ST LUKE'S HOSPITAL FOUNDATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ST LUKE'S HOSPITAL FOUNDATION (EIN 34-1292849)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201703199349301175
- 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 D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T07:04:59-06:00 | 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 | 341292849 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL FOUNDATION | 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 | 4198935900 | 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 | 35027420173195000000 | 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 | 2021-01-29 14:40:06Z | 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 | $49,734,881 | 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 | 1979 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | ST. LUKE'S HOSPITAL FDN, THROUGH ITS SUPPORT OF ST. LUKE'S HOSPITAL, CONTRIBUTES TO THE PROVISION OF HEALTH CARE AND ENHANCING THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 32 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $484,293 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,142,476 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $976,413 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,568,390 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$6,704 | PYOtherRevenueAmt |
| CY Other Revenue | -$6,881 | CYOtherRevenueAmt |
| PY Total Revenue | $1,454,002 | PYTotalRevenueAmt |
| CY Total Revenue | $3,703,985 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $284,335 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $231,149 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $103,227 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $119,555 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $89,408 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $94,669 | PYOtherExpensesAmt |
| CY Other Expenses | $52,399 | CYOtherExpensesAmt |
| PY Total Expenses | $482,231 | PYTotalExpensesAmt |
| CY Total Expenses | $403,103 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $971,771 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,300,882 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,140,924 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,927,980 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,076,564 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $86,759 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,064,360 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $23,841,221 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ST. LUKES HOSPITAL FOUNDATION IS DEDICATED TO SECURING RESOURCES TO SUPPORT THE HEALING AND CHARITABLE MISSION OF ST. LUKES HOSPITAL FOR THE COMMUNITIES IT SERVES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $231,149 | ExpenseAmt |
| Grant | $231,149 | GrantAmt |
| Desc | ST. LUKE'S HOSPITAL FOUNDATION, THROUGH ITS SUPPORT OF ST. LUKE'S HOSPITAL, CONTRIBUTES TO THE PROVISION OF HEALTH CARE AND ENHANCING THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | N/A | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | N/A | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $231,149 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| 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 | false | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | false | InvestmentInJointVentureInd |
| 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 (21 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| BACHEY JOHN | |||||||||
| EX-OFFICIO | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| BLACK CHRISTINE L | |||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| BURKE HAL D | |||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| COOPER MICHELE G | |||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| COYLE-STAMOS MEGAN M | |||||||||
| CHAIRPERSON | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| EMERY JEAN M | |||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JINDAL MD VALENTINA | |||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LAWLESS CHRISTINA L | |||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MCWEENY PHILIP | |||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| RAMBO GLENN L | |||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| REED DAVID A | |||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SEYMOUR DALE J | |||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| WAKEMAN DANIEL | |||||||||
| PRESIDENT/CEO, EX-OFFICIO | 1.0 | 43.0 | Yes (X) | $0 | $488,174 | $57,501 | Yes (X) | ||
| CATES GARY M | |||||||||
| EX-OFFICIO (LEFT 07/1/16) | 1.0 | 41.0 | Yes (X) | $0 | $402,678 | $78,755 | |||
| WEBB PHD KEVIN C | |||||||||
| EX-OFFICIO (LEFT 07/1/16) | 1.0 | 52.0 | Yes (X) | $0 | $716,751 | $134,986 | |||
| LANGHORST TIMOTHY L | |||||||||
| TRUSTEE (LEFT 07/1/16) | 1.0 | 40.0 | Yes (X) | $0 | $191,930 | $36,165 | |||
| SATTLER ALAN M | |||||||||
| OFFICER (LEFT 07/1/16) | 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) | |||
| DANSACK MARTIN | |||||||||
| KEY EMPLOYEE (LEFT 07/1/16) | 0.5 | 41.0 | $0 | $240,181 | $287,344 | Yes (X) | |||
| JOHNSTON LORI A | |||||||||
| KEY EMPLOYEE (LEFT 07/1/16) | 0.0 | 41.5 | $0 | $493,437 | $135,922 | 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 | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,105,132 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $988,949 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $6,812 | FederatedCampaignsAmt |
| Fundraising | $53,239 | FundraisingAmt |
| Related Organizations | $257,142 | RelatedOrganizationsAmt |
| All Other Contributions | $1,825,283 | AllOtherContributionsAmt |
| Total Contributions | $2,142,476 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $261,654 | TotalRevenueColumnAmt |
| Exclusion | $261,654 | 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 | $5,700 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,877 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $823 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $823 | TotalRevenueColumnAmt |
| Exclusion | $823 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $47,307,981 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $46,001,245 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,306,736 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,306,736 | TotalRevenueColumnAmt |
| Exclusion | $1,306,736 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $17,070 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $53,239 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $24,774 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,704 | TotalRevenueColumnAmt |
| Exclusion | -$7,704 | ExclusionAmt |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,703,985 | TotalRevenueColumnAmt |
| Exclusion | $1,561,509 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,247 | TotalAmt |
| Program Services | $199,247 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,902 | TotalAmt |
| Program Services | $31,902 | 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 | $0 | TotalAmt |
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 | $89,510 | TotalAmt |
| Management And General | $29,834 | ManagementAndGeneralAmt |
| Fundraising | $59,676 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,562 | TotalAmt |
| Management And General | $3,520 | ManagementAndGeneralAmt |
| Fundraising | $7,042 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,732 | TotalAmt |
| Management And General | $3,910 | ManagementAndGeneralAmt |
| Fundraising | $7,822 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,751 | TotalAmt |
| Management And General | $7,751 | 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 | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $13,662 | TotalAmt |
| Management And General | $13,662 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,288 | TotalAmt |
| Fundraising | $3,288 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,615 | TotalAmt |
| Management And General | $3,615 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,662 | TotalAmt |
| Management And General | $284 | ManagementAndGeneralAmt |
| Fundraising | $1,378 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,063 | TotalAmt |
| Management And General | $12,063 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $825 | TotalAmt |
| Management And General | $825 | 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 | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $2,362 | $2,362 | |
| INTERCOMPANY SERVICES | $990 | $990 | |
| OTHER EXPENSES | $13,932 | $7,840 | $6,092 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,103 | TotalAmt |
| Program Services | $231,149 | ProgramServicesAmt |
| Management And General | $82,546 | ManagementAndGeneralAmt |
| Fundraising | $89,408 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,571 | BOYAmt |
| EOY | $123,320 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,702,420 | BOYAmt |
| EOY | $2,141,514 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,647 | BOYAmt |
| EOY | $38,016 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $960,000 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $480,000 | BOYAmt |
| EOY | $960,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,795,979 | BOYAmt |
| EOY | $19,143,162 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,307 | BOYAmt |
| EOY | $1,521,968 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,140,924 | BOYAmt |
| EOY | $23,927,980 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,282 | BOYAmt |
| EOY | $5,131 | 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 | $0 | 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 | $5,059,282 | BOYAmt |
| EOY | $81,628 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,076,564 | BOYAmt |
| EOY | $86,759 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,833,222 | BOYAmt |
| EOY | $21,264,278 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,231,138 | BOYAmt |
| EOY | $1,111,130 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,465,813 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,064,360 | BOYAmt |
| EOY | $23,841,221 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,140,924 | BOYAmt |
| EOY | $23,927,980 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,300,882 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,004,021 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,480,000 | 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 344428232 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $199,184 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $199,184 | SupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | false | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, SECTION C, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ST. LUKES HOSPITAL FOUNDATION IS AN OHIO NOT-FOR-PROFIT CORPORATION THAT OPERATES TO BENEFIT AND CARRY OUT THE PURPOSES OF ST. LUKES HOSPITAL (SLH) OR ANY OTHER SUCCESSOR INSTITUTION. SLH IS AN OHIO NOT-FOR-PROFIT CORPORATION DESCRIBED IN CODE SECTION 501(C)(3) THAT IS NOT A PRIVATE FOUNDATION BECAUSE IT IS DESCRIBED IN CODE SECTION 509(A)(1). ON JULY 1, 2016 ST. LUKES HOLDING COMPANY, 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. SLHC IS THE SOLE MEMBER OF ST. LUKES HOSPITAL FOUNDATION AND IS THE PARENT OF AN INTEGRATED HEALTH CARE DELIVERY NETWORK MADE UP OF AN AFFILIATED GROUP OF EXEMPT ORGANIZATIONS WHICH INCLUDE A HOSPITAL, HEALTH CARE PROVIDERS, SPECIALIZED HEALTH SERVICES, AN ENTITY PROVIDING SUPPORT SERVICES AND A FOUNDATION. SLHC PROVIDES OVERALL DIRECTION, MANAGEMENT AND CONTROL TO ITS FIRST-TIER SUBSIDIARIES, AND INDIRECTLY THROUGH ITS FIRST-TIER SUBSIDIARIES, TO ALL AFFILIATED SECOND TIER SUBSIDIARIES OF EACH FIRST-TIER SUBSIDIARIES. THE ACTIVITIES OF SLHC SUPPORT THE EXEMPT PURPOSES OF THE AFFILIATED ORGANIZATIONS IN THE SLHC NETWORK AND ENHANCE AND IMPROVE THE DELIVERY OF EFFECTIVE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED BY THE SLHC NETWORK. CONTROL AND MANAGEMENT EFFECTIVELY IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ALL SUBSIDIARY ORGANIZATIONS THROUGH RESERVED POWERS. SLHC HAS RESERVED POWERS IN EACH SUBSIDIARYS CODE OF REGULATIONS OR BYLAWS ALONG WITH THE RIGHT TO APPROVE CERTAIN ACTIONS OF EACH SUBSIDIARYS BOARD OF TRUSTEES. THE FIRST-TIER SUBSIDIARYS HAVE IN TURN RESERVED SIMILAR POWERS OVER THE SECOND-TIER SUBSIDIARIES TO INTEGRATE OVERALL DIRECTION, MANAGEMENT AND CONTROL. ST. LUKES HOSPITAL FOUNDATION QUALIFIES AS A TYPE II SUPPORTING ORGANIZATION BECAUSE IT IS SUPERVISED AND CONTROLLED IN CONNECTION WITH ALL ORGANIZATIONS THAT ARE EXEMPT AFFILIATED MEMBERS OF SLHC. COMMON SUPERVISION AND CONTROL ARE SHARED THROUGH THE STRUCTURAL RELATIONSHIP OF SLHC. THERE HAS ALSO BEEN A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN ST. LUKES HOSPITAL FOUNDATION AND ST. LUKES HOSPITAL AND A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE ORGANIZATIONS AS A RESULT OF THIS RELATIONSHIP SUPPORTING COMMON CONTROL CONSISTENT WITH TYPE II SUPPORTING ORGANIZATION CLASSIFICATION. ST. LUKES HOSPITAL FOUNDATION HAS MAINTAINED, AND WILL CONTINUE TO MAINTAIN, A SIGNIFICANT INVOLVEMENT IN EACH SUPPORTED ORGANIZATIONS OPERATIONS. | ExplanationTxt |
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 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 | $960,000 | InvestmentCostOrOtherBasisAmt |
| Book Value | $960,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $960,000 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $41,908 |
| OTHER RECEIVABLES | $11,709 |
| CASH VALUE OF LIFE INSURANCE | $2,538 |
| RESTRICTED FUNDS | $1,465,813 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,521,968 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $81,628 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $81,628 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | ST. LUKE'S HOSPITAL FOUNDATION IS INCLUDED IN THE CONSOLIDATED AUDITED STATEMENTS OF ST LUKE'S HOLDING COMPANY, INC (SLHC) AND IS INCORPORATED UNDER THE LAWS OF THE STATE OF OHIO. SLHC AND ITS WHOLLY OWNED SUBSIDIARIES, ST LUKE'S HOSPITAL, ST. LUKE'S HOSPITAL FOUNDATION AND CARE ENTERPRISES, INC. ARE NONPROFIT CORPORATIONS AND ARE EXEMPT FROM STATE AND LOCAL TAXES. THE IRS HAS DETERMINED THAT SLHC, ST LUKE'S HOSPITAL, ST. LUKE'S 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 SLHC'S 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 SLHC'S AUDITED FINANCIAL STATEMENTS. ST. LUKE'S HOSPITAL FOUNDATION DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2016. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $70,309 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $53,239 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $17,070 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $50 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $1,423 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $7,715 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $15,586 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $70,309 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $53,239 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $17,070 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $50 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $1,423 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $7,715 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $15,586 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $24,774 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$7,704 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| 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 RD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 344428232 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $199,184 | CashGrantAmt |
| Purpose Of Grant | OPERATING/CAPITAL GRANT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 18 | RecipientCnt |
| Cash Grant | $31,902 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
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) CORPORATE POLICIES EXIST TO ENSURE THAT THE APPROVAL, DISTRIBUTION AND MANAGEMENT OF GRANT FUNDS IS CONSISTENT WITH THE AGREED UPON CONSTRAINTS OF THE GRANT/CONTRACT. REQUESTS FOR GRANT FUNDING ARE SUBMITTED AND APPROVED BASED ON GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AND FEDERAL AND STATE REGULATIONS GOVERNING THE USE OF GRANT FUNDS TO ENSURE THAT THEY MEET THE REQUIREMENTS OF THE RESPECTIVE GRANT/CONTRACT. GRANT FILES ARE MAINTAINED BY THE ST. LUKES HOSPITAL FOUNDATION DEPARTMENT WHICH IS RESPONSIBLE TO PREPARE/SUBMIT FISCAL REPORTS AS REQUIRED BY THE FUNDING AGENCY. | 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 (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WAKEMAN DANIEL | ||||||||||||||
| PRESIDENT/CEO, EX-OFFICIO | $0 | $338,492 | $0 | $145,026 | $0 | $4,656 | $0 | $40,954 | $0 | $16,547 | $0 | $545,675 | $0 | $0 |
| CATES GARY M | ||||||||||||||
| EX-OFFICIO (LEFT 07/1/16) | $0 | $261,598 | $0 | $96,415 | $0 | $44,665 | $0 | $57,948 | $0 | $20,807 | $0 | $481,433 | ||
| WEBB PHD KEVIN C | ||||||||||||||
| EX-OFFICIO (LEFT 07/1/16) | $0 | $497,931 | $0 | $205,085 | $0 | $13,735 | $0 | $120,129 | $0 | $14,857 | $0 | $851,737 | ||
| LANGHORST TIMOTHY L | ||||||||||||||
| TRUSTEE (LEFT 07/1/16) | $0 | $80,287 | $0 | $38,259 | $0 | $73,384 | $0 | $30,001 | $0 | $6,164 | $0 | $228,095 | ||
| SATTLER ALAN M | ||||||||||||||
| OFFICER (LEFT 07/1/16) | $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 | ||
| DANSACK MARTIN | ||||||||||||||
| KEY EMPLOYEE (LEFT 07/1/16) | $0 | $153,777 | $0 | $37,098 | $0 | $49,306 | $0 | $267,368 | $0 | $19,976 | $0 | $527,525 | ||
| 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 | |
| JOHNSTON LORI A | ||||||||||||||
| KEY EMPLOYEE (LEFT 07/1/16) | $0 | $360,388 | $0 | $103,166 | $0 | $29,883 | $0 | $113,252 | $0 | $22,670 | $0 | $629,359 | ||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3: | FormAndLineReferenceDesc |
| Explanation | ST. LUKE'S HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION OF ST. LUKE'S HOSPITAL FOUNDATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD PART I, LINE 4A: IN 2016, MARTIN DANSACK AND KATHLEEN HANLEY RECEIVED A SEVERANCE PAYOUT IN THE AMOUNT OF $9,800 AND $462,102, RESPECTIVELY. PART I, LINE 4B: ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(f). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE, COMPENSATION LIMIATATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. KATHLEEN HANLEY RECEIVED A NONQUALIFIED payment IN AMOUNT OF $572,279 during the tax year. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1B: | DANIEL L. WAKEMAN IS A COMPENSATED EMPLOYEE OF A RELATED ORGANIZATION, AND AS SUCH, IS CONSIDERED A NON-INDEPENDENT BOARD MEMBER. FORM 990, PART VI, SECTION A, LINE 2: GARY M. CATES AND MICHELE G. COOPER HAVE A BUSINESS 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 FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 6: | ST. LUKE'S HOLDING CO., INC. IS THE SOLE MEMBER OF ST. LUKES HOSPITAL FOUNDATION. |
| 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 FOUNDATION. 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 FOUNDATION, AND (B) APPROVE THE NOMINEES TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES, A MAJORITY OF WHOM ARE NOMINATED BY ST. LUKES HOSPITAL FOUNDATION. |
| 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 11: | UNDER THE GUIDANCE OF ST. LUKE'S HOLDING COMPANY, INC. (SLHC) TAX CONSULTANTS, FORM 990'S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH SLHC SUBSIDIARY AND REVIEWED BY THE RESPECTIVE SUBSIDIARY'S FINANCE LEADERSHIP ALONG WITH AN INDEPENDENT ACCOUNTING FIRM. AFTER SUBSIDIARY'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR SLHC AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C: | ST 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 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 EXMPLOYED 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 15: | ST. LUKES HOSPITAL FOUNDATIONS TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY ST. LUKES HOSPITAL (SLH), A RELATED TAX EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF ST. LUKES HOSPITAL FOUNDATIONS TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY AN EXECUTIVE COMMITTEE OF THE BOARD OF SLH. 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 SLH 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 C, LINE 19: | ST. LUKE'S HOLDING COMPANY, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: | OTHER CHANGES IN NET ASSETS OR FUND BALANCES: INHERENT CONTRIBUTION OF ACQUIRED ASSETS $480,000 TRANSFER OF CONTRIBUTION LIABILITY $5,000,000 |
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 | $5,700 | $737,404 | 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 | OH | 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 | MI | 49221 | 383164818 | FAC LEASING | MI | $0 | $0 | ELB MED CEN |
| PROMEDICA MONROE CARDIOLOGY PLLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 272920342 | EMPLOYS PHYS | OH | $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 | OH | $0 | $0 | PROMEDICA PG |
| PROMEDICA MULTI-SPECIALTY PHYSICIANS LL | |||||||||
| 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 | OH | 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 | OH | $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 (31 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 | MI | 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) | 3 | 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 | ||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 344428232 | HOSPITAL | OH | 501(C)(3) | 3 | ST LUKE HC | false |
| ST LUKE'S HOSPITAL FOUNDATION | ||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 341292849 | FOUNDATION | OH | 501(C)(3) | 12B | ST LUKE HC | false |
| ST LUKE'S HOLDING COMPANY INC | ||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 812599592 | PARENT CO | OH | 501(C)(3) | 12B | NA | false |
| 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 | MI | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP | ||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 382972398 | FAC LEASING | MI | ELB MED CEN | RELATED | false | false |
| REYNOLDS ROAD SURGICAL CENTER LLC | ||||||||||
| 2865 N REYNOLDS RD | TOLEDO | OH | 43615 | 311569454 | AMBUL SURG CTR | OH | TOLEDO HOSP | RELATED | false | false |
| WATERVILLE MEDICAL CENTER LLC | ||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 320160784 | FAC LEASING | OH | CARE ENTERPRISE | RELATED | false | false |
| NORTHWEST OHIO DEDICATED BREAST MRI LLC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 260679898 | MEDICAL DIAG | OH | TOLEDO HOSP | RELATED | false | false |
| WEST CENTRAL SURGICAL CENTER LLC | ||||||||||
| 7055 W CENTRAL | TOLEDO | OH | 43617 | 200088459 | SURGICAL CTR | OH | TOLEDO HOSP | RELATED | false | false |
| OHIO CARE AMBULATORY SURGICAL CENTER LL | ||||||||||
| 5959 MONCLOVA RD | MAUMEE | OH | 43537 | 341863472 | SURGICAL CTR | OH | NA | RELATED | false | false |
| LENAWEE PHYSICIAN HOSPITAL ORGANIZATION | ||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 383605511 | PHYS MGMT SVCS | MI | ELB MED CEN | RELATED | false | false |
| PROMEDICA SURGICAL SERVICES CO-MANAGEMEN | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 461989695 | PHYS MGMT SVCS | OH | PROMEDICA HS | RELATED | false | false |
| EAST-WEST HOLDINGS LTD | ||||||||||
| 715 SOUTH TAFT AVE | FREMONT | OH | 43420 | 204066818 | REAL ESTATE | OH | MEM HOSPITAL | RELATED | false | false |
| 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 |
| PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 473163945 | REAL ESTATE | OH | PROMED MGER | RELATED | false | false |
| ROCKET VENTURE FUND II LLC | ||||||||||
| 2865 N REYNOLDS RD STE 220 | TOLEDO | OH | 43615 | 475603627 | INVEST FUND | OH | PROMEDICA HS | RELATED | false | false |
| APM PLUS LLC | ||||||||||
| 1120 G ST NW STE 1000 | WASHINGTON | DC | 20005 | 813082229 | MED REIMBURS | DC | PROMEDICA HS | UNRELATED | false | false |
| KAPION LLC | ||||||||||
| 2865 N REYNOLDS RD | TOLEDO | OH | 43615 | 812624635 | SFTWARE DEV | OH | PROMEDICA HS | UNRELATED | false | false |
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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARE HOLDINGS | ||||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 341796790 | HOLDING CO | OH | ST LUKE HC | C CORP | $0 | $0 | 1.00000 | false |
| HERRICK MEMORIAL DEVELOPMENT CORP | ||||||||||||
| 500 E POTTAWATAMIE TR | ADRIAN | MI | 49221 | 383146907 | FAC LEASING | MI | ELB MED CEN | C CORP | $0 | $0 | false | |
| LHA PHYSICIAN SERVICES CORPORATION | ||||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 611451576 | PHYS BILLING | MI | ELB MED CEN | C CORP | $0 | $0 | false | |
| PHYSICIANS ADVANTAGE MSO | ||||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 061811760 | PHYS MGMT SVCS | OH | ST LUKE HC | C CORP | $0 | $0 | 1.00000 | false |
| PROMEDICA CENTRAL CORPORATION OF MICHIGA | ||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383322278 | PHYS HC SERV | OH | PROMEDICA PG | C CORP | $0 | $0 | false | |
| PROMEDICA INSURANCE CORP INC AND SUBS | ||||||||||||
| 1901 INDIAN WOOD CIR | MAUMEE | OH | 43537 | 341570675 | HC INSURANCE | OH | PROMEDICA HS | C CORP | $0 | $0 | false | |
| PROMEDICA NORTH PHYSICIAN CORPORATION | ||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383482148 | PHYS HC SVCS | OH | PROMEDICA PG | C CORP | $0 | $0 | false | |
| PROMEDICA RETAIL GROUP INC | ||||||||||||
| 3890 MONROE ST | TOLEDO | OH | 43606 | 341159928 | FLORIST | OH | PROMED PCS | C CORP | $0 | $0 | false | |
| HERRICK MEMORIAL OFFICE PLAZA CONDOMINIU | ||||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 383639616 | FAC MGMT | MI | HERRICK HOS | C CORP | $0 | $0 | false | |
| PROMEDICA HEALTH NETWORK INC | ||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 474006496 | PHYS MGMT SVCS | OH | PROMEDICA HS | C CORP | $0 | $0 | false | |
| MONROE HEALTH VENTURES | ||||||||||||
| 718 N MACOMB | MONROE | MI | 48164 | 382704426 | PHARMACY | MI | MM HOS CORP | C CORP | $0 | $0 | false | |
| PROMEDICA MANAGER MEMBER LLC | ||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 475168737 | REAL ESTATE | OH | PROMEDICA HS | C CORP | $0 | $0 | 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 | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | 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 | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |