SAINT LUKES HOSPITAL OF CHILLICOTHE: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SAINT LUKES HOSPITAL OF CHILLICOTHE (EIN 43-1735565)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201903189349309360
Schema version: 2018v3.1
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 J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T14:31:20-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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	Janet Buckman	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Signature	2019-11-14	SignatureDt

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	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	$65,152,351	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	405	TotalEmployeeCnt
Total Volunteers	43	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$41,776	PYContributionsGrantsAmt
CY Contributions Grants	$1,338,649	CYContributionsGrantsAmt
PY Program Service Revenue	$57,929,591	PYProgramServiceRevenueAmt
CY Program Service Revenue	$63,075,790	CYProgramServiceRevenueAmt
PY Investment Income	$642,329	PYInvestmentIncomeAmt
CY Investment Income	$737,912	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$58,613,696	PYTotalRevenueAmt
CY Total Revenue	$65,152,351	CYTotalRevenueAmt
PY Grants And Similar Paid	$22,615	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$33,335	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$24,258,581	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$25,434,601	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$77,861	CYTotalFundraisingExpenseAmt
PY Other Expenses	$28,980,060	PYOtherExpensesAmt
CY Other Expenses	$30,351,460	CYOtherExpensesAmt
PY Total Expenses	$53,261,256	PYTotalExpensesAmt
CY Total Expenses	$55,819,396	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,352,440	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,332,955	CYRevenuesLessExpensesAmt
Total Assets BOY	$58,554,569	TotalAssetsBOYAmt
Total Assets EOY	$63,229,174	TotalAssetsEOYAmt
Total Liabilities BOY	$10,569,276	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$8,627,826	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$47,985,293	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$54,601,348	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	$47,693,964	ExpenseAmt
Grant	$33,335	GrantAmt
Revenue	$63,075,790	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.	Desc
Total Program Service Expenses	$47,693,964	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	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	false	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	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	405	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	Yes (true)	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	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	Janet Buckman	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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BETTY PRESTON-STEELE
DIRECTOR-CHAIR	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
CYNTHIA CHRISTENSEN
DIRECTOR-PRESIDENT	1.0	50.0	Yes (X)	Yes (X)	$0	$308,758	$57,177
JOHN MARCOLLA
DIRECTOR - VICE CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
CAROL SLOAN
DIRECTOR-SECR/TREAS	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
KRISTA CLARK DO
DIRECTOR & EMPLOYED PHYSICIAN	40.0	1.0	Yes (X)		$326,985	$0	$37,190
PATRICK ALTENHOFEN
DIRECTOR	1.0	40.0	Yes (X)		$0	$199,135	$22,060
DELOS CLOW
DIRECTOR & EMPLOYED PHYSICIAN	40.0	1.0	Yes (X)		$146,154	$0	$27,397
DONALD METRY
DIRECTOR & EMPLOYED PHYSICIAN	40.0	0	Yes (X)		$278,919	$0	$29,239
JENNIFER LOVELL
DIRECTOR - TERM BEG 1/2018	1.0	0	Yes (X)		$0	$0	$0
JANE NEAL
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
DARREL RINEHART
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
SCOTT CADY
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
JANET BUCKMAN
CFO	20.0	20.0		Yes (X)	$216,957	$0	$22,382
STEVEN SCHIEBER
CEO	20.0	20.0		Yes (X)	$288,268	$0	$53,302
TERRY PLASTER
ASST SECR & EMPLOYEE	40.0	0		Yes (X)	$53,274	$0	$13,583
CATHERINE HAMILTON
CNO	20.0	20.0		Yes (X)	$183,420	$0	$34,250
ANKUR AGRAWAL
PHYSICIAN	40.0	0			$366,982	$0	$34,669	Yes (X)
ROBERT GAEKWAD
PHYSICIAN	40.0	0			$367,606	$0	$15,314	Yes (X)
ANDREW JOHNSON
PHYSICIAN	40.0	0			$367,997	$0	$31,716	Yes (X)
GREGORY MILLER
PHYSICIAN	40.0	0			$394,517	$0	$37,190	Yes (X)
YULIA PENISTON
PHYSICIAN	40.0	0			$403,569	$0	$37,549	Yes (X)
DON SIPES
FORMER BOARD PRESIDENT	0.0	40.0			$0	$115,617	$10,881		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,394,647	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$623,510	TotReportableCompRltdOrgAmt
Total Other Compensation	$463,899	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	28	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
920 MAIN STREET SUITE 300	KANSAS CITY	MO	64105	ER PHYSICIANS	$1,164,909
HAVE A NICE DAY ANESTHESIA ASSOCIATES
2106 WOODCREST	CHILLICOTHE	MO	64601	ANESTHESIA SERVICES	$1,118,580
FAVORITE HEALTHCARE STAFFING
PO BOX 803356	KANSAS CITY	MO	64180	STAFFING SERVICES	$435,173
IRVINBILT CONSTRUCTORS INC
PO BOX 1107	CHILLICOTHE	MO	64601	CONSTRUCTION SERVICES	$319,989
SHARED MEDICAL SERVICES INC
209 LIMESTONE PASS	COTTAGE GROVE	WI	635270330	MRI SERVICES	$308,350

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Government Grants	$12,567	GovernmentGrantsAmt
All Other Contributions	$1,326,082	AllOtherContributionsAmt
Total Contributions	$1,338,649	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$62,147,414	$62,147,414
PHARMACY	622110	$555,205	$555,205

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$373,171	TotalRevenueColumnAmt
Related Or Exempt Func Income	$373,171	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$63,075,790	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$737,912	TotalRevenueColumnAmt
Exclusion	$737,912	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	$65,152,351	TotalRevenueColumnAmt
Related Or Exempt Func Income	$63,075,790	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$737,912	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	$33,335	TotalAmt
Program Services	$33,335	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,711,320	TotalAmt
Program Services	$845,884	ProgramServicesAmt
Management And General	$865,436	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,217,441	TotalAmt
Program Services	$16,949,240	ProgramServicesAmt
Management And General	$1,208,704	ManagementAndGeneralAmt
Fundraising	$59,497	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$833,108	TotalAmt
Program Services	$743,882	ProgramServicesAmt
Management And General	$86,727	ManagementAndGeneralAmt
Fundraising	$2,499	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,368,398	TotalAmt
Program Services	$3,005,085	ProgramServicesAmt
Management And General	$353,231	ManagementAndGeneralAmt
Fundraising	$10,082	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,304,334	TotalAmt
Program Services	$1,164,640	ProgramServicesAmt
Management And General	$135,781	ManagementAndGeneralAmt
Fundraising	$3,913	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	-$4,977	TotalAmt
Program Services	$3,678	ProgramServicesAmt
Management And General	-$8,655	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$65,512	TotalAmt
Management And General	$65,512	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,513,194	TotalAmt
Program Services	$7,498,327	ProgramServicesAmt
Management And General	$1,014,795	ManagementAndGeneralAmt
Fundraising	$72	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,110	TotalAmt
Program Services	$1,582	ProgramServicesAmt
Management And General	$4,528	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,363,616	TotalAmt
Program Services	$1,148,707	ProgramServicesAmt
Management And General	$214,162	ManagementAndGeneralAmt
Fundraising	$747	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$265,315	TotalAmt
Program Services	$39,742	ProgramServicesAmt
Management And General	$225,571	ManagementAndGeneralAmt
Fundraising	$2	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,563,742	TotalAmt
Program Services	$2,289,050	ProgramServicesAmt
Management And General	$273,677	ManagementAndGeneralAmt
Fundraising	$1,015	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$65,722	TotalAmt
Program Services	$45,495	ProgramServicesAmt
Management And General	$20,225	ManagementAndGeneralAmt
Fundraising	$2	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$129,656	TotalAmt
Program Services	$35,093	ProgramServicesAmt
Management And General	$94,563	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,172,246	TotalAmt
Program Services	$898,514	ProgramServicesAmt
Management And General	$273,702	ManagementAndGeneralAmt
Fundraising	$30	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$632,814	TotalAmt
Program Services	$510,584	ProgramServicesAmt
Management And General	$122,230	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SHARED EXPENSE	$4,724,118	$1,702,572	$3,021,546
MEDICAL SUPPLIES	$5,360,102	$5,350,407	$9,693	$2
BAD DEBT	$5,191,522	$5,191,522

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$302,768	TotalAmt
Program Services	$236,625	ProgramServicesAmt
Management And General	$66,143	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$55,819,396	TotalAmt
Program Services	$47,693,964	ProgramServicesAmt
Management And General	$8,047,571	ManagementAndGeneralAmt
Fundraising	$77,861	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,651,868	BOYAmt
EOY	$11,808,453	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$875,141	BOYAmt
EOY	$12,886,592	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,638,641	BOYAmt
EOY	$9,016,028	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)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$883,626	BOYAmt
EOY	$929,969	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$408,234	BOYAmt
EOY	$452,580	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$14,946,926	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$9,109,580	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$5,002,181	BOYAmt
EOY	$5,837,346	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$18,018,260	BOYAmt
EOY	$17,963,189	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,727,862	BOYAmt
EOY	$2,773,754	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$16,800	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,331,956	BOYAmt
EOY	$1,561,263	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$58,554,569	BOYAmt
EOY	$63,229,174	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,601,909	BOYAmt
EOY	$2,939,830	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,967,367	BOYAmt
EOY	$5,687,996	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,569,276	BOYAmt
EOY	$8,627,826	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$46,528,520	BOYAmt
EOY	$55,271,489	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,456,773	BOYAmt
EOY	-$670,141	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$47,985,293	BOYAmt
EOY	$54,601,348	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$58,554,569	BOYAmt
EOY	$63,229,174	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$9,332,955	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$2,716,900	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	$18,341	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$18,341	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	$43,145	DepreciationAmt
Book Value	$139,592	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,939,238	OtherCostOrOtherBasisAmt
Depreciation	$163,623	DepreciationAmt
Book Value	$1,775,615	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,375,090	OtherCostOrOtherBasisAmt
Depreciation	$7,463,392	DepreciationAmt
Book Value	$3,911,698	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,449,861	OtherCostOrOtherBasisAmt
Depreciation	$1,439,420	DepreciationAmt
Book Value	$10,441	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$5,837,346	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PAYABLES TO AFFILIATES
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS
PAYABLES TO AFFILIATES	$587,383
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS	$5,100,613

Field	Value	IRS element (for citing)
Total Liability	$5,687,996	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$58,008,053	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$612,542	NetUnrealizedGainsInvstAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	-$612,542	RevenueNotReportedAmt
Revenue Subtotal	$58,620,595	RevenueSubtotalAmt
Other Revenues Not Included	$6,531,756	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$6,531,756	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$65,152,351	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$50,626,265	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$50,626,265	ExpensesSubtotalAmt
Other Expenses Not Included	$5,193,131	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$5,193,131	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$55,819,396	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, 2018, 2017, 2016, AND 2015, 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 - 5191522 RRG SUBSCRIBER ALLOCATION - 14153 CONTRIBUTION REVENUE RECORDED IN OTHER EXPENSES - 1613 CONTRIBUTION REVENUE RECORDED IN OTHER CHANGE IN NET ASSETS - 1324469 ROUNDING - -1
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 - 5191522 CONTRIBUTION REVENUE RECORDED IN OTHER EXPENSES - 1613 ROUNDING - -4

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	133	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$460,814	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$460,814	NetCommunityBenefitExpnsAmt
Total Expense	0.0091	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,450,497	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,252,890	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$197,607	NetCommunityBenefitExpnsAmt
Total Expense	0.0039	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	$7,911,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,252,890	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$658,421	NetCommunityBenefitExpnsAmt
Total Expense	0.0130	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,580	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,580	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,404	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,404	NetCommunityBenefitExpnsAmt
Total Expense	0.0015	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,125,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,413,960	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,711,701	NetCommunityBenefitExpnsAmt
Total Expense	0.0733	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	$92,380	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,705	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,675	NetCommunityBenefitExpnsAmt
Total Expense	0.0015	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,335,025	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,432,665	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,902,360	NetCommunityBenefitExpnsAmt
Total Expense	0.0771	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$21,246,336	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,685,555	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,560,781	NetCommunityBenefitExpnsAmt
Total Expense	0.0901	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	$1,950	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,950	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	$10,032	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,032	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$11,982	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,982	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$5,191,522	BadDebtExpenseAmt
Reimbursed By Medicare	$21,739,544	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$22,600,949	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$861,405	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	18	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	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	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	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	133.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.0	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	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.saintlukeskc.org/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.saintlukeskc.org/financial-assistance	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
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. 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.

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 (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $6,926,600.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	5191522
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 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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	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 (14 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	$225,413	$0	$50,424	$0	$32,921	$0	$44,958	$0	$12,219	$0	$365,935	$0	$21,432
KRISTA CLARK DO
DIRECTOR & EMPLOYED PHYSICIAN	$326,407	$0	$0	$0	$577	$0	$12,375	$0	$24,815	$0	$364,175	$0	$0	$0
PATRICK ALTENHOFEN
DIRECTOR	$0	$174,203	$0	$24,339	$0	$592	$0	$20,264	$0	$1,796	$0	$221,195	$0	$0
DELOS CLOW
DIRECTOR & EMPLOYED PHYSICIAN	$144,696	$0	$0	$0	$1,457	$0	$7,500	$0	$19,897	$0	$173,551	$0	$0	$0
DONALD METRY
DIRECTOR & EMPLOYED PHYSICIAN	$276,320	$0	$0	$0	$2,600	$0	$5,500	$0	$23,739	$0	$308,158	$0	$0	$0
DON SIPES
FORMER BOARD PRESIDENT	$0	$115,617	$0	$0	$0	$0	$0	$9,257	$0	$1,624	$0	$126,498	$0	$22,638
JANET BUCKMAN
CFO	$194,344	$0	$21,842	$0	$771	$0	$9,933	$0	$12,449	$0	$239,339	$0	$0	$0
STEVEN SCHIEBER
CEO	$215,654	$0	$54,547	$0	$18,067	$0	$30,079	$0	$23,223	$0	$341,570	$0	$14,000	$0
CATHERINE HAMILTON
CNO	$163,971	$0	$18,754	$0	$694	$0	$8,529	$0	$25,721	$0	$217,669	$0	$0	$0
ANKUR AGRAWAL
PHYSICIAN	$366,631	$0	$0	$0	$351	$0	$11,000	$0	$23,669	$0	$401,651	$0	$0	$0
ROBERT GAEKWAD
PHYSICIAN	$366,139	$0	$0	$0	$1,467	$0	$5,500	$0	$9,814	$0	$382,919	$0	$0	$0
ANDREW JOHNSON
PHYSICIAN	$366,537	$0	$0	$0	$1,460	$0	$11,000	$0	$20,716	$0	$399,712	$0	$0	$0
GREGORY MILLER
PHYSICIAN	$393,941	$0	$0	$0	$576	$0	$12,375	$0	$24,815	$0	$431,707	$0	$0	$0
YULIA PENISTON
PHYSICIAN	$402,819	$0	$0	$0	$750	$0	$12,375	$0	$25,174	$0	$441,118	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
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.

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	SHERRY STIRLING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF TERRY PLASTER, OFFICER	RelationshipDescriptionTxt
Transaction	$46,980	TransactionAmt
Transaction	EMPLOYEE COMPENSATION AND BENEFITS PROVIDED BY REPORTING ORGANIZATION	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 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 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.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Other - Total Revenue: 373171, Related or Exempt Function Revenue: 373171, 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: 2406954, Program Service Expense: 2406954, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 2482431, Program Service Expense: 2224236, Management and General Expenses: 258186, Fundraising Expenses: 9; SERVICE CONTRACTS - Total Expense: 611505, Program Service Expense: 534296, Management and General Expenses: 77146, Fundraising Expenses: 63; OTHER SERVICES - Total Expense: 3012304, Program Service Expense: 2332841, Management and General Expenses: 679463, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PENSION SETTLEMENT/LIABILITY TRANSFER TO SLHS - 36712; CHANGE IN INTEREST IN ASSETS OF FOUNDATION - SFAS 136 - -2126914; RRG SUBSCRIBER ALLOCATION - -14153; UNREALIZED LOSS RECORDED IN OTHER INCOME FOR BOOKS - -612542; ROUNDING - -3;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 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
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

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
THP-SAINT LUKE'S VENTURES LLC
1415 LOUISIANA ST 27TH FLOOR	HOUSTON	TX	77002	811243747	HEALTH CARE	DE	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	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
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		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	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	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