2019-11-13T15:22:03-06:00 2018-12-31 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2018-01-01 344428232 ST LUKE'S HOSPITAL % LAURA MURPHY STLU 4198935900 5901 MONCLOVA ROAD MAUMEE OH 43537 DANIEL L WAKEMAN PRESIDENT 4198935911 2019-05-15 true AARON D HERSHBERGER P00961884 2604604000 167.68.126.162 35027420193175000012 2019-11-13 P 8193C6E21FDC853689B017ED35849D8705607233 43DB6BABCD5765C21A853E601D85CE870D305F40 2018 2020-03-31 21:24:44Z DANIEL L WAKEMAN 5901 MONCLOVA ROAD MAUMEE OH 43537 208740737 false X WWW.STLUKESHOSPITAL.COM X 1906 OH ST. LUKE'S HOSPITAL IS COMMITTED TO PROVIDING QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES THROUGH THE USE OF ADVANCED SERVICES WHILE FOSTERING WELLNESS. 18 13 1728 219 0 23105 829782 5517799 170376715 170648008 4618077 2270451 1614812 1322441 177439386 179758699 5631592 9140691 0 0 81427819 86010243 0 0 0 101933828 111559772 188993239 206710706 -11553853 -26952007 279470426 250481476 157958127 170418940 121512299 80062536 X 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. AND BY DISTINGUISHING OURSELVES BY THE QUALITY OF OUR PEOPLE AND VALUING OUR PHYSICIAN PARTNERS WE OUR ABLE TO BUILD A SEAMLESS CONTINUUM OF CARE AROUND OUR CORE SERVICES FOR THE COMMUNITY WE SERVE. false false 159009415 9140691 170232100 ST. LUKE'S HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. SEE SCHEDULE O. 14730553 CONSISTENT WITH OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. SEE SCHEDULE O. 3772375 518760 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. SEE SCHEDULE O. 177512343 true true false true false false false false false false true false false true true false false true false false false false false false false false true true true true true false false false false false false true false false false false false true true true true false false true 191 0 1728 true true true false false false false false false false false false false false X 18 13 true false false false true true true true true false false true true true true true true true true true false OH X LAURA MURPHY 4198978408 5901 MONCLOVA RD MAUMEE OH 43537 ARQUETTE MARY TRUSTEE 1.0 0.0 X 0 0 0 BACHEY JOHN TRUSTEE 1.0 1.0 X 0 0 0 BAUERLE STEPHEN M TRUSTEE 1.0 0.0 X 0 0 0 BLACK CHRISTINE C FDN CHAIRPERSON/EX-OFFICIO 1.0 1.0 X 0 0 0 CARROLL WILLIAM J CHAIRPERSON 1.0 2.0 X X 0 0 0 DEPOMPEI SPHR CCP ARTHUR D TRUSTEE 1.0 1.0 X 0 0 0 GOLIGOSKI TIMOTHY L TRUSTEE 1.0 1.0 X 0 0 0 HOUSTON MD THOMAS M VICE CHAIRPERSON 1.0 1.0 X X 0 0 0 MACHIN BARBARA E SECRETARY 1.0 1.0 X X 0 0 0 MATTISON MD LALAINE E TRUSTEE 1.0 40.0 X 0 303555 55021 MATTISON MD TIMOTHY J TRUSTEE 1.0 41.0 X 26500 157460 35698 MCWEENY PHILIP TRUSTEE 1.0 0.0 X 0 0 0 RETTIG MD ADAM TRUSTEE 1.0 0.0 X 41250 0 0 SEYMOUR DALE FINANCE COMMITTEE CHAIRPERSON 1.0 2.0 X X 0 0 0 SMITH CYNTHIA B TRUSTEE 1.0 1.0 X 0 0 0 TORRES MD SESINANDO R TRUSTEE 1.0 0.0 X 0 0 0 WAUGH DIANA FAITH TRUSTEE 1.0 0.0 X 0 0 0 CARR RICHARD TRUSTEE 1.0 0.0 X 0 0 0 STEINBAUGH MARY ANNE AUXILIARY PRESIDENT/EX-OFFICIO 1.0 0.0 X 0 0 0 WINEMAN-KRIEGER SHEILA AUXILIARY PRESIDENT/EX-OFFICIO 1.0 0.0 X 0 0 0 WAKEMAN DANIEL PRESIDENT/CEO, EX-OFFICIO 41.0 3.0 X X 487168 0 64815 BAZELEY MD STEPHEN P VP MEDICAL AFFAIRS 40.0 1.0 X 102350 0 28156 BURMEISTER KEITH VP CHIEF RELATIONS OFFICER 41.0 3.0 X 282199 0 42863 BURMEISTER KERRY ADMIN DIRECTOR FINANCE 41.0 3.0 X 197698 0 35143 KIM JEFF V.P. CHIEF INFORMATION OFFICER 41.0 3.0 X 321525 0 65897 MORRISSEY MARTIN V.P. GENERAL COUNSEL 41.0 3.0 X 334924 0 63057 RILEY KEVIN CHIEF FINANCIAL OFFICER 41.0 3.0 X 335950 0 35137 SESSLER CONNIE ADMIN DIRECTOR HR/SUPPORT SVS 41.0 3.0 X 216845 0 52119 TROSIN JILL VP PATIENT CARE/CNO 40.0 0.0 X 281879 0 48718 STOUT JOHN VP BUSINESS PERFORMANCE DEV. 41.0 3.0 X 207647 0 52915 THOMPSON DAN ADMIN DIRECTOR TECHNOLOGY 40.0 0.0 X 171304 0 39061 O'LEARY WENDY ADMIN DIRECTOR SOFTWARE APP. 40.0 0.0 X 169833 0 37827 ST MARY JUDY PHARMACIST, MANAGER 40.0 0.0 X 131350 0 27065 ONYSYK ANTHONY CLINICAL PHARMACIST 40.0 0.0 X 126335 0 21283 GRABARCZYK JENNIFER CHIEF CLINICAL PHARMACIST 40.0 0.0 X 125664 0 28599 3560421 461015 733374 41 false true false SOUTHWEST ANESTHESIA SERVICES 1715 INDIAN WOOD CIRCLE SUITE 100 MAUMEE OH 43537 ANESTHESIA SERVICES 3686108 TRIMEDX INC 5154 LAKEVIEW PKWY SOUTH DR INDIANAPOLIS IN 46268 BIOMED SERVICES 2953414 NAVIGANT CYMETRIX CORP 4511 PAYSPHERE CIRCLE CHICAGO IL 60674 BILLING SERVICES 3011941 CERNER CORPORATION 2800 ROCKCREEK PKWY KANSAS CITY MO 64117 SOFTWARE/USER SVC 6276377 SPIEKER CO 8350 FREMONT PIKE PERRYSBURG OH 43551 CONSTRUCTION SVC 4344746 57 5514129 3670 5517799 NET PATIENT SERVICES 622110 170172439 170172439 AFFILIATED EXEMPT ORG RENTAL INCOME 531120 475569 475569 170648008 1856379 1856379 0 0 27173 27173 0 27173 27173 29284627 111483 28108922 873116 1175705 -761633 414072 414072 0 0 0 0 0 0 0 0 0 CAFETERIA 722514 716847 716847 MED STAFF/AUXILIARY/GIFT SHOP 900099 496437 496437 MISCELLANEOUS 900099 81984 81984 1295268 179758699 170750860 3490040 X 9109733 9109733 30958 30958 0 0 3324755 67750 3257005 0 66807283 56812633 9994650 81550 69350 12200 10360707 8810745 1549962 5435948 4723864 712084 0 295848 295848 133425 133425 12022 12022 0 283671 283671 27543620 20847711 6695909 843171 541918 301253 1900920 1565339 335581 7729288 6956359 772929 0 3800473 3573978 226495 149655 94589 55066 0 0 2072631 1865343 207288 0 15889177 14300259 1588918 1601037 1601037 MEDICAL SUPPLIES 32258869 32258869 DRUGS 7810768 7810768 LICENSES & FEES 3757819 3085548 672271 EQUIPMENT RENTAL 2012229 1737752 274477 3465149 1647840 1817309 206710706 177512343 29198363 0 4643535 3753764 0 0 0 0 29430210 31655573 0 0 0 0 0 0 1359386 1469181 5192097 4643964 163089506 32212237 130960336 130877269 58245332 36564014 594995 595461 0 0 0 0 49044535 40922250 279470426 250481476 45350969 43084113 0 0 0 0 0 0 0 0 0 0 47143824 64419307 0 0 65463334 62915520 157958127 170418940 X 95096249 59720932 26416050 20341604 0 0 121512299 80062536 279470426 250481476 X -26952007 -6774938 -7722818 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12022 12022 false PART II-B, LINE 1 ST LUKE'S HOSPITAL PAYS DUES TO THE OHIO HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATIONS. 820000 6135279 6955279 0 72677799 6431430 66246369 0 666161 117431 548730 0 44015636 18868640 25146996 0 38774631 6794736 31979895 130877269 INTEREST IN FOUNDATION 20341604 DUE FROM AFFILIATES 19484967 EST THIRD PARTY SETTLEMENT REC 286122 OTHER RECEIVABLES 809557 40922250 0 PENSION LIABILITY 53463891 DUE TO AFFILIATES 4784811 EST THIRD PARTY SETTLEMENT PAY 1597438 MALPRACTICE TAIL LIABILITY 2568000 ASBESTOS REMEDIATION 111981 OTHER LIABILITIES 389399 62915520 Schedule D, Part X, Line 2 ST. LUKES HOSPITAL IS INCLUDED IN THE CONSOLIDATED AUDITED STATEMENTS OF ST. LUKES HOLDING COMPANY, INC. (SLHC) AND IS INCORPORATED UNDER THE LAWS OF THE STATE OF OHIO. SLHC AND ITS WHOLLY OWNED SUBSIDIARIES, ST. LUKES HOSPITAL, ST. LUKES HOSPITAL FOUNDATION, AND CARE ENTERPRISES ARE NONPROFIT CORPORATIONS AND ARE EXEMPT FROM STATE AND LOCAL TAXES. THE IRS HAS DETERMINED THAT SLHC, ST. LUKES HOSPITAL, ST. LUKES HOSPITAL FOUNDATION, CARE ENTERPRISES, INC. AND WELLCARE PHYSICIANS GROUP, LLC TO BE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN SLHCS CONSOLIDATED FINANCIAL STATEMENTS. CARE HOLDINGS, INC. AND PHYSICIANS ADVANTAGE MSO, INC. WHOLLY OWNED SUBSIDIARIES OF SLHC, ARE TAXABLE CORPORATIONS. INCOME TAX PROVISIONS FOR THESE ENTITIES ARE NOT MATERIAL TO SLHCS AUDITED FINANCIAL STATEMENTS. true true X true X true X true true false true true 2841750 1573350 1268400 0.00640 21705816 10677279 11028537 0.05590 6624641 4191025 2433616 0.01230 31172207 16441654 14730553 0.07460 150800 7102 143698 0.00070 1967771 437028 1530743 0.00780 1608929 74630 1534299 0.00780 44875 44875 0.00020 3772375 518760 3253615 0.01650 34944582 16960414 17984168 0.09110 53203 53203 0.00020 53203 53203 0.00020 true 9133320 1826663 48412688 55662392 -7249704 X true true OHIO CARE AMBULATORY AMBULATORY SURGERY CENTER 0.5507 0.4493 SURGERY CENTER LLC ST LUKE'S PHYSICIAN PHYSICIAN HOSPITAL ORG. 0.5 0.0133 0.4867 HOSPITAL ORG INC 1 1 ST LUKE'S HOSPITAL 5901 MONCLOVA ROAD MAUMEE OH 43537 WWW.STLUKESHOSPITAL.COM 1224 X X X X ST LUKE'S HOSPITAL 1 false false true X X X X X X X X X 16 true false false true X WWW.STLUKESHOSPITAL.COM X true 17 true WWW.STLUKESHOSPITAL.COM false true X 200. 400. X X X true true X X X true X WWW.STLUKESHOSPITAL.COM X WWW.STLUKESHOSPITAL.COM X WWW.STLUKESHOSPITAL.COM X X X X X true X false X X X true X false false PART V, SECTION B, LINE 5 ST. LUKE'S HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, THROUGH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THESE PERSONS INCLUDED STAFF OF THE TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, MENTAL HEALTH RECOVERY AND SERVICES BOARD OF LUCAS COUNTY, AND LOCAL HOSPITAL STAFF INVOLVED IN COMMUNITY HEALTH PROGRAMMING. THE HOSPITAL FACILITY CONSULTED WITH THESE PERSONS THROUGH MEETINGS AND ALSO VIA EMAIL CORRESPONDENCE. ADDITIONALLY, THE HOSPITAL CONSULTED WITH OTHER ORGANIZATIONS AND OTHER GROUPS IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THESE CONSULTING INDIVIDUALS REPRESENTED THE FOLLOWING ORGANIZATIONS: - UNIVERSITY OF TOLEDO - YMCA LIVE WELL TOLEDO - TOLEDO PUBLIC SCHOOL NURSES - MERCY HEALTH PARTNERS - LUCAS COUNTY EDUCATIONAL SERVICE CENTER - TOLEDO LUCAS COUNTY FAMILY COUNCIL - HELP ME GROW, LUCAS COUNTY FAMILY COUNCIL - NORTHWEST OHIO CONGREGATIONAL NURSE ASSOCIATION - FAMILY & CHILDREN FIRST COUNCIL - MENTAL HEALTH RECOVERY AND SERVICES BOARD OF LUCAS COUNTY - LUCAS COUNTY TOBACCO COALITION - TOLEDO COMMUNITY FOUNDATION - AMERICAN CANCER SOCIETY - PROMEDICA HEALTH SYSTEM - YWCA - OHIO DEPARTMENT OF HEALTH - HOME VISITING & TRAINING COORDINATOR, LUCAS COUNTY - GRACE COMMUNITY CENTER - JUVENILE COURT, LUCAS COUNTY - JOB & FAMILY SERVICES, LUCAS COUNTY - HOSPITAL COUNCIL OF NORTHWEST OHIO - TOLEDO-LUCAS COUNTY CARENET - UNITED WAY OF GREATER TOLEDO - EXCHANGE CLUB - TOLEDO PUBLIC SCHOOLS BOARD OF EDUCATION - BOWLING GREEN STATE UNIVERSITY PART V, SECTION B, LINE 11 ST. LUKE'S HOSPITAL (ST. LUKES) WILL SPECIFICALLY IMPLEMENT PROGRAMS TO ADDRESS THE FOLLOWING HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - CARDIOVASCULAR HEALTH - STROKE - CANCER PROGRAMS/SCREENINGS SKIN, ORAL, AND BREAST - AGE/GERIATRIC-RELATED INITIATIVES NUTRITION, DEMENTIA, AND FALL PREVENTION - TOBACCO USE PREVENTION AND TREATMENT - DIABETES ACTIONS TAKEN DURING 2018 TO ADDRESS THE ABOVE IDENTIFIED NEEDS ARE INCLUDED BELOW: HEALTH NEED IDENTIFIED: CARDIOVASCULAR HEALTH-STROKE STRATEGY #1 IMPLEMENT DISCHARGE FOLLOW-UP PHONE CALLS SPECIFIC TO STROKE PATIENTS TO ASSESS ST. LUKES QUALITY OF STROKE CARE. ACTIONS TAKEN IN 2018: SPECIFIC STROKE QUESTIONS WERE UNABLE TO BE ADDED TO THE GENERAL CALL-BACK FORM THAT IS ALREADY IN PLACE. SINCE ST. LUKES STARTED THE CALL BACK PROGRAM, PATIENTS ARE BEING KEPT ON THE ICC-STEPDOWN UNIT, ICC BACK UNIT AND CVU UNIT, SO THE PATIENTS ARE BEING ADMITTED TO MULTIPLE AREAS. THE ST. LUKES STROKE COORDINATOR WILL, IN THE NEAR FUTURE, CONDUCT FOLLOW-UP PHONE CALLS WITH STROKE PATIENTS, POST DISCHARGE, AFTER THEY HAVE VERBALLY CONSENTED TO HAVE A ST. LUKES REPRESENTATIVE CALL THEM. STRATEGY #2 - CONDUCT MULTIPLE BLOOD PRESSURE SCREENINGS AT ST. LUKES AND/ OR AT SERVICE AREA SENIOR CENTERS/ VENUES. ACTIONS TAKEN IN 2018: ST. LUKES PARTICIPATED IN THE 2018 BAY PARK COMMUNITY HOSPITAL STROKE EDUCATION EVENT IN WHICH THE ST. LUKES STROKE COORDINATOR HELPED PERFORM BLOOD PRESSURE SCREENINGS FOR 75 PEOPLE. ST. LUKES PARTICIPATED IN THE TOLEDO MUDHENS 2018 POWER TO END STROKE. THERE WERE THOUSANDS OF PEOPLE IN ATTENDANCE. BLOOD PRESSURE SCREENINGS WERE OFFERED. ST. LUKES STROKE COORDINATOR PARTICIPATED IN THE 2018 REHABILITATION HOSPITAL OF NORTHWEST OHIO EVENT. 100 PEOPLE ATTENDED, AND BLOOD PRESSURE SCREENINGS WERE OFFERED. ST. LUKES, AT MAUMEE SENIOR CENTER, BLOOD PRESSURE TRACKING FOR 2018: DATE TOTAL RESULTS 01/04/18 10 Normal-2; Prehypertensive-2; High Stage 1-6 01/11/18 19 Normal-8; Prehypertensive-5; High Stage 1-6 01/18/18 13 Normal-3; Prehypertensive-7; High Stage 1-3 01/25/18 09 Normal-2; Prehypertensive-3; High Stage 1-4 02/01/18 11 Normal-3; Prehypertensive-4; High Stage 1-3; High Stage 2-1 02/08/18 12 Normal-3; Prehypertensive-5; High Stage 1-3; High Stage 2-1 02/15/18 14 Normal-1; Prehypertensive-9; High Stage 1-4 02/22/18 08 Normal-2; Prehypertensive-3; High Stage 1-2; High Stage 2-1 03/01/18 06 Normal-1; Prehypertensive-2; High Stage 1-1; High Stage 2-2 03/08/18 13 Normal-3; Prehypertensive-6; High Stage 1-3; High Stage 2-1 03/15/18 14 Normal-4; Prehypertensive-4; High Stage 1-5; High Stage 2-1 03/22/18 16 Normal-3; Prehypertensive-8; High Stage 1-3; High Stage 2-2 03/29/18 11 Normal-3; Prehypertensive-7; High Stage 1-1 04/05/18 13 Normal-3; Prehypertensive-8; High Stage 1-2 04/19/18 16 Normal-2; Prehypertensive-10; High Stage 1-3; High Stage 2-1 04/26/18 09 Normal-1; Prehypertensive-6; High Stage 1-1; High Stage 2-1 05/03/18 16 Normal-5; Prehypertensive-6; High Stage 1-4; High Stage 2-1 05/10/18 11 Normal-3; Prehypertensive-5; High Stage 1-3 05/17/18 15 Normal-5; Prehypertensive-6; High Stage 1-3; High Stage 2-1 05/24/18 15 Normal-3; Prehypertensive-10; High Stage 1-1; High Stage 2-1 05/31/18 14 Normal-3; Prehypertensive-3; High Stage 1-6; High Stage 2-2 06/07/18 15 Normal-2; Prehypertensive-9; High Stage 1-4 06/14/18 14 Normal-1; Prehypertensive-8; High Stage 1-3; High Stage 2-2 06/21/18 13 Normal-5; Prehypertensive-6; High Stage 1-1; High Stage 2-1 06/28/18 11 Normal-1; Prehypertensive-7; High Stage 1-2; High Stage 2-1 07/05/18 13 Normal-2; Prehypertensive-8; High Stage 1-2; High Stage 2-1 07/12/18 16 Normal-4; Prehypertensive-8; High Stage 1-3; High Stage 2-1 07/19/18 13 Normal-4; Prehypertensive-5; High Stage 1-3; High Stage 2-1 07/26/18 11 Normal-4; Prehypertensive-5; High Stage 1-2 08/09/18 19 Normal-7; Prehypertensive-8; High Stage 1-3; High Stage 2-1 08/16/18 13 Normal-2; Prehypertensive-8; High Stage 1-2; High Stage 2-1 08/23/18 12 Normal-6; Prehypertensive-5; High Stage 1-1 08/30/18 15 Normal-5; Prehypertensive-5; High Stage 1-4; High Stage 2-1 09/06/18 11 Normal-4; Prehypertensive-5; High Stage 1-2 09/13/18 09 Normal-3; Prehypertensive-5; High Stage 1-1 09/20/18 13 Normal-4; Prehypertensive-5; High Stage 1-2; High Stage 2-2 09/27/18 13 Normal-3; Prehypertensive-6; High Stage 1-1; High Stage 2-3 10/04/18 12 Normal-6; Prehypertensive-2; High Stage 1-4 10/18/18 15 Normal-4; Prehypertensive-4; High Stage 1-3; High Stage 2-4 10/25/18 15 Normal-4; Prehypertensive-5; High Stage 1-3; High Stage 2-3 OTHER ST. LUKES BLOOD PRESSURE EVENTS: METAMORA FIRE DEPARTMENT HEALTH & SAFETY 3/24/18 14 Normal-7; Prehypertensive-7 WEAR RED FOR WOMEN 2/02/18 44 Normal-21; Prehypertensive-17; High Stage 1-5; High Stage 2-1 TOLEDO ZOO SUMMER DAYS 6/12/18 19 Normal-12; Prehypertensive-5; High Stage 1-2 8/14/18 33 Normal-22; Prehypertensive-9; High Stage 1-2 9/11/18 27 Normal-12; Prehypertensive-7; High Stage 1-7; High Stage 2-1 MANOR AT PERRYSBURG HEALTH FAIR 11/15/18 08 Normal-1; Prehypertensive-1; High Stage 1-4; High Stage 2-2 STRATEGY #3 EDUCATE THE COMMUNITY ABOUT STROKE RECOGNITION AND EARLY ACTION MINIMIZING BRAIN DAMAGE. WHEN INDICATED, COLLABORATE WITH LOCAL EMS PROVIDERS TO EDUCATE THE COMMUNITY. ACTIONS TAKEN IN 2018: A ST. LUKES GO RED FOR WOMEN STROKE BOOTH ON FEBRUARY 2, 2018 WAS PRESENTED TO APPROXIMATELY 250 WOMEN. CAROTID SCREENINGS WERE OFFERED AT THIS EVENT. AT A 2018 BAY PARK COMMUNITY HOSPITAL STROKE EDUCATION, THE ST. LUKES STROKE COORDINATOR CONDUCTED RISK ASSESSMENTS, SCREENINGS, AND EDUCATION FOR 75 PEOPLE. ST. LUKES STAFFED THE 2018 BE FAST 5K WALK/ RUN: STROKE AWARENESS BOOTH FOR 200 PEOPLE. ST. LUKES STAFFED THE AMERICAN HEART ASSOCIATION AHA HEART WALK TABLE ON MAY 12, 2018, PROVIDING STROKE BOOTH EDUCATION FOR OVER A 1,000 ATTENDEES. THE ST. LUKES STROKE IN TIME EVENT/EDUCATION DINNER WAS HELD ON MAY 10, 2018 FOR STROKE SURVIVORS, STAFF, AND COMMUNITY. THERE WERE APPROXIMATELY 200 ATTENDEES. ST. LUKES PARTICIPATED IN THE TOLEDO MUD HENS 2018 POWER TO END STROKE BOOTH EDUCATION AND BLOOD PRESSURE SCREENINGS TO OVER A THOUSAND PEOPLE WHO ATTENDED. THE ST. LUKES STROKE COORDINATOR COLLABORATES WITH LOCAL EMS PROVIDERS TO EDUCATE THE COMMUNITY, AS SHE IS ABLE. HEALTH NEED IDENTIFIED: SKIN, ORAL, AND/OR BREAST/LUNG CANCER STRATEGY #1 CONDUCT A FREE SKIN CANCER SCREENING OR ORAL CANCER SCREENING IN ST. LUKES SERVICE AREA. ACTIONS TAKEN IN 2018: ST. LUKES, ALONG WITH DERMATOLOGY ASSOCIATES, CONDUCTED SKIN CANCER SCREENINGS FOR 28 COMMUNITY MEMBERS ON AUGUST 18, 2018; 9 OF THE COMMUNITY MEMBERS WERE REFERRED FOR TREATMENT. STRATEGY #2 - CONDUCT A FREE BREAST CANCER AND/ OR LUNG CANCER SCREENING IN ST. LUKES SERVICE AREA. ACTIONS TAKEN IN 2018: ST. LUKES CONDUCTED 177 C.T. LOW DOSE SCREENS, IN 2018, TO HELP DETECT LUNG CANCER. STRATEGY #3 CONDUCT A PUBLIC EDUCATIONAL SESSION REGARDING BREAST CANCER PREVENTION AND TREATMENT. ACTIONS TAKEN IN 2018: ST. LUKES HOSTED A COMMUNITY CONVERSATION WITH 40 WOMEN IN JANUARY 2018 TO DISCUSS WOMENS HEALTH ISSUES/NEEDS IN THE COMMUNITY. ST. LUKES HOSTED A COMMUNITY HEALTH FAIR ON APRIL 12, 2018 IN WHICH WOMENS HEALTH ISSUES (INCLUDING CANCER) WERE PRESENTED/DISCUSSED. 100 COMMUNITY MEMBERS PARTICIPATED IN THE EVENT. A LUNCH N LEARN WAS HELD ON OCTOBER 9, 2018 WITH DR. ANITA ANTONIOLLI, BREAST SURGEON, WHO PRESENTED, BREAST HEALTH AND WHAT IT MEANS FOR YOU. 71 PEOPLE ATTENDED. HEALTH NEED IDENTIFIED: AGE/GERIATRIC-RELATED INITIATIVES NUTRITION, DEMENTIA, AND/ OR FALL PREVENTION STRATEGY #1 PROVIDE NUTRITIONAL, MEMORY, AND/OR FALL PREVENTION EDUCATION AT THE ST. LUKES ANNUAL SENIOR SERVICE EVENT(S). ACTIONS TAKEN IN 2018: APPROXIMATELY 200 PEOPLE ATTENDED THE ST. LUKES SENIOR SERVICE/COMMUNITY HEALTH FAIR ON APRIL 12, 2018. NUTRITIONAL, MEMORY, AND/OR FALL PREVENTION EDUCATIONAL MATERIALS WERE DISTRIBUTED AT THIS EVENT. MEMORY/DEMENTIA SCREENS WERE CONDUCTED. AT THE OCTOBER 3, 2018 LUCAS COUNTY EMPLOYEE HEALTH FAIR, 100 COMMUNITY MEMBERS HAD DEXA SCREENS PERFORMED BY ST. LUKES STAFF: 13 WERE FOUND TO HAVE OSTEOPENIA AND 1 WAS FOUND TO HAVE OSTEOPOROSIS. ON OCTOBER 4, 2018, 26 COMMUNITY MEMBERS HAD DEXA SCREENS PERFORMED: 2 WERE FOUND TO HAVE OSTEOPENIA. STRATEGY #2 - PROVIDE NUTRITIONAL, MEMORY, AND/OR FALL PREVENTION EDUCATION AT THE QUARTERLY ST. LUKES LUNCH N LEARN SENIOR PROGRAMS. ACTIONS TAKEN IN 2018: 240 PEOPLE (INCLUDING SENIORS) ATTENDED THE WEAR RED FOR WOMEN EVENT ON FEBRUARY 3, 2018 IN THE ST. LUKES AUDITORIUM. (DR. BHASKAR GUNDABOLU, ENDOCRINOLOGIST, SPOKE ON THE TOPIC OF DIABETES AND HEART DISEASE.) 40 ATTENDEES HAD DEXA SCAN SCREENS WITH THE RESULTS BEING 28 NORMAL, 11 WITH OSTEOPENIA, AND 1 HAVING OSTEOPOROSIS. ST. LUKES CONDUCTED A PROGRAM ON JUNE 14, 2018 ENTITLED, THE WHYS AND HOWS OF EXERCISE FOR SENIORS. 87 COMMUNITY MEMBERS ATTENDED. ST. LUKES PERFORMED 100 DEXA SCREENS AT THE OCTOBER 3, 2018 LUCAS COUNTY EMPLOYEE HEALTH FAIR. (13 WERE FOUND TO HAVE OSTEOPENIA AND 1 WAS FOUND TO HAVE OSTEOPOROSIS.) ST. LUKES PERFORMED 26 DEXA SCRE ST. LUKES PARTICIPATED IN THE WALK TO END ALZHEIMER'S ON OCTOBER 13, 2018 AT PROMENADE PARK IN TOLEDO, OHIO. ST. LUKES SPONSORED A MEMORY MATTERS SYMPOSIUM WITH TEEPA SNOW ABOUT UNDERSTANDING, LOVING, AND LIVING WITH MEMORY LOSS ON NOVEMBER 27, 2018. 200 COMMUNITY MEMBERS WERE EDUCATED/ ATTENDED. STRATEGY #3 COLLECT DONATED NON-PERISHABLE FOOD ITEMS AND DISTRIBUTE TO LOCAL FOOD PANTRIES. ACTIONS TAKEN IN 2018: ST. LUKES CONTRIBUTED HEALTHY DRINKS AND SNACKS AT THE MAUMEE SENIOR CENTER-SPONSORED MAUMEE 5K RACE ON JULY 8, 2018, WITH SOME CONTRIBUTIONS GOING BACK TO THE MAUMEE SENIOR CENTER. ST. LUKES COLLECTED FOOD ITEMS, IN 2018, FOR THE MAUMEE CHURCHES UNDER ONE ROOF PROGRAM THAT IS LOCATED AT ST. PAULS EPISCOPAL CHURCH IN MAUMEE, OHIO. STRATEGY #4 INVESTIGATE FOOD DISTRIBUTION PROGRAM IN CONJUNCTION WITH MAUMEE SENIOR CENTER. ACTIONS TAKEN IN 2018: IT WAS INVESTIGATED AND FOUND TO BE NOT FEASIBLE AT THIS TIME (FOR 2017 AND 2018). HEALTH NEED IDENTIFIED: TOBACCO USE PREVENTION AND TREATMENT STRATEGY #1 - CONDUCT PEAK FLOW/PULMONARY FUNCTION SCREENINGS AT A ST. LUKE'S SPONSORED SENIOR EVENT(S). ACTIONS TAKEN IN 2018: PULMONARY FUNCTION SCREENS WERE CONDUCTED AT THE APRIL 12, 2018 SENIOR SERVICE EVENT. APPROXIMATELY 200 COMMUNITY MEMBERS ATTENDED THIS EVENT. PULMONARY FUNCTION SCREENS WERE CONDUCTED BY ST. LUKES STAFF AT THE MAY 24, 2018 UNISON HEALTH EMPLOYEE HEALTH FAIR. STRATEGY #2 - CONTINUE ST. LUKE'S PULMONARY REHAB PROGRAM. ACTIONS TAKEN IN 2018: ST. LUKES PULMONARY REHAB PROGRAM CONTINUED TO OFFER A SUPERVISED EXERCISE PROGRAM FOR PULMONARY REHAB OUTPATIENTS, AND ST. LUKES CONDUCTED A MONTHLY TOBACCO EDUCATION COMPONENT, FACILITATED BY A ST. LUKES TOBACCO TREATMENT SPECIALIST. STRATEGY #3 - SPONSOR/CONDUCT A ST. LUKE'S FREE PULMONARY SUPPORT GROUP AMONG ST. LUKE'S PATIENTS AND COMMUNITY MEMBERS. ACTIONS TAKEN IN 2018: ST. LUKES CONTINUED TO OFFER A WEEKLY SUPPORT GROUP FOR COMMUNITY MEMBERS NEEDING ASSISTANCE TO MAINTAIN A SMOKE-FREE LIFESTYLE. THERE WAS NO CHARGE FOR THIS PROGRAM. ON AVERAGE, 15 25 COMMUNITY MEMBERS PARTICIPATED PER WEEK. STRATEGY #4 - PROVIDE TOBACCO CESSATION EDUCATION TO "SELF-IDENTIFIED" INPATIENTS. ACTIONS TAKEN IN 2018: EVERY ST. LUKES INPATIENT, WHO HAD BEEN IDENTIFIED AS A TOBACCO USER, WAS SEEN BY A ST. LUKES TOBACCO TREATMENT SPECIALIST FOR THE PURPOSE OF RECOMMENDING TOBACCO CESSATION MEDICATIONS AND COUNSELING. PATIENTS WHO WERE INTERESTED IN QUITTING RECEIVED FREE TELEPHONE AND/ OR INDIVIDUAL FOLLOW-UP. IN 2018, OVER 1,200 PATIENTS WERE COUNSELED BY ST. LUKES PULMONARY REHAB STAFF. PRINTED EDUCATIONAL MATERIALS WERE ROUTINELY GIVEN TO ALL IDENTIFIED TOBACCO USERS AND WERE AVAILABLE TO VISITORS THROUGHOUT ST. LUKES. STRATEGY #5 PROVIDE TOBACCO CESSATION EDUCATION TO INDIVIDUALS AND GROUPS ON AN OUTPATIENT BASIS ACTIONS TAKEN IN 2018: A QUARTERLY 6-WEEK CESSATION PROGRAM WAS OFFERED FOR COMMUNITY MEMBERS WHO PREFERRED QUITTING WITH A GROUP. IN ADDITION, ST. LUKES PROVIDED INDIVIDUAL COUNSELING APPOINTMENTS. TELEPHONIC COUNSELING WAS ALSO OFFERED AND WAS POPULAR WITH PATIENTS OUTSIDE OF THE ST. LUKES SERVICE AREA, OR WITH THOSE WHO HAD CHALLENGES WITH TRANSPORTATION. SOME ST. LUKES PATIENTS RECEIVED FINANCIAL ASSISTANCE WITH THEIR TOBACCO CESSATION MEDICATIONS. ST. LUKES PARTICIPATED WITH THE LUCAS COUNTY HEALTH DEPARTMENT IN PROVIDING TOBACCO CESSATION EDUCATION AND TREATMENT SERVICES TO UNINSURED AND UNDERINSURED LUCAS COUNTY RESIDENTS. STRATEGY #6 PROVIDE FREE ALTERNATIVE-TO-SUSPENSION SERVICES, AND TOBACCO EDUCATION SERVICES TO LOCAL/AREA SCHOOLS ACTIONS TAKEN IN 2018: ST. LUKES CONTINUED TO OFFER FREE INTERVENTION AND CESSATION SERVICES TO 28 SCHOOLS, WITHIN 18 DIFFERENT SCHOOL DISTRICTS IN THE GREATER TOLEDO AREA. IN 2018, ST. LUKES EXPERIENCED AN INCREASE IN SCHOOL PARTICIPATION FOR BOTH THE ST. LUKES ALTERNATIVE-TO-SUSPENSION PROGRAM AND CESSATION SERVICES. WITH VAPING AND E-CIGARETTE USE ON THE RISE IN SCHOOLS, ST. LUKES INCREASED EDUCATION/TREATMENT SERVICES TO ACCOMMODATE THESE INCREASED COMMUNITY NEEDS. HEALTH NEED IDENTIFIED: DIABETES STRATEGY #1 - CONDUCT BLOOD GLUCOSE (SUGAR) SCREENINGS AT ST. LUKE'S SPONSORED SENIOR/ COMMUNITY EVENTS. (CARDIO CHECKS ARE A TEST FOR GLUCOSE AND/ OR CHOLESTEROL.) ACTIONS TAKEN IN 2018: DATE EVENT CARDIO-CHECKS 02/02/18 ST. LUKES WEAR RED FOR WOMEN 36 04/12/18 ST. LUKES COMMUNITY HEALTH FAIR 36 04/19/18 MAUMEE SENIOR CENTER 30 05/25/18 MENS HEALTH DAY 24 06/18/18 HEALTHY COOKING AT ST. LUKES DIABETES CENTER 12 07/12/18 MAUMEE SENIOR CENTER 30 09/07/18 MAUMEE SENIOR CENTER 48 09/18/18 HEALTHY COOKING AT ST. LUKES DIABETES CENTER 12 10/03/18 LUCAS COUNTY EMPLOYEE HEALTH FAIR 60 10/11/18 MAUMEE SENIOR CENTER 30 10/18/18 DIABETES COMMUNITY WALK 48 11/18/18 ST. LUKES WOMENS RETREAT 36 11/18/18 MANOR AT PERRYSBURG HEALTH FAIR 48 STRATEGY #2 CONTINUE TO PROVIDE INDIVIDUAL AND GROUP PATIENT EDUCATION AT THE ST. LUKES DIABETES CENTER. ACTIONS TAKEN IN 2018: INDIVIDUAL AND GROUP PATIENT EDUCATION SESSIONS CONTINUED TO BE HELD AT THE ST. LUKES DIABETES CARE CENTER. NEW PATIENT EDUCATION VISITS TOTALED 281 FOR THE YEAR 2018. REGULAR DIABETES ADVISORY GROUP MEETINGS WERE HELD AT THE ST. LUKES DIABETES CARE CENTER. STRATEGY #3 CONDUCT DIABETES EDUCATIONAL SESSIONS AT ST. LUKES SENIOR EVENTS AND/ OR SERVICE AREA SENIOR CENTERS. ACTIONS TAKEN IN 2018: ST. LUKES CONDUCTED A DIABETES EDUCATIONAL EVENT AT WATERVILLE (SENIOR) COMMONS ON JULY 10, 2018. 200 PEOPLE ATTENDED THE WEAR RED FOR WOMEN EVENT ON FEBRUARY 2, 2018 IN THE ST. LUKES AUDITORIUM. THE TOPIC OF DIABETES WAS DISCUSSED, AMONG OTHER HEALTH RELATED TOPICS. ON MARCH 20, 2018, A ST. LUKES DIETICIAN PRESENTED TIPS FOR DINING OUT AT THE ST. LUKES AUDITORIUM. DIABETES WAS ONE OF THE CONDITIONS DISCUSSED. 74 COMMUNITY MEMBERS ATTENDED. STRATEGY #4 CONDUCT A MONTHLY SUPPORT GROUP FOR DIABETIC PATIENTS AND FAMILY MEMBERS ACTIONS TAKEN IN 2018: 7 10 COMMUNITY MEMBERS, ON AVERAGE, ATTENDED A MONTHLY DIABETES SUPPORT GROUP IN THE ST. LUKES DIABETES CARE CENTER, IN 2018. STRATEGY #5 INVESTIGATE ADDING A NUTRITIONAL PROGRAM AND/OR VISION SERVICES TO THE ST. LUKES DIABETES CARE CENTER. ACTIONS TAKEN IN 2018: A NUTRITIONAL PROGRAM (OPTIFAST/DIABETES EDUCATION) AND VISION PROGRAM WERE NOT IMPLEMENTED DUE TO FINDINGS OF INFEASIBILITY. STRATEGY #6 INVESTIGATE ADDING A COOKING DEMONSTRATION SERVICE AND, IF FEASIBLE, IMPLEMENT. ACTIONS TAKEN IN 2018: ON MARCH 15, 2018, ST. LUKES HOSTED ITS FIRST DIABETES COOKING NIGHT AT THE ST. LUKES DIABETES CARE CENTER. A ST. LUKES DIETICIAN PRESENTED TO 18 COMMUNITY MEMBERS. ON JULY 19, 2018, ST. LUKES HOSTED ANOTHER DIABETES COOKING NIGHT AT THE ST. LUKES DIABETES CARE CENTER. A ST. LUKES DIETICIAN PRESENTED TO 24 COMMUNITY MEMBERS. ON NOVEMER 8, 2018, ST. LUKES HOSTED ANOTHER DIABETES COOKING NIGHT (HEALTHY FOR THE HOLIDAYS) AT THE ST. LUKES DIABETES CARE CENTER. A ST. LUKES DIETICIAN PRESENTED TO 23 COMMUNITY MEMBERS. PART V, SECTION B, LINE 16J THE FINANCIAL ASSISTANCE POLICY (FAP) WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.STLUKESHOSPITAL.COM PART V, SECTION B, LINE 20B A PATIENT FINANCIAL ADVOCATE (PFA) IS AVAILABLE AT THE HOSPITAL TO ASSIST EACH PATIENT WHO HAS BEEN ADMITTED TO THE HOSPITAL FACILITY AND TO NOTIFY THE INDIVIDUAL OF THE FINANCIAL ASSISTANCE POLICY. 21 REGENCY CT RADIOLOGY SERVICES 300 REGENCY COURT SUITE 105 TOLEDO OH 43623 RADIOLOGY FALLEN TIMBERS RADIOLOGY 5757 MONCLOVA RD SUITE 31 MAUMEE OH 43537 RADIOLOGY OHIOCARE AMBULATORY SURGICAL CENTER 5959 MONCLOVA RD MAUMEE OH 43537 SURGERY CENTER FALLEN TIMBERS LAB 5757 MONCLOVA RD MAUMEE OH 43537 LAB WATERVILLE SATELLITE LAB 900 WATERVILLE-MONCLOVA RD SUITE WATERVILLE OH 43566 LAB ST LUKE'S DIABETES CARE CENTER 5871 MONCLOVA RD MAUMEE OH 43537 WOUND/DIABETES CARE PERRYSBURG RADIOLOGY SERVICES 1103 VILLAGE SQUARE DR SUITE 200 PERRYSBURG OH 43551 RADIOLOGY PERRYSBURG SATELLITE LAB 1103 VILLAGE SQUARE DR SUITE 201 PERRYSBURG OH 43551 LAB WATERVILLE REHAB 900 WATERVILLE-MONCLOVA RD SUITE WATERVILLE OH 43566 PHYSICAL THERAPY SWANTON REHAB 1 TURTLE CREEK CIRCLE SWANTON OH 43558 PHYSICAL THERAPY STARBRIGHT CLINIC 2855 STARBRIGHT BLVD PERRYSBURG OH 43551 LAB VESTIBULAR CLINIC 6005 MONCLOVA RD SUITE 360 MAUMEE OH 43537 VESTIBULAR CLINIC MAUMEE VALLEY IMAGING 6005 MONCLOVA RD MAUMEE OH 43537 RADIOLOGY TOBACCO TREATMENT CENTER 5757 MONCLOVA RD MAUMEE OH 43537 TOBACCO TREATMENT RIVER ROAD SATELLITE LAB 28442 E RIVER RD SUITE 101 PERRYSBURG OH 43551 LAB PERRYSBURG REHAB 1103 VILLAGE SQUARE DR PERRYSBURG OH 43551 PHYSICAL THERAPY STARBRIGHT CLINIC 2855 STARBRIGHT BLVD PERRYSBURG OH 43551 RADIOLOGY PAIN CENTER 5759 MONCLOVA RD MAUMEE OH 43537 PAIN CENTER STARBRIGHT REHAB 2855 STARBRIGHT BLVD PERRYSBURG OH 43551 PHYSICAL THERAPY ANTI COAGULATION CLINIC 6005 MONCLOVA RD MAUMEE OH 43537 ANTI-COAGULATION SERVICES ST LUKE'S FAMILY MEDICINE RESIDENCY 7045 LIGHTHOUSE WAY PERRYSBURG OH 43551 RESIDENCY PROGRAM 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 II ST. LUKE'S HOSPITAL PROMOTED THE HEALTH OF ITS COMMUNITY BY ENGAGING IN ACTIVITIES THAT PROMOTE COMMUNITY BUILDING. PART III, SECTION A, 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 CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY. PART III, SECTION A, LINE 3 ST. LUKE'S HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BASED ON HISTORICAL PERCENTAGES. PART III, SECTION A, LINE 4 PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGES 9 AND 10 OF THE ATTACHED ST. LUKE'S HOSPITAL HOLDING COMPANY AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. PART III SECTION B LINE 8 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 2018 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 SECTION C 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/OR REQUESTED 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 NOT THEY 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 CIRCUMSTANCES DEMONSTRATING 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 CHARITY DETERMINATION. 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 FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING. PART VI, LINE 2 ST. LUKES 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. LUKES HOSPITAL REPRESENTATIVE) FROM LUCAS COUNTY DISCUSS, DEBATE AND RANK FINDINGS FROM THE CHNA. ST. LUKES HOSPITAL, THEN REVIEWS THE CHNA RESULTS, LUCAS COUNTY FINDINGS REPORT, AND COUNTY LEADING CAUSES OF DEATH (THE LEADING CAUSES OF DEATH IN LUCAS COUNTY, 2006 2008 WERE HEART DISEASE, CANCER, CHRONIC LOWER RESPIRATORY DISEASES, STROKE, AND ACCIDENTS/ UNINTENTIONAL INJURIES) TO DEVELOP ITS OWN CHNA REPORT AND IMPLEMENTATION PLAN FOR ITS PRIMARY SERVICE AREA, MOST OF WHICH IS LOCATED IN LUCAS COUNTY. PART VI, LINE 3 THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT ST. LUKES HOSPITAL THROUGH THE FOLLOWING METHODS: A. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. B. A PATIENT FINANCIAL ADVOCATE IS AVAILABLE AT THE HOSPITAL TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. THE PATIENT FINANCIAL ADVOCATE ATTEMPTS TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS. C. A MESSAGE IS SENT ALONG WITH THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY. D. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS AVAILABLE VIA THE ST. LUKES HOSPITAL WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE ST. LUKES HOSPITAL CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS. PART VI, LINE 4 ST. LUKES HOSPITAL IS LOCATED IN MAUMEE, OHIO, WHICH IS IN THE SOUTHWEST PORTION OF LUCAS COUNTY. AS OF THE 2010 CENSUS, THERE WERE 441,815 PEOPLE, 180,267 HOUSEHOLDS, AND 111,016 FAMILIES RESIDING IN LUCAS COUNTY. THE RACIAL MAKEUP OF THE COUNTY WAS 74.0% WHITE, 19.0% BLACK OR AFRICAN AMERICAN, 1.5% ASIAN, 0.3% AMERICAN INDIAN, 2.0% FROM OTHER RACES, AND 3.1% FROM TWO OR MORE RACES. THE MEDIAN HOUSEHOLD INCOME AND PER CAPITA INCOME IN THE COUNTY WERE $46,806 AND $23,981, RESPECTIVELY. APPROXIMATELY, 14% OF FAMILIES AND 18% OF THE POPULATION WERE BELOW THE POVERTY LINE. BESIDES LUCAS COUNTY, ST. LUKES ALSO DRAWS A CONSIDERABLE NUMBER OF PATIENTS FROM WOOD COUNTY AND FULTON COUNTY. PART VI, LINE 5 ST. LUKES HOSPITAL HAS AN OPEN MEDICAL STAFF, AND AS OF DECEMBER 31, 2018, HAD 443 ACTIVE OR ASSOCIATE MEMBERS. ST. LUKES HOSPITAL HAS 14 BOARD MEMBERS WHO ARE VOLUNTEERS AND NOT COMPENSATED FOR THEIR SERVICE TO THE HOSPITAL. ST. LUKES HOSPITAL OPERATES SEVERAL SERVICES EITHER FREE OR AT LOW COST FOR THE BENEFIT OF THE COMMUNITY SUCH AS THE COURTESY VAN SERVICE, WHICH TRANSPORTS PATIENTS TO THE HOSPITAL CAMPUS AND BACK TO THEIR HOME FOR FREE AND THE TOBACCO TREATMENT CENTER WHICH PROVIDES EDUCATION OR SERVICES AT NO OR LOW COST. PART VI, LINE 6 St. Lukes Holding Company, Inc. is an Ohio not-for-profit corporation which serves as a holding company for several corporations. The St. Lukes Holding Company, Inc. provides its subsidiaries and other affiliated entities various types of health care services including management, long-range planning and community health services. St. Lukes Holding Company, Inc. is the parent of the following subsidiaries: St. Lukes Hospital an Ohio not-for-profit corporation operates a general, acute care facility offering inpatient and outpatient healthcare services primarily to residents in the southwestern part of Lucas County, northern Wood County and eastern Fulton County in Ohio. St. Lukes Hospital Foundation an Ohio not-for-profit corporation supports the activities and purposes of the Hospital. Care Enterprises, Inc. an Ohio not-for-profit corporation operates and manages medical office buildings. Care Enterprises, Inc. includes a 70 percent ownership in Waterville Medical Center, LLC. WellCare Physicians Group, LLC employs physicians and other medical professionals providing primary and specialty healthcare services to its patients. Care Holdings, Inc. engages in the business of the ownership, development and management of real estate. Physicians Advantage MSO, Inc. provides management services to WellCare PHYSICIANS GROUP, LLC and other independent physicians on a fee-for-service basis. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: OHIO true AMERICAN HEART ASSOCIATION 5455 NORTH HIGH STREET COLUMBUS OH 43214 135613797 501(C)(3) 8750 FMV CHARITABLE DONATION PANTHER PRIDE FOUNDATION 1147 SACO STREET MAUMEE OH 43537 811366579 501(C)(3) 25000 FMV CHARITABLE DONATION THE TOLEDO ZOOLOGICAL SOCIETY 2700 BROADWAY TOLEDO OH 43609 344440256 501(C)(3) 30000 FMV CHARITABLE DONATION TOLEDO CLASSIC INC 4405 DORR STREET TOLEDO OH 43607 341499072 501(C)(3) 7500 FMV CHARITABLE DONATION WELLCARE PHYSICIANS LLC 5901 MONCLOVA ROAD MAUMEE OH 43537 611528443 501(C)(3) 8675000 FMV OPERATING SUPPORT ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA ROAD MAUMEE OH 43537 311292849 501(C)(3) 257149 FMV OPERATING SUPPORT 6 DIRECT CASH ASSISTANCE 14 30958 FMV SCHEDULE I, PART I, LINE 2 AS AN AFFILIATE OF ST. LUKE'S HOLDING COMPANY, INC. (SLHC), FINANCE, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO SLHC'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH FINANCE POLICIES AND PROCEDURES. X X X false false false false false false false false false MATTISON MD LALAINE E TRUSTEE 246920 55654 981 39694 15327 358576 0 MATTISON MD TIMOTHY J TRUSTEE 26500 147851 8466 1143 34714 984 26500 193158 0 WAKEMAN DANIEL PRESIDENT/CEO, EX-OFFICIO 394884 88000 4284 44115 20700 551983 0 BURMEISTER KEITH VP CHIEF RELATIONS OFFICER 218693 61710 1796 40114 2749 325062 0 BURMEISTER KERRY ADMIN DIRECTOR FINANCE 151053 45950 695 19073 16070 232841 0 KIM JEFF V.P. CHIEF INFORMATION OFFICER 270146 50600 779 39125 26772 387422 0 MORRISSEY MARTIN V.P. GENERAL COUNSEL 256360 76242 2322 37764 25293 397981 0 RILEY KEVIN CHIEF FINANCIAL OFFICER 229245 24750 81955 8250 26887 371087 0 SESSLER CONNIE ADMIN DIRECTOR HR/SUPPORT SVS 168319 46400 2126 43092 9027 268964 0 TROSIN JILL VP PATIENT CARE/CNO 218730 60060 3089 39600 9118 330597 0 STOUT JOHN VP BUSINESS PERFORMANCE DEV. 173752 33250 645 46373 6542 260562 0 THOMPSON DAN ADMIN DIRECTOR TECHNOLOGY 149832 21375 97 18578 20483 210365 0 O'LEARY WENDY ADMIN DIRECTOR SOFTWARE APP. 148562 21150 121 22878 14949 207660 0 ST MARY JUDY PHARMACIST, MANAGER 131252 0 98 26290 775 158415 0 GRABARCZYK JENNIFER CHIEF CLINICAL PHARMACIST 125571 0 93 12777 15822 154263 0 Part I, Line 3 ST. LUKES HOSPITAL USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATIONS TOP MANAGEMENT OFFICIALS: - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD SEE PART V SEE PART V 20839 SEE PART V false PART IV (A) NAME OF INTERESTED PERSON: TIMOTHY L. GOLIGOSKI (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: a. TIMOTHY L. GOLIGOSKI (TRUSTEE) IS A FAMILY MEMBER OF ANNE GOLIGOSKI (EMPLOYEE OF ST. LUKE'S HOSPITAL) (C) AMOUNT OF TRANSACTION: $20,839 (D) DESCRIPTION OF TRANSACTION: COMPENSATION (E) SHARING OF ORGANIZATION REVENUES: NO Form 990, Part III, PROGRAM SERVICE ACCOMPLISHMENTS ST. LUKES HOSPITAL (ST. LUKES), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN MAUMEE, OHIO, ST. LUKES SERVES THE SOUTHWEST PORTION OF LUCAS COUNTY AND PORTIONS OF WOOD AND FULTON COUNTIES. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS ABILITY TO PAY. A 300 BED FACILITY IN MAUMEE, OHIO, ST LUKES PROVIDES EXTENSIVE HEALTHCARE SERVICES SUCH AS EMERGENCY MEDICINE; SURGICAL SERVICES; OUTPATIENT PHYSICAL, OCCUPATIONAL, PULMONARY AND CARDIAC REHABILITATION; CRITICAL CARE; CARDIOLOGY; RESPIRATORY; LABOR AND DELIVERY; AND A FULL RANGE OF LABORATORY AND RADIOLOGY SERVICES. ST. LUKES CAMPUS IS HOME TO THE NORTHWEST OHIO ONCOLOGY CENTER FOR OUTPATIENT CANCER CARE, AS WELL AS A SLEEP DISORDERS CLINIC, A PAIN CLINIC, A FAMILY BIRTHING CENTER, A DIABETES CARE CENTER, AND TOBACCO TREATMENT CENTER. IN 2018, ST. LUKES ALSO HAD CHEST PAIN ACCREDITATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, PRIMARY STROKE CENTER CERTIFICATION, AND THE LABORATORY WAS CERTIFIED BY THE COLLEGE OF AMERICAN PATHOLOGISTS. ST. LUKES SERVED 9,785 INPATIENTS AND 197,894 OUTPATIENTS IN 2018. FURTHER, 32,219 INDIVIDUALS SOUGHT EMERGENCY CARE AT ST. LUKES. THE HOSPITAL CONTRIBUTED $17,984,168 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT SPONSORED, MEANS-TESTED HEALTHCARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONALS EDUCATION, SUBSIDIZED HEALTH SERVICES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, ST. LUKES CONTRIBUTED $3,253,615 TO THE COMMUNITY DURING 2018. INCLUDED IN THIS FIGURE ARE PROGRAMS AND EVENTS SUCH AS: -PARTICIPATION IN AMERICAN MEDICINE CHEST CHALLENGES, A MEDICATION DROP OFF EVENT, WHERE COMMUNITY MEMBERS DROP OFF EXPIRED AND UNUSED MEDICATIONS TO SAFELY DISPOSE OF DRUGS THAT POTENTIALLY MAY BE ABUSED. -DIABETES EDUCATION PROGRAMS OFFERED WEEKLY, AS WELL AS MONTHLY SUPPORT GROUPS FOR INDIVIDUALS RECENTLY DIAGNOSED WITH DIABETES. -SPONSORSHIP OF THE AMERICAN HEART ASSOCIATIONS GO RED FOR WOMEN EVENT IN SUPPORT OF WOMENS HEART HEALTH, AS WELL AS STRONG PARTICIPATION IN THE HEART WALK IN SUPPORT OF OVERALL HEART HEALTH. -SCREENING EVENTS FOR SKIN, CANCER AND INTRODUCTION OF LOW-DOSE CT SCAN FOR LUNG CANCER DETECTION. -TOBACCO CESSATION PROGRAMS AND SUPPORT GROUPS FOR COMMUNITY MEMBERS. -A COURTESY VAN PROVIDED TO PATIENTS NEEDING TRANSPORTATION TO AND FROM THE HOSPITAL APPOINTMENTS AND TESTING. -SENIOR SERVICE EDUCATION PROGRAMS COVERING TOPICS SUCH AS EXERCISE FOR SENIORS, HEALTHY CHOICES FOR EATING OUT, AND BREAST HEALTH. ST. LUKES PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2018 OF WHICH $1,268,400 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. ST. LUKES COST OF BAD DEBT FOR 2018 WAS $2,140,709. THIS AMOUNT IS NOT INCLUDED IN THE $17,984,168 NOTED ABOVE. FURTHER, ST. LUKES PROVIDED $11,028,537 OF COMMUNITY BENEFIT THROUGH COSTS NOT REIMBURSED BY THE GOVERNMENT FOR TREATING MEDICAID AND OTHER MEANS TESTED PATIENTS. ALSO, IN 2018, THE TOTAL COSTS NOT REIMBURSED BY THE GOVERNMENT FOR TREATING MEDICARE PATIENTS WAS $17,341,311 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $17,984,168 NOTED ABOVE. DURING 2018, ST LUKES EXPENDED $46,734,236 IN NET PAYROLL, PROVIDING 1,413 JOBS IN NORTHWEST OHIO. A TOTAL OF $3,019,504 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, ST. LUKES DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, GENDER, NATIONAL ORIGIN, DISABILITY, OR AGE. AND WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES, RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE. COMMUNITY BENEFIT DEFINITIONS ST. LUKES PREPARES ITS COMMUNITY BENEFIT REPORTS USING REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND CONSISTENT WITH FORM 990, SCHEDULE H, HOSPITALS, REPORTING. COMMUNITY BENEFITS ARE PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFITS REPORTED BY ST. LUKES RESPOND TO IDENTIFIED COMMUNITY NEEDS AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: -IMPROVE ACCESS TO HEALTHCARE SERVICE -ENHANCE THE HEALTH OF THE COMMUNITY -ADVANCE HEALTHCARE KNOWLEDGE -RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, ST. LUKES PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY THEIR BILL. ST. LUKES PROVIDES FREE CARE TO THOSE UNINSURED PATIENTS WITH INCOMES UP TO 200% OF THE FEDERAL POVERTY LEVEL. SIGNIFICANT DISCOUNTS ARE ALSO PROVIDED ON A SLIDING SCALE TO UNINSURED PATIENTS UP TO 400% OF THE POVERTY LEVEL. FINANCIAL ASSISTANCE IS REPORTED IN THE FORM OF COST TO PROVIDE SERVICES AND HAS BEEN REDUCED TO REFLECT REIMBURSEMENT RECEIVED FROM STATE PROGRAMS DESIGNED TO RELIEVE THE BURDEN OF PROVIDING FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS THAT DO NOT PAY THEIR BILL. GOVERNMENT SPONSORED HEALTH CARE GOVERNMENT-SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH FEDERAL, STATE AND LOCAL MEANS-TESTED PROGRAMS SUCH AS MEDICAID. ST. LUKES INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN ST. LUKES COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY ACCOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDES ACTIVITIES CARRIED OUT FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY ST. LUKES. COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEED AND/OR ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND ADMINISTRATION. HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION INCLUDE COSTS FOR ALL EDUCATIONAL PROGRAMS ST. LUKES IS INVOLVED WITH, THE PROVISION OF A CLINICAL SETTING FOR TRAINING FOR HEALTHCARE STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR HEALTHCARE EDUCATION. SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES ARE SERVICES PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS. THESE SERVICES GENERATE A BILL FOR REIMBURSEMENT AND INCLUDE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING, OR UNABLE, TO PROVIDE THE SERVICES, OR THE SERVICES OTHERWISE WOULD NOT BE AVAILABLE TO MEET COMMUNITY NEEDS. CASH AND IN-KIND CONTRIBUTIONS CASH AND IN-KIND CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY ORGANIZATIONS AND THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF FOR COMMUNITY NEEDS WHILE ON WORK TIME; AS WELL AS DONATIONS OF FOOD, EQUIPMENT, AND SUPPLIES. Form 990, Part VI, Section A, Line 1B LALAINE E. MATTISON, MD., TIMOTHY J. MATTISON, MD., ADAM RETTIG, MD., AND DANIEL WAKEMAN ARE COMPENSATED BY THE ORGANIZATION OR A RELATED ENTITY AND THEREFORE ARE NON-INDEPENDENT TRUSTEES. TIMOTHY L. GOLIGOSKI'S DAUGHTER IS COMPENSATED BY THE ORGANIZATION AND THEREFORE TIMOTHY IS NOT AN INDEPENDEDNT TRUSTEE. Form 990, Part VI, Section A, Line 2 LALAINE E. MATTISON, MD AND TIMOTHY J. MATTISON, MD HAVE A FAMILY RELATIONSHIP. KEITH BURMEISTER AND KERRY BURMEISTER HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 ST. LUKE'S HOLDING COMPANY IS THE SOLE MEMBER OF ST. LUKE'S HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A ST. LUKE'S HOLDING COMPANY, INC. (SLHC) IS THE PARENT CORPORATION AND SOLE MEMBER OF ST. LUKE'S HOSPITAL. AS THE MEMBER, SLHC HAS THE RIGHT TO (A) NOMINATE AND ELECT A MINORITY OF THE MEMBERS AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF ST. LUKE'S HOSPITAL AND (B) APPROVE THE NOMINEES TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES, A MAJORITY OF WHOM ARE NOMINATED BY ST. LUKE'S HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B WHILE THE BOARD OF TRUSTEES OF EACH CORPORATION IS GRANTED CERTAIN POWERS WITH RESPECT TO THEIR OPERATIONS, AS THE SOLE MEMBER, ST. LUKE'S HOLDING COMPANY, INC. (SLHC) RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (1) ADOPTION OF THE CORPORATION'S STRATEGIC PLANS AND FINANCIAL PLANS, (2) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC, (3) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE CORPORATION'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC, (4) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (5) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC AND (6) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION. FORM 990, PART VI, SECTION B, LINE 11B UNDER THE GUIDANCE OF ST. LUKE'S HOLDING COMPANY, INC. (SLHC) TAX CONSULTANTS, FORM 990'S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH SLHC SUBSIDIARY AND REVIEWED BY THE RESPECTIVE SUBSIDIARY'S FINANCE LEADERSHIP ALONG WITH AN INDEPENDENT ACCOUNTING FIRM. AFTER SUBSIDIARY'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR SLHC AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ST LUKE'S HOLDING COMPANY, INC. AND SUBSIDIARIES (SLHC) HAVE STANDARDS OF ETHICAL BUSINESS PRACTICE THAT APPLY TO ALL SLHC BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER CERTIFICATION STATEMENT WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER CERTIFICATION STATEMENTS ARE COMPILED AND REVIEWED BY THE ST. LUKE'S ADMINISTRATION OFFICE. SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, LEGAL COUNSEL, ST. LUKE'S PRESIDENT AND THE VICE PRESIDENT OF MEDICAL AFFAIRS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO BRING ANY POTENTIAL UNDISCLOSED CONFLICTS TO THE ATTENTION OF THE ST. LUKE'S ADMINISTRATION OFFICE. THE ST. LUKE'S ADMINISTRATION OFFICE THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER CERTIFICATION STATEMENTS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. SIGNIFICANT POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH GENERAL COUNSEL FOR RECOMMENDATIONS TO THE COMPLIANCE COMMITTEE FOR CORRECTIVE ACTION. THE ST. LUKE'S ADMINISTRATION OFFICE FORWARDS THE COMPLIANCE OFFICER A REPORT OF BOARD MEMBERS WHO HAVE SIGNED AND RETURNED THE ANNUAL BOARD MEMBER CERTIFICATION STATEMENT, SIGNIFICANT POTENTIAL CONFLICTS DISCLOSED AND THE RESOLUTION OF SUCH CONFLICTS. THE COMPLIANCE OFFICER ISSUES A REPORT TO THE COMPLIANCE COMMITTEE OF THESE FINDINGS. FAILURE TO FILE THE CERTIFICATION STATEMENT, OR THE FILING OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S CERTIFICATION STATEMENT OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE PROVIDED A PAPER COPY OF THE EMPLOYEE STANDARDS OF ETHICAL BUSINESS AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES AND SPECIFICALLY IDENTIFIED HOURLY EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION STATEMENT BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL STATEMENTS, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE COMPLIANCE OFFICER OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION STATEMENTS SENT AND COMPLETED AND COPIES OF ANY STATEMENTS CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW. THE HUMAN RESOURCE ADMINISRATIVE DIRECTOR REPORTS IDENTIFIED CONFLICTS TO THE COMPLIANCE COMMITTEE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR SLHC, A RECOMMENDATION WILL BE PREPARED BY THE COMPLIANCE COMMITTEE FOR FINAL APPROVAL BY THE ST. LUKE'S PRESIDENT. FAILURE TO COMPLETE THE CERTIFICATION STATEMENT, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION STATEMENT OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. EMPLOYED PHYSICIANS ALL NEW EMPLOYED PHYSICIANS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PHYSICIAN STANDARD OF CONDUCT AND THE PHYSICIAN CERTIFICATION STATEMENT WHICH THE NEW PHYSICIAN IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PHYSICIANS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PHYSICIAN CERTIFICATION STATEMENT BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE HUMAN RESOURCE ADMINISTRATIVE DIRECTOR ENSURES THAT ALL CERTIFICATION STATEMENTS, WHICH ARE STORED ELECTRONICALLY, ARE REVIEWED. IDENTIFIED CONFLICTS ARE REPORTED TO THE COMPLIANCE COMMITTEE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR SLHC, A RECOMMENDATION WILL BE PREPARED BY THE COMPLIANCE COMMITTEE FOR FINAL APPROVAL BY THE ADMINISTRATOR WITH PRIMARY RESPONSIBILITY FOR THE PHYSICIANS EMPLOYMENT AGREEMENT AND/OR THE BROAD OF TRUSTEES. THE HUMAN RESOURCES DEPARTMENT FORWARDS THE COMPLIANCE OFFICER A REPORT OF THE NUMBER OF ANNUAL PHYSICIAN CERTIFICATION STATEMENTS SENT AND COMPLETED AND COPIES OF ANY STATEMENTS CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW. THE COMPLIANCE OFFICER ISSUES AN ANNUAL REPORT TO THE COMPLIANCE COMMITTEE OF THESE FINDINGS. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE APPROPRIATE PHYSICIAN BY THE ASSIGNED ADMINISTRATOR. THE ADMINISTATOR WILL PROVIDE THE PHYSICIAN-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE SLHC MARKETING COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE ST. LUKE'S HOSPITAL WEBSITE (STLUKESHOSPITAL.COM) BY THE SLHC MARKETING COMMUNICATIONS REPRESENTATIVE. FAILURE TO FILE THE CERTIFICATION STATEMENT, OR THE FILING OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE PHYSICIAN'S CERTIFICATION STATEMENT OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE VICE PRESIDENT OF MEDICAL AFFAIRS OR BOARD OF TRUSTEES UP TO AND INCLUDING TERMINATION OF THE PHYSICIAN'S ASSOCIATION/CONTRACT WITH SLHC. FORM 990, PART VI, SECTION B, LINE 15A & 15B EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE ST. LUKE'S HOSPITAL EXECUTIVE COMMITTEE OF THE BOARD EVERY NOVEMBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE NOVEMBER MEETING OF THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE FEBRUARY MEETING EACH YEAR. FORM 990, PART VI, SECTION B, LINE 16A & 16B JOINT VENTURE OPERATING AGREEMENTS INVOLVING ST. LUKES HOLDING COMPANY, INC. (SLHC) OR ITS SUBSIDIARIES INCLUDE PROVISIONS TO PROTECT SLHCS TAX EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. SLHC CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL SLHC JOINT VENTURES. FORM 990, PART VI, SECTION C, LINE 19 ST. LUKE'S HOLDING COMPANY, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART IX, LINE 11G GENERAL $ 4,909,985 CONTR NPHYS 965,266 CONTR PHYS 8,410,167 BILLING SERVICES 2,873,114 CONSULTANTS 257,964 LITHOTRIPTOR 124,003 SERVICE CONTRACTS 3,718,591 LAUNDRY 474,547 FOOD SVC MGT 516,847 TEMP AGENCY 2,075,331 REFERRED TESTING 3,042,956 OTHER 174,849 FORM 990, PART XI, LINE 9 PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT $(1,648,372) BENEFICIAL INTEREST IN FOUNDATION (6,074,446) TOTAL (7,722,818) COBRA VENTURES LLC 5901 MONCLOVA RD MAUMEE OH 43537 204671613 LAND LEASING OH ST LUKE HF WELLCARE PHYSICIANS LLC 5901 MONCOLVA RD MAUMEE OH 43537 611528443 EMPLOYS PHYS OH ST LUKE HC CARE ENTERPRISES INC 5901 MONCLOVA RD MAUMEE OH 43537 341366709 FAC LEASING OH 501(C)(3) 12B ST LUKE HC false ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA RD MAUMEE OH 43537 341292849 FOUNDATION OH 501(C)(3) 12B ST LUKE HC false ST LUKE'S HOLDING COMPANY INC 5901 MONCLOVA RD MAUMEE OH 43537 812599592 PARENT CO OH 501(C)(3) 12B NA false WATERVILLE MEDICAL CENTER LLC 5901 MONCLOVA RD MAUMEE OH 43537 320160784 FAC LEASING OH CARE ENT INC N/A false false OHIO CARE AMBULATORY SURGICAL CENTER LLC 5959 MONCLOVA RD MAUMEE OH 43537 341863472 SURGICAL CTR OH ST LUKE HOS RELATED -5764 1211805 false false 0.55070 CARE HOLDINGS 5901 MONCLOVA RD MAUMEE OH 43537 341796790 HOLDING CO OH ST LUKE HC C CORP false PHYSICIANS ADVANTAGE MSO 5901 MONCLOVA RD MAUMEE OH 43537 061811760 PHYS MGMT SVC OH ST LUKE HC C CORP false false true true true false false false false false true true false false false true true true true false