2012-11-14T16:51:06-06:00 2011-12-31 990 2011-01-01 760536234 ST LUKES COMMUNITY HEALTH SERVICES % STEPHEN PICKETT STLU 8323552042 6624 FANNIN HOUSTON TX 77030 stephen pickett 2012-11-15 2011 2016-02-24 21:20:13Z St Luke's The Woodlands Hospital DAVID j FINE 6624 FANNIN HOUSTON TX 77030 158128896 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 11 9 1032 271 604749 312993 0 100000 162680405 159809122 -1778927 -2848069 6631464 386955 167532942 157448008 244201 487166 0 0 56065179 53315240 0 0 0 91171689 90340384 147481069 144142790 20051873 13305218 187086440 169198889 200606379 169413610 -13519939 -214721 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 113260481 487166 159809122 STATS Admissions 8,866 Emergency Room Visits 32,903 Surgeries 4,820 Births 1,853 Outpatient Visits 26,849 When SLEHS decided in 2003 to offer comprehensive care beyond the Texas Medical Center, The Woodlands community was chosen. Research showed that residents were leaving the community, many driving to Texas Medical Center facilities for health services, while expressing a strong preference for quality care closer to home. SLWH provides family-centered medical care and is the only hospital in Montgomery County to have affiliations with the Texas Heart Institute, Texas Children's Hospital and The University of Texas MD Anderson Cancer Center ranked in the top ten of their specialties by U.S. News and World Report -all on one 64-acre medical campus. SLWH was named one of the top 25 Regional Hospitals in the Houston metro ranking by U.S. News & World Report. SLWH achieved accreditation as a Primary Stroke Center by DNV Healthcare as a result of its quality and competency in providing the highest level of immediate stroke emergency care. SLWH treated its first patient with the newly-acquired Gamma Knife Perfexion technology. As an alternative to traditional brain surgery, Gamma Knife surgery is a well-established treatment method known as stereotatic radiosurgery, which delivers high doses of radiation to targeted areas of the brain, thereby minimizing exposure to healthy brain tissue. SLWH is the only hospital in North Harris and Montgomery County to offer the Gamma Knife technology to the local community. SLWH continued its master plan expansion with: Patient Tower fourth floor build-out, adding 30 med/surg beds with telemetry capability, bringing the total to 184-more than doubling the capacity since the hospital's opening in 2003. The 21,800-square-foot addition is expected to be completed in May 2012. Construction commencing on an additional Medical Office Building on the SLWH campus. Construction of the North Garage was completed in May. The South Garage construction has begun with expected completion by mid-2012. Nine students were paired with physicians at SLWH and St. Luke's Lakeside Hospital through the Medical Mentorship program to develop future healthcare professionals. The four-week program was designed to give high school juniors and seniors, as well as college undergraduates, the opportunity to directly experience day-to-day activities in a hospital environment with a mentor physician. SLWH hosted a community educational lecture series including "Food for the Brain" for National Stroke Awareness Month and "Coffee with the Cardiologist" covering various heart topics, ranging from hypertension to heart disease in women. SLWH and SLLH volunteers were honored in April at the annual Auxiliary Awards Luncheon that recognized the more than 29,000 service hours donated by volunteers at both hospitals in 2010, valued at $600,000. Eighty-four SLWH volunteers also were recognized for reaching milestones in their hours of service. Human Performance TEKTONIC Athletic Development & Rehabilitation, a department of SLWH, provides technologically and clinically advanced physical rehabilitation in a human performance testing and training facility with specialization in sports medicine and performance training. TEKTONIC services include: physical therapy; work injury rehabilitation; human performance and physical fitness testing via a human performance lab; sports performance training; nutrition counseling; strength training; and cardiac endurance conditioning. TEKTONIC Athletic Development & Rehabilitation completed a successful relocation of its core services from Legends Sports Complex in Spring, Texas, to the Medical Arts Center II Building on the SLWH campus. Tektonic also began implementation of Gym Technik, a mobile mechanism for clients to create and monitor specific fitness, sports performance and physical therapy exercise programs. 113260481 true true 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 1032 true true true false false false false false false false false false X 11 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 3100 MAIN HOUSTON TX 77002 X DAVID J FINE 6.0 X X 0 1773018 418140 MICHAEL RICHMOND 2.0 X X 0 0 0 RALPH MCINGVALE 2.0 X X 0 0 0 CHARLES HANKINS md 2.0 X 0 0 0 STEPHEN PICKETT 2.0 X X 0 985303 159584 JEFY M MATHEW md 2.0 X 0 36248 0 THE REVEREND GARY H JONES 2.0 X 0 27648 3556 chester jones 2.0 X 0 0 0 gary whitlock 2.0 X 0 0 0 brad beers 2.0 X 0 0 0 gerald glenn 2.0 X 0 0 0 gerry sevick 2.0 X 0 0 0 ann snyder 2.0 X 0 0 0 DEBRA F SUKIN 43.0 X 342747 0 87866 Brian e Doyle 2.0 X 0 141673 27174 Margaret A REITER 43.0 X 182776 0 28069 Mary Sue Lipham 43.0 X 179166 0 35398 andrew starr 43.0 X 165308 0 13473 Erica A Stuckey 45.0 X 126716 0 12039 mona j tucker 45.0 X 118065 0 14741 TANA ELLIOTT 45.0 X 134594 0 23642 flordevic p lagrimas 45.0 X 130478 0 23853 robyn s james 45.0 X 120396 0 6189 1500246 2963890 853724 28 false true false RRC Medical Real Estate 9303 Pinecroft Drive suite 300 SHENANDOAH TX 77380 construction service 3210265 aramark corporation 12483 collections center drive CHICAGO IL 60693 food & environmental 2610386 comprehensive pharmacy services 6409 quail hollow road MEMPHIS TN 38120 pharmacy mgmt staff 1877429 GE medical systems po box 843553 DALLAS TX 752843553 consulting services 919574 hunton trane services 5622 luce st HOUSTON TX 77087 HVAC maintenance 901370 28 100000 100000 NET PATIENT REVENUE 900099 159514660 159281106 233554 HEALTH EDUCATION/WOMEN'S SERVICES 900099 28553 28553 INSTITUTIONAL REVENUE 900099 265909 9325 256584 159809122 -2848069 -2848069 0 0 32003 644302 0 529691 32003 114611 146614 114611 32003 0 0 0 293336 151197 142139 142139 FOOD SERVICES 900099 21630 21630 MEDICAL RECORDS 900099 72691 72691 MISCELLANEOUS 900099 3881 3881 98202 157448008 159318984 604749 -2575725 174250 174250 312916 312916 0 0 869997 0 869997 0 0 42433827 38686195 3747632 2295946 2054391 241555 4405823 3973551 432272 3309647 2988243 321404 487218 453430 33788 83347 83347 0 0 0 0 905649 899699 5950 128026 64774 63252 30424613 30105801 318812 676056 24390 651666 0 2417570 646257 1771313 37098 12626 24472 0 351 351 385611 385611 0 8075215 4451203 3624012 4702936 4702936 BAD DEBT 19774880 19774880 0 EQUIPMENT AND FACILITY MAINTEN 3715414 1799596 1915818 OTHER OUTSIDE SERVICES 15273867 5581941 9691926 LAUNDRY & LINEN 648384 483721 164663 2604149 387006 2217143 144142790 113260481 30882309 0 17372166 8592333 0 0 0 0 22977364 18548074 0 0 0 0 0 0 1872660 1881307 117975 159176 200611578 61328326 137564102 139283252 0 0 0 0 0 0 65850 59038 7116323 675709 187086440 169198889 9117645 9527500 0 0 41826 40679 0 0 0 0 0 0 0 0 0 0 191446908 159845431 200606379 169413610 X -13519939 -214721 0 0 0 0 -13519939 -214721 187086440 169198889 13305218 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true true 11787902 11787902 125467096 15435189 110031907 1684938 1516423 168515 54480102 44376714 10103388 7191540 7191540 139283252 0 INTERCOMPANY PAYABLES 120311052 MEDICARE/MEDICAID RESERVES 1587447 CONSTRUCTION PAYABLE RETAINER 698349 EQUIPMENT LEASE PAYABLE 4561582 OTHER LONG TERM LIABILITIES (L 32687001 159845431 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, a related organization, does 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. there were no uncertain tax positions recorded in the consolidated financial statements at december 31, 2011 or 2010. true true X true X true X true true true false true true 3605457 3605457 0.02900 11014814 10304970 709844 0.00570 14620271 10304970 4315301 0.03470 174250 174250 0.00140 174250 174250 0.00140 14794521 10304970 4489551 0.03610 true 19774880 31545769 36788347 -5242578 X true true 1 1 ST LUKES THE WOODLANDS HOSPITAL

17200 ST LUKES WAY THE WOODLANDS TX 77384

X X X ST LUKES THE WOODLANDS HOSPITAL 1 false true true 200. true 400. true X X X X X X X true true X X true false true X false false 3 St Luke's Sleep Disorders Lab

17350 St Lukes Way Suite 460 The Woodlands TX 77384

Sleep Clinic Community Emergency Center-The Woodlands

10710 Kuykendahl Suite A The Woodlands TX 77381

emergency clinic closed May, 2011 Tektonic Athletic Development & Rehab

17350 St Lukes Way The Woodlands TX 77384

Sports Rehabilitation moved in Fall 2011 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 $19,774,880 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 7.045%. St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital received supplemental medicaid payments of $1,119,569 during 2011. 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 the direct offsetting revenue found in column (d) was not subtracted from total community benefit expense, the percentage in column (f) would be 11.90%. FOOTNOTE FOR BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 Text 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 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 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. St. Luke's internal cost accounting methodology has been utilized 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 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 fianancial assistance policy Part V, Line 13g St. Luke's community Health Services d/b/a St. Luke's The Woodlands Hospital 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 Assistance Part V, line 19d Indicate 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 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, "safety" days, 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 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 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 2011, St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital participated in four 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, 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, St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital 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 american heart association - south central affil po box 4002903 des moines IA 503402903 752634623 501(c)(3) 25000 HEART BALL SPONSOR 2011 - FOR THE FIGHT AGAINST CARDIOVASCULAR DISEASE & Heart walk INTERFAITH OF THE WOODLANDS 4242 INTERFAITH WAY THE WOODLANDS TX 77381 741804123 501(C)(3) 12500 SPONSORSHIP - SUPPORT OF THE WOODLANDS 2011 FIVE WHO SHARE SPRING LUNCHEOn and Hometown Heroes THE COMMUNITY CLINIC 101 PINE MANOR DRIVE OAK RIDGE North TX 77385 100000 SUPPORT FOR THE COMMUNITY CLINIC AND THE MONTGOMERY COUNTY WOMENS CENTER. 3 0 individual indigent healthcare 1177 159391 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 501(C)(3) 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 1020838 0 670737 0 81443 0 383821 0 34319 0 2191158 0 0 STEPHEN PICKETT 0 621258 0 353907 0 10138 0 146779 0 12805 0 1144887 0 0 DEBRA F SUKIN 266897 0 67205 0 8645 0 69647 0 18219 0 430613 0 0 0 Margaret A REITER 168457 0 12744 0 1575 0 16856 0 11213 0 210845 0 0 0 Mary Sue Lipham 164829 0 12308 0 2029 0 20356 0 15042 0 214564 0 0 0 Brian e Doyle 0 141216 0 457 0 0 0 16006 0 11168 0 168847 0 0 TANA ELLIOTT 131941 0 2653 0 0 0 9372 0 14270 0 158236 0 0 0 andrew starr 126889 0 26250 0 12169 0 3850 0 9623 0 178781 0 0 0 flordevic p lagrimas 127789 0 2689 0 0 0 10246 0 13607 0 154331 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 $364,116.00 STEPHEN PICKETT $129,499.00 Debra f Sukin $ 49,999.92 FORM 990, PART IV, QUESTION 12a & 12b; FORM 990, PART XI, QUESTION 2D 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 2011. 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 MAKES 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. . HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID J FINE TITLE:treasurer SECRETARY & director HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL RICHMOND TITLE:CHAIRMAN & director HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RALPH MCINGVALE TITLE:VICE CHAIRMAN & Director HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHARLES HANKINS, m.d. TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEPHEN PICKETT TITLE:asst. secretary HOURS:43 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JEFY M MATHEW, m.d. TITLE:DIRECTOR EX OFFICIO HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THE REVEREND GARY H JONES TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:chester jones TITLE:director HOURS:15 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:gary whitlock TITLE:director HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:brad beers TITLE:director HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:gerald glenn TITLE:director HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:gerry sevick TITLE:director HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ann snyder TITLE:director HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEBRA F SUKIN TITLE:SR V P AND CEO WOODLANDS HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Brian e. Doyle TITLE:Assistant Treasurer HOURS:43 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Margaret A REITER TITLE:AVP PATIENT CARE SLTWH HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mary Sue Lipham TITLE:AVP & cfo HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:andrew starr TITLE:avp & coo sltwh HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Erica A. Stuckey TITLE:STAFF NURSE HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:mona j. tucker TITLE:Human Resources Director HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:TANA ELLIOTT TITLE:supervisor emergency dept HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:flordevic p lagrimas TITLE:staff nurse HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:robyn s james TITLE:director tektonic HOURS: 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 3100 MAIN STREET HOUSTON TX 77002 260274448 mgmt support TX 501(c)(3) 11a SYSTEM CORP false ST LUKES COMMUNITY DEV CORP SUGAR LAND 3100 MAIN STREET HOUSTON TX 77002 261947374 HOSPITAL TX 501(c)(3) 3 System Corp false ST LUKES COMMUNITY DEV CORP THE WOODLAND 3100 MAIN STREET HOUSTON TX 77002 260335902 HOSPITAL TX 501(c)(3) 3 SL CDC false ST LUKES COMMUNITY DEV CORP THE VINTAGE 3100 MAIN STREET HOUSTON TX 77002 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 3100 Main houston TX 77002 273733278 hospital TX pending 3 SL CDC false Sugar land doctor group 6624 fannin st ste 1100 houston TX 770302323 454270163 clinic TX pending 9 SL CDC - SL false St Luke's Foundation 3100 main st st 672 houston TX 770029325 453811485 grants TX pending 7 system corp false st Luke's Sugar Land Properties Corpora 3100 main st ste 672 houston TX 770029325 454120549 prop mgmt TX pending 11a sl cdc -sl false ST LUKES SUGAR LAND PARTNERSHIP LLP 3100 MAIN HOUSTON TX 77002 204325467 dissolved TX na 0 ST LUKES LAKESIDE HOSPITAL LLC 3100 MAIN HOUSTON TX 77002 300427437 HOSPITAL TX na 0 ST LUKES HOSPITAL AT THE VINTAGE LLC 3100 MAIN HOUSTON TX 77002 263734616 HOSPITAL TX na 0 PMC Hospital LLC 3100 Main houston TX 77003 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 ST LUKES MEDICAL TWR CONDO ASSOCIATION 6624 FANNIN HOUSTON TX 77030 760298751 CONDOMINIUM A TX NA c ST LUKES 6620 MAIN CONDO ASSOCIATION 6624 FANNIN HOUSTON TX 77030 300355517 CONDOMINIUM A TX NA c THE THI AT SLEH DAC BLDG CONDO ASSOC 6624 FANNIN HOUSTON TX 77030 900064009 CONDOMINIUM A TX NA c SLEHS HOLDINGS INC AND SUBSIDIARIES 6624 FANNIN HOUSTON TX 77030 760637138 HOLDING COMPA TX NA c ST LUKES EPISCOPAL HOSP PHYSICIAN HOSP O 6720 BERTNER HOUSTON TX 77030 760377932 PHO TX NA c ALL SAINTS INSURANCE COMPANY SPC LTD PO BOX 69 GT Georgetown GRAND CAYMAN CJ Ky-1102 SELF INSURANC CJ NA N/A St Luke's Properties Corp - Sugar Land 3100 Main Houston TX 77002 271303416 dissolved TX na C 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.