2024-11-14T16:07:03+00:00 2023-12-31 990 2023-01-01 440565393 Saint Lukes North Hospital SAIN 8168916000 5830 NW Barry Road Kansas City MO 64154 ERIN PARDE CHIEF FINANCIAL OFFICER 8168805277 2024-11-14 2023 2024-10-15 13:58:12Z DARREN BASS 5830 NW Barry Road Kansas City MO 64154 233803744 false X WWW.SAINTLUKESKC.ORG X 1989 MO HOSPITAL 13 11 1180 78 1440765 0 1190114 382832 203080359 232329797 167611 694120 4766 204438084 233411515 27077476 31161324 0 77996054 80660771 0 1076 101915515 112975051 206989045 224797146 -2550961 8614369 171062932 177390779 60875118 56839949 110187814 120550830 At Saint Luke's North Hospital, we are committed to providing quality health care services to enhance the physical, mental, and spiritual health of the people of the Northern Kansas City service area and surrounding region. As a member of Saint Luke's Health System we are dedicated to partnering with patients, physicians, payers, health providers, our community, and others. false false 198806482 31161324 230889032 ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION, WHICH IS TO ENSURE THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. IN 2023, THERE WERE 31,800 PATIENT DAYS AND 1,200 NEWBORN DAYS. IN ADDITION, THE HOSPITAL PROVIDED 109,000 OUTPATIENT AND EMERGENCY SERVICES. AS A VOLUNTARY, NONPROFIT, COMPREHENSIVE ORGANIZATION, SAINT LUKE'S NORTH HOSPITAL IS COMMITTED TO SERVING ALL WHO SEEK OUR SERVICES REGARDLESS OF THEIR SOCIOECONOMIC STATUS. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS A FINANCIAL ASSISTANCE POLICY FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. BETWEEN OUR BARRY ROAD AND SMITHVILLE CAMPUSES, SAINT LUKE'S NORTHLAND HOSPITAL HAS 161 LICENSED PATIENT BEDS. BOTH CAMPUSES SERVE THE NORTHERN KANSAS CITY AREA. 198806482 true true false true false false false false true true false false false true false false true false false false false false false false false true true true true true false false false false false false false false false false false false true true true true false false true X 2 0 true 1180 true true true false false false false false false false false false false false X 13 11 true false true false true true true true true false false true true true true true true false false true true X ERIN PARDE 8168916000 5830 NW BARRY ROAD KANSAS CITY MO 64154 ADELE DUCHARME Chief Executive Officer & DIRECTOR TERM END 3/2023 50.0 0.0 X X 468855 0 19530 ALLEN DILLINGHAM DIRECTOR-VICE CHAIR 1.0 3.0 X X 0 0 0 DARREN BASS Chief Executive Officer & DIRECTOR BEG 4/2023 20.0 30.0 X X 332028 0 25479 LAJUANA COUNTS DIRECTOR-CHAIR 1.0 2.0 X X 0 0 0 MARK MCHENRY DIRECTOR-SECRETARY 1.0 0 X X 0 0 0 BRANDON MARTIN DIRECTOR 1.0 0 X 0 0 0 DIANE TRIMBLE DIRECTOR 1.0 49.0 X 0 841927 128635 DONALD TALLEY DIRECTOR 1.0 0 X 0 0 0 GEORGE LAKATOS DIRECTOR 1.0 0 X 0 0 0 HEATHER HALL DIRECTOR 1.0 0 X 0 0 0 JANE BROWN DIRECTOR 1.0 0 X 0 0 0 JASON DILTS MD DIRECTOR 1.0 0 X 0 0 0 KELLEN MUMM DIRECTOR 1.0 0 X 0 0 0 NANETTE JOHNSON DIRECTOR 1.0 0 X 0 0 0 ROBERT LOCK DIRECTOR 1.0 0 X 0 0 0 TROY SCHULTE DIRECTOR 1.0 0 X 0 0 0 AMY BRUMMER CHIEF NURSING OFFICER 50.0 0.0 X 318235 0 69522 ERIN PARDE TREASURER & CHIEF FINANCIAL OFFICER 48.0 2.0 X 392182 0 75479 PATRICK ALTENHOFEN VP-OPERATIONS 49.0 1.0 X 307044 0 49194 WILLIAM GILBIRDS MD VP-MEDICAL AFFAIRS 10.0 40.0 X 0 472964 24034 BETH BELLIN Registered Nurse 40.0 0 X 188045 0 8709 BRETT NELSON PHARMACY TECH 40.0 0 X 166747 0 39658 DEBBIE JO WRIEDT QUALITY RISK COMP DIRECTOR 40.0 0 X 214668 0 18857 DELLA BAHMANDAR DIRECTOR-PHARMACY 40.0 0 X 180690 0 28676 LISA WILLIAMS PHARMACIST 40.0 0 X 166821 0 18509 JULIE MURPHY FORMER Chief Financial Officer 0.0 50.0 X 0 265609 6549 2735317 1580500 512831 106 true true false ADVIVUM ANESTHESIA PC 5830 NW BARRY ROAD KANSAS CITY MO 64154 MEDICAL SERVICES 3695041 P1 GROUP INC 16210 W 108TH ST LENEXA MO 66219 MAINTENANCE 2964261 MCCOWN GORDON CONSTRUCTION 850 Main St Kansas City MO 64105 Construction 2096460 HOSPITAL LINEN SERVICES INC 611 S 4 St Kansas City KS 66105 Laundry Services 720660 DAVID E ROSS CONSTRUCTION COMPANY 10201 E 75TH STREET RAYTOWN MO 64138 CONSTRUCTION 659721 19 166665 198160 18007 0 382832 Net Patient Revenue 622110 221110086 221110086 Retail Pharmacy 446110 5092913 3652148 1440765 Medical Office Rents 531120 4849318 4849318 1277480 1277480 0 0 232329797 372734 372734 4766 4766 0 0 713615 392229 0 321386 321386 321386 0 0 0 0 0 233411515 230889032 1440765 698886 31139324 31139324 22000 22000 2057549 2057549 62286594 59038608 3247986 2462227 2227684 234543 9099178 8349134 750044 4755223 4368701 386522 32649 32649 22336595 21179180 1157415 0 6042 1450 4592 3668272 3045524 622748 1070550 189597 880953 6232894 5838377 394517 70390 58071 12319 42247 32974 9273 1204355 1138718 65637 9824268 9503412 319780 1076 818365 644574 173791 Medical Supplies 29131329 29131329 Shared Expense 23753358 8322063 15431295 Bad Debt 13978395 13978395 805342 597367 207975 0 224797146 198806482 25989588 1076 2465 2475 53078306 56361535 25778935 28571774 0 0 0 0 3637095 3869796 418194 470391 234521002 152221580 79946888 82299422 0 0 8201049 5815386 171062932 177390779 13469948 14359973 36928387 35434855 0 0 10476783 7045121 60875118 56839949 X 108655051 118723586 1532763 1827244 110187814 120550830 171062932 177390779 X 8614369 1748647 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 27992 false false false 27992 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE F-PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS AND MEDICAL ORGANIZATIONS USED TOWARD LOBBYING ACTIVITIES. 318969 144500 207 17500 79794 366382 262953 139800 159 28075 55868 318969 251007 122100 178 53000 57332 262953 228975 128500 427 46750 60145 251007 176929 122292 864 16500 54610 228975 1.0 0.0 0.0 false false 7709759 7709759 106860923 58027327 48833596 10677861 9922235 755626 100121464 78915639 21205825 9150995 5356379 3794616 82299422 Payables to Affiliates 7011236 Other Liabilities 33885 7045121 Schedule D, Part XI PART XI AND XII THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. Schedule D, Part V, Line 4 Intended uses of endowment funds THE INTENDED USE OF ENDOWMENT FUNDS INCLUDES BUT IS NOT LIMITED TO MEDICAL STAFF DEVELOPMENT, GENERAL OPERATIONS OF THE HOSPITAL, AND STUDENT SCHOLARSHIPS. true true X true X true X true true false false 3028397 3028397 0.0144 40002793 34387612 5615181 0.0266 0 0.0 0 0 43031190 34387612 8643578 0.0410 246276 246276 0.0012 19200 19200 0.0001 267248 267248 0.0013 0 0.0 225427 525 224902 0.0011 0 0 758151 525 757626 0.0036 0 0 43789341 34388137 9401204 0.0446 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 13978395 34014629 39226904 -5212275 X true true Saint Lukes North Surgery Center LLC AMBULATORY SURGERY CENTER 0.69 0.0 0.21 2 1 SAINT LUKES NORTH HOSPITAL-BARRY 5830 NW BARRY ROAD KANSAS CITY MO 64154 365-25 X X X A 2 SAINT LUKES NORTH HOSPITAL-SMV 601 S 169 HIGHWAY SMITHVILLE MO 64089 43-57 X REHABILITATION AND BEHAVIORAL HEALTH A A 2 false false true X X X X X X X X X 23 true true false true X https://www.saintlukeskc.org/community-health-needs-assessments-implementation-plans X true 23 true https://www.saintlukeskc.org/community-health-needs-assessments-implementation-plans false true X 200.0 300.0 X X true true X X X true X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - FACILITY GROUP A - SAINT LUKES NORTH HOSPITAL-BARRY AND SAINT LUKES NORTH HOSPITAL-SMV. Two (2) interviews were conducted with two community partner participants to gain insight into perceptions about community health issues in the SLN community. Participants included individuals representing public health departments, social service organizations, community health centers, and similar organizations. Community and hospital staff meetings were conducted across the Kansas City region to obtain input regarding significant health needs of the communities served. Four meetings were comprised of external community partners and public health representatives in each of the five surrounding counties, and four meetings were comprised of staff from Saint Luke's Health System facilities. Seventy-two (72) community partners and public health informants participated in the four community meetings. These individuals represented organizations, including local health departments, non-profit organizations, local businesses, health care providers, local policymakers, and school systems. Individuals from the following organizations were interviewed: Boys & Girls Club of Greater Kansas City, Community Assistance Council, Community Services League, Crittenton Children's Center, Health Forward Foundation, KC CARE Health Center, Platte County Health Department, Saint Luke's Hospital of Kansas City, Saint Luke's North Hospital, Saint Luke's Physician Group, Samuel U. Rodgers Health Center, and Tri-County Mental Health Services. Individuals from the following organizations participated in the community meetings: Clay County Public Health Center, Clay County Senior Services, Hillcrest Platte County, Northland Center for Advanced, Professional Studies (CAPS), Northland Health Care Access, Park Hill School District, Platte County Health Department, Saint Luke's North Hospital, Saint Luke's Health System, and YMCA of Greater Kansas City. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - SAINT LUKES NORTH HOSPITAL-SMV. SAINT LUKES NORTH HOSPITAL- BARRY AND SAINT LUKES NORTH HOSPITAL-SMV CONDUCTED THE CHNA TOGETHER. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - FACILITY GROUP A - SAINT LUKES NORTH HOSPITAL-BARRY AND SAINT LUKES NORTH HOSPITAL-SMV. THE HOSPITAL PLANS TO ADDRESS THE SIGNIFICANT NEEDS AS IDENTIFIED IN ITS CHNA AS FOLLOWS: *Access to Care To address this need, the hospital will implement the following initiatives: 1. Support SLHS initiatives to expand access to telehealth services across the Northland for specialists, primary care physicians and qualified mental health professionals. 2. Provide community and patient support for Medicaid enrollment and expand access to Medicaid recipients at Saint Luke's North Hospital locations. 3. Provide education and training through community-based programs such as breastfeeding support group, mental health support group, behavioral health education, primary stroke center, and myocardial infarction programs. 4. Advocate for and provide case management for vulnerable patients. 5. Provide the Medication Assistance Access Program for patients who are underinsured or uninsured. 6. Expand hiring programs that build pipelines for people of color and local hiring and workforce development programs. 7. Expand programs to introduce school aged students to the health professions. 8. Continue Hospital In Your Home program which provides innovative access to care in the comfort of the patients home. 9. Continue collaborations with Northland Health Alliance, Northland Health Care Access, Federally Qualified Health Centers, public health departments, and community partners to serve the Northland. 10. Assign a liaison to build community partnerships. 11. Identify health care disparities in patient populations by stratifying clinical outcomes measures for chronic conditions by sociodemographic characteristics and develop action plans to address health care equity. 12. Identify and prioritize chronic conditions to focus on (based on stratification of clinical outcomes). 13. Identify and build relationships with partners who will participate in community-based education. 14. Develop a plan for execution of community-based education including curriculum, educators, schedule, evaluation, and collaborators. 15. Establish a multidisciplinary taskforce and develop a strategic plan to improve diversity and cultural competence of the workforce. The strategic plan will include curriculum, educators, evaluation, and collaborators. 16. Explore initiatives to reduce hospital admissions and emergency department visits for ambulatory sensitive conditions, including but not limited to Remote Patient Monitoring and Transitions of Care programs. *Behavioral Health To address this need, the hospital will implement the following initiatives: 1. Operate the 24/7 Behavioral Assessment Center for patients experiencing behavioral health crisis. 2. Provide qualified mental health professionals in the SLN Emergency Department. 3. Expand psychiatry, psychology, and therapy services. 4. Provide crisis intervention training (CIT), suicide prevention programs, QPR suicide prevention training, and mental health education in partnership with community organizations. 5. Continue to evaluate opportunities to collaborate with the Behavioral Health Task Force of the Northland Health Alliance. 6. Identify a leader and assemble a committee focused on using evidence-based practice to advance social connection. 7. Design, establish, and publicize an equitable program to fund (small grants) and support (volunteers, other resources) community organizations providing evidence-based care to adults who are at risk for or experiencing isolation or low social support. Focus areas include access to digital resources, health equity, provision of support groups or other events reducing the health and medical impact of social isolation. 8. Utilizing the U.S. Surgeon General's Advisory on the Healing Effects of Social Connection and Community, develop a comprehensive plan to educate and train health professionals on the health and medical relevance of social connection. 9. Implement education and training programs for health professionals. *Needs of Older Adults To address this need, SLN will implement the following initiatives: 1. Incorporate older adults as a population of focus across evidence-based practice teams. 2. Develop specific action steps for older adults within each of the priority needs assessed for the community (social isolation, chronic condition management, and social drivers of health). 3. Develop comprehensive Falls Risk program to address and prevent falls in older adults. 4. Implement actions steps for older adult initiatives. *Transportation To address this need, SLN will implement the following initiatives: 1. Develop a strategic plan for improving transportation to medical care and healthcare services that includes community partnerships and accountability metrics for transportation providers. 2. Evaluate the use of community health workers as a resource to improve access and connection to community resources and meet SDOH needs for patients and improve community collaboration. 3. Revise transportation policies, assess transportation vendors, review contracts with existing vendors, and develop new agreements to optimize costs and accountability metrics. Saint Luke's North Hospital is addressing all four significant health needs identified in its 2023 Community Health Needs Assessment (CHNA). This implementation strategy outlines specific initiatives set forth to address specific health needs identified in the 2023 CHNA. Saint Luke's North Hospital engages in many other community benefit, preventive, and wellness activities with the goal of improving the health and wellbeing of the diverse communities served. 1 Saint Lukes North Surgery Center LLC 8860 Northeast St 82nd Terrace Kansas City MO 64158 AMBULATORY SURGERY CENTER Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 13978395 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: Performance obligations are identified based on the nature of the services provided. Revenue associated with performance obligations satisfied over time is recognized based on actual charges incurred in relation to total expected (or actual) charges. Performance obligations satisfied over time relate to patients receiving inpatient acute care services. The System measures the performance obligation from admission into the hospital to the point when there are no further services required for the patient, which is generally the time of discharge. For outpatient services, the performance obligation is satisfied as the patient simultaneously receives and consumes the benefits provided as the services are performed. In the case of these outpatient services, recognition of the obligation over time yields the same result as recognizing the obligation at a point in time. Management believes this method provides a faithful depiction of the transfer of services over the term of performance obligations based on the inputs needed to satisfy the obligations. As the Systems performance obligations relate to contracts with a duration of less than one year, the System has applied the optional exemption provided in the guidance and, therefore, is not required to disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially unsatisfied at the end of the reporting period. The unsatisfied or partially unsatisfied performance obligations referred to above are primarily related to inpatient acute care services at the end of the reporting period. The performance obligations for these contracts are generally completed when the patients are discharged, which generally occurs within days or weeks of the end of the reporting period. The System uses a portfolio approach to account for categories of patient contracts as a collective group rather than recognizing revenue on an individual contract basis. The portfolios consist of major payor classes for inpatient revenue and major payor classes and types of services provided for outpatient revenue. Based on the historical collection trends and other analyses, the System believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach were used. The System determines the transaction price, which involves significant estimates and judgment, based on standard charges for goods and services provided, reduced by explicit and implicit price concessions, including contractual adjustments provided to third-party payors, discounts provided to uninsured and underinsured patients in accordance with policy, and/or implicit price concessions based on the historical collection experience of patient accounts. The System determines the transaction price associated with services provided to patients who have third-party payor coverage based on reimbursement terms per contractual agreements, discount policies, and historical experience. For uninsured patients who do not qualify for charity care, the System determines the transaction price associated with services on the basis of charges, reduced by implicit price concessions. Implicit price concessions included in the estimate of the transaction price are based on historical collection experience for applicable patient portfolios. Patients who meet the Systems criteria for charity care are provided care without charge; such amounts are not reported as revenue. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. PATIENT RELATED BAD DEBT IS REPORTED CONSISTENT WITH THE FINANCIAL STATEMENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote SEE FOOTNOTE PROVIDED ABOVE IN THE EXPLANATION FOR PART III, LINE 2 Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN WHAT IT COSTS TO PROVIDE THE CARE AND SERVICES. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THE COST OF PROVIDING THE CARE MAY EXCEED THE FUNDS WE RECEIVE FROM MEDICARE FOR THE SERVICE. OUR SHORTFALL IS CONSIDERED TO BE COMMUNITY BENEFIT. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. ADDITIONALLY, IT IS IMPLIED IN INTERNAL REVENUE SERVICE REVENUE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS, INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance OUR DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF THE PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. FOR ANY REMAINING BALANCES DUE, THE SAME COLLECTION POLICY AND PROCEDURES ARE APPLIED EQUALLY TO ALL PATIENT TYPES. ALTHOUGH WE ARE NOT LEGALLY BOUND BY THE FAIR DEBT COLLECTION PRACTICES ACT, THE PRINCIPLES ADDRESSED ARE GENERALLY FOLLOWED. Schedule H, Part V, Section B, Line 16a FAP website A - SAINT LUKES NORTH HOSPITAL-BARRY: Line 16a URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - SAINT LUKES NORTH HOSPITAL-BARRY: Line 16b URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - SAINT LUKES NORTH HOSPITAL-BARRY: Line 16c URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, AND ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL MEETS WITH STAFF, VOLUNTEERS, PATIENTS, BOARD MEMBERS AND PHYSICIANS. THE FEEDBACK PROVIDED BY THESE GROUPS IS COMMUNICATED TO HOSPITAL MANAGEMENT AND CONSIDERED WHEN DETERMINING THE NEEDS OF THE COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE, PATIENT BILLING AND COLLECTION. IN ADDITION TO THESE POLICIES, THE HOSPITAL PROVIDES EDUCATION ON FINANCIAL ASSISTANCE ELIGIBILITY TO PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES THROUGH MANY SOURCES INCLUDING THE SLHS WEBSITE, INFORMATION ON BILLING STATEMENTS, INFORMATION UPON CHECK-IN LOCATED IN THE ADMITTING PATIENT PACKETS, ON OUR B-131 RELEASE TO TREAT FORMS SIGNED BY ALL PATIENTS REQUESTING SERVICES, VISITS WITH INPATIENTS BY SOCIAL WORKER TEAMS, AND FOLLOW-UP CALLS TO PATIENTS AFTER DISCHARGE. FINANCIAL ASSISTANCE APPLICATIONS OR MEDICAID APPLICATIONS ARE REQUESTED ON ALL UNINSURED INPATIENTS PRIOR TO DISCHARGE. THE HOSPITAL ALSO CONTRACTS WITH ELIGIBILITY ENROLLMENT COMPANIES TO SCREEN ALL UNINSURED PATIENTS, ANY PATIENTS IDENTIFIED BY OUR SOCIAL WORKER OR CASE MANAGEMENT TEAMS, AND ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. THE ELIGIBILITY ENROLLMENT SERVICE ALSO PROVIDES PATIENTS WITH INFORMATION ON FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information BETWEEN OUR BARRY ROAD AND SMITHVILLE HOSPITALS, SAINT LUKE'S NORTH HOSPITAL HAS 161 LICENSED PATIENT BEDS AND MORE THAN 20 SPECIALIZED HEALTH CARE SERVICES. BOTH CAMPUSES SERVE THE NORTHERN KANSAS CITY AREA. Schedule H, Part VI, Line 5 Promotion of community health THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, AND IN GENERAL STEWARDSHIP. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. Schedule H, Part VI, Line 6 Affiliated health care system THE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSIST OF 14 AREA HOSPITAL FACILITIES, AND SEVERAL PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND HOME CARE SERVICES. FOUNDED AS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION, OUR MISSION INCLUDES A COMMITMENT TO THE HIGHEST LEVELS OF EXCELLENCE IN HEALTH CARE AND THE ADVANCEMENT OF MEDICAL RESEARCH AND EDUCATION. THE HEALTH SYSTEM IS AN ALIGNED ORGANIZATION IN WHICH THE PHYSICIANS AND HOSPITALS ASSUME RESPONSIBILITY FOR ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF PEOPLE IN THE METROPOLITAN KANSAS CITY AREA AND THE SURROUNDING REGION. true SAINT LUKES PHYSICIAN GROUP (AFFILIATED 501C3 ORG) 901 E 104th Street Kansas City MO 64131 431598353 501C3 30713767 SUPPORT FOR HEALTHCARE SERVICES ROCKHILL ORTHOPAEDIC SPECIALISTS INC (AFFILIATED 501C3 ORG) 901 E 104th Street Kansas City MO 64131 446014699 501C3 164324 SUPPORT FOR HEALTHCARE SERVICES City of Kansas City Missouri 511 E 11th Street Kansas City MO 64106 170(c)(1) 74400 Community Support NORTHLAND HEALTHCARE ACCESS PO BOX 14414 PARKVILLE MO 64152 431578121 501C3 20000 SUPPORT FOR COMMUNITY PROGRAMS AND HEALTH CARE SERVICES SAINT LUKE'S NEIGHBORHOOD CLINICS LLC (SMLLC of Saint Luke's Health System) 901 E 104th Street Kansas City MO 64131 431747502 501C3 155633 SUPPORT FOR HEALTHCARE SERVICES 5 0 ELIZABETH SPELMAN FOUNDATION 12 22000 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. SCHOLARSHIPS ARE GIVEN TO HIGH SCHOOL GRADUATES PURSUING ADVANCED EDUCATION IN THE MEDICAL FIELD BASED ON ACADEMICS. GRANTS WERE PROVIDED TO ELIGIBLE PATIENTS TO PROVIDE ACCESS TO MEDICALLY NECESSARY CARE SUCH AS MAMMOGRAMS, PRESCRIPTIONS, HEALTH INFUSION TREATMENTS AND MEDICAL SUPPLIES. GRANTS ARE ALSO PROVIDED TO QUALIFIED CHARITIES FOR GENERAL OPERATIONS AND TO BE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE CHARITABLE ORGANIZATION. SUCH GRANTS FURTHER OR SUPPORT A CHARITABLE PURPOSE OF SAINT LUKE'S NORTH HOSPITAL. false false false false false false false true false ADELE DUCHARME Chief Executive Officer & DIRECTOR TERM END 3/2023 126406 0 229848 0 112601 0 16500 0 3030 0 488385 0 100447 0 DARREN BASS Chief Executive Officer & DIRECTOR BEG 4/2023 298317 0 11333 0 22378 0 5845 0 19634 0 357508 0 0 0 DIANE TRIMBLE DIRECTOR 0 488054 0 271200 0 82673 0 100875 0 27760 0 970562 0 162214 JULIE MURPHY FORMER Chief Financial Officer 0 147664 0 47123 0 70822 0 5227 0 1322 0 272158 0 24400 AMY BRUMMER CHIEF NURSING OFFICER 251980 0 37061 0 29194 0 55966 0 13556 0 387757 0 19190 0 WILLIAM GILBIRDS MD VP-MEDICAL AFFAIRS 0 405280 0 63678 0 4006 0 19800 0 4234 0 496998 0 0 PATRICK ALTENHOFEN VP-OPERATIONS 240246 0 46118 0 20681 0 44187 0 5007 0 356238 0 17910 0 ERIN PARDE TREASURER & CHIEF FINANCIAL OFFICER 303195 0 60000 0 28987 0 52254 0 23225 0 467661 0 23026 0 BRETT NELSON PHARMACY TECH 166403 0 0 0 345 0 10518 0 29140 0 206405 0 0 0 LISA WILLIAMS PHARMACIST 165183 0 1500 0 138 0 9294 0 9215 0 185330 0 0 0 DEBBIE JO WRIEDT QUALITY RISK COMP DIRECTOR 193568 0 18865 0 2235 0 9657 0 9200 0 233525 0 0 0 DELLA BAHMANDAR DIRECTOR-PHARMACY 144214 0 0 0 36477 0 8453 0 20223 0 209366 0 0 0 BETH BELLIN Registered Nurse 187550 0 0 0 495 0 8440 0 269 0 196754 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVES. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM. Schedule J, Part I, Line 7 Non-fixed payments THE ORGANIZATION HAS ADOPTED A MANAGEMENT INCENTIVE COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR AND MIDDLE MANAGEMENT TO PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES. THE INCENTIVES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY CONTINGENT ON ACHIEVING QUALITY, PATIENT SATISFACTION, EMPLOYEE ENGAGEMENT, FINANCIAL AND OTHER OPERATIONAL PERFORMANCE TARGETS ESTABLISHED BY THE BOARD'S COMPENSATION COMMITTEE ON AN ANNUAL BASIS. INCENTIVE AWARDS ARE PAID AT THE DISCRETION OF THE BOARD OF DIRECTORS AND DO NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER FINANCIAL RESULTS HAVE BEEN DETERMINED FOR THE CALENDAR YEAR. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS. Schedule J, Part II RELATED COMPENSATION DIANE TRIMBLE DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR WILLIAM GILBIRDS IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096 SAINT LUKE'S NORTH HOSPITAL IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLNH VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. Form 990, Part VI, Line 15 EXECUTIVE AND OFFICER COMPENSATION ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVES. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE BOARD COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons SOME OF OUR DIRECTORS AND EMPLOYED OFFICERS ARE DIRECTORS/OFFICERS/EMPLOYEES OF OUR AFFILIATED 501C3 ORGS. - Business relationship Form 990, Part VI, Line 4 Significant changes to organizational documents The Sixth Amended and Restated Bylaws of Saint Luke's North Hospital were adopted establishing a Professional Affairs Committee. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, APPOINTMENT & REMOVAL OF DIRECTORS AND THE CEO, DEBT, BUDGETS, CAPITAL EXPENDITURES, POLICIES APPLICABLE TO THE ORGANIZATION, AND STRATEGIC OPERATING DECISIONS. AS PART OF AN INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER ALSO PROVIDES VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO THE ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY THE ENTITY'S CFO OR CEO BEFORE FILING. A draft of the Form 990 was provided to the BJC Health System Board and members of the BJC Audit and Community Benefit Committees. THE 990 IS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE FILING ORGANIZATION HAS A COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICY APPLICABLE TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. ANY ACTUAL, POSSIBLE OR PERCEIVED CONFLICT OF INTEREST IS EXPECTED TO BE HANDLED THROUGH FULL AND TIMELY DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSENCE OF PERSUASION IN ANY DISCUSSION AND IN ANY VOTE WHEREIN THE INTEREST IS INVOLVED. DISCLOSURE IS TO BE MADE WHEN THE INTEREST ARISES, AT ANY TIME THE INTEREST BECOMES A MATTER OF GOVERNING BOARD ACTION, AND THEN ANNUALLY THROUGH COMPLETION OF A CONFLICT OF INTEREST QUESTIONNAIRE. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE TO THE PUBLIC THROUGH THE MO SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE ATTACHED TO THIS RETURN. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part VII, Section A, Line 1a, Column (E) RELATED COMPENSATION DIANE TRIMBLE DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR WILLIAM GILBIRDS IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. AVERAGE HOURS REPORTED FOR THE RELATED ORGANIZATION ARE THE AVERAGE HOURS DURING THE TIME EMPLOYED BY THE RELATED ORGANIZATION OR IN A SEPARATE ROLE FOR THE RELATED ORGANIZATION. Form 990, Part VIII, Line 2f Other Program Service Revenue Other Program Service Revenue - Total Revenue: 1277480, Related or Exempt Function Revenue: 1277480, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part X, Line 20 TAX-EXEMPT BOND LIABILITIES THE AMOUNT REPORTED AS TAX-EXEMPT BONDS IS THE PORTION OF SAINT LUKE'S HEALTH SYSTEM BONDS ALLOCATED TO SAINT LUKE'S NORTHLAND HOSPITAL. REQUIRED INFORMATION FOR THE BONDS, INCLUDING SCHEDULE K, IS REPORTED IN THE SAINT LUKE'S HEALTH SYSTEM (EIN: 43-1747502) IRS FORM 990. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Equity Adjustment For Transfer of Assets - 1501579; CHANGE IN INTEREST IN ASSETS OF THE FOUNDATION - 247068; SAINT LUKE'S SURGERY CENTER SHOAL CREEK LLC 8860 NE 82nd Terrace KANSAS CITY MO 64158 824421666 HEALTH CARE MO 1166 -2300764 SAINT LUKE'S NORTH HOSPITAL SAINT LUKES HEALTH SYSTEM 901 E 104TH ST KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501(c)(3) Type III-FI N/A false ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES SOUTH HOSPITAL 12300 METCALF AVE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES EAST HOSPITAL 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES PHYSICIAN GROUP INC 901 E 104TH ST KANSAS CITY MO 64131 431598353 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE 901 E 104TH STREET KANSAS CITY MO 64131 431127200 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false Saint Lukes Hospital of Trenton 191 IOWA BLVD TRENTON MO 64683 431707306 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKE'S HOSPITAL OF CHILLICOTHE 2799 N WASHINGTON CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES CUSHING HOSPITAL 711 MARSHALL LEAVENWORTH KS 66048 480543792 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES CARE 901 E 104TH ST KANSAS CITY MO 64131 260185090 HEALTH CARE MO 501(c)(3) Type II SAINT LUKES HEALTH SYSTEM false MEDICAL PLAZA IMAGING ASSOCIATES LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 431609584 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false ADVANCED UROLOGIC ASSOCIATES INC 901 E 104TH ST KANSAS CITY MO 64131 454725529 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false ROCKHILL ORTHOPAEDIC SPECIALISTS INC 901 E 104TH ST KANSAS CITY MO 64131 453851008 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false BISHOP SPENCER PLACE 4301 MADISON AVENUE KANSAS CITY MO 64111 431139083 RETIREMENT COMMUNITY MO 501(c)(3) 10 SAINT LUKES HEALTH SYSTEM false WINDSOR CARE 4301 MADISON AVENUE KANSAS CITY MO 64111 205284328 HEALTH CARE MO 501(c)(3) 10 THE BISHOP SPENCER PLACE false Saint Luke's Foundation 901 E 104th Street Kansas City MO 64131 446014699 Foundation MO 501(c)(3) 7 SAINT LUKES HEALTH SYSTEM false Saint Luke's Hospital of Allen County Inc 3066 N Kentucky St Iola KS 66749 843362602 Health Care KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false CARDIOMETABOLIC CENTER ALLIANCE INC 4435 MAIN ST KANSAS CITY MO 64111 850768692 MEDICAL RESEARCH MO 501(c)(3) 4 SAINT LUKES HEALTH SYSTEM false Heart Surgeons of Kansas City 4320 WORNALL ROAD Suite 50 KANSAS CITY MO 64111 264663332 Health Care MO 501(c)(3) 10 ST LUKES HOSPITAL OF KANSAS CITY false MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431357824 OWN & OPERATE MEDICAL OFFICE BUILDING MO NA N/A ST LUKES SURGICENTER-LEES SUMMIT LLC 11221 ROE AVE STE 230 OVERLAND PARK KS 66211 470853481 HEALTH CARE MO NA N/A SAINT LUKES SOUTH SURGERY CENTER LLC 11221 ROE AVE STE 230 OVERLAND PARK KS 66211 201721929 HEALTH CARE KS NA N/A SAINT LUKES-GI DIAGNOSTICS 4321 WASHINGTON STE 5700 KANSAS CITY MO 64111 274142549 HEALTH CARE MO NA N/A KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 3651 COLLEGE BLVD LEAWOOD KS 66211 481197295 HEALTH CARE KS NA N/A SAINT LUKES RADIATION THERAPY-LIBERTY LLC 901 E 104TH ST KANSAS CITY MO 64131 473793070 HEALTH CARE MO NA N/A Saint Luke's South Pain Management Center LLC 7651 W 159th Street Overland Park KS 66223 863451115 HEALTH CARE KS NA N/A Saint Lukes North Surgery Center LLC 8860 Northeast St 82nd Terrace Kansas City MO 64158 920591506 Health Care MO Saint Luke's North Hospital Related -562198 2485273 false true 0.69 SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP 901 E 104TH ST KANSAS CITY MO 64131 371471890 INSURANCE SC NA C Corporation false ST LUKES HEALTH VENTURES INC 901 E 104TH ST KANSAS CITY MO 64131 431278476 ACCOUNTING MO NA C Corporation false MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MANAGEMENT MO NA C Corporation false SAINT LUKES HEALTH SYSTEM INSURANCE LTD CAPTIVE CJ NA C Corporation false true true true false false false false false false true false false false false true true true true true Saint Lukes North Surgery Center LLC A 107755 FMV RENT - HOSPITAL CAMPUS - NOT UBI Schedule R, Part V, Line 1 TRANSACTIONS WITH RELATED ORGANIZATIONS SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS. Schedule R, Part V, Line 2 Saint Luke's North Surgery Center, LLC - RENT THE Saint Luke's North Surgery Center, LLC RENT IS FROM A JOINT VENTURE AFFILIATE LEASING SPACE AT MARKET RATES IN A HOSPITAL MEDICAL OFFICE BUILDING TO PROVIDE MEDICAL SERVICES. PER REVENUE RULING 69-463 SUCH RENT IS AN EXCEPTION TO IRC 512(b)(13) AND THUS THE RENT IS NOT TAXABLE AS UNRELATED BUSINESS INCOME.