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MCLAREN ST LUKES: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MCLAREN ST LUKES (EIN 34-4428232)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201843189349311109
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-14T15:58:29-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 E Main St Suite 700AddressLine1Txt
CityFort WayneCityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN344428232EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% LAURA MURPHYInCareOfNm
Business Name ControlSTLUBusinessNameControlTxt
Phone4198935900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15901 MONCLOVA ROADAddressLine1Txt
CityMAUMEECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43537ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL L WAKEMANPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4198935911PhoneNum
Signature2018-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAaron D HershbergerPreparerPersonNm
PTINP00961884PTIN
Phone2604604000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id35027420183185000007FederalOriginalSubmissionId
Federal Original Submission Id2018-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC32BFEAB8C27A52315DF5F02F320116B11D77C77AtSubmissionCreationDeviceId
At Submission Filing Device IdB6216CF12129628A7FE598526BDE6CBBE5F2D5F5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDANIEL L WAKEMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15901 MONCLOVA ROADAddressLine1Txt
CityMAUMEECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43537ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$260,141,191GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STLUKESHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1906FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionST. LUKE'S HOSPITAL IS COMMITTED TO PROVIDING QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES THROUGH THE USE OF ADVANCED SERVICES WHILE FOSTERING WELLNESS.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee1670TotalEmployeeCnt
Total Volunteers232TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$208,184PYContributionsGrantsAmt
CY Contributions Grants$829,782CYContributionsGrantsAmt
PY Program Service Revenue$178,300,159PYProgramServiceRevenueAmt
CY Program Service Revenue$170,376,715CYProgramServiceRevenueAmt
PY Investment Income$8,041,663PYInvestmentIncomeAmt
CY Investment Income$4,618,077CYInvestmentIncomeAmt
PY Other Revenue$2,313,672PYOtherRevenueAmt
CY Other Revenue$1,614,812CYOtherRevenueAmt
PY Total Revenue$188,863,678PYTotalRevenueAmt
CY Total Revenue$177,439,386CYTotalRevenueAmt
PY Grants And Similar Paid$423,965PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,631,592CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$76,923,836PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$81,427,819CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$102,631,736PYOtherExpensesAmt
CY Other Expenses$101,933,828CYOtherExpensesAmt
PY Total Expenses$179,979,537PYTotalExpensesAmt
CY Total Expenses$188,993,239CYTotalExpensesAmt
PY Revenues Less Expenses$8,884,141PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$11,553,853CYRevenuesLessExpensesAmt
Total Assets BOY$252,524,429TotalAssetsBOYAmt
Total Assets EOY$279,470,426TotalAssetsEOYAmt
Total Liabilities BOY$119,803,862TotalLiabilitiesBOYAmt
Total Liabilities EOY$157,958,127TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$132,720,567NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$121,512,299NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionST. 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$147,067,648ExpenseAmt
Grant$5,631,592GrantAmt
Revenue$170,670,946RevenueAmt
DescST. LUKE'S HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. SEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$12,759,299ExpenseAmt
DescCONSISTENT 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 ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,398,789ExpenseAmt
Revenue$538,506RevenueAmt
DescCONSISTENT 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 ODesc
FieldValueIRS element (for citing)
Total Program Service Expenses$163,225,736TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document168IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1670EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLAURA MURPHYPersonNm
Phone4198978408PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15901 MONCLOVA RDAddressLine1Txt
CityMAUMEECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43537ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BACHEY JOHN
TRUSTEE1.01.0Yes (X)$0$0$0
BAUERLE STEPHEN M
TRUSTEE1.00.0Yes (X)$0$0$0
BOWER PhD LARRY M
TRUSTEE1.00.0Yes (X)$0$0$0
CARROLL WILLIAM J
CHAIRPERSON1.02.0Yes (X)$0$0$0Yes (X)
COYLE-STAMOS MEGAN M
EX-OFFICIO1.00.0Yes (X)$0$0$0
DEPOMPEI SPHR CCP ARTHUR D
TRUSTEE1.01.0Yes (X)$0$0$0
GOLIGOSKI TIMOTHY L
TRUSTEE1.01.0Yes (X)$0$0$0
GOVEIA MD CRYSTAL R
TRUSTEE1.00.0Yes (X)$0$0$0
HOUSTON MD THOMAS M
VIE CHAIRPERSON1.01.0Yes (X)$0$0$0Yes (X)
LIBBE CPA SCOTT M
TREASURER1.01.0Yes (X)$0$0$0Yes (X)
MACHIN BARBARA E
SECRETARY1.01.0Yes (X)$0$0$0Yes (X)
MATTISON MD LALAINE E
TRUSTEE1.040.0Yes (X)$7,629$206,599$21,150
MATTISON MD TIMOTHY J
TRUSTEE1.041.0Yes (X)$45,000$122,963$9,848
MCWEENY PHILIP
TRUSTEE1.00.0Yes (X)$0$0$0
RETTIG MD ADAM
TRUSTEE1.00.0Yes (X)$0$0$0
SEYMOUR DALE
VICE CHAIR1.02.0Yes (X)$0$0$0Yes (X)
SMITH CYNTHIA B
TRUSTEE1.01.0Yes (X)$0$0$0
TORRES MD SESINANDO R
TRUSTEE1.00.0Yes (X)$0$0$0
WAUGH DIANA FAITH
TRUSTEE1.00.0Yes (X)$0$0$0
WAKEMAN DANIEL
PRESIDENT/CEO, EX-OFFICIO41.03.0Yes (X)$449,328$0$43,757Yes (X)
BAZELEY MD STEPHEN P
VP MEDICAL AFFAIRS40.01.0$104,655$0$22,868Yes (X)
RILEY KEVIN
CHIEF FINANCIAL OFFICER41.03.0$85,722$0$8,290Yes (X)
BURMEISTER KEITH
VP CHIEF RELATIONS OFFICER41.03.0$225,486$0$15,058Yes (X)
BURMEISTER KERRY
ADMIN DIRECTOR FINANCE41.03.0$162,281$0$38,114Yes (X)
KIM JEFF
V.P. CHIEF INFORMATION OFFICER41.03.0$174,508$0$23,942Yes (X)
MORRISSEY MARTIN
V.P. GENERAL COUNSEL41.03.0$266,106$0$40,184Yes (X)
SESSLER CONNIE
ADMIN DIRECTOR HR/SUPPORT SVS41.03.0$158,277$0$38,768Yes (X)
TROSIN JILL
VP PATIENT CARE/CNO40.00.0$227,873$0$21,966Yes (X)
DAN THOMPSON
ADMIN DIRECTOR TECHNOLOGY40.00.0$149,631$0$28,575Yes (X)
WENDY O'LEARY
ADMIN DIRECTOR SOFTWARE APP.40.00.0$150,490$0$21,788Yes (X)
JEFFERY STEER
CARDIO SURGICAL ASSISTANT40.00.0$121,412$0$26,353Yes (X)
JUDY ST MARY
PHARMACIST, MANAGER40.00.0$126,833$0$6,861Yes (X)
RYAN CLEMENCE
PHARMACIST40.00.0$131,322$0$20,654Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,586,553TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$329,562TotReportableCompRltdOrgAmt
Total Other Compensation$388,176TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K22IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SOUTHWEST ANESTHESIA SERVICES
1715 INDIAN WOOD CIRCLE SUITE 100MAUMEEOH43537ANESTHESIA SERVICES$3,488,383
TRIMEDX INC
5154 LAKEVIEW PKWY SOUTH DRINDIANAPOLISIN46268BIOMED SERVICES$2,862,384
OHIO HOSPITAL ASSOCIATION
155 E BROAD STREET SUITE 301COLUMBUSOH43215TEMPORARY SVC AGENCY$2,497,907
WARBIRD CONSULTING PARTNERS
600 GALLERIA PARKWAY SEE STE 140ATLANTAGA30339CONSULTING$4,648,313
NAVIGANT CYMETRIX CORP
4511 PAYSPHERE CIRCLECHICAGOIL60674BILLING SERVICES$2,995,031
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K163CntrctRcvdGreaterThan100KCnt
Related Organizations$826,770RelatedOrganizationsAmt
All Other Contributions$3,012AllOtherContributionsAmt
Total Contributions$829,782TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NET PATIENT SERVICES622110$169,857,913$169,857,913
AFFILIATED EXEMPT ORG RENTAL INCOME531120$518,802$518,802
FieldValueIRS element (for citing)
Total Program Service Revenue$170,376,715TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,737,642TotalRevenueColumnAmt
Exclusion$1,737,642ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$141,144RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$141,144RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$141,144TotalRevenueColumnAmt
Exclusion$141,144ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$85,527,407SecuritiesAmt
Other$54,833OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$82,553,414SecuritiesAmt
Other$148,391OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,973,993SecuritiesAmt
Other-$93,558OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,880,435TotalRevenueColumnAmt
Exclusion$2,880,435ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA722514$640,931$640,931
MED STAFF/AUXILIARY/GIFT SHOP900099$529,337$529,337
MISCELLANEOUS900099$303,400$303,400
FieldValueIRS element (for citing)
Other Revenue Total$1,473,668OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$177,439,386TotalRevenueColumnAmt
Related Or Exempt Func Income$170,690,650RelatedOrExemptFuncIncomeAmt
Exclusion$5,918,954ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,607,310TotalAmt
Program Services$5,607,310ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$24,282TotalAmt
Program Services$24,282ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,159,812TotalAmt
Program Services$52,629ProgramServicesAmt
Management And General$2,107,183ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$63,011,808TotalAmt
Program Services$54,282,953ProgramServicesAmt
Management And General$8,728,855ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,377,645TotalAmt
Program Services$2,057,852ProgramServicesAmt
Management And General$319,793ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,577,116TotalAmt
Program Services$7,423,494ProgramServicesAmt
Management And General$1,153,622ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,301,438TotalAmt
Program Services$4,548,584ProgramServicesAmt
Management And General$752,854ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$453,536TotalAmt
Management And General$453,536ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$176,939TotalAmt
Management And General$176,939ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$11,690TotalAmt
Management And General$11,690ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$292,716TotalAmt
Management And General$292,716ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,855,362TotalAmt
Program Services$21,099,399ProgramServicesAmt
Management And General$6,755,963ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,123,811TotalAmt
Program Services$887,072ProgramServicesAmt
Management And General$236,739ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,126,911TotalAmt
Program Services$1,285,440ProgramServicesAmt
Management And General$841,471ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,212,673TotalAmt
Program Services$4,691,406ProgramServicesAmt
Management And General$521,267ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,662,471TotalAmt
Program Services$3,366,710ProgramServicesAmt
Management And General$295,761ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$147,111TotalAmt
Program Services$40,093ProgramServicesAmt
Management And General$107,018ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,296,889TotalAmt
Program Services$1,167,170ProgramServicesAmt
Management And General$129,719ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,525,146TotalAmt
Program Services$10,372,631ProgramServicesAmt
Management And General$1,152,515ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$31,806,392$31,806,392
DRUGS$7,583,666$7,583,666
LICENSES & FEES$3,679,857$3,113,951$565,906
EQUIPMENT RENTAL$1,811,438$1,626,723$184,715

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,167,220TotalAmt
Program Services$2,187,979ProgramServicesAmt
Management And General$979,241ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$188,993,239TotalAmt
Program Services$163,225,736ProgramServicesAmt
Management And General$25,767,503ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,971,527BOYAmt
EOY$4,643,535EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,480,034BOYAmt
EOY$29,430,210EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,171,980BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,177,620BOYAmt
EOY$1,359,386EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,557,283BOYAmt
EOY$5,192,097EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$147,667,755LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,707,419LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$105,431,260BOYAmt
EOY$130,960,336EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$59,868,044BOYAmt
EOY$58,245,332EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$653,103BOYAmt
EOY$594,995EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$39,213,578BOYAmt
EOY$49,044,535EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$252,524,429BOYAmt
EOY$279,470,426EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,403,226BOYAmt
EOY$45,350,969EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$28,000,000BOYAmt
EOY$47,143,824EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,400,636BOYAmt
EOY$65,463,334EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$119,803,862BOYAmt
EOY$157,958,127EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$108,879,346BOYAmt
EOY$95,096,249EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,841,221BOYAmt
EOY$26,416,050EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$132,720,567BOYAmt
EOY$121,512,299EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$252,524,429BOYAmt
EOY$279,470,426EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$11,553,853ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,454,410NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,108,825OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$11,690OtherActivitiesAmt
Total Lobbying Expenditures$11,690TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1FormAndLineReferenceDesc
ExplanationST 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,250,000InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$6,235,278OtherCostOrOtherBasisAmt
Book Value$8,485,278BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,785,088OtherCostOrOtherBasisAmt
Depreciation$3,710,968DepreciationAmt
Book Value$58,074,120BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$489,040OtherCostOrOtherBasisAmt
Depreciation$64,280DepreciationAmt
Book Value$424,760BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,567,459OtherCostOrOtherBasisAmt
Depreciation$11,508,058DepreciationAmt
Book Value$23,059,401BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,340,891OtherCostOrOtherBasisAmt
Depreciation$1,424,114DepreciationAmt
Book Value$40,916,777BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$130,960,336TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INTEREST IN FOUNDATION$26,416,050
DUE FROM AFFILIATES$16,196,779
EST THIRD PARTY SETTLEMENT REC$2,709
OTHER RECEIVABLES$6,428,997
FieldValueIRS element (for citing)
Total Book Value Other Assets$49,044,535TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
PENSION LIABILITY$55,554,012
DUE TO AFFILIATES$1,992,699
EST THIRD PARTY SETTLEMENT PAY$3,772,534
MALPRACTICE TAIL LIABILITY$2,889,855
ASBESTOS REMEDIATION$109,571
OTHER LIABILITIES$1,144,663
FieldValueIRS element (for citing)
Total Liability$65,463,334TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationST. 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,556,978TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,505,122DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,051,856NetCommunityBenefitExpnsAmt
Total Expense0.01120TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,270,619TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,563,176DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,707,443NetCommunityBenefitExpnsAmt
Total Expense0.05850TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,827,597TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,068,298DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,759,299NetCommunityBenefitExpnsAmt
Total Expense0.06970TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$140,261TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$140,261NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,927,238TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$464,355DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,462,883NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,277,665TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$74,151DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,203,514NetCommunityBenefitExpnsAmt
Total Expense0.00650TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,625TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,625NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,398,789TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$538,506DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,860,283NetCommunityBenefitExpnsAmt
Total Expense0.01560TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,226,386TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,606,804DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,619,582NetCommunityBenefitExpnsAmt
Total Expense0.08530TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,399TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$58,399NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,399TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$58,399NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$8,129,385BadDebtExpenseAmt
Bad Debt Expense Attributable$1,943,316BadDebtExpenseAttributableAmt
Reimbursed By Medicare$49,073,278ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$54,670,456CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,597,178MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct
OHIO CARE AMBULATORY
AMBULATORY SURGERY CENTER0.55070.4493
SURGERY CENTER LLC
ST LUKE'S PHYSICIAN
PHYSICIAN HOSPITAL ORG.0.50.48670.0133
HOSPITAL ORG INC
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15901 MONCLOVA ROADAddressLine1Txt
CityMAUMEECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43537ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.STLUKESHOSPITAL.COMWebsiteAddressTxt
State License1224StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.STLUKESHOSPITAL.COMOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.STLUKESHOSPITAL.COMStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.STLUKESHOSPITAL.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.STLUKESHOSPITAL.COMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.STLUKESHOSPITAL.COMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section B, Line 5ST. 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. LUKES HOSPITAL (SLH) WILL SPECIFICALLY IMPLEMENT PROGRAMS TO ADDRESS THE FOLLOWING HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - CARDIOVASCULAR HEALTH - STROKE - CANCER SCREENINGS SKIN, ORAL, AND/OR BREAST - AGE/GERIATRIC-RELATED INITIATIVES NUTRITION, DEMENTIA, AND/OR FALL PREVENTION - TOBACCO USE PREVENTION AND TREATMENT - DIABETES ACTIONS TAKEN DURING 2017 TO ADDRESS THE ABOVE IDENTIFIED NEEDS ARE INCLUDED BELOW: HEALTH NEED IDENTIFIED: CARDIOVASCULAR HEALTH-STROKE STRATEGY #1 PROVIDE ONGOING EDUCATION FOR EMERGENCY DEPARTMENT PHYSICIANS AND NURSES, INTENSIVE CARE CENTER NURSES, AND HOSPITALISTS TO IMPROVE DOOR-TO-NEEDLE (T-PA) TIMES WHICH IN TURN WILL IMPROVE PATIENT OUTCOMES. ACTIONS TAKEN IN 2017: SLH IMPLEMENTED THE EMS STRAIGHT TO CT SCAN PROGRAM WITH ALL OF SLHS STROKE PATIENTS THAT ARE COMING IN VIA EMERGENCY MEDICAL SERVICES (EMS). PATIENT REGISTRATION HAS BEEN WAITING AT THE DOOR WHEN EMS PRE-NOTIFIES SLH OF A STROKE PATIENT SO THAT THE PATIENT CAN BE REGISTERED IMMEDIATELY, AND SO THERE IS NO DELAY IN GETTING THE CT SCAN COMPLETED. THIS HAS SHAVED OFF SEVERAL MINUTES IN SLHS STROKE PROCESS, WHICH IN TURN MAKES EXPEDITING THE ADMINISTRATION OF ALTEPLASE MUCH FASTER. WE CALL AHEAD TO PHARMACY TO ALERT THEM THAT A PATIENT IS A CANDIDATE FOR ALTEPLASE, SO THAT THEY CAN PROCEED IN PREPARING IT QUICKER. STROKE COORDINATOR PRECEPTS ALL OF THE NEW ED/ICC/CVU RNS FOR 3 HOURS TO GO OVER THE STROKE ALERT PROCESS AS WELL AS ROLES AND RESPONSIBILITIES. FOCUS IS ON GIVING THE ALTEPLASE AS URGENTLY AS POSSIBLE BECAUSE EVERY MINUTE COUNTS. SEVERAL EDUCATIONAL DINNERS WERE SPONSORED THROUGHOUT THE YEAR BY GENENTECH, THE MAKERS OF ALTEPLASE, AND STRYKER NEUROVASCULAR, WHO BROUGHT IN NATIONAL SPEAKERS TO DISCUSS EXPEDITING STROKE CARE IN THE ED AND IN THE INPATIENT REALM. ED PHYSICIANS AND NURSES WERE INVITED TO ATTEND. PROMEDICA STROKE NETWORK NEUROLOGY INTERVENTIONISTS ATTENDED 2 ED MEDICINE MEETINGS TO UPDATE ED PHYSICIANS ON STROKE MANAGEMENT AND ADMINISTERING ALTEPLASE FASTER BY MAKING THE PROCESS MORE EFFICIENT. EVERY ALTEPLASE PATIENT CASE INCLUDED A DEBRIEFING AND WAS SENT OUT BY SLHS STROKE COORDINATOR TO ALL THE MEMBERS INVOLVED IN MANAGING THE PATIENT (ED PHYSICIANS, ED NURSES, CT AND PHARMACY). STRATEGY #2 INVESTIGATE THE FEASIBILITY OF CONDUCTING FOLLOW-UP PHONE CALLS ON SLHS STROKE PATIENTS. IF FEASIBLE, IMPLEMENT THE PHONE CALLS. ACTIONS TAKEN IN 2017: NURSING EDUCATION PROVIDED VIA EMAIL, AND DURING A NURSING CRITICAL CARE COMPETENCY BLITZ, THAT ALL ISCHEMIC STROKE PATIENTS WERE REQUIRED TO GO HOME WITH A NEUROLOGY FOLLOW-UP APPOINTMENT, INCLUDING DATE AND TIME. STROKE COORDINATOR INVOLVED IN ASSURING COMPLIANCE OF THE NEUROLOGY FOLLOW-UP APPOINTMENTS ON A DAILY BASIS. FOLLOW-UP APPOINTMENT IS DOCUMENTED IN THE ELECTRONIC MEDICAL RECORD (EMR) TO AUTOMATICALLY BE PLACED IN THE PATIENTS DISCHARGE INSTRUCTIONS IN ORDER TO AID IN PATIENT COMPLIANCE. NURSES ARE EDUCATED TO BE PROACTIVE IF PATIENTS ARE GOING TO POTENTIALLY BE DISCHARGED ON THE WEEKENDS TO MAKE THE APPOINTMENT ON FRIDAY, SO THAT IT DOESNT GET MISSED. STRATEGY #3 CONDUCT MULTIPLE BLOOD PRESSURE SCREENINGS AT SLH OR AT SERVICE AREA SENIOR CENTERS. ACTIONS TAKEN IN 2017: 55 BLOOD PRESSURES WERE TAKEN AT THE FEBRUARY 3, 2017 WEAR RED FOR WOMENS EVENT IN WHICH THE PRESENTATION WAS DIABETES AND HEART DISEASE. 82 PEOPLE ATTENDED THE SLH/UNIVERSITY OF TOLEDO SPONSORED WOMENS HEALTH CONFERENCE ON MARCH 18, 2017 AT SLH. 39 BLOOD PRESSURES WERE PERFORMED WITH THE RESULTS INDICATING 13 AS PRE-HYPERTENSION, 11 AS HIGH-STAGE 1, AND 1 AS HIGH STAGE 2. APPROXIMATELY 200 PEOPLE ATTENDED THE SLH SENIOR SERVICE/COMMUNITY HEALTH FAIR ON APRIL 20, 2017. 42 BLOOD PRESSURES WERE CHECKED WITH THE RESULTS INDICATING 22 IN THE PRE-HYPERTENSION RANGE, 6 AS HIGH STAGE 1, AND 1 AS HIGH STAGE 2. SLH ALSO CONDCUTED 84 CAROTID SCREENS AT THIS EVENT AND IDENTIFIED 2 PEOPLE WITH ABNORMAL RESULTS. 19 PEOPLE HAD BLOOD PRESSURE CHECKS CONDUCTED AT THE TOLEDO ZOO SUMMER DAYS ON JUNE 12, 2017 WITH THE RESULTS INDICATING 5 AS PRE-HYPERTENSION AND 2 AS HIGH STAGE 1. 7 PEOPLE HAD BLOOD PRESSURE CHECKS CONDUCTED ON JUNE 13, 2017 AT THE PERRYSBURG COMMONS MUSIC EVENT WITH THE RESULTS INDICATING 2 AS HIGH STAGE 1, AND 1 AS HIGH STAGE 2. 55 PEOPLE HAD BLOOD PRESSURE CHECKS IN JULY 2017 AT THE MAUMEE SENIOR CENTER WITH THE RESULTS INDICATING 22 AS PRE-HYPERTENSIVE, 18 AS HIGH STAGE 1, AND 1 AS HIGH STAGE 2. 33 PEOPLE HAD BLOOD PRESSURE CHECKS ON AUGIST 14, 2017 AT TOLEDO ZOO DAYS WITH THE RESULTS INDICATING 9 AS PRE-HYPERTENSIVE, AND 2 AS HIGH STAGE 1. 74 PEOPLE HAD BLOOD PRESSURE CHECKS IN AUGUST 2017 AT THE MAUMEE SENIOR CENTER WITH THE RESULTS INDICATING 33 AS PRE-HYERTENSIVE, 18 AS HIGH STAGE 1, AND 1 AS HIGH STAGE 2. 27 PEOPLE HAD BLOOD PRESSURE CHECKS AT THE SEPTEMBER 11, 2017 ZOO DAYS WITH THE RESULTS INDICATING 7 AS PRE-HYPERTENSIVE, 7 AS HIGH-STAGE 1, AND 1 AS HIGH-STAGE 2. 52 PEOPLE HAD BLOOD PRESSURE CHECKS IN OCTOBER 2017 AT THE MAUMEE SENIOR CENTER WITH THE RESULTS INDICATING 27 AS PRE-HYPERTENSIVE, 2 AS HIGH STAGE 1, AND 1 AS HIGH STAGE 2. 12 PEOPLE HAD BLOOD PRESSURE CHECKS AT THE OCTOBER 8, 2017 SWANTON PUBLIC SAFETY DAY WITH THE RESULTS INDICATING 7 AS PRE-HYPERTENSIVE, 2 AS HIGH STAGE 1, AND 1 AS HIGH-STAGE 2. 16 PEOPLE HAD BLOOD PRESSURE CHECKS AT THE NOVEMBER 10, 2017 SLH WOMENS RETREAT WITH THE RESULTS INDICATING 11 AS PRE-HYPERTENSIVE. 48 PEOPLE HAD BLOOD PRESSURE CHECKS IN NOVEMBER 2017 AT THE MAUMEE SENIOR CENTER WITH THE RESULTS INDICATING 28 AS PRE-HYPERTENSIVE AND 10 AS HIGH-STAGE 1. 44 PEOPLE HAD BLOOD CHECKS IN DECEMBER 2017 AT THE MAUMEE SENIOR CENTER WITH THE RESULTS INDICATING 18 AS PRE-HYPERTENSIVE, 14 AS HIGH-STAGE 1, AND 2 AS HIGH STAGE 2. STRATEGY #4 EDUCATE THE COMMUNITY ABOUT STROKE RECOGNITION AND EARLY ACTION MINIMIZING BRAIN DAMAGE. IF POSSIBLE, COLLABORATE WITH LOCAL EMS PROVIDERS TO EDUCATE THE COMMUNITY. ACTIONS TAKEN IN 2017: 240 PEOPLE ATTENDED THE WEAR RED FOR WOMEN EVENT ON FEBRUARY 3, 2017 IN THE SLH AUDITORIUM. DR. BHASKAR GUNDABOLU, ENDOCRINOLOGIST, SPOKE ON THE TOPIC OF DIABETES AND HEART DISEASE. 79 CAROTID SCREENS WERE PERFORMED AT THIS EVENT. 175 PEOPLE ATTENDED THE MAY 18, 2017 STROKE IN TIME STROKE EDUCATION EVENT HELD AT SLH AUDITORIUM. 25 RESIDENTS AND NURSES ATTENDED AN EDUCATION EVENT AT GENESIS HEALTHCARE IN PERRYSBURG IN FEBRUARY 2017 ON RECOGNITION OF STROKE SIGNS AND SYMPTOMS, RISK FACTORS AND AVAILABLE TREATMENTS FOR STROKE. SLH PARTICIPATED IN AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION HEART WALK MAY 13, 2017, WHERE THOUSANDS OF COMMUNITY MEMBERS ATTENDED AND VISITIED STROKE BOOTH FOR EDUCATION ON BE FAST SIGNS AND SYMPTOMS, AND INTERVENTIONS REGARDING STROKE. INDIVIDUAL STROKE RISK ASSESSMENTS WERE COMPLETED ON AS MANY ATTENDEES AS POSSIBLE. 200 PEOPLE ATTENDED BGSU HEALTH FAIR IN SEPTEMBER 2017. A STROKE BOOTH WAS SET UP TO DISCUSS INDIVIDUALIZED STROKE RISK ASSESSMENTS AND PROVIDE EDUCATION ON BE FAST. 50 PEOPLE ATTENDED NORTHWEST OHIO INPATIENT REHAB HEALTH FAIR IN SEPTEMBER 2017. INDIVIDUALIZED STROKE RISK ASSESSEMENTS, BLOOD PRESSURE SCREENINGS, AND EDUCATION ON STROKE TREATMENT OPTIONS WERE DISCUSSED. 300 PEOPLE ATTENDED THE LUCAS COUNTY HEALTH FAIR IN OCTOBER 2017, WHICH INCLUDED ALL OF LUCAS COUNTY EMPLOYEES. INDIVIDUALIZED STROKE RISK ASSESSEMENTS, BLOOD PRESSURE SCREENINGS, AND ED
PART V, SECTION B, LINE 20BA 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.
FieldValueIRS element (for citing)
Facility20FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
REGENCY CT RADIOLOGY SERVICES
300 REGENCY COURT SUITE 105TOLEDOOH43623RADIOLOGY
FALLEN TIMBERS RADIOLOGY
5757 MONCLOVA RD SUITE 31MAUMEEOH43537RADIOLOGY
OHIOCARE AMBULATORY SURGICAL CENTER
5959 MONCLOVA RDMAUMEEOH43537SURGERY CENTER
FALLEN TIMBERS LAB
5757 MONCLOVA RDMAUMEEOH43537LAB
WATERVILLE SATELLITE LAB
900 WATERVILLE-MONCLOVA RD SUITEWATERVILLEOH43566LAB
ST LUKE'S DIABETES CARE CENTER
5871 MONCLOVA RDMAUMEEOH43537WOUND/DIABETES CARE
PERRYSBURG RADIOLOGY SERVICES
1103 VILLAGE SQUARE DR SUITE 200PERRYSBURGOH43551RADIOLOGY
PERRYSBURG SATELLITE LAB
1103 VILLAGE SQUARE DR SUITE 201PERRYSBURGOH43551LAB
WATERVILLE REHAB
900 WATERVILLE-MONCLOVA RD SUITEWATERVILLEOH43566PHYSICAL THERAPY
SWANTON REHAB
1 TURTLE CREEK CIRCLESWANTONOH43558PHYSICAL THERAPY
STARBRIGHT CLINIC
2855 STARBRIGHT BLVDPERRYSBURGOH43551LAB
VESTIBULAR CLINIC
6005 MONCLOVA RD SUITE 360MAUMEEOH43537VESTIBULAR CLINIC
MAUMEE VALLEY IMAGING
6005 MONCLOVA RDMAUMEEOH43537RADIOLOGY
TOBACCO TREATMENT CENTER
MONCLOVA RDMAUMEEOH43537TOBACCO TREATMENT
RIVER ROAD SATELLITE LAB
28442 E RIVER RD SUITE 101PERRYSBURGOH43551LAB
PERRYSBURG REHAB
1103 VILLAGE SQUARE DRPERRYSBURGOH43551PHYSICAL THERAPY
STARBRIGHT CLINIC
2855 STARBRIGHT BLVDPERRYSBURGOH43551RADIOLOGY
PAIN CENTER
5759 MONCLOVA RDMAUMEEOH43537PAIN CENTER
STARBRIGHT REHAB
2855 STARBRIGHT BLVDPERRYSBURGOH43551PHYSICAL THERAPY
ANTI COAGULATION CLINIC
6005 MONCLOVA RDMAUMEEOH43537ANTI-COAGULATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7ST. 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 3ST. LUKE'S HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.
PART III, SECTION A, LINE 4PROVISION 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 2017 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 PATIENT FINANCIAL ADVOCATE OR PATIENT ACCOUNTS OFFICE FOR PROCESSING.
PART VI, LINE 2ST. LUKES HOSPITAL HAS ACTIVELY PARTICIPATED IN THE LUCAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT 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 COMMUNITY HEALTH NEEDS ASSESSMENT (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. ADMITING LOCATIONS WILL HAVE FINANCIAL ASSITANCE 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 PAITENT FINANCIAL ADVOCATE ATTEMPT 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 INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, 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 5ST. LUKES HOSPITAL HAS AN OPEN MEDICAL STAFF, AND AS OF DECEMBER 31, 2017, HAD 425 ACTIVE OR ASSOCIATE MEMBERS. ST. LUKES HOSPITAL HAS 17 BOARD MEMBERS WHO ARE VOLUNTEERS AND NOT COMPENSATED FOR THEIR SERVICE TO OUR HOSPITAL. ST. LUKES HOSPITAL OPERATES SEVERAL SERVICES EITHER FREE OR AT LOW COST FOR THE BENEFIT OF THE COMMUNITY SUCH AS OUR COURTESY VAN SERVICE, WHICH TRANSPORTS PATIENTS TO OUR HOSPITAL CAMPUS AND BACK TO THEIR HOME FOR FREE AND OUR 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

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
TOLEDO CLASSIC INC
4405 DORR STREETTOLEDOOH43607341499072501(C)(3)$9,500FMVCHARITABLE DONATION
THE TOLEDO ZOOLOGICAL SOCIETY
2700 BROADWAYTOLEDOOH43609344440256501(C)(3)$25,000FMVCHARITABLE DONATION
PANTHER PRIDE FOUNDATION
1147 SACO STREETMAUMEEOH43537811366579501(C)(3)$25,000FMVCHARITABLE DONATION
WELLCARE PHYSICIANS LLC
5901 MONCLOVA ROADMAUMEEOH43537611528443501(C)(3)$5,165,000FMVOPERATING SUPPORT
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA ROADMAUMEEOH43537341292849501(C)(3)$348,245FMVOPERATING SUPPORT
AMERICAN HEART ASSOCIATION
5455 NORTH HIGH STREETCOLUMBUSOH43214135613797501(C)(3)$9,500FMVCHARITABLE DONATION
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeDIRECT CASH ASSISTANCEGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$24,282CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationAS 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
MATTISON MD LALAINE E
TRUSTEE$7,629$206,135$464$4,062$17,088$7,629$227,749
MATTISON MD TIMOTHY J
TRUSTEE$45,000$121,955$1,008$9,020$828$45,000$132,811
WAKEMAN DANIEL
PRESIDENT/CEO, EX-OFFICIO$395,044$493,085$50,000$4,284$24,258$19,499
BURMEISTER KEITH
VP CHIEF RELATIONS OFFICER$218,690$240,544$5,000$1,796$13,543$1,515
BURMEISTER KERRY
ADMIN DIRECTOR FINANCE$153,683$200,395$5,000$3,598$22,682$15,432
KIM JEFF
V.P. CHIEF INFORMATION OFFICER$146,663$198,450$27,845$7,422$16,520
MORRISSEY MARTIN
V.P. GENERAL COUNSEL$258,784$306,290$5,000$2,322$16,035$24,149
SESSLER CONNIE
ADMIN DIRECTOR HR/SUPPORT SVS$148,355$197,045$5,000$4,922$24,280$14,488
TROSIN JILL
VP PATIENT CARE/CNO$218,784$249,839$6,000$3,089$13,433$8,533
DAN THOMPSON
ADMIN DIRECTOR TECHNOLOGY$148,034$178,206$1,500$97$4,573$24,002
WENDY O'LEARY
ADMIN DIRECTOR SOFTWARE APP.$148,869$172,278$1,500$121$7,622$14,166
RYAN CLEMENCE
PHARMACIST$126,197$151,976$500$4,625$5,958$14,696

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationST. 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 BOARDExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, PROGRAM SERVICE ACCOMPLISHMENTSST. LUKES HOSPITAL, A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIAZAION IS 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 HOSPITAL (SLH) 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. SLHS 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 2017, SLH ALSO HAD CHEST PAIN ACCREDITAION FROM THE SOCIETY OF CARDIOVASCUALR PATIENT CARE, PRIMARY STROKE CENTER CERTIFICATION AND HEART FAILURE PROGRAM ACCREDITATION FROM DNV-GL, AND THE LABORATORY WAS CERTIFIED BY THE COLLEGE OF AMERICAN PATHOLOGISTS. SLH SERVED 10,094 INPATIENTS AND 189,053 OUTPATIENTS IN 2017. FURTHER, 34,519 INDIVIDUALS SOUGHT EMERGENCY CARE AT SLH. THE HOSPITAL CONTRIBUTED $15,619,582 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, SLH CONTRIBUTED $2,860,283 TO THE COMMUNITY DURING 2017. 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 FOR APPOINTMENTS AND TESTING. -SENIOR SERVICE EDUCATION PROGRAMS COVERING TOPICS SUCH AS MENTAL HEALTH, HEALTHY EATING AND ORAL CANCER. SLH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2017 OF WHICH $2,051,856 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. SLHS COST OF BAD DEBT FOR 2017 WAS $2,242,084. THIS AMOUNT IS NOT INCLUDED IN THE $15,619,582 NOTED ABOVE. FURTHER, SLH PROVIDED $10,707,443 OF COMMUNITY BENEFIT THROUGH COSTS NOT REIMBURSED BY THE GOVERNMENT FOR TREATING MEDICAID AND OTHER MEANS TESTED PATIENTS. ALSO, IN 2017, THE TOTAL COSTS NOT REIMBURSED BY THE GOVERNMENT FOR TREATING MEDICARE PATIENTS WAS $11,402,236 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $15,621,582 NOTED ABOVE. DURING 2017, SLH EXPENDED $43,468,362 IN NET PAYROLL, PROVIDING 1,363 JOBS IN NORTHWEST OHIO. A TOTAL OF $2,911,829 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, SLH DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, 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 HOSPITAL PREPARES IS COMMUNITY BENEFIT REPORTS USING REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCAITION OF THE UNITED STATES AND CONSISTENT WITH FORM 990, SCHEDULE H, HOSPITALS, REPORTNG. 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 HELTHCARE 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 REIMBUSREMENT 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 BILLS. 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 ACTIVITES 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 ACTIVITES 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 1BLALAINE E. MATTISON, MD., TIMOTHY J. MATTISON, MD. AND DANIEL WAKEMAN ARE COMPENSATED BY THE ORGANIZATION OR A RELATED ENTITY AND THEREFORE ARE NON-INDEPENDENT TRUSTEES. 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 7AST. 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 7BWHILE 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 11BUNDER 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 12CST 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.SLHC.
FORM 990, PART VI, SECTION B, LINE 15AEACH 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&B 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 19ST. LUKE'S HOLDING COMPANY, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART IX, LINE 11GGENERAL $ 5,842,681 CONTR NPHYS 1,547,266 CONTR PHYS 7,648,113 BILLING SERVICES 3,281,141 CONSULTANTS 935,412 LITHOTRIPTOR 171,691 SERVICE CONTRACTS 1,829,717 LAUNDRY 477,928 FOOD SVC MGT 770,173 TEMP AGENCY 2,474,887 REFERRED TESTING 316,584 OTHER 2,559,769
FORM 990, PART XI, LINE 9PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT $(4,644,606) BENEFICIAL INTEREST IN FOUNDATION 2,574,829 DECONSOLIDATION OF ACQUIRED ASSETS (1,039,048) TOTAL (3,108,825)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COBRA VENTURES LLC
5901 MONCLOVA RDMAUMEEOH43537204671613LAND LEASINGOHST LUKE HF
WELLCARE PHYSICIANS LLC
5901 MONCOLVA RDMAUMEEHI43537611528443EMPLOYS PHYSOHST LUKE HC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CARE ENTERPRISES INC
5901 MONCLOVA RDMAUMEEOH43537341366709FAC LEASINGOH501(C)(3)12BST LUKE HCfalse
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA RDMAUMEEOH43537341292849FOUNDATIONOH501(C)(3)12BST LUKE HCfalse
ST LUKE'S HOLDING COMPANY INC
5901 MONCLOVA RDMAUMEEOH43537812599592PARENT COOH501(C)(3)12BNAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
WATERVILLE MEDICAL CENTER LLC
5901 MONCLOVA RDMAUMEEOH43537320160784FAC LEASINGOHCARE ENT INCN/Afalsefalse
OHIO CARE AMBULATORY SURGICAL CENTER LLC
5959 MONCLOVA RDMAUMEEOH43537341863472SURGICAL CTROHst luke hosRelatedfalsefalse$29,183$1,048,1310.55070

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CARE HOLDINGS
5901 MONCLOVA RDMAUMEEOH43537341796790HOLDING COOHST LUKE HCC CORPfalse
PHYSICIANS ADVANTAGE MSO
5901 MONCLOVA RDMAUMEEOH43537061811760PHYS MGMT SVCOHST LUKE HCC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd