2018-11-15T13:03:05-06:00 2017-12-31 990 2017-01-01 431735565 Saint Luke's Hospital of Chillicothe SAIN 6606461480 2799 N Washington Street Chillicothe MO 64601 Janet Buckman Chief Financial Officer 2018-11-15 2017 2019-02-21 02:37:17Z Hedrick Medical Center Steven Schieber 2799 N Washington Street Chillicothe MO 64601 58613696 false X www.saintlukeskc.org X 2003 MO CRITICAL ACCESS HOSPITAL 11 7 418 41 0 59300 41776 53424267 57929591 526955 642329 0 0 54010522 58613696 27372 22615 0 0 21759995 24258581 0 72079 26533150 28980060 48320517 53261256 5690005 5352440 47635246 58554569 6751749 10569276 40883497 47985293 SAINT LUKE'S HOSPITAL OF CHILLICOTHE D/B/A HEDRICK MEDICAL CENTER ("HMC") IS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM. AS A FAITH-BASED COMMUNITY HOSPITAL, HMC'S MISSION IS TO ENHANCE THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THE PATIENTS IT SERVES. AS PART OF SAINT LUKE'S, HMC PARTNERS WITH PATIENTS, PHYSICIANS, PAYERS, EMPLOYEES AND THE COMMUNITIES IT SERVES TO PROVIDE HEALTH CARE SERVICES. false false 46101924 22615 57929591 SAINT LUKE'S HOSPITAL OF CHILLICOTHE D/B/A/ HEDRICK MEDICAL CENTER ("HMC") IS A LICENSED CRITICAL ACCESS HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES. HMC IS LOCATED IN CHILLICOTHE (LIVINGSTON COUNTY), MISSOURI, APPROXIMATELY 90 MILES NORTHEAST OF KANSAS CITY. HEDRICK MEDICAL CENTER IS A FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE AND HEALTH RELATED SERVICES IN A CARING ENVIRONMENT. AS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM, HMC IS DEDICATED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES SERVED. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS FINANCIAL ASSISTANCE POLICIES FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. IN ADDITION TO THE ACTIVE MEDICAL STAFF, HMC'S SPECIALTY CLINICS HOST MORE THAN 30 VISITING SPECIALISTS. THE HOSPITAL ALSO PROVIDES HEALTH RELATED ACTIVITIES AND SERVICES IN SUPPORT OF THE COMMUNITY, INCLUDING BUT NOT LIMITED TO SOCIAL WORK SERVICES, SPIRITUAL SERVICES, AND COMMUNITY EDUCATION/HEALTH FAIRS. 46101924 true true false true false false false false false false true false false true true true true true false false false false false false false false true true true false true false false false false false false true false false false false false false true false false false true 20 0 true 418 true false false false false false false true false false false X 11 7 true false false false true true true true true false false true true true true true true false false false X The Organization 6606461480 2799 N Washington Street Chillicothe MO 64601 CYNTHIA CHRISTENSEN DIRECTOR-PRESIDENT TERM BEGINNING 3/2017 1.0 40.0 X X 0 299420 56244 DON SIPES DIRECTOR-PRESIDENT TERM END 3/2017 1.0 40.0 X X 0 271139 55491 MICHAEL PALMER DIRECTOR-CHAIR 1.0 0 X X 0 0 0 BETTY PRESTON-STEELE DIRECTOR-SEC/TREAS 1.0 4.0 X X 0 0 0 ROLLIE STADLMAN DIRECTOR-VICE CHAIR 1.0 0 X X 0 0 0 PATRICK ALTENHOFEN DIRECTOR 1.0 40.0 X 0 146779 6996 DELOS CLOW DIRECTOR & EMPLOYED PHYSIC 40.0 1.0 X 284747 0 33843 DONALD METRY DIRECTOR & EMPLOYED PHYSIC 40.0 0 X 148064 0 23615 JOHN MARCOLLA DIRECTOR 1.0 0 X 0 0 0 JANE NEAL DIRECTOR 1.0 0 X 0 0 0 DARREL RINEHART DIRECTOR 1.0 0 X 0 0 0 CAROL SLOAN DIRECTOR 1.0 0 X 0 0 0 JANET BUCKMAN CFO 20.0 22.0 X 210488 0 19855 CATHERINE HAMILTON CNO 20.0 20.0 X 161515 0 32906 TERRY PLASTER ASST SECR & EMPLOYEE 40.0 0 X 50776 0 13364 STEVEN SCHIEBER CEO 40.0 2.0 X 247038 0 50469 CHRISTOPHER HULETT PHYSICIAN 40.0 0 X 299686 0 37703 ANDREW JOHNSON PHYSICIAN 40.0 0 X 327728 0 26518 GREGORY MILLER PHYSICIAN 40.0 0 X 381308 0 37702 YULIA PENISTON PHYSICIAN 40.0 0 X 347137 0 38043 JAMES PEPPERS PHYSICIAN 40.0 0 X 305437 0 37226 MATTHEW WENZEL FORMER CEO 50.0 X 0 586881 10229 2763925 1304220 480204 29 true true false EMS LLC 920 MAIN STREET SUITE 300 KANSAS CITY MO 64105 ER PHYSICIANS 907109 HAVE A NICE DAY ANESTHESIA ASSOCIATES 2106 WOODCREST CHILLICOTHE MO 64601 ANESTHESIA SERVICES 686400 IRVINBILT CONSTRUCTORS INC PO BOX 1107 CHILLICOTHE MO 64601 CONSTRUCTION SERVICES 455285 CPSI PO BOX 850309 6600 WALL ST MOBILE AL 36685 SOFTWARE SERVICES 389403 FAVORITE HEALTHCARE STAFFING PO BOX 803356 KANSAS CITY MO 64180 STAFFING SERVICES 365896 7 X 25913 15863 41776 NET PATIENT REVENUE 622110 56754831 56754831 PHARMACY 622110 831333 831333 343427 343427 0 0 57929591 642329 642329 0 0 0 0 0 0 0 0 0 58613696 57929591 0 642329 X 22615 22615 1276679 490269 786410 17649784 16527493 1065107 57184 967284 796177 168618 2489 3138601 2823178 306592 8831 1226233 1119865 103181 3187 14203 14203 52791 52791 8691084 7773212 917872 0 5453 873 4580 1093389 944267 148734 388 314464 142158 172306 2649398 2376165 273233 99209 83476 15733 45718 15031 30687 1076995 890079 186916 628618 335319 293299 SHARED SERVICES-SLHS 3647058 1154659 2492399 MEDICAL SUPPLIES 5536963 5534018 2945 BAD DEBT 4813915 4813915 EICU 204732 204732 106070 54423 51647 0 53261256 46101924 7087253 72079 10730349 15651868 873286 875141 6349679 10638641 0 0 890730 883626 398271 408234 12943264 7941083 5087702 5002181 18115207 18018260 2684413 2727862 38382 16800 2467227 4331956 47635246 58554569 2735460 3601909 0 4016289 6967367 6751749 10569276 X 40784416 46528520 99081 1456773 40883497 47985293 47635246 58554569 X 5352440 268492 1480864 X false true X true true true X false false false false false true 13549 false false false 13549 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY PORTION OF DUES PAID TO VARIOUS HOSPITAL AND MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY PORTION OF DUES PAID TO VARIOUS HOSPITAL AND MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 158106 33598 124508 440608 36375 404233 10786356 6492432 4293924 1558194 1378678 179516 5002181 DUE FROM AFFILIATES 1094794 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 1456773 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 960451 LONG-TERM DEPOSITS 814000 MISCELLANEOUS 5938 4331956 PAYABLES TO AFFILIATES 3256825 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 3710542 6967367 X 54030557 268492 0 268492 53762065 4851631 4851631 58613696 48445312 0 0 48445312 4815944 4815944 53261256 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAX ON ITS RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. MANAGEMENT IS NOT AWARE OF ANY UNCERTAINTIES IN INCOME TAX POSITIONS. THE YEARS ENDED DECEMBER 31, 2017, 2016, 2015, AND 2014, REMAIN SUBJECT TO EXAMINATION FOR BOTH FEDERAL AND STATE PURPOSES. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements BAD DEBT NET WITH REVENUE FOR BOOKS, INCLUDED IN EXPENSES FOR TAX - 4813915 RRG SUBSCRIBER ALLOCATION - 21853 CONTRIBUTION REVENUE RECORDED IN OTHER EXPENSES - 2029 CONTRIBUTION REVENUE RECORDED IN OTHER CHANGE IN NET ASSETS - 13834 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT NET WITH REVENUE FOR BOOKS, INCLUDED AS EXPENSES FOR TAX - 4813915 CONTRIBUTION REVENUE RECORDED IN OTHER EXPENSES - 2029 true true X true X 133 true X true true false false 363304 363304 0.0075 8204503 6705823 1498680 0.0309 0 0.0 0 0 8567807 6705823 1861984 0.0384 51663 51663 0.0011 70938 70938 0.0015 6042531 5131235 911296 0.0188 0 0.0 25315 810 24505 0.0005 0 0 6190447 5132045 1058402 0.0218 0 0 14758254 11837868 2920386 0.0603 0 0.0 0 0.0 837 837 0.0000 0 0.0 1957 1957 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0 2794 0 2794 0.0001 false 4813915 19844843 21218491 -1373649 X true true 1 1 HEDRICK MEDICAL CENTER 2799 N WASHINGTON CHILLICOTHE MO 64601 422-18 X X X X HEDRICK MEDICAL CENTER 1 false false true X X X X X X X X 15 true false false true X www.saintlukeskc.org/community-benefit X true 15 true www.saintlukeskc.org/community-benefit false true X 133.0 200.0 X X true true X X X true X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - HEDRICK MEDICAL CENTER. 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 LIVINGSTON COUNTY COMMUNITY, OUR CHNA PULLS TOGETHER COMMUNITY FINDINGS AND ADDRESSES TOP HEALTH PRIORITIES TO HELP IMPROVE COMMUNITY HEALTH OVER THE NEXT THREE YEARS (2015 - 2018). TO PREPARE THE CHNA, BOTH PRIMARY SOURCES AND SECONDARY DATA WERE COMPILED AND ANALYZED. THE CHNA TEAM CONDUCTED MULTIPLE INTERVIEWS WITH HOSPITAL LEADERSHIP AND COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE NEEDS IN THE COMMUNITY. THE KEY CONTRIBUTORS INCLUDE: EXECUTIVE LEADERS OF HEDRICK MEDICAL CENTER LIVINGSTON COUNTY HEALTH CENTER Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HEDRICK MEDICAL CENTER. ALONG WITH THE SPECIFIC PROGRAMS DETAILED BELOW, HEDRICK MEDICAL CENTER WILL CONTINUE TO MEET COMMUNITY NEEDS BY PROVIDING CHILLICOTHE AND SURROUNDING COMMUNITIES WITH A BROAD RANGE OF ESSENTIAL HEALTH CARE SERVICES. 1. IMPROVED ACCESS TO CARE: BECAUSE OF ITS ALL-INCLUSIVE NATURE, HEALTH CARE ACCESS IS IDENTIFIED AS THE OVERARCHING HEALTH NEED WITHIN HEDRICK MEDICAL CENTER'S COMMUNITY. HEDRICK MEDICAL CENTER WILL CONTINUE TO ACCEPT MISSOURI MEDICAID. FOLLOWING THE IMPLEMENTATION OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), THE STATE OF MISSOURI CHOSE NOT TO EXPAND THEIR MEDICAID PROGRAM AS OUTLINED IN THE LAW. SAINT LUKE'S HEALTH SYSTEM WILL CONTINUE TO ADVOCATE ON KEY HEALTH POLICY ISSUES AT THE STATE AND NATIONAL LEVEL, INCLUDING MEDICAID REFORM, ACCESS TO CARE, AND HEALTH CARE FINANCING FOR THE LOW-INCOME POPULATION. HEDRICK MEDICAL CENTER OPENED A NEW FACILITY IN FEBRUARY OF 2014. THE NEW HOSPITAL FACILITY HAS ALLOWED HMC TO PROVIDE EXPANDED SERVICES FOR PATIENTS AND ATTRACT NEW HEALTH CARE PROFESSIONALS TO THE COMMUNITY. HEDRICK MEDICAL CENTER HAS WORKED TO CONNECT PATIENTS WITH THE REGION'S MOST RESPECTED AND HIGHLY TRAINED PHYSICIANS. AS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM, HEDRICK MEDICAL CENTER HAS THE ABILITY TO CONNECT LOCAL PATIENTS WITH A RANGE OF HIGHLY TRAINED PHYSICIAN SPECIALISTS. HMC HAS ALSO RECENTLY ENHANCED ACCESS TO HEALTH CARE SERVICES FOR OUR COMMUNITY BY OPENING A WEEKEND CLINIC THAT PROVIDES PRIMARY CARE SERVICES ON SATURDAYS AND SUNDAYS. 2. INCREASED ACCESS TO PHYSICAL ACTIVITY AND NUTRITION: ADULT OBESITY IS BECOMING AN EPIDEMIC IN THE U.S. AND INCREASES THE RISK FOR COUNTLESS HEALTH CONDITIONS. OBESITY IS AN ENERGY IMBALANCE DUE TO A LACK OF PHYSICAL ACTIVITY COMBINED WITH A POOR DIET. OBESITY CAN ULTIMATELY LEAD TO THE FOLLOWING: CORONARY HEART DISEASE, TYPE 2 DIABETES, CANCER, HYPERTENSION, STROKE, GALL BLADDER DISORDERS, RESPIRATORY PROBLEMS, AND OSTEOARTHRITIS. HEDRICK MEDICAL CENTER IS ENGAGED IN SEVERAL COMMUNITY HEALTH PROGRAMS AIMED AT ADDRESSING OBESITY. - HMC IS CURRENTLY IN THE PROCESS OF BUILDING A HEALING GARDEN ON CAMPUS, WHICH WILL INCLUDE WALKING PATHS OPEN TO ALL COMMUNITY MEMBERS. - STAFF AT HEDRICK MEDICAL CENTER HOLD AN ANNUAL FOOD DRIVE FOR COMMUNITY MEMBERS IN NEED OF HEALTHY FOOD. - HMC OFFERS FREE SPORTS PHYSICALS TO HIGH SCHOOL ATHLETES IN THE COMMUNITY. HEDRICK MEDICAL CENTER WILL CONTINUE TO PARTICIPATE IN THESE PROGRAMS IN AN EFFORT TO IMPROVE COMMUNITY HEALTH INCLUDING IMPROVED ACCESS TO PHYSICAL ACTIVITY AND NUTRITION. 3. BEHAVIORAL HEALTH CARE: LIVINGSTON COUNTY IS SIGNIFICANTLY LACKING IN MENTAL HEALTH PROVIDERS FOR THEIR COMMUNITY COMPARED TO THE STATE OF MISSOURI. MENTAL HEALTH PROVIDERS INCLUDE: PSYCHIATRISTS, CLINICAL PSYCHOLOGISTS, CLINICAL SOCIAL WORKERS, PSYCHIATRIC NURSE SPECIALISTS, AND MARRIAGE/FAMILY THERAPISTS WHO MEET CERTAIN QUALIFICATIONS AND CERTIFICATIONS. HEDRICK MEDICAL CENTER CURRENTLY EMPLOYS A PSYCHIATRIC MENTAL HEALTH CLINICAL NURSE SPECIALIST (PMHCNS) WHO COMES TO HEDRICK ONCE A WEEK VIA THE TELE-HEALTH PROGRAM TO TREAT PATIENTS WITH MENTAL HEALTH NEEDS. IN ADDITION TO THE WEEKLY VISITS THE SPECIALIST IS CREATING SPECIFIC DAYS TO SEE NEW PATIENTS ONLY. HEDRICK ALSO PROVIDES A MENTAL HEALTH EVALUATION FOR PATIENTS WHO PRESENT THEMSELVES TO THE EMERGENCY DEPARTMENT WITH PSYCHOLOGICAL CONCERNS OR SELF-INFLICTED INJURIES. HEDRICK MEDICAL CENTER WILL CONTINUE TO OFFER A RANGE OF MENTAL HEALTH SERVICES, INCLUDING SPECIALIST AND TELE-HEALTH SERVICES. THERE ARE NO NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT ARE NOT BEING ADDRESSED. THE COMMUNITY BENEFIT COORDINATOR MEETS WITH THE EXECUTIVE TEAM AT THE HOSPITAL TO ENSURE THAT THE PROGRAMS IDENTIFIED IN THE IMPLEMENTATION PLAN ARE ACTIVE AND CONTINUE TO MEET THE SIGNIFICANT NEEDS IDENTIFIED IN THE IMPLEMENTATION PLAN. 1 HEDRICK FAMILY CARE 2791 N WASHINGTON CHILLICOTHE MO 64601 RURAL HEALTH CLINIC Schedule H, Part V, Section B, Line 9 IMPLEMENTATION STRATEGY ADOPTED AS PERMITTED BY IRS TRANSITION RULES, THE ORGANIZATION ADOPTED ITS IMPLEMENTATION STRATEGY BY MAY 15, 2016 AND THEREFORE IS DEEMED TO SATISFY THE REQUIREMENT TO ADOPT THE STRATEGY IN THE SAME YEAR THE CHNA WAS COMPLETED AND WIDELY AVAILABLE, 2015. Schedule H, Part V, Section B, Line 3 IMPACT OF CHNA ACTIONS THE ORGANIZATION'S MOST RECENT CHNA WAS PREPARED IN 2015, WHICH WAS PRIOR TO THE FINAL 501(R) REGULATIONS. THE REQUIREMENT TO REPORT THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED 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 V, Section B, Line 20d PRESUMPTIVE ELIGIBILITY DETERMINATIONS THE HOSPITAL IS NOT REQUIRED TO MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS BEFORE ENGAGING IN ECAS BECAUSE IT MAKES REASONABLE EFFORTS TO DETERMINE FAP-ELIGIBILITY BASED ON NOTIFICATION AND PROCESSING OF APPLICATIONS, AS PERMITTED BY 1.501(4)-6(C)(3) AND INDICATED IN THE RESPONSES TO QUESTIONS 20A-20C. Schedule H, Part I, Line 3c THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. IN ADDITION, MEDICAL INDIGENCY MAY BE DETERMINED ON AN INDIVIDUAL BASIS FOR INCOME ABOVE THE FEDERAL POVERTY LEVEL WHEN A SINGLE ILLNESS OR INJURY CAUSES HARDSHIP. Schedule H, Part I, Line 7g Subsidized Health Services SUBSIDIZED HEALTH SERVICES ARE FOR THE EMERGENCY DEPARTMENT AND AMBULANCE SERVICES PROVIDED TO THE COMMUNITY. THERE ARE NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 4813915 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO FROM THE HOSPITAL'S COST REPORT. Schedule H, Part II Community Building Activities THE ORGANIZATION IS INVOLVED IN SEVERAL COMMUNITY ORGANIZATIONS THAT ARE DEDICATED TO THE IMPROVEMENT OF LIFE IN THE COMMUNITY THROUGH PHYSICAL IMPROVEMENTS AND HOUSING. THE ORGANIZATION HELPS SUPPORT HABITAT FOR HUMANITY THROUGH DONATIONS OF TIME BY EMPLOYEES. MANY OF OUR EMPLOYEES PARTICIPATE IN LOCAL ORGANIZATIONS AND CHURCH GROUPS THAT ARE WORKING TO HELP THE COMMUNITY GROW AND BE BETTER. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS REPORTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT IT ALIGNS WITH GAAP. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: SEE ATTACHED FINANCIALS, PAGE 8, NOTE A, ITEM 2. THE AMOUNT OF BAD DEBT REPORTED IN THIS FORM 990 IS CONSISTENT WITH FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN WHAT IT COSTS TO PROVIDE THE CARE AND SERVICES. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THE COST OF PROVIDING THE CARE MAY EXCEED THE FUNDS WE RECEIVE FROM MEDICARE FOR THE SERVICE. OUR SHORTFALL IS CONSIDERED TO BE COMMUNITY BENEFIT. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. ADDITIONALLY, IT IS IMPLIED IN INTERNAL REVENUE SERVICE REVENUE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS, INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF THE PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. FOR ANY REMAINING BALANCES DUE, THE SAME COLLECTION POLICY AND PROCEDURES ARE APPLIED EQUALLY TO ALL PATIENT TYPES. ALTHOUGH WE ARE NOT LEGALLY BOUND BY THE FAIR DEBT COLLECTION PRACTICES ACT, THE PRINCIPLES ADDRESSED ARE GENERALLY FOLLOWED. Schedule H, Part V, Section B, Line 16a FAP website - HEDRICK MEDICAL CENTER: Line 16a URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - HEDRICK MEDICAL CENTER: Line 16b URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - HEDRICK MEDICAL CENTER: Line 16c URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. WE INVITE COMMUNITY FEEDBACK. WE ALSO SEND PATIENT SATISFACTION SURVEYS TO OUR PATIENTS TO MEASURE HOW WE ARE MEETING THEIR NEEDS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE, PATIENT BILLING AND COLLECTION. IN ADDITION TO THESE POLICIES, THE HOSPITAL PROVIDES EDUCATION ON FINANCIAL ASSISTANCE ELIGIBILITY TO PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES THROUGH MANY SOURCES INCLUDING THE SLHS WEB SITE, INFORMATION ON BILLING STATEMENTS, INFORMATION UPON CHECK-IN LOCATED IN THE ADMITTING PATIENT PACKETS, ON OUR B-131 RELEASE TO TREAT FORMS SIGNED BY ALL PATIENTS REQUESTING SERVICES, VISITS WITH INPATIENTS BY SOCIAL WORKER TEAMS, AND FOLLOW-UP CALLS TO PATIENTS AFTER DISCHARGE. FINANCIAL ASSISTANCE APPLICATIONS OR MEDICAID APPLICATIONS ARE REQUESTED ON ALL UNINSURED INPATIENTS PRIOR TO DISCHARGE. THE HOSPITAL ALSO CONTRACTS WITH ELIGIBILITY ENROLLMENT COMPANIES TO SCREEN ALL UNINSURED PATIENTS, ANY PATIENTS IDENTIFIED BY OUR SOCIAL WORKER OR CASE MANAGEMENT TEAMS, AND ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. THE ELIGIBILITY ENROLLMENT SERVICE ALSO PROVIDES PATIENTS WITH INFORMATION ON FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information HEDRICK MEDICAL CENTER IS LOCATED IN CHILLICOTHE, MISSOURI, A RURAL COMMUNITY. THE HOSPITAL IS WITHIN A 90 MILE DRIVE OF THE KANSAS CITY METROPOLITAN AREA. THE CITY OF CHILLICOTHE POPULATION IS 9,515, WHILE LIVINGSTON COUNTY (THE COUNTY WHERE THE HOSPITAL IS LOCATED) POPULATION IS 14,241. THE AGE GROUP 18 TO 44 MAKES UP THE LARGEST PORTION OF THE POPULATION AT 34% OR 4,838 PEOPLE FOLLOWED BY THE AGE GROUP 45 TO 64 AT 25% OR 3,609 PEOPLE FOLLOWED BY THE AGE GROUP 65 AND UP AT 20% OF THE POPULATION OR 2,810 PEOPLE. Schedule H, Part VI, Line 6 Affiliated health care system THE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 10 AREA HOSPITALS, PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND HOME CARE SERVICES. FOUNDED AS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION, OUR MISSION INCLUDES A COMMITMENT TO THE HIGHEST LEVELS OF EXCELLENCE IN HEALTH CARE AND THE ADVANCEMENT OF MEDICAL RESEARCH AND EDUCATION. THE HEALTH SYSTEM IS AN ALIGNED ORGANIZATION IN WHICH THE PHYSICIANS AND HOSPITALS ASSUME RESPONSIBILITY FOR ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF PEOPLE IN THE METROPOLITAN KANSAS CITY AREA AND THE SURROUNDING REGION. true CHILLICOTHE AREA CHAMBER OF COMMERCE 514 WASHINGTON STREET CHILLICOTHE MO 64601 440198680 501(C)(6) 5280 SUPPORT FOR COMMUNITY BUILDING 0 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANTS ARE PROVIDED TO QUALIFIED CHARITIES FOR GENERAL OPERATIONS AND TO BE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE CHARITABLE ORGANIZATION. SUCH GRANTS FURTHER OR SUPPORT A CHARITABLE PURPOSE OF THE FILING ORGANIZATION. true false false false false false false true false CYNTHIA CHRISTENSEN DIRECTOR-PRESIDENT TERM BEGINNING 3/2017 0 217726 0 49054 0 32641 0 43782 0 12462 0 355665 0 20808 DON SIPES DIRECTOR-PRESIDENT TERM END 3/2017 0 169783 0 64766 0 36590 0 35105 0 20386 0 326630 0 22086 PATRICK ALTENHOFEN DIRECTOR 0 133675 0 12490 0 614 0 6577 0 419 0 153776 0 0 DELOS CLOW DIRECTOR & EMPLOYED PHYSIC 281802 0 0 0 2946 0 13500 0 20343 0 318591 0 0 0 DONALD METRY DIRECTOR & EMPLOYED PHYSIC 117696 0 30000 0 368 0 2985 0 20629 0 171679 0 0 0 MATTHEW WENZEL FORMER CEO 0 172879 0 98919 0 315083 0 5400 0 4829 0 597109 0 15986 JANET BUCKMAN CFO 188421 0 21248 0 819 0 9604 0 10251 0 230343 0 0 0 CATHERINE HAMILTON CNO 145870 0 14882 0 763 0 7523 0 25383 0 194421 0 0 0 STEVEN SCHIEBER CEO 204443 0 40054 0 2540 0 28052 0 22416 0 297507 0 0 0 CHRISTOPHER HULETT PHYSICIAN 299332 0 0 0 354 0 12150 0 25553 0 337388 0 0 0 ANDREW JOHNSON PHYSICIAN 326240 0 0 0 1488 0 5400 0 21118 0 354246 0 0 0 GREGORY MILLER PHYSICIAN 380591 0 0 0 717 0 12150 0 25552 0 419010 0 0 0 YULIA PENISTON PHYSICIAN 346400 0 0 0 738 0 12150 0 25893 0 385180 0 0 0 JAMES PEPPERS PHYSICIAN 304524 0 0 0 913 0 10800 0 26426 0 342663 0 0 0 Schedule J, Part II REPORTED COMPENSATION PATRICK ALTENHOFEN, DON SIPES AND CYNTHIA CHRISTENSEN DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. MATT WENZEL, FORMER CEO RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. COMPENSATION REPORTED FOR OTHER BOARD MEMBERS IS FOR SERVICES AS EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. BOARD MEMBERS ARE NOT COMPENSATED FOR SERVICES PROVIDED AS DIRECTORS OF THE ORGANIZATION. Schedule J, Part I, Line 3 EXECUTIVE/OFFICER COMPENSATION PROCESS ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND CFO. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM. Schedule J, Part I, Line 4a Severance or change-of-control payment MATTHEW WENZEL - SEVERANCE PAY $290,340 Schedule J, Part I, Line 7 Non-fixed payments THE ORGANIZATION HAS ADOPTED A MANAGEMENT INCENTIVE COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR AND MIDDLE MANAGEMENT TO PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES. THE INCENTIVES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY CONTINGENT ON ACHIEVING QUALITY, PATIENT SATISFACTION, EMPLOYEE ENGAGEMENT, FINANCIAL AND OTHER OPERATIONAL PERFORMANCE TARGETS ESTABLISHED BY THE BOARD'S COMPENSATION COMMITTEE ON AN ANNUAL BASIS. INCENTIVE AWARDS ARE PAID AT THE DISCRETION OFT HE BOARD OF DIRECTORS AND DO NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER FINANCIAL RESULTS HAVE BEEN DETERMINED FOR THE CALENDAR YEAR. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS. SHERRY STIRLING FAMILY MEMBER OF TERRY PLASTER, OFFICER 47170 EMPLOYEE COMPENSATION AND BENEFITS PROVIDED BY REPORTING ORGANIZATION false Form 990, Part VI, Line 15 EXECUTIVE/OFFICER COMPENSATION PROCESS ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND CFO. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET DATA. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons DON SIPES AND CYNTHIA CHRISTENSEN - EMPLOYEES OF THE SOLE CORPORATE MEMBER, SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, APPOINTMENT & REMOVAL OF DIRECTORS AND THE CEO, DEBT, BUDGETS, CAPITAL EXPENDITURES, POLICIES APPLICABLE TO THE ORGANIZATION, AND STRATEGIC OPERATING DECISIONS. AS PART OF AN INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER ALSO PROVIDES VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO THE ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY THE ENTITY'S CFO OR CEO BEFORE FILING. A SUMMARY OF KEY 990 INFORMATION IS PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND THE 990 DRAFT IS MADE AVAILABLE TO THE COMMITTEE FOR REVIEW. THE 990 IS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION HAS A COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICY APPLICABLE TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. ANY ACTUAL, POSSIBLE OR PERCEIVED CONFLICT OF INTEREST IS EXPECTED TO BE HANDLED THROUGH FULL AND TIMELY DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSENCE OF PERSUASION IN ANY DISCUSSION AND IN ANY VOTE WHEREIN THE INTEREST IS INVOLVED. DISCLOSURE IS TO BE MADE WHEN THE INTEREST ARISES, AT ANY TIME THE INTEREST BECOMES A MATTER OF GOVERNING BOARD ACTION, AND THEN ANNUALLY THROUGH COMPLETION OF A CONFLICT OF INTEREST QUESTIONNAIRE. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE MO SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ATTACHED TO THIS RETURN. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part VII, Section A, Line 1a, Column (E) RELATED ORGANIZATION COMPENSATION PATRICK ALTENHOFEN, DON SIPES AND CYNTHIA CHRISTENSEN DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. MATT WENZEL, FORMER CEO, RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. COMPENSATION REPORTED FOR OTHER BOARD MEMBERS IS FOR SERVICES AS EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. BOARD MEMBERS ARE NOT COMPENSATED FOR SERVICES PROVIDED AS DIRECTORS OF THE ORGANIZATION. Form 990, Part VII, Section A, Line 1a, Column (B) AVERAGE HOURS DURING THE YEAR, THE CNO OF THE FILING ORGANIZATION ALSO BECAME THE CNO OF A RELATED ORGANIZATION. AVERAGE HOURS ARE INDICATIVE OF TIME SPENT AFTER THAT CHANGE. PRIOR TO THAT THE CNO AVERAGED 40 HOURS PER WEEK FOR THE FILING ORGANIZATION. Form 990, Part VIII, Line 2f Other Program Service Revenue CAFETERIA SALES - Total Revenue: 223668, Related or Exempt Function Revenue: 223668, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MEALS ON WHEELS - Total Revenue: 17441, Related or Exempt Function Revenue: 17441, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; SALE OF SCRAP - Total Revenue: 3346, Related or Exempt Function Revenue: 3346, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISCELLANEOUS - Total Revenue: 10733, Related or Exempt Function Revenue: 10733, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; OUTSIDE SERVICE REVENUE - Total Revenue: 88239, Related or Exempt Function Revenue: 88239, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees PHYSICIAN REMUNERATION - Total Expense: 2329326, Program Service Expense: 2329326, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 4464319, Program Service Expense: 4150052, Management and General Expenses: 314267, Fundraising Expenses: ; SERVICE CONTRACTS - Total Expense: 935454, Program Service Expense: 661333, Management and General Expenses: 274121, Fundraising Expenses: ; OTHER SERVICES - Total Expense: 961985, Program Service Expense: 632501, Management and General Expenses: 329484, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION SETTLEMENT/LIABILITY TRANSFER TO SLHS - 16291; CHANGE IN INTEREST IN ASSETS OF FOUNDATION - SFAS 136 - 1357692; RRG SUBSCRIBER DISTRIBUTION - 128734; RRG SUBSCRIBER ALLOCATION - -21853; ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES HEALTH SYSTEM 901 E 104TH ST KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501(c)(3) Type III-FI N/A false SAINT LUKES NORTH HOSPITAL 5830 NW BARRY RD KANSAS CITY MO 64154 440565393 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES SOUTH HOSPITAL 12300 METCALF AVE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES EAST HOSPITAL 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES PHYSICIAN GROUP INC 901 E 104TH ST KANSAS CITY MO 64131 431598353 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE 901 E 104TH ST KANSAS CITY MO 64131 431127200 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false ST LUKES OF TRENTON 191 IOWA BLVD TRENTON MO 64683 431707306 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false CABOT WESTSIDE HEALTH CENTER 901 E 104TH ST KANSAS CITY MO 64131 440546280 HEALTH CARE MO 501(c)(3) 7 SAINT LUKES HEALTH SYSTEM false SAINT LUKES CUSHING HOSPITAL 711 MARSHALL LEAVENWORTH KS 66048 480543792 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES CARE 901 E 104TH ST KANSAS CITY MO 64131 260185090 HEALTH CARE MO 501(c)(3) Type II SAINT LUKES HEALTH SYSTEM false MEDICAL PLAZA IMAGING ASSOCIATES LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 431609584 HEALTH CARE MO 501(c)(3) SAINT LUKES HEALTH SYSTEM false SAINT LUKE'S COLLEGE OF HEALTH SCIENES 624 WESTPORT ROAD KANSAS CITY MO 64111 272716128 POST SECONDARY NURSING EDUCATION MO 501(c)(3) 2 ST LUKES HOSPITAL OF KANSIS CITY false ADVANCED UROLOGIC ASSOCIATES INC 901 E 104TH ST KANSAS CITY MO 64131 454725529 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false ROCKHILL ORTHOPAEDIC SPECIALISTS INC 901 E 104TH ST KANSAS CITY MO 64131 453851008 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false THE BISHOP SPENCER PLACE 4301 MADISON AVENUE KANSAS CITY MO 64111 431139083 RETIREMENT COMMUNITY MO 501(c)(3) 10 SAINT LUKES HEALTH SYSTEM false WINDSOR CARE INCORPORATED 4301 MADISON AVENUE KANSAS CITY MO 64111 205284328 HEALTH CARE MO 501(c)(3) 10 THE BISHOP SPENCER PLACE false MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431357824 OWN & OPERATE MEDICAL OFFICE BUILDING MO N/A ST LUKES SURGICENTER-LEES SUMMIT LLC 11221 ROE AVE STE 230 OVERLAND PARK KS 66211 470853481 HEALTH CARE MO N/A SAINT LUKES SOUTH SURGERY CENTER LLC 11221 ROE AVE STE 230 OVERLAND PARK KS 66211 201721929 HEALTH CARE KS N/A SAINT LUKES-GI DIAGNOSTICS 4321 WASHINGTON STE 5700 KANSAS CITY MO 64111 274142549 HEALTH CARE MO N/A KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 3651 COLLEGE BLVD LEAWOOD KS 66211 481197295 HEALTH CARE KS N/A SAINT LUKES RADIATION THERAPY-LIBERTY LLC 901 E 104TH ST KANSAS CITY MO 64131 473793070 HEALTH CARE MO N/A THP-SAINT LUKE'S VENTURES LLC 1415 LOUISIANA ST 27TH FLOOR HOUSTON TX 77002 811243747 HEALTH CARE DE N/A SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP 901 E 104TH ST KANSAS CITY MO 64131 371471890 INSURANCE SC N/A C Corporation false ST LUKES HEALTH VENTURES INC 901 E 104TH ST KANSAS CITY MO 64131 431278476 ACCOUNTING MO N/A C Corporation false MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MANAGEMENT MO N/A C Corporation false VENTURE FINANCIAL SERVICES INC 9500 EAST 63RD ST STE 202 RAYTOWN MO 64133 431605740 COLLECTIONS MO N/A C Corporation false SAINT LUKES HEALTH SYSTEM INSURANCE LTD CAPTIVE CJ N/A C Corporation false false false false false false true false false false false false false false false true true true false false Schedule R, Part V, Line 1 PART V, ITEM 1, TRANSACTIONS WITH RELATED ORGANIZATIONS SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS.