MCLAREN ST LUKES: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MCLAREN ST LUKES (EIN 34-4428232)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201743199349300979
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T07:04:36-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E Main St Suite 700 | AddressLine1Txt |
| City | Fort Wayne | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 344428232 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % LAURA MURPHY | InCareOfNm |
| Business Name Control | STLU | BusinessNameControlTxt |
| Phone | 4198935900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5901 MONCLOVA ROAD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL L WAKEMAN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4198935911 | PhoneNum |
| Signature | 2017-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Joyce A Dulworth | PreparerPersonNm |
| PTIN | P00151125 | PTIN |
| Phone | 2604604000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 35027420173195000002 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6D61E2A24AA052E41AF4DA6A29299CDAFD2BBB3C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 34D21B9E2600067E2DE94413EFEE0AFAF4BAB308 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL L WAKEMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5901 MONCLOVA ROAD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $431,216,825 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.stlukeshospital.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1906 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | ST. LUKES HOSPITAL IS COMMITTED TO providing quality, cost-effective healthcare services through the use of advanced services while fostering wellness. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 1573 | TotalEmployeeCnt |
| Total Volunteers | 176 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $265,277 | PYContributionsGrantsAmt |
| CY Contributions Grants | $208,184 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $188,905,535 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $178,300,159 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,744,269 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,041,663 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,685,175 | PYOtherRevenueAmt |
| CY Other Revenue | $2,313,672 | CYOtherRevenueAmt |
| PY Total Revenue | $194,600,256 | PYTotalRevenueAmt |
| CY Total Revenue | $188,863,678 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $253,217 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $423,965 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $81,980,178 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $76,923,836 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $91,980,826 | PYOtherExpensesAmt |
| CY Other Expenses | $102,631,736 | CYOtherExpensesAmt |
| PY Total Expenses | $174,214,221 | PYTotalExpensesAmt |
| CY Total Expenses | $179,979,537 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $20,386,035 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,884,141 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $236,749,746 | TotalAssetsBOYAmt |
| Total Assets EOY | $252,524,429 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $115,509,267 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $119,803,862 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $121,240,479 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $132,720,567 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ST. LUKES 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $147,481,869 | ExpenseAmt |
| Grant | $423,965 | GrantAmt |
| Revenue | $178,640,100 | RevenueAmt |
| Desc | ST. LUKE'S HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,528,014 | ExpenseAmt |
| Desc | CONSISTENT WITH OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,626,197 | ExpenseAmt |
| Revenue | $751,047 | RevenueAmt |
| Desc | CONSISTENT WITH OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, AND CASH AND IN-KIND CONTRIBUTIONS. SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $156,636,080 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 124 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1573 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA MURPHY | PersonNm |
| Phone | 4198978408 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5901 MONCLOVA RD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BACHEY JOHN | ||||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| BAUERLE STEPHEN M | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| BOWER PHD LARRY M | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| CARROLL WILLIAM J | ||||||||||
| CHAIRPERSON | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| COYLE-STAMOS MEGAN M | ||||||||||
| EX-OFFICIO | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| DEPOMPEISPHR CCP ARTHUR D | ||||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| GOLIGOSKI TIMOTHY L | ||||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| GOVEIA MD CRYSTAL R | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| HOUSTON MD THOMAS M | ||||||||||
| VICE CHAIRPERSON | 1.0 | 21.0 | Yes (X) | $0 | $70,537 | $7,033 | Yes (X) | |||
| LIBBE CPA SCOTT M | ||||||||||
| TREASURER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MACHIN BARBARA E | ||||||||||
| SECRETARY | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MATTISON MD LALAINE E | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $15,810 | $0 | $0 | ||||
| MATTISON MD TIMOTHY J | ||||||||||
| TRUSTEE | 1.0 | 41.0 | Yes (X) | $3,750 | $153,767 | $33,560 | ||||
| MCWEENY PHILIP | ||||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| RETTIG MD ADAM | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| SEYMOUR DALE | ||||||||||
| VICE CHAIR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SMITH CYNTHIA B | ||||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| TORRES MD SESINANDO R | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| WAUGH DIANA FAITH | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| WAKEMAN DANIEL | ||||||||||
| PRESIDENT/CEO, EX-OFFICIO | 41.0 | 3.0 | Yes (X) | $201,062 | $287,112 | $57,501 | Yes (X) | |||
| WEBB PHD KEVIN C | ||||||||||
| OFFICER (LEFT 7/1/16) | 1.0 | 52.0 | $0 | $716,751 | $134,986 | Yes (X) | ||||
| JOHNSTON LORI A | ||||||||||
| OFFICER (LEFT 7/1/16) | 1.0 | 40.5 | $0 | $493,437 | $135,922 | Yes (X) | ||||
| LAURETO ROSE ANN | ||||||||||
| OFFICER (LEFT 7/1/16) | 1.0 | 41.0 | $0 | $679,003 | $92,352 | Yes (X) | ||||
| SATTLER ALAN M | ||||||||||
| OFFICER (LEFT 7/1/16) | 0.5 | 51.5 | $0 | $641,062 | $76,678 | Yes (X) | ||||
| KUHN JEFFREY C | ||||||||||
| OFFICER (LEFT 7/1/16) | 0.5 | 51.5 | $0 | $674,920 | $143,195 | Yes (X) | ||||
| AKENBERGER GARY | ||||||||||
| OFFICER (LEFT 7/1/16) | 0.5 | 45.0 | $0 | $461,216 | $92,553 | Yes (X) | ||||
| BLACK II JAMES E | ||||||||||
| OFFICER (LEFT 7/1/16) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| RAVAS JAMES E | ||||||||||
| OFFICER (LEFT 7/1/16) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| O'HARA JR JOSEPH J | ||||||||||
| OFFICER (LEFT 7/1/16) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| EDJE MD LOUITO C | ||||||||||
| OFFICER (LEFT 7/1/16) | 1.0 | 40.0 | $0 | $222,178 | $24,220 | Yes (X) | ||||
| KATTAR MD RAJENDRA R | ||||||||||
| OFFICER (LEFT 7/1/16) | 1.0 | 40.0 | $0 | $725,395 | $28,429 | Yes (X) | ||||
| BAZELEY MD STEPHEN P | ||||||||||
| VP MEDICAL AFFAIRS | 40.0 | 1.0 | $101,737 | $0 | $17,664 | Yes (X) | ||||
| TROSIN JILL | ||||||||||
| VP PATIENT CARE/CNO | 40.0 | 1.0 | $89,595 | $145,840 | $22,915 | Yes (X) | ||||
| SCHWANKE DANIEL P | ||||||||||
| KEY EMPLOYEE (LEFT 7/1/16) | 40.0 | 1.0 | $0 | $362,202 | $47,815 | Yes (X) | ||||
| ARMSTRONG KENNETH | ||||||||||
| KEY EMPLOYEE (LEFT 7/1/16) | 0.5 | 41.0 | $0 | $0 | $0 | Yes (X) | ||||
| EL-SAYED KHALED | ||||||||||
| CARDIO SURGICAL ASSISTANT II | 40.0 | 0.0 | $127,445 | $0 | $35,337 | Yes (X) | ||||
| STEER JEFFERY | ||||||||||
| CARDIO SURGICAL ASSISTANT II | 40.0 | 0.0 | $127,173 | $0 | $19,124 | Yes (X) | ||||
| CLEMENCE RYAN | ||||||||||
| STAFF PHARMACIST | 40.0 | 0.0 | $126,261 | $0 | $6,616 | Yes (X) | ||||
| ST MARY JUDY | ||||||||||
| PHARMACY MANAGER | 40.0 | 0.0 | $123,920 | $0 | $7,097 | Yes (X) | ||||
| CHEN DAVID | ||||||||||
| FIVE HIGHEST PD (LEFT 7/1/16) | 0.0 | 40.0 | $0 | $131,463 | $28,574 | Yes (X) | ||||
| HANLEY KATHLEEN S | ||||||||||
| OFFICER (LEFT IN 2015) | 0.0 | 41.0 | $0 | $1,255,999 | $38,403 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $916,753 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,020,882 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,049,974 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SOUTHWEST ANESTHESIA SERVICES | |||||
| 300 DAVE COWENS DR 6TH FL | NEWPORT | KY | 41071 | ANESTHESIA SERVICES | $3,604,745 |
| TRIMEDX INC | |||||
| 5154 LAKEVIEW PKWY SOUTH DR | INDIANAPOLIS | IN | 46268 | BIOMED SERVICES | $3,011,577 |
| OHIO HOSPITAL ASSOCIATION | |||||
| 155 E BROAD STREET SUITE 301 | COLUMBUS | OH | 43215 | TEMPORARY SVC AGENCY | $2,789,969 |
| WARBIRD CONSULTING PARTNERS | |||||
| 600 GALLERIA PARKWAY SEE STE 140 | ATLANTA | GA | 30339 | CONSULTING | $1,786,840 |
| HEALTH CARE FUTURES LP | |||||
| 300 PARK BLVD SUITE 200 | ITASCA | IL | 60143 | CONSULTING | $1,037,244 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $199,184 | RelatedOrganizationsAmt |
| All Other Contributions | $9,000 | AllOtherContributionsAmt |
| Total Contributions | $208,184 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICES | 622110 | $177,781,357 | $177,781,357 | |
| AFFILIATED EXEMPT ORG RENTAL INCOME | 531120 | $518,802 | $518,802 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $178,300,159 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $915,336 | TotalRevenueColumnAmt |
| Exclusion | $915,336 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $121,152 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $121,152 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $121,152 | TotalRevenueColumnAmt |
| Exclusion | $121,152 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $248,441,337 | SecuritiesAmt |
| Other | $1,038,137 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $241,328,924 | SecuritiesAmt |
| Other | $1,024,223 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,112,413 | SecuritiesAmt |
| Other | $13,914 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,126,327 | TotalRevenueColumnAmt |
| Exclusion | $7,126,327 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| EHR INCENTIVE | 900099 | $755,627 | $755,627 | |
| CAFETERIA | 722514 | $582,730 | $582,730 | |
| MED STAFF/AUXILIARY/GIFT SHOP | 900099 | $430,053 | $430,053 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $424,110 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $424,110 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,192,520 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $188,863,678 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $179,391,147 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $9,264,347 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,223 | TotalAmt |
| Program Services | $407,223 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,742 | TotalAmt |
| Program Services | $16,742 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,686 | TotalAmt |
| Management And General | $431,686 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,633,802 | TotalAmt |
| Program Services | $53,589,286 | ProgramServicesAmt |
| Management And General | $7,044,516 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,811,432 | TotalAmt |
| Program Services | $2,470,968 | ProgramServicesAmt |
| Management And General | $340,464 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,206,585 | TotalAmt |
| Program Services | $7,212,768 | ProgramServicesAmt |
| Management And General | $993,817 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,840,331 | TotalAmt |
| Program Services | $4,355,168 | ProgramServicesAmt |
| Management And General | $485,163 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,050,947 | TotalAmt |
| Management And General | $1,050,947 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,000 | TotalAmt |
| Management And General | $25,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,258 | TotalAmt |
| Management And General | $8,258 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,019 | TotalAmt |
| Management And General | $112,019 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,617,321 | TotalAmt |
| Program Services | $19,536,712 | ProgramServicesAmt |
| Management And General | $8,080,609 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $715,508 | TotalAmt |
| Program Services | $466,473 | ProgramServicesAmt |
| Management And General | $249,035 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,413,876 | TotalAmt |
| Program Services | $1,005,564 | ProgramServicesAmt |
| Management And General | $408,312 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,529,558 | TotalAmt |
| Program Services | $7,676,602 | ProgramServicesAmt |
| Management And General | $852,956 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,637,173 | TotalAmt |
| Program Services | $3,394,696 | ProgramServicesAmt |
| Management And General | $242,477 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,816 | TotalAmt |
| Program Services | $71,220 | ProgramServicesAmt |
| Management And General | $55,596 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $778,858 | TotalAmt |
| Program Services | $698,968 | ProgramServicesAmt |
| Management And General | $79,890 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,782,839 | TotalAmt |
| Program Services | $8,804,555 | ProgramServicesAmt |
| Management And General | $978,284 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $30,820,089 | $30,820,089 | |
| DRUGS | $8,126,943 | $8,108,381 | $18,562 |
| LICENSES & FEES | $3,421,046 | $3,167,429 | $253,617 |
| EQUIPMENT RENTAL | $1,672,984 | $1,483,582 | $189,402 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,792,501 | TotalAmt |
| Program Services | $3,349,654 | ProgramServicesAmt |
| Management And General | $1,442,847 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,979,537 | TotalAmt |
| Program Services | $156,636,080 | ProgramServicesAmt |
| Management And General | $23,343,457 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,023,921 | BOYAmt |
| EOY | $12,971,527 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,578,199 | BOYAmt |
| EOY | $27,480,034 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,220,610 | BOYAmt |
| EOY | $3,171,980 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,469,141 | BOYAmt |
| EOY | $1,177,620 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,031,409 | BOYAmt |
| EOY | $2,557,283 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $110,694,036 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,262,776 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,966,753 | BOYAmt |
| EOY | $105,431,260 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,771,154 | BOYAmt |
| EOY | $59,868,044 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $745,319 | BOYAmt |
| EOY | $653,103 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,590 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,838,650 | BOYAmt |
| EOY | $39,213,578 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,749,746 | BOYAmt |
| EOY | $252,524,429 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,614,276 | BOYAmt |
| EOY | $28,403,226 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $28,000,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,894,991 | BOYAmt |
| EOY | $63,400,636 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,509,267 | BOYAmt |
| EOY | $119,803,862 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,176,119 | BOYAmt |
| EOY | $108,879,346 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,064,360 | BOYAmt |
| EOY | $23,841,221 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,240,479 | BOYAmt |
| EOY | $132,720,567 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,749,746 | BOYAmt |
| EOY | $252,524,429 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,884,141 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,352,293 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $8,948,240 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $8,258 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,258 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | ST LUKE'S HOSPITAL PAYS DUES TO THE OHIO HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,250,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $6,235,278 | OtherCostOrOtherBasisAmt |
| Book Value | $8,485,278 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,389,994 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,226,371 | DepreciationAmt |
| Book Value | $60,163,623 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $489,040 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,304 | DepreciationAmt |
| Book Value | $467,736 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,108,869 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,735,736 | DepreciationAmt |
| Book Value | $20,373,133 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,220,855 | OtherCostOrOtherBasisAmt |
| Depreciation | $279,365 | DepreciationAmt |
| Book Value | $15,941,490 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $105,431,260 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN FOUNDATION | $23,841,221 |
| DUE FROM AFFILIATES | $13,449,120 |
| EST THIRD PARTY SETTLEMENT REC | $579,162 |
| OTHER RECEIVABLES | $1,344,075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $39,213,578 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $55,136,201 |
| DUE TO AFFILIATES | $166,363 |
| EST THIRD PARTY SETTLEMENT PAY | $4,374,273 |
| MALPRACTICE TAIL LIABILITY | $3,617,839 |
| ASBESTOS REMEDIATION | $105,960 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $63,400,636 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D ASC 740 | FormAndLineReferenceDesc |
| Explanation | ST. LUKES HOSPITAL IS INCLUDED IN THE CONSOLIDATED AUDITED STATEMENTS OF ST LUKES HOLDING COMPANY, INC (SLHC) AND IS INCORPORATED UNDER THE LAWS OF THE STATE OF OHIO. SLHC AND ITS WHOLLY OWNED SUBSIDIARIES, ST LUKES HOSPITAL, ST. LUKES HOSPITAL FOUNDATION, AND CARE ENTERPRISES ARE NONPROFIT CORPORATIONS AND ARE EXEMPT FROM STATE AND LOCAL TAXES. THE IRS HAS DETERMINED THAT SLHC, ST LUKES HOSPITAL, ST. LUKES HOSPITAL FOUNDATION, CARE ENTERPRISES, INC. AND WELLCARE PHYSICIANS GROUP, LLC TO BE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN SLHCS CONSOLIDATED FINANCIAL STATEMENTS. CARE HOLDINGS, INC. AND PHYSICIANS ADVANTAGE MSO, INC. WHOLLY OWNED SUBSIDIARIES OF SLHC, ARE TAXABLE CORPORATIONS. INCOME TAX PROVISIONS FOR THESE ENTITIES ARE NOT MATERIAL TO SLHCS AUDITED FINANCIAL STATEMENTS. ST. LUKES HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2016. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,990,784 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,505,115 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,485,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,106,081 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,064,196 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,041,885 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02250 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,477 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,017 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $460 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,116,342 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,588,328 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,528,014 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03080 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 33 | ActivitiesOrProgramsCnt |
| Persons Served | 349 | PersonsServedCnt |
| Total Community Benefit Expns | $116,831 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $116,831 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,296,541 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $663,228 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,633,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00910 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,194,706 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $87,819 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,106,887 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,119 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,119 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 33 | ActivitiesOrProgramsCnt |
| Persons Served | 349 | PersonsServedCnt |
| Total Community Benefit Expns | $3,626,197 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $751,047 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,875,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01590 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 33 | ActivitiesOrProgramsCnt |
| Persons Served | 349 | PersonsServedCnt |
| Total Community Benefit Expns | $24,742,539 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,339,375 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,403,164 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04670 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,160 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,160 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,160 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,160 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,237,903 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $934,147 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $50,475,958 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $52,679,290 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,203,332 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct |
|---|---|---|---|
| OHIOCARE AMBULATORY | |||
| AMBULATORY SURGERY CENTER | 0.5429 | 0.4571 | |
| SURGERY CENTER LLC | |||
| ST LUKE'S PHYSICIAN | |||
| PHYSICIAN HOSPITAL ORG. | 0.5 | 0.4867 | 0.0133 |
| HOSPITAL ORG INC | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5901 MONCLOVA ROAD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | STLUKESHOSPITAL.COM | WebsiteAddressTxt |
| State License | 1224 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.stlukeshospital.com | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.stlukeshospital.com | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.stlukeshospital.com | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.stlukeshospital.com | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.stlukeshospital.com | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Section B, Line 5 | FormAndLineReferenceDesc |
| Explanation | ST. LUKE'S HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, 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 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 HEALTH DEPARTMENT - 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 - ST. LUKES HOSPITAL - GRACE COMMUNITY CENTER - JUVENILE COURT, LUCAS COUNTY - JOB & FAMILY SERVICES, LUCAS COUNTY - HOSPITAL COUNCIL OF NORTHWEST OHIO - TOLEDO-LUCAS COUNTY CARENET - UNITED WAY OF GREATER TOLEDO - EXCHANGE CLUB - TOLEDO PUBLIC SCHOOLS BOARD OF EDUCATION - BOWLING GREEN STATE UNIVERSITY Part V, Section B, Line 11 ST. LUKE'S HOSPITAL WILL IMPLEMENT PROGRAMS TO ADDRESS THE FOLLOWING HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - CARDIOVASCULAR HEALTH - STROKE - CANCER SCREENINGS - SKIN AND COLORECTAL - GERIATRIC-RELATED INITIATIVES - NUTRITION AND DEMENTIA - LUNG DISEASE COPD/ TOBACCO USE - DIABETES ACTIONS TAKEN DURING 2016 TO ADDRESS THE ABOVE IDENTIFIED NEEDS ARE INCLUDED BELOW: HEALTH NEED IDENTIFIED: CARDIOVASCULAR HEALTH-STROKE STRATEGY #1 - TRAIN AND EDUCATE All HOSPITAL STAFF (CLINICAL AND NON-CLINICAL) ON STROKE EDUCATION, WHICH INCLUDES 2 HOURS INITIALLY AND 1 HOUR ANNUALLY. INTENSIVE CARE CENTER (ICC) AND CARDIOVASCULAR INTENSIVE CARE UNIT (CVU) WHO CARE FOR ACUTE STROKE PATIENTS ARE EDUCATED WITH 8 HOURS INITIALLY AND 4 HOURS ANNUALLY. THE EMERGENCY DEPARTMENT IS EDUCATED WITH 4 HOURS INITIALLY AND 2 HOURS ANNUALLY. ALL THE NURSES STAFFED IN ED, ICC OR CVU ARE REQUIRED TO COMPLETE STROKE HEMISPHERES UPON HIRE. THIS INCREASE IN STROKE EDUCATION WILL HELP TO DECREASE DOOR TO TPA TIMES AND, THEREFORE, WILL IMPROVE PATIENT OUTCOMES. ACTIONS TAKEN IN 2016: -ALL NEW EMPLOYEES (CLINICAL OR NON-CLINICAL) AS WELL AS ANCILLARY STAFF WERE REQUIRED TO COMPLETE 1 HOUR OF EDUCATION USING A STROKE HEALTHSTREAM MODULE. -ALL NURSES AND CLINICAL ASSISTANTS RECEIVED 30 MINUTES OF STROKE EDUCATION, PRESENTED BY THE STROKE COORDINATOR AT INITIAL NURSING ORIENTATION AND THEN ANNUALLY AT NURSING COMPETENCY BLITZ OR CRITICAL CARE COMPETENCY BLITZ. -ALL NURSES IN EMERGENCY DEPARTMENT (ED), ICC AND CVU ARE ALL HEMISPHERES STROKE COMPETENCY TRAINED; ALL NURSES IN THESE SPECIFIC UNITS ARE NIHSS CERTIFIED WITH ANNUAL COMPETENCY REQUIRED. -EACH UNIT OF THE HOSPITAL RECEIVED INDIVIDUALIZED STROKE EDUCATION AT ONE OF THEIR UNIT MEETINGS FOCUSING SPECIFICALLY ON THE ST. LUKES STROKE ALERT PROCESS. -STROKE DAY WAS HELD MONTHLY IN EMERGENCY DEPARTMENT TO EDUCATE STAFF ON STROKE DATA AND GAPS IN PATIENT CARE TO HELP IMPROVE PROCESS AND PATIENT OUTCOMES. -STROKE LUNCH AND LEARNS IN INTENSIVE CARE CENTER AND CARDIOVASCULAR INTENSIVE CARE UNIT WERE DONE PERIODICALLY THROUGHOUT THE YEAR FOCUSING ON STROKE DIAGNOSIS AND MEDICAL TREATMENT OF ACUTE STROKE PATIENTS. -STROKE NEWSLETTER DEVELOPED AND SENT OUT QUARTERLY TO ALL NURSES, HOSPITAL- WIDE, CONTAINING SPECIFIC TOPICS REGARDING STROKE EDUCATION. STRATEGY #2 - EDUCATE THE COMMUNITY ABOUT STROKE RECOGNITION AND EARLY ACTION MINIMIZING BRAIN DAMAGE. COMMUNITY EVENTS MAY INCLUDE WORKING WITH THE AREA OFFICE ON AGING, CHURCHES, SENIOR COMMUNITY CENTERS, ASSISTED LIVING COMMUNITIES, SCHOOLS, FACEBOOK, AND PHYSICIAN OFFICES. COLLABORATE WITH LOCAL EMS PROVIDERS TO EDUCATE THE COMMUNITY. ACTIONS TAKEN IN 2016: -PROVIDED EDUCATION AND MARKETING TO THE COMMUNITY REGARDING ST. LUKES PRIMARY STROKE CENTER ACCREDITATION THAT WAS AWARDED IN JUNE 2015 BY THE DNV/ISO ACCREDITATION AGENCY. -DISTRIBUTED HUNDREDS OF STROKE EDUCATIONAL BROCHURES AT THE 2016 AMERICAN HEART ASSOCIATION HEART WALK AND GO RED FOR WOMEN AND HEART DISEASE EVENT. -STROKE RISK ASSESSMENTS AND BLOOD PRESSURE SCREENINGS WERE CONDUCTED IN THE COMMUNITY AT VARIOUS HEALTH FAIRS INCLUDING ST. LUKES HEART HEALTH/ STROKE TABLE, KINGSTON REHAB AND ASSISTED LIVING FACILITIES IN PERRYSBURG, AND SYLVANIA AND AREA SENIOR CENTERS. -STROKE RISK ASSESSMENTS AND STROKE EDUCATION PROGRAM PROVIDED AT THE STRIKE OUT STROKE EVENT HELD AT THE TOLEDO MUD HENS GAME IN MAY 2016. -ON OCTOBER 29, 2016 FOR WORLD STROKE DAY, BLOOD PRESSURES AND STROKE RISK ASSESSMENTS WERE CONDUCTED IN THE OUTPATIENT SURGERY CENTER AT ST. LUKE'S HOSPITAL FOR EMPLOYEES AND VISITORS TO BE EDUCATED ON STROKE SIGNS & SYMPTOMS, RISK FACTORS AND PREVENTION. -STROKE INFORMATION PROVIDED ON NURSING UNIT INFORMATIONAL BOARDS AND IN THE EMERGENCY DEPARTMENT TO EDUCATE VISITORS AND FAMILIES REGARDING ST. LUKE'S STROKE INITIATIVES. -EDUCATIONAL BOARD IN EMERGENCY DEPARTMENT EMS BAY INITIATED FOR EMERGENCY MEDICAL SERVICE (EMS) PROVIDERS WHO RECEIVED MONTHLY STROKE EDUCATION PERTINENT TO PRE-HOSPITAL CARE OF THE STROKE PATIENT. -PROVIDED STROKE LUNCH 'N LEARNS FOR EMERGENCY DEPARTMENT AND INTENSIVE CARE CENTER NURSES AND PHYSICIANS FOR ONGOING STROKE EDUCATION AND TRAINING. -STROKE EDUCATION PRESENTATION AND STROKE RISK ASSESSMENTS GIVEN TO 45 MEMBERS OF A NATIONAL WOMENS PHILANTHROPIC ORGANIZATION WHO HAS A CHAPTER IN TOLEDO, OHIO; 40 MEMBERS OF THE ST. LUKES HOSPITAL PROSTATE SUPPORT GROUP, AND RESIDENTS OF BIRCHAVEN AND ST. CLARE COMMONS NURSING HOME FACILITIES AS PART OF THEIR MONTHLY EDUCATIONAL SERIES. -DURING STROKE MONTH IN MAY, A STROKE DINNER WAS HELD FOR MEMBERS OF THE COMMUNITY, AS WELL AS AREA NURSES AND HOSPITAL STAFF. THIS DINNER PROGRAM FOCUSED ON STROKE SURVIVORS AND CAREGIVERS AND PROVIDED STROKE EDUCATION AND RESOURCES TO AID IN THEIR RECOVERY. OVER 150 PEOPLE WERE IN ATTENDANCE AND THE PLAN IS TO CONTINUE TO PROVIDE THIS EVENT, ANNUALLY. STRATEGY #3 - CONTINUED THE CAROTID SCREENING PROGRAM. ACTIONS TAKEN IN 2016: ST. LUKES HOSPITAL CONDUCTED CAROTID SCREENS AT THE FEBRUARY 5, 2016 WEAR RED FOR WOMENS EVENT. 216 WOMEN ATTENDED THE EVENT. HEALTH NEED IDENTIFIED: CANCER SCREENINGS - SKIN AND COLORECTAL STRATEGY #1 - CONDUCT REGIONAL FREE SKIN CANCER SCREENING IN ST. LUKE'S HOSPITAL'S SERVICE AREA/ NORTHWEST OHIO. ACTIONS TAKEN IN 2016: 57 PEOPLE WERE SCREENED FOR SKIN CANCER ON ST. LUKES CAMPUS, AUGUST 20, 2016. (25 PEOPLE WERE RECOMMENDED FOR BIOPSIES.) ADDITIONALLY, ST. LUKES HOSPITAL DEVELOPED AND IMPLEMENTED A LOW DOSE C.T. SCAN PROGRAM TO HELP DETECT LUNG CANCER IN COMMUNITY MEMBERS. STRATEGY #2 - CONDUCT A PUBLIC EDUCATIONAL SESSION REGARDING RECTAL BLEEDING AND THE PREVENTION OF COLON CANCER. ACTIONS TAKEN: DR. HALL, COLON-RECTAL SURGEON, CONDUCTED A SEMINAR ON MARCH 30, 2016 REGARDING RECTAL BLEEDNG AND THE PREVENTION OF COLON CANCER. 55 COMMUNITY MEMBERS ATTENDED. STRATEGY #3 - PARTICIPATE IN THE LUCAS COUNTY COLORECTAL CANCER COALITION. ACTIONS TAKEN IN 2016: ST. LUKE'S, THROUGH A PROMEDICA REPRESENTATIVE, CONTINUED TO PARTICIPATE IN THE LUCAS COUNTY COLORECTAL CANCER COALITION. ST. LUKE'S STAFF PARTICIPATED IN THE MAUMEE/ LUCAS COUNTY AMERICAN CANCER SOCIETY "RELAY FOR LIFE" EVENT ON JUNE 18, 2016 AND THE KOMEN RACE FOR THE CURE ON SEPTEMBER 25, 2016. HEALTH NEED IDENTIFIED: GERIATRIC-RELATED DEMENTIA AND NUTRITION STRATEGY #1 - CONDUCT COMMUNITY MEMORY (AND SCREENING) EVENTS. ACTIONS TAKEN IN 2016: MEMORY SCREEN CONDUCTED (AND INFORMATION PROVIDED) AT THE APRIL 26, 2016 SENIOR SERVICE HEALTH FAIR. 50 COMMUNITY PARTICIPANTS AT THE APRIL 30, 2016 NAVIGATING THE CHALLENGES OF HEALTH CARE WITH DIANA WAUGH, WAUGH CONSULTING, A LONG-TERM CARE CONSULTING AGENCY. THE SEMINAR INCLUDED STRATEGIES ON HOW TO ADDRESS MEMORY LOSS/ DEMENTIA AND NUTRITION CHALLENGES WITH AGING PARENTS. 28 COMMUNITY PARTICIPANTS AT THE MAY 14, 2016 SEMINAR ENTITLED LIFE PLANNING AND ADVANCE DIRECTIVES WITH DR. CATHERINE CARRIGAN AND MR. MARTIN CARRIGAN, ESQ. WHO DISCUSSED MEMORY LOSS/ DEMENTIA, AMONG OTHER TOPICS. 81 COMMUNITY PARTICIPANTS AT THE JUNE 21, 2016 SEMINAR ENTITLED ALZHEIMERS AWARENESS WITH LYNN RITTER OF THE ALZHEIMERS ASSOCIATION OF NORTHWEST OHIO, CONDUCTED AT ST. LUKES HOSPITAL. ST. LUKES HOSPITAL WAS A SPONSOR AND PARICIPANT IN THE OCTOBER 8TH ALZHEIMERS WALK ON AT THE UNIVERSITY OF TOLEDO. STRATEGY #2 - MEET WITH KEY LOCAL GERIATRICS PROVIDERS SUCH AS AREA OFFICE ON AGING, MOBILE MEALS, ETC. TO IDENTIFY NEEDS AND CHALLENGES RELA | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANTI COAGULATION CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6005 MONCLOVA RD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | ANTI-COAGULATION SERVICES | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 | ST. LUKE'S HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS. PART II ST. LUKE'S HOSPITAL PROMOTED THE HEALTH OF ITS COMMUNITY BY ENGAGING IN ACTIVITIES THAT PROMOTE COMMUNITY BUILDING. PART III SECTION A LINE 2 ST. LUKE'S HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY. PART III SECTION A LINE 3 ST. LUKE'S HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE 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 4 PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGES 8 AND 9 OF THE ATTACHED ST. LUKES HOSPITAL HOLDING COMPANY, INC. 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 2016 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS. PART III SECTION C LINE 9B FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT. PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING. PART VI, LINE 2 ST. LUKES HOSPITAL HAS ACTIVELY PARTICIPATED IN THE LUCAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT 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. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING. B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. A PATIENT FINANCIAL ADVOCATE IS AVAILABLE AT THE HOSPITAL TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. THE PATIENT 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. D. A MESSAGE IS PRINTED ON 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. E. 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 |
| PART VI, LINE 4 | ST. LUKES HOSPITAL IS LOCATED IN MAUMEE, OHIO, WHICH IS IN THE SOUTHWEST PORTION OF LUCAS COUNTY. AS OF THE 2010 CENSUS, THERE WERE 441,815 PEOPLE, 180,267 HOUSEHOLDS, AND 111,016 FAMILIES RESIDING IN LUCAS COUNTY. THE RACIAL MAKEUP OF THE COUNTY WAS 74.0% WHITE, 19.0% BLACK OR AFRICAN AMERICAN, 1.5% ASIAN, 0.3% AMERICAN INDIAN, 2.0% FROM OTHER RACES, AND 3.1% FROM TWO OR MORE RACES. THE MEDIAN HOUSEHOLD INCOME AND PER CAPITA INCOME IN THE COUNTY WERE $46,806 AND $23,981, RESPECTIVELY. APPROXIMATELY, 14% OF FAMILIES AND 18% OF THE POPULATION WERE BELOW THE POVERTY LINE. BESIDES LUCAS COUNTY, ST. LUKES ALSO DRAWS A CONSIDERABLE NUMBER OF PATIENTS FROM WOOD COUNTY AND FULTON COUNTY. |
| PART VI, LINE 5 | ST. LUKES HOSPITAL HAS AN OPEN MEDICAL STAFF, AND AS OF DECEMBER 31, 2016, HAD 425 ACTIVE OR ASSOCIATE MEMBERS. ST. LUKES HOSPITAL HAS 16 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 HOSPITAL WAS AN INDEPENDENT ORGANIZATION UNTIL ITS 'JOINDER' WITH THE PROMEDICA SYSTEM ON SEPTEMBER 1, 2010. ST. LUKES HOSPITAL DIVESTED FROM THE PROMEDICA SYSTEM ON JULY 1, 2016, AND BECAME AN INDEPENDENT HOSPITAL ONCE AGAIN. ST. LUKES, CURRENTLY, IS NOT A PART OF ANY AFFILIATED HEALTH CARE SYSTEM. |
| PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: OHIO |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| THE TOLEDO ZOOLOGICAL SOCIETY | |||||||
| 2700 BROADWAY | TOLEDO | OH | 43609 | 344440256 | 501(C)(3) | $32,500 | CHARITABLE DONATION |
| LEADERSHIP TOLEDO | |||||||
| 316 ADAMS STREET | TOLEDO | OH | 43604 | 341197734 | 501(C)(3) | $10,000 | CHARITABLE DONATION |
| CARE ENTERPRISES INC | |||||||
| 5901 MONCLOVA ROAD | MAUMEE | OH | 43537 | 341366709 | 501(C)(3) | $66,560 | OPERATING SUPPORT |
| ST LUKE'S HOSPITAL FOUNDATION | |||||||
| 5901 MONCLOVA ROAD | MAUMEE | OH | 43537 | 341292849 | 501(C)(3) | $257,142 | OPERATING SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | DIRECT CASH ASSISTANCE | GrantTypeTxt |
| Recipient | 12 | RecipientCnt |
| Cash Grant | $16,762 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | AS AN AFFILIATE OF ST. LUKES HOLDING COMPANY, INC. (SLHC), FINANCE, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO SLHCS STRATEGIC BUSINESS PLAN AND CONSISTENT WITH FINANCE POLICIES AND PROCEDURES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATTISON MD TIMOTHY J | |||||||||||||
| TRUSTEE | $3,750 | $113,758 | $0 | $38,146 | $0 | $1,863 | $0 | $11,153 | $0 | $22,407 | $3,750 | $187,327 | |
| WAKEMAN DANIEL | |||||||||||||
| PRESIDENT/CEO, EX-OFFICIO | $149,588 | $188,904 | $50,000 | $95,026 | $1,474 | $3,182 | $0 | $40,954 | $1,663 | $14,884 | $202,725 | $342,950 | |
| BAZELEY MD STEPHEN P | |||||||||||||
| VP MEDICAL AFFAIRS | $98,899 | $0 | $2,000 | $0 | $838 | $0 | $4,321 | $0 | $13,343 | $0 | $119,401 | $0 | |
| TROSIN JILL | |||||||||||||
| VP PATIENT CARE/CNO | $82,526 | $105,920 | $6,000 | $37,864 | $1,069 | $2,056 | $0 | $15,760 | $405 | $6,750 | $90,000 | $168,350 | |
| EL-SAYED KHALED | |||||||||||||
| CARDIO SURGICAL ASSISTANT II | $125,742 | $0 | $500 | $0 | $1,203 | $0 | $12,145 | $0 | $23,192 | $0 | $162,782 | $0 | |
| WEBB PHD KEVIN C | |||||||||||||
| OFFICER (LEFT 7/1/16) | $0 | $497,931 | $0 | $205,085 | $0 | $13,735 | $0 | $120,129 | $0 | $14,857 | $0 | $851,737 | |
| JOHNSTON LORI A | |||||||||||||
| OFFICER (LEFT 7/1/16) | $0 | $360,388 | $0 | $103,166 | $0 | $29,883 | $0 | $113,252 | $0 | $22,670 | $0 | $629,359 | |
| LAURETO ROSE ANN | |||||||||||||
| OFFICER (LEFT 7/1/16) | $0 | $52,642 | $0 | $160,574 | $0 | $465,787 | $0 | $85,422 | $0 | $6,930 | $0 | $771,355 | $53,250 |
| SATTLER ALAN M | |||||||||||||
| OFFICER (LEFT 7/1/16) | $0 | $453,183 | $0 | $182,107 | $0 | $5,772 | $0 | $53,128 | $0 | $23,550 | $0 | $717,740 | |
| KUHN JEFFREY C | |||||||||||||
| OFFICER (LEFT 7/1/16) | $0 | $468,368 | $0 | $174,744 | $0 | $31,808 | $0 | $121,789 | $0 | $21,406 | $0 | $818,115 | |
| SCHWANKE DANIEL P | |||||||||||||
| KEY EMPLOYEE (LEFT 7/1/16) | $0 | $259,768 | $0 | $86,106 | $0 | $16,328 | $0 | $28,011 | $0 | $19,804 | $0 | $410,017 | |
| AKENBERGER GARY | |||||||||||||
| OFFICER (LEFT 7/1/16) | $0 | $334,448 | $0 | $103,978 | $0 | $22,790 | $0 | $70,694 | $0 | $21,859 | $0 | $553,769 | |
| HANLEY KATHLEEN S | |||||||||||||
| OFFICER (LEFT IN 2015) | $0 | $15,801 | $0 | $203,480 | $0 | $1,036,718 | $0 | $26,039 | $0 | $12,364 | $0 | $1,294,402 | $534,189 |
| EDJE MD LOUITO C | |||||||||||||
| OFFICER (LEFT 7/1/16) | $0 | $221,053 | $0 | $0 | $0 | $1,125 | $0 | $15,684 | $0 | $8,536 | $0 | $246,398 | |
| KATTAR MD RAJENDRA R | |||||||||||||
| OFFICER (LEFT 7/1/16) | $0 | $559,337 | $0 | $129,672 | $0 | $36,386 | $0 | $7,950 | $0 | $20,479 | $0 | $753,824 | |
| ARMSTRONG KENNETH | |||||||||||||
| KEY EMPLOYEE (LEFT 7/1/16) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| CHEN DAVID | |||||||||||||
| FIVE HIGHEST PD (LEFT 7/1/16) | $0 | $129,014 | $0 | $0 | $0 | $2,449 | $0 | $8,765 | $0 | $19,809 | $0 | $160,037 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | ST. LUKES HOSPITAL USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATIONS TOP MANAGEMENT OFFICIAL: - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD Part I, Line 4B Rose Ann Laureto and Kathleen S. Hanley both received nonqualified plan payments in the amount of $105,322 and $572,279 respectively and severance compensation in the amount of $340,566 and $462,102 respectively during the tax year. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LALAINE E MATTISON MD | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER | RelationshipDescriptionTxt |
| Transaction | $15,810 | TransactionAmt |
| Transaction | COMPENSATION | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF INTERESTED PERSON: LALAINE E. MATTISON, MD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: a. LALAINE E. MATTISON, MD (TRUSTEE) IS A FAMILY MEMBER OF TIMOTHY J. MATTISON, MD (TRUSTEE) (C) AMOUNT OF TRANSACTION: $15,810 (D) DESCRIPTION OF TRANSACTION: COMPENSATION (E) SHARING OF ORGANIZATION REVENUES: NO | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, PROGRAM SERVICE ACCOMPLISHMENTS | ST. LUKES HOSPITAL, A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIAZAION 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 2016, SLH ALSO HAD CHEST PAIN ACCREDITAION FROM THE SOCIETY OF CARDIOVASCULAR 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 10,495 INPATIENTS AND 197,948 OUTPATIENTS IN 2016. FURTHER, 36,780 INDIVIDUALS SOUGHT EMERGENCY CARE AT SLH. THE HOSPITAL CONTRIBUTED $8,403,164 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT SPONSORED, MEANS-TESTED HEALTHCARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONALS EDUCATION, SUBSUDIZED HEALTH SERVICES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, SLH CONTRIBUTED $2,875,150 TO THE COMMUNITY DURING 2016. INCLUDED IN THIS FIGURE ARE PROGRAMS AND EVENTS SUCH AS: -PARTICIPATION IN AMERICAN MEDICINE CHEST CHALLENGES, A MEDICATION DROP OFF EVENT, WHERE COMMUNITY MEMBERS DROP OFF EXPIRED AND UNUSED MEDICATIONS TO SAFELY DISPOSE OF DRUGS THAT POTENTIALLY MAY BE ABUSED. -DIABETES EDUCATION PROGRAMS OFFERED WEEKLY, AS WELL AS MONTHLY SUPPORT GROUPS FOR INDIVIDUALS RECENTLY DIAGNOSED WITH DIABETES. -SPONSORSHIP OF THE AMERICAN HEART ASSOCIATIONS GO RED FOR WOMEN EVENT IN SUPPORT OF WOMENS HEART HEALTH, AS WELL AS STRONG PARTICIPATION IN THE HEART WALK IN SUPPORT OF OVERALL HEART HEALTH. -SCREENING EVENTS FOR SKIN, CANCER AND INTRODUCTION OF LOW-DOSE CT SCAN FOR LUNG CANCER DETECTION. -TOBACCO CESSATION PROGRAMS AND SUPPORT GROUPS FOR COMMUNITY MEMBERS -A COURTESY VAN PROVIDED TO PATIENTS NEEDING TRANSPORTATION TO AND FROM THE HOSPITAL APPOINTMENTS AND TESTING -SENIOR SERVICE EDUCATION PROGRAMS COVERING TOPICS SUCH AS HEART DISEASE, COLO-RECTAL HEATLH, AGING, ALZHEIMERS/DEMENTIA, FALL PREVENTION, NUTRITION, AND STROKE PREVENTION. SLH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2016 OF WHICH $1,485,669(7a) 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 2016 WAS $1,671,030. THIS AMOUNT IS NOT INCLUDED IN THE $8,403,164(7ke) NOTED ABOVE. FURTHER, SLH PROVIDED $4,041,885(7b) OF COMMUNITY BENEFIT THROUGH COSTS NOT REIMBURSED BY THE GOVERNMENT FOR TREATING MEDICAID AND OTHER MEANS TESTED PATIENTS. ALSO IN 2016, THE TOTAL COSTS NOT REIMBURSED BY THE GOVERNMENT FOR TREATING MEDICARE PATIENTS WAS $8,545,653 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $8,403,164 NOTED ABOVE. DURING 2016, SLH EXPENDED $39,418,263 IN NET PAYROLL, PROVIDING 1,109 JOBS IN NORTHWEST OHIO. A TOTAL OF $2,410,833 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL EMPLOYEES. 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, HEATLH 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 GOVERHMENT 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 PROVIDIGN FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENT THAT DO NOT PAY THEIR BILL. GOVERNMENT SPONSORED HEALTH CARE GOVERNMENT-SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH FEDERAL, STATE AND LOCAL MEANS-TESTED PROGRAMS SUCH AS MEDICAID. ST. LUKES INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN ST. LUKES COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY ACCOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDES 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 1b LALAINE E. MATTISON, MD, TIMOTHY J. MATTISON, MD, THOMAS M. HOUSTON, 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. FORM 990, PART VI, SECTION A, LINE 4 ON JULY 1, 2016, ST. LUKES HOLDING CO., INC. (SLHC) ACQUIRED THE NET ASSETS OF ST. LUKES HOSPITAL, ST. LUKES HOSPITAL FOUNDATION, WELLCARE PHYSICIAN GROUP, LLC AND CARE ENTERPRISES, INC., COLLECTIVELY THE ACQUIREE. THE DIVESTITURE OF THE ACQUIREE AND SIMULTANEOUS ACQUISITION BY SLHC WAS REQUIRED BASED ON THE CHALLENGE OF THE ACQUISITION OF ST. LUKES HOSPITAL AND AFFILIATES IN 2010 BY PROMEDICA HEALTH SYSTEM, INC. (PHS). THE FEDERAL TRADE COMMISSION CONCLUDED DURING ITS REVIEW OF THE 2010 TRANSACTION THAT THE ACQUISITION BY PHS IMPEDED COMPETITION IN THE GREATER TOLEDO AREA. AS OF JULY 1, 2016, SLHC IS THE SOLE MEMBER OF ST. LUKES HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 St. Lukes Holding Company is the sole member of St. Luke's Hospital. FORM 990, PART VI, SECTION A, LINE 7A ST. LUKE'S HOLDING COMPANY, INC. (SLHC) IS THE PARENT CORPORATION AND SOLE MEMBER OF ST. LUKES 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. LUKES HOSPITAL AND (B) APPROVE THE NOMINEES TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES, A MAJORITY OF WHOM ARE NOMINATED BY ST. LUKES HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B WHILE THE BOARD OF TRUSTEES OF EACH CORPORATION IS GRANTED CERTAIN POWERS WITH RESPECT TO THEIR OPERATIONS, AS THE SOLE MEMBER, ST. LUKE'S HOLDING COMPANY, INC. (SLHC) RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (1) ADOPTION OF THE CORPORATION'S STRATEGIC PLANS AND FINANCIAL PLANS, (2) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC, (3) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE CORPORATION'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC, (4) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (5) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC AND (6) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION. FORM 990, PART VI, SECTION B, LINE 11B UNDER THE GUIDANCE OF ST. LUKE'S HOLDING COMPANY, INC. (SLHC) TAX CONSULTANTS, FORM 990'S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH SLHC SUBSIDIARY AND REVIEWED BY THE RESPECTIVE subsidiary's finance leadership along with an independent accounting firm. AFTER SUBSIDIARY'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR SLHC AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. subsidiary's finance leadership along with an independent accounting firm. AFTER SUBSIDIARY'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR SLHC AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ST LUKES HOLDING COMPANY, INC. (SLHC) AND SUBSIDIARIES HAVE STANDARDS OF CONDUCT 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 ADMINISTRATIVE DIRECTOR OF FINANCE AND COMPLIANCE OFFICER. SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, SUBSIDIARYS PRESIDENTS AND THE SLHC PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE ADMINISTRATIVE DIRECTOR OF FINANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE COMPLIANCE DEPARTMENT 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. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT AND COMPLIANCE COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. 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 MEMBERS 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 ANNUALLY (OR IMMEDIATELY IF NEW 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 QUESTIONNAIRE BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE ADMINISTRATIVE DIRECTOR OF FINANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT AND COMPLIANCE COMMITTEE. ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYEE STANDARD OF CONDUCT AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. THE HUMAN RESOURCES DEPARTMENT HAS ACCESS TO A REPORT THAT IDENTIFIES ALL NEW HIRES. A SAMPLE OF EMPLOYEES IS IDENTIFIED AND AN AUDIT IS CONDUCTED TO ENSURE THAT REQUIRED DOCUMENTATION IS ON FILE. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE ADMINISTRATIVE DIRECTOR OF FINANCE AND IF NECESSARY DISCUSSED WITH THE SUBSIDIARYS PRESIDENT IN WHICH THE EMPLOYEE WORKS, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR SLHC, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, 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 EMPLOYEES CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. EMPLOYED PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PHYSICIANS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PHYSICIAN CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE VICE PRESIDENT OF MEDICAL AFFAIRS AND THE VICE PRESIDENT AND CHIEF RELATIONS OFFICER WELLCARE PHYSICIANS GROUP, LLC (WELLCARE) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE ADMINISTRATIVE DIRECTOR OF FINANCE OF THE NUMBER OF ANNUAL PHYSICIAN CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT AND COMPLIANCE COMMITTEE ARE FORWARDED ACCORDINGLY. 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. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE VICE PRESIDENT AND CHIEF RELATIONS OFFICER, CHIEF OPERATING OFFICER OR THEIR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE ADMINISTRATIVE DIRECTOR OF FINANCE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR SLHC, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL BY THE PRESIDENT/CEO. RESULTS OF THE EMPLOYED PHYSICIAN AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE APPROPRIATE PHYSICIAN BY THE VICE PRESIDENT AND CHIEF RELATIONS OFFICER IN ADVANCE OF THE POSTING. THE VICE PRESIDENT AND CHIEF RELATIONS OFFICER OR DESIGNEE WILL PROVIDE THE PHYSICIAN-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE SLHC MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE ST. LUKES HOSPITAL WEBSITE (STLUKESHOSPITAL.COM) DATABASE BY THE SLHC MARKETING COMMUNICATION REPRESENTATIVE. |
| FORM 990, PART VI, SECTION B, LINE 15A | EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE ST. LUKES 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 JANUARY 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 19 | ST. LUKE'S HOLDING COMPANY, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | GENERAL $ 7,304,808 CONTR NPHYS 532,932 CONTR PHYS 7,365,673 COLLECTION 217 BILLING ALLOCATION 526,087 CONSULTANTS 3,838,827 LITHOTRIPTOR 97,250 SERVICE CONTRACTS 1,622,580 LAUNDRY 464,929 FOOD SVC MGT 351,382 TEMP AGENCY 2,981,132 TRANSPORTATION 1,175 REFERRED TESTING 368,175 OTHER 2,162,154 |
| FORM 990, PART XI, LINE 9 | PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT $(5,958,225) BENEFICIAL INTEREST IN FOUNDATION 7,705,254 DECONSOLIDATION OF ACQUIRED ASSETS 12,201,211 TRANSFER OF CONTRIBUTION LIABILITY (5,000,000) TOTAL 8,948,240 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| COBRA VENTURES LLC | |||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 204671613 | LAND LEASING | OH | $0 | $0 | ST LUKE HF |
| MIDWEST CARDIOVASCULAR CONSULTANTS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 611448753 | EMPLOYS PHYS | OH | $0 | $0 | PROMEDICA PG |
| PROMEDICA CENTRAL PHYSICIANS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341881137 | EMPLOYS PHYS | OH | $0 | $0 | PROMEDICA PG |
| PROMEDICA NORTHWEST OHIO CARDIOLOGY CONS | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 263888045 | EMPLOYS PHYS | OH | $0 | $0 | PROMEDICA PG |
| WELLCARE PHYSICIANS LLC | |||||||||
| 5901 MONCOLVA RD | MAUMEE | HI | 43537 | 611528443 | EMPLOYS PHYS | OH | $0 | $0 | ST LUKE HC |
| THE PHARMACY COUNTER LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 271325141 | MED EQUIP&PHA | OH | $0 | $0 | PROMEDICA PG |
| WOLFE CREEK ASSOCIATES LLC | |||||||||
| 901 KIMOLE LN | ADRIAN | MN | 49221 | 383164818 | FAC LEASING | OH | $0 | $0 | ELB MED CEN |
| PROMEDICA MONROE CARDIOLOGY PLLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 272920342 | EMPLOYS PHYS | MI | $0 | $0 | PROMEDICA PG |
| ERIE WEST HOSPICE & PALLIATIVE CARE LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 205752995 | HOSPICE CARE | OH | $0 | $0 | PROMED PCS |
| PROMEDICA PHYSICIANS MANAGEMENT SERVICES | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 453230331 | PRACTICE MGMT | OH | $0 | $0 | PROMEDICA PG |
| PROMEDICA SURGICAL SERVICES LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | EMPLOYS PHYS | OH | $0 | $0 | PROMEDICA PG | |
| MISSION POINTE GOLF COURSE LLC | |||||||||
| 2142 NORTH COVE | TOLEDO | OH | 43606 | GOLF COURSE | OH | $0 | $0 | PROMEDICA FD | |
| PROMEDICA INNOVATIONS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | INVEST CO | OH | $0 | $0 | PROMEDICA HS | |
| PROMEDICA GENITO-URINARY SURGEONS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 461120436 | EMPLOYS PHYS | OH | $0 | $0 | PROMEDICA PG |
| PROMEDICA MONROE PHYSICIANS PLLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 461111822 | EMPLOYS PHYS | MI | $0 | $0 | PROMEDICA PG |
| PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 454976786 | EMPLOYS PHYS | OH | $0 | $0 | PROMEDICA PG |
| PROMEDICA HOSPITALISTS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | EMPLOYS PHYS | OH | $0 | $0 | PROMEDICA PG | |
| PROMEDICA HOSPITALISTS PLLC | |||||||||
| 100 MADISON AVE | TOLEDO | HI | 43604 | EMPLOYS PHYS | MI | $0 | $0 | PROMEDICA PG | |
| MEMORIAL ANESTHESIA LTD | |||||||||
| 715 SOUTH TAFT AVE | FREMONT | OH | 43420 | 205763680 | EMPLOYS PHYS | OH | $0 | $0 | PROMEDICA PG |
| MEMORIAL PROFESSIONAL SERVICES LTD | |||||||||
| 715 SOUTH TAFT AVE | FREMONT | OH | 43420 | 273763993 | EMPLOYS PHYS | OH | $0 | $0 | PROMEDICA PG |
| PHS VENTURES LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341880473 | HC MGMT SVCS | DE | $0 | $0 | PROMEDICA HS |
| MARINA DISTRICT DEVELOPMENT LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341517671 | REAL ESTATE | OH | $0 | $0 | PROMEDICA HS |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BAY PARK COMMUNITY HOSPITAL | ||||||||||
| 2801 BAY PARK DR | OREGON | OH | 43616 | 341883132 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HS | false |
| CARE ENTERPRISES INC | ||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 341366709 | FAC LEASING | OH | 501(C)(3) | 12B | ST LUKE HC | false |
| DEFIANCE HOSPITAL AUXILIARY | ||||||||||
| 1200 RALSTON | DEFIANCE | OH | 43512 | 510173779 | HOSP/FDN SUPP | OH | 501(C)(3) | 12D | DEFIANCE HOS | false |
| DEFIANCE HOSPITAL INC | ||||||||||
| 1200 RALSTON | DEFIANCE | OH | 43512 | 344446484 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HS | false |
| EMMA L BIXBY MEDICAL CENTER | ||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 382796005 | HOSPITAL | MI | 501(C)(3) | 3 | PROMEDICA HS | false |
| EMMA L BIXBY MEDICAL CENTER AUXILIARY | ||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MN | 49221 | 382149602 | HOSP/FDN SUPP | MI | 501(C)(3) | 12B | ELB MED CEN | false |
| FLOWER HOSPITAL | ||||||||||
| 5200 HARROUN RD | SYLVANIA | OH | 43560 | 344428794 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HS | false |
| FOSTORIA HOSPITAL ASSOCIATION | ||||||||||
| 501 VAN BUREN STREET | FOSTORIA | OH | 44830 | 340898745 | HOSPITAL | OH | 501(C)(3) | 12A | PROMEDICA HS | false |
| FOSTORIA HOSPITAL AUXILIARY | ||||||||||
| PO BOX 907 | FOSTORIA | OH | 44830 | 346517634 | HOSP/FDN SUPP | OH | 501(C)(3) | 12A | FOSTORIA ASS | false |
| HERRICK MEDICAL CENTER AUXILIARY | ||||||||||
| 500 E POTTAWATAMIE ST | TECUMSEH | MI | 49286 | 383076105 | HOSP/FDN SUPP | MI | 501(C)(3) | 12B | HERRICK HOS | false |
| HERRICK MEMORIAL HOSPITAL INC | ||||||||||
| 500 E POTTAWATAMIE ST | TECUMSEH | MI | 49286 | 383049015 | HOSPITAL | MI | 501(C)(3) | 3 | PROMEDICA HS | false |
| LENAWEE LONG TERM CARE | ||||||||||
| 700 LAKESHIRE TR | ADRIAN | MI | 49221 | 382879330 | LT CARE | MI | 501(C)(3) | 10 | ELB MED CEN | false |
| PROMEDICA CONTINUING CARE SERVICES CORP | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 344492440 | LT CARE | OH | 501(C)(3) | 10 | PROMED PCS | false |
| PROMEDICA COURIER SERVICES INC | ||||||||||
| 3170 W CENTRAL AVE | TOLEDO | OH | 43606 | 260324790 | COURIER SVC | OH | 501(C)(3) | 12B | PROMED PCS | false |
| PROMEDICA HEALTH SYSTEM INC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341517671 | PARENT CO | OH | 501(C)(3) | 12B | NA | false |
| PROMEDICA INDEMNITY CORP | ||||||||||
| ONE CHURCH ST 5TH FLOOR | BURLINGTON | VT | 05401 | 341931936 | PROF&GEN LIAB | VT | 501(C)(3) | 12B | PROMEDICA HS | false |
| PROMEDICA PHYSICIANS AND CONTINUUM SERVI | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341880767 | PHYS MGMT SVC | OH | 501(C)(3) | 12B | PROMEDICA HS | false |
| PROMEDICA PHYSICIAN GROUP | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341899439 | PHYS HC SVCS | OH | 501(C)(3) | 10 | PROMEDICA HS | false |
| ST LUKE'S HOSPITAL FOUNDATION | ||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 341292849 | FOUNDATION | OH | 501(C)(3) | 12B | ST LUKE HC | false |
| ST LUKE'S HOLDING COMPANY INC | ||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 812599592 | PARENT CO | OH | 501(C)(3) | 12B | NA | false |
| PROMEDICA FOUNDATION | ||||||||||
| 444 N SUMMIT ST | TOLEDO | OH | 43604 | 341517672 | FOUNDATION | OH | 501(C)(3) | 12B | PROMEDICA HS | false |
| THE TOLEDO HOSPITAL | ||||||||||
| 2142 N COVE BLVD | TOLEDO | OH | 43606 | 344428256 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HS | false |
| TOLEDO DISTRICT NURSE ASSOCIATION | ||||||||||
| 1946 N 13TH STREET | TOLEDO | OH | 43624 | 344427949 | HOME CARE | OH | 501(C)(3) | 10 | PROMED PCS | false |
| VISITING NURSE HOSPICE AND HEALTH CARE | ||||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 341831624 | HOSPICE CARE | OH | 501(C)(3) | 10 | PROMED PCS | false |
| KAITLYN'S COTTAGE INC | ||||||||||
| 1260 RALSTON AVE | DEFIANCE | OH | 43512 | 454781053 | RESPITE CARE | OH | 501(C)(3) | 10 | DEFIANCE HOS | false |
| MEMORIAL HOSPITAL | ||||||||||
| 715 SOUTH TAFT AVE | FREMONT | OH | 43420 | 344430849 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HS | false |
| MONROE CANCER CENTER | ||||||||||
| 800 STEWART RD | MONROE | MI | 48162 | 271302183 | CANCER CENTER | MI | 501(C)(3) | 10 | MM HOS CORP | false |
| MONROE COMMUNITY HEALTH SERVICES | ||||||||||
| 718 N MACOMB | MONROE | MI | 48162 | 382934134 | LT CARE | OH | 501(C)(3) | 10 | MM HOS CORP | false |
| MERCY MEMORIAL HOSPITAL CORPORATION | ||||||||||
| 718 N MACOMB | MONROE | MI | 48162 | 381984289 | HOSPITAL | MI | 501(C)(3) | 3 | PROMEDICA HS | false |
| PARAMOUNT ADVANTAGE | ||||||||||
| 1901 INDIAN WOOD CIR | MAUMEE | OH | 43537 | 203376102 | HEALTH INS | OH | 501(C)(3) | 10 | PROMED INS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP | |||||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 382972398 | FAC LEASING | MI | ELB MED CEN | RELATED | false | false | 0.00000 | ||
| REYNOLDS ROAD SURGICAL CENTER LLC | |||||||||||||
| 2865 N REYNOLDS RD | TOLEDO | OH | 43615 | 311569454 | AMBUL SURG CTR | OH | TOLEDO HOSP | RELATED | false | false | 0.00000 | ||
| WATERVILLE MEDICAL CENTER LLC | |||||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 320160784 | FAC LEASING | OH | CARE ENT INC | RELATED | false | false | 0.00000 | ||
| NORTHWEST OHIO DEDICATED BREAST MRI LLC | |||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 260679898 | MEDICAL DIAG | OH | TOLEDO HOSP | RELATED | false | false | 0.00000 | ||
| WEST CENTRAL SURGICAL CENTER LLC | |||||||||||||
| 7055 W CENTRAL | TOLEDO | OH | 43617 | 200088459 | SURGICAL CTR | OH | TOLEDO HOSP | RELATED | false | false | 0.00000 | ||
| OHIO CARE AMBULATORY SURGICAL CENTER LLC | |||||||||||||
| 5959 MONCLOVA RD | MAUMEE | OH | 43537 | 341863472 | SURGICAL CTR | OH | st luke hos | RELATED | false | false | 0.54290 | $52,244 | $1,065,270 |
| LENAWEE PHYSICIAN HOSPITAL ORGANIZATION | |||||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MN | 49221 | 383605511 | PHYS MGMT SVCS | MI | ELB MED CEN | RELATED | false | false | 0.00000 | ||
| PROMEDICA SURGICAL SERVICES CO-MANAGEMEN | |||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 461989695 | PHYS MGMT SVCS | OH | PROMEDICA HS | RELATED | false | false | 0.00000 | ||
| EAST-WEST HOLDINGS LTD | |||||||||||||
| 715 SOUTH TAFT AVE | FREMONT | OH | 43420 | 204066818 | REAL ESTATE | OH | MEM HOSPITAL | RELATED | false | false | 0.00000 | ||
| SURGICAL INSTITUTE OF MONROE LLC | |||||||||||||
| 1051 S TELEGRAPH RD | MONROE | MI | 48161 | 270843485 | SURGICAL CTR | MI | PROMED PCS | RELATED | false | false | |||
| PROMEDICA MASTER TENANT LLC | |||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 475288490 | REAL ESTATE | OH | PROMED MGER | RELATED | false | false | 0.00000 | ||
| PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC | |||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 473163945 | REAL ESTATE | OH | PROMED MGER | RELATED | false | false | 0.00000 | ||
| ROCKET VENTURE FUND II LLC | |||||||||||||
| 2865 N REYNOLDS RD STE 220 | TOLEDO | OH | 43615 | 475603627 | INVEST FUND | OH | PROMEDICA HS | RELATED | false | false | 0.00000 | ||
| APM PLUS LLC | |||||||||||||
| 1120 G ST NW STE 1000 | WASHINGTON | DE | 20005 | 813082229 | MED REIMBURS | DE | PROMEDICA HS | UNRELATED | false | false | 0.00000 | ||
| KAPION LLC | |||||||||||||
| 2865 N REYNOLDS RD | TOLEDO | OH | 43615 | 812624635 | SFTWARE DEV | OH | PROMEDICA HS | UNRELATED | false | false | 0.00000 | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CARE HOLDINGS | ||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 341796790 | HOLDING CO | OH | ST LUKE HC | C CORP | 0.00000 | false |
| HERRICK MEMORIAL DEVELOPMENT CORP | ||||||||||
| 500 E POTTAWATAMIE TR | ADRIAN | MI | 49221 | 383146907 | FAC LEASING | MI | ELB MED CEN | C CORP | 0.00000 | false |
| LHA PHYSICIAN SERVICES CORPORATION | ||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 611451576 | PHYS BILLING | MI | ELB MED CEN | C CORP | 0.00000 | false |
| PHYSICIANS ADVANTAGE MSO | ||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 061811760 | PHYS MGMT SVCS | OH | ST LUKE HC | C CORP | 0.00000 | false |
| PROMEDICA CENTRAL CORPORATION OF MICHIGA | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383322278 | PHYS HC SERV | OH | PROMEDICA PG | C CORP | 0.00000 | false |
| PROMEDICA INSURANCE CORP INC AND SUBS | ||||||||||
| 1901 INDIAN WOOD CIR | MAUMEE | OH | 43537 | 341570675 | HC INSURANCE | OH | PROMEDICA HS | C CORP | 0.00000 | false |
| PROMEDICA NORTH PHYSICIAN CORPORATION | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383482148 | PHYS HC SVCS | OH | PROMEDICA PG | C CORP | 0.00000 | false |
| PROMEDICA RETAIL GROUP INC | ||||||||||
| 3890 MONROE ST | TOLEDO | OH | 43606 | 341159928 | FLORIST | OH | PROMED PCS | C CORP | 0.00000 | false |
| HERRICK MEMORIAL OFFICE PLAZA CONDOMINIU | ||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 383639616 | FAC MGMT | MI | HERRICK HOS | C CORP | 0.00000 | false |
| PROMEDICA HEALTH NETWORK INC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 474006496 | PHYS MGMT SVCS | OH | PROMEDICA HS | C CORP | 0.00000 | false |
| MONROE HEALTH VENTURES | ||||||||||
| 718 N MACOMB | MONROE | MI | 48164 | 382704426 | PHARMACY | MI | MM HOS CORP | C CORP | 0.00000 | false |
| PROMEDICA MANAGER MEMBER LLC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 475168737 | REAL ESTATE | OH | PROMEDICA HS | C CORP | 0.00000 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |