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← ST LUKES DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL

Form 990 for tax year 2022

Filed by ST LUKES DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL.

Totals

Total revenue
$84,316,714
Total expenses
$95,205,379
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$83,651,505
Investment income
$541,955
Other revenue
$123,254
Total assets, end of year
$88,103,106
Total liabilities, end of year
$54,455,219
Net assets or fund balances, end of year
$33,647,887
Program services expenses (Part IX)
$90,229,823
Management and general expenses
$4,975,556
Fundraising expenses
$0
Program service expenses (Part III)
$90,229,823

Program services were 94.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PATIENT SERVICE REV.

    total $82,525,659 · related or exempt $82,525,659

  • 2b · Program service revenue: RENTAL REVENUE

    total $659,776 · related or exempt $659,776

  • 2c · Program service revenue: RESIDENT REVENUE

    total $403,918 · related or exempt $403,918

  • 2d · Program service revenue: HIM RECORDS REVENUE

    total $30,497 · related or exempt $30,497

  • 2e · Program service revenue: NON PATIENT LABS

    total $28,199 · unrelated business $28,199

  • 2f · All other program service revenue

    total $3,456 · related or exempt $3,456

  • 3 · Investment income

    total $528,715 · excluded $528,715

  • 6a · Gross rents

    real property $64,421

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $64,421

  • 6d · Net rental income or loss

    total $64,421 · related or exempt $64,421

  • 7a · Gross sales of assets other than inventory

    other assets $13,240

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $13,240

  • 7d · Net gain or loss

    total $13,240 · excluded $13,240

  • 11a · Other revenue: GROUND LEASE REVENUE

    total $50,325 · related or exempt $50,325

  • 11b · Other revenue: CASH DISCOUNTS

    total $5,208 · related or exempt $5,208

  • 11c · Other revenue: MISC. REVENUE

    total $3,300 · related or exempt $3,300

  • 11e · Other revenue, total

    $58,833

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $404,608 · management and general $404,608

  • 7 · Other salaries and wages

    total $31,455,573 · program services $29,528,545 · management and general $1,927,028

  • 8 · Pension plan contributions

    total $639,740 · program services $639,740

  • 9 · Other employee benefits

    total $4,617,897 · program services $4,081,508 · management and general $536,389

  • 10 · Payroll taxes

    total $2,037,933 · program services $2,037,933

  • 11b · Fees: legal

    total $193,462 · management and general $193,462

  • 11d · Fees: lobbying

    total $22,103 · management and general $22,103

  • 11g · Fees: other

    total $2,986,369 · program services $2,986,369

  • 12 · Advertising and promotion

    total $316,771 · management and general $316,771

  • 13 · Office expenses

    total $903,515 · program services $600,664 · management and general $302,851

  • 14 · Information technology

    total $2,331,487 · program services $2,331,487

  • 16 · Occupancy

    total $1,902,324 · program services $1,902,324

  • 17 · Travel

    total $5,001 · program services $4,625 · management and general $376

  • 19 · Conferences, conventions and meetings

    total $20,723 · program services $20,723

  • 20 · Interest

    total $1,656,835 · program services $1,656,835

  • 22 · Depreciation, depletion and amortization

    total $6,236,350 · program services $6,236,350

  • 23 · Insurance

    total $987,456 · management and general $987,456

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $26,286,781 · program services $26,279,163 · management and general $7,618

  • 24b · Other expenses: MEDICAID FRA

    total $4,853,000 · program services $4,853,000

  • 24c · Other expenses: CONTRACT SERVICES

    total $3,412,126 · program services $3,219,031 · management and general $193,095

  • 24d · Other expenses: REPAIRS AND MAINTENANCE

    total $1,755,235 · program services $1,754,579 · management and general $656

  • 24e · All other expenses

    total $2,180,090 · program services $2,096,947 · management and general $83,143

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $14,495,092 · end of year $7,116,236

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $13,514,739 · end of year $13,109,908

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $2,236,434 · end of year $2,093,546

  • 9 · Prepaid expenses and deferred charges

    beginning of year $321,795 · end of year $308,764

  • 10a · Land, buildings and equipment: cost or other basis

    $83,390,300

  • 10b · Land, buildings and equipment: accumulated depreciation

    $27,966,050

  • 10c · Land, buildings and equipment, net

    beginning of year $55,713,694 · end of year $55,424,250

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $7,792,355

  • 15 · Other assets

    beginning of year $8,198,590 · end of year $2,258,047

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,024,949 · end of year $5,758,014

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $47,475,040 · end of year $48,697,205

  • 27 · Net assets without donor restrictions

    beginning of year $40,980,355 · end of year $33,647,887

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

SEE SCHEDULE O.

Activities or mission (Part I)

WE ARE DEDICATED TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME.

  • SEE SCHEDULE O.

    Expenses $90,229,823 · Revenue $83,746,560

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Andrew Bagnall

    PRES & CEO - STARTING 8/15/22

    Total calculated
    $398,277
    From this org
    $0
    From related orgs
    $390,162
    Other
    $8,115
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $259,287 related
    Bonus
    $0 + $100,000 related
    Other
    $0 + $30,875 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $8,115 related
    Filer's total
    $0 + $398,277 related

  • Diane Ray

    SR VP/NETWORK CNO/SLH COO

    Total calculated
    $464,996
    From this org
    $0
    From related orgs
    $414,342
    Other
    $50,654
    Hours/week
    10 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $404,342 related
    Bonus
    $0 + $10,000 related
    Other
    $0
    Deferred
    $0 + $34,312 related
    Nontaxable benefits
    $0 + $16,342 related
    Filer's total
    $0 + $464,996 related

  • Gary Olson

    INT PRES & CEO - THRU 8/15/22

    Total calculated
    $373,923
    From this org
    $0
    From related orgs
    $373,923
    Other
    $0
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $348,923 related
    Bonus
    $0 + $25,000 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $373,923 related

  • Norman L Eaker

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • David Loving

    PRESIDENT THRU 2/2/23

    Total calculated
    $418,346
    From this org
    $0
    From related orgs
    $382,548
    Other
    $35,798
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $0 + $358,831 related
    Bonus
    $0 + $10,000 related
    Other
    $0 + $13,717 related
    Deferred
    $0 + $11,437 related
    Nontaxable benefits
    $0 + $24,361 related
    Filer's total
    $0 + $418,346 related

  • Martha Fleischmann

    SR VP & CFO

    Total calculated
    $484,165
    From this org
    $0
    From related orgs
    $447,129
    Other
    $37,036
    Hours/week
    15 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $414,052 related
    Bonus
    $0 + $10,000 related
    Other
    $0 + $23,077 related
    Deferred
    $0 + $28,212 related
    Nontaxable benefits
    $0 + $8,824 related
    Filer's total
    $0 + $484,165 related

  • Alan Martin

    PHYSICIAN MEDICAL DIRECTOR-ER

    Total calculated
    $409,613
    From this org
    $370,483
    From related orgs
    $0
    Other
    $39,130
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $370,483
    Bonus
    $0
    Other
    $0
    Deferred
    $16,012
    Nontaxable benefits
    $23,118
    Filer's total
    $409,613

  • Guy Felder

    HOUSE PHYSICIAN ER

    Total calculated
    $258,350
    From this org
    $246,683
    From related orgs
    $0
    Other
    $11,667
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $246,683
    Bonus
    $0
    Other
    $0
    Deferred
    $6,294
    Nontaxable benefits
    $5,373
    Filer's total
    $258,350

  • Mary Ann Hampton

    CHIEF NURSING OFFICER

    Total calculated
    $241,805
    From this org
    $225,178
    From related orgs
    $0
    Other
    $16,627
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $219,928
    Bonus
    $5,000
    Other
    $250
    Deferred
    $8,467
    Nontaxable benefits
    $8,160
    Filer's total
    $241,805

  • Michael Rush

    HOUSE PHYSICIAN ER

    Total calculated
    $292,017
    From this org
    $257,260
    From related orgs
    $0
    Other
    $34,757
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $257,260
    Bonus
    $0
    Other
    $0
    Deferred
    $9,989
    Nontaxable benefits
    $24,768
    Filer's total
    $292,017

  • Robert Hibbard

    HOUSE PHYSICIAN ER

    Total calculated
    $237,907
    From this org
    $229,308
    From related orgs
    $0
    Other
    $8,599
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $229,308
    Bonus
    $0
    Other
    $0
    Deferred
    $8,599
    Nontaxable benefits
    $0
    Filer's total
    $237,907

  • Shane M Cerone

    FORMER PRESIDENT & CEO

    Total calculated
    $966,340
    From this org
    $0
    From related orgs
    $966,340
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $239,707 related
    Bonus
    $0 + $125,000 related
    Other
    $0 + $601,633 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $966,340 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 5b · Pay contingent on a related organization's revenues

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINES 4A-B:
THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2022: SHANE CERONE, $346,154. CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. THE FOLLOWING INDIVIDUAL RECEIVED A DISTRIBUTION DURING CALENDAR 2022: SHANE M. CERONE: $138,050
PART I, LINE 5:
THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATION. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD OBJECTIVES. THE INCENTIVE COMPENSATION PLAN IS DETERMINED BY A FIXED FORMULA BASED ON ACHIEVING CERTAIN GOALS AND OBJECTIVES EACH YEAR. THE OBJECTIVES ARE BUILT AROUND FOUR PERSPECTIVES, INCLUDING: 1. QUALITY & PATIENT SATISFACTION 2. FINANCIAL PERFORMANCE 3. EXECUTIVE INDIVIDUAL GOALS 4. EXECUTIVE'S INTERNAL BUSINESS (DIVISION) GOALS THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS, AND DEPARTMENT DIRECTORS OF THE HOSPITAL.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ST LUKE'S DEVELOPMENT CORPORATION

    C · OTHER MISC. · MO

    Directly controlled by SL HEALTH CORP

Provenance

Return type
form_990
Tax year
2022
Filed
7 May 2024
IRS schema version
2022v5.0
Source object
202421349349301837

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