2013-11-14T11:48:36-06:00 2012-12-31 990 2012-01-01 760536234 ST LUKES COMMUNITY HEALTH SERVICES % STEPHEN PICKETT STLU 8323552042 6624 FANNIN Suite 1100 HOUSTON TX 77030 stephen pickett 2013-11-11 2012 2016-02-24 21:20:13Z St Luke's The woodlands Hospital DAVID j FINE 6624 FANNIN street suite 1100 HOUSTON TX 77030 170772894 false X WWW.SLEH.COM X 1997 TX ST. LUKE'S THE WOODLANDS HOSPITAL, SERVING ALL GOD'S CHILDREN AS THE HEALTH MINISTRY OF THE EPISCOPAL DIOCESE OF TEXAS, SEEKS TO RAISE THE QUALITY OF LIFE BY ENHANCING COMMUNITY HEALTH THROUGH SUPERIOR SERVICE 10 9 1052 317 973383 525747 100000 0 159809122 172075517 -2848069 -2830827 386955 691122 157448008 169935812 487166 1799372 0 0 53315240 58443031 0 0 0 90340384 96261169 144142790 156503572 13305218 13432240 169198889 179556380 169413610 166338861 -214721 13217519 ST. LUKE'S THE WOODLANDS HOSPITAL, SERVING ALL GOD'S CHILDREN AS THE HEALTH MINISTRY OF THE EPISCOPAL DIOCESE OF TEXAS, SEEKS TO RAISE THE QUALITY OF LIFE BY ENHANCING COMMUNITY HEALTH THROUGH THE DELIVERY OF SUPERIOR VALUE HEALTH SERVICES. IN PARTNERSHIP WITH OUR MEDICAL STAFF, WE ARE DEDICATED TO EXCELLENCE AND COMPASSION IN CARING FOR THE WHOLE PERSON - MIND, BODY, AND SPIRIT. WE ARE ALSO COMMITTED TO THE GROWTH AND DEVELOPMENT OF OUR EMPLOYEES, AND TO SECURING THE HEALTH OF FUTURE GENERATIONS BY CREATING, APPLYING, AND DISSEMINATING HEALTH KNOWLEDGE THROUGH EDUCATION AND RESEARCH. false false 124866110 1799372 171549476 STATS Admissions 11,920 Emergency Room Visits 37,967 Surgeries 4,975 Births 1,804 Outpatient Visits 62,285 U.S. News & World Report named SLWH as one of the Top 10 hospitals in the Houston Metro Area with special recognition for its high-performing Neurology & Neurosurgery and Orthopedic services. In October, SLWH was awarded the Texas Mother-Friendly Worksite designation for its commitment to improving the health of newborns and infants. The new St. Luke's Performance Medicine facility, an outpatient department of SLWH, celebrated its multi-million dollar expansion and renovation with a ribbon-cutting ceremony in October. The 7,000-square-foot facility, formerly known as Tektonic Athletic Development and Rehabilitation, specializes in sports medicine, physical rehabilitation, sports performance assessment and training. The center also features a Human Performance Lab that offers one of only a few Bod Pods in Greater Houston. The Bod Pod provides highly accurate body composition analysis due to its unique air-displacement technology. The Lab also utilizes VO2 Max with EKG equipment to measure an athlete's ability to consume and use oxygen effectively. The center also offers personal wellness programs, concussion management, work rehab and a cardiac and pulmonary rehabilitation program. SLWH received the American Heart Association's Mission: Lifeline Bronze Quality Achievement Award for the Hospital's commitment and success in implementing a higher standard of care for heart attack and STEMI patients. In October, SLWH opened the Wound Care Clinic in the campus' Medical Arts Center (MAC) III building. The clinic is the only outpatient hospital-based wound care clinic in the South Montgomery County and North Harris County area; and the only one of its kind in the area to offer the technologically advanced hyperbaric oxygen therapy chamber treatment. SLWH expanded its Neuroscience Center with the addition of Interventional Neuroradiology. This accredited medical sub-specialty uses minimally invasive image-based technologies and procedures to diagnose and treat disorders of the head, neck and spine. SLWH received the UnitedHealth Premium Specialty Center designation in recognition of quality care for Cardiac Surgery, Interventional Cardiac Care and Electrophysiology. The Hospital met extensive quality and outcomes criteria based on nationally recognized medical standards and expert advice. SLWH received the 2012 "Best Practices Award" from Comprehensive Pharmacy Services (CPS)-marking the third time the hospital has garnered this recognition. The award for the Southwest Region was granted for a score of 95 percent or higher on CPS' annual operational audit. The Texas Health Care Quality Improvement Awards committee awarded SLWH its Silver Award, which acknowledges hospitals for improving care related to acute myocardial infarction (heart attack), heart failure, pneumonia and surgical care and excellence in healthcare quality through improved performance on national quality measures. SLWH's Sleep Center program received a five-year accreditation from the American Academy of Sleep Medicine (AASM). In May, SLWH treated its 100th patient with the Gamma Knife technology. SLWH acquired the Gamma Knife `in 2011 and remains the first and only hospital in North Harris and Montgomery counties to offer the technology. SLWH provides an outreach clinic for advanced cirrhosis therapies and pre-screening for potential liver transplant with Texas Medical Center physicians. The clinic, staffed by the liver transplant physicians from St. Luke's Cooley Transplant Center, in affiliation with the Baylor College of Medicine, serves patients with end-stage liver disease, complications of cirrhosis and benign and hepatobiliary disorders. Honored as a "2012 Hometown Hero" by Interfaith of The Woodlands, SLWH was recognized for its outstanding support provided to the community in nonprofit donations, volunteerism, community education and sponsorships. SLWH hosted its second annual Medical Mentorship Program, which is dedicated to providing high school upperclassmen and college students the opportunity to experience a physician's day-to-day responsibilities. The Pediatric Department received a makeover in the "Sunshine Closet," which houses toys and equipment for patients and guests of the Pediatric Unit. The new organization system, valued at more than $4,000, was donated by The Container Store in The Woodlands as a collaborative effort with the Junior League of North Harris and South Montgomery Counties. SLWH and SLLH volunteers were honored in April at the annual Auxiliary Awards Luncheon that recognized the more than 28,000 service hours donated by volunteers at both hospitals in 2011, valued at $610,362. Expansion In June, SLWH opened the West Tower's fourth floor. The new patient care area added 30 single-room beds to the existing 154 patient rooms, increasing the hospital's bed capacity by nearly 20 percent. SLWH continues construction of the West Tower's fifth and sixth floors, potentially opening an additional 60 patient beds by 2014. patient care area added 30 single-room beds to the existing 154 patient rooms, increasing the hospital's bed capacity by nearly 20 percent. SLWH continues construction of the West Tower's fifth and sixth floors, potentially opening an additional 60 patient beds by 2014. 124866110 true false false false false false false false true true false false false true true false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true false false false true X 0 0 true 1052 true true true false false false false false false false false false X 10 9 false false false false true true true true true false false true true true true true true true true false X STEPHEN PICKETT 8323552042 6624 FANNIN STREET SUITE 1100 HOUSTON TX 77030 DAVID J FINE 6.0 49.0 X X 0 1671626 451822 MICHAEL RICHMOND 2.0 7.0 X X 0 0 0 RALPH MCINGVALE 2.0 0.0 X X 0 0 0 CHARLES HANKINS md 2.0 0.0 X 0 0 0 STEPHEN PICKETT 2.0 53.0 X X 0 969319 161085 JEFY M MATHEW md 2.0 1.0 X 0 32400 0 THE REVEREND GARY H JONES 2.0 0.0 X 0 0 0 chester jones 2.0 18.0 X 0 0 0 gary whitlock 2.0 0.0 X 0 0 0 brad beers 2.0 2.0 X 0 0 0 gerald glenn 2.0 0.0 X 0 0 0 gerry sevick 2.0 0.0 X 0 0 0 ann snyder 2.0 0.0 X 0 0 0 MARGI NEMETH 2.0 0.0 X 0 0 0 DEBRA F SUKIN 53.0 2.0 X 419146 0 126834 Brian e Doyle 2.0 53.0 X 0 159564 30057 Margaret A REITER 55.0 0.0 X 216207 0 27530 Mary Sue Lipham 55.0 0.0 X 194698 0 32694 margaret smith 55.0 0.0 X 172474 0 20170 TANA ELLIOTT 55.0 0.0 X 122151 0 22724 robyn s james 55.0 0.0 X 122763 0 12276 mary b mcnutt 55.0 0.0 X 129997 0 13941 bo su 55.0 0.0 X 124493 0 6508 fatima d naca 55.0 0.0 X 118260 0 20746 1620189 2832909 926387 22 false true false Robins Morton 400 Shades Creek Parkway BIRMINGHAM AL 35209 construction service 9050912 Siemens Medical Solutions USA 51 Valley Stream parkway MALVERN PA 19355 construction service 2850000 spawglass 13800 West Road HOUSTON TX 77041 construction service 892368 Kirksey Architecture 6909 portwest drive HOUSTON TX 77024 architectural srvs 687347 GE Healthcare PO Box 843553 DALLAS TX 752843553 consulting services 354312 12 0 NET PATIENT REVENUE 900099 171623046 171330646 292400 HEALTH EDUCATION/WOMEN'S SERVICES/REHAB/SCREENINGS 900099 108004 58215 49789 INSTITUTIONAL REVENUE 900099 344467 110826 233641 172075517 -2830827 -2830827 0 0 32003 1067679 670126 32003 397553 429556 397553 32003 0 0 0 330205 166956 163250 163250 MEDICAL RECORDS 900099 78436 78436 MISCELLANEOUS 900099 19880 19880 98316 169935812 171499687 973383 -2537258 1608320 1608320 191052 191052 0 0 1002525 0 1002525 0 0 46774826 43307314 3467512 2297025 2058826 238199 4943187 4511803 431384 3425468 3131432 294036 484616 474397 10219 6314 6314 0 0 0 1238 1238 5103960 3451769 1652191 131446 48813 82633 1663549 1355402 308147 163636 22369 141267 0 3267482 584078 2683404 51119 28642 22477 0 0 344336 344336 0 8810203 4643134 4167069 6045185 6045185 MEDICAL SUPPLIES 30458158 30458158 BAD DEBT 18429117 18429117 EQUIPMENT AND FACILITY MAINTEN 3501174 2373296 1127878 OTHER OUTSIDE SERVICES 14566339 7099165 7467174 3233297 744687 2488610 156503572 124866110 31637462 0 8592333 7128727 0 0 0 0 18548074 17540936 0 0 0 0 0 0 1881307 2303664 159176 1570518 220133620 69417509 139283252 150716111 0 0 0 0 0 0 59038 52226 675709 244198 169198889 179556380 9527500 15205356 0 0 40679 40679 0 0 0 0 0 0 0 0 0 0 159845431 151092826 169413610 166338861 X -214721 13217519 0 0 0 0 -214721 13217519 169198889 179556380 13432240 X false true X true false X false true true 11787902 11787902 136691358 18417932 118273426 2090668 1696704 393964 66204493 49302873 16901620 3359199 3359199 150716111 0 INTERCOMPANY PAYABLES 110288030 MEDICARE/MEDICAID RESERVES 1289938 CONSTRUCTION PAYABLE RETAINER 3085397 EQUIPMENT LEASE PAYABLE 3742460 OTHER LONG TERM LIABILITIES (L 32687001 151092826 X FORM 990, SCHEDULE D, PART V, QUESTION 4 Part V: endowment funds st. luke's community health services does not have an endowment fund. However, st. luke's episcopal hospital and St. Luke's Foundation, related organizations, do hold endowment funds. FORM 990, SCHEDULE D, PART X Part XIV: Supplemental information provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under fin 48. ASC Topic 740 prescribes a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. there were no uncertain tax positions recorded in the consolidated financial statements at december 31, 2012 or 2011. true true X true X true X true true false true true 3804662 3804662 0.02760 11134231 8667155 2467076 0.01790 14938893 8667155 6271738 0.04550 14938893 8667155 6271738 0.04550 15 6263 6263 2 901 901 34 5500 10855 10855 7 2499 2499 58 5500 20518 20518 true 18429117 36007920 40311321 -4303401 X true true 1 1 ST LUKES THE WOODLANDS HOSPITAL

17200 ST LUKES WAY THE WOODLANDS TX 77384

X X X St Luke's The Woodlands Hospital 1 false true true 200. true 400. true X X X X X X X true true X X X X X true X false X X X true X false false 3 St Luke's Sleep Disorders Lab

17350 St Lukes Way Suite 460 The Woodlands TX 77384

Sleep Clinic St Luke's Performance Medicine

17350 St Lukes Way The Woodlands TX 77384

Outpatient Sports Rehab formerly Tektonic Athletic Development & Rehab SLWH Wound Care Clinic

17450 St Lukes Way The Woodlands TX 77384

outpatient hospital based wound care clinic charity care Schedule H, Part I, Line 7 The cost to charge ratio method was utilized to determine financial assistance at cost; however, St. Luke's internal cost accounting system was used to determine unreimbursed Medicaid costs. Total expenses per Form 990, Part IX, line 25(a) were reduced by bad debt expense in the amount of $18,429,117 to determine the percentage in schedule H, Part I, line 7(f). If the percentage reported in part i, line 7, financial assistance and certain other community benefits at cost, were to be calculated on a system-wide basis, the combined percentage for all of the hospital facilities of the st. luke's episcopal health system would be approximately 5.51%. St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital received supplemental medicaid payments of $930,014 during 2012. These payments were included in the direct offsetting revenue amounts found in Schedule H, Part I, line 7b column d. These supplemental medicaid payments resulted in a reduction in net community benefit expense and percentages found in columns(e)and (f). If all direct offsetting revenue found in column (d) was not subtracted from total community benefit expense, the percentage in column (f) would be 10.82%. FOOTNOTE FOR BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 The consolidated St. Luke's Episcopal Health System's audited financial statements for 2012 address accounts receivable allowance methodology on pages 15-16. The full audited financial statements for the St. Luke's Episcopal Health System are attached to this filing. RATIONALE FOR INCLUDING BAD DEBTS AS COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION A, LINE 4 Although St. Lukes Community Health Services d/b/a St. Luke's The Woodlands Hospital strives to identify eligible candidates for patient assistance and/or charity care, there are circumstances in which the candidate does not assist in the determination process, and patient assistance/charity care guidelines cannot be met, therefore the accounts become a bad debt expense for the hospital records. It is difficult to accurately determine how many of these accounts would have met the patient assistance/charity care guidelines had the candidate cooperated with the application process. RATIONALE FOR INCLUDING MEDICARE SHORTFALL AS COMMUNITY BENEFIT SCHEDULE h, pART iii, SECTION B, LINE 8 St. Luke's COMMUNITY HEALTH SERVICES D/B/A ST. LUKE'S THE wOODLANDS Hospital has reported all revenue and allowable costs that were included in the Medicare Cost Report for 2012 on Part III, Section B lines 5 & 6. St. Luke's COMMUNITY HEALTH SERVICES D/B/A ST. LUKE'S THE wOODLANDS Hospital has adopted the community benefit and charity care policies of the St. Luke's Episcopal Health System, which require it to provide care to all patients who present themselves for care. Medicare patients receive the same high quality care as patients that have other forms of payment. As Medicare reimbursements do not fully cover the cost of the healthcare provided, St. Luke's COMMUNITY HEALTH SERVICES D/B/A ST. LUKE'S THE wOODLANDS Hospital considers the shortfall amount as an additional community benefit to the elderly members of the community it serves, and the community enjoys high quality healthcare from St. Luke's COMMUNITY HEALTH SERVICES D/B/A ST. LUKE'S THE wOODLANDS Hospital for all its citizens, regardless of method of payment. COLLECTION POLICY SCHEDULE H, PART iii, LINE 9B St. Luke's COMMUNITY HEALTH SERVICES D/B/A ST. LUKE'S THE wOODLANDS Hospital has adopted the debt collection policy of the St. Luke's Episcopal Health System ("System"). The System's policy states that St. Luke's COMMUNITY HEALTH SERVICES D/B/A ST. LUKE'S THE wOODLANDS Hospital will not pursue collection practices against patients who have qualified for charity care or other financial assistance once the account has received the charity adjustment. For those patients who have qualified for partial assistance, an adjustment is posted to the charity allowance and the remaining balance may be pursued as directed by our collection policy. In certain cases, a patient's qualification for charity care or financial assistance may not be readily determined; however, if after collection practices have begun it later becomes known that a person qualifies, the collection efforts will immediately cease for the charity care patient or be pursued at the lower partially adjusted amount. Measures to publicize financial assistance policy Part V, Line 14g St. Luke's community Health Services d/b/a St. Luke's The Woodlands Hospital provides financial counseling and Medicaid screening for its uninsured patients. If an uninsured patient is admitted to a facility, the patient/guarantor is visited by a representative/ counselor who will first screen for Medicaid eligibility. If patient does not qualify for governmental assistance, the counselor attempts to complete a financial assistance information form (charity form) by assisting with the accumulation of appropriate information and sometimes necessary documents. The documents are then forwarded for evaluation and qualification for financial assistance. Needs Assessment SCHEDULE H, PART VI, LINE 2 and Part II St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital meets the needs of the community through its education, outreach programs and services in the communities it serves. St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital sponsors a variety of programs identified through community needs assessments, including health and wellness fairs, educational lecture series, economic outlook conferences, and local chapter fundraisers for national causes. Patient education of eligibility for Assistance SCHEDULE H, PART VI, LINE 3 As a part of its mission, St. Luke's Episcopal Health System provides care to patients without financial means to pay for hospital services. Charity care will be provided to all patients who present themselves for care at St. Luke's COMMUNITY HEALTH SERVICES D/B/A ST. LUKE'S THE wOODLANDS Hospital or related entities without regard to race, creed, color, or national origin and who are classified as financially or medically indigent. St. Luke's will provide partial or full financial assistance for medically necessary care in accordance with Texas law and hospital eligibility guidelines to patients who require hospital care or medical services and cannot afford such care or services because of limitations in their health insurance or personal finances. St. Luke's works collaboratively with our third party eligibility vendors to ensure all self pay patients are screened for the appropriate governmental assistance prior to qualifying them for charity. Once the vendor screens a patient and determines he/she does not qualify for any third party funding, the patient is verbally educated and additional screening takes place by a St. Luke's employee to determine if the patient is eligible for charity service prior to discharge. Patients that have been discharged prior to charity screening, such as emergency room patients, receive a written notification of possible eligibility services. If the patient is determined not to be eligible for government assistance, he/she may notify the hospital that they seek charity assistance. The appropriate charity form is sent to the patient/guarantor for completion and then returned to the hospital for evaluation and qualification. Once determination of eligibility is made, the patient is sent a notice informing him/her if they qualify for FULL, partial, or NO CHARITY CARE SERVICES. community information SCHEDULE H, PART VI, LINE 4 St. Luke's COMMUNITY HEALTH SERVICES D/B/A ST. LUKE'S THE wOODLANDS Hospital defines the community it serves broadly to include Montgomery County, north Harris County, and the greater Houston area. The Woodlands and south Montgomery County have experienced 83% population growth since 2000. St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital WAS BUILT TO SERVE THE GROWING NEEDS OF THE WOODLANDS AREA, MONTGOMERY COUNTY, AND NORTHERN REGIONS OF HARRIS COUNTY NEAR HOUSTON, TEXAS WITH THE SAME HIGH QUALITY MEDICAL CARE THAT IS PROVIDED BY THE ST. LUKE'S Episcopal HOSPITAL IN THE TEXAS MEDICAL CENTER. Promotion of community health SCHEDULE H, PART VI, LINE 5 and Part II St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital addresses various community concerns, including health improvement, education, and access to health care. St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital directs leadership time and talent to serve on community collaboration boards and health advocacy programs to promote the health of the community the Hospital serves. St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital works with neighborhood resources (e.g. schools, businesses, community organizations) to promote health, wellness, and disease prevention. During 2012, St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital participated in community health fairs with various corporations along with the provision of first aid support for charity events held in The Woodlands area. St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital also provided community education events to highlight health concerns such as cardiology and heart problems, pediatric care, neuroscience innovations, stroke care, breast cancer, and brain awareness. Affiliated Health Care system SCHEDULE H, PART VI, LINE 6 St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital("SLWH"), AS AN INTEGRAL PART OF THE ST. LUKE'S EPISCOPAL HEALTH SYSTEM IN HOUSTON, TX, CONTRIBUTES TO ENHANCING COMMUNITY HEALTH BY DELIVERING SUPERIOR VALUE IN HIGH-QUALITY, COST-EFFECTIVE ACUTE CARE. IN COLLABORATION WITH ITS MEDICAL STAFF, SLWH IS DEDICATED TO EXCELLENCE AND COMPASSION IN CARING FOR THE WHOLE PERSON - BODY, MIND AND SPIRIT. SLWH ALSO IS COMMITTED TO THE GROWTH AND DEVELOPMENT OF ITS EMPLOYEES AND TO SECURING THE HEALTH OF FUTURE GENERATIONS BY CREATING, APPLYING, AND DISSEMINATING HEALTH KNOWLEDGE THROUGH EDUCATION and research. State Community Benefit Report schedule H, Part i, line 6a and Part VI, line 7 COMMUNITY BENEFIT REPORTS FOR ST. LUKE'S EPISCOPAL HEALTH SYSTEM, INCLUDING ST. LUKE'S COMMUNITY HEALTH SERVICES D/B/A ST. LUKE'S THE WOODLANDS HOSPITAL, ARE PREPARED FOR THE STATE OF TEXAS AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. true SOUTH MONTGOMERY COUNTY CHAMBER OF COMMERCE 1400 WOODLOCH FOREST DRIVE SUITE 300 THE WOODLANDS TX 77380 742053667 501(C)(6) 8000 SPONSORSHIP - 2012 CHAIRMANS BALL. INTERFAITH OF THE WOODLANDS 4242 INTERFAITH WAY THE WOODLANDS TX 77381 741804123 501(c)(3) 10000 ADDITIONAL SUPPORT FOR THE WOODLANDS 2011 CELEBRATION OF EXCELLENCE GALA HONORING THE HOMETOWN HEROES. AMERICAN HEART ASSOCIATION 10060 BUFFALO SPEEDWAY HOUSTON TX 77054 135613797 501(C)(3) 8000 SPONSOR HEART WALK 2012 - FOR THE FIGHT AGAINST CARDIOVASCULAR DISEASE Service Organization of Houston 2950 50th Street Lubbock TX 79413 320318004 501(c)(3) 1041228 to support healthcare services in underserved areas harris county clinical services Inc 2801 Via Fortuna Ste 500 austin TX 787467573 432110434 501(c)(3) 507592 to support clinical healthcare in Harris County 4 1 individual indigent healthcare 50 191052 FORM 990, SCHEDULE I, PART I, QUESTION 2 FORM 990, SCHEDULE I, PART IV, SUPPLEMENTAL INFORMATION Organizations seeking grants ARE MONITORED TO ENSURE THAT THEY HAVE federal tax exempt STATUS AND THAT GRANT fUNDS ARE FOR REASONABLE PURPOSES. Individuals seeking funds for medical services provided by outside medical groups are screened for eligibility using the charity care guidelines of the hospital. false true false false false false false false false DAVID J FINE 0 1039788 0 578872 0 52966 0 427164 0 24658 0 2123448 0 0 STEPHEN PICKETT 0 641595 0 315068 0 12656 0 153005 0 8080 0 1130404 0 0 DEBRA F SUKIN 309623 0 100815 0 8708 0 110176 0 16658 0 545980 0 0 0 Margaret A REITER 191803 0 24404 0 0 0 17935 0 9595 0 243737 0 0 0 Mary Sue Lipham 170361 0 24337 0 0 0 16530 0 16164 0 227392 0 0 0 Brian e Doyle 0 144598 0 14966 0 0 0 17278 0 12779 0 189621 0 0 margaret smith 156472 0 16002 0 0 0 12109 0 8061 0 192644 0 0 0 PART I, QUESTIONS REGARDING COMPENSATION, QUESTION 3 compensation of the ceo/executive director St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital does not provide compensation to its chief executive officer. St. Luke's Episcopal Health System, a related exempt organization, provides compensation to this officer and relies upon an organized compensation committee, compensation studys, and an independent compensation consultant to establish proper compensation levels. Executive compensation is approved by the compensation committee and becomes part of a written employment contract for that executive. Part I, Questions Regarding Compensation, line 4b SUPPLEMeNTAL NONQUALIFIED RETIREMENT PLAN THE INDIVIDUALS LISTED BELOW PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WITH THE FOLLOWING AMOUNTS CREDITED TO THEIR ACCOUNTS: DAVID J FINE $406,203.00 STEPHEN PICKETT $133,430.00 Debra f Sukin $ 88,002.92 FORM 990, PART IV, QUESTION 12a & 12b CHECK LIST OF REQUIRED SCHEDULES; FINANCIAL STATEMENT AND REPORTING did the organization obtain separate, independent audited financial statements for the tax year? was the organization included in consolidated, independent audited financial statements for the tax year? ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION AND ITS RELATED ENTITIES WERE AUDITED AS A CONSOLIDATED GROUP IN ACCORDANCE WITH GAAP. THUS, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS DO NOT PROVIDE AN ENTITY BY ENTITY REPORTING FOR CALENDAR YEAR 2012. FORM 990, PART V, QUESTIONS 1 AND 2a STATEMENT REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION REMITS ALL VENDORS PAYMENTS AND ISSUES FORM 1099 ON BEHALF OF ITS RELATED ORGANIZATIONS. individual entities of st. luke's episcopal health system corporation do not file forms 1096 for this reason. ENTER THE NUMBER OF EMPLOYEES REPORTED ON FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS, FILED FOR THE CALENDAR YEAR ENDING WITH OR WITHIN THE YEAR COVERED BY THIS RETURN. THE EMPLOYEES OF ST. LUKE'S COMMUNITY HEALTH SERVICES ARE PAID BY A COMMON PAYMASTER, ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION, (76-0536232). THEREFORE, NO FORM W-3 OR 941S WERE FILED BY ST. LUKE'S COMMUNITY HEALTH SERVICES AS ALL PAYROLL INFORMATION RElaTED TO THESE EMPLOYEES WAS INCLUDED IN THE FORM W-3 AND 941S FILED BY ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION A, QUESTIONS 6, 7a AND 7b SECTION A: GOVERNING BODY AND MANAGEMENT Did THE ORGANIZATION HAVE MEMBERS OR STOCKHOLDERS? THE SOLE MEMBER OF ST. LUKE'S COMMUNITY HEALTH SERVICES SHALL BE ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION. Did THE ORGANIZATION HAVE MEMBERS, STOCKHOLDERS, OR OTHER PERSONS who had the power to elect or appoint ONE OR MORE MEMBERS OF THE GOVERNING BODY? THE MANAGEMENT OF THE AFFAIRS OF THE CORPORATION SHALL BE VESTED IN A BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SHALL CONSIST OF MEMBERS ELECTED BY THE ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION UPON NOMINATION OF THE BISHOP OF THE DIOCESE OF TEXAS AS THE CHAIRMAN OF THE BOARD OF DIRECTORS OF ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION. ARE ANY governance DECISIONS OF THE organization reserved to (or SUBJECT TO APPROVAL BY) MEMBERS, STOCKHOLDERS, OR PERSONS other than the governing body? THE BOARD OF DIRECTORS SHALL HAVE FULL POWER AND AUTHORITY TO MANAGE THE BUSINESS, OPERATIONS AND AFFAIRS OF THE CORPORATION IN ACCORDANCE WITH (a) THE BYLAWS WHICH THE BOARD OF DIRECTORS SHALL ADOPT, (b) THE GOALS OF ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION AND (c) THE CANONS OF THE PROTESTANT EPISCOPAL CHURCH IN THE DIOCESE OF TEXAS AS FROM TIME TO TIME IN FORCE. FORM 990, PART VI, SECTION b, QUESTION 11 & 11a SECTION b: policies has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? Describe in Schedule O the process, if any, used by the organization to review this Form 990. The St. Luke's Community Health Services FORM 990 WAS PREPARED BY THE TAX DEPARTMENT OF ITS PARENT, ST. LUKE'S EPISCOPAL HEALTH SYSTEM (SLEHS), UTILIZING INFORMATION PROVIDED BY THE REPORTING ENTITY'S MANAGEMENT, OFFICERS, AND DIRECTORS. COLLABORATIVE REVIEW OF THE RETURN BY THE ORGANIZATION'S EXTERNAL ADVISORS, EXECUTIVE MANAGEMENT AND THE SLEHS TAX DIRECTOR WAS CONDUCTED, and the return was made available to the officers and directors before filing. FORM 990, PART VI, SECTION B, QUESTION 12c SECTION B: POLICIES Did THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THE WRITTEN CONFLICT OF INTEREST POLICY? PRIMARY MONITORING OF CONFLICT OF INTEREST IS DONE THROUGH ANNUAL POLLING OF OFFICERS, DIRECTORS, AND KEY EMPLOYEES FOR POTENTIAL CONFLICTS. CONFLICT OF INTEREST SUBMISSIONS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND SENIOR COUNSEL WHO BRING ACTIONABLE ITEMS TO THE BOARD. IF THE INSTITUTION DETERMINES THAT A SIGNIFICANT POSSIBLILITY EXISTS THAT THERE IS A CONFLICT OF INTEREST, THE INDIVIDUALS INVOLVED WILL BE REQUIRED TO REFRAIN FROM MAKING A DECISION OR TAKING ANY ACTION UNTIL THE MATTER CAN BE FULLY INVESTIGATED AND A DECISON MADE AS TO WHETHER A CONFLICT EXISTS. IF A CONFLICT IS CONFIRMED, A PLAN FOR ALLEVIATION OR MANAGING THE CONFLICT IS IMPLEMENTED. INDIVIDUALS WITH POTENTIAL CONFLICTS MAY BE ASKED TO RECUSE AND ABSENT THEMSELVES FROM MEETINGS IN WHICH AN ALLEGED CONFLICT IS DISCUSSED IF SO DOING WOULD BETTER ASSURE THE INTEGRITY OF THE PROCESS. FORM 990, PART VI, SECTION B, QUESTION 14 SECTION B: POLICIES Did THE ORGANIZATION HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY? st. luke's episcopal health system corporation and related entities have a written general policy related to document retention and destruction. DOCUMENTS AND RECORDS ARE RETAINED FOR VARIOUS FEDERAL, STATE OR OTHER JURISDICTION STATUTES FOR MEDICAL OR FINANCIAL REVIEW ON A DEPARTMENT BY DEPARTMENT BASIS. FORM 990, PART VI, SECTION B, QUESTION 15 SECTION B: POLICIES DID THE PROCESS FOR DETERMINING COMPENSATION OF THE FOLLOWING PERSONS INCLUDE A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTITATION OF THE DELIBERATION AND DECISION FOR: a) THE ORGANIZATIONS CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL? b) OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION? DESCRIBE THE PROCESS IN SCHEDULE O. THE ORGANIZATION'S COMPENSATION COMMITTEE MEETS AS NEEDED, BUT AT LEAST ONE TIME PER YEAR. THIS COMMITTEE CONSISTS OF THREE OUTSIDE DIRECTORS. ITS FUNCTION IS TO MAKE RECOMMENDATIONS/DECISIONS ON SALARY AND BENEFITS FOR KEY EXECUTIVES. VARIOUS DATA IS UTILIZED IN DECISION-MAKING INCLUDING COMPENSATION CONSULTANTS, MANAGEMENT'S LEVEL OF ACHIEVMENT OF STIPULATED PERFORMANCE TARGETS, EXTERNAL SURVEYS, AND LOCAL MARKET CONDITIONS. PERMANENT MINUTES ARE PREPARED AND REVIEWED BY COMPENSATION COMMITTEE MEMBERS PRIOR TO THEIR RATIFICATION. THESE MINUTES ARE SUFFICIENTLY DETAILED TO PROVIDE SUBSTANTIATION OF THE DECISIONS MADE BY THE COMMITTEE WITH REGARD TO EACH KEY EXECUTIVE'S COMPENSATION AND BENEFITS. A REPORT IS MADE TO THE FULL BOARD BY THE COMPENSATION COMMITTEE CHAIR AT WHICH TIME RATIFICATION OF COMMITTEE ACTION IS VOTED BY THE BOARD. FORM 990, PART VI, SECTION C, QUESTION 19 Section c: disclosure DESCRIBE IN SCHEDULE O WHETHER (AND IF SO, HOW) THE ORGANIZATION MAde IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION AND ITS RELATED ENTITIES HAVE NOT CREATED A GENERAL POLICY PROVIDING FOR THE DISCLOSURE OF CERTAIN DOCUMENTS. in practice, these documents have been made available to the public upon written request only. . ST LUKES EPISCOPAL HEALTH SYSTEM CORP 6624 FANNIN HOUSTON TX 77030 760536232 PARENT CORP TX 501(c)(3) 11a EPIS DIOCESE false ST LUKES EPISCOPAL HOSPITAL 6720 BERTNER HOUSTON TX 77030 741161938 HOSPITAL TX 501(c)(3) 3 SYSTEM CORP false ST LUKES EPISCOPAL HEALTH SYSTEM FOUNDA PO BOX 20269 HOUSTON TX 77225 760127715 invest mgmt TX 501(c)(3) 11a SYSTEM CORP false ST LUKES EPISCOPAL PROPERTIES CORP 6624 FANNIN HOUSTON TX 77030 760531716 prop mgmt TX 501(c)(3) 11a SYSTEM CORP false ST LUKES MEDICAL TOWER CORPORATION 6624 FANNIN HOUSTON TX 77030 760531713 med offices TX 501(c)(3) 11a properties false ST LUKES EPISCOPAL HEALTH CHARITIES 6624 FANNIN HOUSTON TX 77030 760531710 grant support TX 501(c)(3) 11a SYSTEM CORP false GREATER HOUSTON HEALTH NETWORK 6624 FANNIN HOUSTON TX 77030 760458535 CLINIC TX 501(c)(3) 3 sleh false SL AUGUSTA CORPORATION 6624 FANNIN HOUSTON TX 77030 760226623 title holding TX 501(c)(2) N/A properties false ST LUKES COMMUNITY DEVELOPMENT CORP 6624 fannin st ste 2505 HOUSTON TX 77030 260274448 mgmt support TX 501(c)(3) 11a SYSTEM CORP false ST LUKES COMMUNITY DEV CORP SUGAR LAND 6624 fannin st ste 2505 HOUSTON TX 77030 261947374 HOSPITAL TX 501(c)(3) 3 System Corp false ST LUKES COMMUNITY DEV CORP THE WOODLAND 6624 fannin st ste 2505 HOUSTON TX 77030 260335902 HOSPITAL TX 501(c)(3) 3 SL CDC false ST LUKES COMMUNITY DEV CORP THE VINTAGE 6624 fannin st ste 2505 HOUSTON TX 77030 263734606 HOSPITAL TX 501(c)(3) 3 SL CDC false Woodlands Doctor Group 17200 st Lukes way the woodlands TX 77384 274499340 clinic TX pending 9 SL CHS true St Luke's Community Dev Corp - PMC 6624 fannin st ste 2505 houston TX 77030 273733278 hospital TX pending 3 SL CDC false Sugar land doctor group 6624 fannin st ste 1100 houston TX 77030 454270163 clinic TX pending 9 SL CDC - SL false St Luke's Foundation 1213 hermann drive ste 855 houston TX 77004 453811485 grants TX pending 7 system corp false st Luke's Sugar Land Properties Corpora 6624 fannin st ste 2505 houston TX 77030 454120549 prop mgmt TX pending 11a sl cdc -sl false St Luke's Anesthesiology Associates 6624 fannin ste 1100 houston TX 77030 461517163 specialists TX pending 9 SLEH false ST LUKES LAKESIDE HOSPITAL LLC 6624 fannin suite 2505 HOUSTON TX 77030 300427437 HOSPITAL TX na 0 ST LUKES HOSPITAL AT THE VINTAGE LLC 6624 fannin suite 2505 HOUSTON TX 77030 263734616 HOSPITAL TX na 0 PMC Hospital LLC 6624 fannin suite 2505 houston TX 77030 273280598 hospital TX na 0 HC SL vintage I LLC 18000 West Sarah Land Ste 250 brookfield WI 53045 270453767 property hold WI na 0 ST LUKES MEDICAL ARTS CENTER I CONDO ASS 6624 FANNIN HOUSTON TX 77030 300355518 CONDOMINIUM A TX NA c false ST LUKES MEDICAL TWR CONDO ASSOCIATION 6624 FANNIN HOUSTON TX 77030 760298751 CONDOMINIUM A TX NA c false ST LUKES 6620 MAIN CONDO ASSOCIATION 6624 FANNIN HOUSTON TX 77030 300355517 CONDOMINIUM A TX NA c false THE THI AT SLEH DAC BLDG CONDO ASSOC 6624 FANNIN HOUSTON TX 77030 900064009 CONDOMINIUM A TX NA c false SLEHS HOLDINGS INC AND SUBSIDIARIES 6624 FANNIN HOUSTON TX 77030 760637138 HOLDING COMPA TX na c false ST LUKES EPISCOPAL HOSP PHYSICIAN HOSP O 6720 BERTNER HOUSTON TX 77030 760377932 PHO TX NA c false ALL SAINTS INSURANCE COMPANY SPC LTD PO BOX 69 GT Georgetown GRAND CAYMAN CJ Ky-1102 SELF INSURANC CJ NA N/A false false false false true false false false false false false true false false false true true form 990, Schedule R Part V, Transactions with related organizations St. Luke's Episcopal Health System Corporation remits all vendor payments on behalf of its related organizations, including St. Luke's Community Health services D/b/a/ St. Luke's the Woodlands Hospital. st. Luke's episcopal health system corporation also provides administrative and financial services as well as cash management on behalf of its related organizations, including St. Luke's Community Health services D/b/a/ St. Luke's the Woodlands Hospital and is reimbursed for expenses incurred.