2011-11-11T12:30:45-06:00 2010-12-31 990 2010-01-01 760536234 ST LUKES COMMUNITY HEALTH SERVICES STLU 8323552042 6624 FANNIN HOUSTON TX 77030 stephen pickett 2011-11-10 2010 2016-03-07 17:11:31Z St Luke's the Woodlands Hospital DAVID j FINE 6624 FANNIN HOUSTON TX 77030 167670649 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 258 372818 60697 0 0 162000128 162680405 118811 -1778927 1734837 6631464 163853776 167532942 212291 244201 0 0 56269461 56065179 0 0 0 92475453 91171689 148957205 147481069 14896571 20051873 165284847 187086440 198856659 200606379 -33571812 -13519939 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 113757466 244201 162329427 St. Luke's The Woodlands Hospital (SLWH), as an integral part of the Health System, contributes to enhancing community health by delivering superior value in high-quality, cost-effective acute care. When SLEHS decided in 2003 to offer comprehensive care beyond the Texas Medical Center, The Woodlands community was chosen. Research showed that The Woodlands residents were leaving the community, many driving to the Texas Medical Center facilities for health services, while expressing a strong preference for 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, which is ranked in the top ten of their specialties by U.S. News and World Report -all on one 64-acre medical campus. STATS Admissions 9,826 Emergency Room Visits 32,245 Surgeries 4,272 Births 1,850 Outpatient Visits 66,621 The growth of the campus since its opening is a testament to SLWH promise to providing comprehensive quality healthcare to patients and their families in a community setting. At SLWH, a broad continuum of medical care is offered: Family Birthing Center, neonatal intensive care, pediatrics, women's services, surgical care, comprehensive cardiovascular services, neurosurgery, neurology, critical care, emergency services, oncology, orthopedic and spine care, sports medicine, robotic surgery, geriatrics and diagnostic imaging services. SLWH has comprehensive service lines in the following areas: women's and children's, cardiovascular care, emergency services, robotics and neurosciences. Medical specialties provided by more than 650 physicians include internal medicine, gastroenterology, cardiology, oncology, orthopedics, obstetrics and gynecology, otolaryngology, pediatrics, general surgery, urology, bariatrics, neurosurgery and cardiovascular surgery. GammaKnife Technology SLWH was the first hospital to bring GammaKnife technology-one of the most technologically advanced means of treating brain disorders-to the North Houston and Montgomery County communities. DNV Accreditation DNV re-validated SLWH accreditation. SLWH also was deemed Stroke Certified by DNV- the first hospital in Texas to receive such recognition from DNV. Human Performance SLWH acquired TEKTONIC Athletic Development & Rehabilitation, a technologically and clinically advanced physical rehabilitation and human performance testing and training company 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. Clinical Site of the Year SLWH's Department of Pharmacy received two recognitions for "Clinical Site of the Year" and "Best Practice" Award by the American Society of Hospital Pharmacists. SLWH decentralized its pharmacy department, making it the first hospital in Montgomery County with positioned clinical pharmacists to rotate among the Intensive Care Units to enhance critical care interventions. Imaging Center of Excellence SLWH achieved the status as a "Breast Imaging Center of Excellence" and was awarded accreditation by the American College of Radiology in all six modalities of diagnostic imaging. At the time, SLWH was the only hospital in Montgomery County to have received this recognition. Nursing Excellence SLWH received the Pathway to Excellence designation by the American Nurses Credentialing Center. The designation identifies work environments where nurses can flourish; substantiates the professional satisfaction of nurses, and identifies SLWH as one of the best places to work. Accreditation Chest Pain Accreditation with PCI from the Society of Chest Pain Centers was granted to SLWH for integrating the industry's best practices into its cardiac care services. 113757466 true false false false false false false false true true false false false true true false true false false false false false false false false true false true true true false false false false false false false false false false false false false true true true false false true X 0 0 true 1032 true true true false false false false false false false false X 11 9 true false false false true true true true true false false true true true true true true true true false X X STEPHEN PICKETT 8323552042 3100 MAIN HOUSTON TX 77002 X DAVID J FINE 7.0 X X 0 1939799 423058 MICHAEL RICHMOND 2.0 X X 0 0 0 RALPH MCINGVALE 2.0 X X 0 0 0 CHARLES HANKINS 2.0 X 0 0 0 REVEREND LINDA SERACUSE 2.0 X 0 0 0 STEPHEN PICKETT 2.0 X X 0 1052223 164573 JEFY M MATHEW md 2.0 X 0 0 0 THE REVEREND GARY H JONES 2.0 X 0 65591 96831 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 daniel l grimmer 2.0 X 0 0 0 DEBRA F SUKIN 43.0 X 360199 0 100031 Brian e Doyle 2.0 X 0 164623 31941 Margaret A REITER 43.0 X 163138 0 29659 Mary Sue Lipham 43.0 X 160549 0 37280 Erica A Stuckey 45.0 X 129111 0 14072 Mary B Mcnutt 45.0 X 125742 0 14984 mona j tucker 45.0 X 124847 26363 DANIEL KELLY 45.0 X 120694 0 18129 TANA ELLIOTT 45.0 X 119324 0 16958 1303604 3222236 973879 8 false true false Hoar Construction 1300 west sam houston pkwy suite 2 HOUSTON TX 77042 construction service 2677484 COMPREHENSIVE PHARMACY SERVICES 7115 NORTHLAND TERRACE BROOKLYN PARK MN 55428 PHARMACY MGMT STAFF 2562785 ARAMARK FACILITY SERVICES PO BOX 100401 PASADENA CA 600560401 CLINICAL ENGINEERING 2621190 RRC Medical Real Estate 9393 pinecroft drive suite 300 SHENANDOAH TX 77380 property development 1020600 skilled therapy rehab 2051 COPPERWOOD PARK LANE SPRING TX 77386 THERAPIST STAFFING 640151 22 0 NET PATIENT REVENUE 900099 162548919 162246912 302007 HEALTH EDUCATION/WOMEN'S SERVICES 900099 25093 25093 INSTITUTIONAL REVENUE 900099 106393 57422 48971 162680405 -2765059 -2765059 0 0 986132 986132 0 0 267179 137707 129472 FOOD SERVICES 900099 617514 617514 MEDICAL RECORDS 900099 69162 69162 MISCELLANEOUS 900099 35294 21840 13454 5780022 5780022 6501992 167532942 162329427 372818 4701225 56250 56250 187951 187951 0 0 683886 0 683886 0 0 44195629 38818820 5376809 2760627 2400540 360087 5171749 4246429 925320 3253288 2859748 393540 1270017 375792 894225 133122 133122 3100 3100 0 0 0 818477 818477 109008 54751 54257 29626727 28533379 1093348 1034428 91216 943212 0 2738115 565005 2173110 33302 14576 18726 0 0 423448 423448 0 8089348 4018936 4070412 5661426 5661426 BAD DEBT 22590304 22590304 0 EQUIPMENT AND FACILITY MAINTEN 3592514 1707802 1884712 OTHER OUTSIDE SERVICES 12171671 5800463 6371208 LAUNDRY & LINEN 655915 26658 629257 PROFESSIONAL DUES AND LICENSES 283084 141850 141234 1937683 25071 1912612 147481069 113757466 33723603 0 11384176 17372166 15251745 19688740 1957548 1872660 287143 117975 191975162 54411060 135633852 137564102 0 3354474 770383 7116323 165284847 187086440 5880311 9117645 5294 41826 192971054 191446908 198856659 200606379 X -33571812 -13519939 -33571812 -13519939 165284847 187086440 20051873 X false true true X false X false true true 0 11787902 11787902 121785662 13180536 108605126 1758846 1338337 420509 48651799 36637640 12014159 7990953 3254547 4736406 137564102 0 INTERCOMPANY PAYABLES 155286083 MEDICARE/MEDICAID RESERVES 1189165 CONSTRUCTION PAYABLE RETAINER 895018 EQUIPMENT LEASE PAYABLE 1389641 OTHER LONG TERM LIABILITIES (LAKESIDE HOSPITAL JV) 32687001 191446908 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 rlated 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, 2010 or 2009. true true X true X true X true true true false true true 3374994 0 3374994 0.02700 11781811 11456031 325780 0.00260 0 0 0 0.00000 15156805 11456031 3700774 0.02960 161298 0 161298 0.00130 32500 0 32500 0.00030 193798 0 193798 0.00160 15350603 11456031 3894572 0.03120 7 3080 3080 11 5985 5985 23 9065 9065 true 5267895 1034302 26494432 33348448 -6854016 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 4 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 Community Emergency Center - The Vintage

10701 Vintage Preserve Pkwy Houston TX 77070

emergency clinic Tektonic Athletic Development & Rehab

602 Pruitt Road The Woodlands TX 77380

Sports Rehabilitation 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. Subsidized health services amounts represent cash paid to other healthcare providers for indigient healthcare services. 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 8.29%. FOOTNOTE FOR BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 Text in footnotes that describes bad debt expense: "unpaid accounts are written off as bad debt once they reach delinquent status." COSTING METHODOLOGY SCHEDULE H, PART iii, SECTION A, LINE 4 BAD DEBT AMOUNTS ARE CALCULATED USING THE COST TO CHARGE RATIO METHOD. 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. The cost ot 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 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. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 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 Cardon Healthcare Network to ensure all self pay and underinsured patients are screened for the appropriate governmental assistance prior to qualifying them for charity. Once Cardon 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 100% charity, partial charity, or denied 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 HOSPITAL IN THE TEXAS MEDICAL CENTER. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 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 2009, St. Luke's Community Health Services d/b/a St. Luke's The Woodlands Hospital participated in seven community health fairs with various corporations along with the provision of first aid support for seven 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 in conjunction with other exempt organizations to highlight health concerns such as cardiology and heart problems, breast cancer, prostate 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. 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. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI TX, true american heart association - south central affil 10900-B STONELAKE BLVD SUITE 320 AUSTIN TX 78759 752634623 501(c)(3) 15000 HEART BALL SPONSOR 2010 - FOR THE FIGHT AGAINST CARDIOVASCULAR DISEASE INTERFAITH OF THE WOODLANDS 4242 WOODRUSH DRIVE THE WOODLANDS TX 77381 741804123 501(c)(3) 7500 SPONSORSHIP AMERICAN HEART ASSOCIATION 10060 BUFFALO SPEEDWAY HOUSTON TX 77054 135613797 501(C)(3) 10000 SPONSOR HEART WALK 2010 - FOR THE FIGHT AGAINST CARDIOVASCULAR DISEASE 16 individual indigent healthcare 13 161298 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 987292 0 858574 0 93933 0 387952 0 35106 0 2362857 0 155147 STEPHEN PICKETT 0 600626 0 441452 0 10145 0 144702 0 19871 0 1216796 0 13782 DEBRA F SUKIN 255873 0 95686 0 8640 0 76799 0 23232 0 460230 0 0 0 THE REVEREND GARY H JONES 0 51338 0 215 0 14038 0 30648 0 66183 0 162422 0 0 Margaret A REITER 145267 0 17871 0 0 0 15213 0 14446 0 192797 0 0 0 Mary Sue Lipham 139486 0 17148 0 3915 0 18221 0 19059 0 197829 0 0 0 mona j tucker 110812 10825 3210 7373 18990 151210 0 Brian e Doyle 0 138635 0 20109 0 5879 0 17247 0 14694 0 196564 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 $368,512.00 STEPHEN PICKETT $127,704.00 Debra f Sukin $ 58,333.32 FORM 990, PART IV, QUESTION 12 & 12A; 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 2010. FORM 990, PART V, QUESTIONS 1a 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 REALTED 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 2, 6, 7a AND 7b SECTION A: GOVERNING BODY AND MANAGEMENT did any officer, director, trustee, or key employee have a family relationship or a business realtioship with any other officer, director, trustee, or key employee? The reverend gary H. Jones and reverend linda seracuse have a business relationship. DOES 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. DOES THE ORGANIZATION HAVE MEMBERS, STOCKHOLDERS, OR OTHER PERSONS THAT MAY ELECT 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 DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS, STOCKHOLDERS, OR OTHER PERSONS? 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 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 DOES 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, QUESTIONS 14 SECTION B: POLICIES DOES 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, QUESTIONS 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:SECRETARY & director HOURS:38 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL RICHMOND TITLE:CHAIRMAN & director HOURS:4 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 TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:REVEREND LINDA SERACUSE TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEPHEN PICKETT TITLE:TREASURER HOURS:43 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JEFY M MATHEW, m.d. TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THE REVEREND GARY H JONES TITLE:DIRECTOR HOURS:43 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:chester jones TITLE:director HOURS:13 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:daniel l grimmer TITLE:director - ex officio HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEBRA F SUKIN TITLE:V P AND CEO WOODLANDS HOURS:2 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 CONTROLLER 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:Mary B. Mcnutt 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:DANIEL KELLY TITLE:MANAGER EMERGENCY DEPARTMENT HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:TANA ELLIOTT TITLE:DIRECTOR NURSING HOURS: ST LUKES EPISCOPAL HEALTH SYSTEM CORP 6624 FANNIN HOUSTON TX 77030 760536232 PARENT CORP TX 501(c)(3) 11a EPIS DIOCESE ST LUKES EPISCOPAL HOSPITAL 6720 BERTNER HOUSTON TX 77030 741161938 HOSPITAL TX 501(c)(30 3 SYSTEM CORP ST LUKES EPISCOPAL HEALTH SYSTEM FOUNDA PO BOX 20269 HOUSTON TX 77225 760127715 invest mgmt TX 501(c)(c) 11a SYSTEM CORP ST LUKES EPISCOPAL PROPERTIES CORP 6624 FANNIN HOUSTON TX 77030 760531716 prop mgmt TX 501(c)(3) 11a SYSTEM CORP ST LUKES MEDICAL TOWER CORPORATION 6624 FANNIN HOUSTON TX 77030 760531713 med offices TX 501(c)(3) 11a SYSTEM CORP ST LUKES EPISCOPAL HEALTH CHARITIES 6624 FANNIN HOUSTON TX 77030 760531710 grant support TX 501(c)(3) 11a SYSTEM CORP GREATER HOUSTON HEALTH NETWORK 6624 FANNIN HOUSTON TX 77030 760458535 CLINIC TX 501(c)(3) 3 SYSTEM CORP SL AUGUSTA CORPORATION 6624 FANNIN HOUSTON TX 77030 760226623 title holding TX 501(c)(2) N/A SYSTEM CORP SLEH SELF INSURANCE TRUST 6720 BERTNER HOUSTON TX 77030 766046296 in dissolutio TX 501(c)(3) 11a SYSTEM CORP ST LUKES COMMUNITY DEVELOPMENT CORP 3100 MAIN STREET HOUSTON TX 77002 260274448 mgmt support TX 501(c)(3) 11a SYSTEM CORP ST LUKES COMMUNITY DEV CORP SUGAR LAND 3100 MAIN STREET HOUSTON TX 77002 261947374 HOSPITAL TX 501(c)(3) 3 SYSTEM CORP ST LUKES COMMUNITY DEV CORP THE WOODLAND 3100 MAIN STREET HOUSTON TX 77002 260335902 HOSPITAL TX 501(c)(3) 3 SYSTEM CORP ST LUKES COMMUNITY DEV CORP THE VINTAGE 3100 MAIN STREET HOUSTON TX 77002 263734606 HOSPITAL TX pending 3 SYSTEM CORP Woodlands Doctor Group 17200 st Lukes way the woodlands TX 77384 274499340 clinic TX pending 9 system corp St Luke's Community Dev Corp - PMC 3100 Main houston TX 77002 273733278 hospital TX pending 3 system corp ST LUKES SUGAR LAND PARTNERSHIP LLP 3100 MAIN HOUSTON TX 77002 204325467 HOSPITAL TX na n/a 0 0 0 0.00000 ST LUKES LAKESIDE HOSPITAL LLC 3100 MAIN HOUSTON TX 77002 300427437 HOSPITAL TX na n/a 0 0 0 0.00000 ST LUKES HOSPITAL AT THE VINTAGE LLC 3100 MAIN HOUSTON TX 77002 263734616 HOSPITAL TX na n/a 0 0 0 0.00000 PMC Hospital LLC 3100 Main houston TX 77003 273280598 hospital TX na n/a 0 0 0 0.00000 HC SL vintage I LLC 18000 West Sarah Land Ste 250 brookfield WI 53045 270453767 property holding WI na n/a 0 0 0 0.00000 ST LUKES MEDICAL ARTS CENTER I CONDO ASS 6624 FANNIN HOUSTON TX 77030 300355518 CONDOMINIUM Assoc TX NA c 0 0 0.00000 ST LUKES MEDICAL TWR CONDO ASSOCIATION 6624 FANNIN HOUSTON TX 77030 760298751 CONDOMINIUM Assoc TX NA c 0 0 0.00000 ST LUKES 6620 MAIN CONDO ASSOCIATION 6624 FANNIN HOUSTON TX 77030 300355517 CONDOMINIUM Assoc TX NA c 0 0 0.00000 THE THI AT SLEH DAC BLDG CONDO ASSOC 6624 FANNIN HOUSTON TX 77030 900064009 CONDOMINIUM Assoc TX NA c 0 0 0.00000 SLEHS HOLDINGS INC AND SUBSIDIARIES 6624 FANNIN HOUSTON TX 77030 760637138 HOLDING COMPAny TX NA c 0 0 0.00000 ST LUKES EPISCOPAL HOSP PHYSICIAN HOSP O 6720 BERTNER HOUSTON TX 77030 760377932 PHO TX NA c 0 0 0.00000 ALL SAINTS INSURANCE COMPANY SPC LTD PO BOX 69 GT Georgetown GRAND CAYMAN CJ Ky-1102 SELF INSURANCe CJ NA N/A 0 0 0.00000 st lukes community dev corp - clear lake 3100 main houston TX 77002 260672981 in dissolution TX na c 0 0 0.00000 St Luke's Properties Corp - Sugar Land 3100 Main Houston TX 77002 271303416 in dissolution TX na C 0 0 0.00000 St Luke's Epis Hosp Ind Practice Assoc 6720 Bertner Houston TX 77030 760377930 physicians assoc TX na c 0 0 0.00000 false false false false false false false false false false true false false false true false true St Luke's Episcopal Hospital o 96731321 St Luke's Lakeside Hospital LLC k 1298963 st luke's episcopal health system q 150492729 St Luke's Episcopal Health System o 19510485 St Luke's Community Dev Corp - The Woodlands q 394498 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.