SAINT LUKES HOSPITAL OF TRENTON: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SAINT LUKES HOSPITAL OF TRENTON (EIN 43-1707306)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201733199349313593
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T15:58:05-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431707306 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKES OF TRENTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STLU | BusinessNameControlTxt |
| Phone | 6603595621 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 IOWA BLVD | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64683 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANET BUCKMAN | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 6603595621 | PhoneNum |
| Signature | 2017-11-15 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 8.33.29.132 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-15 | IPDt |
| IP Tm | 15:57:17 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BADB30EAA8EA72076E123892A93B1AB4C1559E32 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BADB30EAA8EA72076E123892A93B1AB4C1559E32 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRIGHT MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GARY JORDAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 IOWA BLVD | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $33,687,852 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAINTLUKESHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | CRITICAL ACCESS HOSPITAL | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 226 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $150,640 | PYContributionsGrantsAmt |
| CY Contributions Grants | $586,359 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,165,717 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $33,098,940 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,663 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,553 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $30,328,020 | PYTotalRevenueAmt |
| CY Total Revenue | $33,687,852 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,899 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,461 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,875,318 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,551,264 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $77,529 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,464,907 | PYOtherExpensesAmt |
| CY Other Expenses | $19,164,375 | CYOtherExpensesAmt |
| PY Total Expenses | $30,346,124 | PYTotalExpensesAmt |
| CY Total Expenses | $33,725,100 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$18,104 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$37,248 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,416,646 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,332,395 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,021,099 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,094,156 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,395,547 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,238,239 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WRIGHT MEMORIAL 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 SAINT LUKE'S HEALTH SYSTEM WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $28,856,095 | ExpenseAmt |
| Grant | $9,461 | GrantAmt |
| Revenue | $33,098,940 | RevenueAmt |
| Desc | SAINT LUKE'S HOSPITAL OF TRENTON OPERATES AN ACUTE CARE HOSPITAL IN RURAL MISSOURI AND IS DESIGNATED BY THE STATE OF MISSOURI AND MEDICARE AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL IS DEDICATED TO PROVIDING BOTH SERVICES AND LEADERSHIP IN CARING FOR THE NEEDY. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS A FINANCIAL ASSISTANCE POLICY FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. THE HOSPITAL ENCOURAGES PHYSICIANS PRACTICING IN SPECIALTY AREAS TO PROVIDE SERVICES TO THE HOSPITAL'S RURAL PATIENTS WHO OTHERWISE WOULD HAVE DIFFICULTY ACCESSING SUCH SPECIALTY SERVICES. THE HOSPITAL CONDUCTS COMMUNITY EDUCATION AND OUTREACH SERVICES INCLUDING FREE SEMINARS FOR HEALTHCARE PROFESSIONALS AND STUDENTS. IN ADDITION, THE HOSPITAL PROVIDED CLINICS, SCREENINGS, SUPPORT GROUPS, SOCIAL WORKS SERVICES AND PARTICIPATED IN CHARITABLE EVENTS AND SPONSORSHIPS. | Desc |
| Total Program Service Expenses | $28,856,095 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 32 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 226 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6603595621 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 IOWA BLVD | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DON SIPES | ||||||||
| PRESIDENT-DIRECTOR | 1.00 | 50.00 | Yes (X) | Yes (X) | $0 | $399,715 | $65,369 | |
| WENDELL LENHART | ||||||||
| CHAIRMAN-DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BEV HOOKER | ||||||||
| SECRETARY-DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES ROBB | ||||||||
| TREASURER-DIRECTOR | 1.00 | 50.00 | Yes (X) | Yes (X) | $0 | $851,875 | $365,149 | |
| SCOTT WILSON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BONITA PRICE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MACK WOODARD | ||||||||
| VICE CHAIR-DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANETTE RARDON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TOM WITTEN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DWIGHT GRIFFIN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELAINA HEAD | ||||||||
| ASSISTANT SECRETARY | 40.00 | Yes (X) | $54,688 | $0 | $22,369 | |||
| GARY JORDAN | ||||||||
| CEO | 40.00 | Yes (X) | $280,816 | $0 | $56,700 | |||
| BARBARA BALL | ||||||||
| CNO | 40.00 | Yes (X) | $145,335 | $0 | $26,448 | |||
| JANET BUCKMAN | ||||||||
| CFO | 20.00 | 20.00 | Yes (X) | $0 | $207,848 | $19,599 | ||
| PAMELA RALLS | ||||||||
| PHYSICIAN | 40.00 | $347,557 | $0 | $10,053 | Yes (X) | |||
| JENNIFER BOWE | ||||||||
| PHYSICIAN | 40.00 | $270,508 | $0 | $30,496 | Yes (X) | |||
| JENNIFER BLAIR | ||||||||
| PHYSICIAN | 40.00 | $288,146 | $0 | $36,073 | Yes (X) | |||
| TAMMY HART | ||||||||
| PHYSICIAN | 40.00 | $278,417 | $0 | $28,630 | Yes (X) | |||
| JESSICA TREECE | ||||||||
| PHYSICIAN | 40.00 | $225,729 | $0 | $12,835 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,891,196 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,459,438 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $673,721 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DOCS WHO CARE | |||||
| 800 W FRONTIER LANE | OLATHE | KS | 66061 | EMERGENCY DEPT PHYSICIANS | $1,610,306 |
| HAVE A NICE DAY ANESTHESIA ASSOCIATES L | |||||
| 2106 WOODCREST DR | CHILLICOTHE | MO | 64601 | ANESTHESIA SERVICES | $570,000 |
| JACKSON & COKER LOCUM TENENS | |||||
| PO BOX 277638 | ATLANTA | GA | 30384 | CONTRACTED PHYSICIANS | $431,684 |
| SHARED MEDICAL SERVICES INC | |||||
| 209 LIMESTONE PASS | COTTAGE GROVE | WI | 53527 | MRI PATIENT SERVICES | $216,650 |
| DML CONSULTING INC | |||||
| 3701 W BROADWAY | BROKEN ARROW | OK | 74012 | CODING SERVICES | $144,283 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $75,480 | GovernmentGrantsAmt |
| All Other Contributions | $510,879 | AllOtherContributionsAmt |
| Total Contributions | $586,359 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $32,577,025 | $32,577,025 |
| PHARMACY | 622110 | $318,880 | $318,880 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $203,035 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $203,035 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $33,098,940 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,553 | TotalRevenueColumnAmt |
| Exclusion | $2,553 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,687,852 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,098,940 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,553 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,461 | TotalAmt |
| Program Services | $9,461 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $586,357 | TotalAmt |
| Management And General | $586,357 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,688,048 | TotalAmt |
| Program Services | $9,861,887 | ProgramServicesAmt |
| Management And General | $766,091 | ManagementAndGeneralAmt |
| Fundraising | $60,070 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $514,826 | TotalAmt |
| Program Services | $450,326 | ProgramServicesAmt |
| Management And General | $61,757 | ManagementAndGeneralAmt |
| Fundraising | $2,743 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,051,632 | TotalAmt |
| Program Services | $1,794,593 | ProgramServicesAmt |
| Management And General | $246,108 | ManagementAndGeneralAmt |
| Fundraising | $10,931 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $710,401 | TotalAmt |
| Program Services | $621,398 | ProgramServicesAmt |
| Management And General | $85,218 | ManagementAndGeneralAmt |
| Fundraising | $3,785 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,613 | TotalAmt |
| Management And General | $3,613 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,821 | TotalAmt |
| Management And General | $57,821 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,236,422 | TotalAmt |
| Program Services | $5,004,680 | ProgramServicesAmt |
| Management And General | $231,742 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,746 | TotalAmt |
| Program Services | $311 | ProgramServicesAmt |
| Management And General | $9,435 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $672,714 | TotalAmt |
| Program Services | $521,895 | ProgramServicesAmt |
| Management And General | $150,819 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $265,248 | TotalAmt |
| Program Services | $185,513 | ProgramServicesAmt |
| Management And General | $79,735 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,273,329 | TotalAmt |
| Program Services | $2,854,718 | ProgramServicesAmt |
| Management And General | $418,611 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,268 | TotalAmt |
| Program Services | $29,072 | ProgramServicesAmt |
| Management And General | $14,196 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,759 | TotalAmt |
| Program Services | $207 | ProgramServicesAmt |
| Management And General | $28,552 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $861,479 | TotalAmt |
| Program Services | $647,623 | ProgramServicesAmt |
| Management And General | $213,856 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,900 | TotalAmt |
| Program Services | $67,814 | ProgramServicesAmt |
| Management And General | $161,086 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,962,340 | $2,955,514 | $6,826 |
| BAD DEBTS | $2,660,535 | $2,660,535 | |
| SHARED SERVICES - SLHS | $2,600,000 | $951,601 | $1,648,399 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,201 | TotalAmt |
| Program Services | $238,947 | ProgramServicesAmt |
| Management And General | $21,254 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,725,100 | TotalAmt |
| Program Services | $28,856,095 | ProgramServicesAmt |
| Management And General | $4,791,476 | ManagementAndGeneralAmt |
| Fundraising | $77,529 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,563,533 | BOYAmt |
| EOY | $3,510,180 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,510,775 | BOYAmt |
| EOY | $4,322,083 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,442 | BOYAmt |
| EOY | $16,809 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $453,170 | BOYAmt |
| EOY | $519,685 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,750 | BOYAmt |
| EOY | $373,641 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,946,705 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,210,467 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,767,248 | BOYAmt |
| EOY | $2,736,238 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,857 | BOYAmt |
| EOY | $29,363 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,688,871 | BOYAmt |
| EOY | $1,824,396 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,416,646 | BOYAmt |
| EOY | $13,332,395 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,081,907 | BOYAmt |
| EOY | $1,874,016 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,939,192 | BOYAmt |
| EOY | $3,220,140 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,021,099 | BOYAmt |
| EOY | $5,094,156 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,098,852 | BOYAmt |
| EOY | $8,081,927 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $296,695 | BOYAmt |
| EOY | $156,312 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,395,547 | BOYAmt |
| EOY | $8,238,239 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,416,646 | BOYAmt |
| EOY | $13,332,395 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$37,248 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$120,060 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $19,061 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $19,061 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LINE F - PORTION OF DUES PAID TO VARIOUS HOSPITAL AND RELATED MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $56,611 | BeginningYearBalanceAmt |
| Contributions | $5,210 | ContributionsAmt |
| Grants Or Scholarships | $61,821 | GrantsOrScholarshipsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $474,857 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,790 | DepreciationAmt |
| Book Value | $423,067 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,566,252 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,354,903 | DepreciationAmt |
| Book Value | $2,211,349 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,905,596 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,803,774 | DepreciationAmt |
| Book Value | $101,822 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,736,238 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN NET ASSETS OF WMH FOUNDATION | $156,312 |
| DUE FROM AFFILIATES | $97,672 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $1,524,202 |
| OTHER RECEIVABLES | $46,210 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,824,396 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO CHARITABLE TRUST | $1,370,359 |
| DUE TO AFFILIATES | $1,141,878 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENT | $707,903 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,220,140 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $30,517,702 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $30,517,702 | RevenueSubtotalAmt |
| Other Revenues Not Included | $3,170,150 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,170,150 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $33,687,852 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,064,565 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $31,064,565 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,660,535 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,660,535 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $33,725,100 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INTENDED USE OF ENDOWMENT FUNDS INCLUDES BUT IS NOT LIMITED TO THE GENERAL OPERATIONS OF THE HOSPITAL, CAPITAL EQUIPMENT PURCHASES FOR THE HOSPITAL, AND LOCAL HOME CARE AND HOSPICE SERVICES. THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENT THE ORGANIZATION'S BENEFICIAL INTEREST IN THE NET ASSETS AT WRIGHT MEMORIAL HOSPITAL FOUNDATION. SUCH ASSETS ARE REPORTED IN PART X, LINE 15. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES 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, 2016, 2015, 2014, AND 2013, REMAIN SUBJECT TO EXAMINATION FOR BOTH FEDERAL AND STATE PURPOSES. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NET WITH REVENUE FOR BOOKS; INCLUDED IN EXPENSES FOR TAX 2,660,535. CONTRIBUTION REVENUE INCLUDED IN OTHER CHANGES IN FUND BALANCE FOR BOOKS 509,615. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NET WITH REVENUE FOR BOOKS; INCLUDED IN EXPENSES FOR TAX 2,660,535. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 133.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $323,730 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $323,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,747,070 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,218,046 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,070,800 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,218,046 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $323,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,870 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,870 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,167,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,223,091 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,944,370 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09480 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,460 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,460 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,190,791 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,223,091 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,967,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09550 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,261,591 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,441,137 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,291,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10590 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,660,535 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $14,536,208 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,754,910 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$218,702 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRIGHT MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 IOWA BLVD | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 413-19 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKES OF TRENTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SAINTLUKESHEALTHSYSTEM.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SAINTLUKESHEALTHSYSTEM.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 133.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.SAINTLUKESHEALTHSYSTEM.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.SAINTLUKESHEALTHSYSTEM.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.SAINTLUKESHEALTHSYSTEM.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST LUKES OF TRENTON | PART V, SECTION B, LINE 5: MULTIPLE INTERVIEWS WERE CONDUCTED WITH HOSPITAL LEADERSHIP AND COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE NEEDS IN THE COMMUNITY. STAKEHOLDERS WERE CHOSEN TO REPRESENT BROAD INTERESTS OF THE COMMUNITY, INCLUDING UNDERSERVED POPULATIONS. STAKEHOLDERS PROVIDED INFORMATION, WHICH WAS USED TO HELP IDENTIFY AND PRIORITIZE COMMUNITY NEEDS. KEY CONTRIBUTORS WERE HOSPITAL LEADERSHIP AND INDIVIDUALS FROM THE GRUNDY COUNTY HEALTH DEPARTMENT. |
| ST LUKES OF TRENTON | PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED FOUR PRIORITY HEALTH NEEDS:1. IMPROVED ACCESS TO CARE:THE HOSPITAL WILL CONTINUE TO ACCEPT MISSOURI MEDICAID. THE HOSPITAL IS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM. 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.THE HOSPITAL OPENED A NEW FACILITY IN 2011. THE NEW HOSPITAL FACILITY HAS ALLOWED THE HOSPITAL TO PROVIDE EXPANDED SERVICES FOR PATIENTS AND ATTRACT NEW HEALTH CARE PROFESSIONALS TO THE COMMUNITY.THE HOSPITAL HAS WORKED TO CONNECT PATIENTS WITH THE REGION'S MOST RESPECTED AND HIGHLY TRAINED PHYSICIANS. AS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM, THE HOSPITAL HAS THE ABILITY TO CONNECT LOCAL PATIENTS WITH A RANGE OF HIGHLY TRAINED PHYSICIAN SPECIALISTS. THE HOSPITAL HAS ALSO RECENTLY ENHANCED ACCESS TO HEALTH CARE SERVICES FOR THE COMMUNITY BY OPENING A WEEKEND CLINIC THAT PROVIDES PRIMARY CARE SERVICES ON SATURDAYS AND SUNDAYS. 2. INCREASED ACCESS TO PHYSICAL ACTIVITY AND NUTRITION:THE HOSPITAL OFFERS NUTRITION COUNSELING THROUGH AN ON-SITE DIETITIAN, PROVIDING EDUCATION ON NUTRITION AND HEALTHY EATING STRATEGIES TO COMMUNITY MEMBERS YEAR ROUND. THE HOSPITAL WORKS TO PROVIDE HEALTHY MEAL OPTIONS FOR EMPLOYEES, PATIENTS, AND VISITORS FROM THE COMMUNITY, AND ENCOURAGES EMPLOYEE PARTICIPATION IN WEIGHT LOSS AND WELLNESS CHALLENGES THROUGHOUT THE YEAR.THE HOSPITAL IS ENGAGED IN SEVERAL COMMUNITY HEALTH PROGRAMS AIMED AT ADDRESSING OBESITY. THE HOSPITAL CONTINUES TO SUPPORT COMMUNITY RECREATIONAL EVENTS SUCH AS THE ANNUAL WRIGHT MEMORIAL HOSPITAL FOUNDATION 10K/5K RACE. IT ALSO WORKS TO SUPPORT RECREATIONAL ORGANIZATIONS SUCH AS THE GREEN HILLS RECREATION ASSOCIATION AND THE TRENTON PARKS SYSTEM.GOING FORWARD, THE HOSPITAL WILL CONTINUE TO PARTICIPATE IN THESE PROGRAMS IN AN EFFORT TO IMPROVE OVERALL COMMUNITY HEALTH INCLUDING IMPROVED ACCESS TO PHYSICAL ACTIVITY AND NUTRITION.3. BEHAVIORAL HEALTH CARE:TRENTON RESIDENTS HAVE ACCESS TO BEHAVIORAL HEALTH CARE THROUGH THE HOSPITAL'S EHEALTH TELEMEDICINE PROGRAM. THE MENTAL HEALTH TEAM UTILIZED BY THE TELEMEDICINE PROGRAM HAS THE TRAINING AND EXPERTISE TO ADDRESS ISSUES SUCH AS: DEPRESSION; STRESS; LIFE TRANSITIONS; FAMILY PROBLEMS; CRISIS; GRIEF AND LOSS; MENTAL ILLNESS; TRAUMA-RELATED ISSUES; ANXIETY/PANIC DISORDERS; AND DUAL-DIAGNOSIS TREATMENT.THE HOSPITAL WILL CONTINUE TO OFFER A RANGE OF BEHAVIORAL HEALTH SERVICES, INCLUDING SPECIALIST AND TELEHEALTH SERVICES. THE HOSPITAL WILL ALSO CONTINUE TO WORK WITH COMMUNITY PARTNERS SUCH AS THE GRUNDY COUNTY HEALTH DEPARTMENT TO ADDRESS THIS ONGOING NEED.4. SMOKING CESSATION:THE HOSPITAL IS A NON-SMOKING CAMPUS. THE HOSPITAL SUPPORTS COMMUNITY EFFORTS TO CREATE NON-SMOKING INITIATIVES IN PUBLIC PLACES. THE HOSPITAL IS WORKING TO INTEGRATE SMOKING CESSATION PROGRAMS INTO PATIENT CARE, AND WORK TOWARD BETTER OUTCOMES FOR ALL SMOKING RELATED DISEASES.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. |
| ST LUKES OF TRENTON | PART V, SECTION B, LINE 23: DURING 2017, AS A RESULT OF OUR INTERNAL REVIEW PROCESSES, WE DISCOVERED AN INADVERTENT ERROR IN THE HOSPITAL'S AGB CALCULATION. THE ERROR RESULTED FROM THE TECHNICAL COMPLEXITIES OF THE AGB CALCULATION. THE ERROR AFFECTED 3 INDIVIDUALS AND RESULTED IN A TOTAL ADDITIONAL $205 OF FINANCIAL ASSISTANCE FOR 2016 CARE. AFTER THE ERROR WAS DISCOVERED, THE HOSPITAL PROMPTLY CORRECTED THE CALCULATION OF AGB AND AWARDED THE ADDITIONAL FINANCIAL ASSISTANCE TO THE ELIGIBLE PERSONS. |
| PART V, SECTION B, LINE 9 | 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 V, SECTION B, LINE 20D | 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(R)-6(C)(3) AND INDICATED IN THE RESPONSES TO QUESTIONS 20A-20C. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - WRIGHT MEMORIAL PHYSICIANS GROUP | ||||
| 189 IOWA BLVD | TRENTON | MO | 64683 | RURAL HEALTH CLINIC |
| 2 - SAINT LUKES GREEN HILLS MEDICAL CLINIC | ||||
| 3300 EAST 10TH | TRENTON | MO | 64683 | RURAL HEALTH CLINIC |
| 3 - SAINT LUKES MERCER COUNTY CLINIC | ||||
| 400 NORTH FULLERTON | PRINCETON | MO | 64673 | RURAL HEALTH CLINIC |
| 4 - SLH OF TRENTION DBA WRIGHT MEMORIAL | ||||
| JAMESPORT CLINIC 301 2ND ST | JAMESPORT | MO | 64648 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO. |
| 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 $ 2,660,535. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | OUR HOSPITAL SPONSORS OR PARTICIPATES IN MANY COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEATH OF OUR COMMUNITY. THE HOSPITAL PARTICIPATES IN EDUCATIONAL OFFERINGS AND SPONSORS MULTIPLE COMMUNITY EVENTS TO BENEFIT VARIOUS COMMUNITY ORGANIZATIONS. WE ALSO ENCOURAGE OUR EMPLOYEES TO SERVE ON COMMUNITY BOARDS AND VOLUNTEER FOR ACTIVITIES THAT PROMOTE HEALTH IN THE COMMUNITY. |
| 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: SEE PAGE 8, NOTE A, SECTION 2 OF THE ATTACHED FINANCIAL STATEMENTS.BAD DEBT IS REPORTED IN THIS FORM 990 CONSISTENT WITH FINANCIAL STATEMENTS. |
| 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: | IN ADDITION TO ITS CHNA, THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL MEETS WITH STAFF, VOLUNTEERS, PATIENTS, BOARD MEMBERS AND PHYSICIANS. THE HOSPITAL ALSO WORKS WITH THE PATIENT ADVOCATE AND MARKETING DEPARTMENTS TO DETERMINE FEEDBACK RECEIVED FROM THE COMMUNITY REGARDING ITS NEEDS. THE FEEDBACK PROVIDED BY THESE GROUPS IS COMMUNICATED TO HOSPITAL MANAGEMENT AND CONSIDERED WHEN DETERMINING THE NEEDS OF THE COMMUNITY. |
| 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: | WRIGHT MEMORIAL HOSPITAL IS LOCATED IN GRUNDY COUNTY, MISSOURI IN THE NORTHWEST AREA OF MISSOURI. THE HOSPITAL'S PRIMARY SERVICE AREA IS THE IMMEDIATE COUNTY AND ALL CONTIGUOUS SURROUNDING COUNTIES. |
| 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, PLUS TWO REPRESENTATIVES OF SAINT LUKE'S HEALTH SYSTEM. MEDICAL STAFF PRIVILEGES ARE OFFERED 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DON SIPES | ||||||||||||||
| PRESIDENT-DIRECTOR | $0 | $278,040 | $0 | $77,101 | $0 | $44,574 | $0 | $43,838 | $0 | $21,531 | $0 | $465,084 | $0 | $21,653 |
| CHARLES ROBB | ||||||||||||||
| TREASURER-DIRECTOR | $0 | $537,145 | $0 | $184,552 | $0 | $130,178 | $0 | $333,565 | $0 | $31,584 | $0 | $1,217,024 | $0 | $102,900 |
| GARY JORDAN | ||||||||||||||
| CEO | $203,330 | $0 | $57,241 | $0 | $20,245 | $0 | $28,814 | $0 | $27,886 | $0 | $337,516 | $0 | $16,075 | $0 |
| BARBARA BALL | ||||||||||||||
| CNO | $126,430 | $0 | $17,896 | $0 | $1,009 | $0 | $6,717 | $0 | $19,731 | $0 | $171,783 | $0 | $0 | $0 |
| JANET BUCKMAN | ||||||||||||||
| CFO | $0 | $181,878 | $0 | $25,172 | $0 | $798 | $0 | $9,488 | $0 | $10,111 | $0 | $227,447 | $0 | $0 |
| PAMELA RALLS | ||||||||||||||
| PHYSICIAN | $347,050 | $0 | $0 | $0 | $507 | $0 | $5,300 | $0 | $4,753 | $0 | $357,610 | $0 | $0 | $0 |
| JENNIFER BOWE | ||||||||||||||
| PHYSICIAN | $269,788 | $0 | $0 | $0 | $720 | $0 | $10,600 | $0 | $19,896 | $0 | $301,004 | $0 | $0 | $0 |
| JENNIFER BLAIR | ||||||||||||||
| PHYSICIAN | $259,958 | $0 | $0 | $0 | $28,188 | $0 | $10,600 | $0 | $25,473 | $0 | $324,219 | $0 | $0 | $0 |
| TAMMY HART | ||||||||||||||
| PHYSICIAN | $257,532 | $0 | $20,000 | $0 | $885 | $0 | $4,407 | $0 | $24,223 | $0 | $307,047 | $0 | $0 | $0 |
| JESSICA TREECE | ||||||||||||||
| PHYSICIAN | $208,584 | $0 | $0 | $0 | $17,145 | $0 | $4,544 | $0 | $8,291 | $0 | $238,564 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 DATA. |
| PART II | DON SIPES AND 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. JANET BUCKMAN RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER BLAIR | PersonNm |
| Relationship With Org | HIGHLY COMPENSATED EMPLOYEE | RelationshipWithOrgTxt |
| Loan Purpose | RESIDENCY LOAN | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $30,000 | OriginalPrincipalAmt |
| Balance Due | $16,809 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | 0 | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $16,809 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DANETTE RARDON, BONITA PRICE, AND DWIGHT GRIFFIN HAVE A BUSINESS RELATIONSHIP. DON SIPES AND CHARLES ROBB 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 DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | 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, COLUMN E | DON SIPES AND 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. JANET BUCKMAN RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. DON SIPES COMPENSATION INCLUDES PAYOUT OF PREVIOUSLY DEFERRED COMPENSATION. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES & OTHER: PROGRAM SERVICE EXPENSES 1,893,318. MANAGEMENT AND GENERAL EXPENSES 215,921. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,109,239. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 492,609. MANAGEMENT AND GENERAL EXPENSES 15,821. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 508,430. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,618,753. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,618,753. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET ASSETS AT WMH FOUNDATION - SFAS 136 20,952. PENSION SETTLEMENT/LIABILITY TRANSFER TO SLHS 20,323. RESTRICTED NET ASSETS ADJUSTED FOR CONTRIBUTION FROM WMH FOUNDATION -161,335. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| SAINT LUKES HEALTH SYSTEM | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431747502 | HEALTH SYSTEM | KS | 501(C)(3) | 509A3 - TYPE III, FI | 0 | |
| ST LUKES HOSPITAL OF KANSAS CITY | ||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 440545297 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES NORTH HOSPITAL | ||||||||||
| 601 SOUTH 169 HIGHWAY | SMITHVILLE | MO | 64089 | 440565393 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES SOUTH HOSPITAL INC | ||||||||||
| 12300 METCALF AVENUE | OVERLAND PARK | KS | 66213 | 481203262 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES EAST HOSPITAL | ||||||||||
| 100 NE SAINT LUKES BLVD | LEES SUMMIT | MO | 64086 | 562488077 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES PHYSICIAN GROUP INC | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431598353 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| CRITTENTON | ||||||||||
| 10918 ELM AVE | KANSAS CITY | MO | 64134 | 440545808 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | ST LUKES HOSPITAL OF KANSAS CITY |
| SAINT LUKES HEALTH SYSTEM HOMECARE AND HOSPICE | ||||||||||
| 3100 BROADWAY SUITE 1000 | KANSAS CITY | MO | 64111 | 431127200 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES HOSPITAL OF GARNETT | ||||||||||
| 421 SOUTH MAPLE | GARNETT | KS | 66032 | 742849611 | HEALTH CARE | KS | 501(C)(3) | 170B1AVI | 0 | SAINT LUKES HEALTH SYSTEM |
| CABOT WESTSIDE HEALTH CENTER | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 440546280 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| MIDWEST EAR INSTITUTEINC | ||||||||||
| 4320 WORNALL ROAD STE 420 | KANSAS CITY | MO | 64111 | 480905027 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | ST LUKES HOSPITAL OF KANSAS CITY |
| SAINT LUKES HOSPITAL OF CHILLICOTHE | ||||||||||
| 2799 N WASHINGTON | CHILLICOTHE | MO | 64601 | 431735565 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES CUSHING HOSPITAL | ||||||||||
| 711 MARSHALL | LEAVENWORTH | KS | 66048 | 480543792 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES CARE | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 260185090 | HEALTH CARE | MO | 501(C)(3) | 509(A)(3) - TYPE II | 0 | SAINT LUKES HEALTH SYSTEM |
| MEDICAL PLAZA IMAGING ASSOCIATES LLC | ||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 431609584 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES COLLEGE OF HEALTH SCIENCES | ||||||||||
| 624 WESTPORT ROAD | KANSAS CITY | MO | 64111 | 272716128 | POST-SECONDARY NURSING EDUCATION | MO | 501(C)(3) | 170B1AII | 0 | ST LUKES HOSPITAL OF KANSAS CITY |
| SAINT LUKES PHYSICIAN GROUP I LLC | ||||||||||
| 4330 WORNALL RD STE 2000 | KANSAS CITY | MO | 64111 | 271994652 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| ADVANCED UROLOGIC ASSOCIATES INC | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 454725529 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| ROCKHILL ORTHOPAEDIC SPECIALISTS INC | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 453851008 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| THE BISHOP SPENCER PLACE | ||||||||||
| 4301 MADISON AVENUE | KANSAS CITY | MO | 64111 | 431139083 | RETIREMENT COMMUNITY | MO | 501(C)(3) | 509(A)(2) | 0 | SAINT LUKES HEALTH SYSTEM |
| WINDSOR CARE INCORPORATED | ||||||||||
| 4301 MADISON AVENUE | KANSAS CITY | MO | 64111 | 205284328 | HEALTH CARE | MO | 501(C)(3) | 509(A)(2) | 0 | SAINT LUKES HEALTH SYSTEM |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| MEDICAL PLAZA PARTNERS LP | |||||||
| 4320 WORNALL ROAD SUITE 714 | KANSAS CITY | MO | 64111 | 431357824 | OWN & OPERATE MEDICAL OFFICE BUILDING | MO | N/A |
| SAINT 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP | |||||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 371471890 | INSURANCE | SC | N/A | C | 0 | ||||
| ST LUKES HEALTH VENTURESINC | |||||||||||||
| 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 ST STE 202 | KANSAS CITY | MO | 64133 | 431605740 | COLLECTIONS | MO | N/A | C | 0 | ||||
| SAINT LUKES HEALTH SYSTEM INSURANCE LTD | |||||||||||||
| CAPTIVE | N/A | C | 0 | 113 SOUTH CHURCH STREET | GEORGETOWN | CJ | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, ITEM 1, TRANSACTIONS WITH RELATED ORGANIZATIONS | FormAndLineReferenceDesc |
| Explanation | SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS. | ExplanationTxt |
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