Saint Lukes Cushing Hospital Inc: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Saint Lukes Cushing Hospital Inc (EIN 48-0543792)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201303199349302810
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T09:38:25-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480543792 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUSHING MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CUSH | NameControl |
| Phone | 9136841100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 MARSHALL | AddressLine1 |
| City | LEAVENWORTH | City |
| State | KS | State |
| ZIP Code | 66048 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ADELE DUCHARME | Name |
| Title | CEO | Title |
| Phone | 9136841100 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ADELE DUCHARME | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 MARSHALL | AddressLine1 |
| City | LEAVENWORTH | City |
| State | KS | State |
| ZIP Code | 66048 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 31412520 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SAINTLUKESHEALTHSYSTEM.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1930 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 380 | TotalNbrEmployees |
| Total Nbr Volunteers | 159 | TotalNbrVolunteers |
| Total Gross UBI | 15823 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -6258 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 96885 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 85996 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 30120363 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 31299550 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 80471 | InvestmentIncomePriorYear |
| Investment Income Current Year | 20100 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 568 | OtherRevenuePriorYear |
| Other Revenue Current Year | 309 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 30298287 | TotalRevenuePriorYear |
| Total Revenue Current Year | 31405955 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1201816 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1508962 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16359591 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 17272303 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17124049 | OtherExpensePriorYear |
| Other Expenses Current Year | 19504113 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 34685456 | TotalExpensesPriorYear |
| Total Expenses Current Year | 38285378 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4387169 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -6879423 | RevenuesLessExpensesCY |
| Total Assets BOY | 18393403 | TotalAssetsBOY |
| Total Assets EOY | 17112746 | TotalAssetsEOY |
| Total Liabilities BOY | 29265236 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 34862681 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -10871833 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -17749935 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | CUSHING 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 THE SAINT LUKE'S HEALTH SYSTEM, WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 32771690 | Expense |
| Grants | 1508962 | Grants |
| Revenue | 31284910 | Revenue |
| Description | AS A VOLUNTARY, NONPROFIT ORGANIZATION, CUSHING MEMORIAL HOSPITAL CORPORATION 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 CHARITY CARE POLICIES FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. | Description |
| Total Program Service Expense | 32771690 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 380 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9136841100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 MARSHALL | AddressLine1 |
| City | LEAVENWORTH | City |
| State | KS | State |
| ZIP Code | 66048 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JULIE ANDERSON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL CROW | ||||||||
| DIRECTOR-CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | ||
| CAROL MEYER | ||||||||
| DIRECTOR-SECRETARY/TREASUR | 1.00 | X | 0 | 302368 | 39155 | X | 50.00 | |
| RITA SWANN | ||||||||
| DIRECTOR-VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | ||
| JOHN PETERSON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DON SIPES | ||||||||
| DIRECTOR-PRESIDENT | 1.00 | X | 0 | 339041 | 55262 | X | 50.00 | |
| VICTORIA WELLS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JULIE MURPHY | ||||||||
| DIRECTOR & CFO | 1.00 | X | 0 | 255699 | 45707 | X | 50.00 | |
| GARY WAGES | ||||||||
| INTERIM CEO 5/2012 - 9/2012 | 40.00 | 0 | 68646 | 1803 | X | |||
| RON BAKER | ||||||||
| CEO THRU 4/2012 | 50.00 | 148979 | 147247 | 52090 | X | 50.00 | ||
| ADELE DUCHARME | ||||||||
| CNO THEN INTERIM CEO EFF 9/2012 | 40.00 | 125136 | 0 | 14254 | X | |||
| KARIN SUNDBLOM | ||||||||
| INTERIM CNO EFF 9/2012 | 40.00 | 83863 | 0 | 11735 | X | |||
| DALE DALENBERG | ||||||||
| PHYSICIAN | 40.00 | 227430 | 0 | 24885 | X | |||
| DINH NGUYEN | ||||||||
| PHARMACIST | 40.00 | 107607 | 0 | 11643 | X | |||
| LINDA ALDERMAN | ||||||||
| PHARMACIST | 40.00 | 102430 | 0 | 6711 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 795445 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1113001 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 263245 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EMERGENCY MEDICAL SERVICES KS LLC | |||||
| 920 MAIN STREET SUITE 300 | KANSAS CITY | MO | 64105 | EMERGENCY ROOM PHYSICIANS | 1363470 |
| P1 GROUP INC | |||||
| 16210 W 108TH ST | LENEXA | KS | 66219 | MAINTENANCE SERVICES | 704061 |
| J E DUNN CONSTRUCTION CO INC | |||||
| 1001 LOCUST | KANSAS CITY | MO | 64106 | CONSTRUCTION | 657985 |
| HEARTLAND ANESTHESIA LLC | |||||
| PO BOX 7768 | OVERLAND PARK | KS | 66207 | ANESTHESIA SERVICES | 410075 |
| NURSEFINDERS | |||||
| 524 E LAMAR BLVD SUITE 300 | ARLINGTON | TX | 76011 | TEMPORARY HELP SERVICES | 332195 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Membership Dues | 340 | MembershipDues |
| Government Grants | 20237 | GovernmentGrants |
| All Other Contributions | 65419 | AllOtherContributions |
| Total Contributions | 85996 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | 29871780 | 29871780 | |
| EHR MEANINGFUL USE FDS | 622110 | 548308 | 548308 | |
| RENTAL REVENUE | 531120 | 393328 | 393328 | |
| REGIONAL LAB | 541380 | 255166 | 239343 | 15823 |
| OTHER PROGRAM SERVICES | 622110 | 230968 | 230968 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 31299550 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18917 | TotalRevenueColumn |
| Exclusion | $18,917 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 309 | TotalRevenueColumn |
| Exclusion | $309 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7748 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6565 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1183 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1183 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1183 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31405955 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31284910 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 15823 | UnrelatedBusinessRevenue |
| Exclusion | $19,226 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1502762 | Total |
| Program Services | 1502762 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6200 | Total |
| Program Services | 6200 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 409422 | Total |
| Management And General | 409422 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13362032 | Total |
| Program Services | 11895950 | ProgramServices |
| Management And General | 1466082 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 453614 | Total |
| Program Services | 391837 | ProgramServices |
| Management And General | 61777 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2031818 | Total |
| Program Services | 1739319 | ProgramServices |
| Management And General | 292499 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1015417 | Total |
| Program Services | 877130 | ProgramServices |
| Management And General | 138287 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99360 | Total |
| Management And General | 99360 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14498 | Total |
| Management And General | 14498 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 626 | Total |
| Management And General | 626 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6153643 | Total |
| Program Services | 5272549 | ProgramServices |
| Management And General | 881094 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21163 | Total |
| Program Services | 1902 | ProgramServices |
| Management And General | 19261 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1008608 | Total |
| Program Services | 719624 | ProgramServices |
| Management And General | 288984 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239262 | Total |
| Program Services | 27240 | ProgramServices |
| Management And General | 212022 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 824400 | Total |
| Program Services | 775623 | ProgramServices |
| Management And General | 48777 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60518 | Total |
| Program Services | 34666 | ProgramServices |
| Management And General | 25852 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26961 | Total |
| Program Services | 19069 | ProgramServices |
| Management And General | 7892 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 932918 | Total |
| Program Services | 800924 | ProgramServices |
| Management And General | 131994 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1376648 | Total |
| Program Services | 1325560 | ProgramServices |
| Management And General | 51088 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 285960 | Total |
| Program Services | 274049 | ProgramServices |
| Management And General | 11911 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 3812323 | 3812323 | |
| BAD DEBT | 2159831 | 2159831 | |
| SHARED SERVICES-SLHS | 1890000 | 593518 | 1296482 |
| SWAP RELATED COSTS | 217691 | 197745 | 19946 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 379703 | Total |
| Program Services | 343869 | ProgramServices |
| Management And General | 35834 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38285378 | Total |
| Program Services | 32771690 | ProgramServices |
| Management And General | 5513688 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2541772 | BOY |
| EOY | 1055942 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 247986 | BOY |
| EOY | 250073 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3497701 | BOY |
| EOY | 3576252 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000 | BOY |
| EOY | 925 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 646433 | BOY |
| EOY | 725293 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 273110 | BOY |
| EOY | 125567 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 22473920 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12315917 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9753604 | BOY |
| EOY | 10158003 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 665351 | BOY |
| EOY | 66367 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 337640 | BOY |
| EOY | 583723 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 428806 | BOY |
| EOY | 570601 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18393403 | BOY |
| EOY | 17112746 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2210387 | BOY |
| EOY | 2165907 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27054849 | BOY |
| EOY | 32696774 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29265236 | BOY |
| EOY | 34862681 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -10961219 | BOY |
| EOY | -17850439 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65028 | BOY |
| EOY | 76146 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24358 | BOY |
| EOY | 24358 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -10871833 | BOY |
| EOY | -17749935 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18393403 | BOY |
| EOY | 17112746 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -6879423 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1321 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $4,306 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 4306 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | LINE F: PORTION OF DUES PAID TO THE KANSAS HOSPITAL ASSOCIATION USED FOR LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 89386 | BeginningOfYearBalance |
| Contributions | 19100 | Contributions |
| Investment Earnings Or Losses | 17 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 2000 | GrantsOrScholarships |
| Other Expenditures | 6000 | OtherExpenditures |
| End Of Year Balance | 100503 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 89127 | BeginningOfYearBalance |
| Contributions | 8550 | Contributions |
| Investment Earnings Or Losses | 215 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1500 | GrantsOrScholarships |
| Other Expenditures | 7006 | OtherExpenditures |
| End Of Year Balance | 89386 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 76514 | BeginningOfYearBalance |
| Contributions | 21606 | Contributions |
| Investment Earnings Or Losses | 307 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1000 | GrantsOrScholarships |
| Other Expenditures | 8300 | OtherExpenditures |
| End Of Year Balance | 89127 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 74358 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 3277 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1121 | GrantsOrScholarships |
| End Of Year Balance | 76514 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 74358 | BeginningOfYearBalance |
| End Of Year Balance | 74358 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.75760 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.24240 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 20000 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 407583 | OtherCostOrOtherBasis |
| Book Value | 427583 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11523640 | OtherCostOrOtherBasis |
| Depreciation | 6200094 | Depreciation |
| Book Value | 5323546 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9756801 | OtherCostOrOtherBasis |
| Depreciation | 5510129 | Depreciation |
| Book Value | 4246672 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 765896 | OtherCostOrOtherBasis |
| Depreciation | 605694 | Depreciation |
| Book Value | 160202 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10158003 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYABLE TO AFFILIATES | $25,756,556 |
| OTHER NONCURRENT LIABILITIES | $49,028 |
| RESERVE FOR SELF INSURED RISKS | $500,000 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | -$429,949 |
| CAPITAL LEASES | $101,139 |
| LONG TERM DEBT TO ST LUKES HEALTH SYSTEM | $6,320,000 |
| FIN 45 PHYSICIAN GUARANTEE | $400,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 32696774 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | 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 ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 133.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1955947 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1955947 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05410 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4338069 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3650016 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 688053 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01900 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6294016 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3650016 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2644000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07310 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 55602 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 55602 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 218290 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 218290 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5089804 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2635019 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2454785 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06800 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21001 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 21001 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5384697 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2635019 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2749678 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07610 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11678713 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6285035 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5393678 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14920 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1690 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1690 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 46 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 46 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2834 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2834 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4570 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4570 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,159,831 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 7016624 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10253090 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3236466 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUSHING MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 MARSHALL | AddressLine1 |
| City | LEAVENWORTH | City |
| State | KS | State |
| ZIP Code | 66048 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUSHING MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 133.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 7: COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRITE COST TO CHARGE RATIO FROM THE ORGANIZATION'S COST REPORT. | ||
| PART I, L7 COL(F): TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) OF $38,285,378 LESS BAD DEBT EXPENSE OF $2,159,831 EQUALS TOTAL EXPENSE OF $36,125,547 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). | ||
| PART II: CUSHING MEMORIAL HOSPITAL 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, FORT LEAVENWORTH COMMUNITY RELATIONS AND PARTNERS, LEADERSHIP LEAVENWORTH LANSING CLASS, VOLUNTEER WORK WITH HARVESTERS TO FEED CHILDREN IN NEED AND MANY MORE. WE ENCOURAGE OUR EMPLOYEES TO SERVE ON COMMUNITY BOARDS AND VOLUNTEER FOR ACTIVITIES THAT PROMOTE HEALTH IN THE COMMUNITY. | ||
| 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 2, BAD DEBT | |
| 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.BAD DEBT IS REPORTED 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 V, SECTION B, LINE 14G: THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR UNINSURED. 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, AND VISITS BY SOCIAL WORKER TEAMS WHEN AN INPATIENT AS WELL AS FOLLOW UP CALLS AFTER DISCHARGE. FINANCIAL ASSISTANCE OR MEDICAID APPLICATIONS ARE REQUESTED ON ALL UNINSURED PATIENTS PRIOR TO DISCHARGE.THE HOSPITAL ALSO CONTRACTS WITH ELIGIBILITY ENROLLMENT SERVICE COMPANIES TO SCREEN ALL UNINSURED PATIENTS, ANY PATIENT IDENTIFIED BY A SOCIAL WORKER OR CASE MANAGER AS WELL AS ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. | CUSHING MEMORIAL HOSPITAL CORPORATION | |
| 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 14G. | ||
| PART VI, LINE 4: CUSHING MEMORIAL HOSPITAL 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. 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.CUSHING MEMORIAL HOSPITAL 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 11 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT LUKES MEDICAL GROUP (501C3 AFFILIATE) | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6750 ANTIOCH ROAD STE 210 | AddressLine1 |
| City | SHAWNEE MISSION | City |
| State | KS | State |
| ZIP Code | 66204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 431598353 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 1484823 | AmountOfCashGrant |
| Purpose Of Grant | OPERATING FUNDS | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS TO STUDENTS IN HEALTHCARE FIELD | TypeOfGrant |
| Number Of Recipients | 6 | NumberOfRecipients |
| Amount Of Cash Grant | 6200 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GRANTS ARE PROVIDED TO QUALIFIED 501(C)(3) CHARITIES. ALL DONEE INFORMATION IS KEPT AS PART OF THE ORGANIZATION'S BOOKS AND RECORDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAROL MEYER | ||||||||||||||
| DIRECTOR-SECRETARY/TREASUR | 0 | 216000 | 0 | 55256 | 0 | 31112 | 0 | 37280 | 0 | 1875 | 0 | 341523 | 0 | 14879 |
| DON SIPES | ||||||||||||||
| DIRECTOR-PRESIDENT | 0 | 235195 | 0 | 66841 | 0 | 37005 | 0 | 37870 | 0 | 17392 | 0 | 394303 | 0 | 17999 |
| JULIE MURPHY | ||||||||||||||
| DIRECTOR & CFO | 0 | 198500 | 0 | 41219 | 0 | 15980 | 0 | 36159 | 0 | 9548 | 0 | 301406 | 0 | 12368 |
| RON BAKER | ||||||||||||||
| CEO THRU 4/2012 | 75316 | 145899 | 56147 | 0 | 17516 | 1348 | 15148 | 14972 | 10305 | 11665 | 174432 | 173884 | 0 | 15120 |
| DALE DALENBERG | ||||||||||||||
| PHYSICIAN | 226800 | 0 | 0 | 0 | 630 | 0 | 9231 | 0 | 15654 | 0 | 252315 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS. | |
| PART III | 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. RON BAKER RECEIVED COMPENSATION AS A FULL-TIME EMPLOYEE OF THE ORGANIZATION UNTIL APRIL 30, 2012. HE THEN TRANSFERRED TO A RELATED ENTITY TO PROVIDE FULL-TIME SERVICES. JULIE MURPHY RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND OTHER RELATED ORGANIZATIONS. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NUMBER REPORTED IN BOX 3 OF FORM 1096 | PART V, LINE 1A | CUSHING MEMORIAL HOSPITAL 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 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, DEBT, BUDGETS, CAPITAL EXPENDITURES AND STRATEGIC OPERATING DECISIONS. AS PART OF AN INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER ALSO PROVIDES VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO THE ORGANIZATIONS. | |
| 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 PRESENTED 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 OR THE SYSTEM VICE PRESIDENT OF HUMAN RESOURCES REVIEWS COMPLETED QUESTIONNAIRES AND FURTHER INVESTIGATES POSSIBLE CONFLICTS OF INTEREST. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND ANY IDENTIFIED CONFLICT OF INTEREST IS REPORTED TO THE APPLICABLE ENTITY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT 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 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT PUBLICLY AVAILABLE. | |
| 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. RON BAKER RECEIVED COMPENSATION FOR SERVICES RENDERED AS CEO OF THE ORGANIZATION UNTIL APRIL 30, 2012. HE THEN TRANSFERRED TO A RELATED ENTITY TO PROVIDE FULL-TIME SERVICES. JULIE MURPHY RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND OTHER RELATED ORGANIZATIONS. | |
| OTHER FEES | FORM 990, PART IX, LINE 11G | PHYSICIAN REMUNERATION: PROGRAM SERVICE EXPENSES 2,721,254. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,721,254. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,928,184. MANAGEMENT AND GENERAL EXPENSES 881,094. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,809,278. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 623,111. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 623,111. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | PENSION LIABILITY TRANSFER TO SLHS -28,311. RRG SSA DIVIDEND -199. ROUNDING -2. NET UNREALIZED GAINS ON INVESTMENTS 29,833. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUSHING HOSPITAL PHYSICIAN SERVICES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 MARSHALL | AddressLine1 |
| City | LEAVENWORTH | City |
| State | KS | State |
| ZIP Code | 66048 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261440016 | EIN |
| Primary Activities | PHYSICIAN SERVICES-BILLING | PrimaryActivities |
| Legal Domicile State | KS | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUSHING MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (19 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| SAINT LUKES HEALTH SYSTEM | ||||||||||
| 10920 ELM AVENUE | KANSAS CITY | MO | 64134 | 431747502 | HEALTH SYSTEM | KS | 501(C)(3) | 509(A)(3) - TYPE 1 | ST 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 | 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 | ||||||||||
| 6750 ANTIOCH SUITE 210 | SHAWNEE MISSION | KS | 66204 | 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 | ||||||||||
| 701 EAST FIRST | 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 | ||||||||||
| 2121 SUMMIT | KANSAS CITY | MO | 64108 | 440546280 | HEALTH CARE | MO | 501(C)(3) | 170B1AVI | SAINT LUKES HEALTH SYSTEM INC | 0 |
| MIDWEST EAR INSTITUTE INC | ||||||||||
| 4200 PENNSYLVANIA SUITE 100 | KANSAS CITY | MO | 64111 | 480905027 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | ST LUKES HOSPITAL OF KANSAS CITY | 0 |
| SAINT LUKES HOSPITAL OF CHILLICOTHE | ||||||||||
| 100 CENTRAL STREET | CHILLICOTHE | MO | 64601 | 431735565 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM INC | 0 |
| SAINT LUKES CANCER INSTITUTE LLC | ||||||||||
| 4323 WORNALL RD PEET 1 | KANSAS CITY | MO | 64111 | 431933950 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM INC | 0 |
| SAINT LUKES CARE | ||||||||||
| 10920 ELM AVENUE | KANSAS CITY | MO | 64134 | 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 | ||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 451470888 | HEALTH CARE | KS | APPLIED FOR 501(C)(3 | 170B1AIII | SAINT LUKES HEALTH SYSTEM INC | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| MEDICAL PLAZA PARTNERS LP | |||||||
| 4320 WORNALL ROAD SUITE 410 | KANSAS CITY | MO | 64111 | 431357824 | OWN AND OPERATE MEDICAL OFFICE BUILDING | MO | N/A |
| MEDICAL PARK ASSOCIATES A LP | |||||||
| 601 SOUTH 169 HWY | SMITHVILLE | MO | 64089 | 431311049 | 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 |
| FAMILY ADVOCATES LLC | |||||||
| 10918 ELM AVENUE | KANSAS CITY | MO | 64134 | 202739036 | FOSTER CARE | MO | N/A |
| SAINT LUKES CARDIOLOGY SERVICES LLC | |||||||
| 10920 ELM AVENUE | KANSAS CITY | MO | 64134 | 263726426 | HEALTH CARE | MO | N/A |
| SAINT LUKES-GI DIAGNOSTICS LLC | |||||||
| 4321 WASHINGTON STE 5700 | KANSAS CITY | MO | 64111 | 274142549 | HEALTH CARE | MO | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP | |||||||||
| 10920 ELM AVENUE | KANSAS CITY | MO | 64134 | 371471890 | INSURANCE | SC | N/A | C | 0 |
| ST LUKES HEALTH VENTURES INC | |||||||||
| 4320 WORNALL ROAD SUITE 410 | KANSAS CITY | MO | 64111 | 431278476 | ACCOUNTING | MO | N/A | C | 0 |
| MEDICAL PLAZA MANAGEMENT INC | |||||||||
| 4320 WORNALL ROAD SUITE 410 | 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 |
| SPELMAN DEVELOPMENT CORPORATION | |||||||||
| 601 SOUTH 169 HWY | SMITHVILLE | MO | 64089 | 431296007 | MEDICAL OFFICE BUILDING RENTALS | MO | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TRANSACTIONS WITH RELATED ORGANIZATIONS | Identifier |
| Return Reference | SCHEDULE R, PART V, LINE 1 | ReturnReference |
| 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. | Explanation |