2017-10-16T15:53:30-05:00 2016-11-15 990 2016-01-01 440545808 CRITTENTON CRIT 8167656600 10918 ELM AVENUE KANSAS CITY MO 64134 JANINE HRON CEO 8167656600 2017-10-16 8.33.29.132 2017-10-16 15:52:33 CD P BADB30EAA8EA72076E123892A93B1AB4C1559E32 BADB30EAA8EA72076E123892A93B1AB4C1559E32 2016 2017-02-10 21:41:12Z X CRITTENTON CHILDREN'S CENTER JANINE HRON 10918 ELM AVENUE KANSAS CITY MO 64134 28864829 0 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1947 MO ADOLESCENT AND FAMILY MENTAL HEALTH TREATMENT SERVICES X 17 13 0 636 0 0 2921043 2162681 27873402 26445845 372713 248628 12281 -42240 31179439 28814914 500 0 0 0 20315616 17611169 0 0 40761 9298079 9383842 29614195 26995011 1565244 1819903 24229275 0 2278169 0 21951106 0 X CRITTENTON CHILDREN'S CENTER IS A FAITH-BASED, NOT FOR PROFIT ORGANIZATION DEDICATED TO PROVIDING THE HIGHEST QUALITY INNOVATIVE BEHAVIORAL HEALTH SERVICES TO CHILDREN AND FAMILIES AS PART OF THE SAINT LUKE'S HEALTH SYSTEM. 0 0 23076667 26445845 ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF CRITTENTON'S MISSION, WHICH IS TO PROMOTE FAMILY WELLNESS BY PROVIDING AN EFFECTIVE SYSTEM OF COMPREHENSIVE MENTAL HEALTH TREATMENT SERVICES, PARENTING INFORMATION, AND PREVENTION PROGRAMS FOR INDIVIDUAL CHILDREN AND FAMILIES.CRITTENTON IS COMMITTED TO SERVING ALL WHO SEEK SERVICES REGARDLESS OF THEIR SOCIO-ECONOMIC STATUS. CRITTENTON PARTICIPATES IN MEDICAID.SOME EXAMPLES OF THE SERVICES PROVIDED BY CRITTENTON INCLUDE:HOSPITAL - THE PURPOSE OF CRITTENTON'S HOSPITAL PROGRAM IS TO PROVIDE BRIEF, SYMPTOM ORIENTED, FAMILY FOCUSED CRISIS INTERVENTION AND STABILIZATION TO CHILDREN AND ADOLESCENTS SUFFERING ACUTE PSYCHIATRIC OR BEHAVIORAL DIFFICULTY. THE GOAL OF TREATMENT IS TWO-FOLD: (1) TO QUICKLY STABILIZE SEVERE PSYCHIATRIC SYMPTOMS THAT RENDER YOUTH DANGEROUS TO THEMSELVES OR OTHERS AND (2) TO TEACH PATIENTS AND FAMILIES SKILLS IMPORTANT TO PREVENTING FUTURE CRISIS SITUATIONS.RESIDENTIAL - THE OBJECTIVE OF CRITTENTON'S RESIDENTIAL PROGRAM IS TO PROVIDE AN INTENSIVE, STRUCTURED THERAPEUTIC ENVIRONMENT DESIGNED TO REMEDIATE PERSISTENT BEHAVIORAL AND EMOTIONAL DISTURBANCES IN DIFFICULT-TO-TREAT ADOLESCENTS. THE PROGRAM IS ESPECIALLY USEFUL IN SITUATIONS WHERE REPEATED ATTEMPTS AT OUTPATIENT AND HOSPITAL TREATMENT HAVE BEEN UNSUCCESSFUL.OUTPATIENT CLINICS AND PREVENTION/COMMUNITY PROGRAMS - THERE WERE 15,000 OUTPATIENT CLINIC VISITS FROM JANUARY THROUGH MID-NOVEMBER 2016.CRITTENTON'S HEADSTART-TRAUMASMART PROGRAM SERVED APPROXIMATELY 9,800 AT-RISK STUDENTS AND THEIR FAMILIES DURING THE 2015-2016 SCHOOL YEAR. IT ALSO PROVIDED IN-SERVICE TRAINING TO 2,700 TEACHERS, PARENTS, AND AGENCY PROFESSIONALS.CRITTENTON CONTRACTS WITH THE MISSOURI DIVISION OF FAMILY SERVICES TO PROVIDE FOSTER CARE SERVICES TO CHILDREN AND THEIR FAMILIES IN JACKSON COUNTY AND CASS COUNTY, MO FOR CHILDREN FROM THE AGE OF BIRTH TO 21 YEARS OF AGE. CRITTENTON IS CURRENTLY CONTRACTED TO PROVIDE SERVICES FOR 225 CASES. 23076667 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 17 13 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X CFO 8167656600 10918 ELM AVENUE KANSAS CITY MO 64134 X CHARLES ROBB DIRECTOR - TREASURER 2.00 50.00 X X 0 744515 319130 CAROLYN DOWNHAM DIRECTOR - VICE CHAIR 2.00 X X 0 0 0 COREY ZIEGLER DIRECTOR 2.00 X 0 0 0 CHASE BEAN DIRECTOR 2.00 X 0 0 0 RYAN BRUNTON DIRECTOR - CHAIR 2.00 X X 0 0 0 KIRK SCHNURBUSCH DIRECTOR - SECRETARY 2.00 X X 0 0 0 EILEEN DUGGAN DIRECTOR & EMPLOYED PHYSIC 40.00 X 185911 0 25060 NORMAN HEISLER DIRECTOR & EMPLOYED PHYSIC 40.00 X 253374 0 38308 JIM NEUNUEBEL DIRECTOR 2.00 X 0 0 0 SARAH RUANE DIRECTOR 2.00 X 0 0 0 JABARI WAMBLE DIRECTOR 2.00 X 0 0 0 JANINE HRON DIRECTOR AND CEO 40.00 X X 290919 0 50006 MARGE WILLIAMS DIRECTOR 2.00 X 0 0 0 JOLIE JUSTUS DIRECTOR 2.00 X 0 0 0 ERIKA RAMIREZ DIRECTOR 2.00 X 0 0 0 NANCY SEELEN DIRECTOR 2.00 X 0 0 0 SUSAN WILSON DIRECTOR NEW 5/2015 2.00 X 0 0 0 WILLARD STARON CFO 40.00 X 153700 0 30529 BELVA GIESING CNO 40.00 X 128568 0 25799 ANNE DAVIS PHYSICIAN 40.00 X 213053 0 29263 PATRICK BOWMAN PHYSICIAN 40.00 X 132962 0 29012 SREEKUMAR NAIR PHYSICIAN 40.00 X 165229 0 6340 MANUAL HERNANDEZ PHYSICIAN 40.00 X 172038 0 19648 FRANCIS BARTH PHYSICIAN 40.00 X 150208 0 6469 1845962 744515 579564 13 0 1 0 SAINT LUKE'S HEALTH SYSTEM 901 E 104TH STREET KANSAS CITY MO 64131 MANAGEMENT SERVICES 2702168 HOFFMAN MAINTENANCE CO 16890 GRANDVIEW ST STILWELL KS 66085 JANITORIAL/MAINT 187155 SAINT LUKE'S HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 LAB SERVICES 174760 SAINT LUKE'S FOUNDATION 4225 BALTIMORE KANSAS CITY MO 64111 ASSET MGMT SVCS 142250 OZANAM 421 E 137TH ST KANSAS CITY MO 64145 PATIENT CARE 130098 6 133982 38403 659653 1330643 2162681 NET PATIENT REVENUE 622110 25935302 25935302 OTHER PROGRAM REVENUE 622110 270657 270657 RENT AFFIL & T/E ORGS 531120 239886 239886 26445845 248628 248628 7675 38403 49915 -42240 -42240 28814914 26445845 0 206388 X 1182174 502653 679521 12960190 12182915 748934 28341 405395 365540 39114 741 2129790 1914606 211214 3970 933620 845120 87389 1111 4082954 3953362 129085 507 6106 3754 2351 1 745890 592285 153109 496 18781 676 18105 429524 370007 56351 3166 271460 269688 1760 12 11938 11579 192 167 288381 251469 34664 2248 112085 38993 73092 SHARED SERVICES-SLHS 2702168 1061141 1641027 BAD DEBT 490251 490251 MEDICAL SUPPLIES 145794 145438 335 21 OTHER EXPENSES 78510 77190 1340 -20 26995011 23076667 3877583 40761 7876588 0 10264221 0 0 540883 0 0 0 0 0 113839 0 0 0 3721435 0 0 0 0 0 1712309 0 24229275 0 1466628 0 811541 0 2278169 0 X 21253895 0 697211 0 21951106 0 24229275 0 X 1819903 419752 -24190761 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 8436 0 0 0 8436 0 PART II-B, LINE 1: LINE F: PORTION OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND OTHER ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 0 0 34658 34658 288347 1345379 1599068 34658 239894 1252761 1204308 288347 420663 908976 1089745 239894 1 0 0 PART XI, XII, AND XIII THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. TOAST FOR THE CHILDREN 46078 38403 7675 4800 15017 15400 14698 46078 38403 7675 4800 15017 15400 14698 49915 -42240 1 1 X 1 X 133.000000000000 1 X 1 1 0 0 147089 147089 0.00550 10950263 9732078 1218185 0.04600 11097352 9732078 1365274 0.05150 2030824 1854547 176277 0.00670 8467330 7190790 1276540 0.04820 2382 2382 0.00010 10500536 9045337 1455199 0.05500 21597888 18777415 2820473 0.10650 0 490251 0 0 0 1 1 1 1 CRITTENTON CENTER 10918 ELM KANSAS CITY MO 64134 295-36 X X SPECIALIZING IN BEHAVIORAL HEALTH. CRITTENTON 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 CRITTENTON PART V, SECTION B, LINE 5: THE CHNA IS THE PRODUCT OF COMMUNITY PARTNERSHIP AND PUBLIC HEALTH COLLABORATIONS, INTERVIEWS WITH HOSPITAL LEADERSHIP AND KEY PERSONNEL OF COMMUNITY STAKEHOLDERS. KEY CONTRIBUTORS ARE FROM THE FOLLOWING ORGANIZATIONS:HOSPITAL LEADERSHIPMISSOURI DEPARTMENT OF SOCIAL SERVICES - CHILDREN'S DIVISIONMISSOURI DEPARTMENT OF MENTAL HEALTHMISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICESKANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICESMISSOURI COALITION FOR COMMUNITY BEHAVIORAL HEALTHCAREMISSOURI COORDINATING BOARD FOR EARLY CHILDHOODGREATER KANSAS CITY AREA SCHOOL DISTRICTSGREATER KANSAS CITY AREA LAW ENFORCEMENT AND CRISIS INTERVENTION TEAM (CIT) OFFICERSCREATING COMMUNITY SOLUTIONS/CONSENSUS KANSAS CITYTRAUMA MATTERS KCMID-AMERICA HEAD START/MID-AMERICA REGIONAL COUNCILJACKSON COUNTY FAMILY COURT AND GUARDIAN AD LITEM OFFICEJACKSON COUNTY DRUG COURTJACKSON COUNTY MENTAL HEALTH FUNDCOMBAT (COMMUNITY BACKED ANTI-DRUG TAX)JOHNSON COUNTY MENTAL HEALTH CENTERTRI-COUNTY MENTAL HEALTH CENTERWYANDOTTE COUNTY MENTAL HEALTH CENTERHEALTH CARE FOUNDATION OF GREATER KANSAS CITY CRITTENTON PART V, SECTION B, LINE 11: THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED SIX MAJOR HEALTH NEEDS, IN NO PARTICULAR ORDEROF PRIORITY:1. INCREASED INTEGRATION ACROSS SYSTEMSCRITTENTON WILL CONTINUE TO MEET THE NEED TO COORDINATE WITH OTHER SYSTEMS OF CARE IN THE FOLLOWING WAYS: - ROUTINELY OPENING ITS CAMPUS FOR COMMUNITY TRAINING, CONDUCTS TOURS, AND DISCUSSES TRENDS AND SOLUTIONS FOR YOUTH WITH AREA CRISIS INTERVENTION COUNSELORS - HOSTING COMMUNITY EDUCATION PROGRAMS - ACTIVELY PARTICIPATING IN METROPOLITAN AND STATEWIDE INITIATIVES DESIGNED TO COHESIVELY COORDINATE CARE FOR PATIENTS. - CRITTENTON FOSTER CARE AND ADOPTION CASE MANAGERS AND FAMILY RECRUITMENT/SUPPORT PERSONNEL WORK SIDE-BY-SIDE WITH JACKSON AND CASS COUNTY COURTS, LAW ENFORCEMENT, MISSOURI CHILDREN'S DIVISION, GUARDIANS AD LITEM, AND OTHER ASSOCIATED SERVICE PROVIDERS AS NEEDED TO MEET THE INDIVIDUAL NEEDS OF EACH CHILD IN FOSTER CARE ON OUR ASSIGNED CASELOAD. IN ADDITION, CRITTENTON LEADERS PARTICIPATE IN REGIONAL AND STATE-APPOINTED COMMITTEES TO WORK ACROSS SYSTEMS TO ADDRESS BARRIERS AND LEVERAGE STRENGTHS THAT LEAD TO HIGHEST QUALITY CARE AND OUTCOMES FOR CHILDREN IN FOSTER CARE - PARTICIPATING IN PROJECT POTENTIAL, A CRITTENTON PROGRAM, ENHANCING PATIENTS' ABILITY TO INDEPENDENTLY NAVIGATE MULTIPLE SYSTEMS2. FAMILY ENGAGEMENTCRITTENTON ACKNOWLEDGES THE CHALLENGES MANY PARENTS AND GUARDIANS FACE, SUCH AS TRANSPORTATION DIFFICULTIES, CONSTRAINTS DUE TO EMPLOYMENT COMMITMENTS, PERSONAL HEALTH PROBLEMS, ETC. TO THAT END, IN ADDITION TO THE COMMUNITY SUPPORT CONNECTIONS AND INFORMATION PROVIDED FOR ALL PATIENTS, CRITTENTON HAS DECIDED TO ADD OR EXPAND THREE OF ITS PROGRAMS: INTENSIVE IN-HOME TREATMENT, BRIDGE CLINIC, AND OUTPATIENT CLINIC. BY PROVIDING THESE SERVICES IN FAMILIAR SETTINGS (THE CRITTENTON CAMPUS OR IN THE PATIENT'S HOME) AND FACILITATING COORDINATION OF THE INDIVIDUAL SERVICE PROVIDERS (SO THE PATIENT DOESN'T HAVE TO), BARRIERS TO ENGAGEMENT ARE MARKEDLY REDUCED AND OUTCOMES ARE STRONGER. CRITTENTON HAS ALSO EARNED A SPOT WITHIN A NATIONAL COLLABORATION PROJECT TITLED, ADVANCING APPROACHES TO TRAUMA INFORMED CARE, AN INITIATIVE OF THE CENTER FOR HEALTH CARE STRATEGIES, INC. BASED IN NEW JERSEY. AS ONE OF EIGHT COLLABORATIVE PARTICIPANTS IN THIS 2-YEAR PROJECT, CRITTENTON WILL RECEIVE TECHNICAL ASSISTANCE, FINANCIAL SUPPORT, AND PEER INPUT TO FURTHER DEVELOP FAMILY ENGAGEMENT AND RESPONSIVENESS FOR SECONDARY TRAUMA AMONG CAREGIVERS.3. TREATMENT FOR CO-OCCURRING SUBSTANCE ABUSE AND MENTAL HEALTH DISORDERSCRITTENTON HAS OPERATED AN EVENING CHEMICAL DEPENDENCY INTENSIVE OUTPATIENT PROGRAM (CD-IOP) FOR MANY YEARS. THE PROGRAM ADHERES TO THE EVIDENCE-BASED PROTOCOL OF THE HAZELDEN TEEN MATRIX MODEL ALONG WITH OTHER SAMHSA-ENDORSED TOOLS. IN RESPONSE TO INCREASING NEED, AN AFTERNOON SESSION FOR CD-IOP HAS BEEN ADDED. CD-IOP CAN BE UTILIZED DURING TRANSITION BACK TO THE COMMUNITY.IN ADDITION, CRITTENTON ESTABLISHED A 13-BED INPATIENT CO-OCCURRING DISORDERS UNIT SPECIFICALLY TO ADDRESS THE INCREASING INCIDENCE OF ADOLESCENTS WITH DUAL DIAGNOSIS OF MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS. THIS PROGRAM FOLLOWS HAZELDEN CO-OCCURRING DISORDERS PROTOCOL IN ADDITION TO MULTIPLE OTHER EVIDENCE-BASED THERAPIES.A COMMUNITY ALCOHOLICS ANONYMOUS CHAPTER ALSO COLLABORATES WITH CRITTENTON TO MATCH YOUTH WITH SPONSORS WHO ESTABLISH A RELATIONSHIP WITH THE CHILD THROUGHOUT THE PROGRAM, CONTINUING THIS SUPPORTIVE RELATIONSHIP POST-DISCHARGE. THIS PROGRAM IS INCREASING PATIENT COMPLIANCE WITH AFTER CARE PLANS AND REDUCING INCIDENCE OF RELAPSE AND RETURN TO INPATIENT CARE. CRITTENTON'S MEDICAL DIRECTOR, WHO IS BOARD CERTIFIED IN ADDICTIONS MEDICINE, PROVIDES PHYSICIAN OVERSIGHT FOR THIS PROGRAM.4. SYSTEMIC INTERVENTIONS THAT IMPACT COMMUNITY-WIDE CHANGEFOR MORE THAN A DECADE, CRITTENTON HAS PARTICIPATED IN PUBLIC/PRIVATE PARTNERSHIP WITH THE STATE OF MISSOURI TO PROVIDE FOSTER CARE AND ADOPTION CASE MANAGEMENT SERVICES, AS WELL AS TO RECRUIT STRONG FOSTER FAMILIES. THIS CONTINUED COMMITMENT INCLUDES MULTIPLE SPECIFIC STRATEGIES WITHIN OUR PROGRAM TO CREATE SECURE AND STABLE CARE FOR CHILDREN UNTIL REUNIFICATION WITH THEIR FAMILY OR PERMANENT PLACEMENT IN A HEALTHY AND POSITIVE ENVIRONMENT. CHILDREN ASSIGNED TO THE CRITTENTON FOSTER CARE CASE MANAGEMENT PROGRAM HAVE ACCESS TO A HEALTH CLINIC OFFERED TWICE A WEEK IN WHICH THEIR MEDICAL NEEDS CAN BE EXPERTLY AND CONSISTENTLY ADDRESSED BY A CONSISTENT AND FAMILIAR HEALTH CARE PROVIDER. THIS HAS DRAMATICALLY IMPROVED INTEGRATION OF CHILDREN'S MENTAL AND PHYSICAL NEEDS, AND ESTABLISHED A MORE POSITIVE, HEALTHY TRAJECTORY THAT CAN REDUCE LONG-TERM CHRONIC HEALTH CONDITIONS.CRITTENTON HAS ALSO DEVELOPED A NATIONALLY ACCLAIMED MODEL, TRAUMA SMART, IN WHICH COMMUNITIES OF CHILDREN (SCHOOLS AND EARLY CHILDHOOD EDUCATION PROGRAMS) AND THE ADULT CAREGIVERS THAT SURROUND THEM LEARN NEW STRATEGIES THAT IMPROVE THEIR COMPETENCE IN THE RELATIONSHIPS ESSENTIAL FOR EMOTIONAL AND PHYSICAL HEALTH AND RESILIENCE TO CHRONIC ADVERSITY. THE APPROACH IS SYSTEMIC, INTEGRATING HEALTH, EDUCATION, AND SOCIAL SERVICES. IT IS ALSO MULTIGENERATIONAL, PRACTICAL, AND DESIGNED FOR COMMUNITIES TO BECOME SELF-SUSTAINING IN THEIR GAINS. TRAUMA SMART WAS INITIATED IN THE URBAN CORE FOR THE KANSAS CITY GREATER METROPOLITAN AREA, AND HAS NOW EXPANDED TO SUBURBAN KANSAS CITY, 28 COUNTIES ACROSS MISSOURI,AND IN OTHER STATES. THIS CONTRIBUTION TO THE FIELD IS SUBSTANTIVE AND EMBRACED BY THE ORGANIZATION AS AN OPPORTUNITY TO CONTINUE EXTENSION INTO U.S. COMMUNITIES DESIRING TO USE THIS UNIVERSAL APPROACH TO MITIGATE THE NEGATIVE IMPACT OF VIOLENT AND ADVERSE EXPERIENCES IN CHILDHOOD.5. TARGETED AND RESEARCH-BASED INTERVENTIONSSINCE 2007, CRITTENTON HAS ADHERED TO A POLICY OF ONLY USING THERAPIES SPECIFIED AS EVIDENCE-BASED AND MEASURING PATIENT OUTCOMES USING BENCHMARKING TOOLS TO COMPARE WITH NATIONAL COHORTS WHEN POSSIBLE. THIS HAS REQUIRED DISCIPLINE AND HUNDREDS OF THOUSANDS OF DOLLARS OF INVESTMENT, WHICH IS NOT YET RECOGNIZED AS A DIFFERENTIATOR BY PAYERS, BUT IS ACKNOWLEDGED AND PREFERRED BY REFERRERS. THIS EXTENSIVE TRAINING CONTRIBUTES TO CRITTENTON'S VERY LONG STAFF TENURE AND DEPTH OF EXPERTISE THAT IS REQUESTED FOR REGIONAL AND NATIONAL TRAINING OF OTHER PROFESSIONALS. FOR EXAMPLE, CRITTENTON STAFF PARTICIPATES AS "FACULTY" WITHIN AN AMERICAN ACADEMY OF PEDIATRICS INITIATIVE TO SUPPORT THE DEVELOPMENT OF HEALTH HOMES INTEGRATING MENTAL HEALTH AND PHYSICAL HEALTH CARE. THE CRITTENTON AREA OF FEATURED EXPERTISE IS TOXIC STRESS AND ITS AFFECT ON CHILDREN'S HEALTHY DEVELOPMENT.CRITTENTON REMAINS DEDICATED IN PRINCIPLE AND PRACTICE TO CONTINUING TO REFINE OUR INTERNAL APPLICATION OF EVIDENCE-BASED THERAPIES, WHILE SIMULTANEOUSLY ADVOCATING FOR USE OF THE MOST EFFECTIVE TOOLS POSSIBLE FOR EACH PATIENT. AN EXAMPLE OF CRITTENTON ADVANCING THESE EFFORTS IS A CURRENT STUDY REGARDING EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR) THERAPY USE BEGINNING DURING ACUTE HOSPITALIZATION AS A POTENTIAL MEANS OF REDUCING READMISSIONS.6. AN INCREASE IN SPECIALLY TRAINED PROVIDERS TO ADDRESS A QUALITATIVE GAP IN TREATMENTCRITTENTON EMPLOYS NUMEROUS SPECIALISTS IN CHILD AND ADOLESCENT PSYCHIATRY WITH PARTICULAR EXPERTISE IN ACUTE CARE FOR YOUNG CHILDREN, TREATMENT OF AGGRESSIVE BEHAVIORS IN YOUTH, CHILDREN WITH CO-OCCURRING MEDICAL CONDITIONS, PERVASIVE DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE. THE ENTIRE CRITTENTON MULTIDISCIPLINARY TEAM IS TRAINED IN MULTIPLE EVIDENCE-BASED, TRAUMA-INFORMED INTERVENTIONS THAT ARE APPLIED THROUGHOUT THE ENTIRE CONTINUUM OF CARE. CRITTENTON STAFF TENURE FAR EXCEEDS NATIONAL NORMS AND IS AN INDICATOR OF SUCCESS IN THIS AREA.CLINICAL OFFICIALS AT MO HEALTHNET REPORT THAT CRITTENTON PROVIDES MORE THERAPISTS PRACTICING EVIDENCEBASED INTERVENTIONS THAN EXISTS ACROSS THE REST OF THE STATE. ACCREDITING REGULATORY BODIES ROUTINELY NOTE CRITTENTON'S EXTENSIVE, ONGOING TRAINING AND RESPONSIVENESS TO CURRENT COMMUNITY NEEDS TO BE A STRENGTH OF THE ORGANIZATION. CRITTENTON'S MODEL OF AN EMPLOYED MEDICAL STAFF CREATES RELIABILITY AND COLLABORATIVE PRACTICE BETWEEN PHYSICIANS AND PSYCHIATRIC ADVANCED PRACTICE REGISTERED NURSES. FROM THIS BASE, CRITTENTON'S ENTIRE CONTINUUM OF CARE IS SERVICED. ALSO, DUE TO THIS DEPTH OF MEDICAL EXPERTISE, CRITTENTON CAN PROVIDE EXPERTISE FOR OTHER COMMUNITY PROVIDERS WHO CANNOT AFFORD OR ATTRACT FULL-TIME MEDICAL PROFESSIONALS. THIS EXPERTISE MAY BE PROVIDED IN PERSON OR VIA TELEHEALTH OUTREACH STRATEGIES SUCH AS SAINT LUKE'S HEALTH SYSTEM E-PSYCH AND M-PSYCH SOLUTIONS. THE OUTREACH SERVICES PROVIDED BY CRITTENTON ARE DEPLOYED TO IMPROVE PUBLIC ACCESS TO HIGH QUALITY PSYCHIATRIC TREATMENT FOR CHILDREN AND ADOLESCENTS ACROSS THE SERVICE AREA AND BEYOND.THERE ARE NO NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED. PART V, SECTION B, LINE 9 AS PERMITTED BY IRS TRANSITION RULES, CRITTENTON 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 I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE ACUTE INPATIENT TRANSPORTATION, IN-HOME COMMUNITY CARE AND EXPENSES RELATED TO SCHOOL PARTNERS PROGRAM. 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 $ 490,251. 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 III, LINE 4: 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.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.THE AMOUNT OF BAD DEBT REPORTED IS CONSISTENT WITH FINANCIAL STATEMENTS. PART VI, LINE 2: THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA-DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. WE ALSO SEND PATIENT SATISFACTION SURVEYS TO OUR PATIENTS TO MEASURE HOW WE ARE MEETING THEIR NEEDS. 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. THE ELIGIBILITY ENROLLMENT SERVICE ALSO PROVIDES PATIENTS WITH INFORMATION ON FINANCIAL ASSISTANCE. PART VI, LINE 4: CRITTENTON PRIMARILY SERVES THE KANSAS CITY METRO AREA. PART VI, LINE 5: THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, FUNDRAISING, AND IN GENERAL STEWARDSHIP.MEDICAL STAFF PRIVILEGES ARE OPEN TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. 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. 0 1 0 0 0 0 0 1 0 CHARLES ROBB DIRECTOR - TREASURER 0 469450 0 161293 0 113772 0 291527 0 27603 0 1063645 0 102900 EILEEN DUGGAN DIRECTOR & EMPLOYED PHYSIC 184074 0 0 0 1837 0 16957 0 8103 0 210971 0 0 0 NORMAN HEISLER DIRECTOR & EMPLOYED PHYSIC 249953 0 0 0 3421 0 11925 0 26383 0 291682 0 0 0 JANINE HRON DIRECTOR AND CEO 202713 0 63924 0 24282 0 30694 0 19312 0 340925 0 17952 0 WILLARD STARON CFO 131659 0 21221 0 820 0 8888 0 21641 0 184229 0 0 0 BELVA GIESING CNO 102639 0 25062 0 867 0 6674 0 19125 0 154367 0 0 0 ANNE DAVIS PHYSICIAN 209784 0 0 0 3269 0 10969 0 18294 0 242316 0 0 0 PATRICK BOWMAN PHYSICIAN 130936 0 0 0 2026 0 7766 0 21246 0 161974 0 0 0 SREEKUMAR NAIR PHYSICIAN 163909 0 0 0 1320 0 3329 0 3011 0 171569 0 0 0 MANUAL HERNANDEZ PHYSICIAN 171142 0 0 0 896 0 0 0 19648 0 191686 0 0 0 FRANCIS BARTH PHYSICIAN 149467 0 0 0 741 0 3047 0 3422 0 156677 0 0 0 PART I, LINE 4B 457(F) PLAN PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: CHARLES ROBB - $173,541 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 I, LINE 8 PART II: CHARLES ROBB 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. 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. DIRECTORS ARE NOT COMPENSATED FOR SERVING AS A DIRECTOR OR BOARD OFFICER. COMPENSATION REPORTED FOR PHYSICIANS WHO SERVE ON THE BOARD ARE FOR SERVICES AS EMPLOYED PHYSICIANS. ALL NET ASSETS TRANSFERRED TO THE SUCCESSOR ORGANIZATION IN MERGER 2016-11-15 24272475 NET BOOK VALUE 440545297 ST LUKE'S HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 501C3 1 1 0 0 1 1 1 1 0 PART I, LINE 2E: PERSON(S) INVOLVED: RYAN BRUNTON BECAME A DIRECTOR OF THE SUCCESSOR ORGANIZATION. PART I, LINE 2E: EXPLANATION OF INVOLVEMENT: ALL EMPLOYEES WERE TRANSFERRED TO THE SUCCESSOR ORGANIZATION AS A RESULT OF THE MERGER. PART V, LINE 1A, NUMBER REPORTED IN BOX 3 OF FORM 1096 CRITTENTON IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF CRITTENTON'S VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. PART V, LINE 2A, NUMBER OF EMPLOYEES REPORTED ON FORM W-3 CRITTENTON MERGED WITH SAINT LUKE'S HOSPITAL OF KANSAS CITY ON NOVEMBER 15, 2016. SAINT LUKE'S HOSPITAL OF KANSAS CITY IS THE SURVIVING ENTITY. FOLLOWING IRS RULES FOR A SUCCESSOR EMPLOYER, WAGES FOR EMPLOYEES OF CRITTENTON THROUGH NOVEMBER 15, 2016 WERE INCLUDED IN THE W-2 ISSUED BY SAINT LUKE'S HOSPITAL OF KANSAS CITY FOR THE ENTIRE CALENDAR YEAR OF 2016. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE NOVEMBER 15, 2016, THE ORGANIZATION MERGED INTO AN AFFILIATED 501C3 ENTITY, SAINT LUKE'S HOSPITAL OF KANSAS CITY. A CERTIFIED COPY OF THE ARTICLES OF MERGER IS ATTACHED TO THIS RETURN. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM INC, 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, DEBT, BUDGETS, CAPITAL EXPENDITURES AND STRATEGIC OPERATING DECISIONS. 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. THE FINAL FORM 990 AND A SUMMARY OF KEY 990 INFORMATION WILL BE PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AFTER THE FILING OF THE RETURN DUE TO THE EARLIER FILING DEADLINE FOR A SHORT YEAR FINAL RETURN. FORM 990, PART VI, SECTION B, LINE 12C 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, 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. DIRECTORS ARE NOT COMPENSATED FOR SERVING AS A DIRECTOR OR BOARD OFFICER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE THROUGH THE MO SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT 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, BOX E CHARLES ROBB 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. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 796,303. MANAGEMENT AND GENERAL EXPENSES 129,085. FUNDRAISING EXPENSES 507. TOTAL EXPENSES 925,895. PURCHASED LAB SERVICES: PROGRAM SERVICE EXPENSES 231,923. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 231,923. PHYSICIAN REMUNERATION: PROGRAM SERVICE EXPENSES 178,540. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 178,540. FOSTER CARE SERVICES: PROGRAM SERVICE EXPENSES 2,746,596. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,746,596. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS INTO SUCCESSOR ORG -24,272,475. ROUNDING 2. TIMING DIFFERENCE DUE TO CONTRIBUTIONS ACCRUALS 81,712. SAINT LUKES HEALTH SYSTEM INC 901 E 104TH ST KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501(C)(3) 509A3 - TYPE III FIS 0 ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S NORTH HOSPITAL CORPORATION 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 440565393 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S SOUTH HOSPITAL INC 12300 METCALF AVENUE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S EAST HOSPITAL 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S PHYSICIAN GROUP 901 E 104TH ST KANSAS CITY MO 64131 431598353 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE 3100 BROADWAY SUITE 1000 KANSAS CITY MO 64111 431127200 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 ST LUKE'S OF TRENTON 191 IOWA BLVD TRENTON MO 64683 431707306 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 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 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 LUKE'S HOSPITAL OF CHILLICHOTHE 2799 N WASHINGTON CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES CUSHING HOSPITAL 711 MARSHALL LEAVENWORTH KS 66048 480543792 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S 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 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 0 SAINT LUKE'S COLLEGE OF HEALTH SCIENCES 624 WESTPORT ROAD KANSAS CITY MO 64111 272716128 POST-SECONDARY NURSING EDUCATION MO 501(C)(3) 170B1AII ST LUKE'S HOSPITAL OF KANSAS CITY 0 SAINT LUKE'S PHYSICIAN GROUP I LLC 4330 WORNALL ROAD SUITE 2000 KANSAS CITY MO 64111 271994652 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 ADVANCED UROLOGIC ASSOCIATES 901 E 104TH ST KANSAS CITY MO 64131 454725529 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 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 0 MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD SUITE 714 KANSAS CITY MO 64111 431357824 OWN & OPERATE MEDICAL OFFICE BUILDING MO N/A ST LUKE'S SURGICENTER-LEE'S SUMMIT LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 470853481 HEALTH CARE MO N/A SAINT LUKE'S SOUTH SURGERY CENTER LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 201721929 HEALTH CARE KS N/A SAINT LUKE'S GI-DIAGNOSTICS LLC 4321 WASHINGTON SUITE 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 LUKE'S RADIATION THERAPY-LIBERTY LLC 901 E 104TH STREET KANSAS CITY MO 64131 473793070 HEALTH CARE MO N/A SAINT LUKE'S HEALTH SYSTEM RISK RETENTION GROUP 901 E 104TH ST KANSAS CITY MO 64131 371471890 INSURANCE SC N/A C 0 ST LUKE'S 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 EAST 63RD STREET SUITE 202 RAYTOWN MO 64133 431605740 COLLECTIONS MO N/A C 0 SAINT LUKE'S HEALTH SYSTEM INSURANCE LTD 113 SOUTH CHURCH ST GEORGETOWN CJ CAPTIVE INSURANCE CJ N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0 SCHEDULE R, 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.