2013-11-14T17:15:37-06:00 2012-12-31 990 2012-01-01 760536232 ST LUKE'S EPISCOPAL HEALTH SYSTEM % STEPHEN PICKETT STLU 8323552042 6624 FANNIN ST Suite 1100 HOUSTON TX 77030 stephen pickett 2013-11-13 2012 2016-02-24 21:20:13Z DAVID j FINE 6624 FANNIN suite 1100 HOUSTON TX 77030 104559207 false X WWW.SLEH.COM X 1997 TX ST. LUKE'S, 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 HEALTH SERVICES. 21 19 628 26 983071 982071 4336 0 83829751 98354066 8359291 5239568 1904338 965573 94097716 104559207 167250 90000 0 0 56981183 56927622 0 0 0 45274992 40956186 102423425 97973808 -8325709 6585399 299268312 264662837 226969388 186130899 72298924 78531938 ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION (SLEHS), 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, SLEHS IS DEDICATED TO EXCELLENCE AND COMPASSION IN CARING FOR THE WHOLE PERSON-MIND, BODY AND SPIRIT. SLEHS IS 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 7380429 98271885 MISSION St. Luke's Episcopal Health System (SLEHS), 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 collaboration with its medical staff, SLEHS is dedicated to excellence and compassion in caring for the whole person-body, mind and spirit. Core Values SLEHS also is committed to the growth and development of its employees, and to securing the health of future generations by creating, applying and disseminating knowledge through education and research. Integrity: Being completely honest in everything we do is the basis of our actions. Valuing People: Taking care of people, including patients and employees, is the reason we exist. Excellence: Striving to enhance high quality is our constant pursuit. Goal Orientation: Focusing on what we want to achieve helps design the best way to realize our vision. Stewardship: Enhancing our stewardship through transparency, fiscal discipline, accountability, efficient management and maximization of resources. St. Luke's Episcopal Health System is committed to extending our special brand of Faithful, Loving Care to Greater Houston by continuing to enhance collaboration with physicians, building more robust information systems, engaging with Houston's philanthropic community and advancing medicine through clinical innovation and superior nursing. The Epic Experience In January, hundreds of ITS team members took to the hallways, meeting rooms and patient care units across the Health System to prepare for an ambitious overhaul to clinical operations through the deployment of a new, integrated, electronic health record. This Epic system, scheduled to go-live in May 2013 at St. Luke's Episcopal Hospital and The Woodlands Campus, will enable the Health System to better integrate patient information across the continuum of care as well as meet new, federally mandated information exchange requirements. Epic will be implemented in St. Luke's ambulatory care environments by December 2013. Members of the St. Luke's Family were trained as Subject Matter Experts, SMEs, to assist in transforming workflows within the various departments across the Health System. In July, the Epic Implementation Team opened the Epic Experience, an interactive knowledge center offering physicians and staff access to various devices and workstations that host the Epic interface. Computer workstations, handheld devices and smart phones and a BMW (bedside mobile workstation) are available for "test drives." The Epic Experience, located in The O'Quinn Medical Tower at St. Luke's, features an Epic Ambassador to answer basic questions, discuss implementation timelines and introduce various capabilities offered by Epic. In August, St. Luke's Ambulatory Clinics launched the Epic platform. Worldwide Outreach Anglican Health Network (AHN) AHN's medical supply system opened in February with access to a range of surplus items in the United States. According to former SLEHS Board Chair and current AHN Co-chair Lee Hogan, the Network is now looking for collaborative support (partners and recipients) to facilitate deliveries of the medical equipment. Recent beneficiaries receiving equipment from SLEHS included the Anglican Province of Tanzania. Managers and physicians from the Health System and Baylor College of Medicine visited the Berega Hospital of the Diocese of Morogora in Tanzania in late February. The trip represented an initial step to develop links between Anglican hospitals in different parts of the world and to establish conduits for distribution of surplus medical equipment, to provide clinical training and support development of hospital management systems. Bench Strength St. Luke's Episcopal Health System continues to build its bench strength through its Administrative Fellowship Program. The Program provides an in-house talent pool for entry-level management positions. The 2012 fellowship class includes five Fellows from a pool of more than 140 applicants representing top universities in the country. Faithful, Loving Care The Health System is in the fourth year of its Faithful, Loving Care journey. Our goal in 2012 was to reach the top quartile for the Health System in "Overall Rating of Care." To hardwire the Faithful, Loving Care behaviors that are expected of our staff, 14 "I Always" video vignettes were created for multiple roles in the Health System. These vignettes reinforce the rounding behaviors for the following disciplines: Nurse Leader, Staff Nurse, Patient Care Assistant, Respiratory Therapist, Case Manager, Transporter, Environmentalist, Food Service Host, Physical Therapist, Radiologist and Physician. More than 3,000 employees and hospitalists have viewed these vignettes and incorporated these skills into their rounding processes. To improve patient satisfaction, patient journals were presented to any patient who was admitted to a System hospital. The Journal encourages a patient to participate in his/her care by writing questions to the nurse and physician about the plan of care and discharge process. More than 16,000 journals have been provided to St. Luke's patients. Human Resources For 2012, the Health System's Department of Organizational Development focused on a number of key priorities based on St. Luke's business goals: Employee Engagement SLEHS continued its Employee Engagement initiative System-wide to support a culture focused on providing a positive and rewarding environment for its employees. This year, SLEHS out-performed many organizations by scoring in the top quartile on the Advisory Board Engagement Survey. Performance Management Goals for managers and employees were implemented System-wide through the new online performance management and learning management tool, e-Value. e-Value, for employees includes: o learning how performance links to SLEHS goals, o receiving full access in creating, tracking and achieving professional goals, o communicating online with leaders regarding role expectations and performance, and o enjoying paperless Annual Performance Reviews. Leadership Development New leader training was developed to support new managers or promoted leaders in the organization. The Essentials of Leadership, a three-day course offered quarterly, was created to provide tools for success at St. Luke's, including training on systems, budgeting, hiring, employee coaching and recognition. In 2012, three Leadership Development Institutes and three Supervisor Development Institute events were hosted to bring together System leadership. Topics discussed included change management, Just Culture, Epic implementation and process improvement. Learning Management A new online training system was implemented through e-Value for educating employees and leaders. The user-friendly interface provided employees centralized access to classes, training content and additional interactive learning features. Spirit of Wellness Program Various programs were introduced throughout the Health System to encourage employees to become and stay healthier. In March, SLEH partnered with other Texas Medical Center institutions for Shape Up Houston. The six-month health and wellness initiative encourages, challenges and educates employees to reshape their lifestyle with regard to health and fitness. As part of the medical plans offered to SLEHS employees, Cigna introduced the Personal Health Team to help manage chronic conditions, lifestyle and behavior changes. Number of Employees More than 1,033 new hires joined the St. Luke's Episcopal Health System Family bringing the total number of employees to 6,772 in 2012. Charity Care In 2012, St. Luke's Episcopal Health System provided charity care valued at $61.0 million for services to patients who are unable to pay for the services they have received. Uncompensated Care St. Luke's Episcopal Health System also absorbed in excess of $81.1 million in bad debt as a result of services provided to patients who failed to pay their bills. This reflects a seriously adverse trend due to national economic conditions. Standard & Poor's Credit Rating Standard & Poor's affirmed St. Luke's Episcopal Health System's 'AA-' rating, with stable outlook. This long-term rating reflects: Improved operating income in fiscal 2011 (audited year ended Dec. 31, 2011) and fiscal 2012 to date (six months through June 30, 2012), which generated operating margins of 5.0% and 5.9%, respectively. Improved balance sheet. Sound business position as one of Houston's most renowned institutions, with additional delivery locations in the growing suburban metropolitan service area that have bolstered market presence and market share, with increased inpatient volumes across the System. Diverse physician relationships, including those with St. Luke's private practitioners, the Kelsey-Seybold Medical Group, academic providers from both Baylor College of Medicine and 7380429 true false false true false false false false true true true false true true true false true false false false true false false false false false true false true false false false false false false false false false false false false false true true true false false true X 979 0 true 628 true true true true CJ false false false false false false false false X 21 19 false false false false true true true true true false false true true true true true true true true true true X STEPHEN PICKETT 8323552042 6624 FANNIN SUITE 1100 HOUSTON TX 77030 David J FINE 7.0 48.0 X X 1671626 0 451822 THE RT REV DENA A HARRISON DD 4.0 7.0 X X 43358 0 0 THE RT REV Rayford b HIGH JR 2.0 2.0 X 0 0 0 A Robert HINOJOSA 2.0 2.0 X 0 0 0 john r huff 2.0 0.0 X 0 0 0 Chester JONES 7.0 13.0 X 0 0 0 Meredith J LONG 2.0 0.0 X 0 0 0 THE VERY REV Joe D REYNOLDS 2.0 5.0 X 0 0 0 Stephen PICKETT 19.0 36.0 X X 969319 0 161085 John Scott Arnoldy 2.0 4.0 X 0 0 0 linnet deily 2.0 5.0 X 0 0 0 David t HARVIN 2.0 0.0 X 0 0 0 Steven l MILLER 2.0 0.0 X 0 0 0 William c MONTGOMERY 2.0 6.0 X 0 0 0 Bruce PHILLIPS 2.0 5.0 X 0 0 0 Harry j PHILLIPS jr 2.0 2.0 X 0 0 0 Howard TELLEPSEN jr 2.0 5.0 X 0 0 0 robert k reeves 2.0 0.0 X 0 0 0 michael richmond 2.0 7.0 X 0 0 0 THE REV MICHAEL W BESSON JR 2.0 0.0 X 0 0 0 ROBERT DUNCAN 2.0 0.0 X 0 0 0 THE REV LILLIAN W HYDE 2.0 0.0 X 0 0 0 michelle lyn md 2.0 2.0 X 0 0 0 KATHARINE ORTON 2.0 5.0 X 0 0 0 LEONARD TALLERINE 2.0 0.0 X 0 0 0 CLAYTON TRIER 2.0 4.0 X 0 0 0 ROBERT T BLAKELY 2.0 0.0 X 0 0 0 rev laurens allen hall 2.0 0.0 X 0 0 0 brad beers 2.0 2.0 X 0 0 0 Ann THIELKE 37.0 18.0 X 303695 0 15834 brian e doyle 21.0 24.0 X 159564 0 30057 deborah bohr 55.0 0.0 X 8801 0 0 RYAN K TINGEY 55.0 0.0 X 89108 0 5581 N LYNN BRATTON 55.0 0.0 X 69688 0 11052 David KOONTZ 40.0 15.0 X 566368 0 70895 Susan R Kiley 55.0 0.0 X 253221 0 6430 Stewart G Scott Jr 50.0 5.0 X 247366 0 33446 Beryl Vallejo 53.0 2.0 X 338812 0 8757 Deborah H Mahannah 55.0 0.0 X 133380 0 180 James J Albin 55.0 0.0 X 428096 0 34578 David Gruener 55.0 0.0 X 328611 35967 Margaret Van Bree drph 55.0 0.0 X 714742 0 70980 SUSAN BAILEY-NEWELL 55.0 0.0 X 327888 0 13930 DEBORA J SIMMONS 55.0 0.0 X 225940 0 12351 Herbert duPont 52.0 3.0 X 369042 0 43511 Francis X Speidel MD 55.0 0.0 X 371380 0 16760 BRYAN J HARGIS 55.0 0.0 X 297012 0 3002 jon k gossett 53.0 2.0 X 395684 0 22184 John c Joe md 53.0 2.0 X 274713 0 30290 8587414 0 1078692 85 false true false medassets PO Box 405652 ATLANTA GA 303845652 purchasing 2602783 PFS Group 7670 woodway suite 250 HOUSTON TX 77063 collection services 1311488 McKesson Technologies PO Box 98347 CHICAGO IL 606938347 consulting services 943997 Kurt Salmon US Inc PO Box 930916 ATLANTIC GA 311930916 consulting services 719232 Cozen o'Connor PO Box 7777-1385 PHILADELPHIA PA 191751385 legal 749623 31 0 ADMINISTRATIVE SVC 561000 98354066 98271885 82181 98354066 4543391 4543391 0 0 62441 62441 0 62441 62441 696177 696177 696177 696177 0 0 0 GUARANTEE FEE INCOME 522200 893315 893315 0 MISCELLANEOUS INCOME 900099 9817 7575 2242 903132 104559207 98271885 983071 5304251 90000 90000 0 0 0 6879584 0 6879584 0 0 42876380 5423054 37453326 2928862 287614 2641248 1075847 525349 550498 3166949 381934 2785015 3396399 70929 3325470 1168521 1168521 552109 552109 0 0 69074 69074 90468 73008 17460 145082 145082 2639078 86420 2552658 14194377 64898 14129479 0 854818 287826 566992 379367 18712 360655 0 23445 23445 0 0 0 7123600 23471 7100129 0 0 OTHER OUTSIDE SERVICES 2698309 2698309 PROPERTY AND OTHER TAXES 1301799 1301799 EQUIPMENT AND FACILITY MAINTEN 355167 5422 349745 PROFESSIONAL DUES & LICENSES 2497556 10979 2486577 3467017 30813 3436204 97973808 7380429 90593379 0 28475568 16345904 0 0 0 0 0 2875 0 0 0 0 90695484 71800314 0 0 8979711 9891971 218625069 156535581 41160002 62089488 0 0 27815816 27815816 0 0 0 0 102141731 76716469 299268312 264662837 40047602 41700791 0 0 0 0 0 0 0 0 0 0 144743917 101397473 0 0 42177869 43032635 226969388 186130899 X 72298924 78531938 0 0 0 0 72298924 78531938 299268312 264662837 6585399 -352385 X false true X true false X X X false false false ST LUKE'S EPISCOPAL HOSPITAL 741161938 03 true true true 0 EPISCOPAL DIOCESE OF TEXAS 741143081 01 true true true 90000 ST LUKE'S EPISCOPAL HEALTH CHARITIES 509(A)(3) 760531710 0 true true true 0 3 90000 false false false false false false false false true 151718 151718 false Schedule C Other lobbying activities St. Luke's Episcopal Health System is a member of several professional associations that conduct lobbying. The following amounts were paid to these associations as part of annual dues but are considered expended for lobbying purposes by the association. American Hospital Association $ 90,632 Texas Hospital Association $ 55,888 Texas Alliance for Patient Access $ 5,198 --------- Total lobbying expense $151,718 false true true 23901870 23901870 10714564 5338735 5375829 177368105 1511968456 26171259 6640530 6640530 62089488 27815816 C 27815816 INSURANCE DEPOSIT ASSET 28214136 INTERCOMPANY RECEIVABLES 42120382 OTHER ASSETS 183685 DEFERRED COMPENSATION TRUST 6198266 76716469 0 SLEH SELF INSURANCE RESERVE 31636805 DEFERRED COMPENSATION LIABILIT 4761749 OTHER PENSION LIABILITIES 1246958 COST REPORT RESERVE 2000000 LONG TERM INCENTIVE PLAN 3387123 43032635 X FORM 990, SCHEDULE D, PART V PART V: ENDOWMENT FUNDS ST. LUKE'S EPISCOPAL HEALTH SYSTEM DOES NOT HAVE AN ENDOWMENT FUND. HOWEVER, ST. LUKE'S EPISCOPAL HOSPITAL and St. Luke's Foundation, RELATED ORGANIZATIONs, DO HOLD ENDOWMENT FUNDS. FORM 990, SCHEDULE D, PART X pART XIV: SUPPLEMENTAL INFORMATION PROVIDE THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. ASC topic 740 prescribes a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. THERE were NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2012 OR 2011. . Central America and the Caribbean Investments 78719341 78719341 78719341 true false true false false false true Episcopal Diocese of Texas 1225 Texas Avenue houston TX 741143081 741143081 501(c)(3) 90000 support for diocese programs 1 0 Form 990, Schedule I, Part I, Line 2 Form 990, Schedule I Describe the organization's procedures for monitoring the use of grant funds. St. Luke's Episcopal Health System makes grants to tax exempt organizations supported by the Episcopal Diocese of Texas. X X X X X true true X X X X X false true false false false false false true false David J FINE 1039788 0 578872 0 52966 0 427164 0 24658 0 2123448 0 0 0 Stephen PICKETT 641595 0 315068 0 12656 0 153005 0 8080 0 1130404 0 0 0 Ann THIELKE 212996 0 55220 0 35479 0 6537 0 9297 0 319529 0 0 0 David KOONTZ 382716 0 174800 0 8852 0 54237 0 16658 0 637263 0 0 0 brian e doyle 144598 0 14966 0 0 0 17278 0 12779 0 189621 0 0 0 Susan R Kiley 150105 0 63674 0 39442 0 1784 0 4646 0 259651 0 0 0 Stewart G Scott Jr 201016 0 46350 0 0 0 16395 0 17051 0 280812 0 0 0 Beryl Vallejo 235391 0 96215 0 7206 0 4717 0 4040 0 347569 0 0 0 James J Albin 348633 0 79463 0 0 0 17172 0 17406 0 462674 0 0 0 Herbert duPont 270632 0 98410 0 0 0 32155 0 11356 0 412553 0 0 0 Francis X Speidel MD 86199 0 70916 0 214265 0 12272 0 4488 0 388140 0 0 0 David Gruener 254583 74028 0 21525 14442 364578 0 Margaret Van Bree drph 514668 0 189626 0 10448 0 64162 0 6818 0 785722 0 0 0 BRYAN J HARGIS 56481 0 48950 0 191581 0 1696 0 1306 0 300014 0 0 0 SUSAN BAILEY-NEWELL 176620 0 151268 0 0 0 5394 0 8536 0 341818 0 0 0 DEBORA J SIMMONS 225940 0 0 0 0 0 3555 0 8796 0 238291 0 0 0 jon k gossett 324812 0 67900 0 2972 0 16791 0 5393 0 417868 0 0 0 John c Joe md 240257 0 34456 0 0 0 16545 0 13745 0 305003 0 0 0 FORM 990, SCHEDULE J, PART I, QUESTIONS 4 A&B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE INDIVIDUALS LISTED BELOW PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WITH THE FOLLOWING AMOUNTS CREDITED TO THEIR ACCOUNTS: David J. FINE $406,203.00 STEPHEN PICKETT $133,430.00 DAVID KOONTZ $ 35,382.00 Margaret van Bree $ 46,990.00 FORM 990, SCHEDULE J, PART I, LINE 1A QUESTIONS REGARDING COMPENSATION, LISTED BENEFITS THE BENEFITS RECEIVED ARE PRIMARILY GRANTED TO THE CHIEF EXECUTIVE OFFICER WHO IS ENTITLED TO FIRST CLASS TRAVEL FOR BUSINESS TRIPS OVER CERTAIN DURATIONS. THE BENEFITS LISTED ARE REIMBURSED TO THIS OFFICER AS PART OF AN ACCOUNTABLE expense PLAN EXCEPT FOR some SPOUSE TRAVEL, WHICH IS reported as additional taxable income per board approved contract. ST. LUKE'S ALSO REIMBURSES FOR SOCIAL CLUB MEMBERSHIP. A small housing allowance is provided to the Suffragan Bishop who chairs the System Board. The Suffragan Bishop's principal residence is in Austin, Texas, which is approximately a four hour driving distance from System Board meetings. FORM 990, SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS LINE 7 - FOR PERSONS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A, DID THE ORGANIZATION PROVIDE ANY NON-FIXED PAYMENTS NOT DESCRIBED IN LINES 5 AND 6? ST. LUKE'S EXECUTIVES HAVE A NUMBER OF ANNUAL AND LONG TERM GOALS. FINANCIAL PERFORMANCE, QUALITY, PEOPLE, CUSTOMER SERVICE, AND GROWTH ARE EXAMPLES OF AREAS WHERE PERFORMANCE INDICATORS MAY BE ESTABLISHED. PERFORMANCE ON ALL GOALS IS EXAMINED BY THE SYSTEM BOARD AND AN AWARD LEVEL IS DETERMINED BASED ON OVERALL PERFORMANCE AGAINST TARGETS OR GOALS. IF AN AWARD IS GRANTED, IT IS EXPRESSED AS A PERCENTAGE OF THE INDIVIDUAL'S BASE INCOME. FORM 990, PART IV, QUESTION 12A & 12b CHECK LIST OF REQUIRED SCHEDULES; FINANCIAL STATEMENT AND REPORTING DID THE ORGANIZATION obtain separate, independent audited financial statements for the tax year? WAS THE ORGANIZATION INCLUDED IN CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS FOR THE TAX YEAR? ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION AND ITS RELATED ENTITIES WERE AUDITED AS A CONSOLIDATED GROUP IN ACCORDANCE WITH GAAP. THUS, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS DO NOT PROVIDE AN ENTITY BY ENTITY REPORTING FOR CALENDAR YEAR 2012. FORM 990, PART V, QUESTON 2a STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE 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. ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION IS THE COMMON PAYMASTER FOR ITS RELATED EXEMPT ORGANIZATIONS. THE NUMBER OF EMPLOYEES REPORTED ON THIS RETURN REPRESENT THOSE WORKING IN ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION DEPARTMENTS. FORM 990, PART VI, SECTION A, QUESTION 6,7a AND 7b SECTION A: GOVERNING BODY AND MANAGEMENT Did THE ORGANIZATION HAVE MEMBERS OR STOCKHOLDERS? YES, THE SOLE MEMBER OF THE CORPORATION SHALL BE THE EPISCOPAL DIOCESE OF TEXAS. 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, CONSISTING OF ELECTED MEMBERS, THREE (3) OF WHOM SHALL BE MEMBERS OF THE CLERGY IN THE EPISCOPAL DIOCESE OF TEXAS, CONSISTING OF THE BISHOP OF THE EPISCOPAL DIOCESE OF TEXAS (WHO SHALL BE THE CHAIR OF THE BOARD OF DIRECTORS) AND EITHER THE BISHOP COADJUTOR, IF THERE BE ONE, OR ANY SUFFRAGAN BISHOP OF THE DIOCESE DESIGNATED BY THE BISHOP. SEVEN (7) ELECTED DIRECTORS, INCLUDING ONE (1) MEMBER OF THE CLERGY, SHALL BE ELECTED AT EACH ANNUAL MEETING OF THE COUNCIL OF THE PROTESTANT EPISCOPAL CHURCH IN THE DIOCESE OF TEXAS UPON NOMINATION OF THE BISHOP OF THE DIOCESE OF TEXAS. 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 THE BYLAWS WHICH THE BOARD OF DIRECTORS SHALL ADOPT AND THE CANONS OF THE PROTESTANT EPISCOPAL CHURCH IN THE DIOCESE OF TEXAS AS FROM TIME TO TIME IN FORCE. THE BOOKS AND RECORDS OF THE CORPORATION SHALL, AT ALL TIMES, BE OPEN FOR EXAMINATION BY THE BISHOP OR EXECUTIVE BOARD OF THE PROTESTANT EPISCOPAL CHURCH IN THE DIOCESE OF TEXAS. 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. ST. LUKE'S EPISCOPAL HEALTH SYSTEM'S RETURN WAS PREPARED BY ITS TAX DEPARTMENT,UTILIZING INFORMATION PROVIDED BY ITS 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 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 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 C: DISCLOSURE 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 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 ARE 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 16 a & b SECTION B: POLICIES DID 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," HAS THE ORGANIZATION ADOPTED A WRITTEN POLICY OR PROCEDURE REQUIRING THE ORGANIZATION TO EVALUATE Its PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW, AND TAKE STEPS TO SAFEGUARD THE ORGANIZATIONS EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS? ST. LUKE'S episcopal health system PARTICIPATES IN HOSPITAL JOINT VENTUREs through subsidiary tax exempt organizations that are a 51% controlling member or partner of the joint venture. The partnership AGREEMENTs/operating agreements OF each HOSPITAL JOINT VENTUREs 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, each partnership AGREEMENT/operating agreement GIVES ST. LUKE'S THE ABILITY TO APPOINT A MAJORITY OF THE JOINT VENTURE'S governing board. ACTIVITIES OF THE JOINT VENTURE ARE MONITORED THROUGH ST. LUKE'S MAJORITY PRESENCE ON THE JOINT VENTURE'S governing board, who are empowered to formulate, implement, and control the content and administration of the charity and indigent care policies and community benefit policies of the joint venture. FORM 990, PART VI, SECTION C, QUESTION 19 SECTION C: DISCLOSURE DESCRIBE IN SCHEDULE O WHETHER (AND IF SO, HOW) THE ORGANIZATION MAde IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ST LUKES EPISCOPAL HEALTH SYSTEM CORPORATION AND ITS RELATED ENTITIES HAVE NOT CREATED A GENERAL POLICY PROVIDING FOR THE DISCLOSURE OF CERTAIN DOCUMENTS. IN PRACTICE, THESE DOCUMENTS HAVE BEEN MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST ONLY. . ST LUKES EPISCOPAL HOSPITAL 6720 BERTNER HOUSTON TX 77030 741161938 HOSPITAL TX 501(c)(3) 3 SYSTEM CORP true ST LUKES EPISCOPAL HEALTH SYSTEM FOUNDA PO BOX 20269 HOUSTON TX 77225 760127715 INVEST MGMT TX 501(c)(3) 11A SYSTEM CORP true ST LUKES EPISCOPAL HEALTH CHARITIES 6624 FANNIN HOUSTON TX 77030 760531710 GRANT SUPPORT TX 501(c)(3) 11A SYSTEM CORP true ST LUKES EPISCOPAL PROPERTIES CORP 6624 FANNIN HOUSTON TX 77030 760531716 PROP MGMT TX 501(c)(3) 11A SYSTEM CORP true ST LUKES MEDICAL TOWER CORPORATION 6624 FANNIN HOUSTON TX 77030 760531713 MED OFFICES TX 501(c)(3) 11A SYSTEM CORP true GREATER HOUSTON HEALTH NETWORK 6624 FANNIN HOUSTON TX 77030 760458535 CLINIC TX 501(c)(3) 3 SYSTEM CORP true SL AUGUSTA CORPORATION PO BOX 20269 HOUSTON TX 77225 760226623 TITLE HOLDING TX 501(c)(2) N/A SYSTEM CORP true ST LUKES COMMUNITY HEALTH SERVICES 6624 FANNIN HOUSTON TX 77030 760536234 HOSPITAL TX 501(c)(3) 3 SYSTEM CORP true ST LUKES COMMUNITY DEVELOPMENT CORP 6624 fannin st ste 2505 HOUSTON TX 77030 260274448 MGMT SUPPORT TX 501(c)(3) 11A SYSTEM CORP true ST LUKES COMMUNITY DEV CORP - SUGAR LAND 6624 fannin st ste 2505 HOUSTON TX 77030 261947374 HOSPITAL TX 501(c)(3) 3 SYSTEM CORP true ST LUKES COMMUNITY DEV CORP - WOODLANDS 6624 fannin st ste 2505 HOUSTON TX 77030 260335902 HOSPITAL TX 501(c)(3) 3 SYSTEM CORP true ST LUKES COMMUNITY DEV CORP -THE VINTAGE 6624 fannin st ste 2505 HOUSTON TX 77030 263734606 HOSPITAL TX 501(c)(3) 3 SYSTEM CORP true WOODLANDS DOCTOR GROUP 17200 ST LUKES WAY THE WOODLANDS TX 77002 274499340 CLINIC TX pending 9 SYSTEM CORP true ST LUKES COMMUNITY DEV CORP - PMC 6624 fannin st ste 2505 HOUSTON TX 77030 273733278 HOSPITAL TX pending 3 SYSTEM CORP true Sugar Land Doctor Group 6624 fannin st ste 1100 houston TX 77030 454270163 clinic TX pending 9 SL CDC - sL true st Luke's Foundation 1213 hermann drive suite 855 houston TX 77004 453811485 grants TX pending 7 System Corp true st Luke's sugar land properties corpora 6624 fannin st ste 2505 houston TX 77030 453811485 prop mgmt TX pending 11a SL CDC - SL true st Luke's Anesthesiology Associates 6624 fannin st ste 1100 houston TX 77030 461517163 specialists TX pending 9 sleh true ST LUKES LAKESIDE HOSPITAL LLC 6624 fannin st ste 2505 HOUSTON TX 77030 300427437 HOSPITAL TX NA 0 ST LUKES HOSPITAL AT THE VINTAGE LLC 6624 fannin st ste 2505 HOUSTON TX 77030 263734616 HOSPITAL TX NA 0 PMC Hospital LLC 6624 fannin st ste 2505 houston TX 77030 273280598 hospital TX na 0 HC Sl Vintage I LLC 18000 West Sarah Lane ste 250 brookfield WI 53045 270453767 property hold WI na 0 ST LUKES MEDICAL TOWER 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 ST LUKES MEDICAL ARTS CTR I CONDO ASSOC 6624 FANNIN HOUSTON TX 77030 300355518 CONDOMINIUM A TX NA C THE THI AT SLEH DAC BLDG CONDO ASSOC 6624 FANNIN HOUSTON TX 77030 900064009 CONDOMINIUM A TX NA C ST LUKES EPISCOPAL HOSP PHYSICIAN HOSP O 6720 BERTNER HOUSTON TX 77030 760377932 PHO TX NA C SLEHS HOLDINGS INC AND SUBSIDIARIES 6624 FANNIN HOUSTON TX 77030 760637138 HOLDINGS CORP TX NA C ALL SAINTS INSURANCE COMPANY SPC LTD PO BOX 69 GT BUCKINGHAM SQ GRAND CAYMAN BWI CJ SELF INSURANC CJ ST LUKES SYS CO CFC false false false true false false false false false false true false false false true true false true ST LUKE'S EPISCOPAL HOSPITAL q 148567106 cost St lukes community dev corp - sugar land q 43113706 cost st lukes medical tower corporation q 620736 cost st lukes episcopal health system foundation q 631241 cost st lukes community health services p 130707467 cost st lukes episcopal health charities q 236607 cost St Luke's Episcopal Properties Corporation p,s 62392260 cost st lukes community development corp woodlands p 298264 cost st lukes community development corp vintage p 989686 cost st lukes community development corp pmc p 557995 cost greater houston health network p 5697294 cost st lukes lakeside hospital llc p 1842738 cost st lukes lakeside hospital llc d 423094 cost st lukes community development corporation q 10083393 cost slehs holdings inc p 4890246 cost st lukes hospital at the vintage llc p 3077582 cost st lukes hospital at the vintage llc d 3407499 cost st lukes foundation p 8566 cost woodlands doctor group p 2984271 cost hc sl vintage llc a 62441 fmv PMC Hospital LLC d 406730 cost sugar land doctor group q 49112 cost 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. St. Luke's Episcopal health System corporation also provides administrative and financial services as well as cash management on behalf of its related organizations and is reimbursed for expenses incurred.