2017-11-15T15:43:32-06:00 2016-12-31 990 2016-01-01 431139083 BISHOP SPENCER PLACE INC BISH 8169314277 4301 MADISON AVENUE KANSAS CITY MO 64111 STEVEN SEGGERMAN CEO 8169314277 2017-11-15 8.33.29.132 2017-11-15 15:43:14 CS P BADB30EAA8EA72076E123892A93B1AB4C1559E32 BADB30EAA8EA72076E123892A93B1AB4C1559E32 2016 2021-01-29 14:40:06Z STEVEN SEGGERMAN 4301 MADISON AVENUE KANSAS CITY MO 64111 14440833 0 X WWW.BISHOPSPENCERPLACE.ORG X 1975 MO TO PROVIDE HOUSING AND ACTIVITIES FOR A RETIREMENT COMMUNITY 12 11 281 8 0 0 369000 80570 14144000 14095978 306000 264285 -10000 0 14809000 14440833 0 0 0 0 6095000 6355968 0 0 0 9373000 11287778 15468000 17643746 -659000 -3202913 47715000 41350765 56257000 47263069 -8542000 -5912304 FAITH-BASED, CONTINUING CARE COMMUNITY FOR PERSONS WHO SEEK RETIREMENT CARE AND HEALTH SERVICES 0 0 15401880 14095978 BISHOP SPENCER PLACE IS A FAITH-BASED, 186 BED/UNIT NON-PROFIT RETIREMENT COMMUNITY LOCATED IN KANSAS CITY, MISSOURI. BISHOP SPENCER PLACE PROVIDES RETIRMENT AND HEALTH CARE SERVICES THAT INCLUDE INDEPENDENT LIVING, ASSISTED LIVING, SKILLED NURSING AND REHABILITATION, AND MEMORY CARE.AT BISHOP SPENCER PLACE, WE COORDINATE CARE FROM WELLNESS CHECKS TO HOSPICE CARE WITH MANY PHYSICIANS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS. BEING PART OF SAINT LUKE'S HEALTH SYSTEM BRINGS A SPECIAL QUALITY TO OUR UNDERSTANDING OF OUR COMMUNITY MEMBERS' NEEDS AND OUR ABILITY TO MEET THEM. 15401880 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 33 0 1 281 1 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 8169314277 4301 MADISON AVENUE KANSAS CITY MO 64111 X THE RT REV MARTIN FIELD DIRECTOR - CHAIR 1.00 X X 0 0 0 AMY NACHTIGAL DIRECTOR 1.00 X 0 9606 1868 BRADLEY SIMMONS DIRECTOR - TERM END 6/2016 1.00 X 0 0 0 PETER POWELL DIRECTOR 1.00 X 0 0 0 SANDRA STITES MD DIRECTOR - TERM END 12/2016 1.00 X 0 0 0 THE REV PEG RUTH DIRECTOR - TERM END 12/2016 1.00 X 0 0 0 GORDON GEE DIRECTOR - SECRETARY 1.00 X X 0 0 0 JILL WATT DIRECTOR 1.00 X 0 0 0 JAMES BERNARD JR DIRECTOR - VICE PRES 1.00 X X 0 0 0 CASEY HALSEY DIRECTOR - TREAS 1.00 X X 0 0 0 THOMAS KOKJER DIRECTOR - PRESIDENT 1.00 X X 0 0 0 THE REV'D DR STAN RUNNELS DIRECTOR 1.00 X 0 0 0 MARY JO POWELL DIRECTOR 1.00 X 0 0 0 STEVEN SEGGERMAN CEO 40.00 X 229912 0 25846 229912 9606 27714 1 0 1 0 PB&J RESTAURANTS 10220 W 87TH STREET OVERLAND PARK KS 66212 DINING MGMT SERVICES 1375329 SELECT REHABILITATION INC 550 FRONTAGE ROAD STE 2415 NORTHFIELD IL 60093 REHAB THERAPY 673883 2 80570 80570 RESIDENT SERVICES 623990 14095978 14095978 14095978 264285 264285 14440833 14095978 0 264285 X 255758 255758 5047515 4461283 586232 65029 41136 23893 612603 463795 148808 375063 320815 54248 105571 105571 36865 36865 2540576 2421714 118862 128499 128499 735494 536320 199174 136375 136375 678090 673547 4543 21274 15554 5720 31366 16331 15035 2210440 2195630 14810 233111 233111 BOND INTEREST EXP & BON 2957913 2938095 19818 RESIDENT FOOD COSTS 607443 607443 BAD DEBT 492051 492051 MEDICAL AND PHARMACEUTI 207915 207915 164795 10251 154544 17643746 15401880 2241866 0 X 1977000 14386 1019183 1667000 1880708 1222000 503481 55564629 22214931 32719000 33349698 10130000 3734897 0 848412 47715000 41350765 2431000 1424332 21759000 22558737 27067000 23280000 5000000 56257000 47263069 X -9206000 -6587378 214000 225074 450000 450000 -8542000 -5912304 47715000 41350765 X -3202913 203013 5629596 X X 0 1 X 1 0 X 66000 225000 267000 369000 80570 1007570 13935000 13235000 13587000 14144000 14095978 68996978 14001000 13460000 13854000 14513000 14176548 70004548 0 0 0 70004548 264000 292000 277000 306000 4508517 5647517 264000 292000 277000 306000 4508517 5647517 -9000 -10000 -19000 14265000 13743000 14131000 14809000 18685065 75633065 0.92560 0.98130 0.07470 0.01870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 3609827 3609827 48419382 19662377 28757005 3024730 1943315 1081415 510690 609239 -98549 33349698 PART V, LINE 4: THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENT THE ORGANIZATION'S BENEFICIAL INTEREST IN NET ASSETS OF GREATER KANSAS CITY COMMUNITY FOUNDATION. SUCH ASSETS ARE REPORTED IN PART X, LINE 15. AMOUNTS REPORTED IN LINES 1 AND 2 FOR PRIOR YEARS HAVE BEEN REMOVED SINCE THESE REPRESENT ORGANIZATION'S BENEFICIAL INTEREST IN NET ASSETS OF AN UNRELATED ORGANIZATION (GREATER KANSAS CITY COMMUNITY FOUNDATION). THE ORGANIZATION DID NOT HOLD ASSETS IN AN ENDOWMENT FUND EITHER DIRECTLY OR THROUGH A RELATED ORGANIZATION. PART XI, XII, AND XIII THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. 0 0 0 0 0 0 0 0 0 STEVEN SEGGERMAN CEO 187287 0 36720 0 5905 0 1000 0 24846 0 255758 0 0 0 SCHEDULE J, PART II AMY NACHTIGAL AND BRAD SIMMONS 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. DIRECTORS ARE NOT COMPENSATED FOR SERVING AS A DIRECTOR OR BOARD OFFICER. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED AND UPDATED SELECTED PROVISIONS OF ITS ARTICLES AND BYLAWS IN DECEMBER 2016. THE CHANGES INSTALLED SAINT LUKE'S HEALTH SYSTEM, INC.("SYSTEM"), A 501(C)(3) AFFILIATE, AS THE SOLE MEMBER OF THE ORGANIZATION. THE AMENDMENTS ESTABLISH RESERVED GOVERNANCE POWERS OF THE SYSTEM, ALLOW FOR THE ELECTION AND REMOVAL OF MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS, AND ALLOW THE SYSTEM THE POWER TO CHANGE THE SIZE, COMPOSITION AND COMMITTEE STRUCTURE OF THE ORGANIZATIONS' BOARD OF DIRECTORS. 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, DEBT, BUDGETS, CAPITAL EXPENDITURES 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 CEO BEFORE FILING. A SUMMARY OF KEY 990 INFORMATION WAS PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND THE 990 DRAFT WAS MADE AVAILABLE TO THE COMMITTEE FOR REVIEW. THE 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS. FORM 990, PART VI, 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 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 THE COMPENSATION COMMITTEE ACTS ON BEHALF OF THE BOARD OF DIRECTORS TO ESTABLISH THE COMPENSATION OF THE CEO. SALARY SURVEYS AND OTHER MARKET INFORMATION ARE CONSIDERED WHEN DETERMINING COMPENSATION LEVELS. THE OVERALL GOAL IS TO ESTABLISH COMPENSATION AT A LEVEL THAT WILL ATTRACT AND RETAIN A CEO WITH THE NEEDED SKILLS AND QUALITIES WHO WILL EXEMPLIFY THE ORGANIZATION'S CORE VALUES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE MADE AVAILABLE TO THE PUBLIC BY THE MO SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE AVAILABLE TO THE PUBLIC THROUGH EMMA. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII COL E AMY NACHTIGAL DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE RELATED ORGANIZATION. THE COMPENSATION REPORTED IS FOR THE PORTION OF THE YEAR THAT THE ORGANIZATION WAS RELATED. DIRECTORS ARE NOT COMPENSATED FOR SERVING AS A DIRECTOR OR BOARD OFFICER. FORM 990, PART IX, LINE 11G REHAB SERVICES: PROGRAM SERVICE EXPENSES 673,883. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 673,883. REPAIRS/MAINTENANCE: PROGRAM SERVICE EXPENSES 78,021. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,021. RESIDENT DINING MGMT: PROGRAM SERVICE EXPENSES 1,375,329. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,375,329. OTHER SERVICES: PROGRAM SERVICE EXPENSES 294,481. MANAGEMENT AND GENERAL EXPENSES 118,862. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 413,343. FORM 990, PART X, BALANCE SHEET, LINE 20, TAX EXEMPT BOND LIABILITIES THE AMOUNT REPORTED AS TAX-EXEMPT BONDS IS THE PORTION OF SAINT LUKE'S HEALTH SYSTEM BONDS ALLOCATED TO BISHOP SPENCER PLACE. REQUIRED INFORMATION FOR THE BONDS, INCLUDING SCHEDULE K, IS REPORTED IN THE SAINT LUKE'S HEALTH SYSTEM (EIN: 43-1747502) IRS FORM 990. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF GREATER KC COMMUNITY FDTN 8,541. ROUNDING 1. OTHER MISC ADJUSTMENT -761. SLHS CONTRIBUTION TO CAPITAL 5,621,815. PART XII, 2C ON DECEMBER 19. 2016, SAINT LUKE'S HEALTH SYSTEM INC BECAME THE SOLE MEMBER OF THE ORGANIZATION. THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE PERIOD AFTER THE ACQUISITION ARE INCLUDED IN THE CONSOLIDATED AUDIT OF THE SAINT LUKE'S HEALTH SYSTEM. THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF SAINT LUKE'S HEALTH SYSTEM IS RESPONSIBLE FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF INDEPENDENT AUDITORS. SAINT LUKES HEALTH SYSTEM INC 901 E 104TH STREET KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501C3 509A3 TYPE III,FISO 0 ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES NORTH HOSPITAL 5830 NW BARRY ROAD KANSAS CITY MO 64154 440565393 HEALTH CARE MO 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES SOUTH HOSPITAL 12300 METCALF AVE OVERLAND PARK KS 66213 481230262 HEALTH CARE KS 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES PHYSICIAN GROUP 901 E 104TH STREET KANSAS CITY MO 64131 431598353 HEALTH CARE MO 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE 901 E 104TH STREET KANSAS CITY MO 64131 431127200 HEALTH CARE MO 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 ST LUKES OF TRENTON 191 IOWA BLVD TRENTON MO 64683 431707306 HEALTH CARE MO 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 CABOT WESTSIDE HEALTH CENTER 901 E 104TH STREET KANSAS CITY MO 64131 440546280 HEALTH CARE MO 501C3 170B1AVI SAINT LUKES HEALTH SYSTEM 0 MIDWEST EAR INSTITUTE 4320 WORNALL RD KANSAS CITY MO 64111 480905027 HEALTH CARE KS 501C3 170B1AIII ST LUKES HOSPITAL OF KANSAS CITY 0 SAINT LUKES HOSPITAL OF CHILLICOTHE 2799 N WASHINGTON CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES CUSHING HOSPITAL 711 MARSHALL LEAVENWORTH KS 66048 480543792 HEALTH CARE KS 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES CARE 901 E 104TH STREET KANSAS CITY MO 64131 260185090 HEALTH CARE MO 501C3 509A3 TYPE I SAINT LUKES HEALTH SYSTEM 0 MEDICAL PLAZA IMAGING ASSOCIATES 4401 WORNALL ROAD KANSAS CITY MO 64111 431609584 HEALTH CARE MO 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES COLLEGE OF HEALTH SCIENCES 624 WESTPORT ROAD KANSAS CITY MO 64111 272716128 POST-SECONDARY NURSING EDUCAITON MO 501C3 170B1AII ST LUKES HOSPITAL OF KANSAS CITY 0 SAINT LUKES PHYSICIAN GROUP I 4330 WORNALL ROAD STE 2000 KANSAS CITY MO 64111 271994652 HEALTH CARE KS 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 ADVANCED UROLOGIC ASSOCIATES INC 901 E 104TH STREET KANSAS CITY MO 64111 454725529 HEALTH CARE MO 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 ROCKHILL ORTHOPAEDIC ASSOCIATES 901 E 104TH STREET KANSAS CITY MO 64111 453851008 HEALTH CARE MO 501C3 170B1AIII SAINT LUKES HEALTH SYSTEM 0 WINDSOR CARE INC 4301 MADISON AVE KANSAS CITY MO 64111 205284328 HEALTH CARE MO 501C3 509A2 SAINT LUKES HEALTH SYSTEM 0 MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD KANSAS CITY MO 64111 431357824 OWN&OPERATE MEDICAL OFFICE BUILDING MO N/A SAINT 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 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 901 E 104TH ST KANSAS CITY MO 64131 473793070 HEALTH CARE MO N/A SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP 901 E 104TH STREET KANSAS CITY MO 64131 371471890 INSURANCE SC N/A C 0 ST LUKES HEALTH VENTURES INC 901 E 104TH STREET KANSAS CITY MO 64131 431278476 ACCOUNTING MO N/A C 0 MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MGMT MO N/A C 0 VENTURE FINANCIAL SERVICES INC 9500 E 63RD ST STE 202 RAYTOWN MO 64133 431605740 COLLECTIONS MO N/A C 0 SAINT LUKES HEALTH SYSTEM INSURANCE LTD 113 SOUTH CHURCH ST GEORGETOWN CJ CAPTIVE CJ N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 WINDSOR CARE N 121692 COST