SAINT LUKES HOSPITAL OF CHILLICOTHE: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SAINT LUKES HOSPITAL OF CHILLICOTHE (EIN 43-1735565)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-11
- IRS object ID
- 202243159349304904
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T13:10:34-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431735565 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Luke's Hospital of Chillicothe | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 6606461480 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2799 N Washington Street | AddressLine1Txt |
| City | Chillicothe | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paula Littleton | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6602148106 | PhoneNum |
| Signature | 2022-11-11 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PAULA | PersonFirstNm |
| Person Last | LITTLETON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hedrick Medical Center | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Steven Schieber | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2799 N Washington Street | AddressLine1Txt |
| City | Chillicothe | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $65,925,999 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.saintlukeskc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | CRITICAL ACCESS HOSPITAL | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 410 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,469,666 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,690,319 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $62,560,930 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $63,505,383 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,129,762 | PYInvestmentIncomeAmt |
| CY Investment Income | $730,297 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $69,160,358 | PYTotalRevenueAmt |
| CY Total Revenue | $65,925,999 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,024,094 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,023,229 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $27,208,922 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $29,790,938 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $88,417 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $30,147,254 | PYOtherExpensesAmt |
| CY Other Expenses | $31,969,787 | CYOtherExpensesAmt |
| PY Total Expenses | $62,380,270 | PYTotalExpensesAmt |
| CY Total Expenses | $73,783,954 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,780,088 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,857,955 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $93,334,044 | TotalAssetsBOYAmt |
| Total Assets EOY | $82,274,802 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,572,048 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,231,923 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $70,761,996 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $62,042,879 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SAINT LUKE'S HOSPITAL OF CHILLICOTHE D/B/A HEDRICK MEDICAL CENTER ("HMC") IS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM. AS A FAITH-BASED COMMUNITY HOSPITAL, HMC'S MISSION IS TO ENHANCE THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THE PATIENTS IT SERVES. AS PART OF SAINT LUKE'S, HMC PARTNERS WITH PATIENTS, PHYSICIANS, PAYERS, EMPLOYEES AND THE COMMUNITIES IT SERVES TO PROVIDE HEALTH CARE SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $64,537,752 | ExpenseAmt |
| Grant | $12,023,229 | GrantAmt |
| Revenue | $63,505,383 | RevenueAmt |
| Desc | SAINT LUKE'S HOSPITAL OF CHILLICOTHE D/B/A/ HEDRICK MEDICAL CENTER ("HMC") IS A LICENSED CRITICAL ACCESS HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES. HMC IS LOCATED IN CHILLICOTHE (LIVINGSTON COUNTY), MISSOURI, APPROXIMATELY 90 MILES NORTHEAST OF KANSAS CITY. HEDRICK MEDICAL CENTER IS A FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE AND HEALTH RELATED SERVICES IN A CARING ENVIRONMENT. AS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM, HMC IS DEDICATED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES SERVED. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS FINANCIAL ASSISTANCE POLICIES FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. IN ADDITION TO THE ACTIVE MEDICAL STAFF, HMC'S SPECIALTY CLINICS HOST MORE THAN 30 VISITING SPECIALISTS. THE HOSPITAL ALSO PROVIDES HEALTH RELATED ACTIVITIES AND SERVICES IN SUPPORT OF THE COMMUNITY, INCLUDING BUT NOT LIMITED TO SOCIAL WORK SERVICES, SPIRITUAL SERVICES, AND COMMUNITY EDUCATION/HEALTH FAIRS. The hospital collaborated with other Saint Luke's Health System entities, the Missouri and Kansas Hospital Associations, and Mid-America Regional council to implement initiatives for establishing COVID testing sites, vaccine distribution, expanding virtual visits, and post-discharge follow-up for COVID-19 patients in addition to expanding coverage for the increase in hospitalized patients. The health system realigned its care and services to continue to treat and care for COVID-19 patients while protecting its employees. | Desc |
| Total Program Service Expenses | $64,537,752 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 410 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Paula Littleton | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6606461480 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2799 N Washington Street | AddressLine1Txt |
| City | Chillicothe | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BETTY PRESTON-STEELE | ||||||||
| DIRECTOR-CHAIR | 1.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CAROL SLOAN | ||||||||
| DIRECTOR-SECR/TREAS | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CYNTHIA CHRISTENSEN | ||||||||
| DIRECTOR-PRESIDENT | 1.0 | 50.0 | Yes (X) | Yes (X) | $0 | $424,412 | $64,241 | |
| JOHN MARCOLLA | ||||||||
| DIRECTOR - VICE CHAIR | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DONALD METRY | ||||||||
| DIRECTOR & EMPLOYED PHYSICIAN | 40.0 | 0 | Yes (X) | $298,745 | $0 | $33,502 | ||
| JANE NEAL | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER LOVELL | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| KRISTA CLARK DO | ||||||||
| DIRECTOR & EMPLOYED PHYSICIAN | 40.0 | 1.0 | Yes (X) | $373,827 | $0 | $39,567 | ||
| PATRICK ALTENHOFEN | ||||||||
| DIRECTOR | 1.0 | 49.0 | Yes (X) | $0 | $313,628 | $32,308 | ||
| SCOTT CADY | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| WYATT PICKERING DO | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| CATHERINE HAMILTON | ||||||||
| Chief Nursing Officer | 13.0 | 39.0 | Yes (X) | $266,863 | $0 | $52,834 | ||
| JANET BUCKMAN | ||||||||
| Chief Financial Officer Term Ended 8/2021 | 13.0 | 40.0 | Yes (X) | $444,482 | $0 | $33,702 | ||
| PAULA LITTLETON | ||||||||
| Chief Financial Officer BEG 9/2021 | 13.0 | 38.0 | Yes (X) | $52,851 | $0 | $7,000 | ||
| STEVEN SCHIEBER | ||||||||
| Chief Executive Officer | 13.0 | 39.0 | Yes (X) | $525,708 | $0 | $117,721 | ||
| TERRY PLASTER | ||||||||
| ASST SECR & EMPLOYEE | 40.0 | 0 | Yes (X) | $65,066 | $0 | $26,111 | ||
| WILLIAM GILBIRDS MD | ||||||||
| VP-MEDICAL AFFAIRS | 17.0 | 34.0 | Yes (X) | $0 | $479,604 | $20,363 | ||
| ANDREW JOHNSON | ||||||||
| PHYSICIAN | 40.0 | 0 | $308,413 | $0 | $22,495 | Yes (X) | ||
| ANKUR AGRAWAL | ||||||||
| PHYSICIAN | 40.0 | 0 | $472,555 | $0 | $40,571 | Yes (X) | ||
| KENNETH TAN | ||||||||
| PHYSICIAN | 40.0 | 0 | $376,193 | $0 | $38,232 | Yes (X) | ||
| MATTHEW HENDRIX | ||||||||
| PHYSICIAN | 40.0 | 0 | $282,044 | $0 | $31,056 | Yes (X) | ||
| ROBERT ANYUMBA | ||||||||
| PHYSICIAN | 40.0 | 0 | $365,973 | $0 | $38,151 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,832,721 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,217,644 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $597,855 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 37 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMS LLC | |||||
| 7032 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | MEDICAL SERVICES | $2,155,435 |
| HAVE A NICE DAY ANESTHESIA ASSOCIATES | |||||
| 2106 WOODCREST | CHILLICOTHE | MO | 64601 | MEDICAL SERVICES | $908,880 |
| SHARED MEDICAL SERVICES INC | |||||
| 209 LIMESTONE PASS | COTTAGE GROVE | WI | 635270330 | MEDICAL SERVICES | $277,550 |
| DML CONSULTING INC | |||||
| 3701 W BROADWAY | BROKEN ARROW | OK | 74012 | Consulting Services | $185,728 |
| EMS OF CHILLICOTHE LLC | |||||
| 7032 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | MEDICAL SERVICES | $185,420 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $840 | RelatedOrganizationsAmt |
| Government Grants | $1,689,228 | GovernmentGrantsAmt |
| All Other Contributions | $251 | AllOtherContributionsAmt |
| Total Contributions | $1,690,319 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 622110 | $61,426,879 | $61,426,879 |
| Pharmacy | 622110 | $1,728,402 | $1,728,402 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $350,102 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $350,102 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $63,505,383 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $730,297 | TotalRevenueColumnAmt |
| Exclusion | $730,297 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,925,999 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,505,383 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $730,297 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,023,229 | TotalAmt |
| Program Services | $12,023,229 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,337,978 | TotalAmt |
| Program Services | $745,640 | ProgramServicesAmt |
| Management And General | $1,592,338 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,326,559 | TotalAmt |
| Program Services | $18,676,409 | ProgramServicesAmt |
| Management And General | $1,584,209 | ManagementAndGeneralAmt |
| Fundraising | $65,941 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,062,854 | TotalAmt |
| Program Services | $884,107 | ProgramServicesAmt |
| Management And General | $175,745 | ManagementAndGeneralAmt |
| Fundraising | $3,002 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,541,348 | TotalAmt |
| Program Services | $3,890,842 | ProgramServicesAmt |
| Management And General | $637,324 | ManagementAndGeneralAmt |
| Fundraising | $13,182 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,522,199 | TotalAmt |
| Program Services | $1,304,426 | ProgramServicesAmt |
| Management And General | $213,344 | ManagementAndGeneralAmt |
| Fundraising | $4,429 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,051 | TotalAmt |
| Management And General | $54,051 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,237 | TotalAmt |
| Management And General | $53,237 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,142,223 | TotalAmt |
| Program Services | $8,808,828 | ProgramServicesAmt |
| Management And General | $333,299 | ManagementAndGeneralAmt |
| Fundraising | $96 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,671 | TotalAmt |
| Program Services | $593 | ProgramServicesAmt |
| Management And General | $21,078 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,150,199 | TotalAmt |
| Program Services | $970,939 | ProgramServicesAmt |
| Management And General | $178,553 | ManagementAndGeneralAmt |
| Fundraising | $707 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $442,735 | TotalAmt |
| Program Services | $138,264 | ProgramServicesAmt |
| Management And General | $304,470 | ManagementAndGeneralAmt |
| Fundraising | $1 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,533,262 | TotalAmt |
| Program Services | $2,267,404 | ProgramServicesAmt |
| Management And General | $264,864 | ManagementAndGeneralAmt |
| Fundraising | $994 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,041 | TotalAmt |
| Program Services | $15,450 | ProgramServicesAmt |
| Management And General | $16,589 | ManagementAndGeneralAmt |
| Fundraising | $2 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,426 | TotalAmt |
| Program Services | $23,732 | ProgramServicesAmt |
| Management And General | $13,694 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,525,855 | TotalAmt |
| Program Services | $1,255,785 | ProgramServicesAmt |
| Management And General | $270,008 | ManagementAndGeneralAmt |
| Fundraising | $62 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $875,081 | TotalAmt |
| Program Services | $796,645 | ProgramServicesAmt |
| Management And General | $78,436 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Shared expenses | $5,159,201 | $1,894,336 | $3,264,865 | |
| Medical supplies | $6,497,576 | $6,480,432 | $17,143 | $1 |
| Bad Debt | $4,185,305 | $4,185,305 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,924 | TotalAmt |
| Program Services | $175,386 | ProgramServicesAmt |
| Management And General | $84,538 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,783,954 | TotalAmt |
| Program Services | $64,537,752 | ProgramServicesAmt |
| Management And General | $9,157,785 | ManagementAndGeneralAmt |
| Fundraising | $88,417 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,383,012 | BOYAmt |
| EOY | $29,043,159 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $885,042 | BOYAmt |
| EOY | $2,461,787 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,638,393 | BOYAmt |
| EOY | $6,100,138 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,094,414 | BOYAmt |
| EOY | $1,016,093 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,324 | BOYAmt |
| EOY | $176,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,777,319 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,719,180 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,595,322 | BOYAmt |
| EOY | $7,058,139 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,574,317 | BOYAmt |
| EOY | $21,377,598 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,022,253 | BOYAmt |
| EOY | $3,017,859 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,458 | BOYAmt |
| EOY | $21,319 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,927,509 | BOYAmt |
| EOY | $12,002,147 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,334,044 | BOYAmt |
| EOY | $82,274,802 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,195,509 | BOYAmt |
| EOY | $4,359,106 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,376,539 | BOYAmt |
| EOY | $15,872,817 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,572,048 | BOYAmt |
| EOY | $20,231,923 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,568,509 | BOYAmt |
| EOY | $61,820,497 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,487 | BOYAmt |
| EOY | $222,382 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,761,996 | BOYAmt |
| EOY | $62,042,879 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,334,044 | BOYAmt |
| EOY | $82,274,802 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,857,955 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$861,162 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $22,757 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $22,757 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | PORTION OF DUES PAID TO VARIOUS HOSPITAL AND MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $182,737 | OtherCostOrOtherBasisAmt |
| Depreciation | $74,250 | DepreciationAmt |
| Book Value | $108,487 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,963,321 | OtherCostOrOtherBasisAmt |
| Depreciation | $965,576 | DepreciationAmt |
| Book Value | $2,997,745 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,578,224 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,726,410 | DepreciationAmt |
| Book Value | $3,851,814 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,053,037 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,952,944 | DepreciationAmt |
| Book Value | $100,093 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,058,139 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Affiliates | $455,930 |
| Beneficial Interest in Net Assets of Foundations | $222,382 |
| Estimated Third Party Payor Settlements | $2,957,959 |
| Long Term Deposits | $814,000 |
| Right of Use - Lease Asset | $7,551,876 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,002,147 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Payables To Affiliates | $1,742,129 |
| Estimated Third-Party Payor Settlements | $1,595,081 |
| Right of Use Lease Obligation | $7,388,952 |
| Accelerated Payments and Advances | $5,098,707 |
| Other Liabilities | $47,948 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,872,817 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $60,824,822 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$877,309 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | -$877,309 | RevenueNotReportedAmt |
| Revenue Subtotal | $61,702,131 | RevenueSubtotalAmt |
| Other Revenues Not Included | $4,223,868 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $4,223,868 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $65,925,999 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $57,597,808 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $57,597,808 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $16,186,146 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $16,186,146 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $73,783,954 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAX ON ITS RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. MANAGEMENT IS NOT AWARE OF ANY UNCERTAINTIES IN INCOME TAX POSITIONS. THE YEARS ENDED DECEMBER 31, 2021, 2020, 2019, AND 2018 REMAIN SUBJECT TO EXAMINATION FOR BOTH FEDERAL AND STATE PURPOSES. |
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | BAD DEBT NET WITH REVENUE FOR BOOKS, INCLUDED IN EXPENSES FOR TAX - 4185305 RRG SUBSCRIBER ALLOCATION - 37723 CONTRIBUTION REVENUE RECORDED IN OTHER EXPENSES - 840 |
| Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements | BAD DEBT NET WITH REVENUE FOR BOOKS, INCLUDED AS EXPENSES FOR TAX - 4185305 GRANT EXPENSE RECORDED IN OTHER CHANGES IN FUND BALANCE - 12000000 CONTRIBUTION REVENUE RECORDED IN OTHER EXPENSES - 840 Rounding - 1 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,430,358 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $614,877 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $815,481 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0117 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,180,473 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,504,161 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,676,312 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0385 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $11,610,831 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,119,038 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,491,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0502 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,610 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,610 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,533,675 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,513,916 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,019,759 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0290 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,210 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,029 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,181 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $5,602,495 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,514,945 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,087,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0300 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $17,213,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,633,983 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,579,343 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0802 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $676 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $676 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,311 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $976 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $7,963 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,963 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,185,305 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $19,797,428 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,601,413 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $196,015 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEDRICK MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2799 N WASHINGTON | AddressLine1Txt |
| City | CHILLICOTHE | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 422-18 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEDRICK MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.saintlukeskc.org/community-health-needs-assessments-implementation-plans | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.saintlukeskc.org/community-health-needs-assessments-implementation-plans | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.saintlukeskc.org/financial-assistance/policy | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.saintlukeskc.org/financial-assistance/policy | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.saintlukeskc.org/financial-assistance/policy | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - HEDRICK MEDICAL CENTER. Input from persons representing the broad interests of the community was taken into account through key informant interviews (6 participants) and community meetings (16 participants). Stakeholders included: individuals with special knowledge of or expertise in public health; local public health departments; hospital staff and providers; representatives of social service organizations; and leaders, representatives, and members of medically underserved, low-income, and minority populations. Individuals from the following organizations were interviewed: Community Action Partnership of North Central Missouri, Community Resource Center, Hedrick Family Care, Hedrick Medical Center, Livingston County Health Center, and Saint Luke's Critical Access Region. Individuals from the Bank Midwest - Chillicothe, Chillicothe City Council, Chillicothe R-2 School District, Hedrick Medical Center, and Main Street Chillicothe participated in the community meetings. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - HEDRICK MEDICAL CENTER. The hospital's CHNA identified the following significant health needs in the community served by Hedrick Medical Center: *Access to Care and Health Insurance (Including Transportation and Access to COVID-19 Treatment and Testing Services) To address this need, HMC will implement the following initiatives: 1. Continue to accept Missouri Medicaid. 2. Expand efforts to enroll community members in Medicaid (via Centauri). 3. Provide assistance to patients with the Medicaid application process. 4. Continue efforts to recruit primary care physicians and specialists into the community. 5. Continue helping patients apply for pharmaceutical company Medication Assistance Access Programs. 6. Continue providing staff to address COVID-19 vaccine safety and benefits, social distancing strategies, masking and PPE, and patient education during discharge planning. 7. Continue operating Rural Health Clinics. 8. Provide COVID-19 vaccinations at Rural Health Clinics. 9. Expand virtual visit options for all community members including low-income communities. 10. Support SLHS efforts to update the Financial Assistance Policy and include coverage for Telehealth (virtual visit) services. 11.Continue conducting "Lunch & Learn" sessions. 12.Continue supporting the Livingston County Healthy Baby Shower for Expectant Mothers. 13.Continue participating in the Livingston County Breastfeeding Taskforce. 14. Provide staffing to health departments to support community-based health promotion events. 15.Enhance partnerships with area FQHCs. 16.Continue providing flu vaccinations in area schools. 17.Continue providing Head Start and sports physicals for area schools. 18.Explore providing Wellness Clinic services for staff of local school districts. 19.Explore providing health services for area schools using telehealth resources. 20.Continue conducting Community Blood Center Drives. 21.Continue screening patients for transportation needs and making referrals for those in need to appropriate community resources, including OATS Transit. 22.Conduct community health education through social media and marketing. 23. Provide hands-only CPR training. *Mental Health and Access to Mental Health Services To address this need, HMC will implement the following initiatives: 1. Actively recruit mental health providers to serve diverse populations. 2. Continue screening patients for social isolation risks and make referrals to appropriate community resources. 3. Continue connecting patients with Senior Life Solutions, a group counseling (mental health services) program for seniors. 4. Explore providing virtual access to social workers in the emergency room. 5. Expand D.A.R.E. programs (currently in Chillicothe schools R-2) to other area schools. 6. Support restoring/expanding Crittenton Children's Center Trauma Smart program into area schools. 7. Explore partnership opportunities with North Central Missouri Mental Health and with Preferred Family Healthcare: a. Patient referrals. b. Crisis intervention (in area schools and elsewhere). c. QPR Training (Question, Persuade, Refer). d. Mental health first aid training. e. Advocacy for state support of mental health services. f. Other services. 8. Continue participation in Green Hills Regional Crisis Intervention Team Council. 9. Provide community mental health education (e.g., for first responders and others having contact with those experiencing mental health crises). 10. Screen students for mental health issues and risks when conducting Head Start and sports physicals. 11.Collaborate with the HMC Foundation in support of D.A.R.E. programs. *Obesity, Physical Inactivity, and Chronic Conditions To address this need, HMC will implement the following initiatives: 1. Expand efforts to screen patients for food insecurity and providing referrals to appropriate community resources. 2. Continue maintaining community walking trails. 3. Establish partnership with Walk Chillicothe. 4. Restart the hospital's fall prevention program, in partnership with the Livingston County Health Center. 5. Re-establish (chronic disease management) weight reduction programs for adults and for children. 6. Establish a stroke support group (either in-person or virtual). 7. Expand partnerships (e.g., with MU Extension) and programs (e.g., Speaker's Bureau) designed to promote healthy eating. 8. Conduct community health events in collaboration with the health departments intended to enhance Women's Heart Health. 9. Consider participating in Trenton R-9 School District Fit-Tastic programs. No hospital organization can address all of the health needs present in its community. HMC is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. HMC plans to address the Substance Use Disorders and Overdoses community health need as part the above strategic initiatives that focus on mental health. HMC does not intend to address two of the other significant community health needs identified through its 2021 CHNA, namely: 1. Poverty. While the hospital's 2021 CHNA identified poverty as a significant community health need, the committee charged with developing this implementation strategy identified other needs as higher priorities for the 2022-2024 HMC implementation strategy. The hospital's Financial Assistance Policy provides discounts for eligible, low-income households and for those with catastrophic medical bills. The hospital also is a major employer in the county and recognizes its role in enhancing the area's economy. This implementation strategy also includes several initiatives designed to ensure that community members living in poverty have access to preventive services and efforts to collaborate with community organizations that assist lowincome residents. 2. Smoking and Tobacco Use. While the hospital's 2021 CHNA identified smoking and tobacco use as a significant community health need, the committee charged with developing this implementation strategy identified three needs as higher priorities for the 2022-2024 HMC implementation strategy. During the course of providing health services, the hospital will be counseling patients who smoke or use tobacco to seek cessation services and will be making referrals to available resources. The hospital's planned support of D.A.R.E. programs is another way that smoking and tobacco use risks will be addressed. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEDRICK FAMILY CARE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2791 N WASHINGTON | AddressLine1Txt |
| City | CHILLICOTHE | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | RURAL HEALTH CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c ASSISTANCE ELIGIBILITY | THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. IN ADDITION, MEDICAL INDIGENCY MAY BE DETERMINED ON AN INDIVIDUAL BASIS FOR INCOME ABOVE THE FEDERAL POVERTY LEVEL WHEN A SINGLE ILLNESS OR INJURY CAUSES HARDSHIP. |
| Schedule H, Part I, Line 7g Subsidized Health Services | SUBSIDIZED HEALTH SERVICES IS FOR THE RURAL HEALTH CLINIC PROVIDED TO THE COMMUNITY. THE COSTS ATTRIBUTABLE TO THE PHYSICIAN RURAL HEALTH CLINIC INCLUDED IN COLUMN C ARE $5,533,675. |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 4185305 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO FROM THE HOSPITAL'S COST REPORT. |
| Schedule H, Part II Community Building Activities | THE ORGANIZATION IS INVOLVED IN SEVERAL COMMUNITY ORGANIZATIONS THAT ARE DEDICATED TO THE IMPROVEMENT OF LIFE IN THE COMMUNITY THROUGH PHYSICAL IMPROVEMENTS AND HOUSING. THE ORGANIZATION HELPS SUPPORT HABITAT FOR HUMANITY THROUGH DONATIONS OF TIME BY EMPLOYEES. MANY OF THE EMPLOYEES PARTICIPATE IN LOCAL ORGANIZATIONS AND CHURCH GROUPS THAT ARE WORKING TO HELP THE COMMUNITY GROW AND BE SUCCESSFUL. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | 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 in the Medical Center receiving inpatient acute care services. The Medical Center measures the performance obligation from admission into the Medical Center, to the point when there are no further services required for the patient, which is generally at the time of discharge. For outpatient and physician clinic 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 outpatient and physician clinic services, recognition of the obligation over time yields the same results as recognizing the obligation at a point in time. The Medical Center believes that this method provides a faithful depiction of the transfer of services over the term of the performance obligations based on the inputs needed to satisfy the obligations. As the Medical Center's performance obligations relate to contracts with a duration of less than one year, the Medical Center has applied the optional exemption provided in FASB ASC 606-10-50-14(a) 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 primarily relate 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 Medical Center 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 payer classes for inpatient revenues and types of services provided for outpatient revenues. Based on historical collection trends and analyses, the Medical Center believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if the individual contract approach were used. The Medical Center 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 payers, discounts provided to uninsured and underinsured patients in accordance with the Medical Center's policy and implicit price concessions based on the historical collection experience of patient accounts. The Medical Center determines the transaction price associated with services provided to patients who have third-party coverage based on reimbursement terms per contractual agreements, discount policies, and historical experience. Generally, patients who are covered by third-party payers are responsible for related deductibles and coinsurance, which vary in amount. For those patients and for uninsured patients who do not qualify for charity care, the Medical Center 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 Medical Center's criteria for charity care are provided care without charge or at amounts less than established rates and 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. THE AMOUNT OF BAD DEBT REPORTED IN THIS FORM 990 IS 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 | THE 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 | - HEDRICK MEDICAL CENTER: Line 16a URL: www.saintlukeskc.org/financial-assistance/policy; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - HEDRICK MEDICAL CENTER: Line 16b URL: www.saintlukeskc.org/financial-assistance/policy; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - HEDRICK MEDICAL CENTER: Line 16c URL: www.saintlukeskc.org/financial-assistance/policy; |
| 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, ANNUAL STRATEGIC PLANNING PROCESS. WE INVITE COMMUNITY FEEDBACK. WE ALSO SEND PATIENT SATISFACTION SURVEYS TO OUR PATIENTS TO MEASURE HOW WE ARE MEETING THEIR NEEDS. |
| 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 | HEDRICK MEDICAL CENTER IS LOCATED IN CHILLICOTHE, MISSOURI, A RURAL COMMUNITY. THE HOSPITAL IS WITHIN A 90 MILE DRIVE OF THE KANSAS CITY METROPOLITAN AREA. THE CITY OF CHILLICOTHE POPULATION IS 9,106, WHILE LIVINGSTON COUNTY (THE COUNTY WHERE THE HOSPITAL IS LOCATED) POPULATION IS 14,969 (2020). The community was defined by considering the geographic origins of the hospital's inpatient discharges and emergency room visits in calendar year 2020. Livingston and Linn counties accounted for approximately 60 percent of the hospital's 2020 inpatient discharges and 78 percent of emergency room cases. The total population of the HMC community in 2019 was 27,239. |
| Schedule H, Part VI, Line 5 Promotion of community health | THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROGRESSIONALS, ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA, PLUS TWO REPRESENTATIVES OF SAINT LUKE'S HEALTH SYSTEM. MEDICAL STAFF PRIVELEGES 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 16 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT LUKE'S HEALTH SYSTEM (AFFILIATED 501C3 ORG) | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 E 104th Street | AddressLine1Txt |
| City | Kansas City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64131 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 431747502 | RecipientEIN |
| IRC Section | 501c3 | IRCSectionDesc |
| Cash Grant | $12,000,000 | CashGrantAmt |
| Purpose Of Grant | SUPPORT FOR HEALTHCARE SERVICES | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE 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 THE FILING ORGANIZATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CYNTHIA CHRISTENSEN | ||||||||||||||
| DIRECTOR-PRESIDENT | $0 | $304,128 | $0 | $79,625 | $0 | $40,659 | $0 | $51,851 | $0 | $12,390 | $0 | $488,653 | $0 | $23,762 |
| PATRICK ALTENHOFEN | ||||||||||||||
| DIRECTOR | $0 | $229,252 | $0 | $67,205 | $0 | $17,172 | $0 | $30,435 | $0 | $1,873 | $0 | $345,936 | $0 | $0 |
| KRISTA CLARK DO | ||||||||||||||
| DIRECTOR & EMPLOYED PHYSICIAN | $360,184 | $0 | $13,000 | $0 | $643 | $0 | $13,050 | $0 | $26,517 | $0 | $413,393 | $0 | $0 | $0 |
| DONALD METRY | ||||||||||||||
| DIRECTOR & EMPLOYED PHYSICIAN | $276,201 | $0 | $18,000 | $0 | $4,544 | $0 | $11,600 | $0 | $21,902 | $0 | $332,247 | $0 | $0 | $0 |
| WILLIAM GILBIRDS MD | ||||||||||||||
| VP-MEDICAL AFFAIRS | $0 | $383,778 | $0 | $92,036 | $0 | $3,789 | $0 | $15,950 | $0 | $4,413 | $0 | $499,967 | $0 | $0 |
| JANET BUCKMAN | ||||||||||||||
| Chief Financial Officer Term Ended 8/2021 | $101,452 | $0 | $65,579 | $0 | $277,450 | $0 | $23,292 | $0 | $10,411 | $0 | $478,184 | $0 | $0 | $0 |
| CATHERINE HAMILTON | ||||||||||||||
| Chief Nursing Officer | $212,506 | $0 | $49,741 | $0 | $4,617 | $0 | $30,899 | $0 | $21,936 | $0 | $319,698 | $0 | $0 | $0 |
| STEVEN SCHIEBER | ||||||||||||||
| Chief Executive Officer | $390,273 | $0 | $104,309 | $0 | $31,126 | $0 | $88,074 | $0 | $29,647 | $0 | $643,429 | $0 | $21,204 | $0 |
| KENNETH TAN | ||||||||||||||
| PHYSICIAN | $353,581 | $0 | $22,000 | $0 | $612 | $0 | $13,050 | $0 | $25,182 | $0 | $414,426 | $0 | $0 | $0 |
| ANDREW JOHNSON | ||||||||||||||
| PHYSICIAN | $306,520 | $0 | $0 | $0 | $1,893 | $0 | $5,800 | $0 | $16,695 | $0 | $330,909 | $0 | $0 | $0 |
| ANKUR AGRAWAL | ||||||||||||||
| PHYSICIAN | $450,079 | $0 | $22,000 | $0 | $476 | $0 | $11,600 | $0 | $28,971 | $0 | $513,126 | $0 | $0 | $0 |
| ROBERT ANYUMBA | ||||||||||||||
| PHYSICIAN | $357,268 | $0 | $7,249 | $0 | $1,456 | $0 | $11,600 | $0 | $26,551 | $0 | $404,125 | $0 | $0 | $0 |
| MATTHEW HENDRIX | ||||||||||||||
| PHYSICIAN | $265,616 | $0 | $3,250 | $0 | $13,178 | $0 | $5,460 | $0 | $25,597 | $0 | $313,101 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4a Severance or change-of-control payment | SEVERANCE PAYMENT INCLUDED IN SCH J, PART II, B(III) OTHER REPORTABLE COMPENSATION: JANET BUCKMAN: 240,000 |
| 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 OFT HE 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 I, Line 3 EXECUTIVE/OFFICER COMPENSATION PROCESS | ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND CFO. 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 II REPORTED COMPENSATION | PATRICK ALTENHOFEN AND CYNTHIA CHRISTENSEN DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. COMPENSATION REPORTED FOR OTHER BOARD MEMBERS IS FOR SERVICES AS EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. BOARD MEMBERS ARE NOT COMPENSATED FOR SERVICES PROVIDED AS DIRECTORS OF THE ORGANIZATION. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR WILLIAM GILBIRDS IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Chillicothe Family Pharmacy | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | COMPANY OWNED BY SCOTT CADY, DIRECTOR | RelationshipDescriptionTxt |
| Transaction | $250,756 | TransactionAmt |
| Transaction | 340B PROGRAM PAYMENTS TO THE FILING ORGANIZATION BY INTERESTED PERSON | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096 | HEDRICK MEDICAL CENTER IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. HEDRICK MEDICAL CENTER'S VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. |
| Form 990, Part VI, Line 15 EXECUTIVE/OFFICER COMPENSATION PROCESS | ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND CFO. 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 DATA. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | STEVEN SCHIEBER, CATHERINE HAMILTON, AND JANET BUCKMAN ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATION. - Business relationship |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | The BYLAWS were amended to reflect the dissolution of the finance 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 SUMMARY OF KEY 990 INFORMATION IS PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND THE 990 DRAFT IS MADE AVAILABLE TO THE COMMITTEE FOR REVIEW. 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 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 MADE AVAILABLE TO THE PUBLIC THROUGH THE MO SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS 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 ORGANIZATION COMPENSATION | PATRICK ALTENHOFEN AND CYNTHIA CHRISTENSEN DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. COMPENSATION REPORTED FOR OTHER BOARD MEMBERS IS FOR SERVICES AS EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. BOARD MEMBERS ARE NOT COMPENSATED FOR SERVICES PROVIDED AS DIRECTORS OF THE ORGANIZATION. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR WILLIAM GILBIRDS IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | Cafeteria Sales - Total Revenue: 196535, Related or Exempt Function Revenue: 196535, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Meals on Wheels - Total Revenue: 13496, Related or Exempt Function Revenue: 13496, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records Transcrt - Total Revenue: 148, Related or Exempt Function Revenue: 148, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous - Total Revenue: 14087, Related or Exempt Function Revenue: 14087, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Operating Revenue - Total Revenue: 35526, Related or Exempt Function Revenue: 35526, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Outside Service Revenue - Total Revenue: 90310, Related or Exempt Function Revenue: 90310, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | CONSULTING - Total Expense: 70768, Program Service Expense: 20905, Management and General Expenses: 49863, Fundraising Expenses: ; OTHER SERVICES - Total Expense: 9051, Program Service Expense: 6118, Management and General Expenses: 2933, Fundraising Expenses: ; PHYSICIAN REMUNERATION - Total Expense: 2941966, Program Service Expense: 2941966, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 5672494, Program Service Expense: 5456645, Management and General Expenses: 215828, Fundraising Expenses: 21; SERVICE CONTRACTS - Total Expense: 447944, Program Service Expense: 383194, Management and General Expenses: 64675, Fundraising Expenses: 75; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | PENSION SETTLEMENT/LIABILITY TRANSFER TO SLHS - 24974; CHANGE IN INTEREST IN ASSETS OF FOUNDATION - SFAS 136 - 28895; RRG SUBSCRIBER ALLOCATION - -37723; UNREALIZED LOSS RECORDED IN OTHER INCOME FOR BOOKS - -877309; Rounding - 1; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 HEALTH SYSTEM | |||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431747502 | HEALTH SYSTEM | KS | 501(c)(3) | Type III-FI | false | N/A | |
| SAINT LUKES NORTH HOSPITAL | |||||||||||
| 5830 NW BARRY RD | KANSAS CITY | MO | 64154 | 440565393 | 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 | MO | 501(c)(3) | 3 | SAINT LUKES HEALTH SYSTEM | false | |
| SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE | |||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431127200 | HEALTH CARE | MO | 501(c)(3) | 3 | SAINT LUKES HEALTH SYSTEM | false | |
| ST LUKES 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 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) | 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 | |
| THE 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 INCORPORATED | |||||||||||
| 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 Luke's 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 Luke's 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 | |
| SAINT LUKE'S COLLEGE OF HEALTH SCIENCES (DISSOLVED JAN 2021) | |||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 272716128 | POST SECONDARY NURSING EDUCATION | MO | 501(c)(3) | 2 | ST LUKES HOSPITAL OF KANSAS CITY | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||
| 7651 W 159th Street | Overland Park | KS | 66223 | 863451115 | HEALTH CARE | KS | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||
| HEART SURGEONS OF KANSAS CITY | |||||||||||
| 4320 WORNALL ROAD | KANSAS CITY | MO | 64111 | 264663332 | MEDICAL PRACTICE | MO | NA | C Corporation | false | SUITE 50 | |
| SAINT LUKES HEALTH SYSTEM INSURANCE LTD | |||||||||||
| CAPTIVE | NA | C Corporation | false | CJ | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (true) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V, Line 1 PART V, ITEM 1, TRANSACTIONS WITH RELATED ORGANIZATIONS | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Comments