Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| GENERAL STATEMENT 1 | Part III, Line 1: Description of Mission Our Mission Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke's Hospital is dedicated to improving the health of the community. Using talents and resources responsibly, our medical staff, employees and volunteers provide care for the whole person with compassion, professional excellence and respect for each other and those we serve. Living Our Mission Mission outreach is a founding principle of St. Luke's Hospital, which had its beginnings February 28, 1866. We celebrate Founders' Day to remember our heritage and to honor our founders, whose vision we continue to live out each day. We remember and reaffirm our mission, which is the foundation supporting our service in and to the community. St. Luke's lives out its ministry of healing by dedicating itself to improving the health of the community through the wide array of services it makes available to the St. Louis metropolitan area. Our mission commitment includes the vital areas of community outreach, community health, community health information and education and community services. St. Luke's vision as a premier regional healthcare provider is a catalyst for building a healthy community. We stress education regarding lifestyles, nutrition, immunization and other methods of maintaining the health of the body and the spirit. We find new and innovative means of bringing this message to the community, including the underserved. St. Luke's provides quality medical care to patients regardless of race, creed, sex, national origin, handicap, age or ability to pay. As we continue to provide quality and compassionate care to heal the acutely ill in our hospital and skilled nursing facility in a cost-efficient manner, we also increase our efforts to assist those who are living with chronic disease in their homes, to relieve their suffering and improve their quality of life. St. Luke's Home Health and Hospice services are integral to this effort. In addition to the regular services we provide, as a not-for-profit organization, St. Luke's continues to provide much needed charitable care to people throughout the St. Louis area. We support a wide variety of community causes and outreach efforts, both externally and internally, from sponsoring free clinics and screenings for the underserved, to making available an employee crisis fund which serves those in need. These important endeavors embrace a common thread congruent with our mission statement by providing services for those who may otherwise go without. As we receive input, we measure and evaluate our efforts to be sure that what we do brings benefit to the people in our community. We continually refine our approaches to maintain and improve community health and wellness. |
| GENERAL STATEMENT 2 | Part III, Line 4A: Program Services Description of Services Provided Medically-necessary health services are provided to all individuals in a non-discriminatory manner regardless of race, color, national origin, religion or ability to pay. Our 493-bed, not-for-profit hospital serves the region from more than 25 locations across the greater St. Louis area including St. Louis and St. Charles Counties. St. Luke's comprehensive approach to healthcare includes a hospital, an outpatient center, a skilled nursing/residential care facility, seven urgent care centers, convenient care center, a rehabilitation hospital, diagnostic imaging centers, a vascular access center, home health services and hospice services. Nationally-recognized for clinical excellence, St. Luke's offers care in more than 60 specialty areas including cancer care, orthopedics, neurosurgery and neurology, cardiology and cardiovascular surgery, women's services (including obstetrics), pediatrics, urgent care, pulmonary medicine, sleep medicine and wellness services for adults with Down syndrome. Additionally, St. Luke's Hospital is the exclusive Spirit of Women Hospital in St. Louis and has been recognized as a Spirit of Women Premier Hospital for its focus on elevating the standards in women's health. The national designation is based on a comprehensive evaluation of innovation and excellence in women's health care and community outreach developed in consultation with the Office on Women's Health in the U.S. Department of Health and Human Services. To further our mission of providing care for the medically underserved and underinsured, St. Luke's Hospital operates a pediatric care center which provides healthcare to children in a private practice setting and education and social support services to their families. St. Luke's is the only St. Louis hospital recognized as one of America's 50 Best Hospitals by HealthGrades (2007-2015). As one of America's 50 Best Hospitals, St. Luke's ranks among the top one percent of hospitals in the nation for clinical excellence based on survival and complication rates. According to HealthGrades, an independent healthcare ratings company, patients admitted to an America's 50 Best Hospital are more likely to have successful treatment without major complications. St. Luke's Hospital is among the top 10 percent of hospitals in the nation for cardiology services (2012-2015), pulmonary services (2003-2015), neurosurgery (2012-2015) and gastrointestinal medical treatment (2010-2015), according to a hospital quality study published by Healthgrades, an independent healthcare ratings organization. St. Luke's Hospital is a recipient of the 2015 Healthgrades Outstanding Patient Experience Award. This distinction places St. Luke's among the top five percent of hospitals nationwide based on analysis of patient satisfaction data. This is the fifth year in a row (2011-2015) that St. Luke's has received this award. St. Luke's Hospital has received the 2015 Healthgrades Women's Health Excellence Award for the seventh year in a row. St. Luke's is the only Missouri hospital to achieve the Healthgrades honor this many consecutive years (2009-2015). The recognition distinguishes St. Luke's as a top-performing hospital in women's health services, including cardiac care, vascular surgery, stroke care, respiratory services, orthopedic surgery and spine surgery. In addition to clinical honors, St. Luke's has received honors based on employee feedback including Best Places to Work, from the St. Louis Business Journal, 2010-2015 and Top Workplaces, from the St. Louis Post-Dispatch, 2014 and 2015. The hospital was also named to the Healthiest Employer list from the St. Louis Business Journal from 2012 to 2014. |
| GENERAL STATEMENT 2 (CONTINUED) | PART III, Line 4a: Program Services Resources invested and program services to support mission In support of our mission, St. Luke's Hospital provides care to patients regardless of their ability to pay, which includes those who lack financial resources and are deemed to be medically indigent. In addition, the organization provides services to other medically indigent patients under various state Medicaid programs. Such programs pay providers amounts that are less than the related costs for the services provided to the recipients. Each year, we invest considerable resources to improve the health, wellness and quality of life in our community. In response to identified needs, St. Luke's also benefits the community in the following ways: - St. Luke's support for the Residency in Internal Medicine program is an integral part of our service to the community by preparing new physicians. At any given time, there are about 40 medical residents in the program. This program provides a unique opportunity for training in primary care internal medicine at both St. Luke's Hospital and public health clinics serving the needs of the indigent population in the St. Louis area. St. Luke's medical residents also provide community service by speaking at schools and to various civic organizations. Training opportunities for health professionals in nursing, pharmacy and other health specialties are available. - St. Luke's offers continuing medical education (CME) for physicians. The program recently earned a six-year accreditation with commendation by the Accreditation Council for Continuing Medical Education (ACCME), ranking among the top 15 percent of CME providers in the United States, including some of the nation's most prestigious medical schools. The program continues its proud tradition and service. - St. Luke's Hospital provides pastoral care services around the clock seven days a week, as well as a fully accredited ACPE Clinical Pastoral Education (CPE) Program. Both of these services are provided through St. Luke's Pastoral Care Department. St. Luke's Pastoral Care Department provides pastoral care to patients, their families and loved ones, visitors, staff, and physicians 24/7 in the Hospital and Surrey Place (St. Luke's skilled nursing facility). We also do so at St. Luke's Rehabilitation Hospital upon request. The Pastoral Care Department participates in St. Luke's ministry of healing by working with the health-care team to provide holistic care for patients, their families, visitors, physicians and employees of all faiths. The department holds regular worship services, including Episcopal and Presbyterian Eucharist Services, Roman Catholic Mass, ecumenical worship services, morning and evening prayer services and other liturgical services on special feast days. Clinical Pastoral Education (CPE) at St. Luke's Hospital, accredited by the Association of Clinical Pastoral Education, Inc., is theological and professional education for ministry. Chaplains of various faith traditions minister to persons in crisis situations, reflecting on their ministry encounters to develop their pastoral practice. - St. Luke's Mission Outreach Committee, comprised of employees across the organization, coordinates efforts throughout the year which employees, patients and physicians generously support initiatives such as winter clothing drives, health screenings, food drives and school supply drives to support the families of the St. Luke's Pediatric Care Center, Isaiah 58 Ministries and Operation Food Search. - St. Luke's Pediatric Care Center is a mission-based agency of St. Luke's Hospital that has been providing care for medically underserved and underinsured children in the St. Louis region for more than 60 years. The Center, located in North St. Louis County, offers care for children from birth to age 18 in a private practice setting rather than in a clinic setting. The primary goal of the Center is to establish and maintain access to healthcare for families through a primary care physician, thereby helping them understand and deal with potential health issues before the issues become serious enough to require acute care. The staff consists of two full-time board certified pediatricians, as well as a site manager, registered nurse, social worker and office coordinator, all of whom are dedicated to improving healthcare for children and families. - We participate in the Meals on Wheels program, which provides meals to community residents who are not able to prepare meals for themselves due to their medical conditions. - St. Luke's HealthAware resource provides free online, confidential risk assessments and personal follow-up for those found at risk for heart disease, stroke, sleep apnea, diabetes, bladder and back pain. These assessments provide valuable information to help individuals and families determine if they are at risk for these chronic illnesses, enabling them to make more informed, proactive decisions about their health. - Women's Health - St. Luke's helps educate women about important health topics that impact their health and the health of their families. More than 13,000 area women have joined this free membership program to receive health information from St. Luke's via emails and mailed class calendars and women's health magazine. Through a website, women can access monthly health topics as well as easy-to-navigate preventive health information by decade of life. The community is invited to Spirit of Women programming and events throughout the year, ranging from smaller "ask the physician" format discussions to large interactive events such as St. Luke's Day of Dance. This event attracts more than 1,200 women each year who dance for their health and take advantage of free health screenings. - St. Luke's Passport to Wellness program partners with more than 100 local employers for worksite wellness programs, working with them to identify, address and eliminate employee health risks before they result in costly healthcare claims. Our team visits employers free of charge and collects personal health profiles from their employees. Then, we provide a group health report to identify the specific health risks present in their workforce and ways to address these risks. St. Luke's healthcare professionals coordinate and provide on-site low-cost health screenings (cholesterol, glucose, blood pressure, waist measurement), flu clinics, bone density screenings, lunchtime seminars, health coaching and ask the expert tabling events. Educational materials are provided at each offering for the employee and/or family members. St. Luke's also provides employers with access to an Internet-based financial analysis tool that allows the employer to understand the health risks faced by workers, project how healthcare dollars will be spent and identify potential savings through the attainment of a healthier workforce. St. Luke's provides Health Information Centers (wall-mounted displays) at more than 50 employers, which are designed to educate employees on pertinent health issues and provide details regarding available health promotion activities. - St. Luke's Heart Failure Disease Management Program is a referral-based outpatient program designed to provide heart failure patients with effective, state-of-the-art disease management. This comprehensive, integrated program is designed specifically for patients living with heart failure. Patients work with their physicians and the Center's multidisciplinary team to develop an individualized plan of care that includes cardiac diagnostic testing, management of medication, laboratory monitoring, education, counseling and follow-up. Patients and physicians may access the heart failure disease manager 24 hours a day. - St. Luke's Medical Group provides a nurse practitioner and medical assistant each Saturday morning to support the Healing Grace Clinic, housed on the grounds of the Central Baptist Church in Eureka, Missouri. This clinic provides medical care including office visits, testing and medications for people who are uninsured. St. Luke's Hospital has also provided equipment and supplies to the clinic at no cost. Additional services, such as imaging, are provided at no cost through arrangements with St. Luke's health care partners such as Centers for Diagnostic Imaging (CDI). - The Albert Pujols Wellness Center for Adults with Down Syndrome at St. Luke's offers caregiver classes on a variety of topics. Classes and programs are also offered for adults with Down syndrome, covering topics focused on life skills including nutrition, exercise, safety and social/emotional well-being plus those just for fun such as dancing and various arts and crafts. -St. Luke's was the first hospital in Missouri to join the National Hospital Health Food Initiative, part of the Partnership for a Healthy America. With a goal to end the childhood obesity epidemic within a generation, St. Luke's is committed to enhancing on-site food offering |
| GENERAL STATEMENT 3 | Part VI, Section A, Line 2 The following persons have a business relationship: Joseph A. Sheehan Scott Johnson John F. Eilermann, Jr. Don Miller |
| GENERAL STATEMENT 4 | Part VI, Section A, Line 6: Organization Members or Stockholders St. Luke's Health Corporation, A 501 (C)(3) Organization, is the sole corporate member of St. Luke's Episcopal-Presbyterian Hospitals, a Regional Health Care Provider. |
| GENERAL STATEMENT 5 | Part VI, Section B, Line 11: Review of the 990 The Form 990 has been discussed and presented to the Board and its committees. The organization provided a copy of the Form 990 to St. Luke's Health Corporation's executive and finance committee of the Board of Directors prior to filing for review and input. All questions raised were addressed in advance of submission. |
| GENERAL STATEMENT 6 | Part VI, Section B, Line 12c: Conflict of Interest Policy The organization monitors and enforces compliance with the policy by providing the policy and questionnaire to each board member at the time of appointment and to each new employee at the time of employment and annually thereafter. Each board member and key employee is required to sign a statement acknowledging he/she has read, understands and agrees to comply with the policy as well as submit the completed questionnaire. Any/all actual or possible conflicts of interest that arise from the forms are disclosed to the Audit Committee. The Audit Committee addresses any potential conflict of interest and takes appropriate action to resolve. The organization considers the possibility that board members or key employees may inadvertently fail to disclose actual or possible conflicts of interest and performs due diligence to address and respond in accordance with the policy. |
| GENERAL STATEMENT 7 | Part VI, Section B, Line 15: Compensation Executive, Key Employee and physician salary/compensation information is based on comparative data with like positions in the market. The organization also engaged consultants for independent reviews to ensure compensation for certain of the above employees is fair and within market parameters. The salary data and potential adjustments for executives and key employees are presented to the compensation committee to approve or modify. The compensation committee has representation from the independent members of the board and legal counsel. Minutes are maintained of the discussions and conclusions of the committee. |
| GENERAL STATEMENT 8 | Part VI, Section C, Line 19: Public Access Annual Financial Statements including form 990 are available upon request in the administrative office. Any proprietary internal policies or governing documents are available upon request in the administrative office. |
| GENERAL STATEMENT 9 | Part VII, Section B, Line 1: Independent Contractors McCarthy Brothers Construction Construction Services $5,830,686 1341 NORTH ROCK HILL ROAD ST. LOUIS, MO 63124 ICS Construction Services LTD Construction Services $1,357,956 2930 MARKET STREET St. LOUIS, MO 63103 Armstrong Teasdale Legal Services $1,330,519 7700 Forsyth Blvd St. Louis, Mo 63105 Nuance Communications Transcription Services $1,255,465 P.O. Box 2561 Carol Stream, IL 60132 Quest Diagnostics Lab Services $1,232,983 3 giralda farms madison, nj 07940 |
| GENERAL STATEMENT 10 | Part VIII, Line 10C: Gains and Losses from Investments The organization participates in a system-wide pooled investment program. The investments are reported only as realized gains or losses to each organization and does not report the allocation portion of proceeds and cost basis related to those realized gains/losses. |
| GENERAL STATEMENT 11 | Part XI, Line 9: Other Changes in Net Assets Change in Pension Obligation (3,796,015) Transfer to Medical Group (13,453,395) Change in Restricted Assets (3,687,426) ----------- (20,936,836) |
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