2017-11-15T15:44:47-06:00 2016-12-31 990 2016-01-01 480543792 SAINT LUKES CUSHING HOSPITAL INC SAIN 9136841100 711 MARSHALL STREET LEAVENWORTH KS 66048 JACKIE MARTIN CHIEF FINANCIAL OFFICER 9136841100 2017-11-15 8.33.29.132 2017-11-15 15:44:13 CS P BADB30EAA8EA72076E123892A93B1AB4C1559E32 BADB30EAA8EA72076E123892A93B1AB4C1559E32 2016 2017-02-10 21:41:12Z ADELE DUCHARME 711 MARSHALL STREET LEAVENWORTH KS 66048 36664971 0 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1930 KS FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL 8 5 281 81 19153 -8644 11010014 8106731 25411624 28526814 -6297 30685 1487 741 36416828 36664971 3766318 3267677 0 0 13174865 13847236 0 0 11095 17185570 18095071 34126753 35209984 2290075 1454987 27545078 29777992 11047044 11576761 16498034 18201231 X SAINT LUKE'S CUSHING HOSPITAL IS A FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE AND HEALTH RELATED SERVICES IN A CARING ENVIRONMENT. AS A MEMBER OF THE SAINT LUKE'S HEALTH SYSTEM, WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. 0 0 30279412 3267677 28507661 AS A VOLUNTARY, NONPROFIT ORGANIZATION, SAINT LUKE'S CUSHING HOSPITAL IS COMMITTED TO SERVING ALL WHO SEEK OUR SERVICES REGARDLESS OF THEIR SOCIOECONOMIC STATUS. THE HOSPITAL PARTICIPATES IN THE MEDICAID, TRICARE, AND MEDICARE PROGRAMS AND HAS A FINANCIAL ASSISTANCE POLICY FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. 30279412 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 281 1 1 1 0 0 0 0 0 0 0 0 0 X 8 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X THE ORGANIZATION 9136841100 711 MARSHALL STREET LEAVENWORTH KS 66048 X MICHAEL CROW DIRECTOR-CHAIRMAN 1.00 X X 0 0 0 CAROL MEYER DIRECTOR-SEC/TREAS TERM END 05/2016 1.00 50.00 X X 0 218934 17260 RITA SWANN DIRECTOR-VICE CHAIR 1.00 X X 0 0 0 JOHN PETERSON DIRECTOR 1.00 X 0 0 0 DON SIPES DIRECTOR-PRESIDENT 1.00 50.00 X X 0 399715 65369 JULIE MURPHY DIRECTOR & CFO 20.00 30.00 X X 0 299019 48663 KAREN KRAMER DIRECTOR 1.00 50.00 X 0 214526 54033 RICK HANSEN DIRECTOR 1.00 X 0 0 0 EDNA WAGNER DIRECTOR 1.00 X 0 0 0 ADELE DUCHARME CEO 50.00 X 282564 0 38295 KARIN SUNDBLOM CNO 50.00 X 130004 0 31272 DINH NGUYEN PHARMACIST 40.00 X 131703 0 14130 ROBERT KATZENBERGER MGR-PHARMACY 40.00 X 146432 0 27174 690703 1132194 296196 4 0 1 0 EMERGENCY MEDICAL SERVICES KS LLC 920 MAIN STREET SUITE 300 KANSAS CITY MO 64105 EMERGENCY ROOM PHYSICIANS 924835 P1 GROUP INC 16210 W 108TH ST LENEXA KS 66219 MAINTENANCE SERVICES 733287 CLINICAL COLLEAGUES INC PO BOX 824246 PHILADELPHIA PA 19182 ANESTHESIA SERVICES 601729 FAVORITE HEALTHCARE STAFFING INC 7255 W 98TH TER BLD 5 STE 150 OVERLAND PARK KS 66212 TEMPORARY STAFFING 330082 4 180 8000000 5469 101082 8106731 NET PATIENT REVENUE 622110 27292886 27292886 MEDICAL OFFICE RENTS 531120 478523 478523 REGIONAL LAB 541380 374724 355571 19153 EHR MEANINGFUL USE FDS 622110 191761 191761 188920 188920 28526814 30543 30543 741 741 142 0 142 142 142 36664971 28507661 19153 31426 X 3261677 3261677 6000 6000 482133 482133 10867295 9820669 1035663 10963 384538 317455 67083 1298120 1122921 175152 47 815150 706001 109149 13068 13068 470 470 4545802 4152153 393649 1765 1759 6 660818 528008 132725 85 192397 12354 180043 664953 621418 43535 38287 31309 6978 28277 12149 16128 88340 76158 12182 1953642 1845957 107685 24700 15732 8968 MEDICAL SUPPLIES 3634691 3628627 6064 SHARED SERVICES-SLHS 3400000 1324404 2075596 BAD DEBT 2141436 2141436 SWAP RELATED COSTS/BOND 436773 383841 52932 269652 269384 268 35209984 30279412 4919477 11095 1237432 2918754 266184 264063 2632432 3646155 782571 822166 100251 25238 33762274 17305437 16920018 16456837 499862 611837 305540 231738 3032 2500 4797756 4798704 27545078 29777992 2004035 2299389 9043009 9277372 11047044 11576761 X 14062387 15568555 2411288 2608317 24359 24359 16498034 18201231 27545078 29777992 X 1454987 12720 235490 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 95109 15850 204 2350 16851 91962 99003 13750 155 8100 9699 95109 96938 13350 152 1600 9837 99003 100503 5950 321 1000 8836 96938 89386 19100 17 2000 6000 100503 0.99000 0.01000 1 0 20000 263519 283519 19742513 8102190 11640323 12838576 8406284 4432292 897666 796963 100703 16456837 OTHER RECEIVABLES 478914 FIN 45 PHYSICIAN GUARANTEE 1089000 DUE FROM AFFILIATES 690076 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 2540714 4798704 PAYABLE TO AFFILIATES 1088716 OTHER NONCURRENT LIABILITIES 219200 RESERVE FOR SELF INSURED RISKS 375667 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS -3500 LONG TERM DEBT TO ST LUKES HEALTH SYSTEM 6508289 FIN 45 PHYSICIAN GUARANTEE 1089000 9277372 PART V, LINE 4: THE INTENDED USE OF ENDOWMENT FUNDS INCLUDES BUT IS NOT LIMITED TO THE GENERAL OPERATIONS OF THE HOSPITAL AND CAPITAL EQUIPMENT PURCHASES FOR THE HOSPITAL. THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENTS THE ORGANIZATION'S BENEFICIAL INTEREST IN THE ASSETS OF SAINT LUKE'S CUSHING FOUNDATION. SUCH ASSETS ARE REPORTED IN FORM 990, PART X, BALANCE SHEET, LINE 15. SCHEDULE D, PARTS XI AND XII THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. 1 1 X 1 X 133.000000000000 1 X 1 1 1 0 0 1488168 1488168 0.04500 3148564 2529106 619458 0.01870 4636732 2529106 2107626 0.06370 31942 31942 0.00100 92319 92319 0.00280 5385232 2634159 2751073 0.08320 6495 6495 0.00020 5515988 2634159 2881829 0.08720 10152720 5163265 4989455 0.15090 2239 2239 0.00010 3954 3954 0.00010 12696 12696 0.00040 18889 18889 0.00060 0 2141436 6338488 8906099 -2567611 X 1 1 1 1 SAINT LUKES CUSHING HOSPITAL INC 711 MARSHALL STREET LEAVENWORTH KS 66048 H-052-001 X X X SAINT LUKES CUSHING HOSPITAL INC 1 0 0 1 X X X X X X X X 15 1 0 0 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1 15 1 WWW.SAINTLUKESHEALTHSYSTEM.ORG 0 1 X 133.000000000000 300.000000000000 X X 1 1 X X X 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X WWW.SAINTLUKESHEALTHSYSTEM.ORG X WWW.SAINTLUKESHEALTHSYSTEM.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 SAINT LUKES CUSHING HOSPITAL INC PART V, SECTION B, LINE 5: COMMUNITY PERSPECTIVES ON HEALTH WERE GATHERED THROUGH INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. INTERVIEW QUESTIONNAIRES THAT WERE CUSTOMIZED TO VARIOUS STAKEHOLDERS (PHYSICIANS, COMMUNITY, PUBLIC HEALTH, SCHOOL NURSES, BUSINESS COMMUNITY) WERE DEVELOPED TO CAPTURE QUALITATIVE AND QUANTITATIVE RESPONSES. STAKEHOLDERS WERE ASKED TO DESCRIBE THE CURRENT HEALTH CARE STATE OF LEAVENWORTH COUNTY AND EXPLAIN ANY VULNERABILITY IN THE HEALTH CARE SERVICES PROVIDED. THE KEY CONTRIBUTORS INCLUDE:SAINT LUKE'S CUSHING HOSPITAL LEADERSHIPINTERFAITH SHELTER OF HOPELEAVENWORTH COUNTY EMERGENCY MEDICAL SERVICESLEAVENWORTH COUNTY HEALTH DEPARTMENTSAINT VINCENT CLINICALLIANCE AGAINST FAMILY VIOLENCETHE GUIDANCE CENTERLEAVENWORTH COUNTY COUNCIL ON AGINGSAINT JOHN HOSPITAL SAINT LUKES CUSHING HOSPITAL INC PART V, SECTION B, LINE 11: ALONG WITH THE SPECIFIC PROGRAMS DETAILED BELOW, SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO MEET COMMUNITY NEEDS BY PROVIDING LEAVENWORTH AND SURROUNDING COMMUNITIES WITH A BROAD RANGE OF ESSENTIAL HEALTH CARE SERVICES.PRIORITY NEEDS:1. BEHAVIORAL HEALTH CARE:AT SAINT LUKE'S CUSHING HOSPITAL, RESIDENTS IN CRISIS ARE SCREENED BY A MENTAL HEALTH PROFESSIONAL EITHER IN PERSON OR THROUGH THE SAINT LUKE'S HEALTH SYSTEM BEHAVIORAL ACCESS CENTER USING TELEMEDICINE EQUIPMENT. THE SCREENING IS TO DETERMINE THE APPROPRIATE LEVEL OF SERVICES, EITHER INPATIENT OR OUTPATIENT TREATMENT NECESSARY TO CARE FOR THE INDIVIDUAL IN CRISIS.SAINT LUKE'S CUSHING HOSPITAL IS DEVELOPING A RELATIONSHIP WITH SAINT LUKE'S NORTH PSYCHIATRIC SERVICES TO PROVIDE INPATIENT PSYCHIATRIC CONSULTS AND MEDICATION MANAGEMENT VIA TELEMEDICINE EQUIPMENT. THIS PROGRAM WILL BE IMPLEMENTED IN 2016. IN 2016, SAINT LUKE'S CUSHING HOSPITAL WILL BE INITIATING AN EDUCATIONAL SERIES "CHRONIC DISEASE MANAGEMENT EDUCATION" IN COLLABORATION WITH THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT. APPROPRIATE PATIENTS AS IDENTIFIED BY THEIR PHYSICIAN WILL BE INVITED TO PARTICIPATE. THE HOSPITAL WILL ALSO CONTINUE TO WORK WITH COMMUNITY PARTNERS SUCH AS THE GUIDANCE CENTER TO ADDRESS THIS ONGOING NEED.2. CARDIOVASCULAR DISEASE:SAINT LUKE'S CUSHING HOSPITAL PROVIDES CARDIOVASCULAR CARE TO ADDRESS A RANGE OF HEART CONDITIONS INCLUDING CARDIOVASCULAR DISEASE. SAINT LUKE'S CARDIOVASCULAR CONSULTANTS PROVIDE 24/7 COVERAGE TO THE HOSPITAL'S INPATIENTS WHILE ALSO SEEING PATIENTS AT THEIR LEAVENWORTH CLINIC FIVE DAYS PER WEEK.SAINT LUKE'S CUSHING HOSPITAL'S CARDIOVASCULAR SERVICES INCLUDE: CARDIAC REHABILITATION; CONSULTATIONS AND SECOND OPINIONS; DIAGNOSTIC STRESS TESTS AND ECHOCARDIOGRAMS; HEART FAILURE MANAGEMENT; LIFESAVING EMERGENCY DEPARTMENT PROTOCOLS; PACEMAKER AND OTHER DEVICE CHECKS; PERIPHERAL VASCULAR EVALUATIONS; AND PREVENTIVE CARDIOLOGY AND LIPID MANAGEMENT.SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO PROVIDE CARDIOVASCULAR SERVICES TO THE COMMUNITY INCLUDING SUBSPECIALTY EXPERTISE TO MEET THE NEEDS OF COMMUNITY MEMBERS.IN 2016, SAINT LUKE'S CUSHING HOSPITAL WILL BE INITIATING AN EDUCATIONAL SERIES "CHRONIC DISEASE MANAGEMENT EDUCATION" IN COLLABORATION WITH THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT. APPROPRIATE PATIENTS, AS IDENTIFIED BY THEIR PHYSICIAN, WILL BE INVITED TO PARTICIPATE.3. DIABETES:ACCORDING TO THE CHNA PREPARED FOR SAINT LUKE'S CUSHING HOSPITAL, THERE EXISTS A NEED TO REDUCE THE DISEASE AND ECONOMIC COSTS OF DIABETES AND IMPROVE THE QUALITY OF LIFE FOR ALL PERSONS WHO HAVE, OR ARE AT RISK FOR THE DISEASE. SAINT LUKE'S CUSHING HOSPITAL PROVIDES ACCESS TO A CERTIFIED DIABETES PROGRAM THAT INCLUDES A FULL TEAM OF DIABETES AND ENDOCRINOLOGY EXPERTS - INCLUDING ENDOCRINOLOGISTS, CERTIFIED DIABETES EDUCATORS, AND REGISTERED DIETITIANS. THE INTEGRATED TEAM AT SAINT LUKE'S CUSHING HOSPITAL COLLABORATES WITH PRIMARY CARE PHYSICIANS AND WITH SPECIALISTS TO TREAT CONDITIONS RANGING FROM THYROID CANCER TO CARDIOVASCULAR ISSUES RELATED TO DIABETES AND ENDOCRINE DISORDERS.SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO PROVIDE ACCESS TO THE DIABETES EDUCATION CENTER, WHICH PROVIDES SERVICES FOR COMMUNITY MEMBERS WHO ARE NEWLY DIAGNOSED WITH DIABETES, PRE-DIABETES, OR THOSE SEEKING ADDITIONAL HELP MANAGING DIABETES. SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO COLLABORATE WITH THE AMERICAN DIABETES ASSOCIATION AND THE KANSAS CITY REGIONAL ASSOCIATION OF DIABETES EDUCATORS.IN 2016, SAINT LUKE'S CUSHING HOSPITAL WILL BE INITIATING AN EDUCATIONAL SERIES "CHRONIC DISEASE MANAGEMENT EDUCATION" IN COLLABORATION WITH THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT.APPROPRIATE PATIENTS AS IDENTIFIED BY THEIR PHYSICIAN WILL BE INVITED TO PARTICIPATE.4. ACCESS TO CARE:BECAUSE OF ITS ALL-INCLUSIVE NATURE, HEALTH CARE ACCESS IS IDENTIFIED AS THE OVERARCHING HEALTH NEED WITHIN SAINT LUKE'S CUSHING HOSPITAL'S COMMUNITY.SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO ACCEPT KANSAS MEDICAID. 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.LEAVENWORTH COUNTY IS FACING A SHORTAGE IN PRIMARY CARE SERVICES. SINCE PRIMARY CARE PROVIDERS OFTEN ACT AS THE FIRST POINT OF CONSULTATION FOR PATIENTS, PRIMARY CARE OFTEN PLAYS A CENTRAL ROLE IN THE LOCAL COMMUNITY. WITHOUT ANY OTHER RESOURCES, PATIENTS WITHIN THE COMMUNITY OFTEN SEEK SERVICES FROM THE HOSPITAL AS A MAIN SOURCE OF PRIMARY CARE. AS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM, SAINT LUKE'S CUSHING HOSPITAL HAS THE ABILITY TO CONNECT LOCAL PATIENTS WITH A RANGE OF HIGHLY TRAINED PHYSICIAN SPECIALISTS. 5. THE INCREASING NEEDS OF AN AGING POPULATION:OLDER ADULTS ARE AMONG THE FASTEST GROWING AGE GROUPS IN LEAVENWORTH COUNTY AND IN THE UNITED STATES. CHRONIC CONDITIONS AND COMORBIDITIES COMMON TO AN AGING POPULATION ARE SEEN IN LEAVENWORTH COUNTY'S HEALTH OUTCOMES, SUCH AS HYPERTENSION, HEART DISEASE, AND STROKE MORTALITY. THE HEALTH NEEDS OF A GROWING AGING POPULATION SHOULD BE CONSIDERED A PRIORITY HEALTH NEED FOR THE LEAVENWORTH COMMUNITY.SAINT LUKE'S CUSHING HOSPITAL CURRENTLY OFFERS A RANGE OF HEALTH SERVICES AVAILABLE TO THE OLDER POPULATION. THE HOSPITAL WILL CONTINUE TO OFFER SERVICES AIMED AT SUPPORTING THE CHRONIC CONDITIONS INCLUDING DIABETES, HYPERTENSION, HEART DISEASE, AND STROKE. SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO WORK WITH OTHER PROVIDERS AND SOCIAL SERVICE ORGANIZATIONS IN THE COMMUNITY TO INCREASE SUPPORT TO THIS POPULATION, INCLUDING THE LEAVENWORTH COUNTY COUNCIL ON AGING.IN 2016, SAINT LUKE'S CUSHING HOSPITAL WILL BE INITIATING AN EDUCATIONAL SERIES "CHRONIC DISEASE MANAGEMENT EDUCATION" IN COLLABORATION WITH THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT. APPROPRIATE PATIENTS AS IDENTIFIED BY THEIR PHYSICIAN WILL BE INVITED TO PARTICIPATE.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. PART V, SECTION B, LINE 6 AS PERMITTED BY IRS TRANSITION RULES, THE ORGANIZATION ADOPTED ITS IMPLEMENTATION STRATEGY BY MAY 15, 2016 AND THEREFORE IS DEEMED TO SATISFY THE REQUIREMENT TO ADOPT THE STRATEGY IN THE SAME YEAR THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE, 2015. PART V, SECTION B, LINE 3I 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. PART I, LINE 7: COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO FROM THE ORGANIZATION'S COST REPORT. PART I, LINE 7G: SUBSIDIZED SERVICES INCLUDE UNPAID COST OF PROVIDING SERVICES TO THE LOCAL MILITARY COMMUNITY, RELIEVING GOVERNMENT BURDEN. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,141,436. PART II, COMMUNITY BUILDING ACTIVITIES: SAINT LUKES CUSHING HOSPITAL INC SPONSORS OR PARTICIPATES IN MANY COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF OUR COMMUNITY. ACTIVE PARTICIPATION IN MANY COMMUNITY ORGANIZATIONS INCLUDE LEAVENWORTH COUNTY DEVELOPMENT CORPORATION, CHAMBER OF COMMERCE, ROTARY, KANSAS HOSPITAL ASSOCIATION, MILITARY AFFAIRS COUNCIL AND EDUCATION FOUNDATIONS. WE ENCOURAGE OUR EMPLOYEES TO SERVE ON COMMUNITY BOARDS AND VOLUNTEER FOR ACTIVITIES THAT PROMOTE HEALTH IN THE COMMUNITY. PART III, LINE 2, BAD DEBT 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. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: SEE PAGES 10-11, NOTE 1, ACCOUNTS RECEIVABLE SECTION OF ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: 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. PART III, LINE 9B: 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. PART VI, LINE 2: THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS. THE HOSPITAL OBTAINS HIDI MARKET DATA AND OTHER OUTPATIENT MARKET DATA. WITH THIS DATA, THE HOSPITAL IDENTIFIES SERVICES RECEIVED BY THE RESIDENTS OF OUR COMMUNITY (DEFINED BY OUR PRIMARY AND SECONDARY SERVICE AREAS). ANY PREDOMINANT SERVICES NOT CURRENTLY OFFERED BY THE HOSPITAL ARE CONSIDERED AND EVALUATED FOR SUSTAINABILITY.ANOTHER ELEMENT OF THE COMMUNITY ASSESSMENT CONSISTS OF MEETINGS WITH VARIOUS COMMUNITY ORGANIZATIONS SUCH AS FORT LEAVENWORTH, CARITAS CLINICS, SISTER'S OF CHARITY, CHAMBER OF COMMERCE, AND LEAVENWORTH COUNCIL ON ECONOMIC DEVELOPMENT. THE HOSPITAL ALSO GATHERS INFORMATION THROUGH TOWN HALL MEETINGS WITH STAFF, MEETINGS WITH PHYSICIANS, HOSPITAL BOARD OF DIRECTORS AND THE COMMUNITY ADVISORY COUNCIL. THROUGH FEEDBACK FROM THESE MEETINGS, COMMUNITY NEEDS ARE COMMUNICATED TO THE HOSPITAL AND CONSIDERED. PART VI, LINE 3: 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. PART VI, LINE 4: SAINT LUKES CUSHING HOSPITAL INC IS LOCATED IN LEAVENWORTH COUNTY, KANSAS. LOCATED IN NORTHEAST KANSAS, LEAVENWORTH COUNTY SITS ADJACENT TO THE MISSOURI BORDER. ACCORDING TO THE U.S. CENSUS BUREAU, THE COUNTY COVERS 462.83 SQUARE MILES. THE COUNTY BOUNDARIES SIT AMIDST THE EASTERN AND WESTERN HILLS ALONG THE MISSOURI RIVER AND THE EXPANSIVE PRAIRIE OF WESTERN KANSAS. PART VI, LINE 5: THE BOARD OF DIRECTORS CONSISTS OF MEDICAL PROFESSIONALS, BUSINESS PROFESSIONALS AND ACTIVE COMMUNITY MEMBERS, NEARLY ALL OF WHOM RESIDE OR PRACTICE IN THE COMMUNITY, PLUS REPRESENTATIVES FROM SAINT LUKE'S HEALTH SYSTEM. THE BOARD IS INVOLVED IN THE PLANNING AND COMMUNITY ASSESSMENT PROCESSES. THE MEDICAL STAFF IS OPEN FOR NEARLY ALL SPECIALTIES AND PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.SAINT LUKES CUSHING HOSPITAL INC DONATES LABORATORY, RADIOLOGY, AND, AT TIMES, SURGERY SERVICES TO PATIENTS OF SAINT VINCENT'S CLINIC, WHICH PROVIDES PRIMARY HEATH CARE SERVICES TO THE UNINSURED POOR OF LEAVENWORTH COUNTY.THE HOSPITAL ALSO PROVIDES SCHOLARSHIPS TO LOCAL STUDENTS INTERESTED IN PURSUING A DEGREE IN HEALTH CARE. IN ADDITION, MANY HOURS ARE DONATED BY STAFF IN ON-THE-JOB EDUCATION OF STUDENTS IN LOCAL COLLEGE HEALTH CARE CURRICULUM. PART VI, LINE 6: THE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 10 AREA HOSPITALS AND SEVERAL PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND 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. 1 SAINT LUKES PHYSICIAN GROUP INC (501C3 AFFILIATE) 901 E 104TH ST KANSAS CITY MO 64131 431598353 501(C)(3) 2066690 SUPPORT HEALTHCARE SERVICES IN LEAVENWORTH SAINT LUKE'S PHYSICIAN GROUP II LLC (501C3 AFFILIATE) 4401 WORNALL ROAD KANSAS CITY MO 64111 760820877 501(C)(3) 1193862 SUPPORT FOR HEALTHCARE SERVICES IN LEAVENWORTH SUPPORT HEALTHCARE SERVICES IN LEAVENWORTH 2 0 SCHOLARSHIPS TO STUDENTS IN HEALTHCARE FIELD 6 6000 PART I, LINE 2: 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. 0 0 0 0 0 0 0 1 0 CAROL MEYER DIRECTOR-SEC/TREAS TERM END 05/2016 0 103679 0 64796 0 50459 0 16703 0 557 0 236194 0 40292 DON SIPES DIRECTOR-PRESIDENT 0 278040 0 77101 0 44574 0 43838 0 21531 0 465084 0 21653 JULIE MURPHY DIRECTOR & CFO 0 229932 0 45327 0 23760 0 39031 0 9632 0 347682 0 16973 KAREN KRAMER DIRECTOR 0 198134 0 0 0 16392 0 25994 0 28039 0 268559 0 13709 ADELE DUCHARME CEO 203060 0 55806 0 23698 0 28311 0 9984 0 320859 0 15672 0 KARIN SUNDBLOM CNO 113410 0 16417 0 177 0 6162 0 25110 0 161276 0 0 0 ROBERT KATZENBERGER MGR-PHARMACY 144547 0 0 0 1885 0 7474 0 19700 0 173606 0 0 0 PART I, LINE 7 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 RETENTION, 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. PART 1, LINE 3 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. SCHEDULE J, PART II AND FORM 990, PART VII DON SIPES, CAROL MEYER AND KAREN KRAMER DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. JULIE MURPHY RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND OTHER RELATED ORGANIZATIONS. PART V, LINE 1A, NUMBER REPORTED IN BOX 3 OF FORM 1096 SAINT LUKES CUSHING HOSPITAL INC IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SAINT LUKE'S CUSHING HOSPITAL'S VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. FORM 990, PART VI, SECTION A, LINE 2 DON SIPES AND KAREN KRAMER HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATION. DON SIPES AND JULIE MURPHY HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B 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, SECTION B, LINE 11B 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, SECTION B, LINE 12C THE FILING ORGANIZATION HAS A COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICY APPLICABLE TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. ANY ACTUAL, POSSIBLE OR PERCEIVED CONFLICT OF INTEREST IS EXPECTED TO BE HANDLED THROUGH FULL AND TIMELY DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSENCE OF PERSUASION IN ANY DISCUSSION AND IN ANY VOTE WHEREIN THE INTEREST IS INVOLVED. DISCLOSURE IS TO BE MADE WHEN THE INTEREST ARISES, AT ANY TIME THE INTEREST BECOMES A MATTER OF GOVERNING BOARD ACTION, AND THEN ANNUALLY THROUGH COMPLETION OF A CONFLICT OF INTEREST QUESTIONNAIRE. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE TO THE PUBLIC THROUGH THE SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE MADE AVAILABLE TO THE PUBLIC THROUGH EMMA AND ARE ATTACHED TO THIS RETURN. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII, COLUMN E DON SIPES, CAROL MEYER AND KAREN KRAMER DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. JULIE MURPHY RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND OTHER RELATED ORGANIZATIONS. FORM 990, PART IX, LINE 11G PHYSICIAN REMUNERATION: PROGRAM SERVICE EXPENSES 1,788,924. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,788,924. OTHER SERVICES: PROGRAM SERVICE EXPENSES 212,001. MANAGEMENT AND GENERAL EXPENSES 136,889. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 348,890. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 311,424. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,424. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 731,437. MANAGEMENT AND GENERAL EXPENSES 39,070. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 770,507. MAINTENANCE AND REPAIRS: PROGRAM SERVICE EXPENSES 1,108,367. MANAGEMENT AND GENERAL EXPENSES 217,690. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,326,057. FORM 990, PART XI, LINE 9: PENSION SETTLEMENT/LIABILITY TRANSFER TO SLHS 20,074. INCREASE IN BENEFICIAL INTEREST IN ASSETS OF CUSHING HOSPITAL FOUNDATION 200,175. MISCELLANEOUS OTHER CHANGES IN NET ASSETS 15,239. ROUNDING 2. SAINT LUKES HEALTH SYSTEM 901 E 104TH ST KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501(C)(3) 509A3 - TYPE III, FI 0 SAINT LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES NORTH HOSPITAL 601 SOUTH 169 HWY SMITHVILLE MO 64089 440565393 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES SOUTH HOSPITAL INC 12300 METCALF AVE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES EAST HOSPITAL 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES PHYSICIAN GROUP INC 901 E 104TH ST KANSAS CITY MO 64131 431598353 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 CRITTENTON 10918 ELM AVENUE KANSAS CITY MO 64134 440545808 HEALTH CARE MO 501(C)(3) 170B1AIII ST LUKES HOSPITAL OF KANSAS CITY 0 SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE 901 E 104TH ST KANSAS CITY MO 64131 431127200 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 ST LUKES OF TRENTON 191 IOWA BLVD TRENTON MO 64683 431707306 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 CABOT WESTSIDE HEALTH CENTER 901 E 104TH ST KANSAS CITY MO 64131 440546280 HEALTH CARE MO 501(C)(3) 170B1AVI SAINT LUKES HEALTH SYSTEM INC 0 MIDWEST EAR INSTITUTE INC 4320 WORNALL ROAD STE 420 KANSAS CITY MO 64111 480905027 HEALTH CARE KS 501(C)(3) 170B1AIII ST LUKES HOSPITAL OF KANSAS CITY 0 SAINT LUKES HOSPITAL OF CHILLICOTHE 2799 N WASHINGTON CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES CARE 901 E 104TH ST KANSAS CITY MO 64131 260185090 HEALTH CARE MO 501(C)(3) 509(A)(3) - TYPE II SAINT LUKES HEALTH SYSTEM INC 0 MEDICAL PLAZA IMAGING ASSOCIATES LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 431609584 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES COLLEGE OF HEALTH SCIENCES 624 WESTPORT ROAD KANSAS CITY MO 64111 272716128 POST-SECONDARY NURSING EDUCATION MO 501(C)(3) 170B1AII ST LUKES HOSPITAL OF KANSAS CITY 0 SAINT LUKES PHYSICIAN GROUP I LLC 4330 WORNALL ROAD STE 2000 KANSAS CITY MO 64111 271994652 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 ADVANCED UROLOGIC ASSOCIATES INC 901 E 104TH ST KANSAS CITY MO 64131 454725529 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 ROCKHILL ORTHOPAEDIC SPECIALISTS INC 901 E 104TH ST KANSAS CITY MO 64131 453851008 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 THE BISHOP SPENCER PLACE 4301 MADISON AVENUE KANSAS CITY MO 64111 431139083 RETIREMENT COMMUNITY MO 501(C)(3) 509(A)(2) SAINT LUKES HEALTH SYSTEM INC 0 WINDSOR CARE INCORPORATED 4301 MADISON AVENUE KANSAS CITY MO 64111 205284328 HEALTH CARE MO 501(C)(3) 509(A)(2) SAINT LUKES HEALTH SYSTEM INC 0 MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD SUITE 714 KANSAS CITY MO 64111 431357824 OWN AND OPERATE MEDICAL OFFICE BUILDING MO N/A ST LUKES SURGICENTER-LEES SUMMIT LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 470853481 HEALTH CARE MO N/A SAINT LUKES SOUTH SURGERY CENTER LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 201721929 HEALTH CARE KS N/A SAINT LUKES-GI DIAGNOSTICS LLC 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 SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP 901 E 104TH ST KANSAS CITY MO 64131 371471890 INSURANCE SC N/A C 0 ST LUKES HEALTH VENTURES INC 901 E 104TH ST KANSAS CITY MO 64131 431278476 ACCOUNTING MO N/A C 0 MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL ROAD SUITE 714 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MANAGEMENT MO N/A C 0 VENTURE FINANCIAL SERVICES INC 9500 E 63RD STREET SUITE 202 RAYTOWN MO 64133 431605740 COLLECTIONS MO N/A C 0 SAINT LUKES HEALTH SYSTEM INSURANCE LTD 113 SOUTH CHURCH STREET GEORGETOWN CJ CAPTIVE CJ N/A C 0 0 1 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 0 0 SCHEDULE R, PART V, LINE 1 SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS.