2014 Department of the Treasury Internal Revenue Service

Transcription

1 ** PUBLIC DISCLOSURE COPY ** OMB No Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) 014 Department of the Treasury Internal Revenue Servie Do not enter soial seurity numers on this form as it may e made puli. Information aout Form 990 and its instrutions is at Open to Puli Inspetion A For the 014 alendar year, or tax year eginning and ending B Chek if C Name of organization D Employer identifiation numer appliale: Address hange Name hange ST. LUKE S METHODIST HOSPITAL Doing usiness as ST. LUKE S HOSPITAL Initial return Numer and street (or P.O. ox if mail is not delivered to street address) Room/suite E Telephone numer Final return/ 106 A AVENUE NE terminated City or town, state or provine, ountry, and ZIP or foreign postal ode G Gross reeipts $ 371,837,471. Amended return CEDAR RAPIDS, IA 540 H(a) Is this a group return Appliation F Name and address of prinipal offier: THEODORE E. TOWNSEND, JR for suordinates? ~~ Yes No pending SAME AS C ABOVE H() Are all suordinates inluded? Yes No I Tax-exempt status: 501()(3) 501() ( ) (insert no.) 4947(a)(1) or 57 If "No," attah a list. (see instrutions) J Wesite: H() Group exemption numer K Form of organization: Corporation Trust Assoiation Other L Year of formation: 1903 M State of legal domiile: IA Part I Summary 1 Briefly desrie the organization s mission or most signifiant ativities: TO GIVE THE HEALTHCARE WE D LIKE OUR LOVED ONES TO RECEIVE. Ativities & Governane Revenue Expenses Net Assets or Fund Balanes Sign Here Paid Preparer Use Only Chek this ox Net unrelated usiness taxale inome from Form 990-T, line 34 16a Professional fundraising fees (Part I, olumn (A), line 11e) ~~~~~~~~~~~~~~ Total fundraising expenses (Part I, olumn (D), line 5) 0. true, orret, and omplete. Delaration of preparer (other than offier) is ased on all information of whih preparer has any knowledge. Signature of offier MILTON E. AUNAN II, SENIOR VP FINANCE/CFO Type or print name and title Print/Type preparer s name Firm s name Firm s address if the organization disontinued its operations or disposed of more than 5% of its net assets. Numer of voting memers of the governing ody (Part VI, line 1a) Numer of independent voting memers of the governing ody (Part VI, line 1) ~~~~~~~~~~~~~~ Total numer of individuals employed in alendar year 014 (Part V, line a) ~~~~~~~~~~~~~~~~ Preparer s signature ~~~~~~~~~~~~~~~~~~~~ Total numer of volunteers (estimate if neessary) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 a Total unrelated usiness revenue from Part VIII, olumn (C), line 1 ~~~~~~~~~~~~~~~~~~~~ Contriutions and grants (Part VIII, line 1h) ~~~~~~~~~~~~~~~~~~~~~ Program servie revenue (Part VIII, line g) ~~~~~~~~~~~~~~~~~~~~~ Investment inome (Part VIII, olumn (A), lines 3, 4, and 7d) ~~~~~~~~~~~~~ Other revenue (Part VIII, olumn (A), lines 5, 6d, 8, 9, 10, and 11e) ~~~~~~~~ Total revenue - add lines 8 through 11 (must equal Part VIII, olumn (A), line 1) Grants and similar amounts paid (Part I, olumn (A), lines 1-3) Benefits paid to or for memers (Part I, olumn (A), line 4) ~~~~~~~~~~~ ~~~~~~~~~~~~~ Salaries, other ompensation, employee enefits (Part I, olumn (A), lines 5-10) ~~~ = = a 7 Prior Year Current Year 15,68,654.,467, ,731, ,64, ,487,595. 8,589,640.,741,005.,870, ,64, ,553,35. 4,368, ,863, ,397, ,134, Chek if self-employed May the IRS disuss this return with the preparer shown aove? (see instrutions) Yes No LHA For Paperwork Redution At Notie, see the separate instrutions. Form 990 (014) Date Date Firm s EIN Phone no. 9 PTIN , , Other expenses (Part I, olumn (A), lines 11a-11d, 11f-4e) ~~~~~~~~~~~~~ 175,34, ,490, Total expenses. Add lines (must equal Part I, olumn (A), line 5) ~~~~~~~ 360,090, ,488, Revenue less expenses. Sutrat line 18 from line 1 3,55, ,065,084. Beginning of Current Year End of Year 0 Total assets (Part, line 16) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 433,666, ,835,66. 1 Total liailities (Part, line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 150,979, ,8,037. Net assets or fund alanes. Sutrat line 1 from line 0 8,687, ,013,65. Part II Signature Blok Under penalties of perjury, I delare that I have examined this return, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is

2 Form 990 (014) ST. LUKE S METHODIST HOSPITAL Part III Statement of Program Servie Aomplishments 1 Chek if Shedule O ontains a response or note to any line in this Part III Briefly desrie the organization s mission: THE MISSION OF ST. LUKE S METHODIST HOSPITAL IS TO GIVE THE HEALTHCARE WE D LIKE OUR LOVED ONES TO RECEIVE. OUR STRATEGIC FRAMEWORK IS BUILT UPON THESE PILLARS: Page 3 4 4a Did the organization undertake any signifiant program servies during the year whih were not listed on the prior Form 990 or 990-EZ? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes If "Yes," desrie these new servies on Shedule O. Did the organization ease onduting, or make signifiant hanges in how it onduts, any program servies? ~~~~~~ Yes If "Yes," desrie these hanges on Shedule O. Desrie the organization s program servie aomplishments for eah of its three largest program servies, as measured y expenses. Setion 501()(3) and 501()(4) organizations are required to report the amount of grants and alloations to others, the total expenses, and revenue, if any, for eah program servie reported. ( Code: ) ( Expenses $ 88,016,79. inluding grants of $ 14,900,818. ) ( Revenue $ 339,75,075. ) HEALTH-CARE SERVICES No No ST. LUKE S METHODIST HOSPITAL IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE CEDAR RAPIDS COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE, AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. 4 4 ST. LUKE S METHODIST HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL S RACE, CREED, SE, NATIONALITY, 0,456,979. 4,96, ( Code: ) ( Expenses $ inluding grants of $ ) ( Revenue $ ) COMMUNITY BENEFIT, INCLUDING CHARITY CARE CHARITY CARE AND MEANS-TESTED PROGRAMS: ST. LUKE S METHODIST HOSPITAL PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE TO PEOPLE AT A VALUE OF $,076,943 IN 014. OFTENTIMES, ST. LUKE S METHODIST HOSPITAL RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. ST. LUKE S METHODIST HOSPITAL PARTICIPATES IN MEDICAID AND OTHER ( Code: ) ( Expenses $ inluding grants of $ ) ( Revenue $ ) 4d Other program servies (Desrie in Shedule O.) ( Expenses $ inluding grants of $ ) ( Revenue $ ) 4e Total program servie expenses 308,473,771. Form 990 (014) SEE SCHEDULE O FOR CONTINUATION(S)

3 Form 990 (014) ST. LUKE S METHODIST HOSPITAL Part IV Cheklist of Required Shedules a a d e f 0a Is the organization desried in setion 501()(3) or 4947(a)(1) (other than a private foundation)? If "Yes," omplete Shedule A~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the organization required to omplete Shedule B, Shedule of Contriutors? ~~~~~~~~~~~~~~~~~~~~~~ Did the organization engage in diret or indiret politial ampaign ativities on ehalf of or in opposition to andidates for puli offie? If "Yes," omplete Shedule C, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 501()(3) organizations. Did the organization engage in loying ativities, or have a setion 501(h) eletion in effet during the tax year? If "Yes," omplete Shedule C, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the organization a setion 501()(4), 501()(5), or 501()(6) organization that reeives memership dues, assessments, or similar amounts as defined in Revenue Proedure 98-19? If "Yes," omplete Shedule C, Part III ~~~~~~~~~~~~~~ Did the organization maintain any donor advised funds or any similar funds or aounts for whih donors have the right to provide advie on the distriution or investment of amounts in suh funds or aounts? If "Yes," omplete Shedule D, Part I Did the organization reeive or hold a onservation easement, inluding easements to preserve open spae, the environment, histori land areas, or histori strutures? If "Yes," omplete Shedule D, Part II~~~~~~~~~~~~~~ Did the organization maintain olletions of works of art, historial treasures, or other similar assets? If "Yes," omplete Shedule D, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount in Part, line 1, for esrow or ustodial aount liaility; serve as a ustodian for amounts not listed in Part ; or provide redit ounseling, det management, redit repair, or det negotiation servies? If "Yes," omplete Shedule D, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization, diretly or through a related organization, hold assets in temporarily restrited endowments, permanent endowments, or quasi-endowments? If "Yes," omplete Shedule D, Part V ~~~~~~~~~~~~~~~~~~~~~~~~ If the organization s answer to any of the following questions is "Yes," then omplete Shedule D, Parts VI, VII, VIII, I, or as appliale. Did the organization report an amount for land, uildings, and equipment in Part, line 10? If "Yes," omplete Shedule D, Part VI ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for investments - other seurities in Part, line 1 that is 5% or more of its total assets reported in Part, line 16? If "Yes," omplete Shedule D, Part VII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for investments - program related in Part, line 13 that is 5% or more of its total assets reported in Part, line 16? If "Yes," omplete Shedule D, Part VIII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for other assets in Part, line 15 that is 5% or more of its total assets reported in Part, line 16? If "Yes," omplete Shedule D, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for other liailities in Part, line 5? If "Yes," omplete Shedule D, Part ~~~~~~ Did the organization s separate or onsolidated finanial statements for the tax year inlude a footnote that addresses the organization s liaility for unertain tax positions under FIN 48 (ASC 740)? If "Yes," omplete Shedule D, Part ~~~~ Did the organization otain separate, independent audited finanial statements for the tax year? If "Yes," omplete Shedule D, Parts I and II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Was the organization inluded in onsolidated, independent audited finanial statements for the tax year? If "Yes," and if the organization answered "No" to line 1a, then ompleting Shedule D, Parts I and II is optional ~~~~~ Is the organization a shool desried in setion 170()(1)(A)(ii)? If "Yes," omplete Shedule E ~~~~~~~~~~~~~~ 14a Did the organization maintain an offie, employees, or agents outside of the United States? ~~~~~~~~~~~~~~~~ Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, usiness, investment, and program servie ativities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," omplete Shedule F, Parts I and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report on Part I, olumn (A), line 3, more than $5,000 of grants or other assistane to or for any foreign organization? If "Yes," omplete Shedule F, Parts II and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report on Part I, olumn (A), line 3, more than $5,000 of aggregate grants or other assistane to or for foreign individuals? If "Yes," omplete Shedule F, Parts III and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report a total of more than $15,000 of expenses for professional fundraising servies on Part I, olumn (A), lines 6 and 11e? If "Yes," omplete Shedule G, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report more than $15,000 total of fundraising event gross inome and ontriutions on Part VIII, lines 1 and 8a? If "Yes," omplete Shedule G, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report more than $15,000 of gross inome from gaming ativities on Part VIII, line 9a? If "Yes," omplete Shedule G, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization operate one or more hospital failities? If "Yes," omplete Shedule H ~~~~~~~~~~~~~~~~ If "Yes" to line 0a, did the organization attah a opy of its audited finanial statements to this return? a d 11e 11f 1a a Yes Page 3 No 19 0a 0 Form 990 (014) 3

4 Form 990 (014) ST. LUKE S METHODIST HOSPITAL Part IV Cheklist of Required Shedules (ontinued) 1 3 4a d 5a Setion 501()(3), 501()(4), and 501()(9) organizations. Did the organization engage in an exess enefit transation with a disqualified person during the year? If "Yes," omplete Shedule L, Part I ~~~~~~~~~~~~~~~~ a Did the organization report more than $5,000 of grants or other assistane to any domesti organization or domesti government on Part I, olumn (A), line 1? If "Yes," omplete Shedule I, Parts I and II ~~~~~~~~~~~~~~ Did the organization report more than $5,000 of grants or other assistane to or for domesti individuals on Part I, olumn (A), line? If "Yes," omplete Shedule I, Parts I and III ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization answer "Yes" to Part VII, Setion A, line 3, 4, or 5 aout ompensation of the organization s urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees? If "Yes," omplete Shedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization have a tax-exempt ond issue with an outstanding prinipal amount of more than $100,000 as of the last day of the year, that was issued after Deemer 31, 00? If "Yes," answer lines 4 through 4d and omplete Shedule K. If "No", go to line 5a ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization invest any proeeds of tax-exempt onds eyond a temporary period exeption? ~~~~~~~~~~~ Did the organization maintain an esrow aount other than a refunding esrow at any time during the year to defease any tax-exempt onds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization at as an "on ehalf of" issuer for onds outstanding at any time during the year? ~~~~~~~~~~~ Is the organization aware that it engaged in an exess enefit transation with a disqualified person in a prior year, and that the transation has not een reported on any of the organization s prior Forms 990 or 990-EZ? If "Yes," omplete Shedule L, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report any amount on Part, line 5, 6, or for reeivales from or payales to any urrent or former offiers, diretors, trustees, key employees, highest ompensated employees, or disqualified persons? If "Yes," omplete Shedule L, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization provide a grant or other assistane to an offier, diretor, trustee, key employee, sustantial ontriutor or employee thereof, a grant seletion ommittee memer, or to a 35% ontrolled entity or family memer of any of these persons? If "Yes," omplete Shedule L, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Was the organization a party to a usiness transation with one of the following parties (see Shedule L, Part IV instrutions for appliale filing thresholds, onditions, and exeptions): A urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV ~~~~~~~~~~~ A family memer of a urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV ~~ An entity of whih a urrent or former offier, diretor, trustee, or key employee (or a family memer thereof) was an offier, diretor, trustee, or diret or indiret owner? If "Yes," omplete Shedule L, Part IV~~~~~~~~~~~~~~~~~~~~~ Did the organization reeive more than $5,000 in non-ash ontriutions? If "Yes," omplete Shedule M ~~~~~~~~~ Did the organization reeive ontriutions of art, historial treasures, or other similar assets, or qualified onservation ontriutions? If "Yes," omplete Shedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization liquidate, terminate, or dissolve and ease operations? If "Yes," omplete Shedule N, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization sell, exhange, dispose of, or transfer more than 5% of its net assets? If "Yes," omplete Shedule N, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization own 100% of an entity disregarded as separate from the organization under Regulations setions and ? If "Yes," omplete Shedule R, Part I ~~~~~~~~~~~~~~~~~~~~~~~~ Was the organization related to any tax-exempt or taxale entity? If "Yes," omplete Shedule R, Part II, III, or IV, and Part V, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 35a Did the organization have a ontrolled entity within the meaning of setion 51()(13)? ~~~~~~~~~~~~~~~~~~ If "Yes" to line 35a, did the organization reeive any payment from or engage in any transation with a ontrolled entity within the meaning of setion 51()(13)? If "Yes," omplete Shedule R, Part V, line ~~~~~~~~~~~~~~~~~~~ Setion 501()(3) organizations. Did the organization make any transfers to an exempt non-haritale related organization? If "Yes," omplete Shedule R, Part V, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization ondut more than 5% of its ativities through an entity that is not a related organization and that is treated as a partnership for federal inome tax purposes? If "Yes," omplete Shedule R, Part VI ~~~~~~~~ Did the organization omplete Shedule O and provide explanations in Shedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to omplete Shedule O 1 3 4a 4 4 4d 5a a a Yes Page 4 No 38 Form 990 (014)

5 Form 990 (014) ST. LUKE S METHODIST HOSPITAL Page 5 Part V Statements Regarding Other IRS Filings and Tax Compliane Chek if Shedule O ontains a response or note to any line in this Part V 1a Enter the numer reported in Box 3 of Form Enter -0- if not appliale ~~~~~~~~~~~ 3a Enter the numer of Forms W-G inluded in line 1a. Enter -0- if not appliale ~~~~~~~~~~ 1 Did the organization omply with akup withholding rules for reportale payments to vendors and reportale gaming If at least one is reported on line a, did the organization file all required federal employment tax returns? ~~~~~~~~~~ Note. If the sum of lines 1a and a is greater than 50, you may e required to e-file (see instrutions) ~~~~~~~~~~~ 7 Organizations that may reeive dedutile ontriutions under setion 170(). a Did the organization reeive a payment in exess of $75 made partly as a ontriution and partly for goods and servies provided to the payor? d e f g h a a a 14a Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained y the Sponsoring organizations maintaining donor advised funds. Setion 501()(7) organizations. Enter: Setion 501()(1) organizations. Enter: 1a Setion 4947(a)(1) non-exempt haritale trusts. Is the organization filing Form 990 in lieu of Form 1041? a (gamling) winnings to prize winners? a Enter the numer of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the alendar year ending with or within the year overed y this return ~~~~~~~~~~ Did the organization have unrelated usiness gross inome of $1,000 or more during the year? ~~~~~~~~~~~~~~ If "Yes," has it filed a Form 990-T for this year? If "No," to line 3, provide an explanation in Shedule O ~~~~~~~~~~ 4a At any time during the alendar year, did the organization have an interest in, or a signature or other authority over, a finanial aount in a foreign ountry (suh as a ank aount, seurities aount, or other finanial aount)?~~~~~~~ If "Yes," enter the name of the foreign ountry: J See instrutions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Finanial Aounts (FBAR). 5a Was the organization a party to a prohiited tax shelter transation at any time during the tax year? ~~~~~~~~~~~~ Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transation? ~~~~~~~~~ If "Yes," to line 5a or 5, did the organization file Form 8886-T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6a Does the organization have annual gross reeipts that are normally greater than $100,000, and did the organization soliit any ontriutions that were not tax dedutile as haritale ontriutions? If "Yes," did the organization inlude with every soliitation an express statement that suh ontriutions or gifts were not tax dedutile? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization notify the donor of the value of the goods or servies provided? Setion 501()(9) qualified nonprofit health insurane issuers. Note. See the instrutions for additional information the organization must report on Shedule O. Did the organization reeive any payments for indoor tanning servies during the tax year? ~~~~~~~~~~~~~~~~ If "Yes," has it filed a Form 70 to report these payments? If "No," provide an explanation in Shedule O 1a a ~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization sell, exhange, or otherwise dispose of tangile personal property for whih it was required to file Form 88? ~~~~~~~~~~~~~~~ If "Yes," indiate the numer of Forms 88 filed during the year ~~~~~~~~~~~~~~~~ Did the organization reeive any funds, diretly or indiretly, to pay premiums on a personal enefit ontrat? Did the organization, during the year, pay premiums, diretly or indiretly, on a personal enefit ontrat? 7d 10a 10 11a ~~~~~~~ ~~~~~~~~~ If the organization reeived a ontriution of qualified intelletual property, did the organization file Form 8899 as required? ~ If the organization reeived a ontriution of ars, oats, airplanes, or other vehiles, did the organization file a Form 1098-C? sponsoring organization have exess usiness holdings at any time during the year? ~~~~~~~~~~~~~~~~~~~ Did the sponsoring organization make any taxale distriutions under setion 4966? Did the sponsoring organization make a distriution to a donor, donor advisor, or related person? Initiation fees and apital ontriutions inluded on Part VIII, line 1 ~~~~~~~~~~~~~~~ Gross reeipts, inluded on Form 990, Part VIII, line 1, for puli use of lu failities ~~~~~~ Gross inome from memers or shareholders ~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross inome from other soures (Do not net amounts due or paid to other soures against amounts due or reeived from them.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," enter the amount of tax-exempt interest reeived or arued during the year ~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~ Is the organization liensed to issue qualified health plans in more than one state? ~~~~~~~~~~~~~~~~~~~~~ Enter the amount of reserves the organization is required to maintain y the states in whih the organization is liensed to issue qualified health plans ~~~~~~~~~~~~~~~~~~~~~~ Enter the amount of reserves on hand~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a 3 4a 5a 5 5 6a 6 7a 7 7 7e 7f 7g 7h 8 9a 9 1a 13a 14a Yes No 14 Form 990 (014) 5

6 Form 990 (014) ST. LUKE S METHODIST HOSPITAL Page 6 Part VI Governane, Management, and Dislosure For eah "Yes" response to lines through 7 elow, and for a "No" response to line 8a, 8, or 10 elow, desrie the irumstanes, proesses, or hanges in Shedule O. See instrutions. Chek if Shedule O ontains a response or note to any line in this Part VI Setion A. Governing Body and Management 1a Enter the numer of voting memers of the governing ody at the end of the tax year ~~~~~~ If there are material differenes in voting rights among memers of the governing ody, or if the governing a 9 Is there any offier, diretor, trustee, or key employee listed in Part VII, Setion A, who annot e reahed at the organization s mailing address? If "Yes," provide the names and addresses in Shedule O Setion B. Poliies (This Setion B requests information aout poliies not required y the Internal Revenue Code.) 1a a 16a exempt status with respet to suh arrangements? Setion C. Dislosure 17 List the states with whih a opy of this Form 990 is required to e filed J NONE ody delegated road authority to an exeutive ommittee or similar ommittee, explain in Shedule O. Enter the numer of voting memers inluded in line 1a, aove, who are independent ~~~~~~ Did any offier, diretor, trustee, or key employee have a family relationship or a usiness relationship with any other offier, diretor, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization delegate ontrol over management duties ustomarily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to a management ompany or other person? ~~~~~~~~~~~~~~ Did the organization make any signifiant hanges to its governing douments sine the prior Form 990 was filed? ~~~~~ Did the organization eome aware during the year of a signifiant diversion of the organization s assets? ~~~~~~~~~ Did the organization have memers or stokholders? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7a Did the organization have memers, stokholders, or other persons who had the power to elet or appoint one or more memers of the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Are any governane deisions of the organization reserved to (or sujet to approval y) memers, stokholders, or persons other than the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization ontemporaneously doument the meetings held or written ations undertaken during the year y the following: The governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Eah ommittee with authority to at on ehalf of the governing ody? Desrie in Shedule O the proess, if any, used y the organization to review this Form 990. Did the organization have a written onflit of interest poliy? If "No," go to line 13 ~~~~~~~~~~~~~~~~~~~~ Were offiers, diretors, or trustees, and key employees required to dislose annually interests that ould give rise to onflits? ~~~~~~ Did the organization regularly and onsistently monitor and enfore ompliane with the poliy? If "Yes," desrie in Shedule O how this was done ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ for puli inspetion. Indiate how you made these availale. Chek all that apply. Own wesite Another s wesite Upon request Other (explain in Shedule O) 1a 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~ 10a Did the organization have loal hapters, ranhes, or affiliates? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization have written poliies and proedures governing the ativities of suh hapters, affiliates, and ranhes to ensure their operations are onsistent with the organization s exempt purposes? ~~~~~~~~~~~~~ 11a Has the organization provided a omplete opy of this Form 990 to all memers of its governing ody efore filing the form? Did the organization have a written whistlelower poliy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization have a written doument retention and destrution poliy? ~~~~~~~~~~~~~~~~~~~~~~ Did the proess for determining ompensation of the following persons inlude a review and approval y independent persons, omparaility data, and ontemporaneous sustantiation of the delieration and deision? The organization s CEO, Exeutive Diretor, or top management offiial Other offiers or key employees of the organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line 15a or 15, desrie the proess in Shedule O (see instrutions). ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization invest in, ontriute assets to, or partiipate in a joint venture or similar arrangement with a taxale entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization follow a written poliy or proedure requiring the organization to evaluate its partiipation in joint venture arrangements under appliale federal tax law, and take steps to safeguard the organization s Setion 6104 requires an organization to make its Forms 103 (or 104 if appliale), 990, and 990-T (Setion 501()(3)s only) availale Desrie in Shedule O whether (and if so, how) the organization made its governing douments, onflit of interest poliy, and finanial statements availale to the puli during the tax year. 0 State the name, address, and telephone numer of the person who possesses the organization s ooks and reords: MILTON E. AUNAN II, SENIOR VP FINANCE/CFO A AVENUE NE, CEDAR RAPIDS, IA Form 990 (014) a 7 8a a 10 11a 1a a 15 16a 16 Yes Yes No No

7 Form 990 (014) ST. LUKE S METHODIST HOSPITAL Page 7 Part VII Compensation of Offiers, Diretors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contrators Chek if Shedule O ontains a response or note to any line in this Part VII Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this tale for all persons required to e listed. Report ompensation for the alendar year ending with or within the organization s tax year. List all of the organization s urrent offiers, diretors, trustees (whether individuals or organizations), regardless of amount of ompensation. Enter -0- in olumns (D), (E), and (F) if no ompensation was paid. List all of the organization s urrent key employees, if any. See instrutions for definition of "key employee." List the organization s five urrent highest ompensated employees (other than an offier, diretor, trustee, or key employee) who reeived reportale ompensation (Box 5 of Form W- and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations. List all of the organization s former offiers, key employees, and highest ompensated employees who reeived more than $100,000 of reportale ompensation from the organization and any related organizations. List all of the organization s former diretors or trustees that reeived, in the apaity as a former diretor or trustee of the organization, more than $10,000 of reportale ompensation from the organization and any related organizations. List persons in the following order: individual trustees or diretors; institutional trustees; offiers; key employees; highest ompensated employees; and former suh persons. Chek this ox if neither the organization nor any related organization ompensated any urrent offier, diretor, or trustee. (A) (B) (C) (D) (E) (F) Name and Title Average hours per week (list any hours for related organizations elow line) Position (do not hek more than one ox, unless person is oth an offier and a diretor/trustee) Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former Reportale ompensation from the organization (W-/1099-MISC) Reportale ompensation from related organizations (W-/1099-MISC) Estimated amount of other ompensation from the organization and related organizations KARL CASSELL 1.00 BOARD MEMBER STEVEN CAVES 1.00 BOARD MEMBER TERRI CHRISTOFFERSEN 1.00 BOARD MEMBER ,6. 0. GREGORY CHURCHILL 1.00 BOARD MEMBER LEE CLANCEY 1.00 BOARD VICE CHAIR CRAIG DOVE 1.00 BOARD MEMBER RANDY EASTON 1.00 BOARD MEMBER , SALLY GRAY 1.00 BOARD CHAIR , ANNE GRUENEWALD 1.00 BOARD MEMBER VICTOR HAMRE 1.00 BOARD MEMBER JOHN HERRING MD 1.00 BOARD SECRETARY CHRIS LINDELL 1.00 BOARD MEMBER KATHLEEN MINETTE 1.00 BOARD MEMBER DOUG OLSON 1.00 BOARD MEMBER WILLIAM PROWELL 1.00 BOARD MEMBER AMY REASNER 1.00 BOARD MEMBER P. JAMES RENZ 1.00 BOARD MEMBER Form 990 (014) 7

8 Form 990 (014) ST. LUKE S METHODIST HOSPITAL Page 8 Part VII Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees (ontinued) (A) (B) (C) (D) (E) (F) Name and title Average Position (do not hek more than one Reportale Reportale Estimated hours per ox, unless person is oth an ompensation ompensation amount of week offier and a diretor/trustee) from from related other (list any the organizations ompensation hours for organization (W-/1099-MISC) from the related (W-/1099-MISC) organization organizations and related elow organizations line) d Su-total~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total from ontinuation sheets to Part VII, Setion A ~~~~~~~~~~ Total (add lines 1 and 1) Individual trustee or diretor Institutional trustee Did the organization list any former offier, diretor, or trustee, key employee, or highest ompensated employee on line 1a? If "Yes," omplete Shedule J for suh individual ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Did any person listed on line 1a reeive or arue ompensation from any unrelated organization or individual for servies rendered to the organization? If "Yes," omplete Shedule J for suh person Setion B. Independent Contrators 1 Total numer of individuals (inluding ut not limited to those listed aove) who reeived more than $100,000 of reportale ompensation from the organization For any individual listed on line 1a, is the sum of reportale ompensation and other ompensation from the organization and related organizations greater than $150,000? If "Yes," omplete Shedule J for suh individual~~~~~~~~~~~~~ Offier MARCIA ROGERS 1.00 BOARD MEMBER BRIAN SCOTT 1.00 BOARD MEMBER CHRIS SKOGMAN 1.00 BOARD MEMBER THEODORE TOWNSEND JR BOARD MEMBER & PRESIDENT/CEO , ,085. STEVEN WAHLE MD 1.00 BOARD MEMBER MILTON AUNAN II SENIOR VP FINANCE/CFO , ,380. MICHELLE NIERMANN SENIOR VP/COO , ,770. MARGARET M BRADKE VP POST-ACUTE SVCS , ,41. MICHAEL EASLEY ADM DIR, FAC, PLNG & OPER , ,014. Complete this tale for your five highest ompensated independent ontrators that reeived more than $100,000 of ompensation from the organization. Report ompensation for the alendar year ending with or within the organization s tax year. (A) (B) (C) Name and usiness address Desription of servies Compensation GRAHAM CONSTRUCTION CO, INC CONSTRUCTION 41 GRAND AVE, DES MOINES, IA SERVICES 7,97,041. MR ASSOCIATES PO BO 686, CEDAR RAPIDS, IA 5406 MR SERVICES 4,159,861. PHYSICIANS CLINIC OF IOWA 0 10TH STREET SE, CEDAR RAPIDS, IA 540 PHYSICIAN SERVICES,3,06. MED-TRANS, CORPORATION, 09 STATE HWY 11 TRANSCRIPTION BYPASS, STE 11, LEWISVILLE, T SERVICES 1,631,775. JOHN DAVID COWDEN, 106 A AVE NE, SUITE 5000, CEDAR RAPIDS, IA 540 PHYSICIAN SERVICES 1,179,305. Total numer of independent ontrators (inluding ut not limited to those listed aove) who reeived more than $100,000 of ompensation from the organization 47 SEE PART VII, SECTION A CONTINUATION SHEETS Form 990 (014) Key employee Highest ompensated employee Former 1,879, ,56. 49,670.,35, , ,730. 4,31, , , Yes 75 No

9 Form 990 Part VII Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees (ontinued) (A) (B) (C) (D) (E) (F) Name and title ST. LUKE S METHODIST HOSPITAL Average hours per week (list any hours for related organizations elow line) Position (hek all that apply) Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former Reportale ompensation from the organization (W-/1099-MISC) Reportale ompensation from related organizations (W-/1099-MISC) Estimated amount of other ompensation from the organization and related organizations CARMEN KLEINSMITH VP NURSING ECELLENCE , ,074. JOSEPH LINN VP OPERATIONS , ,6. MARY ANN OSBORN SENIOR VP/CCO , ,479. PEGGY PICKERING DIR SURGICAL SVCS , ,31. JAIME GASCO-TAMARIT PHYSICIAN-NEUROSURGERY , ,686. JEREMY GLAWATZ PHYSICIAN ASST-NEUROSURGERY ,77. 0.,587. BEVERLY MINEAR RN WKEND OPT A-LIFEGAURD , ,33. PATRICK THIES ADM DIR. MED. AFFAIRS/PHARM SVCS , ,040. LORI WEIH DIR REG. OSC/CONTINUUM STRATEGY , ,975. TODD LANGAGER, MD (TO 1/13) 0.00 FORMER PRESIDENT (CLC) 40.00, , ,019. Total to Part VII, Setion A, line 1,35, , ,

10 Form 990 (014) ST. LUKE S METHODIST HOSPITAL Part VIII Statement of Revenue Contriutions, Gifts, Grants and Other Similar Amounts Program Servie Revenue Other Revenue 1 a d e f g Nonash ontriutions inluded in lines 1a-1f: $ h 1a 1 1 1d 1e 1f Total. Add lines 1a-1f Business Code a PHARMACY REVENUE ,911, ,89, ,08,047. NET PATIENT REVENUE ,856, ,856,536. LABORATORY SERVICES d MGMT & SUPPORT SVCS e SUBS & JOINT VENTURES ,783,659. 4,877,637. 4,566, ,783,659. 4,761,050. 4,537, ,587. 9,86. f All other program servie revenue ~~~~~ ,68,688. 5,614, ,11. g Total. Add lines a-f 355,64, a d d 8 a 9 a 10 a a a a Misellaneous Revenue Business Code 11 a CAFETERIA/FOOD SVCS 710,086,173.,086,173. MISCELLANEOUS REVENUE , , ,981. Government grants (ontriutions) All other ontriutions, gifts, grants, and similar amounts not inluded aove ~~ Page 9 Chek if Shedule O ontains a response or note to any line in this Part VIII (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exluded exempt funtion usiness from tax under setions revenue revenue Federated ampaigns Memership dues ~~~~~~ ~~~~~~~~ Fundraising events ~~~~~~~~ Related organizations ~~~~~~ Investment inome (inluding dividends, interest, and other similar amounts) ~~~~~~~~~~~~~~~~~ Inome from investment of tax-exempt ond proeeds Royalties Gross rents ~~~~~~~ Less: rental expenses~~~ Rental inome or (loss) ~~ Net rental inome or (loss) 7 a Gross amount from sales of assets other than inventory Less: ost or other asis and sales expenses ~~~ Gain or (loss) ~~~~~~~ (i) Real (ii) Personal (i) Seurities (ii) Other 1,518, ,798. Net gain or (loss) Gross inome from fundraising events (not inluding $ of ontriutions reported on line 1). See Part IV, line 18 ~~~~~~~~~~~~~ Less: diret expenses~~~~~~~~~~ Net inome or (loss) from fundraising events Gross inome from gaming ativities. See Part IV, line 19 ~~~~~~~~~~~~~ Less: diret expenses ~~~~~~~~~ Net inome or (loss) from gaming ativities Gross sales of inventory, less returns and allowanes ~~~~~~~~~~~~~ Less: ost of goods sold ~~~~~~~~ 1,73,763. 1,001, ,96. 1,491, ,060. 6, ,6. 11, , ,53. 55,456. Net inome or (loss) from sales of inventory,467,847. 8,686,174. 8,686, , , , ,746. 7,797. 7,797. d All other revenue ~~~~~~~~~~~~~ e Total. Add lines 11a-11d ~~~~~~~~~~~~~~~,818, Total revenue. See instrutions. 369,553, ,817, ,975. 7,810, Form 990 (014) 10

11 Form 990 (014) ST. LUKE S METHODIST HOSPITAL Part I Statement of Funtional Expenses Setion 501()(3) and 501()(4) organizations must omplete all olumns. All other organizations must omplete olumn (A). Chek if Shedule O ontains a response or note to any line in this Part I Do not inlude amounts reported on lines 6, (A) (B) (C) (D) Total expenses Program servie Management and Fundraising 7, 8, 9, and 10 of Part VIII. expenses general expenses expenses 1 Grants and other assistane to domesti organizations and domesti governments. See Part IV, line 1 ~ 19,818, ,818, a d e f g a d Grants and other assistane to domesti individuals. See Part IV, line ~~~~~~~ Grants and other assistane to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ~~~ Benefits paid to or for memers ~~~~~~~ Compensation of urrent offiers, diretors, trustees, and key employees ~~~~~~~~ Compensation not inluded aove, to disqualified persons (as defined under setion 4958(f)(1)) and persons desried in setion 4958()(3)(B) ~~~ Other salaries and wages ~~~~~~~~~~ Pension plan aruals and ontriutions (inlude setion 401(k) and 403() employer ontriutions) Other employee enefits ~~~~~~~~~~ Payroll taxes ~~~~~~~~~~~~~~~~ Fees for servies (non-employees): Management ~~~~~~~~~~~~~~~~ Legal ~~~~~~~~~~~~~~~~~~~~ Aounting ~~~~~~~~~~~~~~~~~ Loying ~~~~~~~~~~~~~~~~~~ Professional fundraising servies. See Part IV, line 17 Investment management fees ~~~~~~~~ Other. (If line 11g amount exeeds 10% of line 5, olumn (A) amount, list line 11g expenses on Sh O.) Advertising and promotion ~~~~~~~~~ Offie expenses~~~~~~~~~~~~~~~ Information tehnology ~~~~~~~~~~~ Royalties ~~~~~~~~~~~~~~~~~~ Oupany ~~~~~~~~~~~~~~~~~ Travel ~~~~~~~~~~~~~~~~~~~ Payments of travel or entertainment expenses for any federal, state, or loal puli offiials Conferenes, onventions, and meetings ~~ Interest ~~~~~~~~~~~~~~~~~~ Payments to affiliates ~~~~~~~~~~~~ Depreiation, depletion, and amortization ~~ Insurane ~~~~~~~~~~~~~~~~~ Other expenses. Itemize expenses not overed aove. (List misellaneous expenses in line 4e. If line 4e amount exeeds 10% of line 5, olumn (A) e All other expenses 5 Total funtional expenses. Add lines 1 through 4e 350,488,41.308,473,771. 4,014, Joint osts. Complete this line only if the organization reported in olumn (B) joint osts from a omined eduational ampaign and fundraising soliitation. Chek here if following SOP 98- (ASC ) 44, ,630. 3,466,877. 3,466, , , ,077, ,30, ,846, ,46,317. 8,661,503. 1,584, ,157,836. 1,813,349.,344,487. 8,884,715. 7,510,50. 1,374,13. 1,37, ,064,580.,308, , , , ,579, ,396. 1,031, ,568,948. 6,337,601. 4,31,347. 1,394, , , ,178,18. 10,149,713. 1,08, ,601, ,553, , ,774,355. 1,878, ,118. 1,06, , , ,081. 0, ,64. 4,643,063. 4,643, ,165, ,64, , , ,471. amount, list line 4e expenses on Shedule O.) ~~ MEDICAL SUPPLIES 67,060, ,948, ,966. BAD DEBT EPENSE 136, , INCOME TAES 4,500. 4,500. MISCELLANEOUS EPENSE -,748, ,75,517. 3,976,81. Page Form 990 (014) 11

12 Form 990 (014) ST. LUKE S METHODIST HOSPITAL Page 11 Part Balane Sheet Net Assets or Fund Balanes Liailities Assets Chek if Shedule O ontains a response or note to any line in this Part (A) (B) Beginning of year End of year 1 Cash - non-interest-earing ~~~~~~~~~~~~~~~~~~~~~~~~~ 11,86, ,015,048. Savings and temporary ash investments ~~~~~~~~~~~~~~~~~~ 6,654,90. 5,409, Pledges and grants reeivale, net ~~~~~~~~~~~~~~~~~~~~~ 75, , Aounts reeivale, net ~~~~~~~~~~~~~~~~~~~~~~~~~~ 48,50, ,80,38. 5 Loans and other reeivales from urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees. Complete Part II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 6 Loans and other reeivales from other disqualified persons (as defined under setion 4958(f)(1)), persons desried in setion 4958()(3)(B), and ontriuting employers and sponsoring organizations of setion 501()(9) voluntary employees enefiiary organizations (see instr). Complete Part II of Sh L ~~ 6 7 Notes and loans reeivale, net ~~~~~~~~~~~~~~~~~~~~~~~ 8,859, ,68, Inventories for sale or use ~~~~~~~~~~~~~~~~~~~~~~~~~~ 7,654, ,554, Prepaid expenses and deferred harges ~~~~~~~~~~~~~~~~~~ 1,445, ,750, a Land, uildings, and equipment: ost or other asis. Complete Part VI of Shedule D ~~~ 10a 30,685,095. Less: aumulated depreiation ~~~~~~ ,78, ,4, ,90, Investments - pulily traded seurities ~~~~~~~~~~~~~~~~~~~ 153,06, ,430, Investments - other seurities. See Part IV, line 11 ~~~~~~~~~~~~~~ 1 13 Investments - program-related. See Part IV, line 11 ~~~~~~~~~~~~~ 44,964, ,093, Intangile assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other assets. See Part IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~ Total assets. Add lines 1 through 15 (must equal line 34) 433,666, ,835, Aounts payale and arued expenses ~~~~~~~~~~~~~~~~~~ 35,916, ,919, Grants payale ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 670, Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 75, , Tax-exempt ond liailities ~~~~~~~~~~~~~~~~~~~~~~~~~ 0 1 Esrow or ustodial aount liaility. Complete Part IV of Shedule D ~~~~ 1 Loans and other payales to urrent and former offiers, diretors, trustees, key employees, highest ompensated employees, and disqualified persons. Complete Part II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~ 3 Seured mortgages and notes payale to unrelated third parties ~~~~~~ 3 4 Unseured notes and loans payale to unrelated third parties ~~~~~~~~ 3,093, ,349, Other liailities (inluding federal inome tax, payales to related third parties, and other liailities not inluded on lines 17-4). Complete Part of Shedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 111,03, ,66, Total liailities. Add lines 17 through 5 150,979, ,8,037. Organizations that follow SFAS 117 (ASC 958), hek here and omplete lines 7 through 9, and lines 33 and Unrestrited net assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 49,789, ,103, Temporarily restrited net assets ~~~~~~~~~~~~~~~~~~~~~~ 14,384, ,983, Permanently restrited net assets ~~~~~~~~~~~~~~~~~~~~~ 18,513, ,97,39. Organizations that do not follow SFAS 117 (ASC 958), hek here and omplete lines 30 through Capital stok or trust prinipal, or urrent funds ~~~~~~~~~~~~~~~ Paid-in or apital surplus, or land, uilding, or equipment fund ~~~~~~~~ Retained earnings, endowment, aumulated inome, or other funds ~~~~ 3 33 Total net assets or fund alanes ~~~~~~~~~~~~~~~~~~~~~~ 8,687, ,013, Total liailities and net assets/fund alanes 433,666, ,835,66. Form 990 (014)

13 Form 990 (014) ST. LUKE S METHODIST HOSPITAL Page 1 Part I Reoniliation of Net Assets Chek if Shedule O ontains a response or note to any line in this Part I a Total revenue (must equal Part VIII, olumn (A), line 1) Total expenses (must equal Part I, olumn (A), line 5) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Revenue less expenses. Sutrat line from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund alanes at eginning of year (must equal Part, line 33, olumn (A)) ~~~~~~~~~~ Net unrealized gains (losses) on investments Donated servies and use of failities Investment expenses Prior period adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other hanges in net assets or fund alanes (explain in Shedule O) ~~~~~~~~~~~~~~~~~~~ 10 Net assets or fund alanes at end of year. Comine lines 3 through 9 (must equal Part, line 33, olumn (B)) 10 93,013,65. Part II Finanial Statements and Reporting Chek if Shedule O ontains a response or note to any line in this Part II Yes No 1 Aounting method used to prepare the Form 990: Cash Arual Other If the organization hanged its method of aounting from a prior year or heked "Other," explain in Shedule O. Were the organization s finanial statements ompiled or reviewed y an independent aountant? ~~~~~~~~~~~~ If "Yes," hek a ox elow to indiate whether the finanial statements for the year were ompiled or reviewed on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis Were the organization s finanial statements audited y an independent aountant? ~~~~~~~~~~~~~~~~~~~ If "Yes," hek a ox elow to indiate whether the finanial statements for the year were audited on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis If "Yes" to line a or, does the organization have a ommittee that assumes responsiility for oversight of the audit, review, or ompilation of its finanial statements and seletion of an independent aountant?~~~~~~~~~~~~~~~ If the organization hanged either its oversight proess or seletion proess during the tax year, explain in Shedule 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 At and OMB Cirular A-133? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 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 Shedule O and desrie any steps taken to undergo suh audits ,553, ,488,41. 19,065,084. 8,687,156. 3,084, ,8,87. a 3a 3 Form 990 (014)

14 OMB No SCHEDULE A (Form 990 or 990-EZ) Puli Charity Status and Puli Support Complete if the organization is a setion 501()(3) organization or a setion (a)(1) nonexempt haritale trust. Department of the Treasury Attah to Form 990 or Form 990-EZ. Open to Puli Internal Revenue Servie Information aout Shedule A (Form 990 or 990-EZ) and its instrutions is at Inspetion Name of the organization Employer identifiation numer ST. LUKE S METHODIST HOSPITAL Part I Reason for Puli Charity Status (All organizations must omplete this part.) See instrutions. The organization is not a private foundation eause it is: (For lines 1 through 11, hek only one ox.) a d e f g A hurh, onvention of hurhes, or assoiation of hurhes desried in setion 170()(1)(A)(i). A shool desried in setion 170()(1)(A)(ii). (Attah Shedule E.) A hospital or a ooperative hospital servie organization desried in setion 170()(1)(A)(iii). A medial researh organization operated in onjuntion with a hospital desried in setion 170()(1)(A)(iii). Enter the hospital s name, ity, and state: An organization operated for the enefit of a ollege or university owned or operated y a governmental unit desried in setion 170()(1)(A)(iv). (Complete Part II.) A federal, state, or loal government or governmental unit desried in setion 170()(1)(A)(v). An organization that normally reeives a sustantial part of its support from a governmental unit or from the general puli desried in setion 170()(1)(A)(vi). (Complete Part II.) A ommunity trust desried in setion 170()(1)(A)(vi). (Complete Part II.) An organization that normally reeives: (1) more than 33 1/3% of its support from ontriutions, memership fees, and gross reeipts from ativities related to its exempt funtions - sujet to ertain exeptions, and () no more than 33 1/3% of its support from gross investment inome and unrelated usiness taxale inome (less setion 511 tax) from usinesses aquired y the organization after June 30, See setion 509(a)(). (Complete Part III.) An organization organized and operated exlusively to test for puli safety. See setion 509(a)(4). An organization organized and operated exlusively for the enefit of, to perform the funtions of, or to arry out the purposes of one or more pulily supported organizations desried in setion 509(a)(1) or setion 509(a)(). See setion 509(a)(3). Chek the ox in lines 11a through 11d that desries the type of supporting organization and omplete lines 11e, 11f, and 11g. Type I. A supporting organization operated, supervised, or ontrolled y its supported organization(s), typially y giving the supported organization(s) the power to regularly appoint or elet a majority of the diretors or trustees of the supporting organization. You must omplete Part IV, Setions A and B. Type II. A supporting organization supervised or ontrolled in onnetion with its supported organization(s), y having ontrol or management of the supporting organization vested in the same persons that ontrol or manage the supported organization(s). You must omplete Part IV, Setions A and C. Type III funtionally integrated. A supporting organization operated in onnetion with, and funtionally integrated with, its supported organization(s) (see instrutions). You must omplete Part IV, Setions A, D, and E. Type III non-funtionally integrated. A supporting organization operated in onnetion with its supported organization(s) that is not funtionally integrated. The organization generally must satisfy a distriution requirement and an attentiveness requirement (see instrutions). You must omplete Part IV, Setions A and D, and Part V. Chek this ox if the organization reeived a written determination from the IRS that it is a Type I, Type II, Type III funtionally integrated, or Type III non-funtionally integrated supporting organization. Enter the numer of supported organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following information aout the supported organization(s). (i) Name of supported (ii) EIN (iii) Type of organization (iv) Is the organization (v) Amount of monetary (vi) Amount of organization (desried on lines 1-9 listed in your support (see other support (see governing doument? aove or IRC setion Instrutions) Instrutions) (see instrutions)) Yes No Total LHA For Paperwork Redution At Notie, see the Instrutions for Shedule A (Form 990 or 990-EZ) 014 Form 990 or 990-EZ

15 Shedule A (Form 990 or 990-EZ) 014 ST. LUKE S METHODIST HOSPITAL Page Part II Support Shedule for Organizations Desried in Setions 170()(1)(A)(iv) and 170()(1)(A)(vi) (Complete only if you heked the ox 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 elow, please omplete Part III.) Setion A. Puli Support Calendar year (or fisal year eginning in) Total. Add lines 1 through 3 ~~~ 6 Puli support. Sutrat line 5 from line 4. Calendar year (or fisal year eginning in) assets (Explain in Part VI.) ~~~~ Total support. Add lines 7 through 10 (a) 010 () 011 () 01 (d) 013 (e) 014 (f) Total (a) 010 () 011 () 01 (d) 013 (e) 014 (f) Total First five years. If the Form 990 is for the organization s first, seond, third, fourth, or fifth tax year as a setion 501()(3) organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage a 33 1/3% support test If the organization did not hek the ox on line 13, and line 14 is 33 1/3% or more, hek this ox and 17a 10% -fats-and-irumstanes test If the organization did not hek a ox on line 13, 16a, or 16, and line 14 is 10% or more, 18 Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") ~~ Tax revenues levied for the organization s enefit and either paid to or expended on its ehalf ~~~~ The value of servies or failities furnished y a governmental unit to the organization without harge ~ The portion of total ontriutions y eah person (other than a governmental unit or pulily supported organization) inluded on line 1 that exeeds % of the amount shown on line 11, olumn (f) ~~~~~~~~~~~~ Setion B. Total Support Amounts from line 4 ~~~~~~~ Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures ~ Net inome from unrelated usiness ativities, whether or not the usiness is regularly arried on ~ Other inome. Do not inlude gain or loss from the sale of apital Gross reeipts from related ativities, et. (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~ Puli support perentage for 014 (line 6, olumn (f) divided y line 11, olumn (f)) ~~~~~~~~~~~~ Puli support perentage from 013 Shedule A, Part II, line 14 ~~~~~~~~~~~~~~~~~~~~~ stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 33 1/3% support test If the organization did not hek a ox on line 13 or 16a, and line 15 is 33 1/3% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~ 10% -fats-and-irumstanes test If the organization did not hek a ox on line 13, 16a, 16, or 17a, and line 15 is 10% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization ~~~~~~~~ Private foundation. If the organization did not hek a ox on line 13, 16a, 16, 17a, or 17, hek this ox and see instrutions Shedule A (Form 990 or 990-EZ) 014 % %

16 Shedule A (Form 990 or 990-EZ) 014 Part III Support Shedule for Organizations Desried in Setion 509(a)() Calendar year (or fisal year eginning in) The value of servies or failities furnished y a governmental unit to the organization without harge ~ Total. Add lines 1 through 5 ~~~ 7a Amounts inluded on lines 1,, and 3 reeived from disqualified persons Amounts inluded on lines and 3 reeived from other than disqualified persons that exeed the greater of $5,000 or 1% of the amount on line 13 for the year ~~~~~~ Add lines 7a and 7 ~~~~~~~ 8 Puli support (Sutrat line 7 from line 6.) Calendar year (or fisal year eginning in) 9 Amounts from line 6 ~~~~~~~ 10a Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures ~ Unrelated usiness taxale inome (less setion 511 taxes) from usinesses aquired after June 30, 1975 ~~~~ (a) 010 () 011 () 01 (d) 013 (e) 014 (f) Total (a) 010 () 011 () 01 (d) 013 (e) 014 (f) Total 14 First five years. If the Form 990 is for the organization s first, seond, third, fourth, or fifth tax year as a setion 501()(3) organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage Puli support perentage from 013 Shedule A, Part III, line 15 Setion D. Computation of Investment Inome Perentage Page 3 Puli support perentage for 014 (line 8, olumn (f) divided y line 13, olumn (f)) ~~~~~~~~~~~~ 15 % 19a 33 1/3% support tests If the organization did not hek the ox on line 14, and line 15 is more than 33 1/3%, and line 17 is not 0 (Complete only if you heked the ox 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 elow, please omplete Part II.) Setion A. Puli Support Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") ~~ Gross reeipts from admissions, merhandise sold or servies performed, or failities furnished in any ativity that is related to the organization s tax-exempt purpose Gross reeipts from ativities that are not an unrelated trade or usiness under setion 513 ~~~~~ Tax revenues levied for the organization s enefit and either paid to or expended on its ehalf ~~~~ Setion B. Total Support Add lines 10a and 10 ~~~~~~ Net inome from unrelated usiness ativities not inluded in line 10, whether or not the usiness is regularly arried on ~~~~~~~ Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part VI.) ~~~~ Total support. (Add lines 9, 10, 11, and 1.) Investment inome perentage for 014 (line 10, olumn (f) divided y line 13, olumn (f)) Investment inome perentage from 013 Shedule A, Part III, line 17 ~~~~~~~~~~~~~~~~~~ 16 ~~~~~~~~ 17 % more than 33 1/3%, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~ 33 1/3% support tests If the organization did not hek a ox on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, hek this ox and stop here. The organization qualifies as a pulily supported organization~~~~ Private foundation. If the organization did not hek a ox on line 14, 19a, or 19, hek this ox and see instrutions Shedule A (Form 990 or 990-EZ) % %

17 Shedule A (Form 990 or 990-EZ) 014 ST. LUKE S METHODIST HOSPITAL Page 4 Part IV Supporting Organizations (Complete only if you heked a ox on line 11 of Part I. If you heked 11a of Part I, omplete Setions A and B. If you heked 11 of Part I, omplete Setions A and C. If you heked 11 of Part I, omplete Setions A, D, and E. If you heked 11d of Part I, omplete Setions A and D, and omplete Part V.) Setion A. All Supporting Organizations Yes No 1 Are all of the organization s supported organizations listed y name in the organization s governing douments? If "No" desrie in Part VI how the supported organizations are designated. If designated y lass or purpose, desrie the designation. If histori and ontinuing relationship, explain. 1 Did the organization have any supported organization that does not have an IRS determination of status under setion 509(a)(1) or ()? If "Yes," explain in Part VI how the organization determined that the supported organization was desried in setion 509(a)(1) or (). 3a Did the organization have a supported organization desried in setion 501()(4), (5), or (6)? If "Yes," answer () and () elow. 3a Did the organization onfirm that eah supported organization qualified under setion 501()(4), (5), or (6) and satisfied the puli support tests under setion 509(a)()? If "Yes," desrie in Part VI when and how the organization made the determination. 3 Did the organization ensure that all support to suh organizations was used exlusively for setion 170()() (B) purposes? If "Yes," explain in Part VI what ontrols the organization put in plae to ensure suh use. 3 4a Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes" and if you heked 11a or 11 in Part I, answer () and () elow. 4a Did the organization have ultimate ontrol and disretion in deiding whether to make grants to the foreign supported organization? If "Yes," desrie in Part VI how the organization had suh ontrol and disretion despite eing ontrolled or supervised y or in onnetion with its supported organizations. 4 Did the organization support any foreign supported organization that does not have an IRS determination under setions 501()(3) and 509(a)(1) or ()? If "Yes," explain in Part VI what ontrols the organization used to ensure that all support to the foreign supported organization was used exlusively for setion 170()()(B) purposes. 4 5a Did the organization add, sustitute, or remove any supported organizations during the tax year? If "Yes," answer () and () elow (if appliale). Also, provide detail in Part VI, inluding (i) the names and EIN numers of the supported organizations added, sustituted, or removed, (ii) the reasons for eah suh ation, (iii) the authority under the organization s organizing doument authorizing suh ation, and (iv) how the ation was aomplished (suh as y amendment to the organizing doument). 5a Type I or Type II only. Was any added or sustituted supported organization part of a lass already 6 designated in the organization s organizing doument? Sustitutions only. Was the sustitution the result of an event eyond the organization s ontrol? Did the organization provide support (whether in the form of grants or the provision of servies or failities) to anyone other than (a) its supported organizations; () individuals that are part of the haritale lass 5 5 enefited y one or more of its supported organizations; or () other supporting organizations that also support or enefit one or more of the filing organization s supported organizations? If "Yes," provide detail in 7 Part VI. Did the organization provide a grant, loan, ompensation, or other similar payment to a sustantial ontriutor (defined in IRC 4958()(3)(C)), a family memer of a sustantial ontriutor, or a 35-perent 6 8 9a ontrolled entity with regard to a sustantial ontriutor? If "Yes," omplete Part I of Shedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in setion 4958) not desried in line 7? If "Yes," omplete Part I of Shedule L (Form 990). Was the organization ontrolled diretly or indiretly at any time during the tax year y one or more disqualified persons as defined in setion 4946 (other than foundation managers and organizations desried 7 8 in setion 509(a)(1) or ())? If "Yes," provide detail in Part VI. Did one or more disqualified persons (as defined in line 9(a)) hold a ontrolling interest in any entity in whih 9a the supporting organization had an interest? If "Yes," provide detail in Part VI. Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal enefit 9 from, assets in whih the supporting organization also had an interest? If "Yes," provide detail in Part VI. 9 10a Was the organization sujet to the exess usiness holdings rules of IRC 4943 eause of IRC 4943(f) (regarding ertain Type II supporting organizations, and all Type III non-funtionally integrated supporting organizations)? If "Yes," answer () elow. 10a Did the organization have any exess usiness holdings in the tax year? (Use Shedule C, Form 470, to determine whether the organization had exess usiness holdings.) Shedule A (Form 990 or 990-EZ)

18 Shedule A (Form 990 or 990-EZ) 014 ST. LUKE S METHODIST HOSPITAL Page 5 Part IV Supporting Organizations (ontinued) Yes No 11 a Has the organization aepted a gift or ontriution from any of the following persons? A person who diretly or indiretly ontrols, either alone or together with persons desried in () and () elow, the governing ody of a supported organization? A family memer of a person desried in (a) aove? A 35% ontrolled entity of a person desried in (a) or () aove? If "Yes" to a,, or, provide detail in Part VI. 11a Setion B. Type I Supporting Organizations Yes No 1 Did the diretors, trustees, or memership of one or more supported organizations have the power to regularly appoint or elet at least a majority of the organization s diretors or trustees at all times during the tax year? If "No," desrie in Part VI how the supported organization(s) effetively operated, supervised, or ontrolled the organization s ativities. If the organization had more than one supported organization, desrie how the powers to appoint and/or remove diretors or trustees were alloated among the supported organizations and what onditions or restritions, if any, applied to suh powers during the tax year. 1 Did the organization operate for the enefit of any supported organization other than the supported organization(s) that operated, supervised, or ontrolled the supporting organization? If "Yes," explain in Part VI how providing suh enefit arried out the purposes of the supported organization(s) that operated, supervised, or ontrolled the supporting organization. Setion C. Type II Supporting Organizations Yes No 1 Were a majority of the organization s diretors or trustees during the tax year also a majority of the diretors or trustees of eah of the organization s supported organization(s)? If "No," desrie in Part VI how ontrol or management of the supporting organization was vested in the same persons that ontrolled or managed the supported organization(s). 1 Setion D. Type III Supporting Organizations Yes No 1 Did the organization provide to eah of its supported organizations, y the last day of the fifth month of the organization s tax year, (1) a written notie desriing the type and amount of support provided during the prior tax year, () a opy of the Form 990 that was most reently filed as of the date of notifiation, and (3) opies of the organization s governing douments in effet on the date of notifiation, to the extent not previously provided? 1 Were any of the organization s offiers, diretors, or trustees either (i) appointed or eleted y the supported organization(s) or (ii) serving on the governing ody of a supported organization? If "No," explain in Part VI how the organization maintained a lose and ontinuous working relationship with the supported organization(s). 3 By reason of the relationship desried in (), did the organization s supported organizations have a signifiant voie in the organization s investment poliies and in direting the use of the organization s inome or assets at all times during the tax year? If "Yes," desrie in Part VI the role the organization s supported organizations played in this regard. 3 Setion E. Type III Funtionally-Integrated Supporting Organizations 1 Chek the ox next to the method that the organization used to satisfy the Integral Part Test during the year (see instrutions): a The organization satisfied the Ativities Test. Complete line elow. The organization is the parent of eah of its supported organizations. Complete line 3 elow. The organization supported a governmental entity. Desrie in Part VI how you supported a government entity (see instrutions). Ativities Test. Answer (a) and () elow. Yes No a Did sustantially all of the organization s ativities during the tax year diretly further the exempt purposes of the supported organization(s) to whih the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these ativities diretly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these ativities onstituted sustantially all of its ativities. a Did the ativities desried in (a) onstitute ativities that, ut for the organization s involvement, one or more of the organization s supported organization(s) would have een engaged in? If "Yes," explain in Part VI the reasons for the organization s position that its supported organization(s) would have engaged in these ativities ut for the organization s involvement. 3 Parent of Supported Organizations. Answer (a) and () elow. a Did the organization have the power to regularly appoint or elet a majority of the offiers, diretors, or trustees of eah of the supported organizations? Provide details in Part VI. 3a Did the organization exerise a sustantial degree of diretion over the poliies, programs, and ativities of eah of its supported organizations? If "Yes," desrie in Part VI the role played y the organization in this regard Shedule A (Form 990 or 990-EZ)

19 Shedule A (Form 990 or 990-EZ) 014 ST. LUKE S METHODIST HOSPITAL Page 6 Part V Type III Non-Funtionally Integrated 509(a)(3) Supporting Organizations 1 Chek here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 0, See instrutions. All other Type III non-funtionally integrated supporting organizations must omplete Setions A through E. Setion A - Adjusted Net Inome (A) Prior Year (B) Current Year (optional) Net short-term apital gain Reoveries of prior-year distriutions Other gross inome (see instrutions) Add lines 1 through 3 Depreiation and depletion Portion of operating expenses paid or inurred for prodution or olletion of gross inome or for management, onservation, or maintenane of property held for prodution of inome (see instrutions) Other expenses (see instrutions) Adjusted Net Inome (sutrat lines 5, 6 and 7 from line 4) Setion B - Minimum Asset Amount (A) Prior Year (B) Current Year (optional) 1 Aggregate fair market value of all non-exempt-use assets (see instrutions for short tax year or assets held for part of year): a d e Average monthly value of seurities Average monthly ash alanes Fair market value of other non-exempt-use assets Total (add lines 1a, 1, and 1) Disount laimed for lokage or other fators (explain in detail in Part VI): Aquisition indetedness appliale to non-exempt-use assets Sutrat line from line 1d Cash deemed held for exempt use. Enter 1-1/% of line 3 (for greater amount, see instrutions). Net value of non-exempt-use assets (sutrat line 4 from line 3) Multiply line 5 y.035 Reoveries of prior-year distriutions Minimum Asset Amount (add line 7 to line 6) 1a 1 1 1d Setion C - Distriutale Amount Current Year Adjusted net inome for prior year (from Setion A, line 8, Column A) 1 Enter 85% of line 1 Minimum asset amount for prior year (from Setion B, line 8, Column A) 3 Enter greater of line or line 3 4 Inome tax imposed in prior year 5 Distriutale Amount. Sutrat line 5 from line 4, unless sujet to emergeny temporary redution (see instrutions) 6 Chek here if the urrent year is the organization s first as a non-funtionally-integrated Type III supporting organization (see instrutions). Shedule A (Form 990 or 990-EZ)

20 Shedule A (Form 990 or 990-EZ) 014 ST. LUKE S METHODIST HOSPITAL Page 7 Part V Type III Non-Funtionally Integrated 509(a)(3) Supporting Organizations (ontinued) Setion D - Distriutions Current Year 1 Amounts paid to supported organizations to aomplish exempt purposes Amounts paid to perform ativity that diretly furthers exempt purposes of supported organizations, in exess of inome from ativity Administrative expenses paid to aomplish exempt purposes of supported organizations Amounts paid to aquire exempt-use assets Qualified set-aside amounts (prior IRS approval required) Other distriutions (desrie in Part VI). See instrutions. Total annual distriutions. Add lines 1 through 6. 8 Distriutions to attentive supported organizations to whih the organization is responsive (provide details in Part VI). See instrutions Distriutale amount for 014 from Setion C, line 6 Line 8 amount divided y Line 9 amount (i) (ii) (iii) Setion E - Distriution Alloations (see instrutions) Exess Distriutions Underdistriutions Distriutale Pre-014 Amount for Distriutale amount for 014 from Setion C, line 6 Underdistriutions, if any, for years prior to 014 (reasonale ause required-see instrutions) 3 Exess distriutions arryover, if any, to 014: a d e f From 013 Total of lines 3a through e g h i j 4 Applied to underdistriutions of prior years Applied to 014 distriutale amount Carryover from 009 not applied (see instrutions) Remainder. Sutrat lines 3g, 3h, and 3i from 3f. Distriutions for 014 from Setion D, line 7: $ a 5 Applied to underdistriutions of prior years Applied to 014 distriutale amount Remainder. Sutrat lines 4a and 4 from 4. Remaining underdistriutions for years prior to 014, if any. Sutrat lines 3g and 4a from line (if amount greater than zero, see instrutions). 6 Remaining underdistriutions for 014. Sutrat lines 3h and 4 from line 1 (if amount greater than zero, see instrutions). 7 Exess distriutions arryover to 015. Add lines 3j and 4. 8 Breakdown of line 7: a d e Exess from 013 Exess from 014 Shedule A (Form 990 or 990-EZ)