St Luke'S Hospital

“LALAINE E. MATTISON, MD AND TIMOTHY J. MATTISON, MD HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 ON JULY 1, 2016, ST. LUKES HOLDING CO., INC. (SLHC) ACQUIRED THE NET ASSETS OF ST. LUKES HOSPITAL, ST. LUKES HOSPITAL FOUNDATION, WELLCARE PHYSICIAN GROUP, LLC AND CARE ENTERPRISES, INC., COLLECTIVELY THE ACQUIREE. THE DIVESTITURE OF THE ACQUIREE AND SIMULTANEOUS ACQUISITION BY SLHC WAS REQUIRED BASED ON THE CHALLENGE OF THE ACQUISITION OF ST. LUKES HOSPITAL AND AFFILIATES IN 2010 BY PROMEDICA HEALTH SYSTEM, INC. (PHS). THE FEDERAL TRADE COMMISSION CONCLUDED DURING ITS REVIEW OF THE 2010 TRANSACTION THAT THE ACQUISITION BY PHS IMPEDED COMPETITION IN THE GREATER TOLEDO AREA. AS OF JULY 1, 2016, SLHC IS THE SOLE MEMBER OF ST. LUKES HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 St. Lukes Holding Company is the sole member of St. Luke's Hospital. FORM 990, PART VI, SECTION A, LINE 7A ST. LUKE'S HOLDING COMPANY, INC. (SLHC) IS THE PARENT CORPORATION AND SOLE MEMBER OF ST. LUKES HOSPITAL. AS THE MEMBER, SLHC HAS THE RIGHT TO (A) NOMINATE AND ELECT A MINORITY OF THE MEMBERS AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF ST. LUKES HOSPITAL AND (B) APPROVE THE NOMINEES TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES, A MAJORITY OF WHOM ARE NOMINATED BY ST. LUKES HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B WHILE THE BOARD OF TRUSTEES OF EACH CORPORATION IS GRANTED CERTAIN POWERS WITH RESPECT TO THEIR OPERATIONS, AS THE SOLE MEMBER, ST. LUKE'S HOLDING COMPANY, INC. (SLHC) RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (1) ADOPTION OF THE CORPORATION'S STRATEGIC PLANS AND FINANCIAL PLANS, (2) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC, (3) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE CORPORATION'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC, (4) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (5) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC AND (6) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION. FORM 990, PART VI, SECTION B, LINE 11B UNDER THE GUIDANCE OF ST. LUKE'S HOLDING COMPANY, INC. (SLHC) TAX CONSULTANTS, FORM 990'S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH SLHC SUBSIDIARY AND REVIEWED BY THE RESPECTIVE subsidiary's finance leadership along with an independent accounting firm. AFTER SUBSIDIARY'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR SLHC AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. subsidiary's finance leadership along with an independent accounting firm. AFTER SUBSIDIARY'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR SLHC AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.”

“St lukes holding company, inc. (slhc) and subsidiaries have standards of conduct that apply to all slhc board members and employees. Board members and employees are expected to certify their compliance with the applicable standards prior to election/appointment or prior to beginning employment. Board members annually (or immediately if new potential conflicts of interest arise), all board members are required to complete and return the board member certification statement within 30 days of dissemination. Board member certification statements are compiled and reviewed by the administrative director of finance and compliance officer. Summarized information is forwarded for review to the chief financial officer, general counsel, subsidiarys presidents and the slhc president and chief executive officer (president/ceo), based upon their respective knowledge of the board members. The purpose of this review is to both inform management of the disclosed conflicts and to allow them to identify to the administrative director of finance, any potential undisclosed conflicts. The compliance department then conducts an audit of all board member certification statements (along with any relationships noted through the above review) to identify any positional conflicts of interest and to test material transactions with board members/their affiliates for fair market value. The results of the audit are reported directly to the chair of the audit and compliance committee with a copy to the president/ceo. The report includes a summary of the audit procedures performed, any significant concerns identified and their resolution. Any unresolved conflicts are addressed by the audit and compliance committee with recommendations to the full board as needed. Failure to file the certification statement, or the filing of a false or incomplete certification statement, or failure to disclose immediately any new conflicts of interest that may arise, or failure to cooperate without condition, honestly and completely with any investigation or review of the board members certification statement or his/her actions or circumstances shall be grounds for sanction by the board of trustees up to and including removal from the board/committee/council. Employees, excluding employed physicians annually (or immediately if new conflicts of interest arise), all salaried employees and specifically identified hourly employees, excluding employed physicians, are required to complete and submit an electronic employee certification questionnaire by an established deadline that is communicated to the employee. The human resources department ensures that all questionnaires, which are stored electronically, are completed and provides notification to the administrative director of finance of the number of annual employee certification questionnaires sent and received and copies of any questionnaires containing disclosures that warrant further review by the audit and compliance committee. All new employees, excluding employed physicians, are provided either an electronic or paper copy of the employee standard of conduct and the employee certification statement which the new employee is required to complete prior to beginning employment. The human resources department has access to a report that identifies all new hires. A sample of employees is identified and an audit is conducted to ensure that required documentation is on file. Identified conflicts are initially reviewed by the administrative director of finance and if necessary discussed with the subsidiarys president in which the employee works, and general counsel. If the conflict is considered a significant exposure risk for slhc, a recommendation will be prepared for final approval of the president/ceo. Results of the employee process audit are included in the above report to the chair of the audit & compliance committee. Failure to complete the certification questionnaire, or the completion of a false or incomplete certificati”

“Each year independent consultants conduct an annual survey and recommend executive payroll base salary ranges based upon the market. The data is reviewed and approved by the st. Lukes hospital executive committee of the board every november. Salary adjustments are determined at the november meeting of the executive committee of the board. The executive committee of the board approves other forms of compensation based upon the prior year performance at the january meeting each year. Form 990, part vi, section b, line 16a&b joint venture operating agreements involving st. Lukes holding company, inc. (slhc) or its subsidiaries include provisions to protect slhcs tax exempt status. Each agreement contains specific language related to the provision of health care services with focus on community health benefit and must follow a formal review process prior to contract execution. Slhc continually ensures that its tax-exempt status is protected by actively participating in the governance of all slhc joint ventures.”

“St. Luke's holding company, inc. And subsidiaries provide any document open to public inspection upon request.”

“ST. LUKES HOSPITAL, A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIAZAION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN MAUMEE, OHIO, ST. LUKES SERVES THE SOUTHWEST PORTION OF LUCAS COUNTY AND PORTIONS OF WOOD AND FULTON COUNTIES. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS ABILITY TO PAY. A 300 BED FACILITY IN MAUMEE, OHIO, ST LUKES HOSPITAL (SLH) PROVIDES EXTENSIVE HEALTHCARE SERVICES SUCH AS EMERGENCY MEDICINE; SURGICAL SERVICES/ OUTPATIENT PHYSICAL, OCCUPATIONAL, PULMONARY AND CARDIAC REHABILITATION; CRITICAL CARE; CARDIOLOGY; RESPIRATORY; LABOR AND DELIVERY; AND A FULL RANGE OF LABORATORY AND RADIOLOGY SERVICES. SLHS CAMPUS IS HOME TO THE NORTHWEST OHIO ONCOLOGY CENTER FOR OUTPATIENT CANCER CARE, AS WELL AS A SLEEP DISORDERS CLINIC, A PAIN CLINIC, A FAMILY BIRTHING CENTER, A DIABETES CARE CENTER, AND TOBACCO TREATMENT CENTER. IN 2016, SLH ALSO HAD CHEST PAIN ACCREDITAION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, PRIMARY STROKE CENTER CERTIFICATION AND HEART FAILURE PROGRAM ACCREDITATION FROM DNV-GL, AND THE LABORATORY WAS CERTIFIED BY THE COLLEGE OF AMERICAN PATHOLOGISTS. SLH SERVED 10,495 INPATIENTS AND 197,948 OUTPATIENTS IN 2016. FURTHER, 36,780 INDIVIDUALS SOUGHT EMERGENCY CARE AT SLH. THE HOSPITAL CONTRIBUTED $8,403,164 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT SPONSORED, MEANS-TESTED HEALTHCARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONALS EDUCATION, SUBSUDIZED HEALTH SERVICES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, SLH CONTRIBUTED $2,875,150 TO THE COMMUNITY DURING 2016. INCLUDED IN THIS FIGURE ARE PROGRAMS AND EVENTS SUCH AS: -PARTICIPATION IN AMERICAN MEDICINE CHEST CHALLENGES, A MEDICATION DROP OFF EVENT, WHERE COMMUNITY MEMBERS DROP OFF EXPIRED AND UNUSED MEDICATIONS TO SAFELY DISPOSE OF DRUGS THAT POTENTIALLY MAY BE ABUSED. -DIABETES EDUCATION PROGRAMS OFFERED WEEKLY, AS WELL AS MONTHLY SUPPORT GROUPS FOR INDIVIDUALS RECENTLY DIAGNOSED WITH DIABETES. -SPONSORSHIP OF THE AMERICAN HEART ASSOCIATIONS GO RED FOR WOMEN EVENT IN SUPPORT OF WOMENS HEART HEALTH, AS WELL AS STRONG PARTICIPATION IN THE HEART WALK IN SUPPORT OF OVERALL HEART HEALTH. -SCREENING EVENTS FOR SKIN, CANCER AND INTRODUCTION OF LOW-DOSE CT SCAN FOR LUNG CANCER DETECTION. -TOBACCO CESSATION PROGRAMS AND SUPPORT GROUPS FOR COMMUNITY MEMBERS -A COURTESY VAN PROVIDED TO PATIENTS NEEDING TRANSPORTATION TO AND FROM THE HOSPITAL APPOINTMENTS AND TESTING -SENIOR SERVICE EDUCATION PROGRAMS COVERING TOPICS SUCH AS HEART DISEASE, COLO-RECTAL HEATLH, AGING, ALZHEIMERS/DEMENTIA, FALL PREVENTION, NUTRITION, AND STROKE PREVENTION. SLH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2016 OF WHICH $1,485,669(7a) REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. SLHS COST OF BAD DEBT FOR 2016 WAS $1,671,030. THIS AMOUNT IS NOT INCLUDED IN THE $8,403,164(7ke) NOTED ABOVE. FURTHER, SLH PROVIDED $4,041,885(7b) OF COMMUNITY BENEFIT THROUGH COSTS NOT REIMBURSED BY THE GOVERNMENT FOR TREATING MEDICAID AND OTHER MEANS TESTED PATIENTS. ALSO IN 2016, THE TOTAL COSTS NOT REIMBURSED BY THE GOVERNMENT FOR TREATING MEDICARE PATIENTS WAS $8,545,653 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $8,403,164 NOTED ABOVE. DURING 2016, SLH EXPENDED $39,418,263 IN NET PAYROLL, PROVIDING 1,109 JOBS IN NORTHWEST OHIO. A TOTAL OF $2,410,833 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL E”

“General $ 7,304,808 contr nphys 532,932 contr phys 7,365,673 collection 217 billing allocation 526,087 consultants 3,838,827 lithotriptor 97,250 service contracts 1,622,580 laundry 464,929 food svc mgt 351,382 temp agency 2,981,132 transportation 1,175 referred testing 368,175 other 2,162,154”

“Pension/post-retirement expense adjustment $(5,958,225) beneficial interest in foundation 7,705,254 deconsolidation of acquired assets 12,201,211 transfer of contribution liability (5,000,000) total 8,948,240”