Civic Intelligence

St. Lukes Community Development Corporation - the Woodlands

990 • Fiscal year 2021 • EIN 26-0335902

Jul 01, 2020 to Jun 30, 2021 • Filed on May 16, 2022

6624 Fannin St 2505Houston, TX 77030

(832) 355-1000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

95th percentile

1.15x

Higher debt load relative to assets than 95% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2021

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2021

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2021

Top Officer Pay

100th percentile

$2,320,133

Higher top officer pay than 100% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2021

Asset Growth

27th percentile

0.0%

Faster asset growth than 27% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2020 to 2021

Assets

Flat

$1,290,210

Flat from 2020

Net Assets

Flat

-$194,027

Flat from 2020

Liabilities

Flat

$1,484,237

Flat from 2020

Revenue

Flat

$0

Flat from 2020

Expenses

Flat

$0

Flat from 2020

Net Income

Flat

$0

Flat from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$4.0M$2.0M$0-$2.0MAssets 2010: $2,717,292Liabilities 2010: $3,376,597Net Assets 2010: -$659,3052010Assets 2011: $2,281,149Liabilities 2011: $3,000,184Net Assets 2011: -$719,0352011Assets 2012: $1,745,194Liabilities 2012: $2,544,970Net Assets 2012: -$799,7762012Assets 2015: $713,134Liabilities 2015: $0Net Assets 2015: $713,1342015Assets 2016: $1,290,220Liabilities 2016: $1,484,247Net Assets 2016: -$194,0272016Assets 2017: $1,290,220Liabilities 2017: $1,484,247Net Assets 2017: -$194,0272017Assets 2018: $1,290,220Liabilities 2018: $1,484,247Net Assets 2018: -$194,0272018Assets 2019: $1,290,220Liabilities 2019: $1,484,247Net Assets 2019: -$194,0272019Assets 2020: $1,290,210Liabilities 2020: $1,484,237Net Assets 2020: -$194,0272020Assets 2021: $1,290,210Liabilities 2021: $1,484,237Net Assets 2021: -$194,0272021Assets 2022: $1,290,210Liabilities 2022: $1,484,237Net Assets 2022: -$194,0272022

Highlighted filing

2021

Assets$1,290,210
Liabilities$1,484,237
Net Assets-$194,027

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$200K$150K$100K$50K$0Expenses 2010: $154,2002010Expenses 2011: $59,7302011Expenses 2012: $80,7412012Revenue 2015: $307Expenses 2015: $0Net Income 2015: $3072015Revenue 2016: $0Expenses 2016: $0Net Income 2016: $02016Revenue 2017: $0Expenses 2017: $0Net Income 2017: $02017Revenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022

Highlighted filing

2021

Revenue$0
Expenses$0
Net Income$0
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 16, 2022
Return Version
2020v4.2
Gross Receipts
$0
Mission and Program Overview

Mission

As an affiliate of CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.

To nurture the healing ministry of the roman catholic church by bringing it new life, energy, and viability in the twenty-first century. Fidelity to the gospel urges us to emphasize human dignity and social justice as it moves toward the creation of healthier communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts-$0-
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Loans From Officers Directors-$0-
Prepaid Expenses and Deferred Charges-$0-
Other Assets Total$1,290,210$1,290,210→ $0
Total Assets$1,290,210$1,290,210→ $0
Liabilities
Other Liabilities$1,484,237$1,484,237→ $0
Accounts Payable and Accrued Expenses-$0-
Grants Payable-$0-
Mortgage Notes Payable Secured by Investment Property-$0-
Unsecured Notes Loans Payable-$0-
Deferred Revenue-$0-
Escrow Account Liability-$0-
Tax Exempt Bond Liabilities-$0-
Total Liabilities$1,484,237$1,484,237→ $0
Net Assets / Fund Balance
Net Assets With Donor Restrictions-$0-
Net Assets Without Donor Restrictions$-194,027$-194,027→ $0
Total Net Assets Fund Balance$-194,027$-194,027→ $0
Total Liabilities and Net Assets / Fund Balance$1,290,210$1,290,210→ $0

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$1,290,210--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Mark McginnisFORMER CFO OF CHI ST. LUKE'S HEALTH SYSTEM$1,114,762$1,114,762
Mark TeresiFORMER CFO OF CHI ST. LUKE'S HEALTH SYSTEM$625,246$625,246
Michael CovertFORMER PRESIDENT & DIRECTOR/CEO OF CHI ST. LUKE'S$156,553$156,553

Board Members and Trustees

NameTitle
Michael CovertFormer President & Director/CEO of C
Bradley Lembcke MdBoard Member
Elizabeth YoungbloodBoard Member
Leonard Tallerine JrBoard Member
T Douglas Lawson PhdCEO OF CHI ST. LUKE'S HEALTH SYSTEM
Linda KulhanekCFO OF CHI ST. LUKE'S HEALTH SYSTEM
Mark McginnisFORMER CFO OF CHI ST. LUKE'S HEALTH
Mark TeresiFORMER CFO OF CHI ST. LUKE'S HEALTH
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Investments in Unconsolidated Orgs - Controlling Interest$1,484,237
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of the corporation shall be st. Luke's community development corporation.

Form 990, Part VI, Section A, Line 7A

The sole member of the organization is st. Luke's community development corporation, whose parent is st. Luke's health system corporation. The board of directors consists of not less than three elected members, all of such members to be elected by st. Luke's community development corporation, which is a related exempt organization.

Form 990, Part VI, Section B, Line 11B

The return was made available to the officers and directors before filing. Subsequent to the return being provided to the board, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board.

Form 990, Part VI, Section B, Line 12C

The organization has a conflicts of interest ("coi") policy (the "policy") in place to protect the interests of commonspirit health ("commonspirit") in circumstances that may result in a conflict between personal interests of a person and the interests of the organization and those it serves. The policy was last updated during the tax year ended 6/30/2021. Commonspirit's coi policy applies to commonspirit, its direct affiliates and subsidiaries and any related entity the governing documents of which require the entity to comply with commonspirit policy (collectively the "system entities"). The following persons are required to disclose actual or potential conflicts of interest at least annually (via a formal system-administered survey) if the person's affiliation with commonspirit continues: - members of corporate and community boards of system entities - members of committees of corporate and community boards of system entities - members of the executive leadership team ("elt") of commonspirit - corporate officers of system entities - employees of system entities at the vice president level and above - all individuals engaged in research at institutions owned or operated by a system entity. - select employees as determined from time to time by leadership (which includes key employees and highest compensated employees as specified by the internal revenue service for form 990 purposes who are not otherwise included in the categories above). Disclosure, review, and management of perceived, potential, or actual conflicts of interest are accomplished through a defined coi disclosure review process. Each person is required to promptly and fully disclose any situation or circumstance that may create a conflict of interest as soon as she/he becomes aware of it. In addition, at the inception of an individual's relationship with commonspirit (e.g. Hiring, board appointment), and for certain positions, annually thereafter, written conflict of interest disclosure forms must be completed. A failure to disclose may result in disciplinary or corrective actions. Reported potential or actual conflicts of interest are initially reviewed by legal, corporate responsibility or research integrity staff. If necessary, a conflict of interest management plan is developed, which plan shall be subject to acceptance by the appropriate direct manager, supervisor, medical staff office, board or board committee (for board, board committee, elt or corporate officer conflicts), or other appropriate individual or body. Once accepted, the conflict of interest management plan is communicated to the person with the actual or potential conflict and the individual must conduct themselves in conformity with the plan. In the event that a transactional conflict interest arises in connection with a system entity board meeting, the conflicted individual must disclose that conflict prior to or at the beginning of the meeting in which the matter is to be considered. The conflicted individual is excluded from voting on the transaction and is prohibited from using personal influence with respect to the matter, but is not prohibited from providing input if requested to do so.

Form 990, Part VI, Section B, Line 15

Line 15a - process for determining compensation - top management official: the organization's top management official's compensation was paid by commonspirit health, a related organization the commonspirit health board of stewardship trustees appoints a human resources and compensation committee, comprised exclusively of independent directors, who are accountable for approving reasonable compensation packages for each officer and certain key employees (including the president/ceo). The human resources and compensation committee approves, consistent with the organization's philosophy and principles, the annual performance goals and criteria to be used in determining merit increases and variable compensation criteria for officers and key executives. The human resources and compensation committee also engages outside legal counsel as necessary and qualified independent compensation and benefits specialists (independent experts) to review, analyze and provide benchmarking data for the total compensation and benefits packages of officers and key executives. Appropriate comparable data is obtained from the independent experts, (e.g., total economic benefits paid by similarly situated organizations, both taxable and tax-exempt, for similar job responsibilities). Key deliberations of the committee are documented in meeting minutes which are approved at the next committee meeting and provided to the board of stewardship trustees. The documentation of the deliberations includes (a) the terms of the agreement approved and the date approved; (b) the members of the committee who were present during discussion of the approved agreement and those who voted on it; and (c) the comparability data obtained and relied upon by the committee and how the data was obtained. Line 15b - process for determining compensation officers/key employees: during the tax year ended 6/30/2021, no officers, directors or trustees received compensation from the organization. Any executive compensation paid to officers, directors or trustees by related organizations was set by the related organization's compensation committee utilizing both an independent consultant and comparability studies to determine compensation. Therefore, these questions are more appropriately answered as n/a.

Form 990, Part VI, Section C, Line 19

The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in commonspirit health's consolidated audited financial statements that are available at www.commonspirit.org.

Form 990, Part VI, Line 14

Written document retention and destruction policy: st luke's 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, Line 16B - Joint Venture Arrangements

St. Luke's community development corporation - the woodlands participates in a hospital joint venture, st. Luke's lakeside hospital llc, as a 51% controlling member. St. Luke's community development corporation - the woodlands has not formally adopted a written policy or written procedure regarding joint ventures. However commonspirit health's system-wide joint venture model operating agreement incorporates controls over the venture sufficient to ensure that (1) the exempt organization at all times retains control over the venture sufficient to ensure that the partnership furthers the exempt purpose of the organization; (2) in any partnership in which the exempt organization is a partner, achievement of exempt purposes is prioritized over maximization of profits for the partners; (3) the partnership does not engage in any activities that would jeopardize the exempt organization's exemption; and (4) returns of capital, allocations, and distributions must be made in proportion to the partners' respective ownership interests. Any joint venture agreements that do not conform to the model agreement are generally reviewed by counsel.

Filing and Contact Details

Filer

Filer Name
ST LUKE'S COMMUNITY DEVELOPMENT
EIN
26-0335902
Phone
8323551000
Address
6624 FANNIN ST 2505, HOUSTON, TX 77030

Signing Officer

Name
Mark Teresi
Title
CFO
Phone
8323551000
Signed
2022-05-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
T Douglas Lawson
Formed
2007
Legal Domicile
TX
Voting Board Members
3
Independent Board Members
1
Employees
0
Volunteers
1

Preparer

Firm
Commonspirit Health
Address
198 INVERNESS DRIVE WEST, ENGLEWOOD, CO 80112
Preparer
Angela Noel
Phone
3032989100
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1A - Form 1096 Reporting

Payments to vendors for entities that are part of commonspirit health (csh) are made by csh. Therefore no form 1099s are issued by the organization. Csh files the form 1099s and complies with the backup withholding rules for reportable payments to vendors and gaming winnings. The 1099s issued by csh on behalf of the organization are reported to the irs.

Financial Statement Notes

PART X, LINE 2:

St. Luke's community development corporation - the woodland's financial information is included in commonspirit health's consolidated audited financial statements, which includes the following disclosure: commonspirit reviews its tax positions quarterly and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements.

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IRS990/Form990PartVIISectionAGrp/TitleTxt7CFO OF CHI ST. LUKE'S HEALTH SYSTEM
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IRS990/MissionDesc0AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLAND'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.
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IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt0UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: - THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. - THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. - THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. - THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: - RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS; - HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS CLINIC; - PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); - FOOD STAMP ELIGIBILITY; - SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; - ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); - LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR - PATIENT IS DECEASED WITH NO KNOWN ESTATE.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt1ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS HOLDS A 51% INTEREST IN ST. LUKE'S LAKESIDE HOSPITAL LLC ("SLLS"). ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS IS REPORTING ITS 51% OF MEDICAID SHORTFALL. AS THE AMOUNT OF CHARITY CARE PROVIDED IS THE DIRECT RESULT OF THE CONTROL OF THE EXEMPT PARTNER'S CHARITY CARE POLICY, THE ENTIRE AMOUNT OF CHARITY CARE PROVIDED AT ST. LUKE'S LAKESIDE HOSPITAL IS BEING REPORTED ON LINE 7A.THE COST TO CHARGE RATIO METHOD WAS UTILIZED TO DETERMINE FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AT COST. TOTAL EXPENSES FOR SLLS FOR THE PERIOD ENDED JUNE 30, 2021 TOTALED $20,857,694 AND WERE REDUCED BY BAD DEBT EXPENSE IN THE AMOUNT OF $919,539 TO DETERMINE THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7(F).ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS RECEIVED SUPPLEMENTAL MEDICAID PAYMENTS OF $448,029 DURING THE YEAR ENDED JUNE 30, 2021. THESE PAYMENTS WERE INCLUDED IN THE DIRECT OFFSETTING REVENUE AMOUNTS FOUND IN SCHEDULE H, PART 1, LINE 7B, COLUMN D. THESE SUPPLEMENTAL MEDICAID PAYMENTS RESULTED IN REDUCTION IN NET COMMUNITY BENEFIT EXPENSE AND PERCENTAGES FOUND IN COLUMNS (E) AND (F).
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt2ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS OWNS 51% OF ST. LUKE'S LAKESIDE HOSPITAL LLC. 51% OF THE BAD DEBT EXPENSE FOR ST. LUKE'S LAKESIDE HOSPITAL LLC WAS REPORTED ON PART III, LINE 2.BAD DEBT EXPENSE IS CALCULATED MONTHLY BASED ON THE BALANCE IN SELF PAY ACCOUNTS RECEIVABLE. HISTORICAL PERCENTAGES ARE DEVELOPED AND APPLIED AGAINST THE CURRENT SELF PAY BALANCE TO ESTIMATE THE REQUIRED RESERVE. THE BAD DEBT PROVISION IS A FUNCTION OF ACTUAL WRITE-OFFS AND THE CHANGE IN RESERVE REQUIREMENT.THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WAS DEEMED UNCOLLECTIBLE AND DOES NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt3ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt4ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS ARE PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN-MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF THE CHANGE.SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. BAD DEBT EXPENSE FOR 2021 AND 2020 WAS NOT SIGNIFICANT.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt5COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS' SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $1,469,858 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION'S BILLING AND COLLECTIONS POLICY APPLIES TO ALL INDIVIDUALS PRESENTING FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE POLICY CONTAINS PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO THE ORGANIZATION KNOWS TO QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS OR THROUGH PRESUMPTIVE ELIGIBILITY PROCESSES. BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) TO OBTAIN PAYMENT FOR EMCARE, HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IN NO EVENT WILL AN ECA BE INITIATED PRIOR TO 120 DAYS FROM THE DATE THE FACILITY PROVIDES THE FIRST POST-DISCHARGE BILLING STATEMENT (I.E., DURING THE NOTIFICATION PERIOD) UNLESS ALL REASONABLE EFFORTS HAVE BEEN MADE.HOSPITAL FACILITIES WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE, AND THE HOSPITAL FACILITY HAS NOT YET MADE REASONABLE EFFORTS WITH RESPECT TO THE ACCOUNT. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. PATIENTS WHO QUALIFY FOR MEDICAID ARE PRESUMED TO QUALIFY FOR FULL CHARITY WRITE OFF. ANY CHARGES FOR DAYS OR SERVICES WRITTEN OFF (EXCLUDING MEDICAID DENIALS RELATED TO TIMELINESS OF BILLING, INSUFFICIENT MEDICAL RECORD DOCUMENTATION, MISSING INVOICES, AUTHORIZATION, OR ELIGIBILITY ISSUES) AS A RESULT OF A MEDICAID ARE BOOKED AS CHARITY.SOME MEDICAID PLANS OFFER COVERAGE FOR A LIMITED OR RESTRICTED LIST OF SERVICES. IF A PATIENT IS ELIGIBLE FOR MEDICAID, ANY CHARGES FOR DAYS OR SERVICES NOT COVERED BY THE PATIENT'S COVERAGE MAY BE WRITTEN OFF TO CHARITY WITHOUT A COMPLETED APPLICATION. THIS DOES NOT INCLUDE ANY SHARE OF COST (SOC) OR OTHER PATIENT COST-SHARING AMOUNTS SUCH AS DEDUCTIBLES OR COPAYMENTS, AS SUCH COSTS ARE DETERMINED BY THE STATE TO BE AN AMOUNT THAT THE PATIENT MUST PAY BEFORE THE PATIENT IS ELIGIBLE FOR MEDICAID. HEALTH AND HUMAN SERVICES (HSS) USES THE TERM "SPEND DOWN" INSTEAD OF SHARE OF COST.ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY, A DESIGNATED SUPPLIER, OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. ALL THIRD-PARTY AGREEMENTS GOVERNING COLLECTION AND RECOVERY ACTIVITIES MUST INCLUDE A PROVISION REQUIRING COMPLIANCE WITH THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE AND BILLING AND COLLECTIONS POLICY AND INDEMNIFICATION FOR FAILURES AS A RESULT OF ITS NONCOMPLIANCE. THIS INCLUDES, BUT IS NOT LIMITED TO, AGREEMENTS BETWEEN THIRD PARTIES WHO SUBSEQUENTLY SELL OR REFER DEBT OF THE HOSPITAL FACILITY.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt7HTTPS://WWW.STLUKESHEALTH.ORG/LOCATIONS/LAKESIDE-HOSPITAL
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt8THE CHNA IS THE PRIMARY WAY BY WHICH THE HOSPITAL FORMALLY ASSESSES COMMUNITY HEALTH NEEDS.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt9NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI HOSPITAL ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: - CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; - NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND - PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES.HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt10THE COMMUNITY SERVED BY CHI ST. LUKE'S HEALTH - LAKESIDE HOSPITAL IS DESCRIBED BY THE GEOGRAPHIC AREA OF LAKESIDE HOSPITAL AND THE CONTIGUOUS ZIP CODES DETERMINED BY HOSPITAL DISCHARGE DATA. LOCATED IN MONTGOMERY COUNTY, THE LAKESIDE HOSPITAL SERVICE AREA CONTAINS BOTH A LARGE URBAN COMPLEX, AS WELL AS SMALLER RURAL COMMUNITIES, AND IS HOME TO NEARLY 700,000 RESIDENTS. THE MAJORITY OF THE SERVICE AREA IS FOUND WITHIN MONTGOMERY AND HARRIS COUNTIES. THE LAKESIDE HOSPITAL COMMUNITY IS BEST DEFINED BY MONTGOMERY COUNTY BECAUSE OF ITS POPULATION DEMOGRAPHICS AND PRIMARY SERVICE AREA. OVERALL, THE COMMUNITY SERVED BY LAKESIDE HOSPITAL COMPARED WITH HARRIS COUNTY AND TEXAS HAS A HIGHER NUMBER OF COMMUNITY RESIDENTS AGED 45 YEARS AND OLDER, IS MAJORITY WHITE, NON-HISPANIC, AND HAS A LARGER POPULATION OF HIGH SCHOOL GRADUATES WITH SOME COLLEGE EDUCATION. BELOW ARE ADDITIONAL DETAILS RELATED TO THE DEMOGRAPHICS OF THE LAKESIDE HOSPITAL COMMUNITY COMPARED WITH HARRIS COUNTY AND THE STATE OF TEXAS:- AGE: THE LAKESIDE HOSPITAL COMMUNITY IS HOME TO MORE RESIDENTS IN THE AGE CATEGORY 45-54 YEARS, 55-64 YEARS AND OLDER THAN 65 YEARS IN COMPARISON TO HARRIS COUNTY. MORE THAN ONE THIRD (38%) OF THOSE LIVING IN THE LAKESIDE HOSPITAL COMMUNITY ARE OLDER THAN 45 YEARS. IN COMPARISON TO HARRIS COUNTY AND THE STATE OF TEXAS, THERE ARE FEWER RESIDENTS IN THE LAKESIDE HOSPITAL COMMUNITY AGE 18-45 YEARS - RACE/ETHNICITY: WHITE, NON-HISPANICS (69.8%) AND HISPANICS (21.7%) MAKE UP THE MAJORITY OF THE LAKESIDE HOSPITAL COMMUNITY. WHEN COMPARED TO HARRIS COUNTY AND TEXAS, THERE IS LESS RACIAL AND ETHNIC DIVERSITY FOUND IN THE LAKESIDE HOSPITAL COMMUNITY- GENDER: COMPARED WITH HARRIS COUNTY, THE LAKESIDE HOSPITAL COMMUNITY HAS A VERY SIMILAR REPORT FOR GENDER. HOWEVER THE LAKESIDE HOSPITAL COMMUNITY REPORTED A SLIGHTLY HIGHER POPULATION OF FEMALES (50.5% LAKESIDE HOSPITAL VS. 49.3% HARRIS COUNTY)- EDUCATION: EDUCATIONAL ATTAINMENT IN THE LAKESIDE HOSPITAL COMMUNITY IS MOST SIMILAR WITH THE STATE OF TEXAS WHEN ISOLATING THOSE WITH A HIGH SCHOOL DEGREE OR HIGHER. WHEN COMPARING THE LAKESIDE HOSPITAL COMMUNITY AND HARRIS COUNTY, THERE IS HIGHER EDUCATIONAL ACHIEVEMENT FOR RESIDENTS OF THE LAKESIDE HOSPITAL COMMUNITY (86.5% WITH HIGH SCHOOL DIPLOMA OR MORE) THAN HARRIS COUNTY (79.1% WITH HIGH SCHOOL DIPLOMA OR MORE).
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt11ST. LUKE'S LAKESIDE HOSPITAL, AS AN INTEGRAL PART OF THE ST. LUKE'S 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 LAKESIDE IS DEDICATED TO EXCELLENCE AND COMPASSION IN CARING FOR THE WHOLE PERSON-BODY, MIND AND SPIRIT. ST. LUKE'S LAKESIDE HOSPITAL 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. IN THE PAST YEAR IT ALSO PARTICIPATED IN 17 BLOOD DRIVES AND CONTRIBUTED DONATIONS FUNDS FOR HEART HEALTH.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt12THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 21 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. COMMONSPIRIT HEALTH IS COMPRISED OF MORE THAN 1,500 CARE SITES, CONSISTING OF 140 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2021, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.5 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $5.1 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $33.25 BILLION IN FISCAL YEAR 2021, HAS TOTAL ASSETS OF APPROXIMATELY $54.87 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt13TX
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3C:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 7:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc2PART III, LINE 2:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc3PART III, LINE 3:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc4PART III, LINE 4:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc5PART III, LINE 8:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc6PART III, LINE 9B:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc7SCHEDULE H, PART V, SECTION A, LINE 1 - HOSPITAL WEBSITE
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc8PART VI, LINE 2:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc9PART VI, LINE 3:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc10PART VI, LINE 4:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc11PART VI, LINE 5:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc12PART VI, LINE 6:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc13PART VI, LINE 7, REPORTS FILED WITH STATES
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt0PART V, SECTION B, LINE 5: FOR THE LATEST CHNA, THE HOSPITAL WORKED WITH THE EPISCOPAL HEALTH FOUNDATION WHICH HIRED HEALTH RESOURCES IN ACTION, A NONPROFIT PUBLIC HEALTH INSTITUTE, TO CONDUCT KEY INFORMANT INTERVIEWS WITH INFORMANTS IDENTIFIED BY THE HOSPITALS AND TO ANALYZE THOSE INTERVIEWS FOR KEY THEMES. A TOTAL OF 53 KEY INFORMANT INTERVIEWS WERE CONDUCTED. COMMUNITY INPUT ALSO INCLUDED EMAIL AND TELEPHONE SURVEYS OF RESIDENTS, AND FOCUS GROUPS INCLUDING HEALTH CARE STAFF, COMMUNITY ORGANIZATIONS AND OTHER STAKEHOLDERS. PARTICIPANTS REPRESENTED A WIDE RANGE OF COMMUNITY SECTORS, INCLUDING LOCAL PUBLIC HEALTH AND POOR AND MEDICALLY INDIGENT POPULATIONS IN THE COMMUNITY. ORGANIZATIONS REPRESENTED INCLUDE: CATHOLIC CHARITIES-FORT BEND, CHILD ADVOCATES OF FORT BEND, FORT BEND COUNTY HEALTH AND HUMAN SERVICES, FORT BEND REGIONAL COUNCIL ON SUBSTANCE ABUSE, FORT BEND SENIORS, FORT BEND WOMEN'S CENTER, THE ARC OF FORT BEND COUNTY, AIDS FOUNDATION OF HOUSTON, ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, AVENUE CDC, CHRIST CLINIC, COASTAL AREA HEALTH EDUCATION CENTERS, COMMUNITY HEALTH CHOICE, GREATER HOUSTON PARTNERSHIP, HEALTH CARE FOR THE HOMELESS-HOUSTON, HOPE CLINIC, HOUSTON AREA FOOD BANK, KINDER INSTITUTE, LEGACY COMMUNITY HEALTH, NEIGHBORHOOD CENTERS HEAD START/EARLY HEAD START PROGRAM SERVICES/BAKER RIPLEY, THE ROSE, LIBERTY COUNTY SHERIFF'S OFFICE, TRI COUNTY SERVICES BEHAVIORAL HEALTH CARE, PRAIRIE VIEW A&M, AND EL CENTRO DE CORAZON.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt1PART V, SECTION B, LINE 6A: FOR THE LATEST CHNA, THE HOSPITAL COLLABORATED WITH SEVERAL OTHER HOSPITALS AND HOSPITAL SYSTEMS. CHI ST. LUKE'S FACILITIES INCLUDED: CHI ST. LUKE'S HEALTH BAYLOR MEDICAL CENTER, PATIENTS MEDICAL CENTER, SPRINGWOODS VILLAGE HOSPITAL, SUGAR LAND HOSPITAL, THE VINTAGE HOSPITAL, THE WOODLANDS HOSPITAL, AND LAKESIDE HOSPITAL. OTHER PARTICIPATING HOSPITALS WERE HOUSTON METHODIST HOSPITAL, MEMORIAL HERMANN HEALTH SYSTEM, AND TEXAS CHILDREN'S HOSPITAL.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt2PART V, SECTION B, LINE 6B: EPISCOPAL HEALTH FOUNDATION
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt3PART V, SECTION B, LINE 11: THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WERE: ACCESS TO CARE, HUMAN TRAFFICKING, OBESITY, AND BEHAVIORAL HEALTH. BECAUSE LAKESIDE HOSPITAL IS A SPECIALTY JOINT HOSPITAL, IT FOCUSES ON PROMOTING ACCESS TO CARE FOR JOINT PROCEDURES AND TO AN EXTENT ON OBESITY WHICH CAN IMPACT JOINT HEALTH. IT WILL NOT SEEK TO ADDRESS HUMAN TRAFFICKING OR BEHAVIORAL HEALTH BECAUSE THOSE ARE OUTSIDE THE SCOPE OF ITS MISSION AND EXPERTISE. THE HOSPITAL'S ACTIONS MAY BE IN CONJUNCTION WITH CHI ST. LUKE'S WOODLANDS AND SPRINGWOOD VILLAGE HOSPITALS. ACCESS TO CARE: PROVIDE EDUCATION FOR THE COMMUNITY REGARDING JOINT HEALTH AND INJURY, SERVICES, AND CULTURAL DIFFERENCES THAT AFFECT TREATMENT; FOSTER NEW RELATIONSHIPS WITH PRIMARY CARE PROVIDERS AND HEALTHCARE SERVICE PROVIDERS TO ASSIST LINKING HOSPITAL PATIENTS TO MEDICAL HOMES WHERE NEEDED. OBESITY: PARTNER WITH SCHOOLS TO PROVIDE RESOURCES AND EDUCATIONAL SUPPORT FOR NUTRITION, OBESITY, AND HEALTHY LIFESTYLES AMONG YOUTH.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt4PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD-PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A CHI HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt5HTTPS://WWW.STLUKESHEALTH.ORG/ABOUT-ST-LUKES-HEALTH/HEALTHY-COMMUNITIES
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt6HTTPS://WWW.STLUKESHEALTH.ORG/ABOUT-ST-LUKES-HEALTH/HEALTHY-COMMUNITIES
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt7THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt8HTTPS://WWW.STLUKESHEALTH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt9HTTPS://WWW.STLUKESHEALTH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt10HTTPS://WWW.STLUKESHEALTH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc0ST. LUKE'S LAKESIDE HOSPITAL, LLC
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc1ST. LUKE'S LAKESIDE HOSPITAL, LLC
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc2ST. LUKE'S LAKESIDE HOSPITAL, LLC
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc3ST. LUKE'S LAKESIDE HOSPITAL, LLC
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc4ST. LUKE'S LAKESIDE HOSPITAL, LLC
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc5SCHEDULE H, PART V, SECTION B, LINE 7A - CHNA REPORT URL
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc6SCHEDULE H, PART V, SECTION B, LINE 10A - IMPLEMENTATION STRATEGY URL
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc7PART V, SECTION B, LINE 3E:
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc8SCHEDULE H, PART V, SECTION B, LINE 16A - FAP AVAILABLE WEBSITE
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc9SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION FORM WEBSITE
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc10SCHEDULE H, PART V, SECTION B, LINE 16C - PLAIN LANGUAGE FAP SUMMARY WEBSITE
IRS990ScheduleH/TotalCommunityBenefitsGrp/DirectOffsettingRevenueAmt0519187
IRS990ScheduleH/TotalCommunityBenefitsGrp/NetCommunityBenefitExpnsAmt0459263
IRS990ScheduleH/TotalCommunityBenefitsGrp/PersonsServedCnt0588
IRS990ScheduleH/TotalCommunityBenefitsGrp/TotalCommunityBenefitExpnsAmt0978450

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