2021-11-11T14:35:54-06:00 2020-12-31 990 2020-01-01 431735565 Saint Luke's Hospital of Chillicothe SAIN 6606461480 2799 N Washington Street Chillicothe MO 64601 CINDY CHRISTENSEN PRESIDENT 2021-11-11 CINDY CHRISTENSEN 999009999 2020 2022-09-23 18:48:47Z Hedrick Medical Center Steven Schieber 2799 N Washington Street Chillicothe MO 64601 69160358 false X www.saintlukeskc.org X 2003 MO CRITICAL ACCESS HOSPITAL 10 5 396 30 0 0 19341 5469666 68592480 62560930 1024649 1129762 0 69636470 69160358 3022293 5024094 0 27556599 27208922 0 86697 31904315 30147254 62483207 62380270 7153263 6780088 80802153 93334044 17802389 22572048 62999764 70761996 X 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. true false 54191089 5024094 62560930 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. 54191089 true true false true false false false false false true false false true true true true true false false false false false false false false true true true false true false false false false false false false true false false false false false true false false false true X 0 0 396 true false false false false false false false false false false false false X 10 5 true false false false true true true true true false false true true true true true true false false false X Paula Littleton 6606461480 2799 N Washington Street Chillicothe MO 64601 BETTY PRESTON-STEELE DIRECTOR-CHAIR 1.0 4.0 X X 0 0 0 CAROL SLOAN DIRECTOR-SECR/TREAS 1.0 0 X X 0 0 0 CYNTHIA CHRISTENSEN DIRECTOR-PRESIDENT 1.0 50.0 X X 0 396413 60131 JOHN MARCOLLA DIRECTOR - VICE CHAIR 1.0 0 X X 0 0 0 DONALD METRY DIRECTOR & EMPLOYED PHYSICIAN 40.0 0 X 281287 0 36463 JANE NEAL DIRECTOR 1.0 0 X 0 0 0 JENNIFER LOVELL DIRECTOR 1.0 0 X 0 0 0 KRISTA CLARK DO DIRECTOR & EMPLOYED PHYSICIAN 40.0 1.0 X 360605 0 36778 PATRICK ALTENHOFEN DIRECTOR 1.0 50.0 X 0 263643 31032 SCOTT CADY DIRECTOR 1.0 0 X 0 0 0 CATHERINE HAMILTON CNO 13.0 38.0 X 230614 0 48465 JANET BUCKMAN CFO 13.0 39.0 X 247915 0 44468 STEVEN SCHIEBER CEO 13.0 38.0 X 434956 0 82209 TERRY PLASTER ASST SECR & EMPLOYEE 40.0 0 X 60691 0 23859 WILLIAM GILBIRDS MD VP-MEDICAL AFFAIRS 17.0 34.0 X 0 437400 20205 ANDREW JOHNSON PHYSICIAN 40.0 0 X 381092 0 35291 ANKUR AGRAWAL PHYSICIAN 40.0 0 X 412695 0 35505 GREGORY MILLER PHYSICIAN 40.0 0 X 378065 0 38381 ROBERT GAEKWAD PHYSICIAN 40.0 0 X 393528 0 25555 YULIA PENISTON PHYSICIAN 40.0 0 X 416649 0 38935 3598096 1097456 557276 28 false true false EMS LLC 7032 COLLECTIONS CENTER DR CHICAGO IL 60693 ER PHYSICIANS 2181391 HAVE A NICE DAY ANESTHESIA ASSOCIATES 2106 WOODCREST CHILLICOTHE MO 64601 ANESTHESIA SERVICES 934560 SHARED MEDICAL SERVICES INC 209 LIMESTONE PASS COTTAGE GROVE WI 635270330 MRI SERVICES 251650 BURNS & MCDONNELL ENGINEERING 9400 WARD PARKWAY KANSAS CITY MO 64114 CONSULTING SERVICES 209620 FAVORITE HEALTHCARE STAFFING INC PO BOX 26225 OVERLAND PARK KS 66225 TEMPORARY STAFFING 179815 7 1774 5455170 12722 10656 5469666 NET PATIENT REVENUE 622110 59744643 59744643 PHARMACY 622110 2483831 2483831 332456 332456 0 0 62560930 1129762 1129762 0 0 0 0 0 0 0 0 0 69160358 62560930 0 1129762 X 5024094 5024094 1888310 715133 1173177 19166139 17810795 1290482 64862 1160933 901226 256532 3175 3610333 3174411 424766 11156 1383207 1217084 161835 4288 23304 23304 62733 62733 7748953 7359705 389156 92 1351 576 775 1148086 988418 157557 2111 179603 141809 37793 1 2444738 2185845 257946 947 52441 23461 28979 1 43560 27204 16356 1423541 1173425 250054 62 927216 865259 61957 Shared expenses 5428284 1988380 3439904 Medical supplies 6055913 6045610 10301 2 Bad Debt 4317518 4317518 290013 231136 58877 0 62380270 54191089 8102484 86697 14055870 39383012 13119126 885042 7454933 5638393 0 0 0 0 1117334 1094414 192355 181324 18462587 10867265 8279444 7595322 19711280 21574317 2912162 3022253 20401 32458 13939248 13927509 80802153 93334044 4144370 4195509 0 0 13658019 18376539 17802389 22572048 X 62826555 70568509 173209 193487 62999764 70761996 80802153 93334044 X 6780088 982144 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 31022 false false false 31022 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY PORTION OF DUES PAID TO VARIOUS HOSPITAL AND MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 182737 63882 118855 3892408 656687 3235721 12341617 8395734 3945883 2045825 1750962 294863 7595322 DUE FROM AFFILIATES BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION ESTIMATED THIRD PARTY PAYOR SETTLEMENTS LONG-TERM DEPOSITS MISCELLANEOUS DUE FROM AFFILIATES BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION ESTIMATED THIRD PARTY PAYOR SETTLEMENTS LONG-TERM DEPOSITS GOODWILL Due from Affiliates 707261 Beneficial Interest in Net Assets of Foundations 193487 Estimated Third Party Payor Settlements 2947839 Long Term Deposits 814000 Right of Use - Lease Asset 9264922 13927509 PAYABLES TO AFFILIATES ESTIMATED THIRD PARTY PAYOR SETTLEMENTS PAYABLES TO AFFILIATES ESTIMATED THIRD PARTY PAYOR SETTLEMENTS Payables To Affiliates 680544 Estimated Third-Party Payor Settlements 174998 Right of Use Lease Obligation 9101997 Accelerated Payments and Deferred Taxes 8419000 18376539 X 65754152 998771 0 998771 64755381 4404977 4404977 69160358 53062000 0 0 53062000 9318270 9318270 62380270 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, 2020, 2019, 2018, AND 2017 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 - 4317518 RRG SUBSCRIBER ALLOCATION - 86525 CONTRIBUTION REVENUE RECORDED IN OTHER EXPENSES - 934 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 - 4317518 Nonoperating Expense Reclassified by Auditors (Other Adjustment) - 752 GRANT EXPENSE RECORDED IN OTHER CHANGES IN FUND BALANCE - 5000000 true true X true X 133 true X true true false false 1401529 711505 690024 0.0119 9503486 7699859 1803627 0.0311 0 0.0 0 0 10905015 8411364 2493651 0.0429 15560 15560 0.0003 0 0.0 5218843 3701527 1517316 0.0261 0 0.0 39840 353 39487 0.0007 0 0 5274243 3701880 1572363 0.0271 0 0 16179258 12113244 4066014 0.0700 0 0.0 0 0.0 1798 1798 0.0000 0 0.0 2480 2480 0.0000 0 0.0 0 0.0 14663 14663 0.0003 0 0.0 0 0 18941 0 18941 0.0003 false 4317518 19398567 19299366 99201 X true true 1 1 HEDRICK MEDICAL CENTER 2799 N WASHINGTON CHILLICOTHE MO 64601 422-18 X X X X HEDRICK MEDICAL CENTER 1 false false true X X X X X X X X X 18 true false false true X https://www.saintlukeskc.org/community-health-needs-assessments-implementation-plans X true 18 true https://www.saintlukeskc.org/community-health-needs-assessments-implementation-plans false true X 133.0 200.0 X X true true X X X true X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - HEDRICK MEDICAL CENTER. HEDRICK MEMORIAL HOSPITAL UNDERTOOK A STRUCTURED APPROACH TO DETERMINE HEALTH NEEDS INCLUDING ANALYSIS OF PUBLIC DATA, INTERVIEWS WITH HEALTHCARE PROFESSIONALS AND INPUT FROM COMMUNITY MEMBERS. IN THE LIVINGSTON COUNTY COMMUNITY, THE CHNA PULLS TOGETHER COMMUNITY FINDINGS AND ADDRESSES TOP HEALTH PRIORITIES TO IMPROVE HEALTH OVER THE NEXT THREE YEARS (2018-2021). THE CHNA TEAM CONDUCTED MULTIPLE TARGETED INTERVIEWS WITH HOSPITAL LEADERSHIP AND COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE NEEDS IN THE COMMUNITY. THE KEY CONTRIBUTORS WERE EXECUTIVE LEADERSHIP OF HEDRICK MEDICAL CENTER AND LIVINGSTON COUNTY HEALTH CENTER. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HEDRICK MEDICAL CENTER. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THREE PRIORITY HEALTH NEEDS: 1. BEHAVIORAL HEALTH CARE THE HOSPITAL WILL PROVIDE SERVICES WITH A PSYCHIATRIC MENTAL HEALTH CLINICAL NURSE SPECIALIST AS WELL AS OFFER A RANGE OF MENTAL HEALTH SERVICES AND TELE-HEALTH SERVICES. THE HOSPITAL WILL SCREEN FOR SOCIAL DETERMINANTS OF HEALTH AND CONNECT PATIENTS TO RESOURCES OUTSIDE THE SCOPE OF THE HOSPITAL. THE MENTAL HEALTH COALITION WILL CONTINUE TO BE A PARTNER OF THE HOSPITAL. TO HELP REDUCE SUBSTANCE ABUSE, THE HOSPITAL WILL SUPPORT THE OPIOID LIMITATION PROGRAM TO RESTRICT THE NUMBER OF OPIOIDS PRESCRIBED AT ANY ONE TIME. 2. IMPROVED ACCESS TO PHYSICAL ACTIVITY AND NUTRITION HEDRICK MEDICAL CENTER OFFERS FREE SPORTS PHYSICALS TO HIGH SCHOOL STUDENTS. THE HOSPITAL HAS DEVELOPED A SPEAKER'S BUREAU WITH THE LIVINGSTON COUNTY HEALTH CENTER TO PRESENT OBESITY-RELATED TOPICS IN THE COMMUNITY, LUNCH-AND-LEARNS, AND WILL OFFER MORE PHYSICAL ACTIVITY OPPORTUNITIES FOR RESIDENTS. THE HOSPITAL ALSO HOLDS AN ANNUAL FOOD DRIVE FOR RESIDENTS IN NEED OF HEALTHY FOOD. 3. SMOKING CESSATION THE HOSPITAL WILL PARTNER WITH THE LIVINGSTON COUNTY HEALTH CENTER TO PROVIDE SMOKING CESSATION CLASSES AND PROVIDE SPEAKERS ON THE TOPIC. THE HOSPITAL EDUCATES PATIENTS ON SMOKING CESSATION OPTIONS AND BENEFITS. THE HOSPITAL COLLABORATES WITH THE LIVINGSTON COUNTY HEALTH CENTER TO PLAN AN ACTIVITY FOR NATIONAL SMOKE-OUT DAY AND TO PROMOTE AND PASS TOBACCO 21 POLICIES. THERE ARE NO NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT ARE NOT BEING ADDRESSED. THE COMMUNITY BENEFIT COORDINATOR MEETS WITH THE EXECUTIVE TEAM AT THE HOSPITAL TO ENSURE THE PROGRAMS IDENTIFIED IN THE IMPLEMENTATION PLAN ARE ACTIVE AND CONTINUE TO MEET THE SIGNIFICANT NEEDS ADDRESSED. 1 HEDRICK FAMILY CARE 2791 N WASHINGTON CHILLICOTHE MO 64601 RURAL HEALTH CLINIC Schedule H, Part V, Section B, Line 20d PRESUMPTIVE ELIGIBILITY DETERMINATIONS THE HOSPITAL IS NOT REQUIRED TO MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS BEFORE ENGAGING IN ECAS BECAUSE IT MAKES REASONABLE EFFORTS TO DETERMINE FAP-ELIGIBILITY BASED ON NOTIFICATION AND PROCESSING OF APPLICATIONS, AS PERMITTED BY 1.501(4)-6(C)(3) AND INDICATED IN THE RESPONSES TO QUESTIONS 20A-20C. 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 ARE FOR THE EMERGENCY DEPARTMENT, AND RURAL HEALTH CLINIC PROVIDED TO THE COMMUNITY. THE COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC INCLUDED IN COLUMN C ARE $5,218,843. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 4317518 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; Schedule H, Part V, Section B, Line 16b FAP Application website - HEDRICK MEDICAL CENTER: Line 16b URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - HEDRICK MEDICAL CENTER: Line 16c URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, 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 9,515, WHILE LIVINGSTON COUNTY (THE COUNTY WHERE THE HOSPITAL IS LOCATED) POPULATION IS 14,702 (2017). THE 35 TO 54 AGE GROUP MADE UP THE LARGEST PORTION OF THE POPULATION AT 25.4% OR 3,735 PEOPLE, FOLLOWED BY THE AGE GROUPS 0 TO 17 AND 65 AND UP AT 20% EACH OR 3,023 AND 2,969 RESPECTIVELY. THE SMALLEST AGE GROUP WAS 18 TO 24 AT 8.3% OF THE POPULATION OR 1,214 PEOPLE. 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 18 AREA HOSPITAL FACILITIES, AND SEVERAL PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND HOME CARE SERVICES. FOUNDED AS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION, OUR MISSION INCLUDES A COMMITMENT TO THE HIGHEST LEVELS OF EXCELLENCE IN HEALTH CARE AND THE ADVANCEMENT OF MEDICAL RESEARCH AND EDUCATION. THE HEALTH SYSTEM IS AN ALIGNED ORGANIZATION IN WHICH THE PHYSICIANS AND HOSPITALS ASSUME RESPONSIBILITY FOR ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF PEOPLE IN THE METROPOLITAN KANSAS CITY AREA AND THE SURROUNDING REGION. true SAINT LUKE'S HEALTH SYSTEM (AFFILIATED 501C3 ORG) 901 E 104th Street Kansas City MO 64131 431747502 501c3 5000000 SUPPORT FOR HEALTHCARE SERVICES 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. false false false false false false false true false CYNTHIA CHRISTENSEN DIRECTOR-PRESIDENT 0 247937 0 110292 0 38185 0 48675 0 11456 0 456544 0 22958 KRISTA CLARK DO DIRECTOR & EMPLOYED PHYSICIAN 346982 0 13000 0 624 0 12825 0 23953 0 397383 0 0 0 DONALD METRY DIRECTOR & EMPLOYED PHYSICIAN 263844 0 15000 0 2443 0 11372 0 25091 0 317750 0 0 0 PATRICK ALTENHOFEN DIRECTOR 0 212334 0 37984 0 13325 0 29213 0 1818 0 294674 0 11330 WILLIAM GILBIRDS MD VP-MEDICAL AFFAIRS 0 363882 0 69930 0 3587 0 15675 0 4530 0 457605 0 0 JANET BUCKMAN CFO 216701 0 26528 0 4685 0 30665 0 13804 0 292383 0 0 0 CATHERINE HAMILTON CNO 201473 0 24720 0 4421 0 28575 0 19890 0 279079 0 0 0 STEVEN SCHIEBER CEO 324594 0 86992 0 23369 0 55403 0 26805 0 517165 0 17704 0 GREGORY MILLER PHYSICIAN 367412 0 10000 0 653 0 14250 0 24131 0 416446 0 0 0 YULIA PENISTON PHYSICIAN 415812 0 0 0 836 0 12825 0 26110 0 455583 0 0 0 ANDREW JOHNSON PHYSICIAN 364569 0 14000 0 2522 0 11400 0 23891 0 416382 0 0 0 ANKUR AGRAWAL PHYSICIAN 394266 0 18000 0 429 0 11400 0 24105 0 448200 0 0 0 ROBERT GAEKWAD PHYSICIAN 372011 0 20000 0 1517 0 11400 0 14155 0 419083 0 0 0 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 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 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. Chillicothe Family Pharmacy COMPANY OWNED BY SCOTT CADY, DIRECTOR 367786 340B PROGRAM PAYMENTS TO THE FILING ORGANIZATION BY INTERESTED PERSON false Form 990, Part III, Line 2 New program services Since March of 2020, the COVID-19 Pandemic has had a tremendous impact on the Hospital and Saint Luke's Health System as a whole. 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. 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 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 oTHER - Total Revenue: 332456, Related or Exempt Function Revenue: 332456, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees OTHER SERVICES - Total Expense: 111332, Program Service Expense: 14444, Management and General Expenses: 96888, Fundraising Expenses: ; PHYSICIAN REMUNERATION - Total Expense: 2792572, Program Service Expense: 2792572, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 4129532, Program Service Expense: 3902620, Management and General Expenses: 226900, Fundraising Expenses: 12; SERVICE CONTRACTS - Total Expense: 715517, Program Service Expense: 650069, Management and General Expenses: 65368, Fundraising Expenses: 80; - 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: ; - 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 - 48868; CHANGE IN INTEREST IN ASSETS OF FOUNDATION - SFAS 136 - 20278; RRG SUBSCRIBER ALLOCATION - -86525; UNREALIZED LOSS RECORDED IN OTHER INCOME FOR BOOKS - 998771; Nonoperating Expense Reclassified by Auditors (Other Adjustment) - 752; 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 N/A false 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 SAINT LUKE'S COLLEGE OF HEALTH SCIENES 624 WESTPORT ROAD KANSAS CITY MO 64111 272716128 POST SECONDARY NURSING EDUCATION MO 501(c)(3) 2 ST LUKES HOSPITAL OF KANSIS CITY 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 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 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 SUITE 50 KANSAS CITY MO 64111 264663332 MEDICAL PRACTICE MO NA C Corporation false SAINT LUKES HEALTH SYSTEM INSURANCE LTD CAPTIVE CJ NA C Corporation false false true true false false true false false false false false false false false true true true false false Schedule R, Part V, Line 1 PART V, ITEM 1, TRANSACTIONS WITH RELATED ORGANIZATIONS SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS.