SAINT LUKES HOSPITAL OF TRENTON: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SAINT LUKES HOSPITAL OF TRENTON (EIN 43-1707306)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-16
- IRS object ID
- 201513209349302841
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-16T10:04:59-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431707306 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKES OF TRENTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STLU | BusinessNameControlTxt |
| Phone | 6603595621 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 IOWA BLVD | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64683 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANET BUCKMAN | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 6603595621 | PhoneNum |
| Signature | 2015-11-16 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRIGHT MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GARY JORDAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 IOWA BLVD | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $29,188,844 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAINTLUKESHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | CRITICAL ACCESS HOSPITAL | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 227 | TotalEmployeeCnt |
| Total Volunteers | 21 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $156,279 | PYContributionsGrantsAmt |
| CY Contributions Grants | $50,604 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $28,289,182 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,107,135 | CYProgramServiceRevenueAmt |
| PY Investment Income | $802 | PYInvestmentIncomeAmt |
| CY Investment Income | $31,105 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $28,446,263 | PYTotalRevenueAmt |
| CY Total Revenue | $29,188,844 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,967 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,201 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,554,486 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,943,407 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $77,828 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,888,850 | PYOtherExpensesAmt |
| CY Other Expenses | $16,588,678 | CYOtherExpensesAmt |
| PY Total Expenses | $27,446,303 | PYTotalExpensesAmt |
| CY Total Expenses | $28,538,286 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $999,960 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $650,558 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,009,282 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,868,810 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,004,334 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,351,541 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,004,948 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,517,269 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WRIGHT MEMORIAL HOSPITAL IS A FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE AND HEALTH RELATED SERVICES IN A CARING ENVIRONMENT. AS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $24,022,030 | ExpenseAmt |
| Grant | $6,201 | GrantAmt |
| Revenue | $29,107,135 | RevenueAmt |
| Desc | SAINT LUKE'S HOSPITAL OF TRENTON OPERATES AN ACUTE CARE HOSPITAL IN RURAL MISSOURI AND IS DESIGNATED BY THE STATE OF MISSOURI AND MEDICARE AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL IS DEDICATED TO PROVIDING BOTH SERVICES AND LEADERSHIP IN CARING FOR THE NEEDY. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS A FINANCIAL ASSISTANE POLICY FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. THE HOSPITAL ENCOURAGES PHYSICIANS PRACTICING IN SPECIALTY AREAS TO PROVIDE SERVICES TO THE HOSPITAL'S RURAL PATIENTS WHO OTHERWISE WOULD HAVE DIFFICULTY ACCESSING SUCH SPECIALTY SERVICES. THE HOSPITAL CONDUCTS COMMUNITY EDUCATION AND OUTREACH SERVICES INCLUDING FREE SEMINARS FOR HEALTHCARE PROFESSIONALS AND STUDENTS. IN ADDITION, THE HOSPITAL PROVIDED CLINICS, SCREENINGS, SUPPORT GROUPS, SOCIAL WORKS SERVICES AND PARTICIPATED IN CHARITABLE EVENTS AND SPONSORSHIPS. | Desc |
| Total Program Service Expenses | $24,022,030 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 227 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6603595621 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 IOWA BLVD | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DON SIPES | ||||||||
| PRESIDENT-DIRECTOR | 2.00 | 50.00 | Yes (X) | Yes (X) | $0 | $427,605 | $61,082 | |
| WENDELL LENHART | ||||||||
| CHAIRMAN-DIRECTOR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BEV HOOKER | ||||||||
| SECRETARY-DIRECTOR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES ROBB | ||||||||
| TREASURER-DIRECTOR | 2.00 | 50.00 | Yes (X) | Yes (X) | $0 | $932,663 | $246,296 | |
| SCOTT WILSON | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BONITA PRICE | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MACK WOODARD | ||||||||
| VICE CHAIR-DIRECTOR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANETTE RARDON | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| TOM WITTEN | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DWIGHT GRIFFIN | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ELAINA HEAD | ||||||||
| ASSISTANT SECRETARY | 40.00 | Yes (X) | $52,496 | $0 | $20,131 | |||
| GARY JORDAN | ||||||||
| CEO | 40.00 | Yes (X) | $247,385 | $0 | $50,592 | |||
| BARBARA BALL | ||||||||
| CNO | 40.00 | Yes (X) | $122,526 | $0 | $22,386 | |||
| JANET BUCKMAN | ||||||||
| CFO | 20.00 | 20.00 | Yes (X) | $0 | $190,503 | $17,893 | ||
| PAMELA RALLS | ||||||||
| PHYSICIAN | 40.00 | $249,617 | $0 | $18,143 | Yes (X) | |||
| GEORGE GARCIA | ||||||||
| PHYSICIAN | 40.00 | $238,265 | $0 | $33,723 | Yes (X) | |||
| ESGAR GUARIN-NIETO | ||||||||
| PHYSICIAN | 40.00 | $241,936 | $0 | $31,429 | Yes (X) | |||
| AARON HUFFSTUTTER | ||||||||
| ADV PRACTICE RN | 40.00 | $135,631 | $0 | $16,373 | Yes (X) | |||
| JENNIFER BOWE | ||||||||
| PHYSICIAN | 40.00 | $123,941 | $0 | $18,204 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,411,797 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,550,771 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $536,252 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DOCS WHO CARE | |||||
| 1337 SOUTH FOUNTAIN DRIVE | OLATHE | KS | 66061 | EMERGENCY DEPT PHYSICIANS | $1,357,163 |
| HAVE A NICE DAY ANESTHESIA ASSOCIATES L | |||||
| 2106 WOODCREST DR | CHILLICOTHE | MO | 64601 | ANESTHESIA SERVICES | $570,000 |
| SHARED MEDICAL SERVICES INC | |||||
| PO BOX 330 | COTTAGE GROVE | WI | 53527 | MRI PATIENT SERVICES | $173,950 |
| PREMIER SPECIALTY NETWORK LLC | |||||
| 1835 E REPUBLIC ROAD | SPRINGFIELD | MO | 65804 | PHYSICIAN SERVICES | $126,584 |
| FAVORITE HEALTHCARE STAFFING | |||||
| PO BOX 803356 | KANSAS CITY | MO | 64180 | CONTRACTED PHYSICIANS | $108,693 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $50,604 | GovernmentGrantsAmt |
| Total Contributions | $50,604 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $27,930,578 | $27,930,578 |
| PHARMACY | 622110 | $752,489 | $752,489 |
| EHR MEANINGFUL USE FDS | 622110 | $160,053 | $160,053 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $264,015 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $264,015 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,107,135 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,105 | TotalRevenueColumnAmt |
| Exclusion | $31,105 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,188,844 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,107,135 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,105 | 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 | $6,201 | TotalAmt |
| Program Services | $6,201 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,516 | TotalAmt |
| Management And General | $515,516 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,814,384 | TotalAmt |
| Program Services | $7,963,604 | ProgramServicesAmt |
| Management And General | $789,982 | ManagementAndGeneralAmt |
| Fundraising | $60,798 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,889 | TotalAmt |
| Program Services | $213,295 | ProgramServicesAmt |
| Management And General | $34,966 | ManagementAndGeneralAmt |
| Fundraising | $1,628 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,748,974 | TotalAmt |
| Program Services | $1,492,850 | ProgramServicesAmt |
| Management And General | $244,727 | ManagementAndGeneralAmt |
| Fundraising | $11,397 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $614,644 | TotalAmt |
| Program Services | $524,634 | ProgramServicesAmt |
| Management And General | $86,005 | ManagementAndGeneralAmt |
| Fundraising | $4,005 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,817 | TotalAmt |
| Management And General | $20,817 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,068 | TotalAmt |
| Management And General | $72,068 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,602,571 | TotalAmt |
| Program Services | $4,352,729 | ProgramServicesAmt |
| Management And General | $249,842 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,451 | TotalAmt |
| Program Services | $576 | ProgramServicesAmt |
| Management And General | $1,875 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,032 | TotalAmt |
| Program Services | $635,925 | ProgramServicesAmt |
| Management And General | $128,107 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,602 | TotalAmt |
| Program Services | $150,177 | ProgramServicesAmt |
| Management And General | $61,425 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,202,874 | TotalAmt |
| Program Services | $2,817,036 | ProgramServicesAmt |
| Management And General | $385,838 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,198 | TotalAmt |
| Program Services | $17,705 | ProgramServicesAmt |
| Management And General | $11,493 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,837 | TotalAmt |
| Program Services | $17,048 | ProgramServicesAmt |
| Management And General | $36,789 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,031,884 | TotalAmt |
| Program Services | $579,958 | ProgramServicesAmt |
| Management And General | $451,926 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,993 | TotalAmt |
| Program Services | $130,143 | ProgramServicesAmt |
| Management And General | $115,850 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBTS | $2,471,137 | $2,471,137 | |
| MEDICAL SUPPLIES | $2,001,654 | $1,996,725 | $4,929 |
| SHARED SERVICES - SLHS | $1,793,000 | $590,447 | $1,202,553 |
| TAXES & LICENSE | $8,144 | $7,913 | $231 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,416 | TotalAmt |
| Program Services | $53,927 | ProgramServicesAmt |
| Management And General | $23,489 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,538,286 | TotalAmt |
| Program Services | $24,022,030 | ProgramServicesAmt |
| Management And General | $4,438,428 | ManagementAndGeneralAmt |
| Fundraising | $77,828 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,474 | BOYAmt |
| EOY | $2,069,458 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,732,419 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,150,511 | BOYAmt |
| EOY | $3,902,237 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $58,895 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,625 | BOYAmt |
| EOY | $403,436 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $373,980 | BOYAmt |
| EOY | $429,988 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,459,116 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,650,983 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,452,832 | BOYAmt |
| EOY | $2,808,133 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $18,750 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,862,441 | BOYAmt |
| EOY | $2,177,913 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,009,282 | BOYAmt |
| EOY | $11,868,810 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,585,781 | BOYAmt |
| EOY | $1,578,212 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,418,553 | BOYAmt |
| EOY | $1,773,329 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,004,334 | BOYAmt |
| EOY | $3,351,541 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,615,068 | BOYAmt |
| EOY | $8,152,581 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $389,880 | BOYAmt |
| EOY | $364,688 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,004,948 | BOYAmt |
| EOY | $8,517,269 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,009,282 | BOYAmt |
| EOY | $11,868,810 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $650,558 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$138,237 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $13,648 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $13,648 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LINE F - PORTION OF DUES PAID TO VARIOUS HOSPITAL AND RELATED MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $56,611 | BeginningYearBalanceAmt |
| Contributions | $5,210 | ContributionsAmt |
| Grants Or Scholarships | $61,821 | GrantsOrScholarshipsAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $50,271 | BeginningYearBalanceAmt |
| Contributions | $7,495 | ContributionsAmt |
| Other Expenditures | $1,155 | OtherExpendituresAmt |
| End Year Balance | $56,611 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,978 | BeginningYearBalanceAmt |
| Contributions | $10,451 | ContributionsAmt |
| Other Expenditures | $3,158 | OtherExpendituresAmt |
| End Year Balance | $50,271 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,795 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,000 | DepreciationAmt |
| Book Value | $39,795 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,609,937 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,242,306 | DepreciationAmt |
| Book Value | $2,367,631 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,795,384 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,394,677 | DepreciationAmt |
| Book Value | $400,707 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,808,133 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN NET ASSETS OF WMH FOUNDATION | $364,688 |
| DUE FROM AFFILIATES | $15,045 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $1,592,008 |
| OTHER RECEIVABLES | $194,089 |
| OTHER ASSETS | $12,083 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,177,913 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO CHARITABLE TRUST | $1,370,359 |
| DUE TO AFFILIATES | $202,970 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENT | $200,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,773,329 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,689,422 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,689,422 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,499,422 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,499,422 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $29,188,844 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,067,151 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $26,067,151 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,471,135 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,471,135 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $28,538,286 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INTENDED USE OF ENDOWMENT FUNDS INCLUDES BUT IS NOT LIMITED TO THE GENERAL OPERATIONS OF THE HOSPITAL, CAPITAL EQUIPMENT PURCHASES FOR THE HOSPITAL, AND LOCAL HOME CARE AND HOSPICE SERVICES. THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENT THE ORGANIZATION'S BENEFICIAL INTEREST IN THE NET ASSETS AT WRIGHT MEMORIAL HOSPITAL FOUNDATION. SUCH ASSETS ARE REPORTED IN PART X, LINE 15. |
| PART X, LINE 2: | THE HOSPITAL AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. MANAGEMENT IS NOT AWARE OF ANY UNCERTAINTIES IN INCOME TAX POSITIONS. FOR BOTH ENTITIES, THE YEARS ENDED DECEMBER 31, 2014, 2013, 2012, AND 2011, REMAIN SUBJECT TO EXAMINATION FOR BOTH FEDERAL AND STATE PURPOSES. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NET WITH REVENUE FOR BOOKS; INCLUDED IN EXPENSES FOR TAX 2,471,137. RRG SSA DIVIDEND ALLOCATION 28,285. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NET WITH REVENUE FOR BOOKS; INCLUDED IN EXPENSES FOR TAX 2,471,137. ROUNDING -2. |
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 | $266,040 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $266,040 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,529,360 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,313,866 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $215,494 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,795,400 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,313,866 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $481,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01850 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,300 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $222 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $222 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,629,496 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,726,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,902,548 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07300 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,100 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,645,118 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,726,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,918,170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,440,518 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,040,814 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,399,704 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09210 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,340 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,340 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,471,137 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $12,050,010 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,790,204 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$740,194 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRIGHT MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 IOWA BLVD | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 413-19 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKES OF TRENTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | 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 | 13 | 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST LUKES OF TRENTON | PART V, SECTION B, LINE 5: KEY HEALTH CARE SERVICE PROVIDERS OR COMMUNITY MEMBERS IN GRUNDY COUNTY WERE INTERVIEWED TO HELP IDENTIFY UNMET HEALTHCARE AND PUBLIC HEALTH NEEDS WITHIN THE GRUNDY COUNTY AREA. COMMUNITY STAKEHOLDERS WERE CONTACTED EITHER IN-PERSON OR OVER-THE-PHONE AND INCLUDE HOSPITAL EXECUTIVES, REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS, AND INDIVIDUALS. ORGANIZATIONS CONSULTED INCLUDE WRIGHT MEMORIAL HOSPITAL EXECUTIVE LEADERS, GRUNDY COUNTY HEALTH DEPARTMENT, EASTVIEW MANOR CARE CENTER, GRUNDY COUNTY LEARNING CENTER, AND MISSOURI DIVISION OF SENIOR AND DISABILITY SERVICES. |
| ST LUKES OF TRENTON | PART V, SECTION B, LINE 11: WRIGHT MEMORIAL HOSPITAL IS EITHER ADDRESSING OR IN THE PROCESS OF ADDRESSING EVERY COMMUNITY HEALTH NEED LISTED BELOW. ONE OF THE CORE VALUES OF THE SAINT LUKE'S HEALTH SYSTEM AND WRIGHT MEMORIAL HOSPITAL IS STEWARDSHIP, AND WITH THAT VALUE IS THE RESPONSIBILITY TO LOOK AFTER THE NEEDS OF THE COMMUNITY. ADDRESSING ADULT OBESITYWRIGHT MEMORIAL HOSPITAL EMPLOYS A REGISTERED DIETICIAN TO PROVIDE SERVICES FOR PATIENTS INCLUDING EDUCATION ON NUTRITIONAL SERVICES. THE DIETITIAN PROVIDES PATIENTS WITH EDUCATIONAL MATERIAL AND HELPS CONNECT THEM WITH ADDITIONAL RESOURCES PROVIDED BY THE GRUNDY COUNTY HEALTH DEPARTMENT. WRIGHT MEMORIAL HOSPITAL WILL CONTINUE TO ADDRESS ADULT OBESITY THROUGH A NUMBER OF HEALTHY LIFESTYLE PROGRAMS AND ONGOING COMMUNITY OUTREACH. IN 2014, WRIGHT MEMORIAL HOSPITAL COMPLETED A HALF MILE WALKING TRAIL ON CAMPUS TO IMPROVE PUBLIC ACCESS TO RECREATION AS WELL AS PROMOTE HEALTHY LIFESTYLES WITHIN THE COMMUNITY. WRIGHT MEMORIAL HOSPITAL ALSO SUPPORTS WRIGHT MEMORIAL FOUNDATION IN THEIR ANNUAL 5K AND FOUNDATION GOLF TOURNAMENT, BOTH OF WHICH ENCOURAGE EXERCISE AND HEALTHY LIFESTYLES.ADDRESSING ADULT SMOKINGNEW TELE-HEALTH EQUIPMENT WAS RECENTLY PURCHASED AND PULMONOLOGY SERVICES ARE ALREADY BEING PROVIDED TO PATIENTS THROUGH TELE-MEDICINE AND ON SITE VISITS. THROUGH THE INNOVATIVE USE OF TELE-MEDICINE, PATIENTS IN GRUNDY COUNTY ARE SEEN BY THE SAME SPECIALTY PULMONOLOGIST GROUP THAT WORK AT SAINT LUKE'S HOSPITAL OF KANSAS CITY. WRIGHT MEMORIAL HOSPITAL WILL CONTINUE TO OFFER EDUCATION AND ASSISTANCE TO PROMOTE SMOKING CESSATION IN THE COMMUNITY. SPECIFICALLY, WRIGHT MEMORIAL HOSPITAL WILL REFER PATIENTS RECEIVING PRENATAL CARE TO A SMOKING CESSATION PROGRAM AT THE COUNTY HEALTH DEPARTMENT. THE PROGRAM WILL FOCUS ON THE RISKS OF SMOKING TO BOTH MOTHER AND CHILD, AND PROVIDE INFORMATION ABOUT ADDITIONAL RESOURCES AVAILABLE IN THE COMMUNITY. WRIGHT MEMORIAL HOSPITAL WILL ALSO CONTINUE TO PROVIDE ACCESS TO PULMONOLOGY SERVICES TO COMMUNITY MEMBERS THROUGH TELE-MEDICINE.INCREASING ACCESS TO MENTAL HEALTH PROVIDERS AND SERVICESWRIGHT MEMORIAL HOSPITAL CURRENTLY EMPLOYS A PSYCHIATRIC MENTAL HEALTH CLINICAL NURSE SPECIALIST (PMHCNS) WHO COMES TO WRIGHT VIA TELE-HEALTH PROGRAM ONCE A MONTH TO TREAT PATIENTS WITH MENTAL HEALTH NEEDS. IN ADDITION TO THE MONTHLY VISITS, THE SPECIALIST IS ALSO CREATING SPECIFIC DAYS TO SEE NEW PATIENTS. IN EMERGENCY SITUATIONS, WRIGHT MEMORIAL HOSPITAL HAS THE ABILITY TO PROVIDE PATIENTS WITH EMERGENT TELE-PHYSIC AND PLACEMENT SERVICES.IN PARTNERSHIP WITH MISSOURI COMMUNITY MENTAL HEALTH LIAISONS, WRIGHT MEMORIAL HOSPITAL WORKS TO ASSURE CONTINUITY OF CARE FOR PERSONS WITH MENTAL ILLNESS. THIS INVOLVES COORDINATION BETWEEN MENTAL HEALTH PROVIDERS AND EXISTING COMMUNITY RESOURCES, RESULTING IN A REDUCED NEED FOR EMERGENCY DEPARTMENT SERVICES.HELPING CHILDREN IN POVERTYASIDE FROM PROVIDING MEDICAL CARE TO INDIGENT POPULATIONS IN GRUNDY COUNTY, WRIGHT MEMORIAL HOSPITAL ALSO PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES, FINANCIAL AND IN-KIND CONTRIBUTIONS, AND COMMUNITY BENEFIT OPERATIONS. ONE SUCH CONTRIBUTION WAS TOWARDS THE BACKPACK BUDDIES PROGRAM WITH WRIGHT CONTRIBUTING ITEMS FOR THE BACKPACK. IN ADDITION, WRIGHT SPONSORS A RAFFLE TO HELP SUPPORT THE BACKPACK BUDDIES PROGRAM AND PARTICIPATES IN ITEM COLLECTION FOR THE LOCAL FOOD PANTRY. A LACK OF PRIMARY CARE ACCESS AND PHYSICIANSA SHORTAGE OF PRIMARY CARE PHYSICIANS IS ALWAYS AN ISSUE IN RURAL AMERICA AND WRIGHT MEMORIAL HOSPITAL IS STRIVING TO IMPROVE ACCESS FOR COUNTY RESIDENTS. ONE SUCH WAY THAT WRIGHT IS ACHIEVING THIS IS BY INCREASING THE TELE-HEALTH SERVICES OFFERED AS WELL AS THE CAPACITY OF CERTAIN SPECIALTIES IN THE SPECIALTY CLINIC. THE OTHER IS BY CONTINUALLY RECRUITING FAMILY PRACTICE PHYSICIANS AND NURSE PRACTITIONERS TO THE AREA TO PROVIDE INPATIENT CONSULTS. WRIGHT MEMORIAL HOSPITAL HAS DEVELOPED A PROVIDER RECRUITMENT PLAN TO MEET THE ANTICIPATED SERVICE AREA NEEDS.PREVENTABLE HOSPITALIZATIONSIN ORDER TO DECREASE THE AMOUNT OF PREVENTABLE HOSPITALIZATIONS IN GRUNDY COUNTY EDUCATION IS CRITICAL FOR AT RISK POPULATIONS. ONE WAY THAT WRIGHT MEMORIAL HOSPITAL IS TRYING TO ACHIEVE THIS AIM IS THROUGH ENGAGEMENT AND SPONSORSHIP OF COMMUNITY EDUCATION EVENTS. ONE SUCH EVENT INVOLVES CARDIOVASCULAR CONSULTANTS PROVIDING INSTRUCTION ON CARDIAC DISEASE AND PREVENTION TECHNIQUES. WRIGHT MEMORIAL HOSPITAL IS IN THE PROCESS OF DEVELOPING AN INPATIENT TELE-HEALTH PROGRAM FOR CONSULTS TO IMPROVE ACCESS TO SPECIALTY CARE AND ENSURE A BETTER CONTINUUM OF CARE WHICH WILL RESULT IN REDUCED READMISSIONS. INCREASED ACCESS TO PRIMARY CARE WILL BE REALIZED THROUGH EXTENDED CLINIC HOURS. |
| ST LUKES OF TRENTON | 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 ELIGIBILITY ENROLLMENT SERVICE ALSO PROVIDES PATIENTS WITH INFORMATION ON FINANCIAL ASSISTANCE. |
| ST LUKES OF TRENTON | 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, 2014 AND THEREFORE IS DEEMED TO SATISFY THE REQUIREMENT TO ADOPT THE STRATEGY IN THE SAME YEAR THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE, 2013. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| ST LUKES OF TRENTON PART V, SECTION B, LINE 16A WEBSITE: | WWW.SAINTLUKESHEALTHSYSTEM.ORG |
| ST LUKES OF TRENTON PART V, SECTION B, LINE 16B WEBSITE: | WWW.SAINTLUKESHEALTHSYSTEM.ORG |
| ST LUKES OF TRENTON PART V, SECTION B, LINE 16C WEBSITE: | WWW.SAINTLUKESHEALTHSYSTEM.ORG |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRIGHT MEMORIAL PHYSICIANS GROUP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 IOWA BLVD | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | RURAL HEALTH CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,471,137. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | OUR HOSPITAL SPONSORS OR PARTICIPATES IN MANY COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEATH OF OUR COMMUNITY. THE HOSPITAL PARTICIPATES IN EDUCATIONAL OFFERINGS AND SPONSORS MULTIPLE COMMUNITY EVENTS TO BENEFIT VARIOUS COMMUNITY ORGANIZATIONS. WE ALSO ENCOURAGE OUR EMPLOYEES TO SERVE ON COMMUNITY BOARDS AND VOLUNTEER FOR ACTIVITIES THAT PROMOTE HEALTH IN THE COMMUNITY. |
| PART III, LINE 4: | BAD DEBT EXPENSE IS REPORTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT IT ALIGNS WITH GAAP.FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: SEE PAGE 8, NOTE A, SECTION 2 OF THE ATTACHED FINANCIALS STATEMENTS.BAD DEBT IS REPORTED IN THIS FORM 990 CONSISTENT WITH FINANCIAL STATEMENTS. |
| 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: | IN ADDITION TO ITS CHNA, THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL MEETS WITH STAFF, VOLUNTEERS, PATIENTS, BOARD MEMBERS AND PHYSICIANS. THE HOSPITAL ALSO WORKS WITH THE PATIENT ADVOCATE AND MARKETING DEPARTMENTS TO DETERMINE FEEDBACK RECEIVED FROM THE COMMUNITY REGARDING ITS NEEDS. THE FEEDBACK PROVIDED BY THESE GROUPS IS COMMUNICATED TO HOSPITAL MANAGEMENT AND CONSIDERED WHEN DETERMINING THE NEEDS OF THE COMMUNITY. |
| PART VI, LINE 3: | SEE RESPONSE TO SCHEDULE H, PART V, LINE 16I. |
| PART VI, LINE 4: | WRIGHT MEMORIAL HOSPITAL IS LOCATED IN GRUNDY COUNTY, MISSOURI IN THE NORTHWEST AREA OF MISSOURI. THE HOSPITAL'S PRIMARY SERVICE AREA IS THE IMMEDIATE COUNTY AND ALL CONTIGUOUS SURROUNDING COUNTIES. |
| PART VI, LINE 5: | THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA, PLUS TWO REPRESENTATIVES OF SAINT LUKE'S HEALTH SYSTEM. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. |
| PART VI, LINE 6: | THE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 10 AREA HOSPITALS, AND SEVERAL PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND HOME CARE SERVICES. FOUNDED AS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION, OUR MISSION INCLUDES A COMMITMENT TO THE HIGHEST LEVELS OF EXCELLENCE IN HEALTH CARE AND THE ADVANCEMENT OF MEDICAL RESEARCH AND EDUCATION. THE HEALTH SYSTEM IS AN ALIGNED ORGANIZATION IN WHICH THE PHYSICIANS AND HOSPITALS ASSUME RESPONSIBILITY FOR ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF PEOPLE IN THE METROPOLITAN KANSAS CITY AREA AND THE SURROUNDING REGION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DON SIPES | ||||||||||||||
| PRESIDENT-DIRECTOR | $0 | $266,388 | $0 | $43,570 | $0 | $117,647 | $0 | $41,153 | $0 | $19,929 | $0 | $488,687 | $0 | $19,120 |
| CHARLES ROBB | ||||||||||||||
| TREASURER-DIRECTOR | $0 | $507,904 | $0 | $106,935 | $0 | $317,824 | $0 | $217,740 | $0 | $28,556 | $0 | $1,178,959 | $0 | $97,471 |
| GARY JORDAN | ||||||||||||||
| CEO | $194,448 | $0 | $33,411 | $0 | $19,526 | $0 | $26,115 | $0 | $24,477 | $0 | $297,977 | $0 | $15,201 | $0 |
| JANET BUCKMAN | ||||||||||||||
| CFO | $0 | $171,000 | $0 | $18,586 | $0 | $917 | $0 | $7,756 | $0 | $10,137 | $0 | $208,396 | $0 | $0 |
| PAMELA RALLS | ||||||||||||||
| PHYSICIAN | $224,945 | $0 | $23,653 | $0 | $1,019 | $0 | $10,013 | $0 | $8,130 | $0 | $267,760 | $0 | $0 | $0 |
| GEORGE GARCIA | ||||||||||||||
| PHYSICIAN | $196,198 | $0 | $40,984 | $0 | $1,083 | $0 | $14,685 | $0 | $19,038 | $0 | $271,988 | $0 | $0 | $0 |
| ESGAR GUARIN-NIETO | ||||||||||||||
| PHYSICIAN | $209,923 | $0 | $30,594 | $0 | $1,419 | $0 | $7,722 | $0 | $23,707 | $0 | $273,365 | $0 | $0 | $0 |
| AARON HUFFSTUTTER | ||||||||||||||
| ADV PRACTICE RN | $116,741 | $0 | $2,171 | $0 | $16,719 | $0 | $2,440 | $0 | $13,933 | $0 | $152,004 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | 457(F) PLAN PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: CHARLES ROBB - $94,040 |
| PART I, LINE 7 | THE ORGANIZATION HAS ADOPTED A MANAGEMENT INCENTIVE COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR AND MIDDLE MANAGEMENT TO PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES. THE INCENTIVES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY CONTINGENT ON ACHIEVING QUALITY, PATIENT SATISFACTION, EMPLOYEE RETENTION, FINANCIAL AND OTHER OPERATIONAL PERFORMANCE TARGETS ESTABLISHED BY THE BOARD'S COMPENSATION COMMITTEE ON AN ANNUAL BASIS. INCENTIVE AWARDS ARE PAID AT THE DISCRETION OF THE BOARD OF DIRECTORS AND DO NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER FINANCIAL RESULTS HAVE BEEN DETERMINED FOR THE CALENDAR YEAR. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS. |
| PART I, LINE 3 | ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND CFO. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION DATA. |
| PART II | DON SIPES AND CHUCK ROBB DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. JANET BUCKMAN RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AARON HUFFSTUTTER | PersonNm |
| Relationship With Org | HIGHLY COMPENSATED EMPLOYEE | RelationshipWithOrgTxt |
| Loan Purpose | BUYOUT OF NON-COMPETE | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $75,000 | OriginalPrincipalAmt |
| Balance Due | $58,895 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | 0 | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $58,895 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DANETTE RARDON, BONITA PRICE, AND DWIGHT GRIFFIN HAVE A BUSINESS RELATIONSHIP. DON SIPES AND CHARLES ROBB HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION AMENDED AND UPDATED SELECTED PROVISIONS OF ITS ARTICLES AND BYLAWS AT THE END OF 2014. THE CHANGES FORMALIZED ADDITIONAL RESERVE POWERS FOR THE SOLE MEMBER, UPDATED BOARD MEMBER QUALIFICATIONS TO BE CONSISTENT WITH SYSTEM STANDARDS, CLARIFIED OBLIGATIONS TO CARRY OUT POLICIES AND ORDERS OF THE SOLE MEMBER, UPDATED AND ALIGNED CEO AUTHORITY AND DUTIES, CLARIFIED MEDICAL STAFF RESPONSIBILITIES TO THE BOARD AS TO PATIENT CARE PROVIDED WITHIN THE HOSPITAL, AND STANDARDIZED CERTAIN PROVISIONS ACROSS SYSTEM HOSPITALS WITH THE GOAL OF BETTER FACILITATING OPERATIONS AS AN ALIGNED AND INTEGRATED HEALTH SYSTEM. |
| 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 TAX STAFF AND REVIEWED BY THE FILING ORGANIZATION'S CEO. THE 990 DRAFT WAS MADE AVAILABLE TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS FOR REVIEW. THE 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS FOR VIEWING 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 DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE MO SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ATTACHED TO THIS RETURN. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII, COLUMN E | DON SIPES AND CHUCK ROBB DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. JANET BUCKMAN RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES & OTHER: PROGRAM SERVICE EXPENSES 2,234,945. MANAGEMENT AND GENERAL EXPENSES 229,402. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,464,347. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 121,098. MANAGEMENT AND GENERAL EXPENSES 20,440. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,538. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,996,686. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,996,686. |
| FORM 990, PART XI, LINE 9: | ROUNDING -2. PENSION SETTLEMENT/LIABILITY TRANSFER TO SLHS -84,758. CHANGE IN NET ASSETS AT WMH FOUNDATION - SFAS 136 -25,192. RRG SSA DIVIDEND ALLOCATION -28,285. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| SAINT LUKES HEALTH SYSTEM | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431747502 | HEALTH SYSTEM | KS | 501(C)(3) | 509(A)(3) - TYPE 1 | 0 | |
| ST LUKES HOSPITAL OF KANSAS CITY | ||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 440545297 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES NORTHLAND HOSPITAL CORPORATION | ||||||||||
| 601 SOUTH 169 HIGHWAY | SMITHVILLE | MO | 64089 | 440565393 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES SOUTH HOSPITAL INC | ||||||||||
| 12300 METCALF AVENUE | OVERLAND PARK | KS | 66213 | 481203262 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES EAST HOSPITAL | ||||||||||
| 100 NE SAINT LUKES BLVD | LEES SUMMIT | MO | 64086 | 562488077 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES MEDICAL GROUP | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431598353 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| CRITTENTON | ||||||||||
| 10918 ELM AVE | KANSAS CITY | MO | 64134 | 440545808 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | ST LUKES HOSPITAL OF KANSAS CITY |
| SAINT LUKES HEALTH SYSTEM HOMECARE AND HOSPICE | ||||||||||
| 3100 BROADWAY SUITE 1000 | KANSAS CITY | MO | 64111 | 431127200 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES HOSPITAL OF GARNETT | ||||||||||
| 421 SOUTH MAPLE | GARNETT | KS | 66032 | 742849611 | HEALTH CARE | KS | 501(C)(3) | 170B1AVI | 0 | SAINT LUKES HEALTH SYSTEM |
| CABOT WESTSIDE HEALTH CENTER | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 440546280 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| MIDWEST EAR INSTITUTEINC | ||||||||||
| 4320 WORNALL ROAD STE 420 | KANSAS CITY | MO | 64111 | 480905027 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | ST LUKES HOSPITAL OF KANSAS CITY |
| SAINT LUKES HOSPITAL OF CHILLICOTHE | ||||||||||
| 2799 N WASHINGTON | CHILLICOTHE | MO | 64601 | 431735565 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES CUSHING HOSPITAL | ||||||||||
| 711 MARSHALL | LEAVENWORTH | KS | 66048 | 480543792 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES CARE | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 260185090 | HEALTH CARE | MO | 501(C)(3) | 509(A)(3) - TYPE 1 | 0 | SAINT LUKES HEALTH SYSTEM |
| MEDICAL PLAZA IMAGING ASSOCIATES LLC | ||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 431609584 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SAINT LUKES COLLEGE OF HEALTH SCIENCES | ||||||||||
| 624 WESTPORT ROAD | KANSAS CITY | MO | 64111 | 272716128 | POST-SECONDARY NURSING EDUCATION | MO | 501(C)(3) | 170B1AII | 0 | ST LUKES HOSPITAL OF KANSAS CITY |
| SLCC INC | ||||||||||
| 4330 WORNALL RD STE 2000 | KANSAS CITY | MO | 64111 | 271994652 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| SLNC INC | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 451470888 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
| ADVANCED UROLOGIC ASSOCIATES INC | ||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 454725529 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | SAINT LUKES HEALTH SYSTEM |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| MEDICAL PLAZA PARTNERS LP | |||||||
| 4320 WORNALL ROAD SUITE 714 | KANSAS CITY | MO | 64111 | 431357824 | OWN & OPERATE MEDICAL OFFICE BUILDING | MO | N/A |
| SAINT LUKES SURGICENTER-LEES SUMMIT LLC | |||||||
| 11221 ROE AVE SUITE 230 | OVERLAND PARK | KS | 66211 | 470853481 | HEALTH CARE | MO | N/A |
| SAINT LUKES SOUTH SURGERY CENTER LLC | |||||||
| 11221 ROE AVE SUITE 230 | OVERLAND PARK | KS | 66211 | 201721929 | HEALTH CARE | KS | N/A |
| SAINT LUKES - GI DIAGNOSTICS LLC | |||||||
| 4321 WASHINGTON STE 5700 | KANSAS CITY | MO | 64111 | 274142549 | HEALTH CARE | MO | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP | |||||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 371471890 | INSURANCE | SC | N/A | C | 0 | ||||
| ST LUKES HEALTH VENTURESINC | |||||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431278476 | ACCOUNTING | MO | N/A | C | 0 | ||||
| MEDICAL PLAZA MANAGEMENT INC | |||||||||||||
| 4320 WORNALL ROAD SUITE 714 | KANSAS CITY | MO | 64111 | 431352317 | MEDICAL OFFICE BUILDING MANAGEMENT | MO | N/A | C | 0 | ||||
| VENTURE FINANCIAL SERVICES INC | |||||||||||||
| 9500 E 63RD ST STE 202 | KANSAS CITY | MO | 64133 | 431605740 | COLLECTIONS | MO | N/A | C | 0 | ||||
| SAINT LUKES HEALTH SYSTEM INSURANCE LTD | |||||||||||||
| INSURANCE | N/A | C | 0 | 113 SOUTH CHURCH STREET | GEORGETOWN | CJ | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, ITEM 1, TRANSACTIONS WITH RELATED ORGANIZATIONS | FormAndLineReferenceDesc |
| Explanation | SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS. | ExplanationTxt |
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