ST LUKES HOSPITAL OF KANSAS CITY: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ST LUKES HOSPITAL OF KANSAS CITY (EIN 44-0545297)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-15
IRS object ID: 201813199349315401
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-15T16:03:46-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440545297	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Lukes Hospital of Kansas City	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STLU	BusinessNameControlTxt
Phone	8169322000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4401 Wornall Road	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64111	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AMY NACHTIGAL	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2018-11-15	SignatureDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JANI JOHNSON	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4401 Wornall Road	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64111	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$924,155,371	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	1882	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	TERTIARY CARE TEACHING HOSPITAL	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	4484	TotalEmployeeCnt
Total Volunteers	655	TotalVolunteersCnt
Total Gross UBI	-$482,303	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$782,787	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$35,896,905	PYContributionsGrantsAmt
CY Contributions Grants	$20,650,006	CYContributionsGrantsAmt
PY Program Service Revenue	$791,394,722	PYProgramServiceRevenueAmt
CY Program Service Revenue	$757,510,011	CYProgramServiceRevenueAmt
PY Investment Income	$5,763,964	PYInvestmentIncomeAmt
CY Investment Income	$25,685,962	CYInvestmentIncomeAmt
PY Other Revenue	$601,905	PYOtherRevenueAmt
CY Other Revenue	$846,795	CYOtherRevenueAmt
PY Total Revenue	$833,657,496	PYTotalRevenueAmt
CY Total Revenue	$804,692,774	CYTotalRevenueAmt
PY Grants And Similar Paid	$34,521,375	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$97,430,481	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$355,957,865	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$246,625,635	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$166,826	CYTotalFundraisingExpenseAmt
PY Other Expenses	$446,870,451	PYOtherExpensesAmt
CY Other Expenses	$432,706,012	CYOtherExpensesAmt
PY Total Expenses	$837,349,691	PYTotalExpensesAmt
CY Total Expenses	$776,762,128	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,692,195	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$27,930,646	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,201,726,652	TotalAssetsBOYAmt
Total Assets EOY	$1,271,627,973	TotalAssetsEOYAmt
Total Liabilities BOY	$380,698,795	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$374,359,046	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$821,027,857	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$897,268,927	NetAssetsOrFundBalancesEOYAmt
Mission	SAINT LUKE'S HOSPITAL IS A NOT-FOR-PROFIT TERTIARY REFERRAL CENTER COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. WE ARE DEDICATED TO MEDICAL RESEARCH AND EDUCATION. AS A MEMBER OF THE SAINT LUKE'S HEALTH SYSTEM WE ARE COMMITTED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$693,313,232	ExpenseAmt
Grant	$97,430,481	GrantAmt
Revenue	$757,431,795	RevenueAmt
Desc	HOSPITAL CARE: ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION, WHICH IS TO ENSURE THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. SAINT LUKE'S HOSPITAL IS A FULL-SERVICE HEALTH CARE FACILITY FEATURING AWARD-WINNING HEART SURGERY, NATIONALLY RECOGNIZED TRANSPLANT PROGRAMS, A STATE-OF-THE-ART WOMEN'S HEALTH CENTER, TRAUMA SERVICES, ADOLESCENT AND FAMILY MENTAL HEALTH TREATMENT SERVICES, AND MORE. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS A FINANCIAL ASSISTANCE POLICY FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. THE HOSPITAL HAS OVER 500 ACTIVE PHYSICIANS AND CONTINUES TO ADVANCE TREATMENT OPTIONS THROUGH LANDMARK RESEARCH STUDIES. RESEARCH, EDUCATION, AND TEACHING: IN ADDITION TO THE SUBSTANTIAL AMOUNT OF FREE CARE PROVIDED, SAINT LUKE'S HOSPITAL HAS MADE A MAJOR COMMITMENT TO MEDICAL AND NURSING EDUCATION. THIS INCLUDES THE SIGNIFICANT FUNDING REQUIREMENTS TO MAINTAIN AN ACCREDITED TEACHING AFFILIATION AND PROVIDE FOR THE TRAINING OF RESIDENTS IN VARIOUS MEDICAL SPECIALTIES OR SUB-SPECIALTIES. SAINT LUKE'S HOSPITAL ALSO PROVIDES TRAINING PROGRAMS FOR MEDICAL IMAGING, CHAPLAINS, PATIENT CARE TECHNICIANS AND PHLEBOTOMY. SAINT LUKE'S HOSPITAL IS ALSO ACCREDITED TO OFFER CONTINUING MEDICAL EDUCATION PROGRAMS FOR PRACTICING PHYSICIANS. SAINT LUKE'S HOSPITAL IS CONCERNED ABOUT THE LONG-TERM WELFARE OF THE COMMUNITY AND MAKES AN ADDITIONAL INVESTMENT IN THE FUTURE OF HEALTH CARE THROUGH RESEARCH ACTIVITIES.	Desc
Total Program Service Expenses	$693,313,232	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln 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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	2	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4484	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE ORGANIZATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8169322000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4401 WORNALL ROAD	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64111	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 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
JANI JOHNSON
CEO & ASSIST SECR & BOD MBR	50.0	0.0	Yes (X)	Yes (X)	$572,127	$0	$88,187
THOMAS WILLARD
BOARD MEMBER-PRESIDENT	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
THE RT REV MARTIN FIELD
BOARD MEMBER-CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN PHILLIPS
BOARD MEMBER-SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
THOMAS L WAGSTAFF
BOARD MEMBER-VICE PRESIDENT	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL L WEAVER MD
BOARD MEMBER	2.0	20.0	Yes (X)		$0	$98,693	$15,797
MATTHEW DEEDY MD
BOARD MEMBER	2.0	40.0	Yes (X)		$0	$634,343	$42,532
JOHN HELZBERG MD
BOARD MEMBER	2.0	40.0	Yes (X)		$0	$548,627	$38,897
GREGORY BENTZ
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
LEANNA MOSHER MD
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$127,754	$0
WILLIAM ALIBER
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
MARK BERNHARDT MD
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
RYAN BRUNTON
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
J GRANT BURCHAM
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
BLAKE HODGES
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
DAVID HUNT
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
JEAN KIENE
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
NIKKI NEWTON
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
RICHARD OWEN
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
BRUCE PENDLETON
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
LAURA PIERCE
BOARD MEMBER TERM END 7/2017	2.0	0.0	Yes (X)		$0	$0	$0
ROBERT SAWYER
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
MINA STEEN
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
GUY TOWNSEND III
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
JEFFREY WATERS MD
BOARD MEMBER TERM ENDED DURING 2017	2.0	0.0	Yes (X)		$0	$0	$0
DEBORAH WILLIAMS
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
JAMIE ALLEN
VP & GENERAL COUNSEL	0.0	50.0		Yes (X)	$0	$283,389	$23,433
CHARLES V ROBB
ASSISTANT SECRETARY	1.0	50.0		Yes (X)	$0	$845,803	$263,572
PETER HOLT MD
VP-MEDICAL AFFAIRS	34.0	0.0		Yes (X)	$250,987	$2,700	$31,977
AMY NACHTIGAL
CHIEF FINANCIAL OFFICER	50.0	0.0		Yes (X)	$434,072	$0	$61,000
DORIS ROGERS
VP-HUMAN RESOURCES	50.0	0		Yes (X)	$273,932	$0	$64,591
RICCI SANCHEZ
CHIEF OPERATING OFFICER	50.0	0		Yes (X)	$131,758	$0	$26,465
DEBRA WILSON
VP & CHIEF NURSING OFFICER	50.0	0.0		Yes (X)	$368,174	$0	$66,026
JOHN YEAST MD
VP-MED ED & RESEARCH		40.0		Yes (X)	$0	$236,745	$38,257
NORMAN HEISLER MD
PHYSICIAN	40.0	0.0			$292,305	$0	$36,657	Yes (X)
EILEEN DUGGAN MD
PHYSICIAN	40.0	0.0			$220,623	$0	$26,247	Yes (X)
MANUEL HERNANDEZ
PHYSICIAN	40.0	0			$206,247	$0	$29,621	Yes (X)
JANE PECK
DIRECTOR	40.0	50.0			$250,939	$0	$11,344	Yes (X)
JOHN SPERTUS MD
PHYSICIAN	40.0	0			$453,358	$0	$46,309	Yes (X)
LEONARDO LOZADA MD
FORMER INTERIM CEO OF PHYSICIAN SPECIALISTS		50.0			$0	$1,030,818	$147,209		Yes (X)
JOSEPH STASI
FORMER COO OF PHYSICIAN SPECIALISTS		50.0			$0	$359,112	$68,029		Yes (X)
STEPHEN TAKACS
FORMER CFO OF PHYSICIAN SPECIALISTS		50.0			$0	$245,166	$37,482		Yes (X)
MELINDA ESTES MD
FORMER ASSISTANT SECRETARY		50.0			$0	$1,885,996	$321,891		Yes (X)
JULIE QUIRIN
FORMER CEO & ASSIST SECR		50.0			$0	$859,999	$202,904		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,454,521	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,159,144	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,688,428	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	191	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
HEART SURGEONS OF KANSAS CITY
4320 WORNALL ROAD	KANSAS CITY	MO	64111	MEDICAL SERVICES	$7,028,776
MIDWEST TRANSPLANT NETWORK
1900 W 47TH PLACE STE 400	WESTWOOD	KS	66205	MEDICAL SERVICES	$6,422,780
UNIVERSITY OF MISSOURI - KANSAS CITY
PO BOX 805111	KANSAS CITY	MO	64180	MEDICAL RESIDENT SERVICES	$5,318,577
P1 GROUP
16210 W 108TH ST	LENEXA	KS	66219	FACILITIES MANAGEMENT	$5,113,455
FAVORITE HEALTHCARE STAFFING INC
7255 W 98TH TERR	OVERLAND PARK	KS	66212	TEMPORARY STAFFING	$5,087,368

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	79	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$141,267	FederatedCampaignsAmt
Government Grants	$2,074,447	GovernmentGrantsAmt
All Other Contributions	$18,434,292	AllOtherContributionsAmt
Total Contributions	$20,650,006	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$711,318,846	$711,318,846
REGIONAL LAB SERVICES	621500	$13,557,123	$13,557,123
PHARMACY REVENUE	446110	$10,834,370	$10,834,370
DATA STORAGE SERVICES		$78,216		$78,216

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,721,456	TotalRevenueColumnAmt
Related Or Exempt Func Income	$21,721,456	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$757,510,011	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,887,309	TotalRevenueColumnAmt
Unrelated Business Revenue	-$560,519	UnrelatedBusinessRevenueAmt
Exclusion	$7,447,828	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,249	TotalRevenueColumnAmt
Exclusion	$40,249	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$846,795	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$846,795	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$846,795	TotalRevenueColumnAmt
Exclusion	$846,795	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$138,221,000	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$119,462,597	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$18,758,403	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,758,404	TotalRevenueColumnAmt
Exclusion	$18,758,404	ExclusionAmt

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	$804,692,774	TotalRevenueColumnAmt
Related Or Exempt Func Income	$757,431,795	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$482,303	UnrelatedBusinessRevenueAmt
Exclusion	$27,093,276	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$97,430,481	TotalAmt
Program Services	$97,430,481	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,369,295	TotalAmt
Program Services	$282,964	ProgramServicesAmt
Management And General	$2,086,331	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$192,671,979	TotalAmt
Program Services	$183,808,104	ProgramServicesAmt
Management And General	$8,776,097	ManagementAndGeneralAmt
Fundraising	$87,778	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,762,050	TotalAmt
Program Services	$9,061,005	ProgramServicesAmt
Management And General	$696,824	ManagementAndGeneralAmt
Fundraising	$4,221	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,612,872	TotalAmt
Program Services	$26,256,183	ProgramServicesAmt
Management And General	$1,342,842	ManagementAndGeneralAmt
Fundraising	$13,847	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,209,439	TotalAmt
Program Services	$13,411,715	ProgramServicesAmt
Management And General	$787,562	ManagementAndGeneralAmt
Fundraising	$10,162	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$12,935	TotalAmt
Management And General	$12,935	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,043,536	TotalAmt
Management And General	$1,043,536	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$70,627,050	TotalAmt
Program Services	$67,552,230	ProgramServicesAmt
Management And General	$3,034,397	ManagementAndGeneralAmt
Fundraising	$40,423	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$49,168	TotalAmt
Program Services	$31,944	ProgramServicesAmt
Management And General	$17,224	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,456,707	TotalAmt
Program Services	$9,654,225	ProgramServicesAmt
Management And General	$2,800,045	ManagementAndGeneralAmt
Fundraising	$2,437	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,513,043	TotalAmt
Program Services	$458,557	ProgramServicesAmt
Management And General	$3,054,486	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,483,702	TotalAmt
Program Services	$16,511,015	ProgramServicesAmt
Management And General	$968,511	ManagementAndGeneralAmt
Fundraising	$4,176	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$696,398	TotalAmt
Program Services	$650,722	ProgramServicesAmt
Management And General	$44,874	ManagementAndGeneralAmt
Fundraising	$802	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$448,052	TotalAmt
Program Services	$398,789	ProgramServicesAmt
Management And General	$49,263	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,036,805	TotalAmt
Program Services	$8,468,951	ProgramServicesAmt
Management And General	$567,854	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$36,356,659	TotalAmt
Program Services	$35,388,810	ProgramServicesAmt
Management And General	$964,851	ManagementAndGeneralAmt
Fundraising	$2,998	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,157,546	TotalAmt
Program Services	$3,461,888	ProgramServicesAmt
Management And General	$695,658	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$158,003,774	$157,992,622	$11,152
SHARED SERVICES-SLHS	$90,202,487	$34,225,125	$55,977,362
BAD DEBT	$26,429,295	$26,429,295

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,188,855	TotalAmt
Program Services	$1,838,607	ProgramServicesAmt
Management And General	$350,266	ManagementAndGeneralAmt
Fundraising	-$18	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$776,762,128	TotalAmt
Program Services	$693,313,232	ProgramServicesAmt
Management And General	$83,282,070	ManagementAndGeneralAmt
Fundraising	$166,826	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$51,007,752	BOYAmt
EOY	$28,257,827	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,812,742	BOYAmt
EOY	$14,289,272	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$119,540,948	BOYAmt
EOY	$124,299,162	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$930,808	BOYAmt
EOY	$930,808	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,972,244	BOYAmt
EOY	$13,650,869	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,714,566	BOYAmt
EOY	$1,803,620	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$886,348,798	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$446,903,544	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$447,525,319	BOYAmt
EOY	$439,445,254	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$87,896,891	BOYAmt
EOY	$119,616,681	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$266,958,554	BOYAmt
EOY	$314,255,445	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,020,012	BOYAmt
EOY	$1,945,461	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,781,246	BOYAmt
EOY	$22,493,008	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$172,565,570	BOYAmt
EOY	$190,640,566	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,201,726,652	BOYAmt
EOY	$1,271,627,973	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$47,063,104	BOYAmt
EOY	$49,626,955	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$296,189,666	BOYAmt
EOY	$287,779,044	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	$37,446,025	BOYAmt
EOY	$36,953,047	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$380,698,795	BOYAmt
EOY	$374,359,046	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$655,111,489	BOYAmt
EOY	$715,669,884	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$129,995,712	BOYAmt
EOY	$132,025,938	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,920,656	BOYAmt
EOY	$49,573,105	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$821,027,857	BOYAmt
EOY	$897,268,927	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,201,726,652	BOYAmt
EOY	$1,271,627,973	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$27,930,646	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$32,938,561	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$15,371,863	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

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	$83,588	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$83,588	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	PORTION OF DUES PAID TO HOSPITAL, MEDICAL, & CIVIC ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	PORTION OF DUES PAID TO HOSPITAL, MEDICAL, & CIVIC ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,881,613	BeginningYearBalanceAmt
Contributions	$1,444,060	ContributionsAmt
Investment Earnings Or Losses	$1,715,325	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,958,603	OtherExpendituresAmt
End Year Balance	$14,082,395	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,250,600	BeginningYearBalanceAmt
Contributions	$2,272,192	ContributionsAmt
Investment Earnings Or Losses	$701,931	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,343,110	OtherExpendituresAmt
End Year Balance	$12,881,613	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,146,109	BeginningYearBalanceAmt
Contributions	$283,013	ContributionsAmt
Investment Earnings Or Losses	$210,533	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,389,055	OtherExpendituresAmt
End Year Balance	$11,250,600	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,821,445	BeginningYearBalanceAmt
Contributions	$279,480	ContributionsAmt
Investment Earnings Or Losses	$644,676	InvestmentEarningsOrLossesAmt
Other Expenditures	$599,492	OtherExpendituresAmt
End Year Balance	$12,146,109	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,758,171	BeginningYearBalanceAmt
Contributions	$343,890	ContributionsAmt
Investment Earnings Or Losses	$1,650,991	InvestmentEarningsOrLossesAmt
Other Expenditures	$931,607	OtherExpendituresAmt
End Year Balance	$11,821,445	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.727	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.273	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$306,933	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$6,943,422	OtherCostOrOtherBasisAmt
Book Value	$7,250,355	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$541,574,841	OtherCostOrOtherBasisAmt
Depreciation	$190,706,581	DepreciationAmt
Book Value	$350,868,260	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,103,114	OtherCostOrOtherBasisAmt
Depreciation	$7,059,790	DepreciationAmt
Book Value	$3,043,324	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$312,579,667	OtherCostOrOtherBasisAmt
Depreciation	$241,419,448	DepreciationAmt
Book Value	$71,160,219	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,840,821	OtherCostOrOtherBasisAmt
Depreciation	$7,717,725	DepreciationAmt
Book Value	$7,123,096	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$439,445,254	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (23 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Financial Square Trust Government Fund	$6,663,189	F
Silchester International Value Equity Trust	$34,410,735	F
Catalyst Fund Limited Partnership V	$663,693	F
SSGA Russell 1000 Index	$89,568,437	F
Greenspring Secondaries Fund II	$3,654,105	F
SSGA 1-3 Year US Credit Index Non Lending CTF	$28,239,221	F
Magnitude International Class A Eligible	$11,534,935	F
Acl Alternative Fund	$14,429,006	F
Ae Industrial Partners Fund	$2,026,062	F
Aether Real Assets	$4,298,191	F
Castlelake IV - Limited Partnership	$4,977,445	F
Crown Global Secondaries III PLC	$2,947,065	F
Dover Street VIII Cayman Fund LP	$3,006,713	F
Greenspring Secondaries Fund I	$8,684,534	F
Neuberger Berman Dynamic Real Return Portfolio Offshore Lmt	$13,777,967	F
Pantheon USA Fund VII LP	$4,342,111	F
Park Street Capital Natural Resource	$3,910,386	F
Siguler Guff Bric Opportunities Fund III LP	$3,416,300	F
Siguler Guff Distressed Opportunities	$1,639,521	F
Siguler Gulf Distressed Opportunities Fund IV	$2,412,612	F
1607 Capital International Equity Fund	$38,745,874	F
Prisma Spectrum Fund LTD	$10,838,571	F
Lsv Emerging Markets Equity Fund Limited Partnership	$20,068,772	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$314,255,445	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN AFFILIATES	$7,346,317
INVESTMENT IN HOSPITAL LINEN SERVICE
OTHER ASSETS	$3,302,300
BENEFICIAL INTEREST IN ASSETS OF FOUNDATION	$168,300,861
RECEIVABLE FROM AFFILIATES	$11,691,088

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$190,640,566	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
OTHER CURRENT LIABILITIES	$1,186,969
OTHER NONCURRENT LIABILITIES	$6,387,337
PAYABLES TO AFFILIATES	$18,387,681
ESTIM 3RD PARTY PAYOR SETTLEMENTS	$10,991,060

Field	Value	IRS element (for citing)
Total Liability	$36,953,047	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part XI PARTS XI, XII AND XIII

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

SAINT LUKE'S HOSPITAL'S ENDOWMENT FUNDS ARE PRIMARILY INTENDED TO COVER HOSPITAL EXPENSES FOR PATIENTS WHO ARE UNINSURED/UNDERINSURED AND CANNOT AFFORD TREATMENT, GENERAL OPERATIONS OF THE HOSPITAL AND CAPITAL EXPENDITURES FOR EQUIPMENT. THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENTS THE BENEFICIAL INTEREST IN NET ASSETS OF SAINT LUKE'S FOUNDATION. SUCH ASSETS ARE REPORTED IN PART X, LINE 15.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	North America (Canada & Mexico only)	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$664,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$664,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$664,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part IV FOREIGN FORMS	FormAndLineReferenceDesc
Explanation	ALL APPLICABLE FOREIGN FORMS HAVE BEEN ATTACHED TO THE ORGANIZATION'S FORM 990-T FOR 2017.	ExplanationTxt

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
Percent300	Yes (X)	Percent300Ind
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	$20,956,254	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,956,254	NetCommunityBenefitExpnsAmt
Total Expense	0.0274	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,636,762	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,923,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,712,765	NetCommunityBenefitExpnsAmt
Total Expense	0.0428	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	$138,593,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,923,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,669,019	NetCommunityBenefitExpnsAmt
Total Expense	0.0703	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,013,908	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$591,462	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,422,446	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,769,292	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,121,030	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,648,262	NetCommunityBenefitExpnsAmt
Total Expense	0.0126	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,527,044	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,819,726	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,707,318	NetCommunityBenefitExpnsAmt
Total Expense	0.0062	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,426,849	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,187,144	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$239,705	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,147,200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,147,200	NetCommunityBenefitExpnsAmt
Total Expense	0.0094	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$45,884,293	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,719,362	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,164,931	NetCommunityBenefitExpnsAmt
Total Expense	0.0303	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$184,477,309	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,643,359	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,833,950	NetCommunityBenefitExpnsAmt
Total Expense	0.1006	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$26,757,217	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$184,721,223	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$210,296,616	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$25,575,393	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
KANSAS CITY ORTHOPAEDIC INSTITUTE LLC
ORTHOPAEDIC SERVICES	0.51	0.381
SAINT LUKES GI DIAGNOSTICS LLC
GASTROENTEROLOGY SERVICES	0.51	0.49

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
ST LUKES HOSPITAL OF KANSAS CITY
1	4401 WORNALL ROAD	KANSAS CITY	MO	64111	WWW.SAINTLUKESKC.ORG	87-57	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
KANSAS CITY ORTHOPAEDIC INSTITUTE LLC
2	3651 COLLEGE BLVD	LEAWOOD	KS	66211			Yes (X)	Yes (X)				ORTHOPAEDIC SPECIALTY SERVICES

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit Legal Judicial ProcessPermitLegalJudicialProcessInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Prior CHNA ImpactPriorCHNAImpactInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Income Level CriteriaIncomeLevelCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other CriteriaOtherCriteriaInd	Other Actions TakenOtherActionsTakenInd	No Emergency CareNoEmergencyCareInd
ST LUKES HOSPITAL OF KANSAS CITY
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.SAINTLUKESKC.ORG	Yes (X)	Yes (true)	15	Yes (true)	2015	false	Yes (true)	Yes (X)	133.0	300.0	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.SAINTLUKESKC.ORG	Yes (X)	WWW.SAINTLUKESKC.ORG	Yes (X)	WWW.SAINTLUKESKC.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
KANSAS CITY ORTHOPAEDIC INSTITUTE LLC
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.SAINTLUKESKC.ORG	Yes (X)	Yes (true)	16	Yes (true)	WWW.SAINTLUKESKC.ORG	false	Yes (true)	Yes (X)	133.0	133.0		Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.SAINTLUKESKC.ORG	Yes (X)	WWW.SAINTLUKESKC.ORG	Yes (X)	WWW.SAINTLUKESKC.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)		false		Yes (X)	Yes (X)		false	Yes (X)	false	false	Yes (X)	Yes (X)	WWW.KCOI.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST LUKE'S HOSPITAL OF KANSAS CITY. INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS WERE INTERVIEWED IN ORDER TO IDENTIFY COMPREHENSIVE LOCAL COMMUNITY HEALTH NEEDS: HOSPITAL AND SAINT LUKE'S HEALTH SYSTEM LEADERSHIP KANSAS CITY MO HEALTH DEPT. JACKSON COUNTY HEALTH DEPT. JOHNSON COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENT CLAY COUNTY PUBLIC HEALTH CENTER PLATTE COUNTY PUBLIC HEALTH DEPARTMENT IN ADDITION, WE WORKED WITH MANY COMMUNITY PARTNERS. THE INTERVIEWED COMMUNITY EXPERTS ARE FROM PUBLIC HEALTH AGENCIES AND HEALTH CARE-RELATED NOT-FOR-PROFIT ORGANIZATIONS WHOSE SERVICE SCOPES EXTEND THROUGHOUT THE REPORTING HOSPITAL'S COMMUNITY.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST LUKE'S HOSPITAL OF KANSAS CITY. THE HOSPITAL ANALYZED PUBLIC HEALTH DATA, INTERVIEWED A VARIETY OF HEALTH CARE PROFESSIONALS, AND SOUGHT INPUT FROM COMMUNITY LEADERS TO IDENTIFY THE FOLLOWING MAJOR HEALTH NEEDS: 1. ACCESS TO CARE THE HOSPITAL AND SAINT LUKE'S HEALTH SYSTEM WILL CONTINUE TO ACCEPT MISSOURI AND KANSAS MEDICAID AND CONTINUE TO ADVOCATE FOR THE COMMUNITY ON KEY HEALTH POLICY ISSUES AT THE STATE AND THE NATIONAL LEVEL, INCLUDING MEDICAID REFORM, ACCESS TO CARE, AND HEALTH CARE FINANCING FOR THE LOW-INCOME POPULATION. THE FOLLOWING PROGRAMS ARE IN PLACE TO ADDRESS AFFORDABILITY FOR UNINSURED OR UNDERINSURED PATIENTS IN THE COMMUNITY: - THE HOSPITAL'S MEDICATION ASSISTANCE PROGRAM ASSISTS ALL PATIENTS IN SECURING MEDICATIONS NEEDED AT DISCHARGE. - THE HOSPITAL WILL CONTINUE TO COLLABORATE WITH ARTISTS HELPING THE HOMELESS TO SECURE POST-DISCHARGE TRANSPORTATION AND HOUSING THROUGH THE HOUSING PROGRAM. HOMELESS PATIENTS OVER THE AGE OF 18 IN NEED OF A SAFE ENVIRONMENT TO CONTINUE HEALING AFTER DISCHARGE IS PROVIDED THROUGH THIS PROGRAM. IN ORDER TO ENSURE AVAILABILITY OF SERVICES THROUGHOUT THE COMMUNITY, THE HOSPITAL WILL CONTINUE TO MEET THE ACUTE CARE NEEDS OF THE COMMUNITY THROUGH THE AVAILABILITY OF HIGHLY SPECIALIZED SERVICES AT THESE CENTERS OF EXCELLENCE: SAINT LUKE'S MARION BLOCH NEUROSCIENCE INSTITUTE, SAINT LUKE'S MID AMERICA HEART INSTITUTE, SAINT LUKE'S CANCER INSTITUTE, AND SAINT LUKE'S MURIEL I. KAUFFMAN WOMEN'S HEART CENTER. THE FOLLOWING OUTLINES THE HOSPITAL'S ADDITIONAL EFFORTS TO ADDRESS AVAILABILITY OF SERVICES FOR PATIENTS IN THE COMMUNITY: - THE HOSPITAL'S COLLABORATION WITH KANSAS CITY CARE CLINIC (KC CARE) TRAINS AND PROVIDES COMMUNITY HEALTH WORKERS TO ADDRESS GAPS IN CARE COORDINATION AND HELPS PATIENTS UNDERSTAND AND UTILIZE RESOURCES AVAILABLE TO THEM AFTER BEING DISCHARGED FROM THE HOSPITAL. TWO COMMUNITY HEALTH WORKERS ARE ASSIGNED TO SAINT LUKE'S HOSPITAL TO WORK WITH PATIENTS TO: FIND AND SECURE A PRIMARY CARE MEDICAL HOME AND HELP FIND COMMUNITY BASED RESOURCES TO ADDRESS ANY BARRIERS TO RECEIVING HEALTH CARE. IN ADDITION, SAINT LUKE'S HOSPITAL SPONSORS A PHYSICIAN TO HELP PROVIDE CARE AT THE KC FREE CLINIC LOCATED NEAR SAINT LUKE'S HOSPITAL. - SAINT LUKE'S HEALTH SYSTEM'S PARTNERSHIP WITH HY-VEE GROCERY STORE CHAINS THROUGHOUT THE KANSAS CITY AREA HELP PROVIDE HIGH-QUALITY AND AFFORDABLE PRIMARY CARE CLOSER TO WHERE PEOPLE LIVE AND WORK. SEVERAL CLINICS LOCATED WITHIN THE HY-VEE GROCERY STORES WERE OPENED. PATIENTS HAVE ACCESS TO IN-STORE DIETITIANS AND PHARMACISTS, AS WELL AS HEALTH, WELLNESS, AND PREVENTIVE CARE SERVICES ALL IN ONE STOP. THE FOLLOWING OUTLINES THE HOSPITAL'S EFFORTS TO ADDRESS AWARENESS OF SERVICES AND HEALTH INFORMATION FOR PATIENTS IN THE COMMUNITY: - THE HOSPITAL CONTINUES TO HOST CLINIC-BASED AND COMMUNITY BASED WELLNESS EDUCATION FOR PATIENTS. - IN ORDER TO CONTINUE TO UNDERSTAND AND MEET THE UNIQUE NEEDS OF THE COMMUNITY, THE HOSPITAL WILL DEVELOP STRONGER PARTNERSHIPS WITH KEY NON-PROFIT ORGANIZATIONS IN THE KANSAS CITY METRO AREA THAT SERVE THE URBAN CORE AND/OR VULNERABLE OR UNDERSERVED POPULATIONS. RECENTLY, WITH THE GUIDANCE OF MEMBERS FROM THE SAINT LUKE'S HEALTH SYSTEM DIVERSITY AND INCLUSION COUNCIL, THE HOSPITAL SELECTED FOUR KEY PROGRAMS TO SUPPORT. THEY INCLUDE: HOPE HOUSE, GUADALUPE CENTER, KC CARE CLINIC, AND SAFEHOME. 2. DIABETES THE HOSPITAL'S DIABETES CENTER CONTINUES TO PROVIDE COMPREHENSIVE SERVICES FEATURING AN INTEGRATED CARE TEAM, WHERE PATIENTS CAN ACCESS ENDOCRINOLOGY SPECIALISTS, CERTIFIED NURSE EDUCATORS, AND CERTIFIED DIETITIAN DIABETES EDUCATORS ALL WITHIN THE SAME SUITE. ADDITIONALLY, THE CENTER IS: - IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION - OFFERS CUSTOMIZED CARE PLANS WITH INPUT FROM MULTIPLE SPECIALISTS - FEATURES CERTIFIED DIABETES NURSES AND DIETITIANS WHO ARE EXPERIENCED IN MANAGING COMPLEX DIABETES CASES - PROMOTES LONG-TERM HEALTH THROUGH A VARIETY OF INDIVIDUAL AND GROUP CLASSES WHICH INCLUDE: DIABETES PREVENTION CLASSES, HEALTHY LIVING WITH DIABETES, GESTATIONAL DIABETES, MEDICAL NUTRITION THERAPY, AND INSULIN AND INJECTED MEDICINE EDUCATION AND TRAINING - FEATURES A TEACHING KITCHEN WITH COOKING DEMONSTRATIONS TO PROMOTE A HEALTHY DIET THE HOSPITAL CONTINUES TO PIONEER DIABETES RESEARCH EFFORTS AND ARE PRESENTLY FOCUSED ON STUDYING DRUG TREATMENTS THAT HAVE THE POTENTIAL TO IMPROVE OUTCOMES FOR PATIENTS WITH DIABETES AND HEART FAILURE. 3. HYPERTENSION/HIGH BLOOD PRESSURE THE HOSPITAL IS ACTIVELY ENGAGED LOCALLY, REGIONALLY, AND NATIONALLY IN THE MILLION HEARTS INITIATIVE, WHICH IS A JOINT INITIATIVE LAUNCHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND CENTERS FOR MEDICARE AND MEDICAID SERVICES. THE MILLION HEARTS INITIATIVE IS FOCUSED ON TWO NATIONAL GOALS: EMPOWER AMERICANS TO MAKE HEALTHY CHOICES (SUCH AS PREVENTING TOBACCO USE AND REDUCING SODIUM AND TRANS FAT CONSUMPTION) AND IMPROVE CARE FOR PEOPLE WHO DO NEED TREATMENT BY ENCOURAGING A TARGETED FOCUS ON THE "ABCS" (ASPIRIN FOR PEOPLE AT RISK, BLOOD PRESSURE CONTROL, CHOLESTEROL MANAGEMENT, AND SMOKING CESSATION). THE HOSPITAL CHOSE ONE RISK FACTOR TO FOCUS ON, BLOOD PRESSURE. THE HOSPITAL ALSO CONTINUES THE COMMITMENT TO THE PREVENTION OF HEART DISEASE AND STROKE BY OFFERING SMOKING CESSATION CLASSES, BODY COMPOSITION ASSESSMENT, HEALTHY COOKING DEMONSTRATIONS, AND COMMUNITY EDUCATION SERIES THROUGH SAINT LUKE'S HOSPITAL'S CHARLES & BARBARA DUBOC CARDIO HEALTH & WELLNESS CENTER. THE HOSPITAL ALSO PROVIDES CONTINUED SUPPORT FOR THE AMERICAN HEART ASSOCIATION (AHA) IN ITS EFFORT TO BUILD HEALTHIER LIVES FREE OF CARDIOVASCULAR DISEASES AND STROKE. THE HOSPITAL CONTINUES TO SUPPORT AHA IN LOCAL COMMUNITY EFFORTS INCLUDING GO RED FOR WOMEN AND THE HEART WALK 4. NEONATAL HEALTH SINCE NEWBORN HEALTH AND MATERNAL HEALTH GO HAND IN HAND, THE HOSPITAL HAS BEEN A LONG STANDING SUPPORTER AND SPONSOR OF THE MOTHER AND CHILD HEALTH COALITION (MCHC). MCHC PARTNERS WITH HEALTH ORGANIZATIONS AND PROVIDERS IN THE KANSAS CITY COMMUNITY TO PROMOTE ALL ASPECTS OF INFANT AND CHILD WELLNESS, INCLUDING PROMOTION OF IMMUNIZATIONS. THE HOSPITAL'S OBSTETRICAL AND NEONATAL PATIENTS AND FAMILIES ARE PROVIDED INFORMATION AND ACCESS TO RECOMMENDED IMMUNIZATIONS FOR BOTH MOTHERS AND BABIES. IN ADDITION, THE HOSPITAL IS COMMITTED TO CONTINUING TO PROVIDE THE FOLLOWING SERVICES TO ADDRESS MATERNAL AND NEWBORN HEALTH NEEDS IN THE COMMUNITY: - PROVIDE THE ONLY MILK BANK IN THE KANSAS CITY AREA - HIGH-RISK OBSTETRIC CARE INCLUDING HIGH-RESOLUTION ULTRASOUND STUDIES, GENETIC COUNSELING, GENETIC DIAGNOSTIC PROCEDURES, DIABETES MANAGEMENT, AND FETAL SURVEILLANCE - HEART DISEASE IN PREGNANCY PROGRAM - NEONATAL INTENSIVE CARE - TENDER TOUCH PROGRAM PROVIDING INFANT MASSAGE THERAPY - FAMILY SUPPORT PROGRAM THROUGH THE MARCH OF DIMES - EDUCATION INCLUDING HOCKADAY WOMEN'S HEALTH SERIES, NEWBORN CARE, AND BREASTFEEDING BASICS - EMOTIONAL WELLNESS COUNSELING - CORD BLOOD PROGRAM - NEONATAL FOLLOW-UP CLINIC - SOCIAL WORK AND CASE MANAGEMENT PROGRAMS - THE CHILDREN'S SPOT (SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY) - CAR SEAT SAFETY CHECKS BY CERTIFIED CHILD PASSENGER SAFETY TECHNICIANS 5. THORACIC CARE THE HOSPITAL CONTINUES TO OFFER COMPREHENSIVE CARE TO PATIENTS WITH LUNG CANCER AND OTHER DISEASES OF THE LUNG AND CHEST THROUGH THE SAINT LUKE'S THORACIC CENTER AND SAINT LUKE'S CANCER INSTITUTE. A TEAM OF MULTIDISCIPLINARY SPECIALISTS ARE DEDICATED TO ENSURING EASY ACCESS TO THE MOST ADVANCED THERAPIES AND CLINICAL TRIALS. OUR TEAM PROVIDES A SECOND OPINION PROGRAM TO HELP PATIENTS CONFIRM A DIAGNOSIS AND FURTHER UNDERSTAND TREATMENT OPTIONS. THE HOSPITAL OFFERS THE FOLLOWING PREVENTION AND WELLNESS PROGRAMS FOR THOSE WITH LUNG DISEASES. - LUNG CANCER SCREENING TESTS OFFERED THROUGH THE SAINT LUKE'S THORACIC CENTER ARE PROVIDED WHICH COULD HELP DETECT LUNG CANCER EARLY AND RESULT IN MORE OPTIONS FOR TREATMENT. - SMOKING CESSATION IS A KEY ELEMENT TO PREVENTING LUNG CANCER. THE HOSPITAL'S CHARLES & BARBARA DUBOC CARDIO HEALTH & WELLNESS CENTER OFFERS A SMOKING CESSATION PROGRAM THAT ASSISTS PATIENT'S EFFORTS TO END TOBACCO USAGE. - THE USE OF AN EARLY IDENTIFICATION SCREENING TOOL BY PRIMARY CARE PHYSICIANS WILL HELP TO IDENTIFY THOSE PATIENTS WITH THE HIGHEST RISK OF LUNG DISEASE. THOSE PATIENTS DETERMINED HIGH RISK CAN THEN BE GIVEN ORDERS FOR AN IMAGING TEST OR SMOKING CESSATION PROGRAM. THERE ARE NO NEEDS IDENTIFIED IN THE CHNA 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.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. PRIMARY DATA WAS COLLECTED BY CONNECTING WITH COMMUNITY STAKEHOLDERS TO DISCUSS THE NEEDS OF THE JOHNSON COUNTY POPULATION. STAKEHOLDERS WERE CHOSEN TO REPRESENT BROAD INTERESTS OF THE COMMUNITY, INCLUDING UNDERSERVED POPULATIONS. STAKEHOLDERS PROVIDED INFORMATION, WHICH WAS USED TO HELP IDENTIFY AND PRIORITIZE COMMUNITY NEEDS. NO PUBLIC COMMENTS WERE RECEIVED FROM THE PREVIOUS CHNA; THEREFORE, THEY COULD NOT BE TAKEN INTO CONSIDERATION FOR THIS CHNA PROCESS. - KANSAS CITY OTHROPAEDIC BOARD OF DIRECTORS - SAINT LUKE'S SOUTH SENIOR LEADERSHIP (HEALTH SYSTEM HOSPITAL THAT SERVES THE SAME POPULATION) - JOHNSON COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENT - HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY (SAFETY NET PRIMARY CARE PROVIDER) - METROPOLITAN ORGANIZATION TO COUNTER SEXUAL ASSAULT (MOCSA) - MEDICAL SOCIETY OF JOHNSON AND WYANDOTTE COUNTIES (PROVIDES CARE TO THE UNDERSERVED IN THE AREA) - AMERICAN HEART ASSOCIATION - AMERICAN LUNG ASSOCIATION
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC. PRIORITY NEEDS WERE IDENTIFIED BASED ON INPUT AND ANALYSIS FROM SEVERAL GROUPS INCLUDING HOSPITAL REPRESENTATIVES AND OUTSIDE AGENCIES PROVIDING SERVICES IN THE COMMUNITY. THE PROCESS RECOGNIZED ALL THREE HEALTH NEEDS IDENTIFIED IN THE CHNA AS PRIORITY NEEDS WHICH KCOI WILL ADDRESS THROUGH COMMUNITY BENEFIT ACTIVITIES. 1. ACCESS TO CARE FOR LOW INCOME INDIVIDUALS KCOI WILL WORK TO EXPAND ACCESS TO COMPREHENSIVE, QUALITY HEALTH CARE SERVICES FOR LOW INCOME INDIVIDUALS. KCOI WILL IMPLEMENT THE FOLLOWING STRATEGIES IN ADDRESSING ACCESS TO CARE FOR LOW INCOME INDIVIDUALS AS A PRIORITY NEED: - KCOI HAS IN PLACE CHARITY CARE AND FINANCIAL ASSISTANCE PROTOCOLS AND WILL MAKE THOSE PROCESSES READILY AVAILABLE FOR THOSE WHO QUALIFY IN ORDER TO INCREASE ACCESS. - AS A MEMBER OF SAINT LUKE S HEALTH SYSTEM, KCOI 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. - CONTINUE TO SUPPORT NUMBER OF WY/JO CARE CASES PER YEAR THAT KCOI SUPPORTS THROUGH PROVISION OF CARE AND SERVICES. WY/JO CARE IS A COMMUNITY PARTNERSHIP TO IMPROVE ACCESS TO SPECIALTY HEALTH CARE FOR LOW INCOME, UNINSURED RESIDENTS OF WYANDOTTE AND JOHNSON COUNTIES. KCOI DONATES SPECIALTY CARE IN A COORDINATED REFERRAL PROGRAM LED BY THE MEDICAL SOCIETY TO ENHANCE THE WORK OF EXISTING SAFETY NET CLINICS AND OTHER COMMUNITY AGENCIES. - CONTINUE TO OFFER INCREASED ACCESS TO CARE WITH A NEWLY OPENED URGENT CARE CLINIC WITH EXTENDED APPOINTMENT HOURS. 2. NUTRITION AND PHYSICAL ACTIVITY KCOI WILL WORK TO PROMOTE HEALTH AND REDUCE THE PREVALENCE OF OVERWEIGHT AND OBESE INDIVIDUALS THROUGH THE CONSUMPTION OF HEALTHY DIETS AND INCREASED PHYSICAL ACTIVITY, RESULTING IN ACHIEVEMENT AND MAINTENANCE OF HEALTHY BODY WEIGHT. KCOI WILL IMPLEMENT THE FOLLOWING STRATEGIES IN ADDRESSING NUTRITION AND PHYSICAL ACTIVITY AS A PRIORITY NEED: - CONTINUE TO PROVIDE RESOURCES AND EDUCATION FOR THE PRIMARY SERVICE AREA REGARDING PHYSICAL ACTIVITY. THIS INCLUDES CONTINUATION OF THE SPORTS INJURY PREVENTION CLINICS. THESE CLINICS ARE FREE TO THE PUBLIC TO HELP PREVENT INJURIES SUSTAINED WHILE ENGAGING IN PHYSICAL ACTIVITY; RUNNING IN PARTICULAR. - CONTINUE STRATEGIES FOR OPTIMIZING PATIENTS FOR SURGERY SUCH AS INCORPORATING NUTRITION AND PHYSICAL ACTIVITY THEMES IN PREOPERATIVE EDUCATION TO PATIENTS 3. MANAGEMENT OF TRANSITIONS OF CARE KCOI WILL IMPLEMENT THE FOLLOWING STRATEGIES IN ADDRESSING MANAGEMENT OF TRANSITIONS OF CARE AS A PRIORITY NEED: WITH THE INTRODUCTION OF BUNDLED PAYMENTS, COMMUNICATION AND PATIENT TRANSITIONS HAVE BECOME MORE OF A FOCUS FOR ORTHOPEDIC INSTITUTES AND COLLABORATING FACILITIES. KCOI HAS CREATED A COMMITTEE TO IMPLEMENT AND MONITOR THE PATIENT CARE FOR LOWER EXTREMITY TOTAL JOINT REPLACEMENT FOR A 90 DAY POST DISCHARGE EPISODE OF CARE. FOLLOWING THE NEW GUIDELINES OF THIS CMS INITIATIVE WILL HELP PROMOTE SUCCESSFUL AND WELL-COORDINATED TRANSITIONS OF CARE FOR ALL THOSE WHO PASS THROUGH OUR DOORS. THERE ARE NO NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. THE HOSPITAL PROVIDES ELECTIVE SERVICES. FINANCIAL ASSISTANCE ELIGIBILITY IS BASED ON THE FEDERAL POVERTY GUIDELINE AND OTHER FINANCIAL RESOURCES. IN ALL CASES, THE PATIENT'S AND RESPONSIBLE PARTY'S OVERALL FINANCIAL POSITION AND HOUSEHOLD SIZE AND INCOME ARE CONSIDERED WHEN DETERMINING FINANCIAL ASSISTANCE. FPL% GUIDELINES ARE APPLIED AS FOLLOWS: HOSPITAL SERVICES - UNSCHEDULED PATIENTS: 133% OR LESS FPL, 100% CHARITY 0% PATIENT RESPONSIBILITY HOSPITAL SERVICES - SCHEDULED PATIENTS: 133% OR LESS FPL, 75% CHARITY 25% PATIENT RESPONSIBILITY
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. THE HOSPITAL PROVIDES ELECTIVE SERVICES. FINANCIAL ASSISTANCE ELIGIBILITY IS BASED ON THE FEDERAL POVERTY GUIDELINE AND OTHER FINANCIAL RESOURCES. IN ALL CASES, THE PATIENT'S AND RESPONSIBLE PARTY'S OVERALL FINANCIAL POSITION AND HOUSEHOLD SIZE AND INCOME ARE CONSIDERED WHEN DETERMINING FINANCIAL ASSISTANCE. FPL% GUIDELINES ARE APPLIED AS FOLLOWS: HOSPITAL SERVICES - UNSCHEDULED PATIENTS: 133% OR LESS FPL, 100% CHARITY 0% PATIENT RESPONSIBILITY HOSPITAL SERVICES - SCHEDULED PATIENTS: 133% OR LESS FPL, 75% CHARITY 25% PATIENT RESPONSIBILITY
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. THERE WAS NO EXTRAORDINARY COLLECTION ACTIVITY IN 2017.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 6 PART V, SECTION B, LINE 6	AS PERMITTED BY IRS TRANSITION RULES, SAINT LUKE'S HOSPITAL 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 WIDELY PUBLICIZED, 2015.
Schedule H, Part V, Section B, Line 3 PART V, SECTION B, LINE 3I, ST LUKE'S HOSPITAL OF KANSAS CITY	SAINT LUKE'S HOSPITAL'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 IN THE 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 7g Subsidized Health Services	Subsidized health services includes unreimbursed costs for community service physician clinics, emergency services, and services by the trauma center, cardiac rehab, diabetes center, children's SPOT and women's care center.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	26429294
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES ARE CALCULATED USING THE APPOPRIATE COST TO CHARGE RATIO FORM THE HOSPITAL'S COST REPORT.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	PATIENT RELATED BAD DEBT IS REPORTED CONSISTENT WITH THE FINANCIAL STATEMENTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (INCLUDING COPAYMENT AND DEDUCTIBLE AMOUNTS FROM PATIENTS), THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE,WHICH INDICATES THAT SOME PATIENTS ARE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS, AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.
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 HOSPITALS 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	IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE ACCOUNT IS ADJUSTED ACCORDINGLY. ANY REMAINING BALANCE WOULD BE COLLECTED UNDER THE DEBT COLLECTION POLICY. OUR COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. 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	- ST LUKES HOSPITAL OF KANSAS CITY: Line 16a URL: WWW.SAINTLUKESKC.ORG; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16a URL: WWW.SAINTLUKESKC.ORG;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ST LUKES HOSPITAL OF KANSAS CITY: Line 16b URL: WWW.SAINTLUKESKC.ORG; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16b URL: WWW.SAINTLUKESKC.ORG;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ST LUKES HOSPITAL OF KANSAS CITY: Line 16c URL: WWW.SAINTLUKESKC.ORG; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16c URL: WWW.SAINTLUKESKC.ORG;
Schedule H, Part VI, Line 2 Needs assessment	AN EFFORT TO UNDERSTAND AND CREATE A HEALTHIER COMMUNITY REQUIRES COLLABORATION AND INPUT FROM MANY COMMUNITY STAKEHOLDERS. THROUGH DATA RESEARCH AND KEY CONVERSATIONS IN THE KANSAS CITY COMMUNITY, THIS CHNA PULLS TOGETHER COMMUNITY FINDINGS AND ADDRESSES TOP HEALTH PRIORITIES TO HELP IMPROVE COMMUNITY HEALTH OVER THE NEXT THREE YEARS. SAINT LUKE'S HOSPITAL ALSO ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL OBTAINS HIDI MARKET DATA AND OTHER OUTPATIENT MARKET DATA THROUGH ITS ANNUAL ENVIRONMENTAL ASSESSMENT PROCESS. 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 DURING STRATEGIC PLANNING. ANOTHER ELEMENT OF THE COMMUNITY NEEDS ASSESSMENT INVOLVES ANNUALLY UPDATING SAINT LUKE'S HOSPITAL'S MEDICAL STAFF DEVELOPMENT PLAN. AS A TERTIARY AND QUATERNARY HEALTHCARE PROVIDER, IT IS CRITICAL THAT THE HOSPITAL ENSURES IT HAS APPROPRIATE MEDICAL STAFF LEVELS IN A VARIETY OF MEDICAL SPECIALTIES AND SUBSPECIALTIES TO SERVE THE PATIENTS IN OUR COMMUNITY. THE HOSPITAL PARTNERS WITH ITS MEDICAL STAFF IN THIS ENDEAVOR. ANOTHER ASPECT OF THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT IS AN ANALYSIS OF WORKFORCE PLANNING TO ENSURE ADEQUATE CLINICAL AND OTHER PROFESSIONAL STAFF TO PROVIDE NEEDED HEALTHCARE SERVICES THROUGHOUT THE COMMUNITY. THE HOSPITAL AND RELATED HEALTH SYSTEM ARE ACTIVELY ENGAGED IN A VARIETY OF FORMAL HEALTH PROFESSIONALS EDUCATION PROGRAMS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	SAINT LUKE'S HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE, PATIENT BILLING AND COLLECTION. IN ADDITION TO THESE POLICIES, SAINT LUKE'S 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. SAINT LUKE'S HOSPITAL ALSO CONTRACTS WITH ELIGIBILITY ENROLLMENT COMPANIES TO SCREEN ALL UNINSURED PATIENTS, ANY PATIENTS IDENTIFIED BY OUR SOCIAL WORKER OR CASE MANAGEMENT TEAMS, AND ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. THE ELIGIBILITY ENROLLMENT SERVICE ALSO PROVIDES PATIENTS WITH INFORMATION ON FINANCIAL ASSISTANCE.
Schedule H, Part VI, Line 4 Community information	SAINT LUKE'S HOSPITAL IS LOCATED IN THE URBAN CORE OF KANSAS CITY, MISSOURI. IT IS A MAJOR TEACHING AND RESEARCH FACILITY, AND PROVIDES TERTIARY AND QUATERNARY LEVEL PATIENT CARE SERVICES TO THE METROPOLITAN KANSAS CITY AREA, AND SERVES AS A MAJOR REFERRAL HOSPITAL FOR THE SURROUNDING COUNTIES.
Schedule H, Part VI, Line 5 Promotion of community health	THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS AND IN GENERAL STEWARDSHIP. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE HOSPITAL UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: 1) COMMUNITY SERVICE OUTPATIENT CLINICS THAT PROVIDE SUBSIDIZED CARE TO LOW INCOME PATIENTS; 2) DIABETES EDUCATION PROGRAMS, PARENT EDUCATION, AND PRENATAL EDUCATION; 3) PSYCHIATRIC SERVICES; AND 4) FORMAL RESEARCH ACTIVITIES.
Schedule H, Part VI, Line 6 Affiliated health care system	SAINT LUKE'S HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 10 AREA HOSPITALS AND MULTIPLE PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND HOME CARE SERVICES. FOUNDED AS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION, OUR MISSION INCLUDES A COMMITMENT TO THE HIGHEST LEVELS OF EXCELLENCE IN HEALTH CARE AND THE ADVANCEMENT OF MEDICAL RESEARCH AND EDUCATION. THE HEALTH SYSTEM IS AN ALIGNED ORGANIZATION IN WHICH THE PHYSICIANS AND HOSPITALS ASSUME RESPONSIBILITY FOR ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF PEOPLE IN THE METROPOLITAN KANSAS CITY AREA AND THE SURROUNDING REGION.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
saint lukes physician group
901 E 104th Street	kansas city	MO	64131	431598353	501c3	$90,338,143	SUPPORT FOR HEALTH CARE NEEDS
saint lukes cushing hospital
711 Marshall	leavenworth	KS	66048	480543792	501c3	$7,000,000	SUPPORT FOR HEALTH CARE SERVICES IN LEAVENWORTH COUNTY
city of kansas city mo
1101 locust st	kansas city	MO	64106		170c1	$69,901	SUPPORT FOR KANSAS CITY ASSESSMENT AND TRIAGE CENTER

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	GRANTS ARE PROVIDED TO QUALIFIED CHARITIES FOR GENERAL OPERATIONS AND TO BE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE CHARITABLE ORGANIZATION. SUCH GRANTS FURTHER OR SUPPORT A CHARITABLE PURPOSE OF SAINT LUKE'S HOSPITAL OF KANSAS CITY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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 (21 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
JANI JOHNSON
CEO & ASSIST SECR & BOD MBR	$442,375	$0	$93,841	$0	$35,911	$0	$57,600	$0	$30,587	$0	$660,314	$0	$24,104	$0
MATTHEW DEEDY MD
BOARD MEMBER	$0	$632,309	$0	$0	$0	$2,034	$0	$13,500	$0	$29,032	$0	$676,874	$0	$0
JOHN HELZBERG MD
BOARD MEMBER	$0	$543,574	$0	$0	$0	$5,053	$0	$12,150	$0	$26,747	$0	$587,524	$0	$0
MELINDA ESTES MD
FORMER ASSISTANT SECRETARY	$0	$1,381,074	$0	$460,299	$0	$44,623	$0	$293,531	$0	$28,360	$0	$2,207,888	$0	$0
JULIE QUIRIN
FORMER CEO & ASSIST SECR	$0	$605,026	$0	$166,496	$0	$88,477	$0	$177,765	$0	$25,139	$0	$1,062,902	$0	$66,674
JAMIE ALLEN
VP & GENERAL COUNSEL	$0	$241,938	$0	$40,481	$0	$971	$0	$12,150	$0	$11,283	$0	$306,822	$0	$0
CHARLES V ROBB
ASSISTANT SECRETARY	$0	$556,088	$0	$155,784	$0	$133,931	$0	$236,178	$0	$27,394	$0	$1,109,375	$0	$105,730
PETER HOLT MD
VP-MEDICAL AFFAIRS	$248,904	$2,700	$0	$0	$2,083	$0	$10,226	$0	$21,752	$0	$282,964	$2,700	$0	$0
AMY NACHTIGAL
CHIEF FINANCIAL OFFICER	$319,909	$0	$71,323	$0	$42,840	$0	$57,788	$0	$3,211	$0	$495,072	$0	$36,573	$0
DORIS ROGERS
VP-HUMAN RESOURCES	$212,656	$0	$41,335	$0	$19,940	$0	$37,523	$0	$27,069	$0	$338,523	$0	$16,440	$0
RICCI SANCHEZ
CHIEF OPERATING OFFICER	$110,405	$0	$20,695	$0	$658	$0	$2,664	$0	$23,801	$0	$158,222	$0	$0	$0
DEBRA WILSON
VP & CHIEF NURSING OFFICER	$271,045	$0	$66,008	$0	$31,121	$0	$43,670	$0	$22,356	$0	$434,200	$0	$20,703	$0
JOHN YEAST MD
VP-MED ED & RESEARCH	$0	$233,894	$0	$0	$0	$2,851	$0	$13,200	$0	$25,057	$0	$275,002	$0	$0
LEONARDO LOZADA MD
FORMER INTERIM CEO OF PHYSICIAN SPECIALISTS	$0	$740,815	$0	$183,061	$0	$106,941	$0	$116,764	$0	$30,446	$0	$1,178,027	$0	$87,394
JOSEPH STASI
FORMER COO OF PHYSICIAN SPECIALISTS	$0	$277,779	$0	$47,550	$0	$33,784	$0	$37,786	$0	$30,243	$0	$427,141	$0	$17,395
STEPHEN TAKACS
FORMER CFO OF PHYSICIAN SPECIALISTS	$0	$186,421	$0	$57,631	$0	$1,113	$0	$12,508	$0	$24,974	$0	$282,648	$0	$0
NORMAN HEISLER MD
PHYSICIAN	$289,747	$0	$0	$0	$2,558	$0	$12,150	$0	$24,507	$0	$328,962	$0	$0	$0
EILEEN DUGGAN MD
PHYSICIAN	$218,510	$0	$0	$0	$2,114	$0	$17,626	$0	$8,621	$0	$246,871	$0	$0	$0
MANUEL HERNANDEZ
PHYSICIAN	$205,242	$0	$0	$0	$1,005	$0	$8,433	$0	$21,188	$0	$235,868	$0	$0	$0
JANE PECK
DIRECTOR	$215,962	$0	$33,560	$0	$1,417	$0	$9,998	$0	$1,347	$0	$262,283	$0	$0	$0
JOHN SPERTUS MD
PHYSICIAN	$398,130	$0	$0	$0	$55,228	$0	$17,550	$0	$28,759	$0	$499,667	$0	$49,017	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part II PART II	CHARLES ROBB, MELINDA ESTES, MICHAEL WEAVER, JULIE QUIRIN, JOSEPH STASI, STEPHEN TAKACS, LEONARDO LOZADA, JOHN HELZBERG, MATTHEW DEEDY, AND LEANNA MOSHER 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. PETER HOLT DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OF THE ORGANIZATION BUT RECEIVED COMPENSATION FOR SERVICES RENDERED AS AN EMPLOYEE OF THE ORGANIZATION. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR JAMIE ALLEN IS FOR SERVICES RENDERED TO THE FILING AND 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 EXECUTIVES AND OFFICERS. 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 PHILOSPHY 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.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	457(F) PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: CHARLES ROBB: $73,068 JULIE QUIRIN: $43,646 MELINDA ESTES: $200,000
Schedule J, Part I, Line 7 Non-fixed payments	THE ORGANIZATION HAS ADOPTED A MANAGEMENT INCENTIVE COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR AND MIDDLE MANAGEMENT TO PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES. THE INCENTIVES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY CONTINGENT ON ACHIEVING QUALITY, PATIENT SATISFACTION, EMPLOYEE ENGAGEMENT, FINANCIAL AND OTHER OPERATIONAL PERFORMANCE TARGETS ESTABLISHED BY THE BOARD'S COMPENSATION COMMITTEE ON AN ANNUAL BASIS. INCENTIVE AWARDS ARE PAID AT THE DISCRETION 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 4 Number of Employees	Saint Luke's Physician Specialists, LLC, a single-member LLC previously wholly owned by the organization, was merged with an affiliate entity at the beginning of 2017. This results in a sizable change in the employee numbers and additional reporting of former key employees.
Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096	ST LUKES HOSPITAL OF KANSAS CITY (SLH) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLH VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY
Form 990, Part VI, Line 15 PROCESS FOR EXECUTIVE 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 EXECUTIVES AND OFFICERS. 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 PHILOSPHY 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.
Form 990, Part VI, Line 16b JOINT VENTURES	THE ORGANIZATION PARTICIPATES IN JOINT VENTURES ESTABLISHED SEVERAL YEARS AGO. THE ORGANIZATION'S PROCEDURES INCLUDE OVERSIGHT AND REVIEW OF ANY JOINT VENTURES TO ENSURE EXEMPT STATUS IS PROTECTED. THE ORGANIZATION HAS MAJORITY CONTROL AND OPERATING AGREEMENT REQUIREMENTS FOR THE VENTURE TO OPERATE IN A MANNER CONSISTENT WITH THE ORGANIZATION'S EXEMPT MISSION AND FOR THE VENTURE TO NOT ENGAGE IN POLITICAL CANDIDATE CAMPAIGN ACTIVITY OR OTHER ACTIVITIES THAT WOULD JEOPARDIZE THE ORGANIZATION'S EXEMPTION.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	CHARLES ROBB, MATTHEW DEEDY, AND LEONARDO LOZADA HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF AFFILIATED TAX-EXEMPT ORGANIZATIONS. - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, APPOINTMENT & REMOVAL OF DIRECTORS AND THE CEO, DEBT, BUDGETS, CAPITAL EXPENDITURES, POLICIES APPLICABLE TO THE ORGANIZATION, AND STRATEGIC OPERATING DECISIONS. AS PART OF AN INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER ALSO PROVIDES VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO THE ORGANIZATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY THE ENTITY'S CFO OR CEO BEFORE FILING. A SUMMARY OF KEY 990 INFORMATION WAS PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND THE 990 DRAFT WAS MADE AVAILABLE TO THE COMMITTEE FOR REVIEW. THE 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	SAINT LUKE'S HEALTH SYSTEM AND ITS AFFILIATES, INCLUDING THE FILING ORGANIZATION, HAVE COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICIES 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. THE SYSTEM VICE PRESIDENT OF INTERNAL AUDIT REVIEWS COMPLETED QUESTIONNAIRES AND FURTHER INVESTIGATES POSSIBLE CONFLICTS OF INTEREST. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND ANY IDENTIFIED CONFLICT OF INTEREST IS REPORTED TO THE APPLICABLE ENTITY.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE THROUGH THE SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE AVAILABLE 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.
PART VII, COLUMN E	DIRECTORS ARE NOT COMPENSATED FOR SERVING AS A DIRECTOR OR BOARD OFFICER. CHARLES ROBB, MELINDA ESTES, MICHAEL WEAVER, JULIE QUIRIN, JOSEPH STASI, STEPHEN TAKACS, LEONARDO LOZADA, JOHN HELZBERG, MATTHEW DEEDY AND LEANNA MOSHER 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. PETER HOLT DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OF THE ORGANIZATION BUT RECEIVED COMPENSATION FOR SERVICES RENDERED AS AN EMPLOYEE OF THE ORGANIZATION. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR JAMIE ALLEN IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS.
Form 990, Part VIII, Line 2f Other Program Service Revenue	- Total Revenue: 21721456, Related or Exempt Function Revenue: 21721456, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part X, Line 20 TAX-EXEMPT BOND LIABILITIES	THE AMOUNT REPORTED AS TAX-EXEMPT BONDS IS THE PORTION OF SAINT LUKE'S HEALTH SYSTEM BONDS ALLOCATED TO ST LUKES HOSPITAL OF KANSAS CITY. REQUIRED INFORMATION FOR THE BONDS, INCLUDING SCHEDULE K, IS REPORTED IN THE SAINT LUKE'S HEALTH SYSTEM (EIN: 43-1747502) IRS FORM 990.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PENSION SETTLEMENT/LIABILITY TRANSFER - 231002; TRANSFER FROM RESTRICTED ACCTS NOT RECORDED IN OPERATING ACCTS - -2427; CHANGE IN THE BENEFICIAL INTEREST IN ASSETS OF FOUNDATION - 14550316; RRG SUBSCRIBER DISTRIBUTION - 680503; SYSTEM INVESTMENT ADJUSTMENTS - -13269; RRG SSA Dividend - -5835; TEMPORARY RESTRICTED ASSETS ADJUSTMENT - -68427;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SAINT LUKES HEALTH SYSTEM
901 E 104TH ST	KANSAS CITY	MO	64131	431747502	HEALTH SYSTEM	KS	501(c)(3)	Type III-FI	N/A	false
SAINT LUKES NORTH HOSPITAL
5830 NW BARRY ROAD	KANSAS CITY	MO	64154	440565393	HEALTH CARE	MO	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
SAINT LUKES SOUTH HOSPITAL
12300 METCALF AVE	OVERLAND PARK	KS	66213	481203262	HEALTH CARE	KS	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
SAINT LUKES EAST HOSPITAL
100 NE SAINT LUKES BLVD	LEES SUMMIT	MO	64086	562488077	HEALTH CARE	MO	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
SAINT LUKES PHYSICIAN GROUP INC
901 E 104TH ST	KANSAS CITY	MO	64131	431598353	HEALTH CARE	KS	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE
901 E 104TH STREET	KANSAS CITY	MO	64131	431127200	HEALTH CARE	MO	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
ST LUKES OF TRENTON
191 IOWA BLVD	TRENTON	MO	64683	431707306	HEALTH CARE	MO	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
SAINT LUKES HOSPITAL OF GARNETT
421 SOUTH MAPLE	GARNETT	KS	66032	742849611	HEALTH CARE	KS	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
CABOT WESTSIDE HEALTH CENTER
901 E 104TH ST	KANSAS CITY	MO	64131	440546280	HEALTH CARE	MO	501(c)(3)	7		false	SAINT LUKES HEALTH SYSTEM
SAINT LUKE'S HOSPITAL OF CHILLICOTHE
2799 N WASHINGTON	CHILLICOTHE	MO	64601	431735565	HEALTH CARE	MO	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
SAINT LUKES CUSHING HOSPITAL
711 MARSHALL	LEAVENWORTH	KS	66048	480543792	HEALTH CARE	KS	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
SAINT LUKES CARE
901 E 104TH ST	KANSAS CITY	MO	64131	260185090	HEALTH CARE	MO	501(c)(3)			false	SAINT LUKES HEALTH SYSTEM
MEDICAL PLAZA IMAGING ASSOCIATES LLC
4401 WORNALL ROAD	KANSAS CITY	MO	64111	431609584	HEALTH CARE	MO	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
SAINT LUKE'S COLLEGE OF HEALTH SCIENES
624 WESTPORT ROAD	KANSAS CITY	MO	64111	272716128	POST SECONDARY NURSING EDUCATION	MO	501(c)(3)	2		false	ST LUKES HOSPITAL OF KANSIS CITY
ADVANCED UROLOGIC ASSOCIATES INC
901 E 104TH ST	KANSAS CITY	MO	64131	454725529	HEALTH CARE	MO	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
ROCKHILL ORTHOPAEDIC SPECIALISTS INC
901 E 104TH ST	KANSAS CITY	MO	64131	453851008	HEALTH CARE	MO	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
BISHOP SPENCER PLACE
4301 MADISON AVENUE	KANSAS CITY	MO	64111	431139083	RETIREMENT COMMUNITY	MO	501(c)(3)	10		false	SAINT LUKES HEALTH SYSTEM
WINDSOR CARE
4301 MADISON AVENUE	KANSAS CITY	MO	64111	205284328	HEALTH CARE	MO	501(c)(3)	10		false	THE BISHOP SPENCER PLACE

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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd	UBI Code VUBICodeVAmt
MEDICAL PLAZA PARTNERS LP
4320 WORNALL ROAD STE 714	KANSAS CITY	MO	64111	431357824	OWN & OPERATE MEDICAL OFFICE BUILDING	MO	ST LUKES HOSPITAL OF KANSAS CITY	Related	$791,916	$7,629,748	false	false	0.2743
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	ST LUKES HOSPITAL OF KANSAS CITY	Related	$45,809	$175,418	false	false	0.51		$0
KANSAS CITY ORTHOPAEDIC INSTITUTE LLC
3651 COLLEGE BLVD	LEAWOOD	KS	66211	481197295	HEALTH CARE	KS	ST LUKES HOSPITAL OF KANSAS CITY	Related	$8,548,384	$13,756,317	false	false	0.51
SAINT LUKES RADIATION THERAPY-LIBERTY LLC
901 E 104TH ST	KANSAS CITY	MO	64131	473793070	HEALTH CARE	MO	ST LUKES HOSPITAL OF KANSAS CITY	Related	$1,134,922	$5,019,446	false	false	0.51		$0
THP-SAINT LUKES VENTURES LLC
1415 LOUISIANA ST 27TH FLR	HOUSTON	TX	77002	811243747	HEALTH CARE	DE								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	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
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		C Corporation	Yes (true)	ST LUKES HOSPITAL OF KANSAS CITY	$1,190,547	-$851,348	1
MEDICAL PLAZA MANAGEMENT INC
4320 WORNALL ROAD STE 714	KANSAS CITY	MO	64111	431352317	MEDICAL OFFICE BUILDING MANAGEMENT	MO		C Corporation	Yes (true)	ST LUKES HEALTH VENTURES			1
VENTURE FINANCIAL SERVICES INC
9500 EAST 63RD ST STE 202	RAYTOWN	MO	64133	431605740	COLLECTIONS	MO		C Corporation	Yes (true)	ST LUKES HEALTH VENTURES			1
SAINT LUKES HEALTH SYSTEM INSURANCE LTD
					CAPTIVE		N/A	C Corporation	false					CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	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	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	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

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL PLAZA PARTNERS
K	$2,194,229	COST
MEDICAL PLAZA PARTNERS
L	$94,931	COST
VENTURE FINANCIAL SERVICES
M	$686,189	COST
MEDICAL PLAZA IMAGING ASSOCIATES (501C3 ORGANIZATION)
A	$78,067	COST
MEDICAL PLAZA IMAGING ASSOCIATES
Q	$341,988	COST
MEDICAL PLAZA PARTNERS
Q	$285,081	COST
SAINT LUKES COLLEGE OF HEALTH SCIENCES
O	$191,470	COST
SAINT LUKES COLLEGE OF HEALTH SCIENCES
Q	$271,190	COST
SAINT LUKES RADIATION THERAPY - LIBERTY LLC
Q	$1,648,278	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part V, Line 1 PART V, LINE 1	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