St Mary Home Incorporated

“The sole member of saint mary home is mercy community health. See line 7 for additional information.”

“Mercy community health is the sole member of saint mary home. Mercy community health has the right to appoint all persons to the board of directors of saint mary home.”

“As sole member, mercy community health must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. Mercy community health must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits, and modifications to governing documents. As the parent of the national trinity health system, certain powers are reserved to trinity health corporation. These include the authority to adopt or modify the organization's governing documents, to approve major changes such as a merger or dissolution, and to approve significant finance matters in excess of certain limits established by trinity health corporation.”

“Line 8b is answered "no" because saint mary home had no committees with authority to act on behalf of the governing body.”

“Prior to filing, the form 990 for saint mary home is reviewed by management. Each member of the board receives a copy of the return in its final form before it is filed with the internal revenue service.”

“Saint mary home has adopted trinity health's governance policy no. 1, which sets forth the organization's conflict of interest policy and processes. It applies to all "interested persons" of saint mary home, which includes directors, principal officers, and key employees. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of saint mary home and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to the integrity and compliance officer, who collaborates with internal legal counsel to assess the conflict and identify a conflict management plan when necessary. Additionally, the integrity and compliance officer along with legal counsel prepares a report for the board chair and ceo. A summary of potential conflicts is reviewed with the board of directors of saint mary home on a yearly basis. Interested persons are required to make full disclosure to saint mary home of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of saint mary home is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of saint mary home. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request.”

“Questions 15a and 15b are answered "no" because the compensation for certain officers and key management officals of saint mary home is established by trinity health, a related organization. In establishing ceo and cfo compensation, trinity health follows a process and policy that is intended to mirror the irc section 4958 guidelines for obtaining a "rebuttable presumption of reasonableness" with regard to compensation and benefits. As part of that process, the compensation and benefits of the ceo and cfo of saint mary home are reviewed at least annually by the trinity health board or the trinity health human resources and compensation committee (hrcc) of the board, authorized to act on behalf of the board with respect to certain compensation matters. As part of its review process, the hrcc retains an independent firm experienced in compensation and benefit matters for not-for-profit health care organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements.”

“Saint mary home is a subsidiary organization in the trinity health system. Trinity health makes certain of its key documents available to the public on its website, www.trinity-health.org, in the "about us" section. In this section, the consolidated audited financial statements are publicly available. Saint mary home's governing documents and conflict of interest policy are available upon request.”

“Medical specialist fees: program service expenses 82,842. Management and general expenses 0. Fundraising expenses 0. Total expenses 82,842. Consulting services: program service expenses 10,190. Management and general expenses 853. Fundraising expenses 0. Total expenses 11,043. Miscellaneous purchased services: program service expenses 41,777. Management and general expenses 3,498. Fundraising expenses 0. Total expenses 45,275. Recruiting services: program service expenses 103,035. Management and general expenses 8,628. Fundraising expenses 0. Total expenses 111,663. Other medical services: program service expenses 169,324. Management and general expenses 0. Fundraising expenses 0. Total expenses 169,324. Contract labor: program service expenses 108,012. Management and general expenses 9,045. Fundraising expenses 0. Total expenses 117,057. Laundry and linen services: program service expenses 33,462. Management and general expenses 2,802. Fundraising expenses 0. Total expenses 36,264. Billing services: program service expenses 65,632. Management and general expenses 5,496. Fundraising expenses 0. Total expenses 71,128. Physical therapy services: program service expenses 841,817. Management and general expenses 0. Fundraising expenses 0. Total expenses 841,817. Occupational therapy services: program service expenses 701,740. Management and general expenses 0. Fundraising expenses 0. Total expenses 701,740. Dietary services: program service expenses 394,634. Management and general expenses 33,045. Fundraising expenses 0. Total expenses 427,679. Janitorial services: program service expenses 599,519. Management and general expenses 50,202. Fundraising expenses 0. Total expenses 649,721.”

“Individuals who work at saint mary home are on the payroll of a related organization. These individuals' salaries and benefits are allocated to saint mary home and are reported on part ix, lines 7-9.”

“Other changes in net assets or fund balance -265,000.”

“Saint mary home's financial statements were included in the fy24 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.”