2016-11-15T10:30:58-06:00 2015-12-31 990 2015-01-01 440565393 SAINT LUKES NORTHLAND HOSPITAL CORPORATION SAIN 8165327382 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 JULIE MURPHY CHIEF FINANCIAL OFFICER 8165327382 2016-11-15 2015 2017-02-10 21:41:12Z SAINT LUKES NORTH HOSPITAL MATTHEW WENZEL 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 134310691 0 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1989 MO HOSPITAL 14 10 1019 151 1088348 -94127 2032826 166206 133277903 134111747 203666 32738 0 0 135514395 134310691 7976656 15284029 0 0 55544169 48237721 0 0 42520 70486358 68176861 134007183 131698611 1507212 2612080 105294260 104017825 50131002 48035973 55163258 55981852 X SAINT LUKE'S NORTHLAND HOSPITAL CORPORATION IS A PART OF SAINT LUKE'S HEALTH SYSTEM, A FAITH BASED, NOT-FOR-PROFIT ALIGNED HEALTH SYSTEM COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE AND HEALTH RELATED SERVICES IN A CARING ENVIRONMENT. WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. 0 0 111149409 15284029 133023399 ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION, WHICH IS TO ENSURE THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. IN 2015, THERE WERE 30,200 PATIENT DAYS AND 1,760 NEWBORN DAYS. IN ADDITION, THE HOSPITAL PROVIDED 87,400 OUTPATIENT AND EMERGENCY SERVICES.AS A VOLUNTARY, NONPROFIT, COMPREHENSIVE ORGANIZATION, SAINT LUKE'S NORTH HOSPITAL IS COMMITTED TO SERVING ALL WHO SEEK OUR SERVICES REGARDLESS OF THEIR SOCIOECONOMIC STATUS. 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.BETWEEN OUR BARRY ROAD AND SMITHVILLE CAMPUSES, SAINT LUKE'S NORTHLAND HOSPITAL OFFERS 159 PATIENT BEDS AND MORE THAN 20 SPECIALIZED HEALTH CARE SERVICES.BOTH CAMPUSES SERVE THE NORTHERN KANSAS CITY AREA. 111149409 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 6 0 1 1019 1 1 1 0 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X THE ORGANIZATION 8165327382 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 X THOMAS L BROWN DIRECTOR-CHAIRMAN 1.00 X X 0 0 0 MICHELLE DEW MD DIRECTOR 1.00 40.00 X 0 591785 36163 DAVID MARCUS MD DIRECTOR 1.00 X 0 0 0 GAYDEN F CARRUTH DIRECTOR/VICE CHAIRMAN 1.00 X X 0 0 0 KELLEY M MARTIN DIRECTOR 1.00 X 0 0 0 WILLIAM PARKS DIRECTOR 1.00 X 0 0 0 GINA LAWSON DO DIRECTOR - SECRETARY 1.00 40.00 X X 0 401182 44720 ROSANA PRIVITERA BIONDO DIRECTOR 1.00 X 0 0 0 MICHAEL SHORT DIRECTOR - TREASURER 1.00 X X 0 0 0 GEORGE RICHTER DIRECTOR 1.00 X 0 0 0 TWYLA WILSON DIRECTOR 1.00 X 0 0 0 TODDSCHUETZ PHD DIRECTOR 1.00 X 0 0 0 MICHELLE SMITH DIRECTOR 1.00 X 0 0 0 MATTHEW WENZEL CHIEF EXECUTIVE OFFICER BEG 8/2015 50.00 X X 104022 188037 53771 JULIE MURPHY CHIEF FINANCIAL OFFICER 30.00 20.00 X 278545 0 48993 AMY BRUMMER CHIEF NURSING OFFICER BEG 10/2015 50.00 X 47628 104595 38689 KEVIN TRIMBLE CEO TERM END 6/2015 50.00 X 519867 0 5878 JEFFREY EYE CNO TERM END 8/2015 50.00 X 221024 0 6398 JULIA WOODS INTERIM CNO 10.00 40.00 X 0 220231 37141 DON SIPES PRESIDENT 1.00 50.00 X 0 622712 41838 REGINA ANCOLA REGISTERED NURSE 40.00 X 182135 0 11411 RUSSELL TRAINER RADIOLOGY MGR 40.00 X 143333 0 9733 KRISTIN REPP PHARMACY OP MGR 40.00 X 134484 0 21704 BRETT NELSON PHARMACIST 40.00 X 133257 0 32283 HELEN MILLER BEHAVIORAL HEALTH DIR 40.00 X 130215 0 24792 1894510 2128542 413514 23 0 1 0 TURNER CONSTRUCTION COMPANY 2345 GRAND BLVD SUITE 1000 KANSAS CITY MO 64108 CONSTRUCTION 3170366 P1 GROUP INC 16210 W 108TH ST LENEXA KS 66219 MAINTENANCE 1335713 MOBILE CATARACT CARE OF KANSAS CITY LLC 5844 NW BARRY RD SUITE 200 KANSAS CITY MO 64154 MEDICAL SERVICES 1061990 AD VIVUM ANESTHESIOLOGY PC 8646 N OREGON AVE KANSAS CITY MO 64154 MEDICAL SERVICES 750000 FAVORITE HEALTHCARE STAFFING INC 7255 W 98TH TERR SUITE 150 OVERLAND PARK KS 66212 TEMPORARY STAFFING 454828 21 8775 157431 166206 NET PATIENT REVENUE 622110 127927493 127927493 PHARMACY 446110 2862225 1773877 1088348 MEDICAL OFFICE RENT 531120 1688318 1688318 EHR MEANINGFUL USE FDS 622110 570133 570133 1063578 1063578 134111747 32738 32738 134310691 133023399 1088348 32738 15268210 15268210 15819 15819 1257242 1257242 36872407 35485817 1386590 1454503 1370736 83767 5939884 5527874 412010 2713685 2525524 188161 10645332 9500808 1104524 40000 5129 1645 3484 2995744 2389183 604041 2520 415930 30865 385065 2030365 1920746 109619 94963 64806 30157 29594 16782 12812 2029363 1931776 97587 7180926 2977074 4203852 468954 293837 175117 SHARED SERVICES- SLHS 16487475 6170186 10317289 MEDICAL SUPPLIES 15429038 15410326 18712 BAD DEBT 9748447 9748447 OTHER EXPENSES 417887 301234 116653 197714 197714 131698611 111149409 20506682 42520 X 118034 142813 28055834 24527021 14978593 15671927 2464569 2449940 974606 431821 154678328 96081502 56771683 58596826 617261 851 218739 1065149 1094941 1131477 105294260 104017825 8453775 8129187 39265416 36924657 2411811 2982129 50131002 48035973 X 54447787 55282261 560471 544591 155000 155000 55163258 55981852 105294260 104017825 X 2612080 -1793486 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 56542 0 0 0 56542 0 PART II-B, LINE 1: LINE F-PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS AND MEDICAL ORGANIZATIONS USED TOWARD LOBBYING ACTIVITIES. 91457 95048 85 41500 53447 91643 167245 61850 229 137867 91457 110085 126995 236 70071 167245 94772 91850 285 76822 110085 100371 68525 416 74540 94772 1.00000 1 0 2591240 2591240 58989862 40689577 18300285 11053272 11053272 77092993 51525986 25567007 4950961 3865939 1085022 58596826 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 395176 RESERVE SELF INSURED RISKS 801000 OTHER NONCURRENT LIABILITIES 62737 PAYABLES TO AFFILIATES 1723216 2982129 PART V, LINE 4: THE INTENDED USE OF ENDOWMENT FUNDS INCLUDES BUT IS NOT LIMITED TO MEDICAL STAFF DEVELOPMENT, GENERAL OPERATIONS OF THE HOSPITAL, AND STUDENT SCHOLARSHIPS. THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENTS THE ORGANIZATION'S BENEFICIAL INTEREST IN THE NET ASSETS OF SAINT LUKE'S FOUNDATION. SUCH ASSETS ARE REPORTED IN PART X, LINE 15. PART XI, XII, AND XIII THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. 1 1 X 1 X 133.000000000000 1 X 1 1 0 0 6487242 6487242 0.05320 18128715 15575153 2553562 0.02090 24615957 15575153 9040804 0.07410 334995 334995 0.00270 115917 115917 0.00100 53084 53084 0.00040 503996 503996 0.00410 25119953 15575153 9544800 0.07820 100 100 0.00000 1436 1436 0.00000 1536 1536 0 9748447 0 27763300 33006994 -5243694 X 1 1 2 1 SAINT LUKES NORTHLAND HOSPITAL-BARRY 5830 NW BARRY ROAD KANSAS CITY MO 64154 365-25 X X X 2 SAINT LUKES NORTHLAND HOSPITAL-SMV 601 S 169 HIGHWAY SMITHVILLE MO 64089 43-57 X X REHABILITATION AND BEHAVIORAL HEALTH SAINT LUKES NORTHLAND HOSPITAL-BARRY 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1 15 1 WWW.SAINTLUKESHEALTHSYSTEM.ORG 0 0 1 X 133.000000000000 300.000000000000 X X 1 1 X X X 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X WWW.SAINTLUKESHEALTHSYSTEM.ORG X WWW.SAINTLUKESHEALTHSYSTEM.ORG X X X X X X 1 0 X X X X X 1 X 0 0 SAINT LUKES NORTHLAND HOSPITAL-SMV 2 0 0 1 X X X X X X X X X X 15 1 1 0 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1 15 1 WWW.SAINTLUKESHEALTHSYSTEM.ORG 0 0 1 X 133.000000000000 300.000000000000 X X 1 1 X X X 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X WWW.SAINTLUKESHEALTHSYSTEM.ORG X WWW.SAINTLUKESHEALTHSYSTEM.ORG X X X X X X 1 0 X X X X X 1 X 0 0 SAINT LUKES NORTHLAND HOSPITAL-BARRY PART V, SECTION B, LINE 5: INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS WERE INTERVIEWED AS PART OF THE CHNA. AS PART OF THE CHNA PROCESS, WE SOUGHT THE PERSPECTIVES ON THE HEALTH NEEDS OF THE COMMUNITY FROM KEY STAKEHOLDERS REPRESENTING THE HOSPITAL LEADERSHIP AND COMMUNITY PARTNERS:SAINT LUKE'S HEALTH SYSTEM MANAGEMENTCLAY COUNTY PUBLIC HEALTH CENTERPLATTE COUNTY PUBLIC HEALTH DEPARTMENTTRI-COUNTY MENTAL HEALTH SERVIESNORTHLAND HEALTH CARE ACCESSCHILDREN'S MERCY NORTHLANDLIBERTY PUBLIC SCHOOL SYSTEM SAINT LUKES NORTHLAND HOSPITAL-SMV PART V, SECTION B, LINE 5: INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS WERE INTERVIEWED AS PART OF THE CHNA. AS PART OF THE CHNA PROCESS, WE SOUGHT THE PERSPECTIVES ON THE HEALTH NEEDS OF THE COMMUNITY FROM KEY STAKEHOLDERS REPRESENTING THE HOSPITAL LEADERSHIP AND COMMUNITY PARTNERS:SAINT LUKE'S HEALTH SYSTEM MANAGEMENTCLAY COUNTY PUBLIC HEALTH CENTERPLATTE COUNTY PUBLIC HEALTH DEPARTMENTTRI-COUNTY MENTAL HEALTH SERVIESNORTHLAND HEALTH CARE ACCESSCHILDREN'S MERCY NORTHLANDLIBERTY PUBLIC SCHOOL SYSTEM SAINT LUKES NORTHLAND HOSPITAL-BARRY PART V, SECTION B, LINE 6A: SAINT LUKE'S NORTHLAND HOSPITAL-SMV SAINT LUKES NORTHLAND HOSPITAL-SMV PART V, SECTION B, LINE 6A: SAINT LUKE'S NORTHLAND HOSPITAL - BARRY SAINT LUKES NORTHLAND HOSPITAL-BARRY PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED FIVE MAJOR HEALTH NEEDS:1. MENTAL HEALTH (SAINT LUKE'S NORTHLAND HOSPITAL - SMV STRATEGY)2. ACCESS TO CARE THE HOSPITAL WILL WORK TO EXPAND ACCESS TO COMPREHENSIVE, QUALITY HEALTH CARE SERVICES FOR INDIVIDUALS WITHIN CLAY AND PLATTE COUNTY. THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN ADDRESSING ACCESS TO CARE AS A PRIORITY NEED: - CONTINUE TO PROVIDE ACCESS TO CARE THROUGH A 24/7 ER DEPARTMENT WITH HELICOPTER PAD ACCESS. - CONTINUE TO PROVIDE ASSISTANCE TO THE NORTHLAND HEALTHCARE ACCESS ORGANIZATION (AN UNRELATED 501C3 ORGANIZATION) AND SUPPORT THEIR MISSION OF COORDINATING QUALITY CARE FOR PEOPLE LACKING ACCESS. - LEVERAGE TECHNOLOGY TO INCREASE ACCESS TO NEW POPULATIONS. - CONTINUE RECRUITMENT OF PRIMARY CARE PHYSICIANS AND OTHER SPECIALTY CARE PROVIDERS NEEDED TO SERVE THE GROWING NORTHLAND POPULATION. - SUPPORTED OPERATION OF A WALK-IN CLINIC WITH EVENING AND WEEKEND HOURS. - 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.3. CANCERTHE HOSPITAL WILL CONTINUE TO OFFER A WIDE VARIETY OF CANCER CARE SERVICES FOR THE COMMUNITY INCLUDING OFFERING PATIENTS THE MOST ADVANCED TECHNOLOGIES AVAILABLE TO ENHANCE SCREENING AND DIAGNOSTIC CAPABILITIES.THE HOSPITAL WILL CONTINUE TO PARTNER WITH HEALTH AGENCIES AND LOCAL ORGANIZATIONS THAT ARE COMMITTED TO WOMEN'S HEALTH AND WELLNESS.THE HOSPITAL WILL CONTINUE TO PROVIDE COMMUNITY EDUCATION TO ENHANCE BREAST CANCER AWARENESS AND EDUCATION ON EARLY DETECTION SERVICES.THE HOSPITAL WILL PROVIDE BREAST HEALTH EDUCATION AT HEALTH FAIRS IN JACKSON, CLAY, PLATTE, AND BUCHANAN COUNTIES AS NEEDED.THE HOSPITAL WILL CONTINUE TO PROVIDE BREAST HEALTH EDUCATION THROUGH SPEAKING ENGAGEMENTS TO EMPLOYERS, LOCAL WOMAN'S ORGANIZATIONS, AND AREA SCHOOL DISTRICTS.IN 2012, SAINT LUKE'S HEALTH SYSTEM LAUNCHED AN INNOVATIVE CANCER SURVIVORSHIP PROGRAM. STAR PROGRAM (SURVIVORSHIP, TRAINING, AND REHAB) IS A NATIONALLY RECOGNIZED CANCER SURVIVORSHIP PROGRAM THAT FOCUSES ON HELPING SURVIVORS HEAL AS WELL AS POSSIBLE. BASED ON CONVENTIONAL MEDICINE, AS IN ORTHOPEDIC AND CARDIAC REHABILITATION, STAR PROGRAM UTILIZES AN INTERDISCIPLINARY APPROACH IN WHICH CAREGIVERS FROM DIFFERENT SPECIALTIES TEAM UP TO HELP PATIENTS INCREASE STRENGTH AND ENERGY, ALLEVIATE PAIN, AND IMPROVE DAILY FUNCTION AND WELL-BEING. THE HOSPITAL WILL CONTINUE TO PARTICIPATE IN THE STAR PROGRAM ON A REFERRAL BASIS.IN 2012, THE HOSPITAL DEVELOPED A PHYSICIAN ADVISORY BOARD TO ENCOURAGE COLLABORATION BETWEEN RADIOLOGISTS AND SURGEONS TREATING BREAST CANCER PATIENTS. THE HOSPITAL WILL CONTINUE TO ENCOURAGE PHYSICIAN COLLABORATION IN BREAST CANCER CARE THROUGH THE PHYSICIAN ADVISORY BOARD.4. OBESITYSAINT LUKE'S NORTH HOSPITAL WILL WORK TO PROMOTE HEALTH AND REDUCE THE PREVALENCE OF OVERWEIGHT AND OBESE INDIVIDUALS THROUGH THE CONSUMPTION OF HEALTHY DIETS, INCREASED PHYSICAL ACTIVITY, AND THROUGH THE APPLICATION OF STRATEGIES RELATED TO COMBATING HEART DISEASE AND DIABETES, RESULTING IN ACHIEVEMENT AND MAINTENANCE OF HEALTHY BODY WEIGHT.5. DIABETESSAINT LUKE'S NORTH HOSPITAL WILL CONTINUE TO PROVIDE GROUP AND INDIVIDUAL DIABETES EDUCATION OPPORTUNITIES WITH TOPICS INCLUDING: HEALTHY LIVING WITH DIABETES GESTATIONAL DIABETES MEDICAL NUTRITION THERAPY INSULIN START DIABETES PREVENTIONSAINT LUKE'S NORTH HOSPITAL WILL CONTINUE TO PROVIDE ACCESS TO THE DIABETES EDUCATION CENTER, WHICH PROVIDES SERVICES FOR COMMUNITY MEMBERS WHO ARE NEWLY DIAGNOSED WITH DIABETES, PRE-DIABETES, OR THOSE SEEKING ADDITIONAL HELP MANAGING DIABETES. SAINT LUKE'S NORTH HOSPITAL WILL CONTINUE TO COLLABORATE WITH THE AMERICAN DIABETES ASSOCIATION AND THE KANSAS CITY REGIONAL ASSOCIATION OF DIABETES EDUCATORS.THERE ARE NO NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED. SAINT LUKES NORTHLAND HOSPITAL-SMV PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED FIVE MAJOR HEALTH NEEDS. THE FOLLOWING NEED IS SPECIFIC TO THE SMITHVILLE CAMPUS:1. MENTAL HEALTH (SAINT LUKE'S NORTHLAND HOSPITAL - SMV STRATEGY)SAINT LUKE'S NORTHLAND HOSPITAL - SMITHVILLE OFFERS COMPREHENSIVE MENTAL HEALTH SERVICES, INCLUDING PSYCHIATRIC ASSESSMENT AND INPATIENT TREATMENT FOR ADOLESCENTS, ADULTS, AND GERIATRIC PATIENTS. THE SMITHVILLE CAMPUS HAS A MULTIDISCIPLINARY MENTAL HEALTH TEAM.THE HOSPITAL IS COMMITTED TO MAINTAINING MENTAL HEALTH SERVICES FOR NORTHLAND RESIDENTS WHILE EXPANDING SERVICES TO ADDITIONAL COMMUNITIES VIA PSYCHIATRIC TELEMEDICINE OUTREACH. THE HOSPITAL WILL PROVIDE THE FOLLOWING SERVICES DEDICATED TO MENTAL HEALTH: - MAINTAIN 40 PSYCHIATRIC BEDS - MAINTAIN 11 TELEMEDICINE SITES TO WHICH THE PSYCHIATRIC EMERGENCY TEAM RESPONDS - EVALUATE NEED FOR TELEMED PSYCH EMERGENCY ASSESSMENT TEAM TO BE 24/7 ONSITE STAFFING - ADD 5 PSYCHIATRIC BEDS TO MEET ONGOING ACUTE CARE NEEDS OF THE COMMUNITY - ADD 5 NEW SITES TO PSYCHIATRIC TELEMEDICINE OUTREACH PROGRAMTHE HOSPITAL WILL MAINTAIN A COLLABORATIVE RELATIONSHIP WITH TRI-COUNTY MENTAL HEALTH SERVICES TO PROVIDE MENTAL SERVICES TO THE NORTHLAND COMMUNITY. THE HOSPITAL WILL WORK TO DEVELOP A MEDICAID HEALTH HOME MODEL WITH TRI-COUNTY HEALTH TO COORDINATE MENTAL AND MEDICAL HEALTH SERVICES.THE HOSPITAL WILL DEVELOP OPPORTUNITIES FOR CONTINUING MENTAL HEALTH EDUCATION FOR HEALTH PROFESSIONALS WITHIN THE COMMUNITY INCLUDING MEMBERS OF THE HOSPITAL MULTIDISCIPLINARY TEAM. SAINT LUKES NORTHLAND HOSPITAL-BARRY PART V, SECTION B, LINE 16I: THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE AND FOR 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. SAINT LUKES NORTHLAND HOSPITAL-SMV PART V, SECTION B, LINE 16I: THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE AND FOR 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. SAINT LUKES NORTHLAND HOSPITAL-BARRY PART V, SECTION B, LINE 20E: SEE RESPONSE TO LINE 16I SAINT LUKES NORTHLAND HOSPITAL-SMV PART V, SECTION B, LINE 20E: SEE RESPONSE TO LINE 16I PART V, SECTION B, LINE 9 AS PERMITTED BY IRS TRANSITION RULES, BOTH HOSPITAL FACILITIES ADOPTED THEIR IMPLEMENTATION STRATEGIES BY MAY 15, 2016 AND THEREFORE ARE DEEMED TO SATISFY THE REQUIREMENT TO ADOPT THE STRATEGY IN THE SAME YEAR THE CHNA WAS COMPLETED AND WIDELY PUBLICIZED, 2015. 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 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 $ 9,748,447. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (INCLUDING COPAYMENT AND DEDUCTIBLE AMOUNTS FROM PATIENTS), THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT SOME PATIENTS ARE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS, AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.THE AMOUNT OF BAD DEBT IS CONSISTENT WITH FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN WHAT IT COSTS TO PROVIDE THE CARE AND SERVICES. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THE COST OF PROVIDING THE CARE MAY EXCEED THE FUNDS WE RECEIVE FROM MEDICARE FOR THE SERVICE. OUR SHORTFALL IS CONSIDERED TO BE COMMUNITY BENEFIT. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. ADDITIONALLY, IT IS IMPLIED IN INTERNAL REVENUE SERVICE REVENUE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS, INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD. PART III, LINE 9B: IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE ACCOUNT IS ADJUSTED ACCORDINGLY. ANY REMAINING BALANCE WOULD BE COLLECTED UNDER THE DEBT COLLECTION POLICY. 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 III, LINE 2, BAD DEBT BAD DEBT EXPENSE IS REPORTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT IT ALIGNS WITH GAAP. PART 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. THE HOSPITAL MEETS WITH STAFF, VOLUNTEERS, PATIENTS, BOARD MEMBERS AND PHYSICIANS. THE FEEDBACK PROVIDED BY THESE GROUPS IS COMMUNICATED TO HOSPITAL MANAGEMENT AND CONSIDERED WHEN DETERMINING THE NEEDS OF THE COMMUNITY.THE HOSPITAL ALSO WORKS WITH THE PATIENT ADVOCATE AND MARKETING DEPARTMENTS TO DETERMINE FEEDBACK RECEIVED FROM THE COMMUNITY REGARDING ITS NEEDS. THIS FEEDBACK IS ALSO COMMUNICATED TO HOSPITAL MANAGEMENT AND EVALUATED DURING THE ANNUAL BUDGET AND STRATEGIC PLANNING PROCESS. PART VI, LINE 3: SEE RESPONSE TO SCHEDULE H, PART V, LINE 16I. PART VI, LINE 4: BETWEEN OUR BARRY ROAD AND SMITHVILLE CAMPUSES, SAINT LUKE'S NORTHLAND HOSPITAL OFFERS 159 PATIENT BEDS AND MORE THAN 20 SPECIALIZED HEALTH CARE SERVICES. BOTH CAMPUSES SERVE THE NORTHERN KANSAS CITY AREA. PART VI, LINE 5: THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, AND IN GENERAL STEWARDSHIP.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. 1 SAINT LUKE'S MEDICAL GROUP - AFFILIATED 501(C)(3) 901 E 104TH ST KANSAS CITY MO 64131 431598353 501(C)(3) 4000431 SUPPORT FOR HEALTHCARE SERVICES SAINT LUKE'S FOUNDATION 4225 BALTIMORE KANSAS CITY MO 64111 446014699 501(C)(3) 41500 SUPPORT FOR COMMUNITY PROGRAMS SLNC INC - AFFILIATED 501C3 4401 WORNALL ROAD KANSAS CITY MO 64111 451470888 501(C)(3) 218534 SUPPORT FOR HEALTHCARE SERVICES SLCC INC - AFFILIATED 501C3 4330 WORNALL ROAD SUITE 2000 KANSAS CITY MO 64111 271994652 501(C)(3) 2833914 SUPPORT FOR HEALTHCARE PROGRAMS AND SERVICES NORTHLAND HEALTHCARE ACCESS PO BOX 14414 PARKVILLE MO 64152 431578121 501(C)(3) 20000 SUPPORT FOR COMMUNITY PROGRAMS AND HEALTHCARE SERVICES ST LUKES HOSPITAL OF KANSAS CITY - AFFILIATED 501C3 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 501(C)(3) 8153431 SUPPORT FOR WALKIN CLINIC AND OTHER COMMUNITY HEALTH CARE SERVICES 6 0 ADVANCED EDUCATION IN MEDICAL FIELD - SCHOLARSHIP 12 12000 PATIENT SOCIAL SERVICES ASSISTANCE 100 3819 PART I, LINE 2: SCHOLARSHIPS ARE GIVEN TO HIGH SCHOOL GRADUATES PURSUING ADVANCED EDUCATION IN THE MEDICAL FIELD BASED ON ACADEMICS. GRANTS WERE PROVIDED TO INDIVIDUALS FOR MAMMOGRAMS, PRESCRIPTIONS, HEALTH INFUSION TREATMENTS AND MEDICAL SUPPLIES. GRANTS ARE ALSO PROVIDED TO QUALIFIED CHARITIES FOR GENERAL OPERATIONS AND TO BE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE CHARITABLE ORGANIZATION. SUCH GRANTS FURTHER OR SUPPORT A CHARITABLE PURPOSE OF SAINT LUKE'S NORTHLAND HOSPITAL. 1 0 0 0 0 0 0 1 0 MICHELLE DEW MD DIRECTOR 0 583456 0 0 0 8329 0 11925 0 24238 0 627948 0 0 GINA LAWSON DO DIRECTOR - SECRETARY 0 396772 0 0 0 4410 0 21200 0 23520 0 445902 0 0 MATTHEW WENZEL CHIEF EXECUTIVE OFFICER BEG 8/2015 103409 126567 0 43893 613 17577 4247 23663 9329 16532 117598 228232 0 15200 JULIE MURPHY CHIEF FINANCIAL OFFICER 221912 0 35652 0 20981 0 38512 0 10481 0 327538 0 16640 0 AMY BRUMMER CHIEF NURSING OFFICER BEG 10/2015 47187 91032 0 13042 441 521 3976 8732 7335 18646 58939 131973 0 0 KEVIN TRIMBLE CEO TERM END 6/2015 184511 0 290660 0 44696 0 2905 0 2973 0 525745 0 21228 0 JEFFREY EYE CNO TERM END 8/2015 190719 0 29305 0 1000 0 4432 0 1966 0 227422 0 0 0 JULIA WOODS INTERIM CNO 0 189785 0 29194 0 1252 0 27522 0 9619 0 257372 0 0 DON SIPES PRESIDENT 0 271642 0 60644 0 290426 0 21200 0 20638 0 664550 0 263905 REGINA ANCOLA REGISTERED NURSE 181475 0 0 0 660 0 3665 0 7746 0 193546 0 0 0 RUSSELL TRAINER RADIOLOGY MGR 97657 0 0 0 45676 0 1987 0 7746 0 153066 0 0 0 KRISTIN REPP PHARMACY OP MGR 134394 0 0 0 90 0 6218 0 15486 0 156188 0 0 0 BRETT NELSON PHARMACIST 133039 0 0 0 218 0 7064 0 25219 0 165540 0 0 0 HELEN MILLER BEHAVIORAL HEALTH DIR 129225 0 0 0 990 0 5472 0 19320 0 155007 0 0 0 PART I, LINE 4A SEVERANCE PAY INCLUDED IN REPORTED COMPENSATION: RUSSELL TRAINER - $45,531 KEVIN TRIMBLE - $308,264 JEFFREY EYE - $41,349 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 EXECUTIVES. 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. PART II GINA LAWSON AND MICHELLE DEW DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZTION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR DON SIPES AND JULIA WOODS IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. JULIE MURPHY RECEIVED COMPENSATION FROM THE FILING ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND OTHER RELATED ORGANIZATIONS. MATTHEW WENZEL AND AMY BRUMMER RECEIVED COMPENSATION FROM THE FILING ORGANIZATION FOR THE PORTION OF THE YEAR EACH WORKED FOR THE FILING ORGANIZATION. COMPENSATION THEY RECIEVED FROM RELATED ORGANIZATIONS WAS FOR SERVICES PROVIDED TO THE RELATED ORGANIZATIONS BEFORE EMPLOYMENT BY THE FILING ORGANIZATION. DON SIPE'S COMPENSATION INCLUDES PAYOUT OF PREVIOUSLY DEFERRED COMPENSATION. FORM 990, PART V, LINE 1A, NUMBER REPORTED IN BOX 3 OF FORM 1096 SAINT LUKE'S NORTHLAND HOSPITAL CORPORATION (SLNH) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLNH VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. 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 FURTHER INVESTIGATES POSSIBLE CONFLICTS OF INTEREST. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND ANY IDENTIFIED CONFLICT OF INTEREST IS REPORTED TO THE APPLICABLE ENTITY. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVES. 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 MO SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE ATTACHED TO THIS RETURN. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. PART VII, COLUMN E GINA LAWSON AND MICHELLE DEW 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. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR DON SIPES AND JULIA WOODS IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. JULIE MURPHY, MATTHEW WENZEL, AND AMY BRUMMER RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND OTHER RELATED ORGANIZATIONS. FORM 990, PART X, BALANCE SHEET, LINE 20, TAX EXEMPT BOND LIABILITIES THE AMOUNT REPORTED AS TAX-EXEMPT BONDS IS THE PORTION OF SAINT LUKE'S HEALTH SYSTEM BONDS ALLOCATED TO SAINT LUKE'S NORTHLAND HOSPITAL. REQUIRED INFORMATION FOR THE BONDS, INCLUDING SCHEDULE K, IS REPORTED IN THE SAINT LUKE'S HEALTH SYSTEM (EIN: 43-1747502) IRS FORM 990. FORM 990, PART XI, LINE 9: PENSION SETTLEMENT/LIABILITY TRANSFER TO SAINT LUKE'S HEALTH SYSTEM -165,645. CHANGE IN INTEREST IN ASSETS OF THE FOUNDATION -16,066. ROUNDING -1. PRIOR YR ADJ FOR TRANSFER OF DISREGARDED ENTITY TO AFFIL TAX EXEMPT ENTITY -1,611,774. SAINT LUKES HEALTH SYSTEM 901 E 104TH ST KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501(C)(3) 509A3 - TYPE III FIS 0 SAINT LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES SOUTH HOSPITAL INC 12300 METCALF AVE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES EAST HOSPITAL 100 NE ST LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES MEDICAL GROUP 901 E 104TH ST KANSAS CITY MO 64131 431598353 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 CRITTENTON 10918 ELM AVE KANSAS CITY MO 64134 440545808 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE 3100 BROADWAY SUITE 1000 KANSAS CITY MO 64111 431127200 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES HOSPITAL OF TRENTON 191 IOWA BLVD TRENTON MO 64683 431707306 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 CABOT WESTSIDE HEALTH CENTER 901 E 104TH ST KANSAS CITY MO 64131 440546280 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 MIDWEST EAR INSTITUTE INC 4320 WORNALL ROAD STE 420 KANSAS CITY MO 64111 480905027 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HOSPITAL 0 SAINT LUKES HOSPITAL OF CHILLICOTHE 2799 N WASHINGTON CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES CUSHING HOSPITAL 711 MARSHALL LEAVENWORTH KS 66048 480543792 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES CARE 901 E 104TH ST KANSAS CITY MO 64131 260185090 HEALTH CARE MO 501(C)(3) 509A3 - TYPE II SAINT LUKES HEALTH SYSTEM 0 MEDICAL PLAZA IMAGING ASSOCIATES LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 431609584 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES COLLEGE OF HEALTH SCIENCES 624 WESTPORT ROAD KANSAS CITY MO 64111 272716128 POST SECONDARY NURSING EDUCATION MO 501(C)(3) 170B1AII SAINT LUKES HOSPITAL 0 SLCC INC 4330 WORNALL ROAD SUITE 2000 KANSAS CITY MO 64111 271994652 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SLNC INC 901 E 104TH ST KANSAS CITY MO 64131 451470888 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 ADVANCED UROLOGIC ASSOCIATES 901 E 104TH ST KANSAS CITY MO 64131 454725529 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 ROCKHILL ORTHOPAEDIC SPECIALISTS INC 901 E 104TH ST KANSAS CITY MO 64131 453851008 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 MEDICAL PLAZA PARTNERS LP 4320 WORNALL RD SUITE 714 KASAS CITY MO 64111 431357824 OWN AND OPERATE MEDICAL OFFICE BUILDING MO N/A ST LUKE'S SURGICENTER-LEE'S SUMMIT LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 470853481 HEALTH CARE MO N/A SAINT LUKE'S SOUTH SURGERY CENTER LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 201721929 HEALTH CARE KS N/A SAINT LUKE'S-GI DIAGNOSTICS LLC 4321 WASHINGTON SUITE 5700 KANSAS CITY MO 64111 274142549 HEALTH CARE MO N/A KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 3651 COLLEGE BLVD LEAWOOD KS 66211 481197295 HEALTH CARE KS N/A SAINT LUKE'S HEALTH SYSTEM RISK RETENTION GROUP 901 E 104TH ST KANSAS CITY MO 64131 371471890 INSURANCE SC N/A C 0 ST LUKE'S HEALTH VENTURES INC 901 E 104TH ST KANSAS CITY MO 64131 431278476 ACCOUNTING MO N/A C 0 MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL RD SUITE 714 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MANAGEMENT MO N/A C 0 VENTURE FINANCIAL SERVICES INC 6158 RAYTOWN TRAFFICWAY RAYTOWN MO 64133 431605740 COLLECTIONS MO N/A C 0 SAINT LUKE'S HEALTH SYSTEM INSURANCE LTD 113 SOUTH CHURCH ST GEORGETOWN CJ CAPTIVE INSURANCE CJ N/A C 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 SCHEDULE R, PART V, LINE 1, TRANSACTIONS WITH RELATED ORGANIZATIONS SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS.