St Mary's Medical Center Inc

Nonprofit profile at a glance

EIN
550357050
IRS 990 coverage
2009–2024
Forms available
Form 990 2024
Location
Huntington, WV, USA
Phone
3045268931
Rating
71
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$751,499,117
Expenses
$809,336,113
Assets
$553,871,959
Liabilities
$509,146,096

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

42 people listed

Executive titles in this filing

  • ANGELA D SWEARINGEN (PRESIDENT)
  • KEVIN YINGLING (MHN PRESIDENT & CEO - ENDED MARCH 2025)
  • BRYON S RAYNES (MHN EX OFFICIO PRESIDENT & CEO - STARTED MARCH 202)
  • SHAWN BASTIN (RIVERS HEALTH PRESIDENT)

Highest reported compensation

  • NEPAL CHOWDHURY MD (PHYSICIAN): $2,895,449 total reported compensation
  • DWIGHT SAULLE MD (NEUROSURGEON PHYSICIAN): $2,497,279 total reported compensation
  • MATTHEW WERTHAMMER MD (NEUROSURGEON PHYSICIAN): $2,105,628 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

We are inspired by the love of christ to provide quality health care in ways which respect the god-given dignity of each person and the sacredness of human life.

What it reported doing in 2024

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, 2025, st. Mary's medical center provided 100,259 days of inpatient days of care and treated an additional 460,875 patients in the emergency and outpatient settings. Approximately 78% 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, 2025, the hospital provided approximately $2.6 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.

Operating model

Revenue model
Earned-program. 96% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and the filing does not identify recipients for some grant dollars.

Rating breakdown

  • Financial Efficiency: 74
  • Transparency & Controls: 56
  • Accountability: 94
  • Sustainability: 21
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.8%; rating input score 86
  • Program expense ratio: 79.7%; rating input score 80
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 8%; rating input score 8; 6th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 88.9%; rating input score 89; 36th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -7.7%; rating input score 10; 10th percentile among comparable filings
  • Total-asset coverage ratio: 0.68; rating input score 27; 27th percentile among comparable filings
  • Liabilities to assets ratio: 0.92; rating input score 11; 11th percentile among comparable filings
  • Officer compensation ratio: 1.5%; rating input score 64; 64th percentile among comparable filings

Growth

  • Program expense growth: 7.3% per year; rating input score 100; 59th percentile among comparable filings
  • Revenue growth: 5.2% per year; rating input score 100; 45th percentile among comparable filings
  • Asset growth: 4% per year; rating input score 100; 28th percentile among comparable filings

Details

  • Where the money goes: 85.8% of revenue deployed · 79.7% of spending went to programs
  • Governance: 8 of 9 board members independent · 9 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $644.7M in reported program spending
  • Leadership: top reported pay $2.9M · 42 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $45.5M reported
  • Consistency: 36 of 37 current checks pass · 1 finding to review
  • Schedules: 12 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 14 filed money-flow records
  • Related organizations: 20 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Transparency & Controls: Grant itemization coverage scored 8/100.
  • High — Sustainability: Operating margin scored 10/100.
  • High — Sustainability: Total-asset coverage ratio scored 27/100.
  • High — Sustainability: Liabilities to assets ratio scored 11/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.