Civic Intelligence

St Lukes Health Services Inc

990 • Fiscal year 2017 • EIN 39-1724915

Jul 01, 2016 to Jun 30, 2017 • Filed on May 15, 2018

1320 Wisconsin AvenueRacine, WI 53403

(314) 733-8000

Siviq Scores

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

Liabilities / Assets

94th percentile

1.08x

Higher debt load relative to assets than 94% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Liabilities / Revenue

97th percentile

4.41x

Higher debt load relative to revenue than 97% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Net Margin

2nd percentile

-137%

Higher net margin than 2% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Asset Growth

4th percentile

-37%

Faster asset growth than 4% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Revenue Growth

5th percentile

-45%

Faster revenue growth than 5% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Assets

Down

$576,575

Down $332,025 (-37%) from 2016

Net Assets

Down

-$45,897

Down $193,100 (-131%) from 2016

Liabilities

Down

$622,472

Down $138,925 (-18%) from 2016

Revenue

Down

$141,064

Down $115,908 (-45%) from 2016

Expenses

Down

$334,164

Down $35,157 (-9.5%) from 2016

Net Income

Down

-$193,100

Down $80,751 (-72%) from 2016

Historical Trend

Balance Sheet Trend

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

$2.0M$1.5M$1.0M$500K$0-$500KAssets 2010: $1,337,358Liabilities 2010: $724,888Net Assets 2010: $612,4702010Assets 2011: $1,597,705Liabilities 2011: $988,693Net Assets 2011: $609,0122011Assets 2012: $748,693Liabilities 2012: $239,377Net Assets 2012: $509,3162012Assets 2013: $790,027Liabilities 2013: $400,729Net Assets 2013: $389,2982013Assets 2014: $1,073,233Liabilities 2014: $692,917Net Assets 2014: $380,3162014Assets 2015: $988,191Liabilities 2015: $728,639Net Assets 2015: $259,5522015Assets 2016: $908,600Liabilities 2016: $761,397Net Assets 2016: $147,2032016Assets 2017: $576,575Liabilities 2017: $622,472Net Assets 2017: -$45,8972017Assets 2018: $574,391Liabilities 2018: $807,184Net Assets 2018: -$232,7932018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2017

Assets$576,575
Liabilities$622,472
Net Assets-$45,897

Operations Trend

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

$1.0M$500K$0-$500KExpenses 2010: $202,7492010Expenses 2011: $273,4992011Expenses 2012: $398,1332012Revenue 2013: $614,284Expenses 2013: $734,302Net Income 2013: -$120,0182013Revenue 2014: $482,332Expenses 2014: $491,314Net Income 2014: -$8,9822014Revenue 2015: $316,174Expenses 2015: $436,938Net Income 2015: -$120,7642015Revenue 2016: $256,972Expenses 2016: $369,321Net Income 2016: -$112,3492016Revenue 2017: $141,064Expenses 2017: $334,164Net Income 2017: -$193,1002017Revenue 2018: $207,458Expenses 2018: $394,354Net Income 2018: -$186,8962018Revenue 2019: $779,219Expenses 2019: $14,670Net Income 2019: $764,5492019

Highlighted filing

2017

Revenue$141,064
Expenses$334,164
Net Income-$193,100
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 15, 2018
Return Version
2016v3.0
Gross Receipts
$162,289
Mission and Program Overview

Mission

The primary exempt purpose of st lukes health services, inc. Is to provide operating room services and other health care procedures to a portion of the community that might otherwise not be able to find the needed services or be forced to receive the care at a hardship.

To improve the health and well-being of all people in the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$567,768$546,543▼ $21,225
Accounts Receivable$330,832$20,032▼ $310,800
Savings and Temporary Cash Investments$10,000$10,000→ $0
Receivable From Disqualified Prsn$0--
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0--
Total Assets$908,600$576,575▼ $332,025
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$761,397$622,472▼ $138,925
Other Liabilities$0$0→ $0
Total Liabilities$761,397$622,472▼ $138,925
Net Assets / Fund Balance
Unrestricted Net Assets$147,203$-45,897▼ $193,100
Total Net Assets Fund Balance$147,203$-45,897▼ $193,100
Total Liabilities and Net Assets / Fund Balance$908,600$576,575▼ $332,025

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$546,543$302,457$849,000
Equipment$0$263,142$263,142
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Chair
-Interim President (START 4/2017)
-President (END 4/2017)
-Secretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$139,289
Investment Income
$0
Other Revenue
$1,775
Change in Net Assets
$-193,100
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$334,164
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$160,218--$160,218
Fees for Services Other$81,994$26,238$0$108,232
Office Expenses-$38,750-$38,750
Fees for Services Management-$20,000-$20,000
Fees for Services Accounting-$6,964-$6,964
Total Functional Expenses$242,212$91,952$0$334,164
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$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B Review of form 990 by governing body

During the return preparation process, the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. Upon completion, the form 990 is reviewed by the organization's internal tax department which consists of attorneys and cpas. A complete final copy of the return is provided to the organization's president, financial officer, and/or other key officers in lieu of the full board.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.

Form 990, Part VI, Line 19 Required documents available to the public

The Organization will provide any documents open to public inspection upon request.

Filing and Contact Details

Filer

Filer Name
St Lukes Health Services Inc
EIN
39-1724915
Phone
3147338000
Address
1320 Wisconsin Avenue, Racine, WI 53403

Signing Officer

Name
Tonya Mershon
Title
Tax Officer
Signed
2018-05-15

Organization Details

Formed
1991
Legal Domicile
Wi
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
2
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Physician Fees - Total Expense: 81994, Program Service Expense: 81994, Management and General Expenses: , Fundraising Expenses: ; Professional Fees - Total Expense: 26238, Program Service Expense: , Management and General Expenses: 26238, Fundraising Expenses: ;

Schedule A, Part I, Line 3 Public Charity Status

St. Luke's Health Services, Inc. is exempt as a hospital under Internal Revenue Code Section 170(b)(1)(A)(iii); however, it is not a hospital as defined by Form 990, Schedule H Instructions.

Raw XML Appendix324 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0SUSAN BOLAND, DIRECTOR AND PRESIDENT OF ST LUKES HEALTH SERVICES THROUGH APRIL 2017, IS EMPLOYED BY AN UNRELATED ORGANIZATION. IT IS ESTIMATED THAT 1% OF HER TOTAL COMPENSATION FROM THIS UNRELATED ORGANIZATION IS ATTRIBUTABLE TO SERVICES PROVIDED TO THE FILING ORGANIZATION, AND IS ESTIMATED AS FOLLOWS: BASE COMPENSATION: $4,757 BONUS AND INCENTIVE: $0 OTHER: $145 DEFERRED COMP: $487 NONTAXABLE BENEFITS: $141 DEFERRED REPORTED IN PRIOR YEAR: 0
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule J, Part II SCH J, PART II
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The Organization will provide any documents open to public inspection upon request.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Physician Fees - Total Expense: 81994, Program Service Expense: 81994, Management and General Expenses: , Fundraising Expenses: ; Professional Fees - Total Expense: 26238, Program Service Expense: , Management and General Expenses: 26238, Fundraising Expenses: ;
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4St. Luke's Health Services, Inc. is exempt as a hospital under Internal Revenue Code Section 170(b)(1)(A)(iii); however, it is not a hospital as defined by Form 990, Schedule H Instructions.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 11b Review of form 990 by governing body
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 12c Conflict of interest policy
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 19 Required documents available to the public
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part IX, Line 11g Other Fees
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Schedule A, Part I, Line 3 Public Charity Status
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0WI
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0908600
IRS990/TotalAssetsEOYAmt0576575
IRS990/TotalAssetsGrp/BOYAmt0908600
IRS990/TotalAssetsGrp/EOYAmt0576575
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt091952
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0242212
IRS990/TotalFunctionalExpensesGrp/TotalAmt0334164
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0761397
IRS990/TotalLiabilitiesEOYAmt0622472
IRS990/TotalLiabilitiesGrp/BOYAmt0761397
IRS990/TotalLiabilitiesGrp/EOYAmt0622472
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0147203
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-45897
IRS990/TotalOtherCompensationAmt00
IRS990/TotalOthProgramServiceRevGrp/ExclusionAmt00
IRS990/TotalOthProgramServiceRevGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalOthProgramServiceRevGrp/TotalRevenueColumnAmt00
IRS990/TotalOthProgramServiceRevGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalProgramServiceExpensesAmt0242212
IRS990/TotalProgramServiceRevenueAmt0139289
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt01775
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0139289
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0141064
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt02
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0908600
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0576575
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0147203
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0-45897
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt03801 Spring Street
IRS990/USAddress/CityNm0Racine
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd053405
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/PersonNm0Tonya Mershon
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Tax Officer
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-05-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0St Lukes Health Services Inc
ReturnHeader/Filer/BusinessNameControlTxt0STLU
ReturnHeader/Filer/EIN0391724915
ReturnHeader/Filer/PhoneNum03147338000
ReturnHeader/Filer/USAddress/AddressLine1Txt01320 Wisconsin Avenue
ReturnHeader/Filer/USAddress/CityNm0Racine
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd053403
ReturnHeader/ReturnTs02018-05-15T15:09:49-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-07-01
ReturnHeader/TaxPeriodEndDt02017-06-30
ReturnHeader/TaxYr02016

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