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ST LUKES HOSPITAL AT THE VINTAGE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST LUKES HOSPITAL AT THE VINTAGE (EIN 26-3734606)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201203199349306800
Schema version
2011v1.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T16:59:05-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN263734606EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S COMMUNITY DEVelopmentBusinessNameLine1
Business Name Line2Corporation - the vintageBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% STEPHEN PICKETTInCareOfName
Name ControlSTLUNameControl
Phone8323552042Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13100 MAIN STREETAddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77002ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namestephen pickettName
TitletreasurerTitle
Date Signed2012-11-13DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer Persondavid j fineNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16624 fanninAddressLine1
CityhoustonCity
StateTXState
ZIP Code77030ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1846080GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.sleh.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission Descriptionthe corporation is organized and operated for the benefit of st.luke's episcopal hosp and st. luke's episcopal health sys, including the pro- motion of healthcare through an acute care hospital in NW Houston.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1846080InvestmentIncomePriorYear
Investment Income Current Year1846080InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1846080TotalRevenuePriorYear
Total Revenue Current Year1846080TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year557293OtherExpensePriorYear
Other Expenses Current Year860704OtherExpensesCurrentYear
Total Expenses Prior Year557293TotalExpensesPriorYear
Total Expenses Current Year860704TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1288787RevenuesLessExpensesPriorYear
Revenues Less Expenses CY985376RevenuesLessExpensesCY
Total Assets BOY26009627TotalAssetsBOY
Total Assets EOY26009627TotalAssetsEOY
Total Liabilities BOY24271231TotalLiabilitiesBOY
Total Liabilities EOY23285855TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1738396NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2723772NetAssetsOrFundBalancesEOY
Mission DescriptionTHE CORPORATION IS ORGANIZED AND OPERATED FOR THE BENEFIT OF ST. LUKE'S EPISCOPAL HOSPITAL AND ST. LUKE'S EPISCOPAL HEALTH SYSTEM, INCLUDING THE PROMOTION OF HEALTHCARE THROUGH AN ACUTE CARE HOSPITAL IN NW HOUSTON. A FORMAL MISSION STATEMENT HAS NOT BEEN ADOPTED.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense853582Expense
Revenue0Revenue
DescriptionSt. Luke's Community Development Corporation - The Vintage holds a 51% interest in St. Luke's Hospital at The Vintage ("SLHV") and accounts for its ownership in the st. Luke's episcopal Health System's consolidated financial report. St. Luke's Community Development Corporation - The Vintage received a tax loss of $13,737,447 from its ownership in SLHV. St. Luke's Hospital at The Vintage (SLHV) STATS Admissions 2,142 Emergency Room Visits 11,902 Surgeries 1,139 Births 245 Outpatient Visits 5,649 After beginning hospital operations in December 2010, St. Luke's Hospital at The Vintage (SLHV) held its grand opening in January 2011. SLHV supports SLEHS' charitable goals, purposes and mission to promote healthcare services for a broad cross section of the community to: Be a new provider of healthcare services in Houston's Northwest community and surrounding areas; Expand the community's existing healthcare services; Offer improvements in treatment modalities through improved equipment and technologies; Improve patient access to patients in SLHV's service area, including Medicare and Medicaid recipients; and Promote health, welfare, wellness, education and research for the community by providing quality healthcare and related services at reasonable costs. SLHV provides a full continuum of services to patients, including prevention, diagnosis emergency care, primary care, women's services/neonatology, cardiology, general surgery gastroenterology, orthopedics, neurosciences and diagnostic imaging. SLHV has grown to 424 employees and currently has 218 physicians on staff. In March 2011, SLHV opened its cardiac catheterization lab. The new technology provides high-resolution digital images of coronary artery function to help physicians identify and correct any cardiac blockages and defects. In October 2011, SLHV launched its spine surgery program. Using the latest equipment and minimally-invasive surgical techniques, physicians will be able to correct many spine abnormalities and conditions with minimal scarring and shorter recovery times. The SLHV Emergency Department made great strides in becoming the emergency care provider of choice in the Northwest Houston community: Seeking accreditation as a designated Chest Pain Center and stroke certification. Serving as an official Sexual Assault Nurse Examiner site-the only facility in Northwest Houston to provide this service 24 hours a day, seven days a week.Description
Total Program Service Expense853582TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTEPHEN PICKETTNamePerson
Telephone Number8323552042TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13100 MAIN STREETAddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77002ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAVID J FINE
PRESIDENT,CEO,and Director2.0XX01773018418140
STEPHEN PICKETT
TREASURER & DIRECTOR2.0XX0985303159584
DAVID KOONTZ
SECRETARY & DIRECTOR2.0XX052746564481
bill MONTGOMERY
CHAIR & DIRECTOR2.0XX000
BRIAN DOYLE
ASSISTANT TREASURER2.0X014167327174
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3427459TotalReportableCompFrmRltdOrgs
Total Other Compensation669379TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1846080TotalRevenueColumn
Exclusion$1,846,080ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1846080TotalRevenueColumn
Exclusion$1,846,080ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7122Total
Management And General7122ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total155Total
Program Services155ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total4459Total
Program Services4459ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total813600Total
Program Services813600ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FEES AND LICENSES2826828268
OTHER OUTSIDE SERVICES71007100

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total860704Total
Program Services853582ProgramServices
Management And General7122ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY307BOY
EOY307EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY26009320BOY
EOY26009320EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26009627BOY
EOY26009627EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2109BOY
EOY0EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY24269122BOY
EOY23285855EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24271231BOY
EOY23285855EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1738396BOY
EOY2723772EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1738396BOY
EOY2723772EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26009627BOY
EOY26009627EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses985376ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionST LUKES HOSP AT VINTAGE LLCDescription
Book Value26009320BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related26009320TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTERCOMPANY PAYABLESDescription
Amount$23,285,855Amount
FieldValueIRS element (for citing)
Total Of Amounts23285855TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, SCHEDULE D, PART VPART V: ENDOWMENT FUNDSst. luke's community development corporation - the vintage DOES NOT HAVE AN ENDOWMENT FUND. HOWEVER, ST. LUKE'S EPISCOPAL HOSPITAL, A RELATED ORGANIZATION, DOES HOLD ENDOWMENT FUNDS.
FORM 990, SCHEDULE D, PART XPART XIV: SUPPLEMENTAL INFORMATIONPROVIDE THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. THERE were NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2011 OR 2010.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1655512TotalCommunityBenefitExpense
Net Community Benefit Expense1655512NetCommunityBenefitExpense
Percent Of Total Expense0.02860PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense3326458TotalCommunityBenefitExpense
Direct Offsetting Revenue1801352DirectOffsettingRevenue
Net Community Benefit Expense1525106NetCommunityBenefitExpense
Percent Of Total Expense0.05170PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense4981970TotalCommunityBenefitExpense
Direct Offsetting Revenue1801352DirectOffsettingRevenue
Net Community Benefit Expense3180618NetCommunityBenefitExpense
Percent Of Total Expense0.08030PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4981970TotalCommunityBenefitExpense
Direct Offsetting Revenue1801352DirectOffsettingRevenue
Net Community Benefit Expense3180618NetCommunityBenefitExpense
Percent Of Total Expense0.08030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,955,962BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare4205167AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8462511CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4257344MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1St Luke's VintageBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary Activitymedical careDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.51000OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.49000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1st luke's hospital at the vintageBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line120171 Chasewood Park DrAddressLine1
CityhoustonCity
StateTXState
ZIP Code77070ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
Otheropened 12-1-2010Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1st luke's hospital at the vintageBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
State Community Benefit ReportSchedule H, Part I, Line 6a and Part VI, line 7St. Luke's Community development corporation - The Vintage holds a 51% interest in st. Luke's Hospital at the Vintage LLC. As a joint venture hospital in the state of texas, st. luke's Hospital at the Vintage is not required to prepare a state community benefit report.
Charity CareSchedule H, Part i, line 7St. Luke's Community development corporation - The Vintage holds a 51% interest in st. Luke's Hospital at the Vintage ("SLHV"). St. Luke's community development corporation - The Vintage is reporting its 51% of medicaid shortfall, medicare shortfall, and bad debt expense. As the amount of charity care provided is the direct result of the control of the exempt partner's charity care policy, the entire amount of charity care provided at st. luke's Hospital at the Vintage is being reported on line 7a. 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. 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 7.045%. Total expenses for SLVH per Form 1065, line 21 totaled $61,721,535 and were reduced by bad debt expense in the amount of $3,835,220 to determine the percentage in schedule H, Part I, line 7(F). If the direct offsetting revenue found in column (d) was not subtracted from total community benefit expense, the percentage in column (f) would be 14.13%.
Footnote for bad debt ExpenseSchedule H, Part III, Section A, line 4Text in footnotes that describes bad debt expense: "Management regularly reviews collections data by major payor sources in evaluating the sufficiency of the allowance for uncollectible accounts. On the basis of historical experience, a significant portion of the Systems' self-pay patients will be unable or unwilling to pay for the service provided. Thus the System records a provision for uncollectible accounts in the period services are provided related to self-pay patients. Unpaid accounts are written off as bad debts upon reaching delinquent status."
rationale for including bad debts as community benefitSchedule H, Part III, Section A, line 4St. Luke's community development corporation - The Vintage holds a 51% interest in St. Luke's Hospital at the Vintage ("SLVH"). Although SLVH 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 benefitSchedule H, Part III, Section B, line 8St. Luke's community development corporation - The Vintage holds a 51% interest in St. Luke's Hospital at the Vintage ("SLVH"). SLVH 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 Hospital at the Vintage 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 Hospital at the Vintage for all its citizens, regardless of method of payment. The cost to Charge Ratio is a costing methodology utilized in healthcare to estimate costs. The overall ratio of total costs to total charges is computed and the ratio applied to Medicare patient charges to compute Medicare costs.
collection policySchedule H, Part III, Line 9bSt. Luke's Community Development Corporation - The Vintage owns 51% of St. Luke's Hospital at the Vintage LLC ("SLVH"). SLVH has adopted the debt collection policy of the St. Luke's Episcopal Health System ("System"). The System's policy states that SLVH 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.
Measure to publicize financial assistance policyPart V, line 13gSt. Luke's Community Development Corporation - The Vintage owns 51% of St. Luke's Hospital at the Vintage LLC ("SLVH"). SLVH provides financial counseling and screening for Medicaid eligibility. If an uninsured patient is admitted to a facility, the patient/guarantor is visited by an counselor who will first screen for Medicaid eligibility. If patient does not qualify for governmental assistance, the counselor reviews St. Luke's Patient Financial Assistance Program and assists the patient with completing the appropriate document(s). The document(s) are then forwarded for evaluation and qualification for financial assistance.
Individuals Eligible for Financial AssistanceSchedule H, Part V, line 19dIndicate how the hospital facility determined, during the tax year, the maximum amounts that can be charge to PFAP-eligible individuals for emergency or other medically necessary care. Patient responsibility is based on total charges less an automatic uninsured discount of 40% after which a charity adjustment is applied. The charity adjustment for individuals with household income at or below 200% of the Federal Poverty Level (FPL) is the full amount of medically necessary charges. Individuals with household income in excess of 200% of FPL and below 400% of FPL are considered for charity assistance on a sliding scale. Balances remaining after the application of both the uninsured discount of 40% and the charity adjustment are considered the responsibility of the patient. Patients discharged from the emergency department without hospital admission will be expected to pay a fee of $100 per emergency department visit. Payment arrangements are available.
needs assessmentsSchedule H, Part VI, line 2 and Part IISt. Luke's community development corporation - The Vintage holds a 51% interest in St. Luke's Hospital at the Vintage ("SLVH"). Since its opening, SLVH has worked to assess and meet the needs of the community through its education, outreach programs and services in the communities it serves.
Patient education of eligibility for assistanceSchedule H, Part VI, line 3As 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 Hospital at the Vintage 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 partners at firstsource to ensure all self pay and underinsured patients are screened for the appropriate governmental assistance prior to qualifying them for charity. Once firstsource 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 notification of charity services. Once a patient has been screened for charity services, a notice is sent out informing the patient if they qualify for full, partial, or no charity care services.
Community InformationSchedule H, Part VI, line 4St. Luke's Community Development Corporation - The Vintage owns 51% of St. Luke's Hospital at the Vintage LLC ("SLVH"). SLVH serves the needs of northwest harris county and the growing northern suburbs of Houston, Texas.
Promotion of Community HealthSchedule H, Part VI, line 5 and part IISt. Luke's community development corporation - The Vintage holds a 51% interest in St. Luke's Hospital at the Vintage ("SLVH"). SLVH directs leadership time and talent to serve on community collaboations boards and health advocacy programs to promote the helath of the community the hospital serves. SLVH works with neighborhook resources (e.g. schools, businesses, community organizations) to promote health, wellness, and disease prevention. During 2011, SLVH participated in ten community health fairs with various corporations and schools. In addition, SLVH provided community educational events to highlight health concerns such as arthritis, colorectal disease, emergency room care, cardiovascular health and peripheral artery disease as well as provide initial screenings for attendees. Informational events that assist caregivers with Medicare concerns and aging parents, that assist school nurses with health concerns in schools,and that address personal health maintenance were also held during the year.
Affiliated Health Care SystemSchedule H, Part VI, Line 6St. Luke's community development corporation - The Vintage holds a 51% interest in St. Luke's Hospital at the Vintage ("SLVH"). SLVH, 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, SLVH is dedicated to excellence and compassion in caring for the whole person-body, mind and spirit. SLVH 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID J FINE
01020838067073708144303838210343190219115800
STEPHEN PICKETT
0621258035390701013801467790128050114488700
DAVID KOONTZ
03569790141378029108050746013735059194600
BRIAN DOYLE
0141216045700016006011168016884700

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, QUESTIONS REGARDING COMPENSATION, QUESTION 3compensation of CEO/Executive DirectorSt. Luke's Community Development Corporation - The Vintage does not provide compensation to its chief exectuive officer. St. Luke's Episcopal health System, a related exempt organization, provides compensation to this officer and relies upon an organized compensation committee, compensation studies, 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, QUESTION 4bSUPPLEMENTAL NONQUALIFIED RETIREMENT PLANTHE INDIVIDUALS LISTED BELOW PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WITH THE FOLLOWING AMOUNTS CREDITED TO THEIR ACCOUNTS: DAVID J FINE $364,116.00 DAVID KOONTZ $ 32,314.00 STEPHEN PICKETT $129,499.00

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART IV, QUESTION 12a & 12b; FORM 990, PART XI, QUESTION 2DCHECK LIST OF REQUIRED SCHEDulES; FINANCIAL STATEMENTS AND REPORTINGDID 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? Were the organization's financial statements audited by an independent accountant? 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 2011.
FORM 990, PART V, QUESTION 1 AND 2aSTATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCEENTER 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 FORM 1096 FOR THIS REASON. ENTER THE NUMBER OF EMPLOYEES ENTERED 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. ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE had no employees in 2011. Therefore, NO FORM W-3 OR 941S WERE FILED.
FORM 990, PART VI, SECTION A, QUESTIONs 3, 6, 7a AND 7bSECTION A: GOVERNING BODY AND MANAGEMENTdid the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? st. luke's community development corporation - the vintage, through its majority ownership interest in st. luke's hospital at the vintage, llc, has engaged a related entity, st. luke's community development corporation, to provide administrative management services to the st. luke's hospital at the vintage. Did THE ORGANIZATION HAVE MEMBERS OR STOCKHOLDERS? ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE SHALL HAVE ONE MEMBER, THAT BEING ST. LUKE'S COMMUNITY DEVELOPMENT 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 BOARD OF DIRECTORS SHALL CONSIST OF NOT LESS THAN FOUR ELECTED MEMBERS, ALL OF SUCH MEMBERS TO BE ELECTED BY ST. LUKE'S EPISCOPAL Health system corporation, which is the sole member's exempt parent organization. ARE ANY governance DECISIONS OF THE organization reserved to (or SUBJECT TO APPROVAL BY) MEMBERS, STOCKHOLDERS, OR PERSONS orther 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 THE BYLAWS of the corporation, the goals of st. luke's episcopal health system corporation, st. luke's episcopal hospital and st. luke's community development corporation, and 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 & 11aSECTION B: POLICIESHAS 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 ORGANZATION TO REVIEW THIS FORM 990. st. luke's community development corporation - the vintage's form 990 was prepared by the tax department of the its parent, St. Luke's Episcopal health systems (SLEHS), utilizing information provided by st. luke's community development corporation - the vintage's management, officers, and directors. Collaborative review of the return by the organization's treasurer 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 12cSECTION B: POLICIESDid 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 can bring actionable items to the board. IF THE INSTITUTION DETERMINES THAT A SIGNIFICANT POSSIBILITY 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 DECISION MADE AS TO WHETHER A CONFLICT EXISTS. IF A CONFLICT IS CONFIRMED, A PLAN FOR ALLEVIATING 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 14SECTION B: POLICIESDid 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 15SECTION B: POLICIESDID 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 ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL? b) OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION? DESCRIBE THE PROCESS IN SCHEDULE O. st. luke's community development corporation - the vintage does not compensate its officers and directors directly. the parent corporation, st. Luke's episcopal health system (SLEHS), pays compensation for the officers and directors. slehs' COMPENSATION COMMITTEE MEETS AS NEEDED, BUT typically meets two TIMEs 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 ACHIEVeMENT 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 B, QUESTION 16bSECTION b: Policiesdid the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? If "yes",did THE ORGANIZATION follow A WRITTEN POLICY OR PROCEDURE REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOIN VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW, AND TAKE STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS? ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE PARTICIPATES IN A HOSPITAL JOINT VENTURE AS A 51% CONTROLLING MEMBER. THE OPERATING AGREEMENT OF THE HOSPITAL JOINT VENTURE EXPRESSLY STATE THAT THE JOINT VENTURE WILL OPERATE AND CONDUCT ITS ACTIVITIES IN A MANNER THAT SATISFIES THE COMMUNITY BENEFIT STANDARD APPLICABLE TO TAX EXEMPT HEALTHCARE ORGANIZATIONS, AND THAT THIS COMMUNITY BENEFIT STANDARD SHALL TAKE PRECEDENCE OVER ANY OTHER FIDUCIARY DUTY. IN ADDITION, THE OPERATING AGREEMENT GIVES ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION THE ABILITY TO APPOINT A MAJORITY OF THE JOINT VENTURE'S BOARD OF MANAGERS, AS WELL AS ITS CHAIRMAN. ACTIVITIES OF THE JOINT VENTURE ARE MONITORED THROUGH ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE'S MAJORITY PRESENCE ON THE JOINT VENTURE'S BOARD OF MANAGERS.
FORM 990, PART VI, SECTION C, QUESTION 19SECTION C: DISCLOSUREDESCRIBE IN SCHEDULE 0 WHETHER (AND IF SO, HOW), THE ORGANIZATION MAKES ITS 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 ADopTED OR 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. .
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID J FINE TITLE:PRESIDENT,CEO,and Director HOURS:43
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEPHEN PICKETT TITLE:TREASURER & DIRECTOR HOURS:43
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID KOONTZ TITLE:SECRETARY & DIRECTOR HOURS:43
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:bill MONTGOMERY TITLE:CHAIR & DIRECTOR HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BRIAN DOYLE TITLE:ASSISTANT TREASURER HOURS:43

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ST LUKES EPISCOPAL HEALTH SYSTEM CORP
6624 FANNINHOUSTONTX77030760536232parent corpTX501(c)(3)11aEPIS DIOCESEfalse
ST LUKES EPISCOPAL HEALTH SYSTEM FOUNDA
PO BOX 20269HOUSTONTX77225760127715invest mgmtTX501(c)(3)11aSYSTEM CORPfalse
ST LUKES EPISCOPAL HOSPITAL
6720 BERTNERHOUSTONTX77030741161938HOSPITALTX501(c)(3)3SYSTEM CORPfalse
ST LUKES EPISCOPAL HEALTH CHARITIES
6624 FANNINHOUSTONTX77030760531710grant supportTX501(c)(3)11aSYSTEM CORPfalse
ST LUKES COMMUNITY HEALTH SERVICES
6624 FANNINHOUSTONTX77030760536234HOSPITALTX501(c)(3)3SYSTEM CORPfalse
ST LUKES EPISCOPAL PROPERTIES CORP
6624 FANNINHOUSTONTX77030760531716prop mgmtTX501(c)(3)11aSYSTEM CORPfalse
ST LUKES MEDICAL TOWER CORPORATION
6624 FANNINHOUSTONTX77030760531713med officesTX501(c)(3)11apropertiesfalse
GREATER HOUSTON HEALTH NETWORK
6624 FANNINHOUSTONTX77030760458535CLINICTX501(c)(3)3slehfalse
SL AUGUSTA CORPORATION
PO BOX 20269HOUSTONTX77225760226623TITLE HOLDINGTX501(c)(2)N/Apropertiesfalse
ST LUKES COMMUNITY DEV CORP - SUGAR LAND
3100 MAINHOUSTONTX77002261947374HOSPITALTX501(c)(3)3SYSTEM CORPfalse
ST LUKES COMMUNITY DEV CORP - WOODLANDS
3100 MAINHOUSTONTX77002260335902HOSPITALTX501(c)(3)3sl cdcfalse
ST LUKES COMMUNITY DEVELOPMENT CORP
3100 MAINHOUSTONTX77002260274448mgmt supportTX501(c)(3)11aSYSTEM CORPfalse
st lukes community dev corp - PMc
3100 mainhoustonTX77030273733278hospitalTXpending3sl cdcfalse
woodlands doctor group
17200 st lukes waythe woodlandsTX77384274499340clinicTXpending9SL CHSfalse
Sugar Land Doctor Group
6624 fannin st ste 1100houstonTX770302323454270163clinicTXpending9SL CDC - SLfalse
St Luke's Foundation
3100 main st ste 672houstonTX770029325453811485grantsTXpending7system corpfalse
st luke's sugar Land properties corpora
3100 main st ste 672houstonTX77002454120549prop mgmtTXpending11Asl cdc - slfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Code VCodeVAmountPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
ST LUKES SUGAR LAND PARTNERSHIP LLP
3100 MAINHOUSTONTX77002204326467dissolvedTXna$0
ST LUKES HOSPITAL AT THE VINTAGE LLC
3100 MAINHOUSTONTX77002263734616HOSPITALTXSL CDC VINTAGE$0EXEMPT-13737447154681051falsetrue0.51000
ST LUKES LAKESIDE HOSPITAL LLC
3100 MAINHOUSTONTX77002300427437HOSPITALTXna$0
PMC Hospital LLC
3100 MainhoustonTX77002273280598hospitalTXna$0
HC Sl Vintage I LLC
18000 west sarah lane ste 250brookfieldWI53045270453767property holdWISL CDC-Vintage$0EXEMPT-182743459666469falsefalse0.51000

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
SLEHS HOLDINGS INC AND SUBSIDIARIES
6624 FANNINHOUSTONTX77030760637138HOLDINGS CORPTXNAc
ST LUKES MEDICAL TOWER CONDO ASSOCIATION
6624 FANNINHOUSTONTX77030760298751CONDOMINIUM ATXNAc
ST LUKES 6620 MAIN CONDO ASSOCIATION
6624 FANNINHOUSTONTX77030300355517CONDOMINIUM ATXNAc
ST LUKES MEDICAL ARTS I CONDO ASSOC
6624 FANNINHOUSTONTX77030300355518CONDOMINIUM ATXNAc
THE THI AT SLEH DAC BLDG CONDO ASSOC
6624 FANNINHOUSTONTX77030900064009CONDOMINIUM ATXNAc
ST LUKES EPISCOPAL HOSP PHYSICIAN HOSP O
6720 BERTNERHOUSTONTX77030760377932PHOTXNAc
ALL SAINTS INSURANCE COMPANY SPC LTD
SELF INSURANCNAN/APO BOX 69georgetownGRAND CAYMANCJKY-1102CJ
SL Properties Corporation - Sugar Land
3100 mainhoustonTX77002271303416dissolvedTXnac
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule RIdentifier
Return ReferencePart V, Transactions with Related OrganizationsReturnReference
ExplanationSt. Luke's Episcopal Health System corporation remits all vendor payments on behalf of its related organizations, including st. Luke's community development corporation - the Vintage. 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 development corporation - the Vintage, and is reimbursed for expenses incurred.Explanation