SAINT LUKES HOSPITAL OF GARNETT INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SAINT LUKES HOSPITAL OF GARNETT INC (EIN 74-2849611)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201603209349303835
- Schema version
- 2015v2.1
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T10:17:30-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742849611 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT LUKES HOSPITAL OF GARNETT INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 7854483131 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 421 SOUTH MAPLE BOX 309 | AddressLine1Txt |
| City | GARNETT | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66032 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VICKI MILLS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7854483131 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSON COUNTY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DENNIS HACHENBERG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 421 S MAPLE | AddressLine1Txt |
| City | GARNETT | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66032 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,449,018 | 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 | 1997 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | CRITICAL ACCESS HOSPITAL | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 282 | TotalEmployeeCnt |
| Total Volunteers | 138 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $101,978 | PYContributionsGrantsAmt |
| CY Contributions Grants | $55,831 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,627,396 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,392,387 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,511 | PYInvestmentIncomeAmt |
| CY Investment Income | $800 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $20,739,885 | PYTotalRevenueAmt |
| CY Total Revenue | $23,449,018 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $9,291 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,217 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,370,932 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,937,334 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,559,428 | PYOtherExpensesAmt |
| CY Other Expenses | $12,052,878 | CYOtherExpensesAmt |
| PY Total Expenses | $20,939,651 | PYTotalExpensesAmt |
| CY Total Expenses | $22,997,429 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$199,766 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $451,589 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,396,988 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,987,462 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,209,086 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,383,574 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,187,902 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,603,888 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ANDERSON COUNTY 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 | $19,689,784 | ExpenseAmt |
| Grant | $7,217 | GrantAmt |
| Revenue | $23,392,387 | RevenueAmt |
| Desc | ANDERSON COUNTY HOSPITAL HAS BEEN DESIGNATED BY THE STATE OF KANSAS AND MEDICARE AS A CRITICAL ACCESS HOSPITAL.ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION, WHICH IS TO ENSURE HIGH QUALITY HEALTHCARE IN A CARING ENVIRONMENT FOR THE COMMUNITIES WE SERVE. IN 2015, THERE WERE 13,905 PATIENT DAYS, 17,238 RURAL HEALTH CLINIC VISITS, 3,432 EMERGENCY ROOM VISITS, 24,676 OUTPATIENT VISITS AND 943 AMBULANCE CALLS. WE PROVIDED UN-INSURED OR INDIGENT AREA CHILDREN WITH 217 VACCINATIONS.AS A VOLUNTARY, NONPROFIT, RURAL CRITICAL ACCESS HOSPITAL, SAINT LUKE'S HOSPITAL OF GARNETT IS COMMITTED TO SERVING ALL WHO SEEK OUR SERVICES REGARDLESS OF THEIR SOCIOECONOMIC STATUS. THOUGH WE HAVE PROVIDED SUCH CARE THROUGHOUT OUR 64-YEAR HISTORY, OUR COMMITMENT TO THOSE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE HAS GROWN SIGNIFICANTLY IN RECENT YEARS. 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 ALSO PROVIDES HEALTH RELATED ACTIVITIES AND SERVICES IN SUPPORT OF THE COMMUNITY INCLUDING PROVIDING AN ANNUAL BREAST CANCER AWARENESS CAMPAIGN AND CLINIC AND COMMUNITY WIDE HEALTH, WEIGHT, FIRST AID AND CPR CLASSES. IN ADDITION, WE PROVIDE A HEALTH CAREERS CLASS AT THE HIGH SCHOOL AND ARE A WORK STUDY SITE FOR HIGH SCHOOL STUDENTS INTERESTED IN HEALTH RELATED CAREERS. | Desc |
| Total Program Service Expenses | $19,689,784 | 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 | 0 | 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 282 | 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | 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 | 7854483131 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 421 SOUTH MAPLE BOX 309 | AddressLine1Txt |
| City | GARNETT | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66032 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WILLIAM BARNES | ||||||||
| BOARD MEMBER | 0.25 | Yes (X) | $0 | $0 | $0 | |||
| CAROL ASKINS-BELLER | ||||||||
| VICE CHAIR-BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MACKENZIE PETERSON MD | ||||||||
| BOD MBR/EMPLD PHYSICIAN | 40.00 | Yes (X) | $198,560 | $0 | $33,891 | |||
| DON SIPES | ||||||||
| SECRETARY-BOARD MEMBER | 1.00 | Yes (X) | $0 | $622,712 | $41,838 | Yes (X) | 50.00 | |
| CAROL MEYER | ||||||||
| TREASURER-BOARD MEMBER | 1.00 | Yes (X) | $0 | $318,779 | $42,362 | Yes (X) | 50.00 | |
| DAVID LYBARGER | ||||||||
| CHAIR-BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| LYNN DAVISON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS HACHENBERG | ||||||||
| CEO | 40.00 | $255,273 | $0 | $55,369 | Yes (X) | |||
| VICKI MILLS | ||||||||
| CFO | 40.00 | $158,779 | $0 | $23,911 | Yes (X) | |||
| MARGO WILLIAMS | ||||||||
| CNO | 40.00 | $110,267 | $0 | $17,088 | Yes (X) | |||
| WENDY BELCHER | ||||||||
| PHYSICIAN | 40.00 | $152,821 | $0 | $30,594 | Yes (X) | |||
| JANELL JONES | ||||||||
| PHYSICIAN | 40.00 | $185,177 | $0 | $22,909 | Yes (X) | |||
| ROSS KIMBALL | ||||||||
| PHYSICIAN | 40.00 | $201,823 | $0 | $33,396 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,262,700 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $941,491 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $301,358 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | 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 |
|---|---|---|---|---|---|
| AUBURN PHARMACY | |||||
| 429 N MAPLE | GARNETT | KS | 66032 | CONTRACT PHARMACY | $1,282,401 |
| QUALITY ER CARE LLC | |||||
| 7550 220TH ROAD | CHANUTE | KS | 66720 | ER & URGENT CARE COVERAGE | $1,095,000 |
| CPSI | |||||
| 6600 WALL STREET | MOBILE | AL | 36685 | COMPUTER SERVICES | $219,795 |
| BOWES ANESTHESIA | |||||
| 9622 PERRY LANE | OVERLAND PARK | KS | 66212 | CRNA SERVICES | $196,542 |
| CRANSTON J CEDERLIND MD | |||||
| 20030 W 89TH | LENEXA | KS | 66220 | PHYSICIAN | $130,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $55,091 | GovernmentGrantsAmt |
| All Other Contributions | $740 | AllOtherContributionsAmt |
| Total Contributions | $55,831 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $20,633,595 | $20,633,595 |
| PHARMACY | 622110 | $2,074,564 | $2,074,564 |
| AMBULANCE CONTRACT | 621910 | $510,000 | $510,000 |
| MEDICAL CLINIC RENT | 531120 | $58,930 | $58,930 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $115,298 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $115,298 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,392,387 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $800 | TotalRevenueColumnAmt |
| Exclusion | $800 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,449,018 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,392,387 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $800 | 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 | $7,217 | TotalAmt |
| Program Services | $7,217 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $853,136 | TotalAmt |
| Program Services | $232,450 | ProgramServicesAmt |
| Management And General | $620,686 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,555,020 | TotalAmt |
| Program Services | $7,064,551 | ProgramServicesAmt |
| Management And General | $490,469 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,710 | TotalAmt |
| Program Services | $298,715 | ProgramServicesAmt |
| Management And General | $59,995 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,579,467 | TotalAmt |
| Program Services | $1,365,766 | ProgramServicesAmt |
| Management And General | $213,701 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,001 | TotalAmt |
| Program Services | $516,922 | ProgramServicesAmt |
| Management And General | $74,079 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,618 | TotalAmt |
| Management And General | $123,618 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,131,472 | TotalAmt |
| Program Services | $3,863,699 | ProgramServicesAmt |
| Management And General | $267,773 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,359 | TotalAmt |
| Program Services | $5,721 | ProgramServicesAmt |
| Management And General | $5,638 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,145,726 | TotalAmt |
| Program Services | $1,035,100 | ProgramServicesAmt |
| Management And General | $110,626 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,999 | TotalAmt |
| Program Services | $307,577 | ProgramServicesAmt |
| Management And General | $68,422 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,404,279 | TotalAmt |
| Program Services | $1,148,027 | ProgramServicesAmt |
| Management And General | $256,252 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,709 | TotalAmt |
| Program Services | $33,709 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,895 | TotalAmt |
| Program Services | $44,348 | ProgramServicesAmt |
| Management And General | $26,547 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,356 | TotalAmt |
| Program Services | $8,010 | ProgramServicesAmt |
| Management And General | $1,346 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $475,598 | TotalAmt |
| Program Services | $475,598 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,940 | TotalAmt |
| Program Services | $290,416 | ProgramServicesAmt |
| Management And General | $7,524 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,638,356 | $1,636,304 | $2,052 |
| SHARED SERVICES-SLHS | $1,279,987 | $334,511 | $945,476 |
| BAD DEBTS | $986,246 | $986,246 | |
| OTHER | $68,338 | $34,897 | $33,441 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,997,429 | TotalAmt |
| Program Services | $19,689,784 | ProgramServicesAmt |
| Management And General | $3,307,645 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,409 | BOYAmt |
| EOY | $818 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,095,377 | BOYAmt |
| EOY | $582,930 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,069,369 | BOYAmt |
| EOY | $2,500,742 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,963 | BOYAmt |
| EOY | $290,187 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,836 | BOYAmt |
| EOY | $286,156 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,620,816 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $859,553 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,522,640 | BOYAmt |
| EOY | $2,761,263 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,208,394 | BOYAmt |
| EOY | $565,366 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,396,988 | BOYAmt |
| EOY | $6,987,462 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,517,269 | BOYAmt |
| EOY | $1,533,396 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,691,817 | BOYAmt |
| EOY | $3,850,178 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,209,086 | BOYAmt |
| EOY | $5,383,574 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,187,902 | BOYAmt |
| EOY | $1,603,888 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,187,902 | BOYAmt |
| EOY | $1,603,888 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,396,988 | BOYAmt |
| EOY | $6,987,462 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $451,589 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$35,603 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $1,500 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $1,500 | 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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,110 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,720 | DepreciationAmt |
| Book Value | $95,390 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,094,946 | OtherCostOrOtherBasisAmt |
| Depreciation | $573,147 | DepreciationAmt |
| Book Value | $2,521,799 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $419,760 | OtherCostOrOtherBasisAmt |
| Depreciation | $275,686 | DepreciationAmt |
| Book Value | $144,074 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,761,263 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $195,539 |
| DUE FROM SLHS AFFILIATES | $23,207 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $346,620 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $565,366 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO COUNTY BOARD OF TRUSTEES, LESSOR | $387,334 |
| DUE TO SLHS AFFILIATED ENTITIES | $918,242 |
| NOTE PAYABLE TO SLHS AFFILIATED ENTITIES | $2,544,602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,850,178 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $22,462,772 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $22,462,772 | RevenueSubtotalAmt |
| Other Revenues Not Included | $986,246 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $986,246 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $23,449,018 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $22,011,182 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $22,011,182 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $986,247 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $986,247 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,997,429 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2015, 2014, 2013, AND 2012, REMAIN SUBJECT TO EXAMINATION FOR BOTH FEDERAL AND STATE PURPOSES. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT REPORTED IN NET PATIENT REV FOR BOOKS; REPORTED IN EXPENSES FOR TAX 986,246. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT 986,246. ROUNDING 1. |
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 | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $97,356 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $97,356 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,636,529 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,249,202 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,733,885 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,249,202 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $97,356 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,598 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,997 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,601 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,086 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,342,203 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,164,448 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,177,755 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09890 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,237 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,237 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,504,124 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,167,445 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,336,679 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10610 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,238,009 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,416,647 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,434,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11050 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,948 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,948 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,905 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,905 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,641 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,885 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $62,885 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $89,379 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $89,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $986,246 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,767,204 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,421,483 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,654,279 | 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 | SAINT LUKE'S HOSPITAL OF GARNETT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 421 S MAPLE | AddressLine1Txt |
| City | GARNETT | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66032 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | H-002-001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| 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 | SAINT LUKES HOSPITAL OF GARNETT INC | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| 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 |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SAINT LUKES HOSPITAL OF GARNETT INC | PART V, SECTION B, LINE 5: ANDERSON COUNTY HOSPITAL UNDERTOOK A STRUCTURED APPROACH TO DETERMINE HEALTH NEEDS INCLUDING ANALYSIS OF PUBLIC HEALTH DATA, INTERVIEWS WITH HEALTHCARE PROFESSIONALS AND INPUT FROM COMMUNITY MEMBERS. THE CHNA TEAM CONDUCTED MULTIPLE INTERVIEWS WITH HOSPITAL LEADERSHIP AND COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE NEEDS OF THE COMMUNITY. STAKEHOLDERS WERE CHOSEN TO REPRESENT BROAD INTEREST OF THE COMMUNITY, INCLUDING UNDERSERVED POPULATIONS. STAKEHOLDERS PROVIDED INFORMATION WHICH WAS USED TO HELP IDENTIFY AND PRIORITIZE COMMUNITY NEEDS. KEY CONTRIBUTORS INCLUDED HOSPITAL LEADERSHIP AND INDIVIDUALS FROM THE ANDERSON COUNTY HEALTH DEPARTMENT. |
| SAINT LUKES HOSPITAL OF GARNETT INC | PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THREE MAJOR HEALTH NEEDS:1. IMPROVED ACCESS TO CARE2. INCREASED ACCESS TO PHYSICAL ACTIVITY AND NUTRITION3. BEHAVIORAL HEALTH CARE1. IMPROVED ACCESS TO CAREAFFORDABILITY AND AVAILABILITY ARE KEY FACTORS FOR ACCESS TO CARE. ANDERSON COUNTY HOSPITAL WILL CONTINUE TO ACCEPT KANSAS MEDICAID.ANDERSON COUNTY HOSPITAL OPENED A NEW FACILITY IN JANUARY 2015. THE NEW FACILITY HAS ALLOWED THE HOSPITAL TO PROVIDE EXPANDED SERVICES FOR PATIENTS AND ATTRACT NEW HEALTH CARE PROFESSIONALS TO THE COMMUNITY. 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.2.INCREASED ACCESS TO PHYSICAL ACTIVITY AND NUTRITIONTHE HOSPITAL IS ENGAGED N SEVERAL COMMUNITY HEALTH PROGRAMS AIMED AT ADDRESSING THIS NEED: - THE SPRING INTO FITNESS PROGRAM IS A FREE PROGRAM FOR THE CHILDREN OF ANDERSON COUNTY FOCUSING ON HEALTH, EXERCISE, AND NUTRITION. - THE WOMEN IN TRAINING PROGRAM IS AN EIGHT-WEEK TRAINING PROGRAM FOR WOMEN OF ALL AGES. THE PROGRAM OFFERS ONE-ON-ONE SUPPORT FROM FITNESS AND HEALTH EXPERTS. - THE HOSPITAL'S FAMILY HEALTH FESTIVAL IS A FUN FILLED DAY OF HEALTH FOR ANDERSON COUNTY RESIDENTS. COMMUNITY MEMBERS WILL BE ENCOURAGED TO PARTICIPATE IN A FREE EVENT FEATURING HEALTH SCREENINGS AND EDUCATION.GOING FORWARD, THE HOSPITAL WILL CONTINUE TO PARTICIPATE IN THESE PROGRAMS IN AN EFFORT TO IMPROVE OVERALL COMMUNITY HEALTH INCLUDING INCREASED ACCESS TO PHYSICAL ACITIVITY AND NUTRITION. 3. BEHAVIORAL HEALTH CAREPATIENTS IN GARNETT, KS AND THE SURROUNDING AREAS CURRENTLY HAVE ACCESS TO ONSITE PSYCHIATRIC SERVICES AT OUR FAMILY CARE CENTER, AS WELL AS THROUGH THE HOSPITAL'S EHEALTH TELEMEDICINE PROGRAM. THE MENTAL HEALTH TEAM UTILIZED BY THE TELEMEDICINE PROGRAM HAS THE TRAINING AND EXPERTISE TO ADDRESS AND TREAT A WIDE RANGE OF PYSCHIATRIC ISSUES.THE HOSPITAL WILL CONTINUE TO PROVIDE PSYCHIATRIC SERVICES ONSITE AT OUR FAMILY CARE CENTER AS WELL AS THROUGH THE EHEALTH TELEMEDICINE PROGRAM. THE HOSPITAL WILL ALSO CONTINUE TO WORK WITH COMMUNITY PARTNERS SUCH AS THE SOUTHEAST KANSAS MENTAL HEALTH CENTER AND MID-AMERICA NAZARENE TO ADDRESS THE ONGOING MENTAL HEALTH NEEDS OF COMMUNITY MEMBERS.THERE ARE NO NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED. |
| SAINT LUKES HOSPITAL OF GARNETT INC | PART V, SECTION B, LINE 16I: 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 ELIGIBITY ENROLLMENT SERVICE ALSO PROVIDES PATIENTS WITH INFORMAITON ON FINANCIAL ASSISTANCE. |
| SAINT LUKES HOSPITAL OF GARNETT INC | PART V, SECTION B, LINE 20E: SEE RESPONSE TO LINE 16I. |
| 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. |
| 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 - ANDERSON COUNTY LONG TERM CARE UNIT | ||||
| 421 S MAPLE | GARNETT | KS | 66032 | LONG TERM CARE NURSING FACILITY |
| 2 - ANDERSON COUNTY HOSPITAL FAMILY CARE CTR | ||||
| 536 W 4TH | GARNETT | KS | 66032 | RURAL HEALTH CLINIC |
| 3 - ANDERSON COUNTY HOSPITAL FAMILY CARE CTR | ||||
| 309 N PINE | COLONY | KS | 66015 | RURAL HEALTH CLINIC |
| 4 - ANDERSON COUNTY EMS | ||||
| 421 S MAPLE | GARNETT | KS | 66032 | AMBULANCE |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY.IN ADDITION, MEDICAL INDIGENCY MAY BE DETERMINED ON AN INDIVIDUAL BASIS FOR INCOME ABOVE THE FEDERAL POVERTY LEVEL WHEN A SINGLE ILLNESS OR INJURY CAUSES HARDSHIP. |
| PART I, LINE 7: | COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO FROM THE HOSPITAL'S COST REPORT |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES ARE FOR THE EMERGENCY DEPARTMENT,RURAL HEALTH CLINIC AND AMBULANCE |
| 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 $ 986,246. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ANDERSON COUNTY HOSPITAL'S COMMUNITY BUILDING ACTIVITIES ARE DIVERSE. THE HOSPITAL TAKES THE LEAD IN MANY COMMUNITY ENDEAVORS. WE PROVIDE MEETING SPACE, REFRESHMENTS AND SPEAKERS FOR MANY COMMUNITY PROJECTS AND OTHER CHARITABLE ORGANIZATIONS. WE ASSIST WITH COALITION BUILDING IN OUR COMMUNITY AND BRING TOGETHER OTHER HEALTH AND SOCIAL SERVICES ORGANIZATIONS TO PLAN FOR THE BENEFIT OF THE COMMUNITY. WE PROVIDE OVER $62,000 IN FUNDS FOR WORKFORCE DEVELOPMENT IN THE COMMUNITY INCLUDING EMT, NURSE AID AND MEDICATION AID CLASSES THAT ARE OPEN TO THE COMMUNITY. WE PARTICIPATE IN THE ELEMENTARY AND HIGH SCHOOLS BY OFFERING HEALTH RELATED CLASSES TO ALL AGE GROUPS. WE OFFER HEALTH CAREER ASSISTANCE AND CLASSES TO THE HIGH SCHOOL AND PARTICIPATE IN THE HIGH SCHOOL WORK STUDY PROGRAM WHICH OFFERS STUDENTS AN OPPORTUNITY TO SHADOW IN THE HEALTH CARE WORK ENVIRONMENT. |
| PART III, LINE 4: | FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: SEE PAGE 7, NOTE A, ITEM 2, OF ATTACHED FINANCIAL STATEMENTS.THE AMOUNT OF BAD DEBT REPORTED IN THIS FORM 990 IS CONSISTENT WITH THE FINANCIAL STATEMENTS. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COSTS WERE CALCULATED USING THE COST-TO-CHARGE RATIO FROM THE MEDICARE COST REPORT.ANDERSON COUNTY HOSPITAL IS A CRITICAL ACCESS HOSPITAL IN A FEDERALLY DESIGNATED LOW INCOME HEALTH PROFESSIONALS SHORTAGE AREA(HPSA), LOCATED IN THE SECOND LOWEST INCOME COUNTY IN THE STATE OF KANSAS. THE AVERAGE AGE OF OUR INPATIENT POPULATION IS 78 AND THE AVERAGE AGE OF OUR OUTPATIENT POPULATION IS 58. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. WE PROVIDE SERVICES TO THE MOST NEEDY CONSTITUENCIES IN OUR AREA. THESE INCLUDE BOTH MEDICAID AND MEDICARE POPULATIONS. THE LOSS ON MEDICARE SHOULD BE TREATED AS COMMUNITY BENEFIT.ADDITIONALLY, IT IS IMPLIED IN INTERNAL REVENUE SERVICE REVENUE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS, INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD. |
| PART III, LINE 9B: | IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE ACCOUNT IS ADJUSTED ACCORDINGLY. WE FOLLOW OUR BILLING AND COLLECTIONS POLICY FOR ANY REMAINING BALANCES. OUR COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. ALTHOUGH WE ARE NOT LEGALLY BOUND BY THE FAIR DEBT COLLECTION PRACTICES ACT, THE PRINCIPLES ADDRESSED ARE GENERALLY FOLLOWED. |
| PART VI, LINE 2: | THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. IN ADDITION, ONCE EVERY 3 YEARS, A COMMUNITY HEALTH SURVEY IS DELIVERED TO OVER 4000 HOMES IN THE SERVICE AREA. DETAILED INFORMATION ON HEALTH AND SOCIAL CONCERNS IN THE COMMUNITY AS WELL AS OTHER HEALTH RELATED INFORMATION IS GARNERED FROM THE SURVEYS. THE HOSPITAL ALSO HAS A NUMBER OF COMMUNITY ADVISORY BOARDS REPRESENTING DIFFERENT CONSTITUENCIES THAT MEET AT LEAST ANNUALLY TO ASSIST US IN PLANNING FOR THE HEALTH CARE NEEDS OF THE COMMUNITY. WE PARTICIPATE MONTHLY IN THE COMMUNITY WIDE HEALTH COALITION MADE UP OF OTHER HEALTH PROVIDERS WITHIN OUR AREA. FROM TIME TO TIME WE HAVE COMMUNITY FOCUS GROUPS TO ASSIST US IN UNDERSTANDING THE HEALTHCARE NEEDS IN OUR COMMUNITY. |
| PART VI, LINE 3: | ANDERSON COUNTY HOSPITAL INFORMED AND EDUCATED PATIENTS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THE ELIGIBILITY FOR ASSISTANCE BY POSTING SIGNS THROUGHOUT THE FACILITY AND ON HOSPITAL SPECIFIC LITERATURE GIVEN OUT TO EACH PATIENT WHO SEEKS SERVICES AS WELL AS ON OUR PATIENT STATEMENTS. WE COORDINATE IDENTIFICATION OF NEED WITH OUR PHYSICIAN OFFICE AND WITH OTHER ENTITIES WITHIN OUR HEALTH SYSTEM. WE HAVE FINANCIAL AND SOCIAL SERVICE COUNSELORS WHO WORK WITH FAMILIES AND INDIVIDUALS IN NEED. SINCE ANDERSON COUNTY IS A LOW-INCOME HPSA WE UNDERSTAND THAT A LARGE PART OF OUR POPULATION NEEDS ASSISTANCE. |
| PART VI, LINE 4: | ANDERSON COUNTY HOSPITAL IS A CRITICAL ACCESS HOSPITAL, LOCATED IN GARNETT, A RURAL COMMUNITY SOUTHWEST OF KANSAS CITY. THE SERVICE AREA ENCOMPASSES ALL OF ANDERSON COUNTY AND PORTIONS OF FRANKLIN, LINN, COFFEY AND ALLEN COUNTIES. THE CURRENT COUNTY POPULATION IS 7992 AND THE EXTENDED SERVICE AREA POPULATION IS 12,000 PEOPLE. THE GARNETT AREA IS MAINLY A FARMING COMMUNITY. THE COUNTY IS FEDERALLY DESIGNATED AS A LOW-INCOME HEALTH PROFESSIONALS SHORTAGE AREA. |
| 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 | 0 | 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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MACKENZIE PETERSON MD | ||||||||||||||
| BOD MBR/EMPLD PHYSICIAN | $177,922 | $0 | $20,200 | $0 | $438 | $0 | $10,246 | $0 | $23,645 | $0 | $232,451 | $0 | $0 | $0 |
| DON SIPES | ||||||||||||||
| SECRETARY-BOARD MEMBER | $0 | $271,642 | $0 | $60,644 | $0 | $290,426 | $0 | $21,200 | $0 | $20,638 | $0 | $664,550 | $0 | $263,905 |
| CAROL MEYER | ||||||||||||||
| TREASURER-BOARD MEMBER | $0 | $231,962 | $0 | $50,965 | $0 | $35,852 | $0 | $39,761 | $0 | $2,601 | $0 | $361,141 | $0 | $17,840 |
| DENNIS HACHENBERG | ||||||||||||||
| CEO | $190,527 | $0 | $41,480 | $0 | $23,266 | $0 | $35,382 | $0 | $19,987 | $0 | $310,642 | $0 | $14,520 | $0 |
| VICKI MILLS | ||||||||||||||
| CFO | $141,241 | $0 | $15,427 | $0 | $2,111 | $0 | $12,894 | $0 | $11,017 | $0 | $182,690 | $0 | $0 | $0 |
| WENDY BELCHER | ||||||||||||||
| PHYSICIAN | $133,667 | $0 | $18,805 | $0 | $349 | $0 | $7,913 | $0 | $22,681 | $0 | $183,415 | $0 | $0 | $0 |
| JANELL JONES | ||||||||||||||
| PHYSICIAN | $172,635 | $0 | $11,733 | $0 | $809 | $0 | $7,523 | $0 | $15,386 | $0 | $208,086 | $0 | $0 | $0 |
| ROSS KIMBALL | ||||||||||||||
| PHYSICIAN | $189,134 | $0 | $11,492 | $0 | $1,197 | $0 | $8,340 | $0 | $25,056 | $0 | $235,219 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 SAINT LUKE'S HEALTH SYSTEM 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 SURVEYS AND COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM. |
| SCHEDULE J, PART II | DON SIPES AND CAROL MEYER 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 1A, NUMBER REPORTED IN BOX 3 OF FORM 1096 | THE ORGANIZATION IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF THE ORGANIZATION'S VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. |
| FORM 990, PART VI, SECTION A, LINE 2 | DON SIPES AND CAROL MEYER 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 11 | 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 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 SYSTEM VICE PRESIDENT OF INTERNAL AUDIT REVIEWS COMPLETED QUESTIONNAIRES AND 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 PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE TO THE PUBLIC THROUGH THE KS SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ATTACHED TO THIS FORM 990. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII | DON SIPES AND CAROL MEYER 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 | PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,564,111. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,564,111. REPAIRS AND MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 243,018. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 243,018. TECHNICAL FEES: PROGRAM SERVICE EXPENSES 332,061. MANAGEMENT AND GENERAL EXPENSES 8,802. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 340,863. CRNA FEES: PROGRAM SERVICE EXPENSES 198,278. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 198,278. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,526,231. MANAGEMENT AND GENERAL EXPENSES 258,971. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,785,202. |
| FORM 990, PART XI, LINE 9: | PENSION LIABILITY TRANSFER TO SYSTEM -35,603. ROUNDING RISK RENTENTION GROUP SUBSCRIBER SAVINGS DIVIDEND |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 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 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 | 0 | SAINT LUKE'S HEALTH SYSTEM |
| SAINT LUKE'S NORTHLAND HOSPITAL CORPORATION | ||||||||||
| 601 S 169 HWY | SMITHVILLE | MO | 64089 | 440545393 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| SAINT LUKE'S SOUTH HOSPITAL INC | ||||||||||
| 12300 METCALF AVENUE | OVERLAND PARK | KS | 66213 | 481203262 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| SAINT LUKE'S EAST HOSPITAL | ||||||||||
| 100 NE SAINT LUKES BLVD | LEES SUMMIT | MO | 64086 | 562488077 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| SAINT LUKE'S CARE | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 260185090 | HEALTH CARE | MO | 501(C)(3) | 509(A)(3) - TYPE II | 0 | SAINT LUKE'S HEALTH SYSTEM |
| 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 | 0 | SAINT LUKE'S HEALTH SYSTEM |
| SAINT LUKES CUSHING HOSPITAL | ||||||||||
| 711 MARSHALL | LEAVENWORTH | KS | 66048 | 480543792 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| SAINT LUKE'S MEDICAL GROUP | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431598353 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| SAINT LUKE'S HOSPITAL OF CHILLICOTHE | ||||||||||
| 2799 N WASHINGTON | CHILLICOTHE | MO | 64601 | 431735565 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| SAINT LUKE'S HOSPITAL OF TRENTON | ||||||||||
| 191 IOWA BLVD | TRENTON | MO | 64683 | 431707306 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| MIDWEST EAR INSTITUTE INC | ||||||||||
| 4320 WORNALL ROAD STE 320 | KANSAS CITY | MO | 64111 | 480905027 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | ST LUKES HOSPITAL OF KANSAS CITY |
| CRITTENTON | ||||||||||
| 10918 ELM AVENUE | KANSAS CITY | MO | 64134 | 440545808 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| CABOT WESTSIDE HEALTH CENTER | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 440546280 | HEALTH CARE | MO | 501(C)(3) | 170B1AVI | 0 | SAINT LUKE'S HEALTH SYSTEM |
| MEDICAL PLAZA IMAGING ASSOCIATES LLC | ||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 431609584 | HEALTH CARE | MO | 501C3 | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| SAINT LUKE'S COLLEGE OF HEALTH SCIENCES | ||||||||||
| 624 WESTPORT RD | KANSAS CITY | MO | 64111 | 272716128 | POST-SECONDARY NURSING EDUCATION | MO | 501C3 | 170B1AII | 0 | SAINT LUKE'S HOSPITAL |
| SLCC INC | ||||||||||
| 4330 WORNALL ROAD SUITE 2000 | KANSAS CITY | MO | 64111 | 271994652 | HEALTH CARE | KS | 501C3 | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| SLNC INC | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 451470888 | HEALTH CARE | KS | 501C3 | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| ADVANCED UROLOGIC ASSOCIATES INC | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 454725529 | HEALTH CARE | MO | 501C3 | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
| ROCKHILL ORTHOPAEDIC SPECIALISTS INC | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 453851008 | HEALTH CARE | MO | 501C3 | 170B1AIII | 0 | SAINT LUKE'S HEALTH SYSTEM |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 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 RD 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 |
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 | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAINT LUKE'S HEALTH SYSTEM RISK RETENTION GROUP | ||||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 371471890 | INSURANCE | SC | N/A | 0 | ||||
| ST LUKE'S HEALTH VENTURES INC | ||||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431278476 | ACCOUNTING | MO | N/A | 0 | ||||
| MEDICAL PLAZA MANAGEMENT INC | ||||||||||||
| 4320 WORNALL ROAD SUITE 714 | KANSAS CITY | MO | 64111 | 431352317 | MEDICAL OFFICE BUILDING MANAGEMENT | MO | N/A | 0 | ||||
| VENTURE FINANCIAL SERVICES INC | ||||||||||||
| 9500 E 63RD ST STE 202 | KANSAS CITY | MO | 64133 | 431605740 | COLLECTIONS | MO | N/A | 0 | ||||
| SAINT LUKE'S HEALTH SYSTEM INSURANCE LTD | ||||||||||||
| INSURANCE | N/A | 0 | 113 SOUTH CHURCH ST | 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 | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | 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, LINE 1 | 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 |