Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
ST LUKES EPISCOPAL HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
6624 FANNIN ST
Suite
Room/suite
City or town, state or country, and ZIP + 4
HOUSTON, TX77030
D Employer identification number

74-1161938
E Telephone number

G Gross receipts $ 860,807,707
F Name and address of principal officer:
DAVID FINE
6624 FANNIN st ste 1100
HOUSTON,TX77030
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SLEH.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1945
M State of legal domicile: TX
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: ST LUKES CONTRIBUTES TO ENHANCING COMMUNITY HEALTH BY DELIVERING SUPERIOR CARE. IN PARTNERSHIP WITH OUR MEDICAL STAFF, WE ARE DEDICATED TO EXCELLENCE AND COMPASSION WHILE CARING FOR THE WHOLE PERSON
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 17
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 17
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 4,570
6 Total number of volunteers (estimate if necessary) ............. 6 644
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 1,793,471
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 794,458
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 62,603,679 15,780,663
9 Program service revenue (Part VIII, line 2g) ......... 884,851,060 854,348,551
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -20,301,685 -11,533,080
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,942,960 1,776,235
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 930,096,014 860,372,369
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 17,746,619 20,827,150
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 317,570,345 321,785,328
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 493,227,395 448,800,032
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 828,544,359 791,412,510
19 Revenue less expenses. Subtract line 18 from line 12....... 101,551,655 68,959,859
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 968,830,694 1,028,404,522
21 Total liabilities (Part X, line 26)............. 853,311,740 796,717,284
22 Net assets or fund balances. Subtract line 21 from line 20..... 115,518,954 231,687,238
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: ST LUKE'S EPISCOPAL HOSPITAL, AS AN INTEGRAL PART OF THE HEALTH SYSTEM, CONTRIBUTES TO ENHANCING COMMUNITY HEALTH BY DELIVERING SUPERIOR VALUE IN HIGH-QUALITY, COST-EFFECTIVE ACUTE CARE. AS A COMMUNITY TEACHING HOSPITAL AND A TERTIARY REFERRAL CENTER, WE SERVE BOTH THE GREATER HOUSTON AREA AND THE GLOBAL COMMUNITY. IN PARTNERSHIP WITH OUR MEDICAL STAFF, WE ARE DEDICATED TO EXCELLENCE AND COMPASSION WHILE CARING FOR THE WHOLE PERSON - MIND, BODY, AND SPIRIT. WE ARE ALSO COMMITTED TO THE GROWTH AND DEVELOPMENT OR OUR EMPLOYEES, AND TO SECURING THE HEALTH OF FUTURE GENERATIONS BY CREATING, APPLYING, AND DISSEMINATING HEALTH KNOWLEDGE THROUGH EDUCATION AND RESEARCH.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 629,990,736 including grants of $ 20,827,150 ) (Revenue $ 852,555,080 )
St. Luke's Episcopal Hospital (SLEH), as an integral part of the Health System, contributes to enhancing community health by delivering superior value in high-quality, cost-effective acute care. As a community teaching hospital and a tertiary referral center, SLEH serves both the Greater Houston area and the global community. In collaboration with its medical staff, SLEH is dedicated to excellence and compassion in caring for the whole person-body, mind and spirit. St. Luke's Episcopal Hospital (SLEH) STATS Hospital Admissions 28,653 Emergency Room Visits 31,918 Surgeries 21,181 Births 729 Outpatient Visits 107,881 St. Luke's Community Emergency Centers Pearland 15,617 Holcombe 24,304 San Felipe 14,089 In its annual survey of "America's Best Hospitals," U.S. News & World Report ranked St. Luke's Episcopal Hospital (SLEH) among the top healthcare institutions in the nation in 10 major areas of care out of 16 for which a ranking is provided. SLEH is among the nation's top 50 in Diabetes & Endocrinology; Ear, Nose & Throat; Gastroenterology; Geriatrics; Nephrology; Neurology & Neurosurgery; Orthopedics; Pulmonology; and Urology. In addition to the national rankings, SLEH was named the number two hospital in Texas and in the Houston Metro area, and was designated high-performing in the areas of Cancer and Gynecology. Care Optimization In March of 2011, St. Luke's Episcopal Hospital executed an agreement with GE Healthcare to become the second hospital nationally to create next-generation, comprehensive capacity optimization using GE's newly formed Patient Care Capacity Management service offering. This multi-year engagement has involved the implementation of cutting-edge technology, new processes and operational governance to help the hospital operate at maximum capacity, reduce length of stay, avoid unnecessary purchases of mobile medical equipment and use clinical staff more efficiently. St. Luke's has become a global show-site for demonstration of this service offering. For the first time, several pioneering innovations in patient flow technology are being deployed together at St. Luke's. This technological complement has included providing real-time visibility to the locations of patients and certain mobile-medical devices through a real-time location system that uses radio frequency and infrared detection systems, similar to a GPS. This location system is integrated into a hospital-wide bed management tool, called AgileTrac, which provides caregivers unprecedented visibility to barriers in patient placement and patient flow throughout the hospital. SLEH became the first and only hospital in Houston to receive accreditation as a Mission: Lifeline Heart Attack Receiving Center from the American Heart Association and Society of Chest Pain Centers. The accreditation program recognizes centers that meet or exceed quality-of-care measures for people experiencing the most severe type of heart attack, ST-elevation myocardial infarction (STEMI). St. Luke's demonstrated exceptional quality-of- care standards: o Consistently unblock a heart artery in less than 90 minutes o In-house STEMI Rapid Response Team of clinical staff and physicians 24/7/365 o Emergency Department "no diversion" policy o EMS Hotline St. Luke's opened its new Oncology Medical Clinic to provide evaluation and treatment of medical oncology and blood disorders. As an extension of St. Luke's Cancer Program, onsite services include diagnostic radiology, infusion services, radiation oncology, peripheral vascular testing and bone marrow biopsy. The Clinic will also offer oncology clinical trials as additional patient options in the treatment of disease. On May 1, St. Luke's Center for Liver Disease held an open house celebrating its new location at 6620 Main. The 25,000 square-foot-space now houses the Center for Liver Disease, Liver Transplant Program, Elkins Pancreas Center and patient education and conference rooms. SLEH is the first in Houston to offer bronchial thermoplasty, an innovative procedure for the treatment of severe asthma, which affects nearly 25 million Americans and is one of the top chronic diseases globally along with heart disease, stroke, cancer and diabetes. The hospital received a full, three-year re-accreditation as a Chest Pain Center with PCI from the Society of Chest Pain Centers. The accreditation, which St. Luke's received in March 2009, recognizes the hospital's expertise in providing quality care to patients who arrive with symptoms of a heart attack. SLEH received the Texas Health Care Quality Improvement Bronze Award by the TMF Health Quality Institute. The award recognized the hospital for achieving 80-90 percent compliance on core measures on discharges with a diagnosis of acute myocardial infarction, heart failure, pneumonia and SCIP measures from the Fourth Quarter of 2010 to the Third Quarter of 2011. SLEH Auxiliary During National Volunteer Week in April, SLEH Auxiliary's 585 members were recognized for donating 63,800 service hours in 2011-valued at $1,362,768. The 16th Annual Easter project, "Food for Life," sponsored by the SLEH Auxiliary, collected food and monetary donations from employees to benefit the Southeast Area Ministries Food Pantry. The group serves eight zip codes in the southeast area of Houston. International Admissions Global Clinical Excellence More than 3,500 patients from over 85 countries sought specialized care at SLEH for treatments primarily in Cardiac and Oncology services-making SLEH one of the top 10 destinations in the U.S. for international patients. Fostering Education around the Globe SLEH continued to promote its clinical services and provide continuing professional educational opportunities abroad through a number of scientific conferences and educational symposia in the Middle East, Mexico, Europe and Latin America. In the U.S., two internationally recognized symposia were held in Houston, including LINC-the largest conference in North America on neuroradiological and neurointerventional developments. Phase 2 of SLEH's clinical consulting program involving two public hospitals in the Sultanate of Oman commenced. The Allied Health and Nursing training/exchanges with a focus on critical care and cardiac programs has begun at The Royal Hospital and Sultan Qaboos University Hospital. The program calls for further development and sharing of educational and clinical pathways with nursing and, eventually, physicians. St. Luke's solidified its international leadership position as a charter and founding member of the US Cooperative for International Patient Programs, a partnership of the International Trade Administration of the U.S. Department of Commerce, University Health System Consortium (UHC), and Rush University. St. Luke's experience and leadership in the field has helped establish this new organization comprised of the top teaching hospitals and academic centers with global outreach. Telemedicine As part of SLEH's mission to serve a global community, the international program initiated its first international teleconsult program in Peru, connecting local physicians with international patients. In another first, SLEH has also taken a leadership role by serving as the only organization to provide CME programs via video conferencing to international physicians. This initiative has fostered collaboration and innovation with physicians in Mexico, Venezuela, Peru and Ecuador. .
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet629,990,736
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
Yes
 
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
Yes
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............. Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
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 ..................
2a
4,570
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
17
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
17
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
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? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow 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 organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletSTEPHEN PICKETT6624 FANNIN ST STE 1100HOUSTONTX77030 (832) 355-4979
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) E WILLIAM BARNETT........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(2) CHESTER JONES........................................................................
DIRECTOR
 2.0
.......................18.0 		X           0 0 0
(3) JOHN SCOTT ARNOLDY........................................................................
CHAIR, TREASURER & DIRECTOR
 2.0
.......................4.0 		X   X       0 0 0
(4) HARRY J PHILLIPS JR........................................................................
DIRECTOR
 2.0
.......................2.0 		X           0 0 0
(5) CLAYTON TRIER........................................................................
DIRECTOR
 2.0
.......................4.0 		X           0 0 0
(6) NANCY DUNLaP........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(7) MARCIA KIELHOFNER md........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(8) WILLIAM redwine........................................................................
director/ex officio
 2.0
.......................53.0 		X           0 114,158 0
(9) dan c tutcher........................................................................
director
 2.0
.......................0.0 		X           0 0 0
(10) robert t BLAKELY........................................................................
DIRECTOR
 2.0
.......................2.0 		X           0 0 0
(11) REV CAROL R petty........................................................................
director
 2.0
.......................0.0 		X           0 0 0
(12) william m HITCHcock........................................................................
direcTOR
 2.0
.......................0.0 		X           0 0 0
(13) the rt rev rayford B HIGH jR........................................................................
direcTOR
 2.0
.......................2.0 		X           0 0 0
(14) RUFUS w olIVER III........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(15) the rt rev c andrew doyle........................................................................
director
 2.0
.......................2.0 		X           0 0 0
(16) mark d skolkin md........................................................................
director
 2.0
.......................1.0 		X           0 0 0
(17) joseph h pyne........................................................................
director
 2.0
.......................0.0 		X           0 0 0
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) gloria portela........................................................................
director
 2.0
.......................0.0 		X           0 0 0
(19) johnathon clarkson........................................................................
director
 2.0
.......................0.0 		X           0 0 0
(20) james p herlihy md........................................................................
director
 2.0
.......................0.0 		X           0 0 0
(21) michael wilson md........................................................................
director - ex officio
 2.0
.......................0.0 		X           0 0 0
(22) DAVID J FINE........................................................................
PRESIDENT
 6.0
.......................49.0 		    X       0 1,671,626 451,822
(23) KAREN K MYERS rn........................................................................
VP CHIEF NURSING OFFICER SLEH
 55.0
.......................0.0 		    X       283,530 0 35,001
(24) KRISTEN D TURNER rn........................................................................
VICE PRESIDENT surgical svcs
 55.0
.......................0.0 		    X       239,646 0 31,643
(25) William BROSIUS........................................................................
ASSISTANT TREASURER
 55.0
.......................0.0 		    X       347,443 0 22,882
(26) MARGARET VAN BREE DRPH........................................................................
CHIEF EXECUTIVE OFFICER
 55.0
.......................0.0 		    X       714,742 0 70,980
(27) BRIAN DOYLE........................................................................
ASSISTANT TREASURER
 2.0
.......................53.0 		    X       0 159,564 30,057
(28) bonnie schoenbein........................................................................
assistant secretary
 2.0
.......................53.0 		    X       0 62,013 11,609
(29) ALENE JACKSON........................................................................
AVP NURSING SLEH
 55.0
.......................0.0 		        X   228,003 0 32,566
(30) MARIE CLARK........................................................................
ASSIST VICE PRES NURSING SLEH
 55.0
.......................0.0 		        X   223,009 0 21,048
(31) christine l corrao........................................................................
assist vice pres nursing sleh
 55.0
.......................0.0 		        X   202,741 0 25,318
(32) david m bellEzza........................................................................
chief medical physicist
 55.0
.......................0.0 		        X   183,902 0 22,582
(33) thomas P mcllwain........................................................................
vp q & p i and cmo, sleh
 55.0
.......................0.0 		        X   334,587 0 22,348
(34) ann thielke........................................................................
secretary
 2.0
.......................53.0 		          X 0 303,692 15,834
(35) m elizabeth jones........................................................................
vice president sleh
 55.0
.......................0.0 		          X 188,413 0 9,700
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,946,016 2,311,053 803,390
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet286
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
BAYLOR COLLEGE OF MEDICINE, ONE BAYLOR PLAZAHOUSTONTX77030 MEDICAL STAFF SUPP 17,915,633
aramark facility services, PO BOX 10401PASADENACA91189 biomedical engineer 30,641,316
TEXAS CHILDRENS HOSPITAL, po box 300630HOUSTONTX77230 mgmt ob gyn program 7,742,401
MEMORIAL HERMANN HOSPTIAL SYSTEM, 9301 Southwest Freeway Suite 649HOUSTONTX77074 LAUNDRY SERVICES 3,434,549
the methodist hospital, po box 4752HOUSTONTX772104752 laboratory services 4,337,086
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet44
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 10,010,023
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		5,770,640
g Noncash contributions included in lines
1a-1f:$ 		5,450,000
h Total. Add lines 1a-1f.......MediumBullet 15,780,663
Program Service Revenue Business Code
2a NET PATIENT REVENUE 900099 839,833,946 839,833,946    
b INSTITUTIONAL REVENUE 900099 11,295,229 9,501,758 1,793,471  
c REGISTRATION INCOME MEDICAL AND PATIENT EDUCATION 900099 22,496 22,496    
d RESEARCH STUDY INCOME 900099 2,967,589 2,967,589    
e GRANT CONTRACT INCOME 900099 229,291 229,291    
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 854,348,551
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet -11,545,680     -11,545,680
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 19,833     19,833
(i) Real (ii) Personal
6a Gross rents 422,440  
b Less: rental expenses    
c Rental income or (loss) 422,440 0
d Net rental income or (loss).......MediumBullet 422,440     422,440
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   12,600
b Less: cost or other basis and sales expenses   0
c Gain or (loss)   12,600
d Net gain or (loss)..........MediumBullet 12,600     12,600
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a 698,800
b Less: cost of goods sold ..b 435,338
c Net income or (loss) from sales of inventory..MediumBullet 263,462     263,462
Miscellaneous Revenue Business Code
11a MEDICAL RECORDS 900099 252,245     252,245
b PARKING REVENUE 812930 13,411     13,411
c MANAGEMENT CONTRACT OBSTETRICS AND GYNECOLOGY 900099 150,000     150,000
d All other revenue .... 654,844     654,844
e Total. Add lines 11a–11d ...... MediumBullet 1,070,500
12 Total revenue. See Instructions......MediumBullet 860,372,369 852,555,080 1,793,471 -9,756,845
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 5,138,013 5,138,013
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 15,639,137 15,639,137
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 50,000 50,000
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 1,585,362 0 1,585,362 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 259,679,585 247,058,038 12,621,547  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 13,490,081 12,751,000 739,081  
9 Other employee benefits ....... 28,075,378 26,393,986 1,681,392  
10 Payroll taxes ........... 18,954,922 17,812,784 1,142,138  
11 Fees for services (non-employees):        
a Management ...... 2,747,982 324,666 2,423,316  
b Legal ......... 46,052 120 45,932  
c Accounting ........... 0      
d Lobbying ........... 351   351  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 21,183,232 16,969,911 4,213,321  
12 Advertising and promotion .... 1,202,997 451,283 751,714  
13 Office expenses ....... 8,516,503 6,156,754 2,359,749  
14 Information technology ...... 677,948 118,345 559,603  
15 Royalties .. 0      
16 Occupancy ........... 25,744,726 5,463,696 20,281,030  
17 Travel ............ 796,031 279,063 516,968  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 19,079 14,671 4,408  
20 Interest ........... 7,825,247 11,040 7,814,207  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 47,140,506 20,407,316 26,733,190  
23 Insurance .............. 7,359,185 1,065,867 6,293,318  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a BAD DEBT 30,303,196 30,303,196    
b EQUIPMENT AND FACILITY MAINTE 20,236,646 14,855,096 5,381,550  
c OTHER OUTSIDE SERVICES 87,313,879 28,209,851 59,104,028  
d MEDICAL SUPPLY EXPENSE 171,513,995 171,513,995    
e All other expenses 16,172,477 9,002,908 7,169,569  
25 Total functional expenses. Add lines 1 through 24e 791,412,510 629,990,736 161,421,774 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 105,043,443 1 98,640,666
2 Savings and temporary cash investments ......... 62,736,895 2 102,366,032
3 Pledges and grants receivable, net ........... 2,976,462 3 560,904
4 Accounts receivable, net ............. 117,069,418 4 103,715,221
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 18,529,824 7 18,529,824
8 Inventories for sale or use .............. 8,756,919 8 9,165,093
9 Prepaid expenses and deferred charges .......... 3,618,825 9 3,159,379
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 870,676,441
b Less: accumulated depreciation ..... 10b 574,713,415 315,416,935 10c 295,963,026
11 Investments—publicly traded securities .......... 43,193,771 11 40,925,391
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 291,488,202 15 355,378,986
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 968,830,694 16 1,028,404,522
Liabilities 17 Accounts payable and accrued expenses ......... 121,230,130 17 93,169,232
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 12,479 19 49,772
20 Tax-exempt bond liabilities ............. 549,567,050 20 533,779,100
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 182,502,081 25 169,719,180
26 Total liabilities. Add lines 17 through 25......... 853,311,740 26 796,717,284
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 31,128,305 27 145,792,666
28 Temporarily restricted net assets ........... 67,490,945 28 68,780,257
29 Permanently restricted net assets ........... 16,899,704 29 17,114,315
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 115,518,954 33 231,687,238
34 Total liabilities and net assets/fund balances ........ 968,830,694 34 1,028,404,522
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
860,372,369
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
791,412,510
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
68,959,859
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
115,518,954
5
Net unrealized gains (losses) on investments ...............
5
6,801,821
6
Donated services and use of facilities .................
6
-5,263,198
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
45,669,802
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
231,687,238
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
Yes
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number

74-1161938
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number

74-1161938
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
ST LUKES EPISCOPAL HOSPITAL
  		Employer identification number

74-1161938
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
ST LUKES EPISCOPAL HOSPITAL
  		Employer identification number

74-1161938
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
ST LUKES EPISCOPAL HOSPITAL
  		Employer identification number

74-1161938
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number

74-1161938
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...... 0  
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 0  
c Total lobbying expenditures (add lines 1a and 1b) ................... 0  
d Other exempt purpose expenditures ........................ 629,990,736  
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 629,990,736  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000  
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        6,000,000
             
c Total lobbying expenditures 27,523 0 0 0 27,523
             
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         1,500,000
             
f Grassroots lobbying expenditures 27,523 0 0 0 27,523
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number

74-1161938
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ......... 2  
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........ 687,862  
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 101,897,381 103,155,946 108,516,501 98,930,085 126,045,059
b Contributions ........ 4,575,367 5,007,668 16,710,431 4,643,303 5,828,041
c Net investment earnings, gains, and losses 5,636,707 -624,584 5,087,586 8,766,381 -10,604,324
d Grants or scholarships ..... 319,754 390,247 306,672 596,696 944,755
e Other expenditures for facilities
and programs ........ 		33,455,921 5,251,402 26,851,900 3,226,572 21,393,936
f Administrative expenses .... 0 0      
g End of year balance ...... 78,333,780 101,897,381 103,155,946 108,516,501 98,930,085
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet40.420 %
b
Permanent endowment SchDMd Bullet11.870 %
c
Temporarily restricted endowment SchDMd Bullet47.710 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 344,600 1 344,601
b Buildings ................   517,234,668 299,688,650 217,546,018
c Leasehold improvements ............   22,085,639 11,045,242 11,040,397
d Equipment ................   321,078,638 263,064,630 58,014,008
e Other .................   9,932,895 914,893 9,018,002
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 295,963,026
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INTEREST RECEIVABLE 60,375
(2) THERMAL ENGERY COOP. - TECO 2,794,693
(3) OTHER INTERCOMPANY RECEIVABLES 322,131,680
(4) DAMAGE CLAIM - TROPICAL STORM 6,511
(5) TRUST FUND - 2001A BOND FUND 4,805
(6) ST LUKES MEDICAL TOWER CORP 2,984,298
(7) ST LUKES EPISCOPAL PROPERTIES 14,403,985
(8) TRUST FUND - 2005A BOND FUND 799,814
(9) OTHER MISCELLANEOUS ASSETS 9,935,652
(10) TRUST FUND - 2008 BOND FUND 450,134
(11) TRUST FUND - 2009 BOND FUND 1,401,623
(12) TRUST FUND - 2012 BOND FUND 405,416
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 355,378,986
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
SWAP PAYABLE 164,599,280
SUPPLEMENTAL PENSION PLAN 1,096,651
GOVERNMENTAL RESERVE 1,500,000
POST RETIREMENT BENEFITS 175,000
SUPPLEMENTAL MEDICAL 259,000
TEXAS CHILDREN'S OB/GYN PROGRA 595,343
LONG-TERM EQUIPMENT LEASE 368,904
TEXAS HEART INSTITUTE PLEDGE 1,000,002
FEDERAL AND MARGIN TAXES PAYABLE 125,000
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 169,719,180
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
FORM 990, SCHEDULE D, PART V, LINE 4 PART V: ENDOWMENT FUNDS AN ENDOWMENT FUND IS A FUND IN WHICH A DONOR HAS STIPULATED, AS A CONDITION OF HIS/HER GIFT, WHICH THE PRINCIPAL BE MAINTAINED IN PERPETUITY AND THAT ONLY INCOME EARNED BY THE FUND IS EXPENDED. ST. LUKE'S EPISCOPAL HOSPITAL UTILIZES THE INCOME DERIVED FROM THE INVESTMENT OF THE CORPUS OF THE ENDOWMENT FUNDS. THE STIPULATION THAT GOVERNS THESE FUNDS IS THAT ONLY THE INCOME GENERATED CAN BE MADE AVAILABLE FOR DISBURseMENTS IN SPECIAL PURPOSE FUNDS, ST. LUKE'S EPISCOPAL HOSPITAL OPERATIONS, OR TO FUND DISBURSEMENTS to EXTERNAL ENTITIES. THE ENDOWMENT FUNDS AND THE PURPOSES FOR WHICH THEY ARE INTENDED, INCLUDE BUT ARE NOT LIMITED TO, APPLIED RESEARCH AND EDUCATION IN BIOMEDICAL ENGINEERING, CARDIOLOGY EDUCATION AND RESEARCH, DEVELOPMENTAL PROGRAMS RELATED TO INTERNAL MEDICINE, NUCLEAR MEDICINE, RADIOLOGY, ORTHOPAEDIC RESEARCH AND NURSING EDUCATION. St. Luke's Foundation, a related organization, will also 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. .
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number

74-1161938
Part I
General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
South America   1 Program Services Patient Coord & Mkting 143,196
Central America and the Caribbean     Program Services Self Insurance Funding 1,238,950
Central America and the Caribbean     Investments   6,733,904
Europe (Including Iceland and Greenland)     Program Services Patient Coord & Mkting 17,150
North America     Program Services Patient Coord & Mkting 169,456
Middle East and North Africa     Program Services Patient Coord & Mkting 4,000
Central America and the Caribbean     Program Services Patient Coord & Mkting 19,949
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....   1 8,326,605
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)   1 8,326,605
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Sub-Saharan Africa HEALTHCARE - THE MISSION OF THE ANGLICAN HEALTH NETWORK IS TO RENEW THE MINISTRIES OF HEALING AND HEALTHCARE WITHIN THE ANGLICAN COMMUNION. IT WILL TRANSFORM THE STATE OF HEALTHCARE FOR MILLIONS OF IMPROVERISHED COMMUNITIES SERVED BY ANGLICANS IN THE DEVELOPING WORLD. IT WILL PROMOTE LEARNING AND PRACTICE ON THE INTERACTIONS BETWEEN FAITH AND HEALTH. 50,000        
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
1
3
Enter total number of other organizations or entities .......................MediumBullet
0
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
anglican health network grant schedule F St. luke's episcopal Hospital, through its contacts with the episcopal diocese of texas, monitors the activities of the anglican health network as it promotes access to simple, inexpensive but effective preventative and curative measures in the developing world.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
Additional Data


Software ID:  
Software Version:  



SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number

74-1161938
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    19,010,850   19,010,850 2.500 %
b Medicaid (from Worksheet 3,
column a) .... 		    36,528,745 33,275,605 3,253,140 0.430 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    55,539,595 33,275,605 22,263,990 2.930 %
Other Benefits
            
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    15,026,405 4,268,654 10,757,751 1.420 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)     1,851,340 7,182 1,844,158 0.240 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    5,087,773   5,087,773 0.670 %
j Total. Other Benefits ..     21,965,518 4,275,836 17,689,682 2.330 %
k Total. Add lines 7d and 7j .     77,505,113 37,551,441 39,953,672 5.260 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 15 567 44,484   44,484  
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy 14 843 26,523   26,523  
8 Workforce development            
9 Other            
10 Total 29 1,410 71,007   71,007  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
30,303,196
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
203,324,045
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
218,284,119
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-14,960,074
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ST LUKES EPISCOPAL HOSPITAL
6720 BERTNER
HOUSTON,TX77030 		X X   X   X X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
St Luke's Episcopal Hospital
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1   No
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3    
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4    
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address Type of Facility (describe)
1 community emergency center - san felipe
6363 san felipe street
houston,TX77057 		community emergency center
2 community emergency center - holcombe
2727 west holcombe blvd
houston,TX77025 		community emergency center
3 community emergency center - pearland
11713 shadow creek parkway
houston,TX77584 		community emergency center
4 st lukes ambulatory care center
6624 fannin
houston,TX77030 		outpatient care facility
5 st lukes radiation therapy & cyber knife
2491 south braeswood
houston,TX77030 		outpatient care facility
6 diagnostic & treatment ctr - kirby glen
2457 south braeswood
houston,TX77030 		outpatient care facility
7 st lukes episcopal hospital liver clinic
6620 main
houston,TX77030 		outpatient care facility
8
9
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
charity care SCHEDULE H, PART I, LINE 7 The cost to charge ratio method was utilized to determine financial assistance at cost; however, st. Luke's internal cost accounting system was used to determine unreimbursed Medicaid costs. Subsidized health services amounts represent cash paid to other healthcare providers for indigient healthcare services. Total expenses per Form 990, Part IX, line 25(a) were reduced by bad debt expense in the amount of $30,303,195.65 to determine the percentage in schedule H, Part I, line 7(f). If the percentage reported in part i, line 7, financial assistance and certain other community benefits at cost, were to be calculated on a system-wide basis, the combined percentage for all of the hospital facilities of the st. luke's episcopal health system would be approximately 5.51%. St. Luke's Episcopal Hospital received supplemental medicaid payments of $8,194,077 during 2012. These payments were included in the direct offsetting revenue amounts found in Schedule H, Part I, line 7b column d. These supplemental medicaid payments resulted in a reduction in net community benefit expense and percentages found in columns(e)and (f). If the direct offsetting revenue found in column (d) was not subtracted from total community benefit expense, the percentage in column (f) would be 7.30%.
FOOTNOTE FOR BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 The consolidated St. Luke's Episcopal Health System's audited financial statements for 2012 address accounts receivable allowance methodology on pages 15-16. The full audited financial statements for the St. Luke's Episcopal Health System are attached to this filing.
RATIONALE FOR INCLUDING BAD DEBT AS COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION A, LINE 4 ALTHOUGH ST. LUKE'S EPISCOPAL HOSPITAL STRIVES TO IDENTIFY ELIGIBLE CANDIDATES FOR CHARITY CARE OR DISCOUNTED CARE, THERE ARE CIRCUMSTANCES IN WHICH THE CANDIDATE DOES NOT ASSIST IN THE DETERMINATION PROCESS, AND CHARITY CARE/DISCOUNTED CARE GUIDELINeS CAN NOT BE MET, therefore THE ACCOUNTS BECOME a BAD DEBT EXPENSE FOR THE HOSPITAL'S RECORDS. IT IS VERY DIFFICULT TO ACCURATELY DETERMINE HOW MANY OF THESE ACCOUNTS WOULD HAVE MET THE CHARITY CARE/DISCOUNTED CARE GUIDELINES HAD THE CANDIDATES COOPERATED WITH THE APPLICATION PROCESS.
RATIONALE FOR INCLUDING MEDICARE SHORTFALL AS COMMUNITY BENEFIT SCHEDULE H, PART III, LINE 8 ST. LUKE'S EPISCOPAL HOSPITAL has reported all revenue and allowable costs that were included in the medicare cost report for 2012 on Part III, Section B lines 5 & 6. St. Luke's Episcopal Hospital HAS ADOPTED THE COMMUNITY BENEFIT AND CHARITY CARE POLICIES OF THE ST. LUKE'S EPISCOPAL HEALTH SYSTEM, WHICH REQUIRE IT TO PROVIDE CARE TO ALL PATIENTS WHO PRESENT THEMSELVES FOR CARE. MEDICARE PATIENTS RECEIVE THE SAME HIGH QUALITY CARE AS PATIENTS THAT HAVE OTHER FORMS OF PAYMENT. AS MEDICARE REIMBURSEMENTS DO NOT FULLY COVER THE COST OF THE HEALTHCARE PROVIDED, ST. LUKE'S EPISCOPAL HOSPITAL CONSIDERS THE SHORTFALL AMOUNT AS AN ADdITIONAL COMMUNITY BENEFIT TO THE ELDERLY MEMBERS OF THE COMMUNITY IT SERVES, AND THE COMMUNITY ENJOYS HIGH QUALITY HEALTHCARE FROM ST. LUKE'S EPISCOPAL HOSPITAL FOR ALL ITS CITIZENS, REGARDLESS OF METHOD OF PAYMENT.
COLLECTION POLICY SCHEDULE H, PART III, LINE 9B ST. LUKE'S EPISCOPAL HOSPITAL HAS ADOPTED THE DEBT COLLECTION POLICY OF THE ST. LUKE'S EPISCOPAL HEALTH SYSTEM ("SYSTEM"). THE SYSTEM'S POLICY STATES THAT ST. LUKE'S EPISCOPAL HOSPITAL WILL NOT PURSUE COLLECTION PRACTICES AGAINST PATIENTS WHO HAVE QUALIFIED FOR charity care or other financial assistance once the account has received the charity adjustment. For those patients who have qualified for partial assistance, an adjustment is posted to the charity allowance and the remaining balance may be pursued as directed by our collection policy. In certain cases, a patient's qualification for charity care or financial assistance may not be readily determined; however, if after collection practices have begun it later becomes known that a person qualifies, the collection efforts will immediately cease for the charity care patient or be pursued at the lower partially adjusted amount.
Measures to publicize financial assistance policy Part V, line 14g St. Luke's Episcopal Hospital provides financial counseling and medicaid screening for its uninsured patients. If an uninsured patient is admitted to a facility, the patient/guarantor is visited by a representative/counselor who will first screen for Medicaid eligibility. If patient does not qualify for governmental assistance, the counselor attempts to complete a financial assistance information form (charity form) by assisting with the accumulation of appropriate information and sometimes necessary documents. The documents are then forwarded for evaluation and qualification for financial assistance.
needs assessment SCHEDULE H, PART VI, LINE 2 and Part II ST. LUKE'S EPISCOPAL HOSPITAL MEETS THE NEEDS OF THE COMMUNITY THROUGH ITS EDUCATION, OUTREACH PROGRAMS AND SERVICES IN THE COMMUNITIES IT SERVES. ST. LUKE'S EPISCOPAL HOSPITAL SPONSORS A VARIETY OF PROGRAMS IDENTIFIED THROUGH COMMUNITY NEEDS ASSESSMENT, INCLUDING HEALTH AND WELLNESS FAIRS, EDUCATIONAL LECTURE SERIES, AND LOCAL CHAPTER FUNDRAISERS FOR NATIONAL CAUSES.
patient education of eligibility for assistance SCHEDULE H, PART VI, LINE 3 AS A PART OF ITS MISSION, ST. LUKE'S EPISCOPAL HEALTH SYSTEM PROVIDES CARE TO PATIENTS WITHOUT FINANCIAL MEANS TO PAY FOR HOSPITAL SERVICES. CHARITY CARE WILL Be PROVIDED TO ALL PATIENTS WHO PRESENT THEMSELVES FOR CARE AT ST. LUKE'S EPISCOPAL HOSPITAL OR RELATED ENTITIES WITHOUT REGARD TO RACE, CREED, COLOR, OR NATIONAL ORIGIN AND WHO ARE CLASSIFIED AS FINANCIALLY OR MEDICALLY INDIGENT. ST. LUKE'S WILL PROVIDE PARTIAL OR FULL FINANCIAL ASSISTANCE FOR MEDICALLY NECESSARY CARE IN ACCORDANCE WITH TEXAS LAW AND HOSPITAL ELIGIBILITY GUIDELINES TO PATIENTS WHO REQUIRE HOSPITAL CARE OR MEDICAL SERVICES AND CANNOT AFFORD SUCH CARE OR SERVICES BECAUSE OF LIMITATIONS IN THEIR HEALTH INSURANCE OR PERSONAL FINANCES. ST. LUKE'S WORKs COLLABORATIVELY WITH OUR third party eligibility vendors TO ENSURE ALL SELF PAY PATIENTS ARE SCREENED FOR THE APPROPRIATE GOVERNMENTAL ASSISTANCE PRIOR TO QUALIFYING THEM FOR CHARITY. ONCE the vendor SCREENS A PATIENT AND DETERMINES HE/SHE DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY EDUCATED AND ADDITIONAL SCREENING TAKES PLACE BY A ST. LUKE'S EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A written NOTIFICATION OF possible eligibility 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.
community information SCHEDULE H, PART VI, LINE 4 ST. LUKE'S EPISCOPAL HOSPITAL DEFINES THE COMMUNITY IT SERVES BROADLY TO INCLUDE THE LOCAL HOUSTON METROPOLITAN AREA, THE COUNTRY, AND THE INTERNATIONAL COMMUNITY.
promotion of community health SCHEDULE H, PART VI, LINE 5 and Part II ST. LUKE'S EPISCOPAL HOSPITAL'S COMMUNITY BUILDING ACTIVITIES PROVIDE TREATMENT, EDUCATION, AND AWARENESS TO PROMOTE HEALTH AND HEALING IN THE COMMUNITY. MANY OF THESE ACTIVITIES PROVIDE EDucATION FOR THE COMMUNITY ABOUT SPECIFIC DISEASES, HEALTHY HABITS, AND CAREERS IN HEALTH CARE. AS PART OF ST. LUKE'S MISSION, IT PROVIDES VITAL HEALTH TESTS and screenings TO EDucATE INDIVIDUALS ABOUT THEIR CURRENT HEALTH NEEDS. ST. LUKE'S RESPONDS TO PUBLIC HEALTH NEEDS IN NUMEROUS WAYS INCLUDING HEALTH EDUCATION on topics such as chronic pain, women's heart health, and cardiovascular disease management.
affiliated health care system SCHEDULE H, PART VI, LINE 6 ST. LUKE'S EPISCOPAL HOSPITAL, AS AN INTEGRAL PART OF THE ST. LUKE'S EPISCOPAL HEALTH SYSTEM IN HOUSTON, TEXAS, 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 EPISCOPAL HOSPITAL IS DEDICATED TO EXCELLENCE AND COMPASSION IN CARING FOR THE WHOLE PERSON-BODY, MIND AND SPIRIT. ST. LUKE'S EPISCOPAL 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 AND RESEARCH.
state community benefit SCHEDULE H, PART I, LINE 6A and Part VI, line 7 COMMUNITY BENEFIT REPORTS FOR ST. LUKE'S EPISCOPAL HEALTH SYSTEM, INCLUDING ST. LUKE'S EPISCOPAL HOSPITAL, ARE PREPARED FOR THE STATE OF TEXAS AND ARE AVAILABLE UPON REQUEST.
Schedule H (Form 990) 2012
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number
74-1161938
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) TEXAS HEART INSTITUTE
PO BOX 20345
HOUSTON,TX772250345 		74-6053200 501(c)(3) 1,794,197       SUPPORT FOR OPERATIONS, RESEARCH & EDUCATION
(2) EL BUEN SAMARITANO EPISCOPAL MISSION
7000 WOODHUE DRIVE
AUSTIN,TX78745 		74-2488682 501(c)(3) 168,000       INCREASE HEALTH EDUCATION and OUTREACH to low-income families and individuals, and increase their access to integrated, culturally relevant preventative and primary healthcare
(3) MATAGORDA EPISCOPAL HOSPITAL OUTREACH PROGRAM
101 AVENUE F NORTH
BAY CITY,TX77414 		20-0537948 501(c)(3) 200,000       TO CONTINUE SUPPORT OF MEHOP'S MISSION TO PROVIDE COMPREHENSIVE HEALTH CARE - MEDICAL - including women and children, dental, behavioral, health education, nutrition, case management and other support services for our patients and the community.
(4) CATHEDRAL HEALTH AND OUTREACH MINISTRIES
1117 TEXAS AVENUE
HOUSTON,TX77002 		71-0933434 501(c)(3) 150,000       TO PROVIDE GENERAL OPERATING SUPPORT TO "the beacon" to financially ASSIST THE ORGANIZATION AND ITS PROGRAMS SERVING THE POOR AND HOMELESS OF HOUSTON AND HARRIS COUNTY.
(5) UBI CARITAS CLINIC AND HEALTH CENTER
4450 HIGHLAND AVENUE
BEAUMONT,TX77705 		76-0558225 501(c)(3) 120,000       TO PROVIDE OPERATIONAL SUPPORT FOR UBI CARITAS HEALTH MINISTRy PROGRAMS AND TO SERVE THE MEDICALLY UNDERSERVED POPULATION IN BEAUMONT, jefferson county, TEXAS.
(6) TEEN HEALTH CLINIC AT BAYLOR COLLEGE OF MEDICINE
ONE BAYLOR PLAZA
HOUSTON,TX77030 		74-1613878 501(c)(3) 100,000       TO PARTIALLY SUPPORT THE OPERATING COSTS OF BAYLOR COLLEGE OF MEDICINE'S TEEN HEALTH CLINIC facility at lee high school, where students receive COMPREHENSIVE PRIMARY AND REPRODUCTIVE care.
(7) NORTH PASADENA COMMUNITY OUTREACH
705 1/2 WILLIAMS STREET
PASADENA,TX77506 		76-0560813 501(c)(3) 75,000       to PROVIDE WELLNESS, HEALTH, health, RECREATIONAL and EDUCATIONAL ACTIVITIES FOR Adult, preschool, after SCHOOL and SUMMER PROGRAMS and EXPAND EDUCATIONAL, SOCIAL & REFERRAL SERVCIES TO ECONOMICALLY DISADVANTAGED FAMILIES LIVING IN PASADENA AND SURROUNDING AREAs.
(8) ST JAMES HOUSE OF BAYTOWN
5800 WEST BAKER ROAD
BAYTOWN,TX775201594 		74-1355219 501(c)(3) 33,333       TO CONTINUE SUPPORT FOR THE PROGRAM AT ST. JAMES HOUSE WHICH PROVIDES financial ASSISTANCE TO NURSING HOME RESIDENTS WHO CAN NO LONGER AFFORD THE COST OF THEIR LONG-TERM CARE.
(9) COMMUNITY OF THE STREETS OUTREACH corporation
3401 FANNIN
HOUSTON,TX77004 		11-3706953 501(c)(3) 55,000       PROVIDE HEALTHCARE, PREVENTIVE EDUCATION AND SUPPORTIVE SERVICES TO THE UNINSURED AND UNDERINSURED HOMELESS AND INDIGENT INDIVIDUALS AND FAMILIES IN HOUSTON, HARRIS COUNTY, texas.
(10) THE ROSE
12700 N FEATHERWOOD
HOUSTON,TX77034 		76-0193812 501(c)(3) 64,800       TO provide ongoing needs to help support the mobile mammography program providing 6,000 screenings of which 3,500 will be uninsured; and, to maintain mobile services in our 15-county primary service area.
(11) COMMUNITIES IN SCHOOLS HOUSTON INC
1235 NORTH LOOP WEST
HOUSTON,TX77008 		76-0031827 501(c)(3) 32,400       TO provide mental health counseling services to low-income children at risk of dropping out of school.
(12) CASA MARIANELLA
821 GUNTER STREET
AUSTIN,TX78702 		74-2377341 501(c)(3) 28,350       TO CONTINUE AND EXPAND A HEALTHCARE PROGRAM FOR SICK, INJURED AND ELDERLY HOMELESS IMMIGRANTS WHICH PROVIDES MEDICAL CASE MANAGEMENT, ACCESS TO PHYSICAL AND MENTAL HEALTHCARE, MEDICATIONS AND HOUSING WITH A FOCUS ON RECUPERATIVE CARE.
(13) PALMER MEMORIAL EPISCOPAL CHURCH WAY STATION PROG
6221 MAIN STREET
HOUSTON,TX77030 		74-1157370 501(c)(3) 50,000       TO SUPPORT THE OPERATIONS OF THE WAY STATION TO SERVE HOMELESS INDIVIDUALS with breakfast and case management services.
(14) COMMUNITIES IN SCHOOLS HOUSTON INC
1235 NORTH LOOP WEST
SUITE 300
HOUSTON,TX77008 		76-0031827 501(c)(3) 32,400       TO PROVIDE much-needed dental care services to at-risk students in low income, minority areas to improve their dental health, empowering them to focus on their school work and succeed academically.
(15) EPIPHANY COMMUNITY HEALTH OUTREACH SERVICES
9600 SOUTH GESSNER
BUILDING E
HOUSTON,TX77071 		76-0645238 501(c)(3) 60,000       TO PROVIDE OPERATING SUPPORT TO ECHOS and conitnue to provide ACCESS TO a variety of health care and social services to the working poor, uninsured and underserved in SOUTHWEST HOUSTON, harris county, texas.
(16) SHALOM MOBILE HEALTH MINISTRIES
8121 BROADWAY
suite 103
HOUSTON,TX77061 		76-0570086 501(c)(3) 50,000       TO PROVIDE operating funds that will help build the organization's clinics capacity, enhancing services, programs and infrastructure so that we may be best positioned to respond to emerging community health care needs.
(17) EL CENTRO DE CORAZON
5001 NAVIGATION
HOUSTON,TX77011 		76-0442781 501(c)(3) 52,650       TO provide personnel SUPPORT to el centro's patient centered medical home initiative.
(18) NORTHWEST ASSISTANCE MINISTRIES
15555 KUYKENDAHL RD
HOUSTON,TX770903651 		76-0088702 501(c)(3) 20,000       THE PURPOSE OF THIS GRANT IS TO MAINTAIN quality healthcare services for children from low-income families who are uninsured or who qualify for medicaid or chip.
(19) VOLUNTEER HEALTHCARE CLINIC
4215 MEDICAL PARKWAY
AUSTIN,TX78756 		74-6082464 501(c)(3) 18,000       TO HELP SUSTAIN AND SUPPORT THE PROVISION OF FREE HEALTHCARE TO LOW-INCOME AND UNINSURED residents of TRAVIS COUNTY.
(20) TYLER FAITH BASED HEALTH CLINIC
409 w ferguson
TYLER,TX75702 		26-0036674 501(c)(3) 25,000       TO FUND A PART-TIME (25 HOURS/WEEK) PROGRAM DIRECTOR TO PROVIDE CASE MANAGEMENT for low-income, uninsured diabetic patients receiving comprehensive treatment and support services through the chronic DISEASE CLINIC IN TYLER, TEXAS.
(21) ST MARKS EPISCOPAL HEALTH CARE MISSION GROUP
118 SOUTH FENNER
CLEVELAND,TX77327 		76-0173197 501(c)(3) 20,000       TO CONTINUE TO TARGET AND PROVIDE UNMET HEALTH CARE and basic to the MEDICALLY NEEDY, low income and UNDERSERVED populaton IN LIBERTY COUNTY.
(22) AUSTIN CHILDRENS SHELTER
4800 MANOR ROAD
AUSTIN,TX787235471 		74-2320657 501(c)(3) 26,730       TO endure children, youth and young adults who have been removed from abusive, neglectful environments are able to access quality health care by providing for a full-time onsite medical coordinator.
(23) BERING OMEGA COMMUNITY SERVICES
1429 hawthorne
HOUSTON,TX77006 		76-0589592 501(c)(3) 18,000       TO MEET THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF PEOPLE AFFECTED BY HIV/AIDS THROUGH COMPASSIONATE HEALTH CARE AND SOCIAL SERVICES PROGRAMS.
(24) CASA DE ESPERANZA DE LOS NINOS
PO BOX 66581
HOUSTON,TX772666581 		76-0105306 501(c)(3) 36,000       TO PROVIDE EMERGENCY,transitional and long-term foster care AND MEDICAL, psychological and DEVELOPMENTAL SERVICES FOR infants and YOUNG CHILDREN AT RISK FOR ABUSE OR NEGLECT OR CHILDREN AFFECTED BY HIV/AIDS.
(25) EAST TEXAS HEALTH ACCESS NETWORK
297 lindsey street
JASPER,TX75951 		75-2862265 501(c)(3) 19,440       TO PROVIDE FOR salaries and other expenses for medication assistance program to respond to the PRESCRIPTION ASSISTANCE NEEDS OF RESIDENTS OF JASPER, NEWTON, SABINE, SAN AUGUSTINE and TYLER COUNTIES.
(26) SAN JOSE CLINIC
2615 FANNIN
HOUSTON,TX77002 		76-0373703 501(c)(3) 27,000       TO SUPPORT THE operations as the ogranization provides healthcare for vulnerable men, women, children and seniors, including primary and specialty medical and dental care as well as vision, laboratory, radiology and pharmacy services.
(27) HOMES OF ST MARK - presbyterian children's homes
7880 san felipe st
HOUSTON,TX77063 		74-6024106 501(c)(3) 17,820       TO PROVIDE CHILDREN AND FAMILIES WITH ALTERNATIVE SERVCIES FOR FAMILY FORMATION, PRESERVATION AND CHANGE.
(28) ESCAPE FAMILY RESOURCE CENTER
1721 pech road
HOUSTON,TX77098 		76-0029184 501(c)(3) 10,000       TO PRESENT ten 'FULL FAMILY' DELIVERIES OF BUILDING CONFIDENT FAMILIES-SPANISH, ESCAPE'S CORE CHILD ABUSE PREVENTION PROGRAM FOR MEMBERS OF SPANISH-SPEAKING FAMILIES, TO A PROJECTED 250 INDIDVIUALS (100 PARENTS AND 150 CHILDREN).
(29) WORKSHOP HOUSTON
3615 sauer street
HOUSTON,TX77004 		57-1187967 501(c)(3) 35,000       TO SUPPORT WORKSHOP HOUSTON'S YOUTH DEVELOPMENT PROGRAMS, WHICH USE HANDS-ON-ARTS BASED LEARNING TO TEACH STUDENTS THAT EDUCATION IS THE MEANS TO CHANGE THEIR LIVES.
(30) SMALL STEPS NURTURING CENTER
2902 jensen
HOUSTON,TX77026 		76-0471755 501(c)(3) 20,000       TO PROVIDE FUNDING FOR SMALL STEPS NURTURING CENTER'S MENTAL HEALTH PROGRAM, SET (social emotional tools) FOR LIFE, WHICH WILL BENEFIT 146 ECONOMICALLY AT-RIDK CHILDREN AND THEIR FAMILIES AT THE CENTER during the 2012-2013 school year.
(31) THE BRIDGE OVER TROUBLED WATERS INC
3811 ALLEN GENOA RD
PASADENA,TX775042723 		74-1989590 501(c)(3) 10,000       TO PROMOTE HEALTHY RELATIONSHIPS AND PREVENT RELATIONSHIP ABUSE THROUGH EDUCATION TO STUDENTS AND STAFF MEMBERS IN COLLABORATION WITH COMMUNITIES IN SCHOOLS AND AREA INDEPENDENT SCHOOL DISTRICTS IN SOUTHEAST HARRIS COUNTY.
(32) TOMAGWA MINISTRIES INC
455 SCHOOL STREET
TOMBALL,TX77375 		76-0280324 501(c)(3) 27,000       TO PARTNER WITH TOMAGWA HEALTHCARE MINISTRIES TO HELP BUILD CAPACITY TO CREATE A HEALTHIER COMMUNITY FOR ALL THROUGH QUALITY DIRECT PATIENT CARE AND HEALTH EDUCATION FOR LOW-INCOME, UNINSURED CHILDREN AND ADULTS.
(33) CHRISTIAN COMMUNITY SERVICE CENTER INC
3230 MERCER
HOUSTON,TX77027 		74-2128141 501(c)(3) 18,000       TO PROVIDE BASIC NEEDS OF FOOD, CLOTHING, PRESCRIPTION ASSISTANCE AND VARYING LEVELS OF FINANCIAL ASSISTANCE FOR RENT AND UTILITIES TO CLIENTS WHO ARE EXPERIENCEING A CRISIS SITUATION IN A 24 ZIP CODE AREA OF HOUSTON, TEXAS.
(34) COMMUNITIES IN SCHOOLS OF CENTRAL TEXAS INC
3000 SOUTH IH 35
AUSTIN,TX78704 		74-2369020 501(c)(3) 32,400       TO PROVIDE SUPPORT TO THE XY-ZONE, A LEADERSHIP DEVELOPMENT AND PEER SUPPORT PROGRAM FOR ADOLESCENT MALES AT-RISK FOR DROPPING OUT OF SCHOOL.
(35) THE OPEN DOOR MISSION FOUNDATION
5803 HARRISBURG
HOUSTON,TX77011 		76-0146890 501(c)(3) 47,997       TO PROVIDE NO-CHARGE CONVALESCENT SERVICES, RESPITE CARE, AND SOCIAL SERVICE INTERVENTIONS FOR HOMELESS, INDIGENT, AND MEDICALLY UNDERSERVED PEOPLE IN THE GREATER HOUSTON AREA.
(36) CENTER FOR PUBLIC POLICY PRIORITIES
900 LYDIA STREET
AUSTIN,TX78702 		74-2898197 501(c)(3) 15,000       TO PROVIDE POLICY ANALYSIS AND PUBLIC EDUCATION ABOUT THE CHALLENGES FACING TEXAS IN IMPLEMENTING NATIONAL HEALTH CARE REFORM or other alternatives to ensure access to ehalth care.
(37) AUSTIN CHILD GUIDANCE CENTER
810 W 45TH STREET
AUSTIN,TX78751 		74-1166783 501(c)(3) 10,000       TO IMPROVE THE QUALITY OF CARE TO AT-RISK INFANTS AND CHILDREN WITH MENTAL HEALTH CONCERNS IN HIGH-NEEDS CHILDCARE SETTINGS IN TRAVIS COUNTY WHILE ALSO TRAINING VARIOUS POPULATIONS INCLUDING CHILDCARE WORKERS, PARENTS AND MENTAL HEALTH INTERNS.
(38) ASIAN AMERICAN HEALTH COALITION OF THE GREATER
7001 CORPORATE DRIVE
HOUSTON,TX77036 		31-1756818 501(c)(3) 45,000       TO expand pediatric care services in SOUTHWEST HOUSTON.
(39) THE interfaith COMMUNITY CLINIC
101 PINE MANOR DR
OAK RIDGE NORTH,TX77385 		75-2634623 501(c)(3) 100,000       matching grant will provide effective medical, dental, mental health and patient services to the uninsured while building on our collabloration with interfaith of the woodlands and our community partners.
(40) GOOD NEIGHBOR HEALTHCARE CENTER
190 HEIGHTS BOULEVARD
HOUSTON,TX77007 		74-1746576 501(c)(3) 40,500       GOOD NEIGHBOR HEALTHCARE CENTER WILL PROVIDE quality, affordable DENTAL CARE TO LOW-INCOME families LIVING IN THE GREATER HOUSTON AREA.
(41) HEALTHCARE FOR THE HOMELESS HOUSTON
PO BOX 66690
HOUSTON,TX77266 		23-7160400 501(c)(3) 40,000       TO SUPPORT the GENERAL OPERATIONS OF THREE PRIMARY CARE CLINICS, OUTREACH, jail 'in reach' AND TRANSPORTATION SERVICES TO HOUSTONS HOMELESS POPULATION.
(42) HOUSTON COMMUNITY HEALTH CENTERS INC
424 HAHLO
HOUSTON,TX77020 		76-0622208 501(c)(3) 50,000       to cover the cost of medical, dental, and mental health care provided to low-income uninsured adults and children.
(43) HOUSTON FOOD BANK
535 PORTWALL STREET
HOUSTON,TX77029 		74-2181456 501(c)(3) 24,300       TO SUPPORT FOOD PURCHASE FOR HOUSTON FOOD BANKS'S various distribution initiatives which enable individuals and families to receive wholesome, nutritious food at agency sites.
(44) IBN SINA FOUNDATION
11226 S WILCREST DRIVE
HOUSTON,TX77099 		76-0698464 501(c)(3) 75,000       TO PURCHASE NECESSARY MEDICAL, DENTAL AND OFFICE EQUIPMENT FOR THE NEW IBN SINA COMMUNITY CLINIC AT SOUTH POST OAK, HOUSTON, TEXAS.
(45) st johns episcopal church after school program
815 SOUTH BROADWAY
LA PORTE,TX77571 		74-2307710 501(c)(3) 32,000       TO provide QUALITY CARE FOR UNDERSERVED CHILDREN, YOUTH AND families. to offer QUALITY ADULT PROGRAMS IN LA PORTE'S NORTH AND EAST END.
(46) MANOS DE CRISTO
4911 HARMON AVENUE
AUSTIN,TX78751 		74-2511974 501(c)(3) 24,300       TO UNDERWRITE PROFESSIONAL STAFF SUPPORT FOR the MANOS DE CRISTO DENTAL CLINIC THAT PROVIDES AFFORDABLE ORAL HEALTH treatment SERVICES AND EDUCATION TO LOW-INCOME ADULTS AND CHILDREN IN AUSTIN AND CENTRAL TEXAS.
(47) SEARCH HOMELESS PROJECT
2505 FANNIN
HOUSTON,TX77002 		76-0260403 501(c)(3) 90,000       TO PROVIDE DISABILITY SPECIALISTS TO HELP 190 HOMELESS PERSONS OBTAIN DISABILITY BENEFITS, CASE MANAGEMENT, EMPLOYMENT SERVICES, HOUSING AND/or MEDICAL CARE.
(48) ST VINCENTS HOUSE
2817 POST OFFICE STREET
GALVESTON,TX77550 		74-1384864 501(c)(3) 90,000       TO CONTINUE OPERATING SUPPORT FOR THE PRESCHOOL AND ST VINCENT'S FREE CLINIC.
(49) HOUSTON GALVESTON INSTITUTE INC
3316 MOUNT VERNON
HOUSTON,TX77006 		74-2044953 501(c)(3) 32,400       TO SUPPORT OPERATIONS SO THE HOUSTON GALVESTON INSTITUTE CAN CONTINUE PROVIDING COLLABORATIVE MENTAL HEALTH SERVICES TO UNDER AND UNINSURED PEOPLE IN UNDERSERVED AREAS OF THE GREATER HOUSTON COMMUNITY AND TRAINING FOR MENTAL HEALTH PROFESSIONALS.
(50) ALLIANCE OF COMMUNITY ASSISTANCE MINISTRIES
770 S POST OAK LANE
HOUSTON,TX77056 		23-7160400 501(c)(3) 36,000       TO SUPPORT ACAMS CORE PROGRAMS THAT BULD CAPACITY OF FAITH-BASED NONPROFITS.
(51) BOAT PEOPLE SOS INC
11360 BELLAIRE BLVD
SUITE 910
HOUSTON,TX77072 		54-1563619 501(c)(3) 24,300       PROVIDE SUPPORT FOR ONE PART-TIME CASE MANAGER (20 HOURS PER WEEK FOR ONE YEAR) IN HARRIS AND galveston COUNTIES WHO WILL PROVIDE services to seniors for public benefit applications, food bank applications, and health EDUCATION AND screenings.
(52) CENTER FOR CHILD PROTECTION
8509 FM 969
BUILDING 2
AUSTIN,TX78724 		74-2562585 501(c)(3) 40,500       TO create and facilitate a strong child abuse awareness and prevention program in TRAVIS COUNTY with sustainable and measurable results.
(53) MEMORIAL ASSISTANCE MINISTRIES
1625 BLALOCK ROAD
HOUSTON,TX77080 		76-0044172 501(c)(3) 18,000       TO PROVIDE medical CLINIC VISITS, PRESCRIPTION MEDICineS, MENTAL HEALTH COUNSELING AND CHILDREN'S EYE EXAMS AND EYEGLASSES TO MEDICALLY UNDERSERVED IN SPRING BRANCH AND SURROUNDING NEIGHBORHOODS.
(54) NEIGHBORHOOD CENTERS INC
PO BOX 271389
HOUSTON,TX772771389 		23-7062976 501(c)(3) 60,000       provide support for the houston aging in place innovations program providing case management and evidenced-based programs to senior citizens in three underserved houston communities: fifth ward, sunnyside and east end.
(55) PEOPLES COMMUNITY CLINIC
2909 NORTH IH 35
AUSTIN,TX78722 		23-7087608 501(c)(3) 29,000       TO SUPPORT GOALS, A BEHAVIORAL/DEVELOPMENTAL health PROGRAM INTEGRATED INTO A PRIMARY CARE SETTING THAT PROMOTES OPTIMAL FUNCTIONING, WELLNESS, AND MENTAL HEALTH IN PEDIATRIC AND ADOLESCENT PATIENTS.
(56) TARGET HUNGER
2814 QUITMAN
HOUSTON,TX77026 		31-1548849 501(c)(3) 18,000       to PROVIDE NUTRITIOUS GROCERIES through our home delivery program to SENIORS ON A MONTHLY BASIS WHO ARE PHYSICALLY UNABLE TO VISIT A FOOD PANTRY OPERATED BY TARGET HUNGER.
(57) YOUNG MENS CHRISTIAN ASSOCIATION OF GREATER HOUSTO
2600 NORTH LOOP WEST
HOUSTON,TX77092 		74-1109737 501(c)(3) 50,659       TO PROVIDE QUALITY CHILD CARE FOR EIGHT INFANTS OF PARENTING TEENS currently ENROLLED AT LEE HIGH SCHOOL.
(58) cathedral health AND outreach ministries
1117 texas avenue
houston,TX77002 		71-0933434 501(c)(3) 75,000       to PROVIDE direct client services HOMELESS individuals served by an intensive case management program managed by the beacon and way station.
(59) lone star association of charitable clinics inc
po box 684127
austin,TX787684127 		33-1115138 501(c)(3) 50,000       provide SUPPORT FOR A FULL TIME ADMINISTRATOR position, so that the agency may continue TO PROVIDE RESOURCES, EDUCATION, and programs to TEXAS CHARITABLE CLINICS THAT ENHANCE THE QUALITY, EFFICIENCY AND ACCOUNTABILITY OF THE clinic's PROGRAMS.
(60) the open door mission foundation
po box 9356
houston,TX77261 		76-0146890 501(c)(3) 10,000       provide assistance to the "open door mission" which is faith-based recovery and rehabilitation shelter dedicated to the recovery and rehabilitation services of addicted, destitute, homeless and disabled men in the greater houston area.
(61) COLLABORATIVE FOR CHILDREN
3800 BUFFALO SPEEDWAY
HOUSTON,TX77098 		23-7160400 501(c)(3) 28,350       to PROVIDE in-home parenting consultations (parents as teachers) and support services to families with young children living in houston's economically disadvantaged sunnyside/south park neighborhoods.
(62) KRIST SAMARITAN CENTER FOR COUNSELING AND EDUCATIO
17555 EL CAMINO REAL
HOUSTON,TX77058 		76-0173176 501(c)(3) 25,000       to PROVIDE SUPPORT FOR AFFORDABLE MENTAL HEALTH care services for residents of GREATER HOUSTON WHO are uninsured, underinsured or lack financial resources.
(63) NEHEMIAH CENTER INC
5015 FANNIN STREET
HOUSTON,TX77004 		76-0437157 501(c)(3) 20,000       TO UNDERWRITE THE FAMILY SERVICES PROGRAMS OF THE NEHEMIAH CENTER FOR ONE YEAR TO WORK WITH HOUSTON FAMILIES IN THE INNER CITY AREA; PROGRAMS INCLUDE: MENTAL HEALTH EDUCATION AND REFERRAL SERVICES, EFFECTIVE PARENTING, AND PARENT INVOLVEMENT PROGRAM.
(64) THE IMMUNIZATION PARTNERSHIP
3015 RICHMOND AVENUE
HOUSTON,TX77098 		76-0695612 501(c)(3) 45,000       to incREASE IMMUNIZATION RATES IN COMMUNITY CLINICS TO PREVENT OUTBREAKS OF VACCINE-PREVENTABLE DISEASES.
(65) barbara bush texas fund for family literacy
po box 131614
houston,TX772191614 		31-1570598 501(c)(3) 10,000       sponsorship for the eighteenth annual "celebration of reading". The mission of the Barbara Bush Foundation for Family Literacy is to advocate for and establish literacy as a core value in every home.
(66) houston grand opera
510 preston street
houston,TX77002 		74-6016764 501(c)(3) 6,080       sponsorship of the season opening of the houston grand opera and support of its mission. The mission of Houston Grand Opera is to contribute to the cultural enrichment of Houston and the nation by producing and performing world-class opera; and by creating a diverse, innovative, and balanced program of performances, events, and community and education projects that reach the widest possible public.
(67) breast health collaborative of texas
3015 richmond avenue
houston,TX77098 		45-4193838 501(c)(3) 37,800       provide support for operations and personnel who provides program development, strategic planning, recruits volunteers/new members, plans the summit, and expands the breast health portal.
(68) fort bend family health center
400 austin street
richmond,TX77469 		74-1951476 501(c)(3) 50,000       provide support for the operations of the family health center.
(69) hope project
157 wall street
tenaha,TX75974 		32-0086739 501(c)(3) 26,000       provide support for the aquisition of equipment to fulfill their mission.
(70) ibn sina foundation
11226 south wilcrest dr
houston,TX77099 		76-0698464 501(c)(3) 50,000       to recognize the accomplishment and personnel at the clinic providing services to the underserved.
(71) institute for spirituality and health
8100 greenbriar
houston,TX77054 		74-1246255 501(c)(3) 25,000       provide support for operations and to fulfill its mission. the institute has been dedicated to the concept that we humans are spiritual beings and that spirituality plays a vital role in health and healing.
(72) episcopal theological seminary of the southwest
501 east 32nd street
austin,TX78705 		74-1238448 501(c)(3) 100,000       annual support of professorship or chair in clinical pastoral education with curriculum efforts focused on the special needs of hospitalized patients
(73) john p mcgovern museum of health & medical science
1515 hermann drive
houston,TX77004 		74-6106357 501(c)(3) 10,000       to foster wonder and curiosity about health, medical science and the human body.
(74) the museum of fine arts houston
1001 bissonnet
houston,TX77005 		74-1109655 501(c)(3) 20,500       provide sponsorship for the 2012 grand dala ball supporting the dedication and excellence in collecting, exhibiting, preserving, conserving, and interpreting art for all people.
(75) robert m beren academy
11333 cliffwood drive
houston,TX77035 		74-1652136 501(c)(3) 5,400       sponsorship for a gala dinner commemorating the vast achievements of the academy committed to providing a first-rate academic education in an atmosphere of excellence serving the greater houston metropolitan area.
(76) texas heart institute
p o box 20345
houston,TX77225 		74-6053200 501(c)(3) 16,000       provide support for operations related to the advancements in research and education in cardiovascular medicine.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
76
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) individual indigent healthcare 1621 1,879,409      












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
FORM 990, SCHEDULE I, PART I, QUESTION 2 FORM 990, SCHEDULE I, PART IV, SUPPLEMENTAL INFORMATION ST. LUkE'S REQUIRES ALL GRANT RECIPIENTS TO MEASURE THEIR SUCCESS IN ATTAINiNG PROGRAM GOALS. THE PURPOSE IN ASKING FOR AN EVALUATION PLAN IN THE APPLICATION PHASE IS TO: 1. ENCOURAGE POTENTIAL GRANTEES TO INCORPORATE EVALUATION INTO THEIR PLANNING PROCESS FROM THE INCEPTION OF THE PROGRAM, AND 2. ENABLE OUTCOMES MEASUREMENT DURING AND AT THE END OF THE GRANT PERIOD. THE EVALUATION PLAN ALSO SETS THE REPORT CRITERIA FOR THE REQUIRED SIX-MONTH AND ANNUAL PROGRESS REPORTS. CRITERIA FOR THE EVALUATION PLAN/REPORT COMPONENTS INCLUDE: OUTCOMES STATEMENT (WHO OR WHAT IS EXPECTED TO CHANGE AS A RESULT OF THIS GRANT), THE MEASURABLE GOAL(S) FOR THIS PROJECT, ACTIVITIES TO ACHIEVE GOALS, INFORMATION NEEDED, METHODS TO BE USED TO GATHER THE INFORMATION AND WHO WILL BE RESPONSIBLE FOR GATHERING IT. WE ENCOURAGE EACH APPLICANT TO USE ST. LUKE'S EVALUATION TOOLS TO ASSIST IN DEFINING AND TRACKING PROJECT GOALS, OUTCOME MEASURES AND FINANCIAL INFORMATION. ALL GRANTEES ARE REQUIRED TO SUBMIT A SIX-MONTH AND ANNUAL PROGRESS REPORT EACH GRANT YEAR. THESE REPORTS ARE TO ACCURATELY DESCRIBE THE PROGRESS TOWARDS THE GOALS LISTED ON THE EVALUATION PLAN SUBMITTED WITH THE ORIGINAL APPLICATION AND ARE TO INCLUDE AN EXPLANATION OF ANY VARIANCES FROM THE GOALS OR EXPECTED PROGRESS. REPORT SCHEDULES AND COMPONENTS INCLUDE: A SIX-MONTH REPORT IS REQUIRED AND IS TO INCLUDE A FINANCIAL UPDATE, OPERATIONS PROFILE AND PROJECT SPECIFIC OUTCOME MEASURES. AN ANNUAL REPORT ON THE PROJECT'S PROGRESS, FINANCIAL UPDATE, OPERATIONS PROFILE AND PROJECT SPECIFIC OUTCOME MEASURES ARE REQUIRED BY THE END OF THE ANNUAL GRANT PERIOD OR WITH THE RENEWAL APPLICATION, WHICHEVER COMES FIRST. THE ANNUAL REPORT AND SUPPORTING DOCUMENTS ARE TO BE MAILED OR IF APPLYING FOR A RENEWAL GRANT, CAN BE SUBMITTED ONLINE WITH THE NEW INTERNET GRANT APPLICATION.
Schedule I (Form 990) 2012


Additional Data


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Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number

74-1161938
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
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? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)DAVID J FINEPRESIDENT (i)
(ii)		 0
1,039,788 		0
578,872 		0
52,966 		0
427,164 		0
24,658 		0
2,123,448 		0
0
(2)KAREN K MYERS rnVP CHIEF NURSING OFFICER SLEH (i)
(ii)		 234,551
0 		48,979
0 		0
0 		22,102
0 		12,899
0 		318,531
0 		0
0
(3)KRISTEN D TURNER rnVICE PRESIDENT surgical svcs (i)
(ii)		 198,906
0 		40,740
0 		0
0 		19,033
0 		12,610
0 		271,289
0 		0
0
(4)William BROSIUSASSISTANT TREASURER (i)
(ii)		 282,341
0 		65,102
0 		0
0 		17,381
0 		5,501
0 		370,325
0 		0
0
(5)MARGARET VAN BREE DRPHCHIEF EXECUTIVE OFFICER (i)
(ii)		 514,668
0 		189,626
0 		10,448
0 		64,162
0 		6,818
0 		785,722
0 		0
0
(6)BRIAN DOYLEASSISTANT TREASURER (i)
(ii)		 0
144,598 		0
14,966 		0
0 		0
17,278 		0
12,779 		0
189,621 		0
0
(7)ALENE JACKSONAVP NURSING SLEH (i)
(ii)		 192,669
0 		24,390
0 		10,944
0 		17,863
0 		14,703
0 		260,569
0 		0
0
(8)MARIE CLARKASSIST VICE PRES NURSING SLEH (i)
(ii)		 197,931
0 		25,078
0 		0
0 		16,811
0 		4,237
0 		244,057
0 		0
0
(9)ann thielkesecretary (i)
(ii)		 0
212,996 		0
55,220 		0
35,476 		0
6,537 		0
9,297 		0
319,526 		0
0
(10)christine l corraoassist vice pres nursing sleh (i)
(ii)		 171,299
0 		21,703
0 		9,739
0 		16,078
0 		9,240
0 		228,059
0 		0
0
(11)david m bellEzzachief medical physicist (i)
(ii)		 183,417
0 		485
0 		0
0 		13,008
0 		9,574
0 		206,484
0 		0
0
(12)m elizabeth jonesvice president sleh (i)
(ii)		 179,629
0 		8,784
0 		0
0 		5,522
0 		4,178
0 		198,113
0 		0
0
(13)thomas P mcllwainvp q & p i and cmo, sleh (i)
(ii)		 311,774
0 		22,813
0 		0
0 		13,727
0 		8,621
0 		356,935
0 		0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
PART I, QUESTIONS REGARDING COMPENSATION, QUESTION 3 Compensation of the CEO/Executive Director st. Luke's episcopal hospital does not provide compensation to its president. st. luke's episcopal health system, a related exempt organization, provides compensation to this officer and relies upon an organized compensation committee, compensation studies, and an independent compensation consultant to establish proper compensation levels. executive compensation is approved by the compensation committee and becomes part of a written employment contract for that executive.
Schedule J, Part I, Questions REGARDING COMpenSATION, QUESTION 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE INDIVIDUALS LISTED BELOW PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WITH THE FOLLOWING AMOUNTS CREDITED TO THEIR ACCOUNTS: DAVID J FINE $406,203.00 MARGARET VAN BREE $ 46,990.00
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number
74-1161938
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A harris county health facilities development corp
  		56-1284201 41315rhb3 08-16-2005 145,820,000 bond series 2005 - SEE PART VI   X   X   X
B HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORP
  		56-1284201 41315rhe7 05-15-2008 100,000,000 bond series 2008A - See Part VI   X   X   X
C harris county health facilities development corp
  		56-1284201 41315rhd9 05-15-2008 100,000,000 bond series 2008B - See Part VI   X   X   X
D harris county cultural education fac finance corp
  		76-0337885 414009cj7 11-12-2009 170,807,398 bond series 2009- See Part VI   X   X   X
harris county cultural ed fac fin corp
  		76-0337885   12-12-2012 100,000,000 Bond Series 2012A - See Part VI   X   X   X
harris county cultural ed fac fin corp
  		76-0337885   12-12-2012 50,220,000 Bond Series 2012B - See Part VI            
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 145,852,000 100,000,000 100,000,000 170,807,398
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,167,930 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 2,020,124 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 0 50,084,615 50,084,408 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2005 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X      
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X      
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . . X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X      
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? . X   X   X      
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.00000% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000% 0.00000%   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0.00000% 0% 0%   %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X    
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X    
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X    
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
X   X   X     X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X   X     X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X   X     X
b Name of provider . . . . . . . . . jpmorgan chase
  		jpmorgan chase
  		morgan stanley
  		 
 
c Term of hedge . . . . . . . . . . 32. 47. 47.  
d Was the hedge superintegrated? . . . . . .   X   X   X    
e Was a hedge terminated? . . . . . . .   X   X   X    
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
schedule K, supplemental information on tax exempt bonds - series 2005 Schedule K, Part I , Column (f) Description of Purpose - Bond Series 2005 the proceeds of the series 2005a bonds were loaned to st. luke's (i) to advance refund certain outstanding bonds of the issuer previously issued for the benefit of St. Luke's and (II) to pay the cost of issuance of the series 2005A bonds. Part IV, Arbitrage, line 2: The rebate computation was performed on 8/16/2012.
schedule k, supplemental information on tax exempt bonds - series 2008A Schedule K, Part I , Column (f) Description of Purpose - Bond Series 2008A the proceeds of the series 2008A bonds were loaned to st. luke's episcopal hospital, a texas non-profit corporation ("SLEH"). The proceeds of the bonds were used to retire a bridge loan used to refinance debt incurred for the acquisition, construction, and renovation of certain capital projects. Part IV, Arbitrage, line 2: The rebate compuations was performed on 5/15/2013.
schedule k, supplemental information on tax exempt bonds - series 2008b Schedule K, Part I , Column (f) Description of Purpose - Bond Series 2008b the proceeds of the bonds were loaned to St. luke's episcopal Hospital, a texas non-profit corporation ("SLEH"). The proceeds of the bonds were used to retire a bridge loan used to refinance debt incurred for the acquisition, construction, and renovation of certain capital projects. Part IV, Arbitrage, line 2: The rebate calculation was performed on 5/15/2013.
schedule k, supplemental information on tax exempt bonds - series 2009 Schedule K, Part I , Column (f) Description of Purpose - Bond Series 2009 the proceeds of the bonds were loaned to St. Luke's episcopal Hospital, a texas non-profit corporation, ("SLEH") to refund a portion of the harris county health facilities development corporation's outstanding variable rate revenue bonds, series 2001B, which were previously issued for the benefit of SLEH and the obligated group.
schedule K, supplemental information on tax exempt bonds - series 2012A Schedule K, Part I, Column (f) Description of Purpose - bond series 2012A  
schedule K, supplemental information on tax exempt bonds - series 2012B Schedule K, Part I, column (f) Description of Purpose - bond series 2012B  
Schedule K (Form 990) 2012

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number
74-1161938
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A harris county health facilities development corp
  		56-1284201 41315rhb3 08-16-2005 145,820,000 bond series 2005 - SEE PART VI   X   X   X
B HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORP
  		56-1284201 41315rhe7 05-15-2008 100,000,000 bond series 2008A - See Part VI   X   X   X
C harris county health facilities development corp
  		56-1284201 41315rhd9 05-15-2008 100,000,000 bond series 2008B - See Part VI   X   X   X
D harris county cultural education fac finance corp
  		76-0337885 414009cj7 11-12-2009 170,807,398 bond series 2009- See Part VI   X   X   X
harris county cultural ed fac fin corp
  		76-0337885   12-12-2012 100,000,000 Bond Series 2012A - See Part VI   X   X   X
harris county cultural ed fac fin corp
  		76-0337885   12-12-2012 50,220,000 Bond Series 2012B - See Part VI            
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 145,852,000 100,000,000 100,000,000 170,807,398
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,167,930 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 2,020,124 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 0 50,084,615 50,084,408 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2005 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X      
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X      
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . . X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X      
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? . X   X   X      
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.00000% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000% 0.00000%   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0.00000% 0% 0%   %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X    
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X    
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X    
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
X   X   X     X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X   X     X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X   X     X
b Name of provider . . . . . . . . . jpmorgan chase
  		jpmorgan chase
  		morgan stanley
  		 
 
c Term of hedge . . . . . . . . . . 32. 47. 47.  
d Was the hedge superintegrated? . . . . . .   X   X   X    
e Was a hedge terminated? . . . . . . .   X   X   X    
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
schedule K, supplemental information on tax exempt bonds - series 2005 Schedule K, Part I , Column (f) Description of Purpose - Bond Series 2005 the proceeds of the series 2005a bonds were loaned to st. luke's (i) to advance refund certain outstanding bonds of the issuer previously issued for the benefit of St. Luke's and (II) to pay the cost of issuance of the series 2005A bonds. Part IV, Arbitrage, line 2: The rebate computation was performed on 8/16/2012.
schedule k, supplemental information on tax exempt bonds - series 2008A Schedule K, Part I , Column (f) Description of Purpose - Bond Series 2008A the proceeds of the series 2008A bonds were loaned to st. luke's episcopal hospital, a texas non-profit corporation ("SLEH"). The proceeds of the bonds were used to retire a bridge loan used to refinance debt incurred for the acquisition, construction, and renovation of certain capital projects. Part IV, Arbitrage, line 2: The rebate compuations was performed on 5/15/2013.
schedule k, supplemental information on tax exempt bonds - series 2008b Schedule K, Part I , Column (f) Description of Purpose - Bond Series 2008b the proceeds of the bonds were loaned to St. luke's episcopal Hospital, a texas non-profit corporation ("SLEH"). The proceeds of the bonds were used to retire a bridge loan used to refinance debt incurred for the acquisition, construction, and renovation of certain capital projects. Part IV, Arbitrage, line 2: The rebate calculation was performed on 5/15/2013.
schedule k, supplemental information on tax exempt bonds - series 2009 Schedule K, Part I , Column (f) Description of Purpose - Bond Series 2009 the proceeds of the bonds were loaned to St. Luke's episcopal Hospital, a texas non-profit corporation, ("SLEH") to refund a portion of the harris county health facilities development corporation's outstanding variable rate revenue bonds, series 2001B, which were previously issued for the benefit of SLEH and the obligated group.
schedule K, supplemental information on tax exempt bonds - series 2012A Schedule K, Part I, Column (f) Description of Purpose - bond series 2012A  
schedule K, supplemental information on tax exempt bonds - series 2012B Schedule K, Part I, column (f) Description of Purpose - bond series 2012B  
Schedule K (Form 990) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number

74-1161938
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial .. X 1 5,450,000 FMV
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2012)
Schedule M (Form 990) (2012)
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M Line 1, column b Texas Children's Hospital, an unrelated tax exempt hospital, donated a floor of the building adjacent to St. Luke's Episcopal Hospital to St. Luke's Episcopal Hospital for use in its charitable healthcare mission.
Schedule M (Form 990) (2012)
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number

74-1161938
Identifier Return Reference Explanation
FORM 990, PART IV, QUESTION 12a & 12b; FORM 990, PART XI, QUESTION 2D CHECK LIST OF REQUIRED SCHEDLUES; FINANCIAL STATEMENTS 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, QUESTION 1 AND 2a STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION REMITS ALL VENDORS PAYMENTS AND ISSUES FORM 1099 ON BEHALF OF ITS RELATED ORGANIZATIONS. THEREFORE, ST. LUKE'S EPISCOPAL HOSPITAL DOES NOT NORMALLY FILE FORM 1096. ENTER THE NUMBER OF EMPLOYEES ENTERED ON FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS, FILED FOR THE CALENDAR YEAR ENDING WITH OR WITHIN THE YEAR COVERED BY THIS RETURN. THE EMPLOYEES OF ST. LUKE'S EPISCOPAL HOSPITAL ARE PAID BY A COMMON PAYMASTER, ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION, (76-0536232). THEREFORE, NO FORM W-3 OR 941S WERE FILED BY ST. LUKE'S EPISCOPAL HOSPITAL AS ALL PAYROLL INFORMATION RELATED TO THESE EMPLOYEES WAS INCLUDED IN THE FORM W-3 AND 941S FILED BY ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION, WHICH IS THE EXEMPT PARENT OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, QUESTIONS 6,7a AND 7b SECTION A: GOVERNING BODY AND MANAGEMENT Did THE ORGANIZATION HAVE MEMBERS OR STOCKHOLDERS? ST. LUKE'S EPISCOPAL HOSPITAL SHALL HAVE ONE MEMBER, THAT BEING ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION. 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 HOSPITAL BOARD SHALL CONSIST OF NO MORE THAN TWENTY-ONE MEMBERS EACH OF WHOM, OTHER THAN THE EX-OFFICIO MEMBERS, SHALL BE ELECTED BY THE BOARD OF DIRECTORS OF ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION UPON NOMINATION BY THE BISHOP OF THE EPISCOPAL 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 HOSPITAL BOARD SHALL HAVE POWER AND AUTHORITY TO GOVERN THE OPERATION OF THE CORPORATION IN ACCORDANCE WITH (A) THE BYLAWS OF THE CORPORATION, (b) THE GOALS OF ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION AND (C) THE CANON OF THE EPISCOPAL CHURCH IN THE DIOCESE OF TEXAS AS FROM TIME TO TIME IN FORCE.
FORM 990, PART VI, SECTION B, QUESTION 11 & 11A SECTION B: POLICIES HAS THE ORGANIZATION PROVIDED A complete COPY OF THIS FORM 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 HOSPITAL'S FORM 990 WAS PREPARED BY THE TAX DEPARTMENT OF ITS PARENT, ST. LUKE'S EPISCOPAL HEALTH SYSTEM (SLEHS), UTILIZING INFORMATION PROVIDED BY ST. LUKE'S EPISCOPAL HOSPITAL 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. 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 LUKES 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 B: POLICIES DID THE PROCESS FOR DETERMINING COMPENSATION OF THE FOLLOWING PERSONS INCLUDE A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTITATION OF THE DELIBERATION AND DECISION FOR: a) THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL? b) OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION? DESCRIBE THE PROCESS IN SCHEDULE O. ST. LUKE'S EPISCOPAL HOSPITAL DOES NOT COMPENSATE ITS OFFICERS, TOP MANAGEMENT, AND KEY EMPLOYEES DIRECTLY. A RELATED ORGANIZATION, ST. LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION (SLEHS), PAYS COMPENSATION FOR THE OFFICERS, TOP MANAGEMENT, AND KEY EMPLOYEES. THE SLEHS 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 ACHIEVMENT OF STIPULATED PERFORMANCE TARGETS, EXTERNAL SURVEYS, AND LOCAL MARKET CONDITIONS. PERMANENT MINUTES ARE PREPARED AND REVIEWED BY COMPENSATION COMMITTEE MEMBERS PRIOR TO THEIR RATIFICATION. THESE MINUTES ARE SUFFICIENTLY DETAILED TO PROVIDE SUBSTANTIATION OF THE DECISIONS MADE BY THE COMMITTEE WITH REGARD TO EACH KEY EXECUTIVE'S COMPENSATION AND BENEFITS. A REPORT IS MADE TO THE FULL BOARD BY THE COMPENSATION COMMITTEE CHAIR AT WHICH TIME RATIFICATION OF COMMITTEE ACTION IS VOTED BY THE BOARD.
FORM 990, PART VI, SECTION C, QUESTION 19 SECTION C: DISCLOSURE DESCRIBE IN SCHEDULE O WHETHER (AND IF SO, HOW), THE ORGANIZATION MAde ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ST LUKE'S EPISCOPAL HEALTH SYSTEM CORPORATION AND ITS RELATED ENTITIES HAVE NOT CREATED A GENERAL POLICY PROVIDING FOR THE DISCLOSURE OF CERTAIN DOCUMENTS. IN PRACTICE, THESE DOCUMENTS HAVE BEEN MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST ONLY.
Form 990, Part Xi, Reconciliation of Net Assets Form XI, line 5, other changes in net assets for fund balances Transfer of proceeds from sale of property sold by St. Luke's EpIscopal Properties Corporation $37,914,855 Change in pension liability $ 7,804,947 Transfer of restricted fund to - $ 50,000 St. Luke's Foundation ______________ TOTAL $ 45,669,802 .
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKES EPISCOPAL HOSPITAL
 
Employer identification number

74-1161938
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) ST LUKES EPISCOPAL HEALTH SYSTEM CORP

6624 FANNIN

HOUSTON,TX77030
76-0536232 		PARENT TX 501(c)(3) 11a EPIS DIOCESE
 
 
No
(2) ST LUKES EPISCOPAL HEALTH SYSTEM FOUNDA

PO BOX 20269

HOUSTON,TX77225
76-0127715 		invest mgmt TX 501(c)(3) 11a SYSTEM CORP
 
 
No
(3) ST LUKES EPISCOPAL HEALTH CHARITiES

6624 FANNIN

HOUSTON,TX77030
76-0531710 		grant support TX 501(c)(3) 11a SYSTEM CORP
 
 
No
(4) ST LUKES EPISCOPAL PROPERTIES CORP

6624 FANNIN

HOUSTON,TX77030
76-0531716 		prop mgmt TX 501(c)(3) 11a system corp
 
 
No
(5) ST LUKES MEDICAL TOWER CORPORATION

6624 FANNIN

HOUSTON,TX77030
76-0531713 		med offices TX 501(c)(3) 11a properties
 
 
No
(6) GREATER HOUSTON HEALTH NETWORK

6624 FANNIN

HOUSTON,TX77030
76-0458535 		CLINIC TX 501(c)(3) 3 sleh
 
Yes
 
(7) SL AUGUSTA CORPORATION

PO BOX 20269

HOUSTON,TX77225
76-0226623 		TITLE HOLDING TX 501(c)(2) N/A properties
 
 
No
(8) ST LUKES COMMUNITY HEALTH SERVICES

6624 FANNIN

HOUSTON,TX77030
76-0536234 		HOSPITAL TX 501(c)(3) 3 SYSTEM CORP
 
 
No
(9) ST LUKES COMMUNITY DEVELOPMENT CORP

6624 fannin suite 2505

HOUSTON,TX77030
26-0274448 		mgmt support TX 501(c)(3) 11a SYSTEM CORP
 
 
No
(10) ST LUKES COMMUNITY DEV CORP - SUGAR LAND

6624 fannin suite 2505

HOUSTON,TX77030
26-1947374 		HOSPITAL TX 501(c)(3) 3 SYSTEM CORP
 
 
No
(11) ST LUKES COMMUNITY DEV CORP - WOODLANDS

6624 fannin suite 2505

HOUSTON,TX77030
26-0335902 		HOSPITAL TX 501(c)(3) 3 sl cdc
 
 
No
(12) ST LUKES COMMUNITY DEV CORP -THE VINTAGE

6624 fannin suite 2505

HOUSTON,TX77030
26-3734606 		HOSPITAL TX 501(c)(3) 3 sl cdc
 
 
No
(13) woodlands doctor group

17200 st lukes Way

The woodlands,TX77384
27-4499340 		clinic TX pending 9 SL CHS
 
 
No
(14) St lukes community dev corp - PMC

6624 fannin suite 2505

houston,TX77030
27-3733278 		hospital TX pending 3 SL CDC
 
 
No
(15) sugar land doctor group

6624 fannin st suite 1100

houston,TX77030
45-4270163 		clinic TX pending 9 sl cdc- sl
 
 
No
(16) st luke's foundation

1213 hermann drive suite 855

houston,TX77004
45-3811485 		grants TX pending 7 system corp
 
 
No
(17) St luke's sugar Land properties Corpora

6624 fannin suite 2505

houston,TX77030
45-4120549 		prop mgmt TX pending 11a SL CDC - SL
 
 
No
(18) st luke's anesthesiology associates

6624 fannin st suite 1100

houston,TX77030
46-1517163 		specialist TX pending 9 sleh
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) ST LUKE'S LAKESIDE Hospital LLC

6624 fannin suite 2505
HOUSTON,TX77030
30-0427437 		HOSPITAL TX na
  		          0      
(2) ST LUKE'S HOSpital at the VINTAge llc

6624 fannin suite 2505
HOUSTON,TX77030
26-3734616 		HOSPITAL TX na
  		          0      
(3) PMC Hospital LLC

6624 fannin suite 2505
houston,TX77030
27-3280598 		hospital TX na
  		          0      
(4) HC Sl Vintage I LLC

18000 WEst Sarah Lane ste 250
Brookfield,WI53045
27-0453767 		property hold WI na
  		          0      






Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) SLEHS HOLDINGS INC AND SUBSIDIARIES

6624 FANNIN
HOUSTON,TX77030
76-0637138 		HOLDINGS CORP TX NA
  		c          
(2) ST LUKES MEDICAL TOWER CONDO ASSOCIATION

6624 FANNIN
HOUSTON,TX77030
76-0298751 		CONDOMINIUM A TX NA
  		c          
(3) ST LUKES 6620 MAIN CONDO ASSOCIATION

6624 FANNIN
HOUSTON,TX77030
30-0355517 		CONDOMINIUM A TX NA
  		c          
(4) ST LUKES MEDICAL ARTS CTR I CONDO ASSOC

6624 FANNIN
HOUSTON,TX77030
30-0355518 		CONDOMINIUM A TX NA
  		c          
(5) THE THI AT SLEH DAC BLDG CONDO ASSOC

6624 FANNIN
HOUSTON,TX77030
90-0064009 		CONDOMINIUM A TX NA
  		c          
(6) ST LUKES EPIS HOSP PHYSICIAN HOSP ORG

6720 BERTNER
HOUSTON,TX77030
76-0377932 		PHO TX na
  		c          
(7) ALL SAINTS INSURANCE COMPANY SPC LTD

PO BOX 69
georgetown,GRAND CAYMANKY-1102
CJ
self insuranc CJ NA
  		n/a          
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) greater houston health network

 j 243,674 cost
(2) greater houston health network

 q 796,676 cost
(3) greater houston health network

 s 8,833,956 cost



Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Form 990, Schedule R Part V, Transactions with related organizations St. Luke's Episcopal Health System Corporation remits all vendor payments on behalf of its related organizations, including St. Luke's Episcopal Hospital. St. Luke's Episcopal Health System Corporation also provides administrative and financial services as well as cash managment on behalf of its related organizations, including St. Luke's Episcopal Hospital, and is reimbursed for expenses incurred.

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