SCHEDULE O
(Form 990)

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

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
ST LUKES NURSING CENTER INC
 
Employer identification number

43-0991772
Return Reference Explanation
Form 990, Part VI, Line 11b: Form 990 Review Process No review was or will be conducted.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts ANNUAL REVIEW OF CONFLICT OF INTEREST POLICY WITH BOARD OF DIRECTORS AND ANY CONFLICTS ARE NOTED.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available FORM 990, FINANCIAL STATEMENTS AND RECORDS OF MEETINGS ARE AVAILABLE UPON REQUEST IN THE OFFICE OF THE EXECUTIVE DIRECTOR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID: 21013475
Software Version: 2021v4.1