MCLAREN ST LUKES: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MCLAREN ST LUKES (EIN 34-4428232)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2025-01-15
- IRS object ID
- 202510159349301611
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule H
- Schedule I
- Schedule J
- Schedule M
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-01-15T09:52:33-06:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 331498605 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 TOWN CENTER SUITE 100 | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48075 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 344428232 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STLU | BusinessNameControlTxt |
| Phone | 8103421169 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5901 MONCLOVA ROAD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID MAZURKIEWICZ | PersonNm |
| Person Title | SENIOR VICE PRESIDENT & CFO | PersonTitleTxt |
| Phone | 8103421169 | PhoneNum |
| Signature | 2025-01-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY CIMINELLO | PreparerPersonNm |
| PTIN | P00796388 | PTIN |
| Phone | 2483522500 | PhoneNum |
| Preparation | 2025-01-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCLAREN ST LUKE'S | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRIAN BALUTANSKI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5901 MONCLOVA ROAD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $82,444,236 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCLAREN.ORG/ST-LUKES/MCLAREN-ST-LUKES-HOME | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1906 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | ST. LUKE'S HOSPITAL IS COMMITTED TO PROVIDING QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES THROUGH THE USE OF ADVANCED SERVICES WHILE FOSTERING WELLNESS. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1566 | TotalEmployeeCnt |
| Total Volunteers | 150 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,049,768 | PYContributionsGrantsAmt |
| CY Contributions Grants | $780,502 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $163,834,189 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $73,046,983 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,242,602 | PYInvestmentIncomeAmt |
| CY Investment Income | -$49,928,755 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,717,221 | PYOtherRevenueAmt |
| CY Other Revenue | $330,652 | CYOtherRevenueAmt |
| PY Total Revenue | $171,843,780 | PYTotalRevenueAmt |
| CY Total Revenue | $24,229,382 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $340,202 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $101,345 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $95,324,393 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $56,819,468 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $115,962,830 | PYOtherExpensesAmt |
| CY Other Expenses | $97,060,538 | CYOtherExpensesAmt |
| PY Total Expenses | $211,627,425 | PYTotalExpensesAmt |
| CY Total Expenses | $153,981,351 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$39,783,645 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$129,751,969 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $199,430,419 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $187,888,238 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,542,181 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ST. LUKE'S HOSPITAL PROVIDES EXCEPTIONAL CARE FOR OUR COMMUNITY, INSPIRING HOPE AND PROMOTING WELLNESS. OUR VALUES OF EXCELLENCE, COMPASSION, INTEGRITY, DEDICATION, RESPECT AND TEAMWORK ALLOW US TO FULFILL OUR MISSION EVERY DAY IN OUR WORK WITH PATIENTS, FAMILIES, PHYSICIANS AND ONE ANOTHER. WE ENHANCE INDIVIDUAL AND COMMUNITY HEALTH BY DELIVERING THE BEST QUALITY, SERVICE, SAFETY AND VALUE IN HEALTHCARE. BY DISTINGUISHING OURSELVES BY THE QUALITY OF OURPEOPLE AND VALUING OUR PHYSICIAN PARTNERS WE ARE ABLE TO BUILD A SEAMLESS CONTINUUM OF CARE AROUND OUR CORE SERVICES FOR THE COMMUNITY WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $103,866,955 | ExpenseAmt |
| Grant | $101,345 | GrantAmt |
| Revenue | $72,485,962 | RevenueAmt |
| Desc | ST. LUKE'S HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. ST. LUKE'S HOSPITAL WAS TERMINATED DURING FY23 AND ALL PROGRAMS HAVE CEASED AS OF 5/8/23. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,153,196 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | CONSISTENT WITH OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,227,100 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $975,304 | RevenueAmt |
| Desc | CONSISTENT WITH OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, AND CASH AND IN-KIND CONTRIBUTIONS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $113,247,251 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | Yes (1) | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 182 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1566 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAURA MURPHY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4197050599 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5901 MONCLOVA ROAD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BARBARA MACHIN | ||||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CINDY SMITH | ||||||||||
| VICE-CHAIRPERSON | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DALE SEYMOUR | ||||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| GREGORY LANE | ||||||||||
| MCLAREN EXEC VP & CAO | 1.00 | 43.00 | Yes (X) | Yes (X) | $0 | $2,305,007 | $44,131 | |||
| JANET EATON SMITH | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JENNIFER MONTGOMERY | ||||||||||
| PRESIDENT/CEO EX-OFFICIO | 41.00 | 1.00 | Yes (X) | Yes (X) | $0 | $770,465 | $35,972 | |||
| JOHN BACHEY | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| LALAINE MATTISON MD | ||||||||||
| TRUSTEE/PHYSICIAN | 41.00 | 0.00 | Yes (X) | $280,925 | $0 | $26,672 | ||||
| MARY ARQUETTE | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MOHAMMED EL SAYYAD MD | ||||||||||
| TRUSTEE/PHYSICIAN | 41.00 | 0.00 | Yes (X) | $353,554 | $0 | $29,194 | ||||
| PHILIP INCARNATI | ||||||||||
| MCLAREN PRESIDENT & CEO | 1.00 | 46.00 | Yes (X) | Yes (X) | $0 | $10,748,364 | $35,341 | |||
| SALVADOR PERON MD | ||||||||||
| TRUSTEE/PHYSICIAN | 41.00 | 0.00 | Yes (X) | $558,220 | $0 | $28,265 | ||||
| STEPHEN BAUERLE | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| TIMOTHY GOLIGOSKI | ||||||||||
| CHAIRPERSON | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ALISON AVENDT | ||||||||||
| CHIEF OPERATING OFFICER | 41.00 | 1.00 | $262,036 | $0 | $21,064 | Yes (X) | ||||
| ANGELA LONG | ||||||||||
| VP CHIEF NURSING OFFICER | 41.00 | 0.00 | $279,868 | $0 | $23,680 | Yes (X) | ||||
| STEPHEN P BAZELEY | ||||||||||
| CHIEF MEDICAL OFFICER | 41.00 | 0.00 | $248,488 | $0 | $25,826 | Yes (X) | ||||
| STEVE THOMPSON | ||||||||||
| VP CHIEF FINANCIAL OFFICER-PART YEAR | 41.00 | 1.00 | $323,800 | $0 | $16,664 | Yes (X) | ||||
| BENJAMIN J SALPIETRO | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $813,319 | $0 | $813,319 | Yes (X) | ||||
| BRIAN HOEFLINGER | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,012,225 | $0 | $1,012,225 | Yes (X) | ||||
| DAVID LEWIS | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $815,433 | $0 | $815,433 | Yes (X) | ||||
| JAMES D LYIONS | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $747,042 | $0 | $747,042 | Yes (X) | ||||
| LAWRENCE SPETKA | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $910,080 | $0 | $910,080 | Yes (X) | ||||
| CONNIE SESSLER | ||||||||||
| FORMER VP HUMAN RESOURCES | 41.00 | 0.00 | $224,177 | $0 | $20,897 | Yes (X) | ||||
| JEFF KIM | ||||||||||
| FORMER VP INFORMATION | 41.00 | 0.00 | $275,018 | $0 | $0 | Yes (X) | ||||
| JILL TROSIN | ||||||||||
| FORMER VP CHIEF NURSING OFFICER | 41.00 | 0.00 | $156,540 | $0 | $0 | Yes (X) | ||||
| KEVIN RILEY | ||||||||||
| FORMER CHIEF FINANCIAL OFFICER | 41.00 | 0.00 | $100,487 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,361,212 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,823,836 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,605,805 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 106 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMERICAN HEALTHCARE STAFFING ASSOC LLC | |||||
| PO BOX 670529 | DALLAS | TX | 75627 | AGENCY SERVICES | $5,920,563 |
| QUALIVIS LLC | |||||
| 5930 CORNERSTONE CT W 300 | SAN DIEGO | CA | 92121 | AGENCY SERVICES | $5,009,197 |
| TOLEDO CLINIC INC | |||||
| 4235 SECOR RD | TOLEDO | OH | 43623 | SURGERY ON CALL & BILLING SVCS | $4,234,453 |
| CERNER CORPORATION | |||||
| 2800 ROCK CREEK PARKWAY | KANSAS CITY | MO | 64117 | IT SERVICES | $3,368,750 |
| TRIMEDX INC | |||||
| 5451 LAKEVIEW PARKWAY S DRIVE | INDIANAPOLIS | IN | 46268 | BIOMED SERVICES | $3,115,645 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 59 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $131,077 | RelatedOrganizationsAmt |
| Government Grants | $649,425 | GovernmentGrantsAmt |
| Noncash Contributions | $41,875 | NoncashContributionsAmt |
| Total Contributions | $780,502 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICES | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $73,046,983 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,046,983 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $73,046,983 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,706,428 | TotalRevenueColumnAmt |
| Exclusion | -$4,706,428 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $906,917 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,172,151 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$265,234 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$265,234 | TotalRevenueColumnAmt |
| Exclusion | -$265,234 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $138,673 | SecuritiesAmt |
| Other | $11,681,703 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $57,042,703 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $138,673 | SecuritiesAmt |
| Other | -$45,361,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$45,222,327 | TotalRevenueColumnAmt |
| Exclusion | -$45,222,327 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 722514 | $181,603 | $181,603 | |
| INCENTIVES | 900099 | $105,261 | $105,261 | |
| MED STAFF/AUXILIARY/GIFT SHOP | 459420 | $58,431 | $58,431 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $250,591 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $250,591 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $595,886 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,229,382 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,461,266 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$50,012,386 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,345 | TotalAmt |
| Program Services | $101,345 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,087,788 | TotalAmt |
| Program Services | $1,079,734 | ProgramServicesAmt |
| Management And General | $2,008,054 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,215,705 | TotalAmt |
| Program Services | $33,230,413 | ProgramServicesAmt |
| Management And General | $13,985,292 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,026,499 | TotalAmt |
| Program Services | $722,450 | ProgramServicesAmt |
| Management And General | $304,049 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,359,534 | TotalAmt |
| Program Services | $956,840 | ProgramServicesAmt |
| Management And General | $402,694 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,129,942 | TotalAmt |
| Program Services | $2,906,653 | ProgramServicesAmt |
| Management And General | $1,223,289 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,245,513 | TotalAmt |
| Management And General | $1,245,513 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,108,600 | TotalAmt |
| Management And General | $1,108,600 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,993 | TotalAmt |
| Management And General | $107,993 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,614 | TotalAmt |
| Management And General | $4,614 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,309 | TotalAmt |
| Management And General | $26,309 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,137,753 | TotalAmt |
| Program Services | $13,249,875 | ProgramServicesAmt |
| Management And General | $4,887,878 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,548 | TotalAmt |
| Program Services | $176,661 | ProgramServicesAmt |
| Management And General | $58,887 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,324,461 | TotalAmt |
| Program Services | $331,115 | ProgramServicesAmt |
| Management And General | $993,346 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,751,221 | TotalAmt |
| Program Services | $20,476,099 | ProgramServicesAmt |
| Management And General | $2,275,122 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,949,225 | TotalAmt |
| Program Services | $2,369,997 | ProgramServicesAmt |
| Management And General | $579,228 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,716 | TotalAmt |
| Program Services | $86,787 | ProgramServicesAmt |
| Management And General | $28,929 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,076,811 | TotalAmt |
| Program Services | $969,130 | ProgramServicesAmt |
| Management And General | $107,681 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,344,208 | TotalAmt |
| Program Services | $4,294,606 | ProgramServicesAmt |
| Management And General | $1,049,602 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,175,461 | TotalAmt |
| Program Services | $8,175,461 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES AND DR | $15,224,785 | $15,224,785 | |
| INTERCOMPANY SERVICES | $9,843,316 | $196,866 | $9,646,450 |
| OHIO HOSPITAL FRANCHISE | $5,668,174 | $5,668,174 | |
| BAD DEBT EXPENSE | $2,206,605 | $2,206,605 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,514,225 | TotalAmt |
| Program Services | $823,655 | ProgramServicesAmt |
| Management And General | $690,570 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,981,351 | TotalAmt |
| Program Services | $113,247,251 | ProgramServicesAmt |
| Management And General | $40,734,100 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,606,785 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,870,357 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,386,844 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,143,401 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,657,532 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,777,854 | BOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,448,762 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,793,618 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,745,266 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,430,419 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,865,603 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,705,034 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,317,601 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,888,238 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,099,305 | BOYAmt |
| EOY | $0 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,641,486 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,542,181 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,430,419 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$129,751,969 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,465,857 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $51,349,210 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | $64,394,721 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,614 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,614 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ST. LUKE'S HOSPITAL PAYS DUES TO THE OHIO HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATION. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 400.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,059,368 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,625,865 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $433,503 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,462,930 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,393,396 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,069,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09270 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,522,298 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,019,261 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,503,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09560 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,989 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,989 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,304,085 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $968,549 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,335,536 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01540 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,876,276 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,755 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,869,521 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01230 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,750 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $44,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,227,100 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $975,304 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,251,796 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02800 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,749,398 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,994,565 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,754,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12360 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,961 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,961 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,961 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,961 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,206,605 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $17,417,651 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,140,114 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,722,463 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5901 MONCLOVA ROAD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MCLAREN.ORG/ST-LUKES/MCLAREN-ST-LU | WebsiteAddressTxt |
| State License | 1224 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://TINYURL.COM/YAWXCYL4 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://TINYURL.COM/YAWXCYL4 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 400.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://TINYURL.COM/YYA9C5OC | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://TINYURL.COM/YYA9C5OC | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://TINYURL.COM/YYA9C5OC | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST. LUKE'S HOSPITAL | PART V, SECTION B, LINE 5: ST. LUKE'S HOSPITAL WAS TERMINATED DURING FY23 AND ALL PROGRAMS HAVE CEASED AS OF 5/8/23. NO CHNA WAS DONE FOR 2023 AS NONE IS REQUIRED IN THE YEAR A HOSPITAL CEASES OPERATIONS.ST. LUKE'S HOSPITAL HAS ACTIVELY PARTICIPATED IN THE LUCAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SINCE ITS EARLY BEGINNINGS. THROUGH THE COURSE OF A PRIMARY MARKET RESEARCH SURVEY (WHICH IS CONSISTENT WITH THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM [BRFSS] QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION) AND PUBLISHED HEALTH AND DEMOGRAPHIC DATA, A CHNA IS COMPLETED EVERY THREE YEARS. A MULTI-DISCIPLINARY, COMPREHENSIVE GROUP OF STAKEHOLDERS (INCLUDING A ST. LUKE'S HOSPITAL REPRESENTATIVE) FROM LUCAS COUNTY DISCUSS, DEBATE AND RANK FINDINGS FROM THE CHNA. ST. LUKE'S. HOSPITAL THEN REVIEWS THE CHNA RESULTS AND LUCAS COUNTY FINDINGS REPORT TO DEVELOP ITS OWN CHNA REPORT AND IMPLEMENTATION PLAN FOR ITS PRIMARY SERVICE AREA, MOST OF WHICH IS LOCATED IN LUCAS COUNTY. PROGRAMS IDENTIFY RESOURCES AND GAPS IN SERVICES TO ADDRESS KEY HEALTH ISSUES FOR HEALTHY LUCAS COUNTY. THE PROGRAMS THAT WERE IDENTIFIED AS HEALTH NEEDS AND PRIORITIES ARE: CARDIOVASCULAR HEALTH/STROKE; ADDICTION/DRUGS (OPIATES)/PAIN MANAGEMENT; AGE/GERIATRIC-RELATED INITIATIVES; CHRONIC DISEASE; YOUTH/STUDENT ISSUES. |
| ST. LUKE'S HOSPITAL | PART V, SECTION B, LINE 11: ST. LUKE'S HOSPITAL IMPLEMENTED THE FOLLOWING STRATEGIES TO ADDRESS THE MOST CRITICAL HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: CARDIOVASCULAR HEALTH - STROKE AGE/GERIATRIC-RELATED INITIATIVES - NUTRITION, DEMENTIA, AND/OR FALL PREVENTION CHRONIC DISEASE (DIABETES/OBESITY/NUTRITION) ADDICTION/DRUGS (OPIATES) /PAIN MANAGEMENT YOUTH/STUDENT ISSUES PRIMARY AREAS OF FOCUS FOR 2023 WERE OFFERING SIX IN-PERSON LUNCH AND LEARN EVENTS TO MORE THAN 300 INDIVIDUALS IN THE COMMUNITY. ST. LUKE'S HOSPITAL OFFERED 5 COMMUNITY TALKS AND 6 EDUCATIONAL RADIO INTERVIEWS AMONG PHYSICIANS. ST. LUKE'S ALSO FOCUSED ON BLOOD PRESSURE SCREENINGS AND PARTICIPATED IN OUTDOOR HEALTH FAIRS TO ADDRESS CHRONIC DISEASE AND CARDIOVASCULAR HEALTH. THE NUMBER OF BLOOD PRESSURE TAKEN AT OUTREACH EVENTS WERE 116. TO ADDRESS THE DRUG ADDICTION STRATEGY, ST. LUKE'S OFFERED ONE DRUG TAKE-BACK EVENT TO SAFELY DISPOSE OF OPIOIDS AND UNUSED OR EXPIRED MEDICATIONS. MORE THAN 300 POUNDS OF MEDICATIONS WERE COLLECTED. YOUTH EVENTS, AS PART OF THE STRATEGY, INCLUDED OFFERING COMMUNITY PRESENTATIONS RELATED TO VAPING EDUCATION, ADHD AND VACCINATION. MORE THAN 700 POUNDS OF FOOD AND OTHER PRODUCTS WERE ALSO COLLECTED TO ASSIST THE COMMUNITY WITH HYGIENE AND FOOD PANTRY ITEMS AND 35 PEOPLE ENJOYED MEALS DELIVERED BY OUR MEDICAL RESIDENTS WHO VOLUNTEERED FOR MEALS ON WHEELS. ST. LUKE'S EXECUTIVES ANNOUNCED THE CLOSURE OF THE HOSPITAL IN EARLY MARCH 2023. THE HOSPITAL CLOSED ITS DOOR FOR ALL PATIENT CARE IN MAY 2023. THEREFORE, THE REMAINING CHNA STRATEGIES FOR 2023 WERE NOT FULFILLED AFTER THE WIND DOWN OPERATIONS TOOK EFFECT IN MARCH 2023. |
| ST. LUKE'S HOSPITAL | PART V, SECTION B, LINE 13B: PRESUMPTIVE FINANCIAL ASSISTANCE MAY BE APPLIED BASED ON THIRD PARTY INFORMATION OR A PRIOR FINANCIAL ASSISTANCE DETERMINATION. DESIGNATED PERSONNEL WILL MAKE REASONABLE EFFORT TO NOTIFY THE INDIVIDUAL OF ASSISTANCE. |
| PART V, LINE 13A: | FINANCIAL ASSISTANCE GUIDELINES ARE BASED ON 400% OF THE FEDERAL POVERTY GUIDELINES (FPG) PUBLISHED ANNUALLY IN THE FEDERAL REGISTER. CARE IS DISCOUNTED 100% UP TO 400% OF THE FPG. DESIGNATED PERSONNEL WILL ACCESS THE FEDERAL REGISTER AND UPDATE THE FINANCIAL ASSISTANCE GUIDELINES ANNUALLY. THE DISCOUNT IS BASED ON FAMILY SIZE AND ANNUAL INCOME. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - REGENCY CT RADIOLOGY SERVICES | ||||
| 300 REGENCY COURT STE 105 | TOLDEO | OH | 43623 | RADIOLOGY |
| 2 - FALLEN TIMBERS RADIOLOGY | ||||
| 5757 MONCLOVA ROAD STE 31 | MAUMEE | OH | 43537 | RADIOLOGY |
| 3 - SLH OUTPATIENT SURGERY- SURGICARE | ||||
| 5959 MONCLOVA ROAD | MAUMEE | OH | 43537 | OUTPATIENT SURGERY |
| 4 - FALLEN TIMBERS LAB | ||||
| 5757 MONCLOVA ROAD | MAUMEE | OH | 43537 | LAB |
| 5 - WATERVILLE SATELLITE LAB | ||||
| 900 WATERVILLE-MONCLOVA RD STE 8 | WATERVILLE | OH | 43566 | LAB |
| 6 - ST LUKE'S DIABETES CARE CENTER | ||||
| 5871 MONCLOVA ROAD | MAUMEE | OH | 43537 | WOUND CARE |
| 7 - WATERVILLE REHAB | ||||
| 900 WATERVILLE-MONCLOVA RD STE B | WATERVILLE | OH | 43566 | PHYSICAL THERAPY |
| 8 - SWANTON REHAB | ||||
| 1 TURTLE CREEK CIRCLE | SWANTON | OH | 43558 | PHYSICAL THERAPY |
| 9 - MAUMEE VALLEY REHAB | ||||
| 6005 MONCLOVA ROAD STE 225 | MAUMEE | OH | 43537 | PHYSICAL THERAPY |
| 10 - MAUMEE VALLEY IMAGING | ||||
| 6005 MONCLOVA ROAD | MAUMEE | OH | 43537 | RADIOLOGY |
| 11 - PAIN CENTER | ||||
| 5759 MONCLOVA ROAD | MAUMEE | OH | 43537 | PAIN CENTER |
| 12 - MAUMEE VALLEY LAB | ||||
| 6005 MONCLOVA ROAD STE 210 | MAUMEE | OH | 43537 | LAB |
| 13 - FAMILY MEDICINE CLINIC SATELLITE LAB | ||||
| 7045 LIGHTHOUSE WAY | PERRYSBURG | OH | 43551 | LAB |
| 14 - ST LUKE'S FAMILY MEDICINE RESIDENCY | ||||
| 7045 LIGHTHOUSE WAY | PERRYSBURG | OH | 43551 | RESIDENCY PROGRAM |
| 15 - LIGHTHOUSE WAY REHAB | ||||
| 7015 LIGHTHOUSE WAY STE 500 | PERRYSBURG | OH | 43551 | PHYSICAL THERAPY |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | ST. LUKE'S HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24E - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $2,206,605. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | OFFERING SIX IN-PERSON LUNCH AND LEARN EVENTS TO MORE THAN 300 INDIVIDUALS IN THE COMMUNITY. ST. LUKE'S HOSPITAL OFFERED 5 COMMUNITY TALKS AND 6 EDUCATIONAL RADIO INTERVIEWS AMONG PHYSICIANS. ST. LUKE'S ALSO FOCUSED ON BLOOD PRESSURE SCREENINGS AND PARTICIPATED IN OUTDOOR HEALTH FAIRS TO ADDRESS CHRONIC DISEASE AND CARDIOVASCULAR HEALTH. THE NUMBER OF BLOOD PRESSURE TAKEN AT OUTREACH EVENTS WERE 116. TO ADDRESS THE DRUG ADDICTION STRATEGY, ST. LUKE'S OFFERED ONE DRUG TAKE-BACK EVENT TO SAFELY DISPOSE OF OPIOIDS AND UNUSED OR EXPIRED MEDICATIONS. MORE THAN 300 POUNDS OF MEDICATIONS WERE COLLECTED. YOUTH EVENTS, AS PART OF THE STRATEGY, INCLUDED OFFERING COMMUNITY PRESENTATIONS RELATED TO VAPING EDUCATION, ADHD AND VACCINATION. MORE THAN 700 POUNDS OF FOOD AND OTHER PRODUCTS WERE ALSO COLLECTED TO ASSIST THE COMMUNITY WITH HYGIENE AND FOOD PANTRY ITEMS AND 35 PEOPLE ENJOYED MEALS DELIVERED BY OUR MEDICAL RESIDENTS WHO VOLUNTEERED FOR MEALS ON WHEELS. ST. LUKE'S EXECUTIVES ANNOUNCED THE CLOSURE OF THE HOSPITAL IN EARLY MARCH 2023. THE HOSPITAL CLOSED ITS DOOR FOR ALL PATIENT CARE IN MAY 2023. THEREFORE, THE REMAINING CHNA STRATEGIES FOR 2023 WERE NOT FULFILLED AFTER THE WIND DOWN OPERATIONS TOOK EFFECT IN MARCH 2023. |
| PART III, LINE 2: | ST. LUKE'S HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS LOOK-BACK METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS COPAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:- THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.ST. LUKE'S HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS FISCAL YEAR ENDED 2023 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS. |
| PART III, LINE 9B: | FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/ORREQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOTTHEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT. PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCESDEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITYDETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE AND WILL FORWARDAPPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING. |
| PART VI, LINE 2: | PRIMARY AND SECONDARY MARKET RESEARCH IS CONDUCTED BY AND THROUGH COMMUNITY-BASED HEALTH COALITIONS, ACADEMIC INSTITUTIONS, THIRD PARTY DATA ANALYTICS ORGANIZATIONS, HEALTH NEEDS ASSESSMENTS AND SURVEYS, HISTORIC HEALTH SERVICES UTILIZATION PATTERNS, DEMOGRAPHIC ANALYSIS AND POPULATION-BASED HEALTH CARE SERVICES UTILIZATION FORECASTS. |
| PART VI, LINE 3: | AVAILABILITY OF FINANCIAL ASSISTANCE INFORMATION AND EDUCATION IS PROVIDED AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS-OF-SERVICE. INFORMATION AND EDUCATION IS ALSO AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE(S). FINANCIAL AND APPLICATION FORMS ARE AVAILABLE AT ALL INPATIENT AND OUTPATIENT POINTS-OF-SERVICE, INCLUDING PROVIDING ASSISTANCE IN COMPLETING THE APPLICATION. ORGANIZATION AND ITS SUBSIDIARIES/AFFILIATES ALSO PROVIDE SPECIALLY-TRAINED COUNSELORS TO ASSIST PATIENTS AND REVIEW ELIGIBILITY FOR FEDERAL, STATE AND OTHER GOVERNMENT PROGRAMS, INCLUDING, BUT NOT LIMITED TO, MEDICAID, DISABILITY, SOCIAL SECURITY, AND ANY OTHER FORMS OF THIRD PARTY PAYMENT. |
| PART VI, LINE 4: | ST. LUKE'S HOSPITAL IS LOCATED IN MAUMEE, OHIO, WHICH IS IN THE SOUTHWEST PORTION OF LUCAS COUNTY. AS OF THE 2020 CENSUS, THERE WERE 431,279 PEOPLE, 181,383 HOUSEHOLDS, AND 111,551 FAMILIES RESIDING IN LUCAS COUNTY. PRIMARY SERVICE AREA DEMOGRAPHIC DISTRIBUTIONS HOUSEHOLD INCOME DISTRIBUTIONMEDIAN HOUSEHOLD INCOME $57,265PER CAPITA INCOME $34,399BELOW THE POVERTY LINE: 17.9% OF THE POPULATION RACE/ETHNICITYWHITE ALONE 73.4%BLACK ALONE 20.6%AMERICAN INDIAN ALONE .4%ASIAN ALONE 1.8%ALL OTHERS 3.8% |
| PART VI, LINE 5: | THE PARENT ORGANIZATION AND EACH OF ITS SUBSIDIARY/AFFILIATE MEMBERS MAINTAIN A LOCAL COMMUNITY-BASED BOARD WITH POWERS, RESPONSIBILITIES AND ACCOUNTABILITIES FOR THE OVERSIGHT OF THE OPERATION OF THEIR RESPECTIVE ORGANIZATIONS. EACH SUBSIDIARY/AFFILIATE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF ALLOWING ANY PHYSICIAN OR OTHER CARE PROVIDER WITH PROPER CREDENTIALS TO JOIN THE STAFF AND PROVIDE APPROVED CARE. THE ORGANIZATION FUNDS AND MAINTAINS OVER 500 MEDICAL RESIDENCY AND FELLOWSHIP PROGRAMS TO TRAIN FUTURE GENERATIONS OF PHYSICIANS; ORGANIZATION FUNDS, OPERATES AND MAINTAINS NUMEROUS HEALTH CARE EDUCATION PROGRAMS AT THE HIGH SCHOOL, COMMUNITY COLLEGE, UNIVERSITY AND POST-GRADUATE LEVELS OF EDUCATION. ORGANIZATION PROVIDES SPONSORSHIP (FINANCIAL AND IN-KIND RESOURCES) SUPPORT TO COMMUNITY-LEVEL ACTIVITIES (HEALTH WALKS AND RACES, FITNESS TRAINING, DISEASE AWARENESS EVENTS, CULTURAL EVENTS AND OTHER HEALTH-RELATED NON-PROFIT ACTIVITIES, EVENTS AND ORGANIZATIONS). ORGANIZATION ALSO DIRECTS, FUNDS, SUPPORTS AND PARTICIPATES IN FUNDRAISING ACTIVITIES THAT SUPPORT HEALTH PREVENTION/EDUCATION, DIAGNOSIS AND TREATMENT PROVIDED BY OTHER NON-PROFIT COMMUNITY ORGANIZATIONS. |
| PART VI, LINE 6: | THE ROLE OF THE PARENT ORGANIZATION IS TO SET THE VISION AND STRATEGIC DIRECTION FOR THE ORGANIZATION AS A WHOLE. THIS INCLUDES THE DEVELOPMENT OF THE ANNUAL STRATEGIC PLAN WHICH DEFINES THE STRATEGIC PRIORITIES FOR THE ORGANIZATION AND ITS MEMBERS, THE METRICS TO BE MEASURED FOR EACH STRATEGIC PROGRAMS AND THE BENCHMARK OR TARGET/GOALS FOR EACH METRIC. STRATEGIC PRIORITIES DIRECTLY ADDRESS AND MEASURE (AT A SUBSIDIARY LEVEL) CLINICAL QUALITY AND CLINICAL OUTCOMES; PATIENT, PHYSICIAN, EMPLOYEE AND COMMUNITY SATISFACTION WITH THE ORGANIZATION AND ITS SUBSIDIARY/AFFILIATE MEMBERS; AND DEVELOPMENT OF NEW SERVICES TO IMPROVE ACCESS TO, QUALITY OF, AND COST OF HEALTH SERVICES.THE ROLE OF THE ORGANIZATION'S SUBSIDIARIES/AFFILIATES IS THE DEVELOPMENT AND IMPLEMENTATION OF ANNUAL STRATEGIC AND OPERATIONAL PLANS THAT SUPPORT AND ADVANCE THE STRATEGIC PLAN OF THE PARENT ORGANIZATION. ALL LOCAL PLANS ARE DEVELOPED AND DESIGNED TO REFLECT THE UNIQUE POPULATION-BASED HEALTH CARE NEEDS AND REQUIREMENTS OF THE COMMUNITIES SERVED BY THE SUBSIDIARY/AFFILIATE ORGANIZATION.ALL LOCAL SUBSIDIARIES/AFFILIATES HAVE FULL AUTHORITY AND DECISION-MAKING POWERS TO DEFINE AND EXECUTE THE STRATEGIC AND OPERATIONAL PLANS INTENDED TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES THEY SERVE. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | OH |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| ST LUKE'S HOSPITAL FOUNDATION | ||||||||
| 5901 MONCLOVA ROAD | MAUMEE | OH | 43537 | 311292849 | 501(C)(3) | $79,495 | $0 | OPERATING SUPPORT |
| NATURES NURSERY CENTER FOR WILDLIFE REHABILITIATION AND CONSERVATION EDUCAT | ||||||||
| PO BOX 2395 | WHITEHOUSE | OH | 43571 | 341603377 | 501(C)(3) | $10,000 | $0 | CHARITABLE DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | REQUESTS FOR FUNDS ARE REVIEWED BY SENIOR LEADERSHIP FOR CONSISTENCY WITH THE ORGANIZATION'S MISSION AND PURPOSE. FUNDS ARE DISTRIBUTED TO 501(C)(3) AND OTHER COMMUNITY ORGANIZATIONS, TYPICALLY FOR GENERAL SUPPORT PURPOSES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHILIP INCARNATI | ||||||||||||||
| MCLAREN PRESIDENT & CEO | $0 | $2,557,928 | $0 | $1,412,352 | $0 | $6,778,084 | $0 | $0 | $0 | $35,341 | $0 | $10,783,705 | $0 | $0 |
| GREGORY LANE | ||||||||||||||
| MCLAREN EXEC VP & CAO | $0 | $990,628 | $0 | $641,971 | $0 | $672,408 | $0 | $0 | $0 | $44,131 | $0 | $2,349,138 | $0 | $0 |
| BRIAN HOEFLINGER | ||||||||||||||
| PHYSICIAN | $989,447 | $0 | $22,778 | $0 | $0 | $0 | $15,250 | $0 | $20,339 | $0 | $1,047,814 | $0 | $0 | $0 |
| LAWRENCE SPETKA | ||||||||||||||
| PHYSICIAN | $772,317 | $0 | $137,763 | $0 | $0 | $0 | $12,730 | $0 | $17,052 | $0 | $939,862 | $0 | $0 | $0 |
| BENJAMIN J SALPIETRO | ||||||||||||||
| PHYSICIAN | $794,319 | $0 | $19,000 | $0 | $0 | $0 | $14,547 | $0 | $19,499 | $0 | $847,365 | $0 | $0 | $0 |
| DAVID LEWIS | ||||||||||||||
| PHYSICIAN | $796,433 | $0 | $19,000 | $0 | $0 | $0 | $15,250 | $0 | $15,055 | $0 | $845,738 | $0 | $0 | $0 |
| JENNIFER MONTGOMERY | ||||||||||||||
| PRESIDENT/CEO EX-OFFICIO | $0 | $559,520 | $0 | $0 | $0 | $210,945 | $0 | $0 | $0 | $35,972 | $0 | $806,437 | $0 | $0 |
| JAMES D LYIONS | ||||||||||||||
| PHYSICIAN | $669,760 | $0 | $77,282 | $0 | $0 | $0 | $12,593 | $0 | $2,841 | $0 | $762,476 | $0 | $0 | $0 |
| SALVADOR PERON MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $539,220 | $0 | $19,000 | $0 | $0 | $0 | $11,730 | $0 | $16,535 | $0 | $586,485 | $0 | $0 | $0 |
| MOHAMMED EL SAYYAD MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $328,580 | $0 | $24,974 | $0 | $0 | $0 | $9,748 | $0 | $19,446 | $0 | $382,748 | $0 | $0 | $0 |
| STEVE THOMPSON | ||||||||||||||
| VP CHIEF FINANCIAL OFFICER-PART YEAR | $323,800 | $0 | $0 | $0 | $0 | $0 | $15,250 | $0 | $1,414 | $0 | $340,464 | $0 | $0 | $0 |
| LALAINE MATTISON MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $234,308 | $0 | $46,617 | $0 | $0 | $0 | $12,612 | $0 | $14,060 | $0 | $307,597 | $0 | $0 | $0 |
| ANGELA LONG | ||||||||||||||
| VP CHIEF NURSING OFFICER | $216,324 | $0 | $63,544 | $0 | $0 | $0 | $0 | $0 | $23,680 | $0 | $303,548 | $0 | $0 | $0 |
| ALISON AVENDT | ||||||||||||||
| CHIEF OPERATING OFFICER | $262,036 | $0 | $0 | $0 | $0 | $0 | $13,280 | $0 | $7,784 | $0 | $283,100 | $0 | $0 | $0 |
| JEFF KIM | ||||||||||||||
| FORMER VP INFORMATION | $0 | $0 | $0 | $0 | $275,018 | $0 | $0 | $0 | $0 | $0 | $275,018 | $0 | $0 | $0 |
| STEPHEN P BAZELEY | ||||||||||||||
| CHIEF MEDICAL OFFICER | $228,488 | $0 | $20,000 | $0 | $0 | $0 | $13,086 | $0 | $12,740 | $0 | $274,314 | $0 | $0 | $0 |
| CONNIE SESSLER | ||||||||||||||
| FORMER VP HUMAN RESOURCES | $186,817 | $0 | $0 | $0 | $37,360 | $0 | $8,525 | $0 | $12,372 | $0 | $245,074 | $0 | $0 | $0 |
| JILL TROSIN | ||||||||||||||
| FORMER VP CHIEF NURSING OFFICER | $0 | $0 | $0 | $0 | $156,540 | $0 | $0 | $0 | $0 | $0 | $156,540 | $0 | $0 | $0 |
| KEVIN RILEY | ||||||||||||||
| FORMER CHIEF FINANCIAL OFFICER | $0 | $0 | $0 | $0 | $100,487 | $0 | $0 | $0 | $0 | $0 | $100,487 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 1 BOXES HAVE BEEN CHECKED. THE CORPORATE CEO, SUBSIDIARY CEOS AND CORPORATE EXECUTIVE & SENIOR VICE-PRESIDENTS IN SOME INSTANCES HAVE RECEIVED TAX INDEMNIFICATION FOR THE FOLLOWING BENEFITS: VEHICLE COSTS, GROUP TERM LIFE INSURANCE, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS, AND HEALTH CLUB OR SOCIAL DUES. THESE BENEFITS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION. |
| PART I, LINE 3 | THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 3 BOXES HAVE BEEN CHECKED. THE RELATED ORGANIZATION USED THE FOLLOWING METHODOLOGIES TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| PART I, LINES 4A-B | KEVIN RILEY RECEIVED SEVERANCE PAYMENTS TOTALING $412,500, STARTING NOVEMBER 2020 THROUGH APRIL 2022. HE RECEIVED A TOTAL OF $101,487 DURING THE CALENDAR YEAR 2022. JILL TROSIN RECEIVED SEVERANCE PAYMENTS TOTALING $220,002, STARTING SEPTEMBER 2021 THROUGH SEPTEMBER 2022. SHE RECEIVED A TOTAL OF $156,540 DURING THE CALENDAR YEAR 2022. JEFF KIM RECEIVED SEVERANCE PAYMENTS TOTALING $412,526, STARTING OCTOBER 2021 THROUGH APRIL 2023. HE RECEIVED A TOTAL OF $275,018 DURING THE CALENDAR YEAR 2022. CONNIE SESSLER RECEIVED SEVERANCE PAYMENTS TOTALING $291,408, STARTING OCTOBER 2022 THROUGH APRIL 2024. SHE RECEIVED A TOTAL OF $37,360 DURING THE CALENDAR YEAR 2022. ALISON AVENDT, ANGELA LONG, STEPHEN BAZELEY, AND REBECCA SNOW WILL RECEIVE SEVERANCE PAYMENTS BEGINNING 6/2024 WITH THE CLOSURE OF THE HOSPITAL. MCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN EITHER THE FORM OF A LUMP SUM DISTRIBUTION OR IN MONTHLY PAYMENTS EQUAL TO THE ACTUARIAL EQUIVALENT OF THE PARTICIPANT'S ACCRUED BENEFIT. THE BENEFIT IS PAID AT AGE 55, AND IF THE PARTICIPANT REMAINS EMPLOYED, THE BENEFIT IS PAID UPON TERMINATION OF EMPLOYMENT, REDUCED TO TAKE INTO ACCOUNT THE BENEFIT PREVIOUSLY PAID. THE NEW SERP IS STRUCTURED AS A DEFINED CONTRIBUTION PLAN, AND MCLAREN CONTRIBUTES 15 PERCENT OF EACH PARTICIPANT'S COMPENSATION TO THE PLAN EACH YEAR FOR ALLOCATION TO THE PARTICIPANT'S ACCOUNT. PARTICIPANTS IN THE NEW SERP BECOME VESTED IN THEIR ACCOUNTS UPON THE EARLIER OF FIVE YEARS OF PARTICIPATION IN THE PLAN OR ATTAINMENT OF AGE 60. PARTICIPANTS IN THE NEW SERP SELF-DIRECT THE INVESTMENT OF THEIR ACCOUNTS AND HAVE THE ACTUAL INVESTMENT RETURN CREDITED THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A. |
| PART I, LINE 7 | MCLAREN HEALTH CARE CORPORATION (MHCC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, AND MANAGERS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS WITH A TOOL FOR (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE ON THE PART OF KEY LEADERS WHICH WILL ULTIMATELY BENEFIT THE COMMUNITIES MHCC SERVES, AND (C) PROTECTING MHCC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | MINOR EQUIPMENT | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $41,875 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT REPORTED IN LINE 25, COLUMN B IS THE NUMBER OF DONORS WHO CONTRIBUTED EQUIPMENT TO THE FOUNDATION. | ExplanationTxt |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail (2 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| MCLAREN HEALTH CARE CORPORATION | |||||||||
| NET ASSETS OF ST. LUKE'S HOSPITAL | 2023-09-30 | $50,850,193 | COST BASIS | 382397643 | ONE MCLAREN PARKWAY | GRAND BLANC | MI | 48439 | 501(C)(3) |
| MCLAREN HEALTH CARE CORPORATION | |||||||||
| NET ASSETS OF WELLCARE PHYSICIANS GROUP, LLC | 2023-09-30 | $499,017 | COST BASIS | 382397643 | ONE MCLAREN PARKWAY | GRAND BLANC | MI | 48439 | 501(C)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | 0 | DirectorOfSuccessorInd |
| Employee Of Successor | 0 | EmployeeOfSuccessorInd |
| Owner Of Successor | 0 | OwnerOfSuccessorInd |
| Receive Compensation | 0 | ReceiveCompensationInd |
| Assets Distributed | Yes (1) | AssetsDistributedInd |
| Required To Notify AG | Yes (1) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (1) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (1) | LiabilitiesPaidInd |
| Bonds Outstanding | 0 | BondsOutstandingInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | MCLAREN ST. LUKE'S HOSPITAL OFFICIALS ANNOUNCED THE CLOSURE OF THE HOSPITAL AND OPERATIONS CEASED ON MAY 8, 2023. WELLCARE PHYSICIANS GROUP AND THE RESIDENTS OF ST. LUKE'S HOSPITAL OPERATED UNTIL MAY 31, 2023. BON SECOURS MERCY PURCHASED THE BUILDING, LAND, AND EQUIPMENT ON JUNE 1, 2023. ALL PHYSICIANS AND RESIDENTS THEN BEGAN EMPLOYMENT THROUGH OTHER HEATH SYSTEMS IN THE SURROUNDING AREAS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THIS ORGANIZATION IS MCLAREN HEALTH CARE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY THE CORPORATE DIRECTOR OF BUDGET, THE CORPORATE SENIOR VICE PRESIDENT AND CFO OF MCLAREN HEALTH CARE CORPORATION (MHCC). COPIES OF THE RETURNS ARE MADE AVAILABLE TO THE MHCC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHCC IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MHCC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF OUR SYSTEM WHOSE RESPONSIBILITIES INCLUDES BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE MCLAREN HEALTH CARE (MHC) BOARD CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL MHC CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE MHC GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. CONFLICTS ARE DISCLOSED TO THE FULL BOARD AND BOARD COMMITTEES SO APPROPRIATE ACTIONS CAN BE TAKEN. ACTIONS MAY INCLUDE PROHIBITING A BOARD MEMBER FROM PARTICIPATING IN DELIBERATIONS INVOLVING TRANSACTIONS WITH A COMPANY WITH WHICH THEY CONDUCT FINANCIAL TRANSACTIONS; BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE RELIEVED OF THEIR SERVICE TO MHC. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTHCARE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PERQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC EXECUTIVE & SENIOR VICE-PRESIDENTS AND CEOS OF MHC SUBSIDIARY ORGANIZATIONS) TO THE BOARD. THE MEMBERS OF THE COMMITTEE MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE APPLICABLE PROVISIONS OF SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND FINAL TREASURY REGULATIONS SECTION 53.4958-6(C)(1)(III). THE COMMITTEE RETAINS THE SERVICES ANNUALLY OF AN INDEPENDENT FIRM WITH SIGNIFICANT QUALIFICATIONS AND EXPERIENCE TO CONDUCT A REVIEW OF THE CORPORATION'S EXECUTIVE COMPENSATION PROGRAM. THE RETAINED FIRM UTILIZES APPROPRIATE COMPENSATION COMPARABILITY DATA. THE RETAINED FIRM CONDUCTS ANALYSIS OF THE COMPETITIVENESS OF THESE PROGRAMS AND EXPRESSES AN OPINION TO THE REASONABLENESS OF THESE COMPENSATION PROGRAMS. ALL DATA UTILIZED BY THE COMMITTEE, DELIBERATIONS OF THE COMMITTEE, AND FINAL COMPENSATION DECISIONS BY THE COMMITTEE ARE DOCUMENTED IN FORMAL REPORTS AND MINUTES. THE CORPORATE COMPENSATION COMMITTEE WORKS UNDER AND PERIODICALLY RENEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2023. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| PART VII AND SCHEDULE J | THIS FY 2023 RETURN IS BEING AMENDED TO PROPERLY CATEGORIZE COMPENSATION AND HOURS ON PART VII AND SCHEDULE J. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,734,049. MANAGEMENT AND GENERAL EXPENSES 6,990. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,741,039. CONTRACT MEDICAL LABOR SERVICES: PROGRAM SERVICE EXPENSES 4,428,665. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,428,665. CONTRACT SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 2,557,291. MANAGEMENT AND GENERAL EXPENSES 3,346,776. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,904,067. BILLING SERVICES: PROGRAM SERVICE EXPENSES 529,870. MANAGEMENT AND GENERAL EXPENSES 5,082. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 534,952. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,529,030. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,529,030. |
| FORM 990, PART XI, LINE 9: | PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT -7,537,138. BENEFICIAL INTEREST IN FOUNDATION -16,641,486. NET ASSETS TRANSFERRED 87,049. DISCONTINUED OPERATIONS - HOSPITAL CLOSURE 160,233,400. WRITE-OFF INTANGIBLE ASSET -71,747,104. |
| FORM 990, PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLCARE PHYSICIANS GROUP LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5901 MONCLOVA ROAD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611528443 | EIN |
| Primary Activities | EMPLOYS PHYSICIANS | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Total Income | $7,575,593 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (47 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BARBARA ANN KARMANOS CANCER HOSPITAL | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 201649466 | HOSPITAL | MI | 501(C)(3) | LINE 3 | BARBARA ANN KARMANOS CANCER INSTITUTE | Yes (1) | |
| BARBARA ANN KARMANOS CANCER INSTITUTE | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 381613280 | CANCER RESEARCH & CARE CENTER | MI | 501(C)(3) | LINE 7 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| BAY REGIONAL MEDICAL CENTER AUXILIARY | |||||||||||
| 1908 COLUMBUS AVENUE | BAY CITY | MI | 48708 | 386081235 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN BAY REGION | Yes (1) | |
| CARO COMMUNITY HOSPITAL | |||||||||||
| 401 N HOOPER ST | CARO | MI | 48723 | 383426063 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| CARO COMMUNITY HOSPITAL ENDOWMENT FOUNDATION | |||||||||||
| 401 N HOOPER ST | CARO | MI | 48724 | 382422995 | FOUNDATION | MI | 501(C)(3) | LINE 12C, III-FI | CARO COMMUNITY HOSPITAL | Yes (1) | |
| CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE | |||||||||||
| 14676 WEST UPRIGHT | CHARLEVOIX | MI | 49720 | 383038683 | SKILLED NURSING FACILITY | MI | 501(C)(3) | LINE 10 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| HURON MEMORIAL FOUNDATION | |||||||||||
| 1100 S VAN DYKE ROAD | BAD AXE | MI | 48413 | 382717147 | FOUNDATION | MI | 501(C)(3) | LINE 7 | HURON MEMORIAL HOSPITAL | Yes (1) | |
| HURON MEMORIAL HOSPITAL | |||||||||||
| 1100 S VAN DYKE ROAD | BAD AXE | MI | 48413 | 381474929 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| KARMANOS CANCER FOUNDATION | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 383584572 | FOUNDATION | MI | 501(C)(3) | LINE 7 | BARBARA ANN KARMANOS CANCER INSTITUTE | Yes (1) | |
| LAKE ORION NURSING CENTER CORPORATION | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 382895426 | NURSING HOME | MI | 501(C)(3) | LINE 10 | MCLAREN OAKLAND | Yes (1) | |
| MARWOOD MANOR NURSING HOME | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382683251 | NURSING HOME | MI | 501(C)(3) | LINE 10 | PORT HURON HOSPITAL | Yes (1) | |
| MCLAREN BAY MEDICAL FOUNDATION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 382156534 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN BAY REGION | Yes (1) | |
| MCLAREN BAY REGION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 381976271 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN BAY SPECIAL CARE | |||||||||||
| 3250 E MIDLAND ROAD STE 1 | BAY CITY | MI | 48706 | 383161753 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN BAY REGION | Yes (1) | |
| MCLAREN CENTRAL MICHIGAN | |||||||||||
| 1221 SOUTH DRIVE | MT PLEASANT | MI | 48858 | 381420304 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN FLINT | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382383119 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN FLINT FOUNDATION | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 381358053 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN FLINT | Yes (1) | |
| MCLAREN GREATER LANSING | |||||||||||
| 2900 COLLINS ROAD | LANSING | MI | 48910 | 381434090 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN GREATER LANSING FOUNDATION | |||||||||||
| 2900 COLLINS ROAD | LANSING | MI | 48910 | 382463637 | FOUNDATION | MI | 501(C)(3) | LINE 7 | MCLAREN GREATER LANSING | Yes (1) | |
| MCLAREN HEALTH CARE CORPORATION | |||||||||||
| ONE MCLAREN PARKWAY | GRAND BLANC | MI | 48439 | 382397643 | SUPPORTING ORG | MI | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| MCLAREN HEALTH CARE VILLAGE FOUNDATION | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 262693350 | SUPPORTING ORG | MI | 501(C)(3) | LINE 12A, I | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN HEALTH MANAGEMENT GROUP | |||||||||||
| 1515 CAL DRIVE | DAVISON | MI | 48423 | 383491714 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN HEALTH PLAN COMMUNITY | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 272204037 | INSURANCE | MI | 501(C)(4) | 1 | MCLAREN HEALTH PLAN | Yes (1) | |
| MCLAREN HEALTH PLAN INC | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 383252216 | HEALTH CARE SERVICES | MI | 501(C)(4) | MCLAREN INTEGRATED HMO GROUP | Yes (1) | ||
| MCLAREN HOSPICE AND HOME CARE FOUNDATION | |||||||||||
| 1515 CAL DR | DAVISON | MI | 48423 | 463643089 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN HEALTH MANAGEMENT GROUP | Yes (1) | |
| MCLAREN INTEGRATED HMO GROUP | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 824449304 | HEALTH CARE SERVICES | MI | 501(C)(4) | MCLAREN HEALTH CARE CORPORATION | Yes (1) | ||
| MCLAREN LAPEER REGION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689033 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN LAPEER REGION FOUNDATION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689603 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN LAPEER REGION | Yes (1) | |
| MCLAREN MACOMB | |||||||||||
| 1000 HARRINGTON | MOUNT CLEMENS | MI | 48043 | 381218516 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN MEDICAL GROUP | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382988086 | MANAGEMENT COMPANY | MI | 501(C)(3) | LINE 12A, I | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN NORTHERN MICHIGAN | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 382146751 | ACUTE CARE HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN NORTHERN MICHIGAN FOUNDATION | |||||||||||
| 360 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 382445611 | FOUNDATION | MI | 501(C)(3) | LINE 7 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| MCLAREN OAKLAND | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 381428164 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN OAKLAND FOUNDATION | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 200442217 | FOUNDATION | MI | 501(C)(3) | LINE 12C, III-FI | MCLAREN OAKLAND | Yes (1) | |
| MCLAREN PORT HURON | |||||||||||
| 1221 PINE GROVE AVENUE | PORT HURON | MI | 48060 | 381369611 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MDWISE INC | |||||||||||
| 2955 N MERIDIAN STREET SUITE 201 | INDIANAPOLIS | IN | 46208 | 351931354 | HEALTH MAINTENANCE ORGANIZATION | IN | 501(C)(4) | MCLAREN INTEGRATED HMO GROUP | Yes (1) | ||
| MDWISE MEDICAID NETWORK INC | |||||||||||
| 2955 N MERIDIAN STREET SUITE 201 | INDIANAPOLIS | IN | 46208 | 473192307 | HEALTH CARE SERVICES | IN | 501(C)(4) | MCLAREN INTEGRATED HMO GROUP | Yes (1) | ||
| MICHIGAN CANCER SOCIETY | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 382823451 | CANCER RESEARCH | MI | 501(C)(3) | LINE 7 | BARBARA ANN KARMANOS CANCER INSTITUTE | Yes (1) | |
| MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION | |||||||||||
| PO BOX 326 | MOUNT CLEMENS | MI | 48046 | 382578873 | FOUNDATION | MI | 501(C)(3) | LINE 10 | MCLAREN MACOMB | Yes (1) | |
| NORTH OAKLAND NORTH MACOMB IMAGING INC | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 382807040 | MRI IMAGING | MI | 501(C)(3) | LINE 3 | MCLAREN OAKLAND | Yes (1) | |
| NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 320020293 | PHYSICIAN PRACTICE | MI | 501(C)(3) | LINE 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| NORTHERN MICHIGAN MEDICAL MANAGEMENT | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 208458840 | PHYSICIAN PRACTICE | MI | 501(C)(3) | LINE 12A, I | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| PORT HURON HOSPITAL FOUNDATION | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382777750 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | PORT HURON HOSPITAL | Yes (1) | |
| SPARTAN IMAGING INC | |||||||||||
| 2900 COLLINS ROAD | LANSING | MI | 48910 | 853196614 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | MCLAREN GREATER LANSING | Yes (1) | |
| ST LUKE'S HOSPITAL FOUNDATION | |||||||||||
| 5901 MONCLOVA ROAD | MAUMEE | OH | 43537 | 341292849 | FOUNDATION | OH | 501(C)(3) | LINE 12A, I | ST LUKE'S HOSPITAL | Yes (1) | |
| THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 262774689 | PHYSICIAN PRACTICE | MI | 501(C)(3) | LINE 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| VITALCARE INC | |||||||||||
| 761 LAFAYETTE AVENUE | CHEBOYGAN | MI | 49721 | 382527255 | HOSPICE CARE/HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 10 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC | |||||||||
| 39000 COUNTRY CLUB DRIVE | FARMINGTON HILLS | MI | 48331 | 263112935 | RENTAL REAL ESTATE | MI | N/A | 0 | Yes (1) |
| MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS | |||||||||
| 101 W BIG BEAVER RD STE 200 | TROY | MI | 48084 | 262524717 | BUILDING MANAGEMENT | MI | N/A | 0 | Yes (1) |
| SOUTH VAN DYKE MEDICAL COMPLEX-A | |||||||||
| 125 N HANSELMAN ST | BAD AXE | MI | 48413 | 383372174 | VARIOUS HEALTHCARE ACTIVITIES | MI | N/A | 0 | Yes (1) |
| WATERVILLE MEDICAL CENTER LLC | |||||||||
| 5901 MONCLOVA ROAD | MAUMEE | OH | 43537 | 320160784 | RENTAL REAL ESTATE | OH | N/A | 0 | Yes (1) |
| CLARKSTON ASC PARTNERS | |||||||||
| 5701 BOW POINTE DR STE 145 | CLARKSTON | MI | 48346 | 203360827 | SURGERY CENTER | MI | N/A | 0 | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLARKSTON PROPERTY ASSOCIATES | |||||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 432006072 | REAL ESTATE | MI | N/A | C | Yes (1) | ||||
| DELPHINUS INVESTMENT INC | |||||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48075 | 454758176 | HOLD PASSIVE INVESTMENT | MI | N/A | C | Yes (1) | ||||
| HEALTH ADVANTAGE INC | |||||||||||||
| G3245 BEECHER ROAD | FLINT | MI | 48532 | 912141720 | INSURANCE | MI | N/A | C | Yes (1) | ||||
| MCLAREN INSURANCE COMPANY LTD | |||||||||||||
| INSURANCE | N/A | C | Yes (1) | 10 MAIN ST | GRAND CAYMAN | CJ | CJ | ||||||
| MID-MICHIGAN PHYSICIANS PC | |||||||||||||
| 2510 KERRY STREET SUITE 200 | LANSING | MI | 48912 | 383267121 | PHYSICIAN PRACTICE | MI | N/A | C | Yes (1) | ||||
| MCLAREN PHYSICIAN PARTNERS | |||||||||||||
| ONE MCLAREN PARKWAY | GRAND BLANC | MI | 48439 | 383136458 | MANAGED CARE | MI | N/A | C | Yes (1) | ||||
| VITALCARE HOME MEDICAL EQUIPMENT INC | |||||||||||||
| 761 LAFAYETTE AVENUE | CHEBOYGAN | MI | 49721 | 382662954 | SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT | MI | N/A | C | Yes (1) | ||||
| HURON CLINIC CONDOMINIUMS OWNERS | |||||||||||||
| 125 N HANSELMAN ST | BAD AXE | MI | 48413 | 412144341 | VARIOUS HEALTHCARE ACTIVITIES | MI | N/A | S | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST LUKE'S HOSPITAL FOUNDATION | ||
| B | $79,495 | CASH |
| ST LUKE'S HOSPITAL FOUNDATION | ||
| C | $131,077 | FMV |