294,089 ------------- 0	0 ------------- 0	0 ------------- 0	8,823 ------------- 0	37,691 ------------- 0	340,603 ------------- 0	0 ------------- 0
19AARON BLEVINS VICE PRESIDENT	(i) (ii)	0 ------------- 248,815	0 ------------- 9,865	0 ------------- 809	0 ------------- 15,689	0 ------------- 44,627	0 ------------- 319,805	0 ------------- 0
20FAREED AZIZ VP OF REVENUE CYCLE MGMT	(i) (ii)	0 ------------- 259,937	0 ------------- 0	0 ------------- 540	0 ------------- 8,118	0 ------------- 44,627	0 ------------- 313,222	0 ------------- 0
21BRADLEY BURCK VP CORP FND & DNR PHIL	(i) (ii)	0 ------------- 221,535	0 ------------- 39,624	0 ------------- 1,918	0 ------------- 7,946	0 ------------- 38,462	0 ------------- 309,485	0 ------------- 0
22ROBERT KACZMARCZYK VICE PRESIDENT	(i) (ii)	261,390 ------------- 0	0 ------------- 0	0 ------------- 0	7,842 ------------- 0	37,619 ------------- 0	306,851 ------------- 0	0 ------------- 0
23ANDY MULLINS VICE PRESIDENT	(i) (ii)	257,546 ------------- 0	0 ------------- 0	0 ------------- 0	7,726 ------------- 0	36,615 ------------- 0	301,887 ------------- 0	0 ------------- 0
24DAVID SHEILS VICE PRESIDENT	(i) (ii)	235,670 ------------- 0	0 ------------- 0	0 ------------- 0	7,070 ------------- 0	24,843 ------------- 0	267,583 ------------- 0	0 ------------- 0
25JOHN K FIFE VP SUPPLY CHAIN OPERATIONS	(i) (ii)	0 ------------- 180,586	0 ------------- 0	0 ------------- 872	0 ------------- 5,499	0 ------------- 38,462	0 ------------- 225,419	0 ------------- 0
26VERA ROSE MD VICE PRESIDENT/RETIRED	(i) (ii)	198,398 ------------- 0	0 ------------- 0	0 ------------- 0	5,952 ------------- 0	7,310 ------------- 0	211,660 ------------- 0	0 ------------- 0
27THOMAS A HEFNER VP FINANCE	(i) (ii)	0 ------------- 173,973	0 ------------- 0	0 ------------- 1,223	0 ------------- 5,331	0 ------------- 27,695	0 ------------- 208,222	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 1A

WE PAY GUYAN DUES FOR MARK MORGAN. ANGIE SWEARINGEN, COO, IS ALLOWED A COUPLE OF TRIPS PER YEAR WITH SPOUSE.

PART I, LINE 3

THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE COMPOSED OF AT LEAST THREE MEMBERS OF THE BOARD, AND SHALL MEET AT LEAST TWICE EACH YEAR. THE COMPOSITION OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL COMPLY WITH THE REQUIREMENTS OF THE BOARD POLICY ON CONFLICTS OF INTEREST. THE COMMITTEE SHALL HAVE THE FOLLOWING SPECIFIC DUTIES AND RESPONSIBILITIES. A. ANNUAL EVALUATION OF THE PERFORMANCE OF THE PRESIDENT. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION TO THE BOARD. B. ANNUAL EVALUATION OF THE PERFORMANCE OF THE CHIEF PHYSICIAN EXECUTIVE, THE CHIEF FINANCIAL OFFICER, AND SUCH OTHER VICE PRESIDENTS AS THE BOARD SHALL DETERMINE TO REQUIRE EVALUATION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION, TO THE BOARD. C. ANNUAL SELF-EVALUATION OF THE BOARD AND ITS MEMBERS. D. ENSURE THAT NO PERSONAL LOANS ARE MADE TO THE PRESIDENT OR OTHER MEMBERS OF THE ADMINISTRATION OF THE CORPORATION. IN CARRYING OUT ITS DUTIES, THE EXECUTIVE COMPENSATION COMMITTEE SHALL HAVE THE AUTHORITY TO HIRE COMPENSATION CONSULTANTS AND SHALL OBTAIN DATA ON COMPENSATION RANGES FOR COMPARABLE EXECUTIVE POSITIONS AT LEAST EVERY OTHER YEAR.

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ST MARY'S MEDICAL CENTER INC

Employer identification number

55-0357050

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) JEFFREY BURDICK	FAMILY MEMBER	41,349	REPORTABLE COMPENSATION		No
(2) PAUL SMITH	OFFICER		OFFICER FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC		No
(3) DAVID M WARD	OFFICER		DIRECTOR FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC		No
(4) FAREED AZIZ	KEY EMPLOYEE	1,051,402	MHN AND RELATED ORGANIZATIONS USE FAREED AZIZ'S BUSINESS, STEWARD CONSULTING, FOR CONSULTING		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ST MARY'S MEDICAL CENTER INC

Employer identification number

55-0357050

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MEDICAL EQUIPMENT )	X	1	158,575	FMV
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2023)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

ST MARY'S MEDICAL CENTER INC

Employer identification number

55-0357050

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	MARSHALL HEALTH NETWORK,INC (MHN)HAS BECOME THE SOLE CORPORATE MEMBER OF ST. MARY'S MEDICAL CENTER, INC ("CORPORATION"). IT IS ALSO THE SOLE CORPORATE MEMBER OF CABELL HUNTINGTON HOSPITAL, INC, PLEASANT VALLEY HOSPITAL INC DBA RIVERS HEALTH, AND UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH. MARSHALL HEALTH NETWORK INC IS ORGANIZED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND ANY CORRESPONDING PROVISION OF ANY FUTURE INTERNAL REVENUE LAWS, AS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 509(A)(3) OF THE CODE, THE PURPOSE OF WHICH IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF THE SUPPORTED ORGANIZATION THAT IT IS NOW THE SOLE CORPORATE MEMBER OF ABOVE.
FORM 990, PART VI, SECTION A, LINE 4	GOVERNING DOCUMENTS WERE AMENDED TO INCLUDE ONE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK. THE NUMBER OF VOTING BOARD MEMBERS WAS CHANGED TO NINE AND ONE NON-VOTING BOARD MEMBER WAS ADDED. THE STIPULATIONS FOR WHO SHOULD BE A BOARD MEMBER, THE BOARD MEMBER TERMS TO BE SERVICED, AND BOARD MEMBER DUTIES WERE CHANGED AS WELL. THE ARTICLES OF INCORPORATION AND BYLAWS WERE CHANGED SO THAT ONLY THE CORPORATE MEMBER CAN AMEND THE ARTICLES OF INCORPORATION AND BYLAWS. THE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK WAS GIVEN OTHER RESERVED POWERS AND FINAL APPROVAL OF BOARD OF DIRECTORS INITIATED ACTIONS.
FORM 990, PART VI, SECTION A, LINE 6	MARSHALL HEALTH NETWORK IS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	MARSHALL HEALTH NETWORK IS THE SOLE CORPORATE MEMBER THAT HAS RESERVED POWER TO APPOINT THE BOARD OF DIRECTORS FOLLOWING THE STIPULATIONS IN THE ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	MARSHALL HEALTH NETWORK, AS SOLE CORPORATE MEMBER, HAS RESERVED POWERS TO CHANGE THE PURPOSES OF THE CORPORATION, AMEND THE ARTICLES OF INCORPORATION AND/OR BYLAWS, DISSOLVE THE CORPORATION, CONSOLIDATE/AFFILIATE THIS CORPORATION WITH OTHER ORGANIZATIONS. IN ADDITION, MHN WILL MANAGE ACTIONS INITIATED BY THE CORPORATION'S BOARD OF DIRECTIONS FOR THE FOLLOWING ITEMS: ADOPTION OF STRATEGIC AND BUSINESS PLANS, ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS, APPROVAL OF ANY CHANGES TO THE CAPITAL DEBT, THE CREATION OR ACQUISITION OF ADDITIONAL AFFILIATED ORGANIZATIONS AND JOINT VENTURES, ADOPTION OR CHANGES TO MASTER CLINICAL COMPENSATION AND BENEFIT PLANS, MANAGE THE ASSETS, MANAGE CLINICAL FACULTY CHANGES, FINAL APPROVAL OVER THE VARIOUS PRACTICES OF MEDICINE, APPOINTMENT OF A PRESIDENT TO SERVE AS CEO, APPROVE UNBUDGETED EXPENDITURES INCLUDING DEBT, AND APPROVAL OF CERTAIN CONTRACTS.
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 ANNUALLY THEREAFTER EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANIZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAY BE AN APPEARANCE, POTENTIAL OR ACTUAL, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICTS OF INTEREST AND DISCLOSURE FORMS FOR DIRECTORS ARE RETURNED TO THE ORGANIZATION. IN THE EVENT THAT ANY BOARD MEMBER IS DEEMED TO LACK INDEPENDENCE OR A CONFLICT OF INTEREST EXISTS, HE/SHE IS REQUIRED TO LEAVE THE ROOM AND CANNOT BE PART OF THE DISCUSSION OR VOTE.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE COMPOSED OF AT LEAST THREE MEMBERS OF THE BOARD, AND SHALL MEET AT LEAST TWICE EACH YEAR. THE COMPOSITION OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL COMPLY WITH THE REQUIREMENTS OF THE BOARD POLICY ON CONFLICTS OF INTEREST. THE COMMITTEE SHALL HAVE THE FOLLOWING SPECIFIC DUTIES AND RESPONSIBILITIES. A. ANNUAL EVALUATION OF THE PERFORMANCE OF THE PRESIDENT. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION TO THE BOARD. B. ANNUAL EVALUATION OF THE PERFORMANCE OF THE CHIEF PHYSICIAN EXECUTIVE, THE CHIEF FINANCIAL OFFICER, AND SUCH OTHER VICE PRESIDENTS AS THE BOARD SHALL DETERMINE TO REQUIRE EVALUATION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION, TO THE BOARD. C. ANNUAL SELF-EVALUATION OF THE BOARD AND ITS MEMBERS. D. ENSURE THAT NO PERSONAL LOANS ARE MADE TO THE PRESIDENT OR OTHER MEMBERS OF THE ADMINISTRATION OF THE CORPORATION. IN CARRYING OUT ITS DUTIES, THE EXECUTIVE COMPENSATION COMMITTEE SHALL HAVE THE AUTHORITY TO HIRE COMPENSATION CONSULTANTS AND SHALL OBTAIN DATA ON COMPENSATION RANGES FOR COMPARABLE EXECUTIVE POSITIONS AT LEAST EVERY OTHER YEAR.
FORM 990, PART VI, SECTION C, LINE 18	THE 990 IS PUBLISHED ON GUIDESTAR.
FORM 990, PART VI, SECTION C, 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
FORM 990, PART IX, LINE 11G	HEALTHCARE FEES: PROGRAM SERVICE EXPENSES 26,089,415. MANAGEMENT AND GENERAL EXPENSES 5,572,497. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,661,912. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 32,062,867. MANAGEMENT AND GENERAL EXPENSES 6,848,379. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,911,246. OTHER FEES: PROGRAM SERVICE EXPENSES 2,291,332. MANAGEMENT AND GENERAL EXPENSES 489,410. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,780,742.
FORM 990, PART XI, LINE 9:	CHANGES IN PENSION FUND STATUS -1,944,131. 457B PLAN ADJUSTMENT -347,546. TRANSFERS TO/FROM AFFILIATES, NET -395,055.
FORM 990, PART XII, LINE 2C	THE AUDIT COMMITTEE INTERMITTENTLY PUTS OUT BIDS FOR THE ANNUAL AUDIT AND CHOOSES WHAT FIRM TO ENGAGE. DURING THE YEAR AUDITORS MEET THIS COMMITTEE PRIOR TO AUDIT AND AGAIN TO PRESENT AUDIT. THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR.
FORM 990, PART VI, LINE 16B	THE ORGANIZATION HAS ADOPTED A FORMAL WRITTEN POLICY OR PROCEDURE REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS. HOWEVER, THE NORMAL DUE DILIGENCE PROCESS FOR ANALYZING ANY SUCH ARRANGEMENTS UNDERTAKEN IN CONJUNCTION WITH THE ORGANIZATION'S EXTERNAL LEGAL COUNSEL, ACCOUNTANTS AND OTHER BUSINESS ADVISORS DOES INCLUDE A REVIEW TO DETERMINE THE FOLLOWING: 1) THE IMPACT OF THE ARRANGEMENT UNDER APPLICABLE FEDERAL AND STATE LAW 2) WHETHER THE ARRANGEMENT WILL JEOPARDIZE THE ORGANIZATION'S EXEMPT STATUS AS A SECTION 501(C)(3) CHARITABLE ORGANIZATION-HOSPITAL. 3) WHETHER THE ARRANGEMENT WILL RESULT IN ANY UNRELATED BUSINESS TAXABLE INCOME 4) THE IMPACT OF THE ARRANGEMENT ON ANY EXISTING CONTRACTUAL AGREEMENTS OR OTHER BUSINESS RELATIONSHIPS AND 5) WHETHER THE ARRANGEMENT WILL RESULT IN ANY CONFLICTS OF INTEREST. IF THERE ARE ANY CONCERNS WITH RESPECT TO ANY OF THE ABOVE MATTERS, THE ORGANIZATION WILL TAKE APPROPRIATE STEPS TO ENSURE THAT, IF THE JOINT VENTURE IS PURSUED, THE ARRANGEMENT WILL BE IN COMPLIANCE WITH APPLICABLE FEDERAL AND STATE LAW AND TO SAFEGUARD THE ORGANIZATION'S TAX-EXEMPT STATUS. A FORMAL WRITTEN POLICY AND PROCEDURE HAS BEEN APPROVED.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ST MARY'S MEDICAL CENTER INC

Employer identification number

55-0357050

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) ST MARY'S MEDICAL MANAGEMENT LLC 2900 FIRST AVENUE HUNTINGTON,WV25702 20-8017790	MED PRACTICE	WV	-10,234,496	57,319,520	SMMC
(2) ST MARY'S HOSPITALIST SERVICES 2900 FIRST AVENUE HUNTINGTON,WV25702 27-0662169	MED PRACTICE	WV	-7,000,400	639,455	SMMC
(3) ST MARY'S HIMG LLC 2900 FIRST AVENUE HUNTINGTON,WV25702 85-2017234	MED PRACTICE	WV	-3,572,381	29,416,163	SMMC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ST MARY'S MEDICAL CENTER FOUNDATION 2900 FIRST AVENUE HUNTINGTON,WV25702 14-1887211	FOUNDATION	WV	501(C)(3)	LINE 12B, II	SMMC	Yes
(2)CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BOULEVARD HUNTINGTON,WV25701 55-0675666	HEALTH SERVICES	WV	501(C)(3)	LINE 3	MHN		No
(3)PLEASANT VALLEY HOSPITAL INC DBA RIVERS HEALTH 2420 VALLEY DRIVE POINT PLEASANT,WV25550 55-0440086	HEALTH SERVICES	WV	501(C)(3)	LINE 3	MHN		No
(4)MARSHALL HEALTH NETWORK INC 1340 HAL GREER BOULEVARD HUNTINGTON,WV25701 32-0573122	SUPPORT SERVICES	WV	501(C)(3)	LINE 12C	N/A		No
(5)UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH 1001 TENTH AVENUE HUNTINGTON,WV25701 55-0564945	HEALTH SERVICES	WV	501(C)(3)	LINE 7, 509(A)(1)	MHN		No
(6)CABELL HUNTINGTON HOSPITAL FOUNDATION INC 1340 HAL GREER BOULEVARD HUNTINGTON,WV25701 31-1096222	FUNDRAISING	WV	501(C)(3)	LINE 12B, II	CHH INC		No
(7)AUXILIARY TO STMARY'S MEDICAL CENTER 2900 FIRST AVENUE HUNTINGTON,WV25701 55-6021771	FUNDRAISING	WV	501(C)(3)	LINE 12A, I	SMMC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) CLAIRE FRANCES 200 MALL RD ASHLAND,KY41101 31-1517507	MEDICAL SERVICES	KY	N/A	RELATED	-715,550	355,852		No			No	33.000 %
(2) IRONTON MED CAMPUS 1408 CAMPBELL DR IRONTON,OH45638 47-1141289	REAL ESTATE	OH	N/A	RELATED	680,602	10,874,518		No			No	65.000 %
(3) THREE GABLES SURG 5897 ST RTE 7 PROCTORVILLE,OH45669 87-0648900	OUTPATIENT CA	OH	N/A	RELATED	-20,676	4,020,650		No		Yes		53.270 %
(4) TRI-STATE MPS LLC 2900 FIRST AVE HUNTINGTON,WV25702 82-4513003	BILLING/COLL	WV	N/A	RELATED	-121,225	11,492		No			No	60.000 %
(5) HIMG FMC LLC 5170 US ROUTE 60 EAST HUNTINGTON,WV25705 27-3919638	INVEST DIALYS	WV	SMMC	RELATED	350,090	821,202		No		Yes		80.000 %
(6) MHC ACCOUNTABLE CARE LLC 5183 US ROUTE 60 EAST HUNTINGTON,WV25705 82-1639032	MHC ACCOUNTABLE CARE LLC	WV	SMMC	RELATED	591,470	1,008,487		No		Yes		50.000 %
(7) HUNTINGTON AREA MRI CLOSED 2900 FIRST AVE HUNTINGTON,WV25702 26-1877332	MEDICAL SERVICES	WV	N/A	RELATED				No		Yes		49.000 %
(8) IRONTON MEDICAL CAMP CLOSED 1408 CAMPBELL DR IRONTON,OH45638 47-1637912	REAL ESTATE	OH	N/A	RELATED				No			No	65.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) VANGUARD FINANCIAL SERVICES 2900 FIRST AVENUE HUNTINGTON,WV25702 45-0496141	COLLECTION AG	WV	SMMC	C	15,890	196,589	100.000 %	Yes

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

Yes

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ST MARY'S MEDICAL CENTER FOUNDATION INC	C	158,575	FMV
(2) THREE GABLES SURGERY CENTER	O	299,111	INTERNAL ACCTG
(3) THREE GABLES SURGERY CENTER	Q	62,814	INTERNAL ACCTG
(4) THREE GABLES SURGERY CENTER	S	281,664	INTERNAL ACCTG
(5) TRI-STATE MPS LLC	M	910,700	INTERNAL ACCTG
(6) VANGUARD FINANCIAL SERVICES	M	986,217	INTERNAL ACCTG
(7) HIMG FMC LLC	F	148,000	INTERNAL ACCTG
(8) CABELL HUNTINGTON HOSPITAL INC	P	0	INTERNAL ACCTG
(9) CABELL HUNTINGTON HOSPITAL INC	Q	0	INTERNAL ACCTG
(10) ST MARY'S MEDICAL CENTER FOUNDATION INC	C	2,181,562	INTERNAL ACCTG
(11) MARSHALL HEALTH NETWORK INC	B	98,500	CASH
(12) MARSHALL HEALTH NETWORK INC	P	8,847,124	CASH
(13) MARSHALL HEALTH NETWORK INC	M	13,291,451	CASH
(14) MARSHALL HEALTH NETWORK INC	E	20,564,370	CASH
(15) UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH	Q		CASH
(16) CABELL HUNTINGTON HOSPITAL INC	E	27,538,456	CASH
(17) ST MARY'S MEDICAL CENTER FOUNDATION INC	C	534,032	FMV
(18) ST MARY'S MEDICAL CENTER FOUNDATION INC	D	344,388	CASH
(19) UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH	P	11,309,119	CASH
(20) UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH	Q	38,446	CASH

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	4,522
6	Total number of volunteers (estimate if necessary) .............	6	107
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	615,044	16,077,414
9	Program service revenue (Part VIII, line 2g) .........	624,865,495	679,480,167
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,634,913	1,540,431
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	30,599,297	18,479,353
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	659,714,749	715,577,365
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	978,026	1,091,042
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	336,600,150	341,874,094
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	358,157,645	389,788,442
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	695,735,821	732,753,578
19	Revenue less expenses. Subtract line 18 from line 12.......	-36,021,072	-17,176,213
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	437,317,799	488,603,034
21	Total liabilities (Part X, line 26).............	335,720,859	406,032,554
22	Net assets or fund balances. Subtract line 21 from line 20.....	101,596,940	82,570,480

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 557,882,120 including grants of $ 114,589 ) (Revenue $ 695,694,802 )
	ST. MARY'S MEDICAL CENTER WAS ESTABLISHED IN 1924 AND, BASED ON THE CORE VALUES OF COMPASSION, HOSPITALITY, REVERENCE, TRUST, INTERDEPENDENCE, AND STEWARDSHIP, CONTINUES TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO RESIDENTS OF HUNTINGTON, WEST VIRGINIA AND THE SURROUNDING AREA. SERVICES ARE PROVIDED WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR HANDICAP. FURTHERMORE, WHILE REIMBURSEMENT FOR CARE PROVIDED IS CRUCIAL TO THE CONTINUED OPERATION OF ST. MARY'S MEDICAL CENTER, IT IS RECOGNIZED THAT CIRCUMSTANCES EXIST WHICH RENDER CERTAIN PARTIES UNABLE TO PAY FOR NEEDED SERVICES, AND NO PATIENT IS DENIED SERVICES DUE TO THE LACK OF ABILITY TO PAY. DURING THE FISCAL YEAR WHICH ENDED SEPTEMBER 30, 2024, ST. MARY'S MEDICAL CENTER PROVIDED 98,555 DAYS OF INPATIENT DAYS OF CARE AND TREATED AN ADDITIONAL 394,521 PATIENTS IN THE EMERGENCY AND OUTPATIENT SETTINGS. APPROXIMATELY 80% OF THE INPATIENTS SERVED WERE COVERED BY GOVERNMENTAL PROGRAMS, SUCH AS MEDICARE AND MEDICAID. A SIMILAR PERCENTAGE IS APPLICABLE TO OUTPATIENT SERVICES. SINCE CARE PROVIDED TO MEDICARE AND MEDICAID BENEFICIARIES IS SUBJECT TO CONTRACTUAL REIMBURSEMENT RESTRICTIONS, PAYMENT RECEIVED FOR SERVICES PROVIDED IS OFTEN SIGNIFICANTLY BELOW THE ACTUAL COST OF THE SERVICES. ST. MARY'S MEDICAL CENTER HAS ESTABLISHED CHARITY CARE POLICIES AND GUIDELINES, USED TO HELP IDENTIFY THOSE PATIENTS WHO GENUINELY DO NOT HAVE THE RESOURCES TO PAY FOR SERVICES RECEIVED. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024, THE HOSPITAL PROVIDED APPROXIMATELY $2.0 MILLION DOLLARS IN CHARITY CARE SERVICES, REPRESENTING CARE PROVIDED AT REDUCED PRICES OR COMPLETELY FREE OF CHARGE. THESE SERVICES INCLUDE INPATIENT SERVICES, AN ADULT OUTPATIENT CLINIC, A HANDICAPPED CHILDREN'S CLINIC, AND A SPECIALTY PREGNANCY CLINIC. ALSO, ST. MARY'S MEDICAL CENTER EXCEEDS THE GUIDELINES ESTABLISHED FOR THE WEST VIRGINIA AD VALOREM STATUTE.

4b	(Code: ) (Expenses $ 2,408,398 including grants of $ 976,453 ) (Revenue $ 2,082,551 )
	IN ADDITION TO THOSE PATIENTS WITHOUT THE WHEREWITHAL TO PAY FOR SERVICES RENDERED, WE ASSIST IN THE RELIEF OF BURDEN OF GOVERNMENT FOR SEVERAL PROGRAMS. A STRONG AUXILIARY (OPERATED AS A DEPARTMENT OF THE HOSPITAL) EXISTS, WHICH CONTRIBUTES HEAVILY TO THE ACTIVITIES OF SMMC. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024, THE AUXILIARY CONTRIBUTED APPROXIMATELY $450,000 TO ST. MARY'S. IN ADDITION, VOLUNTEERS PROVIDED OVER 16,000 HOURS OF SERVICE VALUABLE TO PROMOTING THE MISSION AND ACTIVITIES OF THE HOSPITAL.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	ST. MARY'S MEDICAL CENTER (SMMC) PARTICIPATED IN NUMEROUS COMMUNITY-BUILDING ACTIVITIES DURING FY 2024 THAT PROMOTED WELLNESS AND HELPED ENRICH THE LIVES OF PEOPLE IN THE TRI-STATE.COMMUNITY FLU SHOT CLINICSSMMC, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, OFFERED FREE DRIVE-THRU FLU SHOT CLINICS SATURDAY, OCT. 12, 2024, IN HUNTINGTON AND IN HURRICANE. A TOTAL OF 254 TOTAL VACCINES WERE GIVEN AT BOTH LOCATIONS.FREE WOMEN'S HEALTH SCREENINGSST. MARY'S BREAST CENTER OFFERED TWO FREE WOMEN'S HEALTH SCREENINGS TO THE COMMUNITY: A FREE BREAST SCREENING AND CERVICAL CANCER SCREENING ON 4.20.24, 42 PARTICIPATED. SKIN SCREENING ON 5.17.24, 38 PARTICIPATED AND A BREAST CANCER SCREENING ON 10.25.23, 10 PARTICIPATED. COMMUNITY WELLNESS BLOOD PROFILESSMMC, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND HIMG, PROVIDED LOW-COST WELLNESS BLOOD PROFILES TO THE COMMUNITY DURING THE MONTHS OF OCTOBER, NOVEMBER, FEBRUARY, APRIL, JUNE, AUGUST 2023-2024. BLOOD PROFILES INCLUDED 29 DIFFERENT TESTS, SUCH AS GLUCOSE, CHOLESTEROL AND CALCIUM, WITH OPTIONAL TESTING AVAILABLE AT AN ADDITIONAL COST FOR HEMOGLOBIN A1C, THYROID-STIMULATING HORMONE (TSH), VITAMIN D AND PROSTATE-SPECIFIC ANTIGEN (PSA). THE PROFILES WERE AVAILABLE BY APPOINTMENT AT THE SMMC CONFERENCE CENTER, HIMG AND THE SMMC IRONTON CAMPUS. SMMC'S FACILITIES PROVIDED 2,554 PROFILES. SUPPORT GROUPSSMMC OFFERS FREE SUPPORT GROUPS AND NUTRITION COUNSELING TO THE COMMUNITY:" BREAST CANCER, 11 SUPPORT GROUPS HELD, 127 PARTICIPANTS." NUTRITION COUNSELING, 14 EVENTS, 1,400 PARTICIPANTSSMMC ALSO OFFERS NAVIGATING GRIEF, A FREE QUARTERLY FOUR-WEEK COURSE, TO HELP COMMUNITY MEMBERS WHO ARE STRUGGLING WITH LOSS. EIGHTEEN SUPPORT GROUPS WERE HELD, 417 PARTICIPANTS. AMERICAN RED CROSS BLOOD DRIVESTO ASSIST WITH THE BLOOD SHORTAGE, SMMC HOSTED TWO COMMUNITY BLOOD DRIVES WITH 175 PARTICIPANTS BETWEEN THE MEDICAL CENTER AND THE CENTER FOR EDUCATION. AMERICAN HEART ASSOCIATION EVENTSHUNTINGTON HEART WALK: SMMC REGIONAL HEART INSTITUTE PARTNERED WITH THE AMERICAN HEART ASSOCIATION, THE LARGEST VOLUNTARY HEALTH ORGANIZATION WORKING TO PREVENT, TREAT AND DEFEAT HEART DISEASE, STROKE AND OTHER CARDIOVASCULAR DISEASES, FOR THE 2024 HUNTINGTON HEART WALK, APRIL 20, 2024. THE WALK RAISED FUNDS AND AWARENESS FOR THE AMERICAN HEART ASSOCIATION AND HAD APPROXIMATELY 200 PARTICIPANTS. SMMC STAFF MEMBERS PROVIDED FREE BLOOD PRESSURE SCREENINGS TO WALKERS.GO RED MINI HEALTH FAIR: AS PART OF NATIONAL WEAR RED DAY, THIS FREE EVENT OFFERED FREE BLOOD PRESSURE, BLOOD SUGAR AND CHOLESTEROL SCREENINGS, AS WELL AS INFORMATION ON SLEEP DISORDERS, SMOKING CESSATION, STROKE RISK AND NUTRITION TO 175 ATTENDEES. HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN IS A COMMUNITY FOOD CENTER WHERE PEOPLE COME TO LEARN, COOK AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. SMMC PARTNERED WITH HUNTINGTON'S KITCHEN THROUGHOUT THE YEAR TO PROVIDE SPEAKERS FOR TWO FREE MONTHLY COMMUNITY EVENTS: DINING WITH A DOC, WHICH OFFERS AN EVENING OF HEALTH INFORMATION AND COOKING WITH A PHYSICIAN, AND SENIOR FOCUS FRIDAY, A PROGRAM FOR PEOPLE 50 AND OLDER. TOPICS INCLUDED: MENTAL HEALTH, DIABETES MANAGEMENT, THE IMPORTANCE OF A PRIMARY CARE PROVIDER AND HEART CARE. A TOTAL OF 12 GROUPS WERE HELD WITH 112 PARTICIPANTS. FACING HUNGER FOODBANKSMMC PARTNERED WITH FACING HUNGER FOODBANK TO DISTRIBUTE MEDICALLY INDICATED FOOD BOXES TO OVER 1,300 CLINIC PATIENTS THROUGHOUT THE YEAR. PROACT (PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT)PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE SMMC, CABELL HUNTINGTON HOSPITAL, MARSHALL HEALTH AND THOMAS HEALTH. THE PROACT CENTER, WHICH OPENED IN 2018, WAS CREATED TO ADDRESS THE CLINICAL, BEHAVIORAL, SPIRITUAL AND PROFESSIONAL ISSUES OF THOSE AFFECTED BY SUBSTANCE USE. IT FUNCTIONS AS THE CENTRALIZED HUB FOR TREATMENT, RECOVERY, THERAPY, EDUCATION, RESEARCH, WORKFORCE OPPORTUNITIES AND SUPPORT FOR THOSE AFFECTED BY ADDICTION. SMMC PROVIDES A FULL-TIME CHAPLAIN. 2,459 PATIENTS SUPPORTED BY A SMMC FULL-TIME CHAPLAIN. 6,914 CLIENTS ASSISTED BY PROACT.COMPASS PROGRAMTHE COMPASS PROGRAM PROVIDES TRAINING, CLASSES AND A WELLNESS CENTER TO HELP FIRST RESPONDERS IN HUNTINGTON IMPROVE THEIR MENTAL HEALTH. SMMC PROVIDES SPIRITUAL CARE AND EMPLOYMENT ASSISTANCE PROGRAM (EAP) SERVICES AS PART OF THE PROGRAM. JOSLIN DIABETES CENTERTHE JOSLIN DIABETES CENTER EDUCATION AFFILIATE AT SMMC OFFERS NUTRITION EDUCATION AND COUNSELING, IN PARTNERSHIP WITH THE RENOWNED JOSLIN DIABETES CENTER IN BOSTON, MASSACHUSETTS. JOSLIN WORKED WITH 769 PEOPLE IN 2024.SMOKING CESSATION COUNSELINGSMMC PULMONARY REHABILITATION OFFERS ONE-ON-ONE SMOKING CESSATION COUNSELING BY A CERTIFIED TOBACCO TREATMENT SPECIALIST. 1,344 PEOPLE RECEIVED COUNSELING IN 2024.CANCER SURVIVOR RECEPTIONSFREE EVENTS HELD AT ST. MARY'S CENTER FOR EDUCATION FOR CANCER SURVIVORS AND THEIR FAMILY MEMBERS WITH 55 PARTICIPANTS. COMMUNITY GIVINGWE SUPPORT PROJECTS THAT PROMOTE HEALTHY LIVING, NUTRITION, PHYSICAL ACTIVITY, WELLNESS, AND THE PREVENTION AND MANAGEMENT OF DISEASE. FUNDED INITIATIVES MUST ALIGN WITH PRIORITIES IDENTIFIED IN THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).VOLUNTEER SERVICE ON COMMUNITY BOARDSSMMC MANAGERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON MANY NON-PROFIT BOARDS INCLUDING HUNTINGTON REGIONAL CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, BIG BROTHERS/BIG SISTERS, FACING HUNGER FOODBANK, GOODWILL, HOSPICE OF HUNTINGTON AND THE KEITH-ALBEE PERFORMING ARTS CENTER TO NAME A FEW.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses560,290,518

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	11,257,963	6,692,784	1,378,911

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	16,051,842

f	All other contributions, gifts, grants, and similar amounts not included above		1f	25,572

g	Noncash contributions included in lines 1a - 1f:$		1g	158,575

h Total. Add lines 1a-1f.......		16,077,414

		Business Code
2a	PATIENT SERVICE REVENUE	621990	648,204,889	648,204,889
b	PHARMACY REVENUE	456110	25,001,762	25,001,762
c	PURCHASE REBATES	900099	3,116,750	3,116,750
d	SCHOOL OF NURSING	611600	2,764,924	2,764,924
e	OTHER PROGRAM SERVICE REVENUE	900099	391,842	391,842
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		679,480,167

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,271,896			1,271,896
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	1,328,313
b	Less: rental expenses	6b	258,906
c	Rental income or (loss)	6c	1,069,407
d	Net rental income or (loss).......			1,069,407	1,069,407
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	268,535
b	Less: cost or other basis and sales expenses	7b	0
c	Gain or (loss)	7c	268,535
d	Net gain or (loss).........			268,535			268,535
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	461,410
b	Less: direct expenses ...		8b	279,243
c	Net income or (loss) from fundraising events..			182,167			182,167
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	1,863,865
b	Less: cost of goods sold ..		10b	1,091,623
c	Net income or (loss) from sales of inventory..			772,242	772,242

Business Code
11a	ALL OTHER REVENUE		900099	11,075,538	11,075,538
b	CAFETERIA SALES		722100	3,411,302	3,411,302
c	OTHER AFFILIATED ENTITIES		900099	1,968,697	1,968,697
d	All other revenue ....
e	Total. Add lines 11a–11d ......			16,455,537
12	Total revenue. See instructions.....			715,577,365	697,777,353	0	1,722,598

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,091,042	1,091,042
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	2,435,078	1,655,853	779,225
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	273,374,448	185,894,625	87,479,823
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,475,397	3,043,270	1,432,127
9	Other employee benefits .......	43,854,342	29,820,953	14,033,389
10	Payroll taxes ...........	17,734,829	12,059,684	5,675,145
11	Fees for services (non-employees):
a	Management ......	22,378,433		22,378,433
b	Legal .........	1,949,649		1,949,649
c	Accounting ...........	501,408		501,408
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	73,353,900	60,443,614	12,910,286
12	Advertising and promotion ....	223,568	152,026	71,542
13	Office expenses .......	4,734,994	3,219,796	1,515,198
14	Information technology ......	3,084,490	2,097,453	987,037
15	Royalties ..
16	Occupancy ...........	29,627,248	20,146,529	9,480,719
17	Travel ............	284,927	193,750	91,177
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	3,120,659	2,122,048	998,611
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	20,579,638	13,994,154	6,585,484
23	Insurance ...	4,432,873	3,014,354	1,418,519
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	166,865,803	166,865,803
b	BAD DEBTS	28,093,784	28,093,784
c	PROVIDER TAX	17,509,292	17,509,292
d
e	All other expenses	13,047,776	8,872,488	4,175,288
25	Total functional expenses. Add lines 1 through 24e	732,753,578	560,290,518	172,463,060	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			302,099	1	266,631
2	Savings and temporary cash investments .........			15,825,800	2	23,590,945
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			92,097,930	4	102,222,454
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			15,676,284	8	16,908,452
9	Prepaid expenses and deferred charges ......			2,823,954	9	4,078,201
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	325,889,786
b	Less: accumulated depreciation	10b	99,724,612	206,593,324	10c	226,165,174
11	Investments—publicly traded securities .			19,197,730	11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			8,676,046	13	10,254,030
14	Intangible assets ...............			2,705,592	14	2,705,592
15	Other assets. See Part IV, line 11 ...........			73,419,040	15	102,411,555
16	Total assets. Add lines 1 through 15 (must equal line 33)...			437,317,799	16	488,603,034

17	Accounts payable and accrued expenses .....	148,660,027	17	188,820,115
18	Grants payable ...		18
19	Deferred revenue .........	-542,184	19	-711,471
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	187,603,016	25	217,923,910
26	Total liabilities. Add lines 17 through 25..	335,720,859	26	406,032,554

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	101,123,189	27	82,570,480
28	Net assets with donor restrictions ...........	473,751	28	0
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	101,596,940	32	82,570,480
33	Total liabilities and net assets/fund balances ........	437,317,799	33	488,603,034