2016-11-15T10:32:23-06:00 2015-12-31 990 2015-01-01 480543792 SAINT LUKES CUSHING HOSPITAL INC SAIN 9136841100 711 MARSHALL STREET LEAVENWORTH KS 66048 JULIE MURPHY CHIEF FINANCIAL OFFICER 9136841100 2016-11-15 2015 2017-02-10 21:41:12Z ADELE DUCHARME 711 MARSHALL STREET LEAVENWORTH KS 66048 36715343 0 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1930 KS FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL 7 3 284 130 19944 -13426 38941863 11010014 24050595 25411624 32421 -6297 4023 1487 63028902 36416828 3134533 3766318 0 0 14740561 13174865 0 0 0 16431930 17185570 34307024 34126753 28721878 2290075 26765584 27545078 12499564 11047044 14266020 16498034 X SAINT LUKE'S CUSHING 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 THE SAINT LUKE'S HEALTH SYSTEM, WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. 0 0 29357583 3766318 25391680 AS A VOLUNTARY, NONPROFIT ORGANIZATION, SAINT LUKE'S CUSHING HOSPITAL IS COMMITTED TO SERVING ALL WHO SEEK OUR SERVICES REGARDLESS OF THEIR SOCIOECONOMIC STATUS. THE HOSPITAL PARTICIPATES IN THE MEDICAID, TRICARE, AND MEDICARE PROGRAMS AND HAS A FINANCIAL ASSISTANCE POLICY FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. 29357583 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 X 1 0 1 284 1 1 1 0 0 0 0 0 0 0 0 0 X 7 3 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X THE ORGANIZATION 9136841100 711 MARSHALL STREET LEAVENWORTH KS 66048 X JULIE ANDERSON DIRECTOR 1.00 X 0 0 0 MICHAEL CROW DIRECTOR-CHAIRMAN 1.00 X X 0 0 0 CAROL MEYER DIRECTOR-SECRETARY/TREASUR 1.00 50.00 X X 0 318779 42362 RITA SWANN DIRECTOR-VICE CHAIR 1.00 X X 0 0 0 JOHN PETERSON DIRECTOR 1.00 X 0 0 0 DON SIPES DIRECTOR-PRESIDENT 1.00 50.00 X X 0 622712 41838 JULIE MURPHY DIRECTOR & CFO 20.00 30.00 X X 0 278545 48993 ADELE DUCHARME CEO 50.00 X 277154 0 37563 KARIN SUNDBLOM CNO 50.00 X 115630 0 31625 DINH NGUYEN PHARMACIST 40.00 X 127089 0 13636 BROOKE LARDNER ULTRASOUND TECHNOLOGIST 40.00 X 102351 0 26420 TIMMY MAYNARD REGISTERED NURSE 40.00 X 101375 0 4742 ROBERT KATZENBERGER MGR-PHARMACY 40.00 X 140314 0 25141 863913 1220036 272320 6 0 1 0 J E DUNN CONSTRUCTION CO INC 1001 LOCUST KANSAS CITY MO 64106 CONSTRUCTION 4207233 EMERGENCY MEDICAL SERVICES KS LLC 920 MAIN STREET SUITE 300 KANSAS CITY MO 64105 EMERGENCY ROOM PHYSICIANS 950306 P1 GROUP INC 16210 W 108TH ST LENEXA KS 66219 MAINTENANCE SERVICES 500483 HEARTLAND ANESTHESIA LLC PO BOX 410272 KANSAS CITY MO 64141 ANESTHESIA SERVICES 441478 CLINICAL COLLEAGUES INC PO BOX 824246 PHILADELPHIA PA 19182 ANESTHESIA SERVICES 252105 8 500 11000000 5500 4014 11010014 NET PATIENT REVENUE 622110 23955260 23955260 EHR MEANINGFUL USE FDS 622110 480185 480185 MEDICAL OFFICE RENTS 531120 478874 478874 REGIONAL LAB 541380 326792 306848 19944 OTHER PROGRAM SERVICES 622110 170513 170513 25411624 30047 30047 1487 1487 262171 298515 -36344 -36344 -36344 36416828 25391680 19944 -4810 X 3759318 3759318 7000 7000 461970 461970 10271522 9328558 942964 388182 322103 66079 1262344 1095443 166901 790847 687331 103516 495 495 4667512 4354470 313042 2026 1575 451 789486 650783 138703 194690 22503 172187 718919 672623 46296 44847 34467 10380 18306 6892 11414 53050 45636 7414 1737089 1641803 95286 -29716 -39805 10089 SHARED SERVICES-SLHS 3417208 1224850 2192358 MEDICAL SUPPLIES 2968534 2962658 5876 BAD DEBT 1838458 1838458 SWAP RELATED COSTS 218437 195772 22665 546229 545145 1084 34126753 29357583 4769170 0 3125338 1237432 271151 266184 2611912 2632432 631061 782571 45075 100251 32421253 15501235 14703986 16920018 481617 499862 324813 305540 2500 3032 4568131 4797756 26765584 27545078 3211941 2004035 9287623 9043009 12499564 11047044 X 11831931 14062387 2409731 2411288 24358 24359 14266020 16498034 26765584 27545078 X 2290075 -28429 -29632 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 17525 0 0 0 17525 0 PART II-B, LINE 1: LINE F: PORTION OF DUES PAID TO HEALTH CARE RELATED ASSOCIATIONS, THE MAJORITY OF WHICH WAS PAID TO THE KANSAS HOSPITAL ASSOCIATION, USED FOR LOBBYING ACTIVITIES. 99003 13750 155 8100 9699 95109 96938 13350 152 1600 9837 99003 100503 5950 321 1000 8836 96938 89386 19100 17 2000 6000 100503 89127 8550 215 1500 7006 89386 0.99000 0.01000 1 0 20000 263519 283519 19410583 7132786 12277797 11854016 7584334 4269682 873135 784115 89020 16920018 OTHER RECEIVABLES 708788 FIN 45 PHYSICIAN GUARANTEE 1641000 DUE FROM AFFILIATES 107429 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 2340539 4797756 PAYABLE TO AFFILIATES 322821 OTHER NONCURRENT LIABILITIES 239731 RESERVE FOR SELF INSURED RISKS 466000 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 70910 LONG TERM DEBT TO ST LUKES HEALTH SYSTEM 6302547 FIN 45 PHYSICIAN GUARANTEE 1641000 9043009 PART V, LINE 4: THE INTENDED USE OF ENDOWMENT FUNDS INCLUDES BUT IS NOT LIMITED TO THE GENERAL OPERATIONS OF THE HOSPITAL AND CAPITAL EQUIPMENT PURCHASES FOR THE HOSPITAL. THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENTS THE ORGANIZATION'S BENEFICIAL INTEREST IN THE ASSETS OF SAINT LUKE'S CUSHING FOUNDATION. SUCH ASSETS ARE REPORTED IN FORM 990, PART X, BALANCE SHEET, LINE 15. SCHEDULE D, PARTS XI AND XII 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 1457948 1457948 0.04520 3534789 2619397 915392 0.02840 4992737 2619397 2373340 0.07360 36011 36011 0.00110 96220 96220 0.00300 4811202 2249587 2561615 0.07930 11004 11004 0.00030 4954437 2249587 2704850 0.08370 9947174 4868984 5078190 0.15730 833 833 0.00000 3354 3354 0.00010 14203 14203 0.00040 18390 18390 0.00050 0 1838458 5812580 8434803 -2622223 X 1 1 1 1 SAINT LUKES CUSHING HOSPITAL INC 711 MARSHALL STREET LEAVENWORTH KS 66048 H-052-001 X X X SAINT LUKES CUSHING HOSPITAL INC 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1 15 1 WWW.SAINTLUKESHEALTHSYSTEM.ORG 0 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 CUSHING HOSPITAL INC PART V, SECTION B, LINE 5: COMMUNITY PERSPECTIVES ON HEALTH WERE GATHERED THROUGH INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. INTERVIEW QUESTIONNAIRES THAT WERE CUSTOMIZED TO VARIOUS STAKEHOLDERS (PHYSICIANS, COMMUNITY, PUBLIC HEALTH, SCHOOL NURSES, BUSINESS COMMUNITY) WERE DEVELOPED TO CAPTURE QUALITATIVE AND QUANTITATIVE RESPONSES. STAKEHOLDERS WERE ASKED TO DESCRIBE THE CURRENT HEALTH CARE STATE OF LEAVENWORTH COUNTY AND EXPLAIN ANY VULNERABILITY IN THE HEALTH CARE SERVICES PROVIDED. THE KEY CONTRIBUTORS INCLUDE:SAINT LUKE'S CUSHING HOSPITAL LEADERSHIPINTERFAITH SHELTER OF HOPELEAVENWORTH COUNTY EMERGENCY MEDICAL SERVICESLEAVENWORTH COUNTY HEALTH DEPARTMENTSAINT VINCENT CLINICALLIANCE AGAINST FAMILY VIOLENCETHE GUIDANCE CENTERLEAVENWORTH COUNTY COUNCIL ON AGINGSAINT JOHN HOSPITAL SAINT LUKES CUSHING HOSPITAL INC PART V, SECTION B, LINE 11: ALONG WITH THE SPECIFIC PROGRAMS DETAILED BELOW, SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO MEET COMMUNITY NEEDS BY PROVIDING LEAVENWORTH AND SURROUNDING COMMUNITIES WITH A BROAD RANGE OF ESSENTIAL HEALTH CARE SERVICES.PRIORITY NEEDS:1. BEHAVIORAL HEALTH CARE:AT SAINT LUKE'S CUSHING HOSPITAL, RESIDENTS IN CRISIS ARE SCREENED BY A MENTAL HEALTH PROFESSIONAL EITHER IN PERSON OR THROUGH THE SAINT LUKE'S HEALTH SYSTEM BEHAVIORAL ACCESS CENTER USING TELEMEDICINE EQUIPMENT. THE SCREENING IS TO DETERMINE THE APPROPRIATE LEVEL OF SERVICES, EITHER INPATIENT OR OUTPATIENT TREATMENT NECESSARY TO CARE FOR THE INDIVIDUAL IN CRISIS.SAINT LUKE'S CUSHING HOSPITAL IS DEVELOPING A RELATIONSHIP WITH SAINT LUKE'S NORTH PSYCHIATRIC SERVICES TO PROVIDE INPATIENT PSYCHIATRIC CONSULTS AND MEDICATION MANAGEMENT VIA TELEMEDICINE EQUIPMENT. THIS PROGRAM WILL BE IMPLEMENTED IN 2016. IN 2016, SAINT LUKE'S CUSHING HOSPITAL WILL BE INITIATING AN EDUCATIONAL SERIES "CHRONIC DISEASE MANAGEMENT EDUCATION" IN COLLABORATION WITH THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT. APPROPRIATE PATIENTS AS IDENTIFIED BY THEIR PHYSICIAN WILL BE INVITED TO PARTICIPATE. THE HOSPITAL WILL ALSO CONTINUE TO WORK WITH COMMUNITY PARTNERS SUCH AS THE GUIDANCE CENTER TO ADDRESS THIS ONGOING NEED.2. CARDIOVASCULAR DISEASE:SAINT LUKE'S CUSHING HOSPITAL PROVIDES CARDIOVASCULAR CARE TO ADDRESS A RANGE OF HEART CONDITIONS INCLUDING CARDIOVASCULAR DISEASE. SAINT LUKE'S CARDIOVASCULAR CONSULTANTS PROVIDE 24/7 COVERAGE TO THE HOSPITAL'S INPATIENTS WHILE ALSO SEEING PATIENTS AT THEIR LEAVENWORTH CLINIC FIVE DAYS PER WEEK.SAINT LUKE'S CUSHING HOSPITAL'S CARDIOVASCULAR SERVICES INCLUDE: CARDIAC REHABILITATION; CONSULTATIONS AND SECOND OPINIONS; DIAGNOSTIC STRESS TESTS AND ECHOCARDIOGRAMS; HEART FAILURE MANAGEMENT; LIFESAVING EMERGENCY DEPARTMENT PROTOCOLS; PACEMAKER AND OTHER DEVICE CHECKS; PERIPHERAL VASCULAR EVALUATIONS; AND PREVENTIVE CARDIOLOGY AND LIPID MANAGEMENT.SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO PROVIDE CARDIOVASCULAR SERVICES TO THE COMMUNITY INCLUDING SUBSPECIALTY EXPERTISE TO MEET THE NEEDS OF COMMUNITY MEMBERS.IN 2016, SAINT LUKE'S CUSHING HOSPITAL WILL BE INITIATING AN EDUCATIONAL SERIES "CHRONIC DISEASE MANAGEMENT EDUCATION" IN COLLABORATION WITH THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT. APPROPRIATE PATIENTS, AS IDENTIFIED BY THEIR PHYSICIAN, WILL BE INVITED TO PARTICIPATE.3. DIABETES:ACCORDING TO THE CHNA PREPARED FOR SAINT LUKE'S CUSHING HOSPITAL, THERE EXISTS A NEED TO REDUCE THE DISEASE AND ECONOMIC COSTS OF DIABETES AND IMPROVE THE QUALITY OF LIFE FOR ALL PERSONS WHO HAVE, OR ARE AT RISK FOR THE DISEASE. SAINT LUKE'S CUSHING HOSPITAL PROVIDES ACCESS TO A CERTIFIED DIABETES PROGRAM THAT INCLUDES A FULL TEAM OF DIABETES AND ENDOCRINOLOGY EXPERTS - INCLUDING ENDOCRINOLOGISTS, CERTIFIED DIABETES EDUCATORS, AND REGISTERED DIETITIANS. THE INTEGRATED TEAM AT SAINT LUKE'S CUSHING HOSPITAL COLLABORATES WITH PRIMARY CARE PHYSICIANS AND WITH SPECIALISTS TO TREAT CONDITIONS RANGING FROM THYROID CANCER TO CARDIOVASCULAR ISSUES RELATED TO DIABETES AND ENDOCRINE DISORDERS.SAINT LUKE'S CUSHING 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 CUSHING HOSPITAL WILL CONTINUE TO COLLABORATE WITH THE AMERICAN DIABETES ASSOCIATION AND THE KANSAS CITY REGIONAL ASSOCIATION OF DIABETES EDUCATORS.IN 2016, SAINT LUKE'S CUSHING HOSPITAL WILL BE INITIATING AN EDUCATIONAL SERIES "CHRONIC DISEASE MANAGEMENT EDUCATION" IN COLLABORATION WITH THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT.APPROPRIATE PATIENTS AS IDENTIFIED BY THEIR PHYSICIAN WILL BE INVITED TO PARTICIPATE.4. ACCESS TO CARE:BECAUSE OF ITS ALL-INCLUSIVE NATURE, HEALTH CARE ACCESS IS IDENTIFIED AS THE OVERARCHING HEALTH NEED WITHIN SAINT LUKE'S CUSHING HOSPITAL'S COMMUNITY.SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO ACCEPT KANSAS MEDICAID. SAINT LUKE'S HEALTH SYSTEM WILL CONTINUE TO ADVOCATE ON KEY HEALTH POLICY ISSUES AT THE STATE AND NATIONAL LEVEL, INCLUDING MEDICAID REFORM, ACCESS TO CARE, AND HEALTH CARE FINANCING FOR THE LOW-INCOME POPULATION.LEAVENWORTH COUNTY IS FACING A SHORTAGE IN PRIMARY CARE SERVICES. SINCE PRIMARY CARE PROVIDERS OFTEN ACT AS THE FIRST POINT OF CONSULTATION FOR PATIENTS, PRIMARY CARE OFTEN PLAYS A CENTRAL ROLE IN THE LOCAL COMMUNITY. WITHOUT ANY OTHER RESOURCES, PATIENTS WITHIN THE COMMUNITY OFTEN SEEK SERVICES FROM THE HOSPITAL AS A MAIN SOURCE OF PRIMARY CARE. AS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM, SAINT LUKE'S CUSHING HOSPITAL HAS THE ABILITY TO CONNECT LOCAL PATIENTS WITH A RANGE OF HIGHLY TRAINED PHYSICIAN SPECIALISTS. 5. THE INCREASING NEEDS OF AN AGING POPULATION:OLDER ADULTS ARE AMONG THE FASTEST GROWING AGE GROUPS IN LEAVENWORTH COUNTY AND IN THE UNITED STATES. CHRONIC CONDITIONS AND COMORBIDITIES COMMON TO AN AGING POPULATION ARE SEEN IN LEAVENWORTH COUNTY'S HEALTH OUTCOMES, SUCH AS HYPERTENSION, HEART DISEASE, AND STROKE MORTALITY. THE HEALTH NEEDS OF A GROWING AGING POPULATION SHOULD BE CONSIDERED A PRIORITY HEALTH NEED FOR THE LEAVENWORTH COMMUNITY.SAINT LUKE'S CUSHING HOSPITAL CURRENTLY OFFERS A RANGE OF HEALTH SERVICES AVAILABLE TO THE OLDER POPULATION. THE HOSPITAL WILL CONTINUE TO OFFER SERVICES AIMED AT SUPPORTING THE CHRONIC CONDITIONS INCLUDING DIABETES, HYPERTENSION, HEART DISEASE, AND STROKE. SAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO WORK WITH OTHER PROVIDERS AND SOCIAL SERVICE ORGANIZATIONS IN THE COMMUNITY TO INCREASE SUPPORT TO THIS POPULATION, INCLUDING THE LEAVENWORTH COUNTY COUNCIL ON AGING.IN 2016, SAINT LUKE'S CUSHING HOSPITAL WILL BE INITIATING AN EDUCATIONAL SERIES "CHRONIC DISEASE MANAGEMENT EDUCATION" IN COLLABORATION WITH THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT. APPROPRIATE PATIENTS AS IDENTIFIED BY THEIR PHYSICIAN WILL BE INVITED TO PARTICIPATE.THERE ARE NO NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT ARE NOT BEING ADDRESSED. SAINT LUKES CUSHING HOSPITAL 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. SAINT LUKES CUSHING HOSPITAL INC PART V, SECTION B, LINE 20E: SEE RESPONSE TO LINE 16I. PART V, SECTION B, LINE 6 AS PERMITTED BY IRS TRANSITION RULES, THE ORGANIZATION ADOPTED ITS IMPLEMENTATION STRATEGY BY MAY 15, 2016 AND THEREFORE IS DEEMED TO SATISFY THE REQUIREMENT TO ADOPT THE STRATEGY IN THE SAME YEAR THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE, 2015. PART I, LINE 7: COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO FROM THE ORGANIZATION'S COST REPORT. PART I, LINE 7G: SUBSIDIZED SERVICES INCLUDE UNPAID COST OF PROVIDING SERVICES TO THE LOCAL MILITARY COMMUNITY, RELIEVING GOVERNMENT BURDEN. 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 $ 1,838,458. PART II, COMMUNITY BUILDING ACTIVITIES: SAINT LUKES CUSHING HOSPITAL INC SPONSORS OR PARTICIPATES IN MANY COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF OUR COMMUNITY. ACTIVE PARTICIPATION IN MANY COMMUNITY ORGANIZATIONS INCLUDE LEAVENWORTH COUNTY DEVELOPMENT CORPORATION, CHAMBER OF COMMERCE, ROTARY, KANSAS HOSPITAL ASSOCIATION, MILITARY AFFAIRS COUNCIL AND EDUCATION FOUNDATIONS. WE ENCOURAGE OUR EMPLOYEES TO SERVE ON COMMUNITY BOARDS AND VOLUNTEER FOR ACTIVITIES THAT PROMOTE HEALTH IN THE COMMUNITY. 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 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 SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.THE AMOUNT OF BAD DEBT REPORTED IN THIS 990 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 VI, LINE 2: THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS. THE HOSPITAL OBTAINS HIDI MARKET DATA AND OTHER OUTPATIENT MARKET DATA. WITH THIS DATA, THE HOSPITAL IDENTIFIES SERVICES RECEIVED BY THE RESIDENTS OF OUR COMMUNITY (DEFINED BY OUR PRIMARY AND SECONDARY SERVICE AREAS). ANY PREDOMINANT SERVICES NOT CURRENTLY OFFERED BY THE HOSPITAL ARE CONSIDERED AND EVALUATED FOR SUSTAINABILITY.ANOTHER ELEMENT OF THE COMMUNITY ASSESSMENT CONSISTS OF MEETINGS WITH VARIOUS COMMUNITY ORGANIZATIONS SUCH AS FORT LEAVENWORTH, CARITAS CLINICS, SISTER'S OF CHARITY, CHAMBER OF COMMERCE, AND LEAVENWORTH COUNCIL ON ECONOMIC DEVELOPMENT. THE HOSPITAL ALSO GATHERS INFORMATION THROUGH TOWN HALL MEETINGS WITH STAFF, MEETINGS WITH PHYSICIANS, HOSPITAL BOARD OF DIRECTORS AND THE COMMUNITY ADVISORY COUNCIL. THROUGH FEEDBACK FROM THESE MEETINGS, COMMUNITY NEEDS ARE COMMUNICATED TO THE HOSPITAL AND CONSIDERED. PART VI, LINE 3: SEE RESPONSE TO PART V, LINE 16I. PART VI, LINE 4: SAINT LUKES CUSHING HOSPITAL INC IS LOCATED IN LEAVENWORTH COUNTY, KANSAS. LOCATED IN NORTHEAST KANSAS, LEAVENWORTH COUNTY SITS ADJACENT TO THE MISSOURI BORDER. ACCORDING TO THE U.S. CENSUS BUREAU, THE COUNTY COVERS 462.83 SQUARE MILES. THE COUNTY BOUNDARIES SIT AMIDST THE EASTERN AND WESTERN HILLS ALONG THE MISSOURI RIVER AND THE EXPANSIVE PRAIRIE OF WESTERN KANSAS. PART VI, LINE 5: THE BOARD OF DIRECTORS CONSISTS OF MEDICAL PROFESSIONALS, BUSINESS PROFESSIONALS AND ACTIVE COMMUNITY MEMBERS, NEARLY ALL OF WHOM RESIDE OR PRACTICE IN THE COMMUNITY, PLUS REPRESENTATIVES FROM SAINT LUKE'S HEALTH SYSTEM. THE BOARD IS INVOLVED IN THE PLANNING AND COMMUNITY ASSESSMENT PROCESSES. THE MEDICAL STAFF IS OPEN FOR NEARLY ALL SPECIALTIES AND PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.SAINT LUKES CUSHING HOSPITAL INC DONATES LABORATORY, RADIOLOGY, AND, AT TIMES, SURGERY SERVICES TO PATIENTS OF SAINT VINCENT'S CLINIC, WHICH PROVIDES PRIMARY HEATH CARE SERVICES TO THE UNINSURED POOR OF LEAVENWORTH COUNTY.THE HOSPITAL ALSO PROVIDES SCHOLARSHIPS TO LOCAL STUDENTS INTERESTED IN PURSUING A DEGREE IN HEALTH CARE. IN ADDITION, MANY HOURS ARE DONATED BY STAFF IN ON-THE-JOB EDUCATION OF STUDENTS IN LOCAL COLLEGE HEALTH CARE CURRICULUM. 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 LUKES MEDICAL GROUP (501C3 AFFILIATE) 901 E 104TH ST KANSAS CITY MO 64131 431598353 501(C)(3) 2475294 SUPPORT HEALTHCARE SERVICES IN LEAVENWORTH SAINT LUKE'S PHYSICIAN SPECIALISTS LLC (501C3 AFFILIATE) 4401 WORNALL ROAD KANSAS CITY MO 64111 760820877 501(C)(3) 1278368 SUPPORT FOR HEALTHCARE SERVICES IN LEAVENWORTH SUPPORT HEALTHCARE SERVICES IN LEAVENWORTH 2 0 SCHOLARSHIPS TO STUDENTS IN HEALTHCARE FIELD 7 7000 PART I, LINE 2: GRANTS ARE 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 THE ORGANIZATION. 0 0 0 0 0 0 0 1 0 CAROL MEYER DIRECTOR-SECRETARY/TREASUR 0 231962 0 50965 0 35852 0 39761 0 2601 0 361141 0 17840 DON SIPES DIRECTOR-PRESIDENT 0 271642 0 60644 0 290426 0 21200 0 20638 0 664550 0 263905 JULIE MURPHY DIRECTOR & CFO 0 221912 0 35652 0 20981 0 38512 0 10481 0 327538 0 16640 ADELE DUCHARME CEO 205649 0 48893 0 22612 0 27911 0 9652 0 314717 0 14800 0 ROBERT KATZENBERGER MGR-PHARMACY 137224 0 0 0 3090 0 7083 0 18058 0 165455 0 0 0 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 1, LINE 3 ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND CFO. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA. SCHEDULE J, PART II AND 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. JULIE MURPHY RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND OTHER RELATED ORGANIZATIONS. DON SIPES COMPENSATION INCLUDES PAYOUT OF PREVIOUSLY DEFERRED COMPENSATION. H&P DEVELOPMENT LLC ENTITY MORE THAN 35% OWNED BY JOHN PETERSON, DIRECTOR 250000 SALE OF REAL ESTATE TO H&P DEVELOPMENT LLC. THE SALES PRICE WAS AT FAIR MARKET VALUE BASED ON AN INDEPENDENT APPRAISAL. THE TRANSACTION WAS APPROVED BY THE BOARD OF DIRECTORS. 0 PART V, LINE 1A, NUMBER REPORTED IN BOX 3 OF FORM 1096 SAINT LUKES CUSHING HOSPITAL INC IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SAINT LUKE'S CUSHING HOSPITAL'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. DON SIPES AND JULIE MURPHY 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. 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 IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE MADE AVAILABLE TO THE PUBLIC THROUGH EMMA AND ARE ATTACHED TO THIS RETURN. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. PART VI, SECTION A, LINE 1B, NUMBER OF INDEPENDENT VOTING MEMBERS THE ORGANIZATION IS DEEMED TO HAVE A COMMUNITY BOARD BY VIRTUE OF ITS RELATIONSHIP WITH ITS SOLE MEMBER, SAINT LUKE'S HEALTH SYSTEM, INC. (SLHS). SLHS IS A 501(C)(3) ORGANIZATION GOVERNED BY A BOARD OF DIRECTORS, A MAJORITY OF WHOM ARE EXTERNAL, INDEPENDENT PERSONS. FORM 990, PART VII, COLUMN E 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. JULIE MURPHY RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND OTHER RELATED ORGANIZATIONS. FORM 990, PART IX, LINE 11G PHYSICIAN REMUNERATION: PROGRAM SERVICE EXPENSES 1,983,547. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,983,547. OTHER SERVICES: PROGRAM SERVICE EXPENSES 487,894. MANAGEMENT AND GENERAL EXPENSES 152,963. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 640,857. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 263,628. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 263,628. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 636,748. MANAGEMENT AND GENERAL EXPENSES 46,622. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 683,370. MAINTENANCE AND REPAIRS: PROGRAM SERVICE EXPENSES 982,653. MANAGEMENT AND GENERAL EXPENSES 113,457. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,096,110. FORM 990, PART XI, LINE 9: PENSION SETTLEMENT/LIABILITY TRANSFER TO SLHS -35,085. BENEFICIAL INTEREST IN ASSETS OF CUSHING HOSPITAL FOUNDATION 5,453. FORM 990, PART XII, LINE 2C SAINT LUKES CUSHING HOSPITAL INC IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE HOSPITAL'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT ON A CONSOLIDATED BASIS. SAINT LUKE'S HEALTH SYSTEM HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THERE ARE NO CHANGES TO THE OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. SAINT LUKES HEALTH SYSTEM 901 E 104TH ST KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501(C)(3) 509A3 - TYPE III, FI 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 INC 0 SAINT LUKES NORTHLAND HOSPITAL CORPORATION 601 SOUTH 169 HWY SMITHVILLE MO 64089 440565393 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 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 INC 0 SAINT LUKES EAST HOSPITAL 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 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 INC 0 CRITTENTON 10918 ELM AVENUE KANSAS CITY MO 64134 440545808 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 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 INC 0 ST LUKES OF TRENTON 191 IOWA BLVD TRENTON MO 64683 431707306 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 CABOT WESTSIDE HEALTH CENTER 901 E 104TH ST KANSAS CITY MO 64131 440546280 HEALTH CARE MO 501(C)(3) 170B1AVI SAINT LUKES HEALTH SYSTEM INC 0 MIDWEST EAR INSTITUTE INC 4320 WORNALL ROAD STE 420 KANSAS CITY MO 64111 480905027 HEALTH CARE KS 501(C)(3) 170B1AIII ST LUKES HOSPITAL OF KANSAS CITY 0 SAINT LUKES HOSPITAL OF CHILLICOTHE 2799 N WASHINGTON CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES CARE 901 E 104TH ST KANSAS CITY MO 64131 260185090 HEALTH CARE MO 501(C)(3) 509(A)(3) - TYPE II SAINT LUKES HEALTH SYSTEM INC 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 INC 0 SAINT LUKES COLLEGE OF HEALTH SCIENCES 624 WESTPORT ROAD KANSAS CITY MO 64111 272716128 POST-SECONDARY NURSING EDUCATION MO 501(C)(3) 170B1AII ST LUKES HOSPITAL OF KANSAS CITY 0 SLCC INC 4330 WORNALL ROAD STE 2000 KANSAS CITY MO 64111 271994652 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SLNC INC 901 E 104TH ST KANSAS CITY MO 64131 451470888 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 ADVANCED UROLOGIC ASSOCIATES INC 901 E 104TH ST KANSAS CITY MO 64131 454725529 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 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 INC 0 MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD SUITE 714 KANSAS CITY MO 64111 431357824 OWN AND OPERATE MEDICAL OFFICE BUILDING MO N/A ST LUKES SURGICENTER-LEES SUMMIT LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 470853481 HEALTH CARE MO N/A SAINT LUKES SOUTH SURGERY CENTER LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 201721929 HEALTH CARE KS N/A SAINT LUKES-GI DIAGNOSTICS LLC 4321 WASHINGTON STE 5700 KANSAS CITY MO 64111 274142549 HEALTH CARE MO N/A KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 3651 COLLEGE BLVD LEAWOOD KS 66211 481197295 HEALTH CARE KS N/A SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP 901 E 104TH ST KANSAS CITY MO 64131 371471890 INSURANCE SC N/A C 0 ST LUKES HEALTH VENTURES INC 901 E 104TH ST KANSAS CITY MO 64131 431278476 ACCOUNTING MO N/A C 0 MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL ROAD SUITE 714 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MANAGEMENT MO N/A C 0 VENTURE FINANCIAL SERVICES INC 9500 E 63RD STREET SUITE 202 RAYTOWN MO 64133 431605740 COLLECTIONS MO N/A C 0 SAINT LUKES HEALTH SYSTEM INSURANCE LTD 113 SOUTH CHURCH STREET GEORGETOWN CJ CAPTIVE INSURANCE CJ N/A C 0 0 1 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 0 0 SCHEDULE R, PART V, LINE 1 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.