2020-11-13T09:31:15-06:00 2019-12-31 990 2019-01-01 480543792 Saint Lukes Cushing Hospital Inc SAIN 8169325100 711 Marshall Street Leavenworth KS 66048 ERIN PARDE CHIEF FINANCIAL OFFICER 2020-11-13 2019 2021-01-29 14:40:06Z ADELE DUCHARME 711 Marshall Street Leavenworth KS 66048 40839661 false X WWW.SAINTLUKESKC.ORG X 1930 KS FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL 9 6 288 23 14339 0 7115525 8632169 35829857 32177270 26423 29336 946 886 42972751 40839661 3820969 4197403 0 15525503 15879518 0 64711 23509194 27466124 42855666 47543045 117085 -6703384 28916417 22548243 12181795 12163762 16734622 10384481 X SAINT LUKE'S CUSHING HOSPITAL 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 THE SAINT LUKE'S HEALTH SYSTEM, WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. false true 41521377 4197403 32162931 SAINT LUKE'S CUSHING HOSPITAL (SLCH) IS A FAITH-BASED, NOT-FOR-PROFIT, COMMUNITY HOSPITAL DEDICATED TO PROVIDING BOTH SERVICES AND LEADERSHIP IN CARING FOR ITS COMMUNITY. ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION, WHICH IS TO ENSURE THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH RELATED SERVICES TO OUR PATIENTS IN A CARING ENVIRONMENT AND ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. IN 2019, THERE WERE 2,000 PATIENT DAYS AND 150 NEWBORN DAYS. IN ADDITION, THE HOSPITAL PROVIDED 12,800 EMERGENCY ROOM VISITS AND 25,000 OUTPATIENT VISITS AND OUTPATIENT SURGERIES. EMERGENCY SERVICES ARE PROVIDED 24 HOURS A DAY, 7 DAYS A WEEK AND ARE STAFFED BY BOARD-CERTIFIED EMERGENCY PHYSICIANS. THE HOSPITAL PARTICIPATES IN THE MEDICAID, TRICARE, AND MEDICARE PROGRAMS AND HAS FINANCIAL ASSISTANCE POLICIES FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. 41521377 true true false true false false false false true true false false true true false false true false false false false false false false false true true true true true false false false false false false false false false false false false false true false false false true X 0 0 288 true true true false false false false false false false false false false false X 9 6 true false false false true true true true true false false false true true true true true false false false X ERIN PARDE 8168916000 5830 NW BARRY ROAD KANSAS CITY MO 64154 KAREN KRAMER DIRECTOR PRESIDENT 1.0 50.0 X X 0 361532 54216 MICHAEL CROW DIRECTOR-CHAIR 1.0 1.0 X X 0 0 0 RICK HANSEN DIRECTOR SECR/TREAS 1.0 0 X X 0 0 0 AMY WILLCOTT DIRECTOR 1.0 0 X 0 0 0 DEBRA HEIDGEN DIRECTOR 1.0 0 X 0 0 0 EDNA WAGNER DIRECTOR 1.0 0 X 0 0 0 JULIE MURPHY DIRECTOR 0.0 50.0 X 0 347785 42309 NANCY BAUDER DIRECTOR 1.0 0 X 0 0 0 TAYLOR WARWICK DIRECTOR 1.0 50.0 X 0 290581 40464 ADELE DUCHARME CEO EFF 3/2019 15.0 35.0 X 0 454182 22305 AMY BRUMMER CNO EFF 3/2019 15.0 35.0 X 0 269197 56500 ERIN PARDE CFO EFF 3/2019 15.0 35.0 X 0 304997 38773 JACKIE MARTIN CFO TERM END 3/2019 32.0 32.0 X 153690 0 38685 KARIN SUNDBLOM CNO TERM END 3/2019 50.0 0 X 136460 0 25827 PATRICK ALTENHOFEN VP OPERATIONS 15.0 35.0 X 237101 0 12428 ROBERT OLM-SHIPMAN CEO TERM END 3/2019 15.0 50.0 X 0 593822 76297 APRIL PENDLETON NURSE MGR 40.0 0 X 170688 0 6071 LISA MATHEWS NURSE MGR 40.0 0 X 141808 0 6829 ROBERT KATZENBERGER MGR-PHARMACY 40.0 0 X 149725 0 26649 SONDRA FAUSETT MGR-RADIOLOGY 40.0 0 X 147581 0 12350 TRICIA SHERLOCK-DUNHAM HOUSE SUPERVISOR 40.0 0 X 154629 0 7076 1291682 2622095 466778 19 false true false EMERGENCY MEDICAL SERVICES KS LLC 920 MAIN STREET SUITE 300 KANSAS CITY MO 64105 EMERGENCY ROOM PHYSICIANS 788798 CLINICAL COLLEAGUES INC PO BOX 824246 PHILADELPHIA PA 19182 ANESTHESIA SERVICES 673709 P1 GROUP INC 16210 W 108TH ST LENEXA KS 66219 MAINTENANCE SERVICES 647838 DAVID E ROSS CONSTRUCTION COMPANY INC 10201 E 75TH ST RAYTOWN MO 64138 CONSTRUCTION SERVICES 409505 FAVORITE HEALTHCARE STAFFING INC 98TH TER BLD 5 STE 150 OVERLAND PARK KS 66212 TEMPORARY STAFFING 220257 5 8514329 117840 8632169 NET PATIENT REVENUE 622110 31034575 31034575 MEDICAL OFFICE RENTS 531120 456871 456871 REGIONAL LAB 541380 341373 327034 14339 344451 344451 0 0 32177270 29336 29336 886 886 0 0 0 0 0 0 0 0 0 0 0 40839661 32162931 14339 30222 X 4190403 4190403 7000 7000 604191 604191 12378798 11342228 974214 62356 418868 317014 101854 1529250 1340261 188989 948411 832511 115900 495 495 4833004 4548380 284624 0 653 653 603721 395306 206060 2355 216653 11394 205259 813799 757511 56288 39098 33243 5855 13433 3741 9692 171105 147640 23465 6076945 5955770 121175 -7894 -18801 10907 BAD DEBT 4106274 4106274 SHARED SERVICES-SLHS 4719656 1734474 2985182 MEDICAL SUPPLIES 5234592 5234419 173 SWAP RELATED COSTS 133010 119975 13035 511580 461981 49599 0 47543045 41521377 5956957 64711 1246432 1114507 274298 291200 3450700 2150189 0 0 0 0 1030065 301278 95333 71802 27478230 16695432 16707535 10782798 599682 508572 225973 196673 0 5286399 7131224 28916417 22548243 2159436 2271980 0 0 10022359 9891782 12181795 12163762 X 14096060 7434691 2638562 2949790 X 16734622 10384481 28916417 22548243 X -6703384 353243 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 3016 false false false 3016 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE F - PORTION OF DUES PAID TO VARIOUS HOSPITAL AND RELATED MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 93607 25200 72 1500 12293 105086 90711 20850 51 3315 14690 93607 91962 19848 30 8750 12379 90711 95109 15850 204 2350 16851 91962 99003 13750 155 8100 9699 95109 0.77 0.23 0.0 true false 283519 283519 15862984 8507965 7355019 10447357 7386267 3061090 884370 801200 83170 10782798 OTHER RECEIVABLES 256000 FIN 45 PHYSICIAN GUARANTEE 2788000 DUE FROM AFFILIATES 1195515 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 2844704 RIGHT OF USE LEASE ASSET 47005 7131224 PAYABLE TO AFFILIATES 234115 OTHER NONCURRENT LIABILITIES 214095 RESERVE FOR SELF INSURED RISKS 190000 LONG TERM DEBT TO ST LUKES HEALTH SYSTEM 6418567 FIN 45 PHYSICIAN GUARANTEE 2788000 RIGHT OF USE LEASE OBLIGATION 47005 9891782 Schedule D, Part XI PART XI AND XII THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. Schedule D, Part V, Line 4 Intended uses of endowment funds THE INTENDED USE OF ENDOWMENT FUNDS INCLUDES BUT IS NOT LIMITED TO THE GENERAL OPERATIONS OF THE HOSPITAL AND CAPITAL EQUIPMENT PURCHASES FOR THE HOSPITAL. THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENTS THE ORGANIZATION'S BENEFICIAL INTEREST IN THE ASSETS OF SAINT LUKE'S CUSHING FOUNDATION. SUCH ASSETS ARE REPORTED IN FORM 990, PART X, BALANCE SHEET, LINE 15. true true X true X 133 true X true true false false 1359808 1359808 0.0313 3237613 2553125 684488 0.0158 0 0.0 0 0 4597421 2553125 2044296 0.0471 592 592 0.0000 0 0.0 7657794 3498172 4159622 0.0958 0 0.0 6891 193 6698 0.0002 0 0 7665277 3498365 4166912 0.0959 0 0 12262698 6051490 6211208 0.1430 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 4106274 7239300 10168957 -2929657 X true true 1 1 SAINT LUKES CUSHING HOSPITAL INC 711 MARSHALL STREET LEAVENWORTH KS 66048 H-052-001 X X X SAINT LUKES CUSHING HOSPITAL INC 1 false false true X X X X X X X X X 18 true false false true X www.saintlukeskc.org/community-health-needs-assessments-implementation-plans# X true 18 true www.saintlukeskc.org/community-health-needs-assessments-implementation-plans# false true X 133.0 300.0 X X true true X X X true X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SAINT LUKES CUSHING HOSPITAL INC. KEY CONVERSATIONS WITH HOSPITAL LEADERSHIP AND COMMUNITY STAKEHOLDERS REGARDING THE NEEDS OF THE DEFINED POPULATION FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE THE BASIS FOR PRIMARY DATA COLLECTION. STAKEHOLDERS WERE SELECTED TO GET A VARIETY OF PERSPECTIVES THAT REPRESENT BROAD INTERESTS OF THE COMMUNITY, INCLUDING UNDERSERVED AND DIVERSE POPULATIONS. QUESTIONS WITHIN THESE INTERVIEWS WERE SELECTED BASED ON THE AREA OF EXPERTISE OF EACH STAKEHOLDER. THESE TARGETED INTERVIEWS WITH STAKEHOLDERS WERE USED TO UNDERSTAND, IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS. THEY WERE ASKED TO DESCRIBE THE CURRENT HEALTH CARE STATE OF LEAVENWORTH COUNTY AND EXPLAIN ANY VULNERABILITY IN THE HEALTH CARE SERVICES PROVIDED. KEY CONTRIBUTORS INCLUDED HOSPITAL LEADERSHIP, LEAVENWORTH COUNTY HEALTH DEPARTMENT, COMPLETE FAMILY CARE, LLC, SAINT VINCENT CLINIC - CARITAS, SISTERS OF CHARITY, LEAVENWORTH COUNTY COUNCIL ON AGING, AND THE GUIDANCE CENTER. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SAINT LUKES CUSHING HOSPITAL INC. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THREE PRIORITY HEALTH NEEDS: 1. BEHAVIORAL HEALTH CARE THE HOSPITAL WILL CONTINUE SCREENING FOR SOCIAL DETERMINANTS OF HEALTH AND CONNECT PATIENTS TO RESOURCES OUTSIDE OF THE SCOPE OF THE HOSPITAL. THE HOSPITAL WILL CONTINUE TO PARTICIPATE IN A COUNTY-WIDE TASKFORCE AS WELL AS ADVOCATE ON KEY HEALTH POLICY NEEDS RELATED TO BEHAVIORAL HEALTH AT THE STATE AND NATIONAL LEVEL. IT IS ALSO IMPORTANT TO THE HOSPITAL THAT THEY CONTINUE RECRUITING EFFORTS FOR QUALITY PSYCHIATRISTS IN ORDER TO EXPAND BEHAVIORAL HEALTH SERVICES IN THE AREA. 2. ACCESS TO CARE - AFFORDABILITY AND AVAILABILITY THE HOSPITAL WILL CONTINUE TO MAINTAIN THE RELATIONSHIP WITH ST. VINCENT'S CLINIC - CARITAS, THROUGH THE FINANCIAL SUPPORT OF THEIR LOCAL CLINIC, AS WELL AS HANDLING ANY REQUESTED LABS AND IMAGING REQUESTS FOR PATIENTS, FREE OF CHARGE. THE HOSPITAL WILL CONTINUE TO ACCEPT KANSAS MEDICAID AND PROVIDE ASSISTANCE IN THE APPLICATION PROCESS. THE HOSPITAL WILL CONTINUE TO PROMOTE ACCESS WITHIN LOCAL PRIMARY CARE CLINICS TO ENSURE PATIENTS RECEIVE APPROPRIATE FOLLOW UP, AS WELL AS CONSIDER THE NEED FOR EXTENDED CLINIC HOURS BASED ON PATIENT NEED. 3. ACCESS TO PHYSICAL ACTIVITY AND NUTRITION A.REDUCE THE PREVALENCE OF CARDIOVASCULAR DISEASES IN THE COUNTY: CONTINUE TO PROVIDE CARDIOVASCULAR SERVICES TO THE COMMUNITY AND ENAGE STAKEHOLDERS IN TOBACCO CESSATION EFFORTS FOCUSED ON, BUT NOT LIMITED TO, THE MEDICAID POPULATION. B.REDUCE THE PREVALENCE OF DIABETES IN THE COUNTY: SUPPORT PATIENTS THROUGH THE PROVISION OF THE CERTIFIED DIABETES PROGRAM. PROVIDE EDUCATION TO THE COMMUNITY THROUGH LOCAL SPEAKING ENGAGEMENTS. C.REDUCE FOOD INSECURITY IN THE COUNTY: SUPPORT THE LOCAL MEALS ON WHEELS PROGRAM. SCREEN FOR FOOD INSECURITY AND REFER TO LOCAL FOOD PANTRIES. COLLABORATE WITH PARTNERS TO BRING MORE AFFORDABLE AND HEALTHY FOOD OPTIONS TO LEAVENWORTH COUNTY. 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. 0 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 SERVICES INCLUDE UNPAID COST OF PROVIDING SERVICES TO THE LOCAL MILITARY COMMUNITY, RELIEVING GOVERNMENT BURDEN (TRICARE). THERE ARE NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 4106274 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 ORGANIZATION'S COST REPORT. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: Performance obligations are identified based on the nature of the services provided. Revenue associated with performance obligations satisfied over time is recognized based on actual charges incurred in relation to total expected (or actual) charges. Performance obligations satisfied over time relate to patients receiving inpatient acute care services. The System measures the performance obligation from admission into the hospital to the point when there are no further services required for the patient, which is generally the time of discharge. For outpatient services, the performance obligation is satisfied as the patient simultaneously receives and consumes the benefits provided as the services are performed. In the case of these outpatient services, recognition of the obligation over time yields the same result as recognizing the obligation at a point in time. Management believes this method provides a faithful depiction of the transfer of services over the term of performance obligations based on the inputs needed to satisfy the obligations. As the System's performance obligations relate to contracts with a duration of less than one year, the System has applied the optional exemption provided in the guidance and, therefore, is not required to disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially unsatisfied at the end of the reporting period. The unsatisfied or partially unsatisfied performance obligations referred to above are primarily related to inpatient acute care services at the end of the reporting period. The performance obligations for these contracts are generally completed when the patients are discharged, which generally occurs within days or weeks of the end of the reporting period. The System uses a portfolio approach to account for categories of patient contracts as a collective group rather than recognizing revenue on an individual contract basis. The portfolios consist of major payor classes for inpatient revenue and major payor classes and types of services provided for outpatient revenue. Based on the historical collection trends and other analyzes, the System believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach were used. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote SEE THE FOOTNOTE ADDED ABOVE TO EXPLANATION PROVIDED FOR SCHEDULE H, PARTIII, 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 - SAINT LUKES CUSHING HOSPITAL INC: Line 16a URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - SAINT LUKES CUSHING HOSPITAL INC: Line 16b URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - SAINT LUKES CUSHING HOSPITAL INC: Line 16c URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, AND ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL MEETS WITH STAFF, VOLUNTEERS, PATIENTS, BOARD MEMBERS AND PHYSICIANS. THE FEEDBACK PROVIDED BY THESE GROUPS IS COMMUNICATED TO HOSPITAL MANAGEMENT AND CONSIDERED WHEN DETERMINING THE NEEDS OF THE COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE, PATIENT BILLING AND COLLECTION. IN ADDITION TO THESE POLICIES, THE HOSPITAL PROVIDES EDUCATION ON FINANCIAL ASSISTANCE ELIGIBILITY TO PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES THROUGH MANY SOURCES INCLUDING THE SLHS WEBSITE, INFORMATION ON BILLING STATEMENTS, INFORMATION UPON CHECK-IN LOCATED IN THE ADMITTING PATIENT PACKETS, ON OUR B-131 RELEASE TO TREAT FORMS SIGNED BY ALL PATIENTS REQUESTING SERVICES, VISITS WITH INPATIENTS BY SOCIAL WORKER TEAMS, AND FOLLOW-UP CALLS TO PATIENTS AFTER DISCHARGE. FINANCIAL ASSISTANCE APPLICATIONS OR MEDICAID APPLICATIONS ARE REQUESTED ON ALL UNINSURED INPATIENTS PRIOR TO DISCHARGE. THE HOSPITAL ALSO CONTRACTS WITH ELIGIBILITY ENROLLMENT COMPANIES TO SCREEN ALL UNINSURED PATIENTS, ANY PATIENTS IDENTIFIED BY OUR SOCIAL WORKER OR CASE MANAGEMENT TEAMS, AND ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. THE ELIGIBILITY ENROLLMENT SERVICE ALSO PROVIDES PATIENTS WITH INFORMATION ON FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information SAINT LUKES CUSHING HOSPITAL IS LOCATED IN LEAVENWORTH, KANSAS WHICH IS LOCATED NORTHWEST OF KANSAS CITY AND IS PART OF THE LARGER KANSAS CITY METROPOLITAN AREA. THE HOSPITAL'S PRIMARY SERVICE AREA IS LEAVENWORTH COUNTY WHICH INCLUDES FORT LEAVENWORTH MILITARY BASE. Schedule H, Part VI, Line 5 Promotion of community health THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, MOST OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SAINT LUKES CUSHING HOSPITAL INC DONATES LABORATORY, RADIOLOGY, AND, AT TIMES, SURGERY SERVICES TO PATIENTS OF SAINT VINCENT'S CLINIC, WHICH PROVIDES PRIMARY HEALTH CARE SERVICES TO THE UNINSURED POOR OF LEAVENWORTH COUNTY. THE HOSPITAL ALSO PROVIDES SCHOLARSHIPS TO LOCAL STUDENTS INTERESTED IN PURSUING A DEGREE IN HEALTH CARE. IN ADDITION, MANY HOURS ARE DONATED BY STAFF IN ON-THE-JOB EDUCATION OF STUDENTS IN LOCAL COLLEGE HEALTH CARE CURRICULUM. 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. true SAINT LUKES PHYSICIAN GROUP INC (501C3 AFFILIATE) 901 E 104th Street Kansas City MO 64131 431598353 501(c)(3) 4189847 SUPPORT FOR HEALTHCARE SERVICES IN LEAVENWORTH 1 0 SCHOLARSHIPS TO STUDENTS IN HEALTHCARE FIELD 7 7000 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. true false false false false false false true false KAREN KRAMER DIRECTOR PRESIDENT 0 266733 0 73869 0 20929 0 34600 0 19616 0 415747 0 17554 TAYLOR WARWICK DIRECTOR 0 243616 0 45709 0 1257 0 28600 0 11864 0 331045 0 0 JULIE MURPHY DIRECTOR 0 272610 0 49107 0 26068 0 33371 0 8937 0 390093 0 18455 ROBERT OLM-SHIPMAN CEO TERM END 3/2019 0 464314 0 96360 0 33148 0 47692 0 28605 0 670119 0 26800 ERIN PARDE CFO EFF 3/2019 0 256779 0 46031 0 2187 0 11200 0 27573 0 343770 0 0 PATRICK ALTENHOFEN VP OPERATIONS 203202 0 33077 0 821 0 10633 0 1795 0 249529 0 0 0 AMY BRUMMER CNO EFF 3/2019 0 212820 0 35501 0 20875 0 37460 0 19040 0 325696 0 14808 ADELE DUCHARME CEO EFF 3/2019 0 345407 0 71507 0 37268 0 12600 0 9705 0 476487 0 16959 JACKIE MARTIN CFO TERM END 3/2019 127754 0 25317 0 619 0 8336 0 30349 0 192375 0 0 0 KARIN SUNDBLOM CNO TERM END 3/2019 119392 0 16634 0 434 0 2864 0 22963 0 162287 0 0 0 SONDRA FAUSETT MGR-RADIOLOGY 101129 0 0 0 46453 0 5155 0 7195 0 159931 0 0 0 ROBERT KATZENBERGER MGR-PHARMACY 148954 0 0 0 771 0 8496 0 18153 0 176374 0 0 0 APRIL PENDLETON NURSE MGR 114000 0 0 0 56688 0 5700 0 371 0 176759 0 0 0 TRICIA SHERLOCK-DUNHAM HOUSE SUPERVISOR 136323 0 0 0 18306 0 6816 0 260 0 161705 0 0 0 Schedule J, Part II RELATED ORGANIZATION COMPENSATION JULIE MURPHY, TAYLOR WARWICK AND KAREN KRAMER DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING CORPORATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. ROBERT OLM-SHIPMAN, ADELE DUCHARME, ERIN PARDE, AND AMY BRUMMER RECEIVED COMPENSATION FROM A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND OTHER RELATED ORGANIZATIONS. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT 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 BOARD COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA. 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: SONDRA FAUSETT - $45,854 LISA MATHEWS - $44,720 TRICIA SHERLOCK-DUNHAM - $18,274 APRIL PENDLETON - $56,170 Schedule J, Part I, Line 7 Non-fixed payments THE ORGANIZATION HAS ADOPTED A MANAGEMENT INCENTIVE COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR AND MIDDLE MANAGEMENT TO PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES. THE INCENTIVES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY CONTINGENT ON ACHIEVING QUALITY, PATIENT SATISFACTION, EMPLOYEE ENGAGEMENT, FINANCIAL AND OTHER OPERATIONAL PERFORMANCE TARGETS ESTABLISHED BY THE BOARD'S COMPENSATION COMMITTEE ON AN ANNUAL BASIS. INCENTIVE AWARDS ARE PAID AT THE DISCRETION OF THE BOARD OF DIRECTORS AND DO NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER FINANCIAL RESULTS HAVE BEEN DETERMINED FOR THE CALENDAR YEAR. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS. Form 990, Part III, Line 3 Significant changes in program services In December 2019, Saint Luke's Cushing Hospital transitioned to the Community Hospital model. Many services will be scaled back including ICU, labor and delivery and women's services. The new model offers a fully equipped ED, as well as eight inpatient beds. Additionally, reflecting the community's needs, the Hospital continued to offer a cardiology physician clinic and cardiac rehabilitation on-site. Some radiology services-X-ray, CT, mammography, and ultrasound, in particular, will also remain under the new model. Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096 SAINT LUKES CUSHING HOSPITAL INC IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. SAINT LUKE'S CUSHING HOSPITAL'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 PROCEDURES. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE BOARD COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons KAREN KRAMER, TAYLOR WARWICK, JACKIE MARTIN, AND ROBERT OLM-SHIPMAN ARE OFFICERS/EMPLOYEES OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATIONS. - 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 HOSPITAL ENDED OPERATIONS PRIOR TO THE COMPLETION OF THE 2019 990. AS SUCH, THE 990 WAS NOT PROVIDED TO THE BOARD. Form 990, Part VI, Line 12c Conflict of interest policy THE FILING ORGANIZATION HAS A COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICY APPLICABLE TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. ANY ACTUAL, POSSIBLE OR PERCEIVED CONFLICT OF INTEREST IS EXPECTED TO BE HANDLED THROUGH FULL AND TIMELY DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSENCE OF PERSUASION IN ANY DISCUSSION AND IN ANY VOTE WHEREIN THE INTEREST IS INVOLVED. DISCLOSURE IS TO BE MADE WHEN THE INTEREST ARISES, AT ANY TIME THE INTEREST BECOMES A MATTER OF GOVERNING BOARD ACTION, AND THEN ANNUALLY THROUGH COMPLETION OF A CONFLICT OF INTEREST QUESTIONNAIRE. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE TO THE PUBLIC THROUGH THE SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE MADE AVAILABLE TO THE PUBLIC THROUGH EMMA AND 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 JULIE MURPHY, TAYLOR WARWICK AND KAREN KRAMER DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING CORPORATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. ROBERT OLM-SHIPMAN, ADELE DUCHARME, ERIN PARDE, AND AMY BRUMMER RECEIVED COMPENSATION FROM A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND OTHER RELATED ORGANIZATIONS. Form 990, Part VII, Section A, Line 1a, Column (B) AVERAGE HOURS AVERAGE HOURS REPORTED FOR THE RELATED ORGANIZATION ARE THE AVERAGE HOURS DURING THE TIME EMPLOYED BY THE RELATED ORGANIZATION OR IN A SEPARATE ROLE FOR THE RELATED ORGANIZATION. Form 990, Part VIII, Line 2f Other Program Service Revenue OTHER - Total Revenue: 344451, Related or Exempt Function Revenue: 344451, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Physician Remuneration - Total Expense: 1670773, Program Service Expense: 1670773, Management and General Expenses: , Fundraising Expenses: ; Temporary Help - Total Expense: 259981, Program Service Expense: 259981, Management and General Expenses: , Fundraising Expenses: ; Purchased Services - Total Expense: 1403609, Program Service Expense: 1273146, Management and General Expenses: 130463, Fundraising Expenses: ; Other Services - Total Expense: 406043, Program Service Expense: 300758, Management and General Expenses: 105285, Fundraising Expenses: ; Maintenance and Repairs - Total Expense: 1092598, Program Service Expense: 1043722, Management and General Expenses: 48876, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION SETTLEMENT/LIABILITY TRANSFER TO SLHS - 9562; CHANGE IN BENEFICIAL INTEREST IN ASSETS OF SAINT LUKE'S CUSHING FOUNDATION - 299749; ROUNDING - 1; UNREALIZED GAIN/LOSS IN RESTRICTED ASSETS - 43931; SAINT LUKES HEALTH SYSTEM 901 E 104TH ST KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501(c)(3) Type III-FI N/A false ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES NORTH HOSPITAL 5830 NE 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 LUKE'S HOSPITAL OF CHILLICOTHE 2799 N WASHINGTON CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES CARE 901 E 104TH ST KANSAS CITY MO 64131 260185090 HEALTH CARE MO 501(c)(3) Type II SAINT LUKES HEALTH SYSTEM false MEDICAL PLAZA IMAGING ASSOCIATES LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 431609584 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false 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 LUKES HEALTH SYSTEM false Saint Luke's Hospital of Allen County Inc 3066 N Kentucky St Iola KS 66749 843362602 Health Care KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false 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 VENTURE FINANCIAL SERVICES INC 9500 EAST 63RD ST STE 202 RAYTOWN MO 64133 431605740 COLLECTIONS MO NA C Corporation false SAINT LUKES HEALTH SYSTEM INSURANCE LTD CAPTIVE CJ NA C Corporation false false true true false true false false false false true true false false true true true true false false Schedule R, Part V, Line 1 PART V, LINE 1 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.