2015-11-16T10:28:24-06:00 2014-12-31 990 2014-01-01 480543792 SAINT LUKES CUSHING HOSPITAL INC SAIN 9136841100 711 MARSHALL STREET LEAVENWORTH KS 66048 JULIE MURPHY CHIEF FINANCIAL OFFICER 9136841100 2015-11-16 2014 2016-04-25 22:37:26Z ADELE DUCHARME 711 MARSHALL STREET LEAVENWORTH KS 66048 63028902 0 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1930 KS FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL 7 4 339 149 14185 -13495 8070929 38941863 29517152 24050595 70849 32421 371 4023 37659301 63028902 1869420 3134533 0 0 15909205 14740561 0 0 0 18757646 16431930 36536271 34307024 1123030 28721878 21152985 26765584 37844542 12499564 -16691557 14266020 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 1 29491080 3134533 24036410 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. 29491080 1 1 0 0 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 0 0 0 0 0 1 1 0 0 0 1 X 4 0 1 339 1 1 1 0 0 0 0 0 0 0 0 0 X 7 4 1 0 1 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 300329 41500 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 427605 61082 JULIE MURPHY DIRECTOR & CFO 20.00 30.00 X X 0 286407 48534 ADELE DUCHARME CEO 50.00 X 231663 0 34080 KARIN SUNDBLOM CNO 50.00 X 109692 0 32020 DINH NGUYEN PHARMACIST 40.00 X 119192 0 12983 DAVID GREENE REGISTERED NURSE 40.00 X 103685 0 25750 WILLIAM ESTRADA REGISTERED NURSE 40.00 X 104986 0 19363 ROBERT KATZENBERGER MGR-PHARMACY 40.00 X 130460 0 24070 799678 1014341 299382 6 0 1 0 J E DUNN CONSTRUCTION CO INC 1001 LOCUST KANSAS CITY MO 64106 CONSTRUCTION 1369496 P1 GROUP INC 16210 W 108TH ST LENEXA KS 66219 MAINTENANCE SERVICES 945228 EMERGENCY MEDICAL SERVICES KS LLC 920 MAIN STREET SUITE 300 KANSAS CITY MO 64105 EMERGENCY ROOM PHYSICIANS 617418 HEARTLAND ANESTHESIA LLC PO BOX 410272 KANSAS CITY MO 64141 ANESTHESIA SERVICES 616631 MECHANICAL SALES KC INC PO BOX 27213 RALSTON NE 68127 CONSTRUCTION 500896 11 570 38854969 8723 77601 38941863 NET PATIENT REVENUE 622110 22573639 22573639 EHR MEANINGFUL USE FDS 622110 539532 539532 RENTAL REVENUE 531120 456104 456104 REGIONAL LAB 541380 313709 299524 14185 OTHER PROGRAM SERVICES 622110 167611 167611 24050595 26564 26564 4023 4023 5857 0 5857 5857 5857 63028902 24036410 14185 36444 X 3129533 3129533 5000 5000 407455 407455 11583028 10531568 1051460 397392 332530 64862 1473442 1292644 180798 879244 772264 106980 6282 6282 14999 14999 455 455 4480264 4225162 255102 6785 5631 1154 674830 521410 153420 183117 11791 171326 785381 738081 47300 47372 42214 5158 21193 12673 8520 53366 45984 7382 1452716 1393530 59186 -3167 -12150 8983 SHARED SERVICES-SLHS 3440000 1199772 2240228 MEDICAL SUPPLIES 3139481 3135823 3658 BAD DEBT 1642868 1642868 SWAP RELATED COSTS 220534 200793 19741 265454 263959 1495 34307024 29491080 4815944 0 1934903 3125338 245731 271151 3435705 2611912 731481 631061 149695 45075 30018647 15314661 11379201 14703986 449076 481617 253879 324813 2500 2573314 4568131 21152985 26765584 3426489 3211941 34418053 9287623 37844542 12499564 X -16788495 11831931 72580 2409731 24358 24358 -16691557 14266020 21152985 26765584 X 28721878 5934 2229765 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 96938 13350 152 1600 9837 99003 100503 5950 321 1000 8836 96938 89386 19100 17 2000 6000 100503 89127 8550 215 1500 7006 89386 76514 21606 307 1000 8300 89127 0.99000 0.01000 1 0 20000 407583 427583 14799859 7343634 7456225 10705871 7195991 3509880 4085334 775036 3310298 14703986 OTHER RECEIVABLES 263000 FIN 45 PHYSICIAN GUARANTEE 1887000 DUE FROM AFFILIATES 83045 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 2335086 4568131 PAYABLE TO AFFILIATES 422081 OTHER NONCURRENT LIABILITIES 3542 RESERVE FOR SELF INSURED RISKS 590000 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 65000 LONG TERM DEBT TO ST LUKES HEALTH SYSTEM 6320000 FIN 45 PHYSICIAN GUARANTEE 1887000 9287623 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 CUSHING HOSPITAL 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 1549858 1549858 0.04740 3451198 2221527 1229671 0.03760 5001056 2221527 2779529 0.08500 55375 55375 0.00170 93127 93127 0.00290 5043675 2452169 2591506 0.07930 13852 13852 0.00040 5206029 2452169 2753860 0.08430 10207085 4673696 5533389 0.16930 2490 2490 0.00010 3209 3209 0.00010 3224 3224 0.00010 8923 8923 0.00030 0 1642868 6123251 9414346 -3291095 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 13 1 0 0 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1 13 1 WWW.SAINTLUKESHEALTHSYSTEM.ORG 0 0 1 X 133.000000000000 300.000000000000 X X 1 1 X X 1 X X X X X X X X 1 X 0 X X X X 1 X 0 0 SAINT LUKES CUSHING HOSPITAL INC PART V, SECTION B, LINE 5: IN-PERSON INTERVIEWS AND OVER-THE-PHONE INTERVIEWS WERE CONDUCTED WITH HOSPITAL EXECUTIVES AND REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS. THE INTERVIEWS WERE FOCUSED ON DISTINGUISHING THE UNMET HEALTHCARE AND PUBLIC HEALTH NEEDS WITHIN THE LEAVENWORTH COUNTY AREA. OUR TEAM GENERATED A SET OF QUESTIONS IN AN EFFORT TO ELICIT ANSWERS FROM COMMUNITY STAKEHOLDERS THAT WOULD IDENTIFY COMMUNITY HEALTH NEEDS IN LEAVENWORTH COUNTY. AFTER INTERVIEWING THE STAKEHOLDERS WE DISCOVERED THAT THERE IS A CONSENSUS AMONG THE GROUP ABOUT THE PERCEIVED HEALTH CARE NEEDS FOR LEAVENWORTH COUNTY. THE ACCESS TO HEALTH CARE WAS IDENTIFIED BY MOST OF THE INTERVIEWEES. ORGANIZATIONS AND GROUPS CONSULTED INCLUDE EXECUTIVE LEADERS, SENIOR NURSING LEADERS AND QUALITY LEADERS OF SAINT LUKE'S CUSHING HOSPITAL, INFORMATICS LEADERS OF SAINT LUKE'S HEALTH SYSTEM, LEAVENWORTH COUNTY HEALTH DEPARTMENT, MUNSON ARMY HEALTH CENTER, AND LEAVENWORTH COUNTY EMERGENCY MEDICAL SERVICES AND HEALTH DEPARTMENT. 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. LACK OF PRIMARY CARE PHYSICIANS AND SPECIALISTSSAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO PROVIDE ACCESS TO PRIMARY CARE PHYSICIANS AND PHYSICIAN SPECIALISTS IN LEAVENWORTH COUNTY.2. LACK OF MENTAL HEALTH PROVIDERSPATIENTS WHO COME TO THE CUSHING EMERGENCY DEPARTMENT WILL RECEIVE PSYCHIATRIC ASSESSMENT, STABILIZATION, AND APPROPRIATE PLACEMENT, FOLLOWING THE SAME STANDARD PROCEDURE WE USE AT ALL SAINT LUKE'S HEALTH SYSTEM EMERGENCY DEPARTMENTS. WE WILL REFER PATIENTS TO APPROPRIATE COMMUNITY RESOURCES WHICH OFFER MORE COMPREHENSIVE PSYCHIATRIC SERVICES. THIS IS AN UPDATE TO THE IMPLEMENTATION PLAN ADOPTED FOR 2013.3. LACK OF SAFETY NET CLINICSSAINT LUKE'S CUSHING HOSPITAL WILL CONTINUE TO PROVIDE ESSENTIAL HEALTH SERVICES TO THE COMMUNITY, INCLUDING MEDICAL CARE TO INDIGENT POPULATIONS WITHIN LEAVENWORTH COUNTY. SAINT LUKE'S CUSHING HOSPITAL WILL ALSO CONTINUE TO SUPPORT PROGRAMS AIMED AT INCREASING HEALTH LITERACY AND PROMOTING PREVENTATIVE CARE WITHIN THE COMMUNITY. COLLABORATION WILL BE INCREASED WITH COMMUNITY PARTNERS INCLUDING SAINT VINCENT CLINIC, THE GUIDANCE CENTER, AND THE LEAVENWORTH COUNTY HEALTH DEPARTMENT.4. OBESITYSAINT LUKE'S CUSHING HOSPITAL IS CURRENTLY UTILIZING THE SERVICES OF AN ENDOCRINOLOGIST THROUGH SAINT LUKE'S MEDICAL GROUP CUSHING CARE SPECIALISTS. IN ADDITION TO ENDOCRINE SPECIALISTS, SAINT LUKE'S CUSHING HOSPITAL PROVIDES ACCESS TO A FULL RANGE OF DIABETES SERVICES THROUGH CUSHING'S DIABETES CENTER. THE CENTER IS THE ONLY AREA PROGRAM RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION.TWO OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA WILL NOT BE ADDRESSED BY SAINT LUKE'S CUSHING HOSPITAL. SAINT LUKE'S CUSHING HOSPITAL MAY CURRENTLY OFFER SERVICES THAT ADDRESS THESE COMMUNITY NEEDS; HOWEVER, THESE NEEDS HAVE NOT BEEN IDENTIFIED AS PRIMARY NEEDS TO BE ADDRESSED AS A PART OF THIS IMPLEMENTATION PLAN.1. LACK OF URGENT CARETHERE IS A LACK OF URGENT CARE CLINICS IN THE LEAVENWORTH COUNTY AREA. URGENT CARE CLINICS DELIVER AMBULATORY MEDICAL CARE OUTSIDE OF A HOSPITAL EMERGENCY DEPARTMENT, USUALLY ON AN UNSCHEDULED, WALK-IN BASIS. URGENT CARE CENTERS ARE PRIMARILY USED TO TREAT PATIENTS WHO HAVE AN INJURY OR ILLNESS THAT REQUIRES IMMEDIATE CARE BUT IS NOT SERIOUS ENOUGH TO WARRANT A VISIT TO AN EMERGENCY ROOM. UNFORTUNATELY, EMERGENCY DEPARTMENTS ARE OFTEN OVER-UTILIZED BY PATIENTS SEEKING THIS TYPE OF CARE.CURRENTLY, SAINT LUKE'S CUSHING HOSPITAL'S EMERGENCY DEPARTMENT SEES A CONSTANT INFLUX OF INDIVIDUALS WHO COULD HAVE BEEN PROPERLY CARED FOR AT AN URGENT CARE SETTING. CUSHING BELIEVES THAT SAINT JOHN HOSPITAL, SAINT VINCENT CLINIC, AND THE LEAVENWORTH COUNTY HEALTH DEPARTMENT ARE BETTER POSITIONED TO MEET THE COMMUNITY'S NEED FOR A MORE ACCESSIBLE URGENT CARE CLINIC. WITH THE LOCATION OF SAINT LUKE'S CUSHING HOSPITAL CENTERED PRIMARILY IN THE LOWER SOCIOECONOMIC PORTION OF LEAVENWORTH COUNTY, CUSHING CURRENTLY PROVIDES A SUBSTANTIAL AMOUNT OF CHARITY CARE TO THE PUBLIC AND IS CURRENTLY GENERATING A SIGNIFICANT OPERATING LOSS DUE TO THIS. AT THIS TIME THE FOCUS REMAINS ON EXPANDING EXISTING SERVICE LINES.2. LACK OF PUBLIC TRANSPORTATIONCURRENTLY THERE IS NOT A PUBLIC TRANSPORTATION SYSTEM IN OPERATION WITHIN THE LEAVENWORTH COUNTY AREA. IN MOST URBAN AND SEMI-URBAN CITIES, PUBLIC TRANSPORT IS USED TO ENSURE THAT ALL MEMBERS OF SOCIETY ARE ABLE TO TRAVEL INCLUDING: THE YOUNG, THE OLD, THE POOR, THOSE WITH MEDICAL CONDITIONS, AND PEOPLE BANNED FROM DRIVING. PATIENTS WHO RESIDE IN LEAVENWORTH COUNTY WHO ARE WITHOUT INDEPENDENT MOBILITY MUST MAKE TRAVEL ARRANGEMENTS IN ADVANCE. A LACK OF PUBLIC TRANSPORTATION IS A MAJOR BARRIER IMPEDING RESIDENTS FROM ACCESSING HEALTH CARE SERVICES WITHIN THE COMMUNITY.LACK OF PUBLIC TRANSPORTATION IS NOT GENERALLY AN ISSUE HEALTH CARE ORGANIZATIONS CAN DIRECTLY AFFECT, THEREFORE SAINT LUKE'S CUSHING HOSPITAL'S FOCUS WILL REMAIN ON EXPANDING ACCESS TO CARE IN OTHER WAYS. ALONG WITH THE SPECIFIC PROGRAMS DETAILED IN THE PRIORITY NEEDS SECTION OF THIS IMPLEMENTATION PLAN, 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. 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, 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 SAINT LUKES CUSHING HOSPITAL INC PART V, SECTION B, LINE 16A WEBSITE: WWW.SAINTLUKESHEALTHSYSTEM.ORG SAINT LUKES CUSHING HOSPITAL INC PART V, SECTION B, LINE 16B WEBSITE: WWW.SAINTLUKESHEALTHSYSTEM.ORG SAINT LUKES CUSHING HOSPITAL INC PART V, SECTION B, LINE 16C WEBSITE: WWW.SAINTLUKESHEALTHSYSTEM.ORG 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 PSYCHIATRIC SERVICES AND 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 $ 1,642,868. 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, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. 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 AT THIS TIME.ANOTHER ELEMENT OF THE COMMUNITY ASSESSMENT CONSISTS OF ONGOING MEETINGS WITH FORT LEAVENWORTH, U.S. PENITENTIARY, AND LANSING STATE CORRECTIONAL FACILITY OFFICIALS. 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, JUST OUTSIDE OF THE KANSAS CITY METROPOLITAN AREA. WE GENERALLY DESCRIBE OUR COMMUNITY AS A 31 ZIP CODE SERVICE AREA. 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 EMERGENCY, LABORATORY, AND RADIOLOGY 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) 1744560 SUPPORT HEALTHCARE SERVICES TO LEAVENWORTH SAINT LUKES HOSPITAL OF KANSAS CITY (501C3 AFFILIATE) 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 501(C)(3) 88459 SUPPORT FOR HEALTHCARE SERVICES TO LEAVENWORTH SAINT LUKES NORTHLAND HOSPITAL CORPORATION (501C3 AFFILIATE) 601 S 169 HWY SMITHVILLE MO 64089 440565393 501(C)(3) 1286613 SUPPORT FOR HEALTHCARE SERVICES TO LEAVENWORTH 3 0 SCHOLARSHIPS TO STUDENTS IN HEALTHCARE FIELD 5 5000 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 227460 0 37821 0 35048 0 38998 0 2502 0 341829 0 17280 DON SIPES DIRECTOR-PRESIDENT 0 266388 0 43570 0 117647 0 41153 0 19929 0 488687 0 19120 JULIE MURPHY DIRECTOR & CFO 0 205546 0 26458 0 54403 0 37773 0 10761 0 334941 0 16159 ADELE DUCHARME CEO 193834 0 31376 0 6453 0 24746 0 9334 0 265743 0 0 0 ROBERT KATZENBERGER MGR-PHARMACY 129426 0 0 0 1034 0 6685 0 17385 0 154530 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. FORM 990, PART III, LINE 3 DURING JUNE 2014, SAINT LUKE'S CUSHING HOSPITAL TRANSITIONED BEHAVIORAL HEALTH SERVICES TO SAINT LUKE'S NORTH HOSPITAL-SMITHVILLE, AN AFFILIATED TAX-EXEMPT HOSPITAL, WHICH RESULTED IN THE CLOSURE OF THE BEHAVIORAL HEALTH UNIT ON JUNE 30, 2014. SEVERAL FACTORS CONTRIBUTED THE CLOSURE INCLUDING AN ALMOST 50 PERCENT DECLINE IN PATIENT CENSUS IN THE PAST FOUR YEARS AND AN INCREASE IN OUTPATIENT TREATMENT OPTIONS BEING PROVIDED BY COMMUNITY AND GOVERNMENT AGENCIES, DESIGNED TO DECREASE HOSPITALIZATION AND READMISSIONS. AS VOLUME HAS DECREASED, OUR BEHAVIORAL CARE PROGRAM HAS OPERATED AT A LOSS. ADDITIONALLY, IT HAS BECOME INCREASINGLY DIFFICULT TO RECRUIT AND RETAIN THE PSYCHIATRISTS REQUIRED TO MAINTAIN A QUALITY PROGRAM. PATIENTS WHO COME TO THE HOSPITAL'S EMERGENCY DEPARTMENT WILL CONTINUE TO RECEIVE PSYCHIATRIC ASSESSMENT, STABILIZATION, AND APPROPRIATE PLACEMENT, FOLLOWING THE SAME STANDARD PROCEDURE WE USE AT ALL SAINT LUKE'S HEALTH SYSTEM HOSPITAL EMERGENCY DEPARTMENTS. WE WILL REFER PATIENTS TO APPROPRIATE COMMUNITY RESOURCES OR TO SAINT LUKE'S NORTH HOSPITAL-SMITHVILLE, WHICH OFFERS A MORE COMPREHENSIVE ARRAY OF PSYCHIATRIC SERVICES. 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 CUSHING MEMORIAL HOSPITAL 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 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, 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 (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY THE ENTITY'S CFO BEFORE FILING. THE 990 DRAFT WAS ALSO MADE AVAILABLE TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. 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 WITHIN 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. 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 1,730,646. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,730,646. OTHER SERVICES: PROGRAM SERVICE EXPENSES 248,565. MANAGEMENT AND GENERAL EXPENSES 117,997. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 366,562. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 320,881. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 320,881. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 870,189. MANAGEMENT AND GENERAL EXPENSES 47,551. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 917,740. MAINTENANCE AND REPAIRS: PROGRAM SERVICE EXPENSES 1,054,881. MANAGEMENT AND GENERAL EXPENSES 89,554. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,144,435. FORM 990, PART XI, LINE 9: PENSION SETTLEMENT/LIABILITY TRANSFER TO SLHS -105,321. BENEFICIAL INTEREST IN ASSETS OF CUSHING HOSPITAL FOUNDATION 2,335,086. 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. CUSHING HOSPITAL PHYSICIAN SERVICES LLC (DISSOLVED 3312014) 711 MARSHALL LEAVENWORTH KS 66048 261440016 PHYSICIAN SERVICES-BILLING KS SAINT LUKE'S CUSHING HOSPITAL SAINT LUKES HEALTH SYSTEM 901 E 104TH ST KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501(C)(3) 509(A)(3) - TYPE 1 SAINT LUKES HOSPITAL OF KANSAS CITY 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 ST LUKES HOSPITAL OF KANSAS CITY 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 1 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 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 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 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 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.