2018-11-15T13:02:07-06:00 2017-12-31 990 2017-01-01 480543792 Saint Lukes Cushing Hospital Inc SAIN 9136841100 711 Marshall Street Leavenworth KS 66048 JACKIE MARTIN CHIEF FINANCIAL OFFICER 2018-11-15 2017 2019-02-21 02:37:17Z ROBERT OLM-SHIPMAN 711 Marshall Street Leavenworth KS 66048 38014366 false X WWW.SAINTLUKESKC.ORG X 1930 KS FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL 8 5 298 81 17747 -12781 8106731 7152297 28526814 30830797 30685 30126 741 1146 36664971 38014366 3267677 3901455 0 0 13847236 14948291 0 11123 18095071 20780799 35209984 39630545 1454987 -1616179 29777992 27379299 11576761 10515598 18201231 16863701 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 false 34266038 3901455 30813050 SAINT LUKE'S CUSHING HOSPITAL (SLCH) IS A FAITH-BASED, NOT-FOR-PROFIT, COMMUNITY HOSPITAL CURRENTLY LICENSED TO OPERATE 54 BEDS AND IS 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 2017, THERE WERE 2,559 PATIENT DAYS AND 362 NEWBORN DAYS. IN ADDITION, THE HOSPITAL PROVIDED 12,719 EMERGENCY ROOM VISITS AND 24,573 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. 34266038 true true false true false 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 0 0 298 true true true false false false false false true false false false X 8 5 true false false false true true true true true false false true true true true true true false false false X THE ORGANIZATION 9136841100 711 MARSHALL STREET LEAVENWORTH KS 66048 KAREN KRAMER PRESIDENT BEGIN 4/2017 / DIRECTOR 1.0 50.0 X X 0 251288 58329 DON SIPES DIRECTOR & PRESIDENT TERM END 4/2017 1.0 40.0 X X 0 271139 55491 JULIE MURPHY CFO THRU 5/2017 / DIRECTOR 40.0 40.0 X X 0 294342 45719 MICHAEL CROW DIRECTOR-CHAIR 1.0 1.0 X X 0 0 0 RITA SWANN DIRECTOR-VICE CHAIR 1.0 0 X X 0 0 0 TAYLOR WARWICK DIRECTOR BEGIN 4/2017 1.0 0 X 0 144870 14541 RICK HANSEN DIRECTOR 1.0 0 X 0 0 0 JOHN PETERSON DIRECTOR 1.0 0 X 0 0 0 EDNA WAGNER DIRECTOR 1.0 0 X 0 0 0 ADELE DUCHARME CEO THRU 11/2017 50.0 50.0 X 301040 0 39072 JACKIE MARTIN CFO BEGIN 5/2017 32.0 0 X 87435 0 32998 KARIN SUNDBLOM CNO 50.0 0 X 145890 0 34505 ROBERT OLM-SHIPMAN CEO BEGIN 11/2017 15.0 35.0 X 0 408641 71033 ROBERT KATZENBERGER MGR-PHARMACY 40.0 0 X 141224 0 27619 DINH NGUYEN PHARMACIST 40.0 0 X 130518 0 15010 806107 1370281 394317 4 false true false EMERGENCY MEDICAL SERVICES KS LLC 920 MAIN STREET SUITE 300 KANSAS CITY MO 64105 EMERGENCY ROOM PHYSICIANS 884948 FAVORITE HEALTHCARE STAFFING INC 98TH TER BLD 5 STE 150 OVERLAND PARK KS 66212 TEMPORARY STAFFING 651930 CLINICAL COLLEAGUES INC PO BOX 824246 PHILADELPHIA PA 19182 ANESTHESIA SERVICES 627363 P1 GROUP INC 16210 W 108TH ST LENEXA KS 66219 MAINTENANCE SERVICES 614011 DAVID E ROSS CONSTRUCTION COMPANY INC 10201 E 75TH ST RAYTOWN MO 64138 CONSTRUCTION SERVICES 272184 8 X 500 7000000 7992 143805 7152297 NET PATIENT REVENUE 622110 29672616 29672616 MEDICAL OFFICE RENTS 531120 476421 476421 LAB SERVICES 541380 432064 414317 17747 EHR MEANINGFUL USE 622110 60444 60444 189252 189252 0 0 30830797 30126 30126 1146 1146 0 0 0 0 0 0 0 0 0 38014366 30813050 17747 31272 X 3893455 3893455 8000 8000 640940 640940 11422023 10492723 918336 10964 476211 398402 77809 1547524 1342632 204892 861593 750157 111436 12915 12915 521 521 4590659 4291464 299036 159 2939 2876 63 758624 520176 238448 158624 7906 150718 1007569 933110 74459 44964 37836 7128 34075 15645 18430 118783 102841 15942 2069138 1959849 109289 197789 187665 10124 MEDICAL SUPPLIES 4445067 4431678 13389 SHARED SERVICES-SLHS 3721472 1293145 2428327 BAD DEBT 3167516 3167516 BOND/SWAP RELATED COSTS 182211 164110 18101 267933 264852 3081 0 39630545 34266038 5353384 11123 2918754 2185584 264063 253312 3646155 3362324 0 0 822166 878609 25238 59537 35609301 19374576 16456837 16234725 611837 606155 231738 238398 2500 2500 4798704 3558155 29777992 27379299 2299389 2141520 0 9277372 8374078 11576761 10515598 X 15568555 14000426 2608317 2838916 24359 24359 18201231 16863701 29777992 27379299 X -1616179 35303 243346 X false true X true true true X false false false false false true 14488 false false false 14488 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. 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. 91962 19848 30 8750 12379 90711 95109 15850 204 2350 16851 91962 99003 13750 155 8100 9699 95109 96938 13350 152 1600 9837 99003 100503 5950 321 1000 8836 96938 0.99 0.01 0.0 true false 20000 263519 283519 20239081 9083812 11155269 0 0 0 13954087 9478363 4475724 1132614 812401 320213 16234725 OTHER RECEIVABLES 234671 FIN 45 PHYSICIAN GUARANTEE 372000 DUE FROM AFFILIATES 178920 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 2772564 3558155 PAYABLE TO AFFILIATES 834384 OTHER NONCURRENT LIABILITIES 205146 RESERVE FOR SELF INSURED RISKS 512667 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS -28505 LONG TERM DEBT TO ST LUKES HEALTH SYSTEM 6478386 FIN 45 PHYSICIAN GUARANTEE 372000 8374078 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 true false false 1725640 1725640 0.0473 3336644 2507630 829014 0.0227 0 0.0 0 0 5062284 2507630 2554654 0.0701 29906 29906 0.0008 98826 98826 0.0027 6457705 3837932 2619773 0.0718 0 0.0 8000 8000 0.0002 0 0 6594437 3837932 2756505 0.0756 0 0 11656721 6345562 5311159 0.1457 0 0.0 1023 1023 0.0000 1797 1797 0.0000 0 0.0 0 0.0 2617 2617 0.0001 0 0.0 0 0.0 0 0.0 0 0 5437 0 5437 0.0001 false 3167516 6779099 9919979 -3140880 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 15 true false false true X www.saintlukeskc.org/community-benefit X true 15 true www.saintlukeskc.org/community-benefit 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. COMMUNITY PERSPECTIVES ON HEALTH WERE GATHERED THROUGH INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. INTERVIEW QUESTIONNAIRES THAT WERE CUSTOMIZED TO VARIOUS STAKEHOLDERS (PHYSICIANS, COMMUNITY, PUBLIC HEALTH, SCHOOL NURSES, BUSINESS COMMUNITY) WERE DEVELOPED TO CAPTURE QUALITATIVE AND QUANTITATIVE RESPONSES. STAKEHOLDERS WERE ASKED TO DESCRIBE THE CURRENT HEALTH CARE STATE OF LEAVENWORTH COUNTY AND EXPLAIN ANY VULNERABILITY IN THE HEALTH CARE SERVICES PROVIDED. THE KEY CONTRIBUTORS INCLUDE: SAINT LUKE'S CUSHING HOSPITAL LEADERSHIP INTERFAITH SHELTER OF HOPE LEAVENWORTH COUNTY EMERGENCY MEDICAL SERVICES LEAVENWORTH COUNTY HEALTH DEPARTMENT SAINT VINCENT CLINIC ALLIANCE AGAINST FAMILY VIOLENCE THE GUIDANCE CENTER LEAVENWORTH COUNTY COUNCIL ON AGING SAINT JOHN HOSPITAL Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SAINT LUKES CUSHING HOSPITAL INC. ALONG WITH THE SPECIFIC PROGRAMS DETAILED BELOW, SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO MEET COMMUNITY NEEDS BY PROVIDING LEAVENWORTH AND SURROUNDING COMMUNITIES WITH A BROAD RANGE OF ESSENTIAL HEALTH CARE SERVICES. PRIORITY NEEDS: 1. BEHAVIORAL HEALTH CARE: AT SAINT LUKE'S CUSHING HOSPITAL, RESIDENTS IN CRISIS ARE SCREENED BY A MENTAL HEALTH PROFESSIONAL EITHER IN PERSON OR THROUGH THE SAINT LUKE'S HEALTH SYSTEM BEHAVIORAL ACCESS CENTER USING TELEMEDICINE EQUIPMENT. THE SCREENING IS TO DETERMINE THE APPROPRIATE LEVEL OF SERVICES, EITHER INPATIENT OR OUTPATIENT TREATMENT NECESSARY TO CARE FOR THE INDIVIDUAL IN CRISIS. SAINT LUKE'S CUSHING HOSPITAL IS DEVELOPING A RELATIONSHIP WITH SAINT LUKE'S NORTH PSYCHIATRIC SERVICES TO PROVIDE INPATIENT PSYCHIATRIC CONSULTS AND MEDICATION MANAGEMENT VIA TELEMEDICINE EQUIPMENT. THIS PROGRAM WAS IMPLEMENTED IN 2016. THE HOSPITAL WILL ALSO CONTINUE TO WORK WITH COMMUNITY PARTNERS SUCH AS THE GUIDANCE CENTER TO ADDRESS THIS ONGOING NEED. 2. CARDIOVASCULAR DISEASE: SAINT LUKE'S CUSHING HOSPITAL PROVIDES CARDIOVASCULAR CARE TO ADDRESS A RANGE OF HEART CONDITIONS INCLUDING CARDIOVASCULAR DISEASE. SAINT LUKE'S CARDIOVASCULAR CONSULTANTS PROVIDE 24/7 COVERAGE TO THE HOSPITAL'S INPATIENTS WHILE ALSO SEEING PATIENTS AT THEIR LEAVENWORTH CLINIC FIVE DAYS PER WEEK. SAINT LUKE'S CUSHING HOSPITAL'S CARDIOVASCULAR SERVICES INCLUDE: CARDIAC REHABILITATION; CONSULTATIONS AND SECOND OPINIONS; DIAGNOSTIC STRESS TESTS AND ECHOCARDIOGRAMS; HEART FAILURE MANAGEMENT; LIFESAVING EMERGENCY DEPARTMENT PROTOCOLS; PACEMAKER AND OTHER DEVICE CHECKS; PERIPHERAL VASCULAR EVALUATIONS; AND PREVENTIVE CARDIOLOGY AND LIPID MANAGEMENT. SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO PROVIDE CARDIOVASCULAR SERVICES TO THE COMMUNITY INCLUDING SUBSPECIALTY EXPERTISE TO MEET THE NEEDS OF COMMUNITY MEMBERS. 3. DIABETES: ACCORDING TO THE CHNA PREPARED FOR SAINT LUKE'S CUSHING HOSPITAL, THERE EXISTS A NEED TO REDUCE THE DISEASE AND ECONOMIC COSTS OF DIABETES AND IMPROVE THE QUALITY OF LIFE FOR ALL PERSONS WHO HAVE, OR ARE AT RISK FOR THE DISEASE. SAINT LUKE'S CUSHING HOSPITAL PROVIDES ACCESS TO A CERTIFIED DIABETES PROGRAM THAT INCLUDES A FULL TEAM OF DIABETES AND ENDOCRINOLOGY EXPERTS INCLUDING ENDOCRINOLOGISTS, CERTIFIED DIABETES EDUCATORS, AND REGISTERED DIETITIANS. THE INTEGRATED TEAM AT SAINT LUKE'S CUSHING HOSPITAL COLLABORATES WITH PRIMARY CARE PHYSICIANS AND WITH SPECIALISTS TO TREAT CONDITIONS RANGING FROM THYROID CANCER TO CARDIOVASCULAR ISSUES RELATED TO DIABETES AND ENDOCRINE DISORDERS. SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO PROVIDE ACCESS TO THE DIABETES EDUCATION CENTER, WHICH PROVIDES SERVICES FOR COMMUNITY MEMBERS WHO ARE NEWLY DIAGNOSED WITH DIABETES, PRE-DIABETES, OR THOSE SEEKING ADDITIONAL HELP MANAGING DIABETES. SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO COLLABORATE WITH THE AMERICAN DIABETES ASSOCIATION AND THE KANSAS CITY REGIONAL ASSOCIATION OF DIABETES EDUCATORS. APPROPRIATE PATIENTS AS IDENTIFIED BY THEIR PHYSICIAN ARE INVITED TO PARTICIPATE. 4. ACCESS TO CARE: BECAUSE OF ITS ALL-INCLUSIVE NATURE, HEALTH CARE ACCESS IS IDENTIFIED AS THE OVERARCHING HEALTH NEED WITHIN SAINT LUKE'S CUSHING HOSPITAL'S COMMUNITY. SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO ACCEPT KANSAS MEDICAID AND TRICARE. SAINT LUKE'S HEALTH SYSTEM WILL CONTINUE TO ADVOCATE ON KEY HEALTH POLICY ISSUES AT THE STATE AND NATIONAL LEVEL, INCLUDING MEDICAID REFORM, ACCESS TO CARE, AND HEALTH CARE FINANCING FOR THE LOW-INCOME POPULATION. SAINT LUKE'S CUSHING HOSPITAL PARTNERS WITH SAINT VINCENT'S CLINIC TO PROVIDE FREE LABS, RADIOLOGY SERVICES (INCLUDING X-RAYS, ULTRASOUNDS, CT, AND MRI), AND SURGERIES TO THE LOW-INCOME POPULATION IN LEAVENWORTH COUNTY THAT OFTEN DOES NOT HAVE ACCESS TO CARE. LEAVENWORTH COUNTY IS FACING A SHORTAGE IN PRIMARY CARE SERVICES. SINCE PRIMARY CARE PROVIDERS OFTEN ACT AS THE FIRST POINT OF CONSULTATION FOR PATIENTS, PRIMARY CARE OFTEN PLAYS A CENTRAL ROLE IN THE LOCAL COMMUNITY. WITHOUT ANY OTHER RESOURCES, PATIENTS WITHIN THE COMMUNITY OFTEN SEEK SERVICES FROM THE HOSPITAL AS A MAIN SOURCE OF PRIMARY CARE. AS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM, SAINT LUKE'S CUSHING HOSPITAL HAS THE ABILITY TO CONNECT LOCAL PATIENTS WITH A RANGE OF HIGHLY TRAINED PHYSICIAN SPECIALISTS. SAINT LUKE'S CUSHING HOSPITAL CONTINUES TO ADD PRIMARY CARE PROVIDER COVERAGE AND EXPAND PRIMARY CARE CLINIC HOURS IN LEAVENWORTH ADDRESSING THE NEED FOR BETTER ACCESS TO CARE. 5. THE INCREASING NEEDS OF AN AGING POPULATION: OLDER ADULTS ARE AMONG THE FASTEST GROWING AGE GROUPS IN LEAVENWORTH COUNTY AND IN THE UNITED STATES. CHRONIC CONDITIONS AND COMORBIDITIES COMMON TO AN AGING POPULATION ARE SEEN IN LEAVENWORTH COUNTY'S HEALTH OUTCOMES, SUCH AS HYPERTENSION, HEART DISEASE, AND STROKE MORTALITY. THE HEALTH NEEDS OF A GROWING AGING POPULATION SHOULD BE CONSIDERED A PRIORITY HEALTH NEED FOR THE LEAVENWORTH COMMUNITY. SAINT LUKE'S CUSHING HOSPITAL CURRENTLY OFFERS A RANGE OF HEALTH SERVICES AVAILABLE TO THE OLDER POPULATION. THE HOSPITAL WILL CONTINUE TO OFFER SERVICES AIMED AT SUPPORTING CHRONIC CONDITIONS INCLUDING DIABETES, HYPERTENSION, HEART DISEASE, AND STROKE. SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO WORK WITH OTHER PROVIDERS AND SOCIAL SERVICE ORGANIZATIONS IN THE COMMUNITY TO INCREASE SUPPORT TO THIS POPULATION, INCLUDING THE LEAVENWORTH COUNTY COUNCIL ON AGING. 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 THAT THE PROGRAMS IDENTIFIED IN THE IMPLEMENTATION PLAN ARE ACTIVE AND CONTINUE TO MEET THE SIGNIFICANT NEEDS IDENTIFIED IN THE IMPLEMENTATION PLAN. 0 Schedule H, Part V, Section B, Line 6 IMPLEMENTATION STRATEGY ADOPTED AS PERMITTED BY IRS TRANSITION RULES, THE ORGANIZATION ADOPTED ITS IMPLEMENTATION STRATEGY BY MAY 15, 2016 AND THEREFORE IS DEEMED TO SATISFY THE REQUIREMENT TO ADOPT THE STRATEGY IN THE SAME YEAR THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE, 2015. Schedule H, Part V, Section B, Line 3 IMPACT OF CHNA ACTIONS THE ORGANIZATION'S MOST RECENT CHNA WAS PREPARED IN 2015, WHICH WAS PRIOR TO THE FINAL 501(R) REGULATIONS. THE REQUIREMENT TO REPORT THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED INT HE HOSPITAL FACILITY'S PRIOR CHNA WAS NOT SPECIFICALLY ADDRESSED IN THE ORGANIZATION'S 2015 CHNA SINCE IT WAS PREPARED USING THE PROPOSED REGULATIONS, WHICH DID NOT INCLUDE THIS REQUIREMENT. THE IMPACT OF ANY ACTIONS TAKEN WILL BE ADDRESSED IN ALL FUTURE CHNA REPORTS. 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 3167516 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 II Community Building Activities SAINT LUKES CUSHING HOSPITAL INC SPONSORS OR PARTICIPATES IN MANY COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF OUR COMMUNITY. ACTIVE PARTICIPATION IN MANY COMMUNITY ORGANIZATIONS INCLUDE SAINT VINCENT'S CLINIC, UNITED WAY OF LEAVENWORTH, LEAVENWORTH COUNTY DEVELOPMENT CORPORATION, CHAMBER OF COMMERCE, ROTARY, KANSAS HOSPITAL ASSOCIATION, MILITARY AFFAIRS COUNCIL, LEAVENWORTH INTERFAITH SHELTER OF HOPE, AND EDUCATION FOUNDATIONS. WE HOST BLOOD DRIVES FOR THE COMMUNITY BLOOD CENTER. WE ENCOURAGE OUR EMPLOYEES TO SERVE ON COMMUNITY BOARDS AND VOLUNTEER FOR ACTIVITIES THAT PROMOTE HEALTH IN THE COMMUNITY. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS REPORTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT IT ALIGNS WITH GAAP. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: SEE PAGES 10-11, NOTE 1, ACCOUNTS RECEIVABLE SECTION OF ATTACHED AUDITED FINANCIAL STATEMENTS. THE AMOUNT OF BAD DEBT REPORTED IN THIS FORM 990 IS CONSISTENT WITH FINANCIAL STATEMENTS. 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 ASSESS COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS. THE HOSPITAL OBTAINS HIDI MARKET DATA AND OTHER OUTPATIENT MARKET DATA. WITH THIS DATA, THE HOSPITAL IDENTIFIES SERVICES RECEIVED BY THE RESIDENTS OF OUR COMMUNITY (DEFINED BY OUR PRIMARY AND SECONDARY SERVICE AREAS). ANY PREDOMINANT SERVICES NOT CURRENTLY OFFERED BY THE HOSPITAL ARE CONSIDERED AND EVALUATED FOR SUSTAINABILITY. ANOTHER ELEMENT OF THE COMMUNITY ASSESSMENT CONSISTS OF MEETINGS WITH VARIOUS COMMUNITY ORGANIZATIONS SUCH AS FORT LEAVENWORTH, CARITAS CLINICS, SISTER'S OF CHARITY, CHAMBER OF COMMERCE, AND LEAVENWORTH COUNCIL ON ECONOMIC DEVELOPMENT. THE HOSPITAL ALSO GATHERS INFORMATION THROUGH TOWN HALL MEETINGS WITH STAFF, MEETINGS WITH PHYSICIANS, HOSPITAL BOARD OF DIRECTORS AND THE COMMUNITY ADVISORY COUNCIL. THROUGH FEEDBACK FROM THESE MEETINGS, COMMUNITY NEEDS ARE COMMUNICATED TO THE HOSPITAL AND CONSIDERED. 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 WEB SITE, 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. Schedule H, Part VI, Line 4 Community information SAINT LUKES CUSHING HOSPITAL INC IS LOCATED IN LEAVENWORTH COUNTY, KANSAS. LOCATED IN NORTHEAST KANSAS, LEAVENWORTH COUNTY SITS ADJACENT TO THE MISSOURI BORDER. ACCORDING TO THE U.S. CENSUS BUREAU, THE COUNTY COVERS 462.83 SQUARE MILES. THE COUNTY BOUNDARIES SIT AMIDST THE EASTERN AND WESTERN HILLS ALONG THE MISSOURI RIVER AND THE EXPANSIVE PRAIRIE OF WESTERN KANSAS. Schedule H, Part VI, Line 5 Promotion of community health THE BOARD OF DIRECTORS CONSISTS OF MEDICAL PROFESSIONALS, BUSINESS PROFESSIONALS AND ACTIVE COMMUNITY MEMBERS, MANY WHOM RESIDE OR PRACTICE IN THE COMMUNITY, PLUS REPRESENTATIVES FROM SAINT LUKE'S HEALTH SYSTEM. THE BOARD IS INVOLVED IN THE PLANNING AND COMMUNITY ASSESSMENT PROCESSES. THE MEDICAL STAFF IS OPEN FOR NEARLY ALL SPECIALTIES AND PRIVILEGES ARE AVAILABLE 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 CONSISTS OF 10 AREA HOSPITALS AND SEVERAL PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND POST ACUTE CARE SERVICES, INCLUDING HOME HEALTH, SKILLED NURSING, AND ASSISTED LIVING. 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) 3887705 SUPPORT FOR HEALTHCARE SERVICES IN LEAVENWORTH 1 0 SCHOLARSHIPS TO STUDENTS IN HEALTHCARE FIELD 8 8000 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANTS ARE PROVIDED TO QUALIFIED CHARITIES FOR GENERAL OPERATIONS AND TO BE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE CHARITABLE ORGANIZATION. SUCH GRANTS FURTHER OR SUPPORT A CHARITABLE PURPOSE OF THE FILING ORGANIZATION. false false false false false false false true false KAREN KRAMER PRESIDENT BEGIN 4/2017 / DIRECTOR 0 210025 0 24261 0 17002 0 29217 0 29113 0 309617 0 14086 DON SIPES DIRECTOR & PRESIDENT TERM END 4/2017 0 169783 0 64766 0 36590 0 35105 0 20386 0 326630 0 22086 JULIE MURPHY CFO THRU 5/2017 / DIRECTOR 0 231975 0 38261 0 24106 0 40056 0 5663 0 340061 0 17312 TAYLOR WARWICK DIRECTOR BEGIN 4/2017 0 123547 0 20909 0 415 0 6576 0 7965 0 159411 0 0 ADELE DUCHARME CEO THRU 11/2017 229897 0 46879 0 24264 0 29109 0 9962 0 340112 0 15986 0 KARIN SUNDBLOM CNO 131607 0 13791 0 492 0 7669 0 26836 0 180395 0 0 0 ROBERT OLM-SHIPMAN CEO BEGIN 11/2017 0 326075 0 64517 0 18049 0 40300 0 30733 0 479674 0 14672 ROBERT KATZENBERGER MGR-PHARMACY 139223 0 0 0 2001 0 7216 0 20404 0 168843 0 0 0 Schedule J, Part II RELATED ORGANIZATION COMPENSATION DON SIPES, 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. JULIE MURPHY RECEIVED COMPENSATION 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 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 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 DON SIPES, KAREN KRAMER AND TAYLOR WARWICK ARE EMPLOYEES OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATION - Business relationship, DON SIPES AND JULIE MURPHY ARE OFFICERS OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATION - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, APPOINTMENT & REMOVAL OF DIRECTORS AND THE CEO, DEBT, BUDGETS, CAPITAL EXPENDITURES, POLICIES APPLICABLE TO THE ORGANIZATION, AND STRATEGIC OPERATING DECISIONS. AS PART OF AN INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER ALSO PROVIDES VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO THE ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY THE ENTITY'S CFO OR CEO BEFORE FILING. A SUMMARY OF KEY 990 INFORMATION IS PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND THE 990 DRAFT IS MADE AVAILABLE TO THE COMMITTEE FOR REVIEW. THE 990 IS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE 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 DON SIPES, TAYLOR WARWICK AND KAREN KRAMER 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. JULIE MURPHY RECEIVED COMPENSATION 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: 189252, Related or Exempt Function Revenue: 189252, 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: 1676521, Program Service Expense: 1660531, Management and General Expenses: 15990, Fundraising Expenses: ; TEMPORARY HELP - Total Expense: 642492, Program Service Expense: 642492, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 840526, Program Service Expense: 797705, Management and General Expenses: 42821, Fundraising Expenses: ; OTHER SERVICES - Total Expense: 358059, Program Service Expense: 230288, Management and General Expenses: 127612, Fundraising Expenses: 159; MAINTENANCE & REPAIRS - Total Expense: 1073061, Program Service Expense: 960448, Management and General Expenses: 112613, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION SETTLEMENT/LIABILITY TRANSFER TO SLHS - 9225; INCREASE IN BENEFICIAL INTEREST IN ASSETS OF SAINT LUKE'S CUSHING FOUNDATION - 231850; MISCELLANEOUS OTHER CHANGES IN NET ASSETS - 2271; 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 CABOT WESTSIDE HEALTH CENTER 901 E 104TH ST KANSAS CITY MO 64131 440546280 HEALTH CARE MO 501(c)(3) 7 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) 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 MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431357824 OWN & OPERATE MEDICAL OFFICE BUILDING MO N/A ST LUKES SURGICENTER-LEES SUMMIT LLC 11221 ROE AVE STE 230 OVERLAND PARK KS 66211 470853481 HEALTH CARE MO N/A SAINT LUKES SOUTH SURGERY CENTER LLC 11221 ROE AVE STE 230 OVERLAND PARK KS 66211 201721929 HEALTH CARE KS N/A SAINT LUKES-GI DIAGNOSTICS 4321 WASHINGTON STE 5700 KANSAS CITY MO 64111 274142549 HEALTH CARE MO N/A KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 3651 COLLEGE BLVD LEAWOOD KS 66211 481197295 HEALTH CARE KS N/A SAINT LUKES RADIATION THERAPY-LIBERTY LLC 901 E 104TH ST KANSAS CITY MO 64131 473793070 HEALTH CARE MO N/A THP-SAINT LUKES VENTURES LLC 1415 LOUISIANA ST 27TH FLOOR HOUSTON TX 77002 811243747 HEALTH CARE DE N/A SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP 901 E 104TH ST KANSAS CITY MO 64131 371471890 INSURANCE SC N/A C Corporation false ST LUKES HEALTH VENTURES INC 901 E 104TH ST KANSAS CITY MO 64131 431278476 ACCOUNTING MO N/A C Corporation false MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MANAGEMENT MO N/A C Corporation false VENTURE FINANCIAL SERVICES INC 9500 EAST 63RD ST STE 202 RAYTOWN MO 64133 431605740 COLLECTIONS MO N/A C Corporation false SAINT LUKES HEALTH SYSTEM INSURANCE LTD CAPTIVE CJ N/A 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.