2013-10-15T16:08:41-05:00 2012-11-01 990 2012-01-01 431933950 SAINT LUKES CANCER INSTITUTE SAIN 8169322000 4401 WORNALL ROAD KANSAS CITY MO 64111 AMY NACHTIGAL 8169322000 2013-10-15 2012 2016-02-25 16:41:14Z X X JULIE QUIRIN 4401 WORNALL ROAD KANSAS CITY MO 64111 19822646 0 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X LLC 2001 MO CANCER TREATMENT 8 4 130 7 0 0 482764 341222 22604034 19474086 117321 7338 0 0 23204119 19822646 13750 16200 0 0 14441471 10116764 0 0 0 7438274 7433447 21893495 17566411 1310624 2256235 7453833 0 21386515 0 -13932682 0 X SAINT LUKE'S CANCER INSTITUTE IS COMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. WE ARE DEDICATED TO CANCER PATIENTS. AS A MEMBER OF THE SAINT LUKE'S HEALTH SYSTEM WE ARE COMMITTED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. 0 1 15311224 16200 19474086 SAINT LUKES CANCER INSTITUTE (SLCI) IS A 9 BED SPECIALTY HOSPITAL AND ONE OF THE LARGEST NON-PROFIT PROVIDERS IN THE REGION DEDICATED TO PROVIDING COMPREHENSIVE CANCER SERVICES THAT INCLUDE PREVENTION, EARLY DETECTION, DIAGNOSIS, TREATMENT, RESEARCH, EDUCATION AND SUPPORTIVE CARE. IN 2012 THERE WERE 862 PATIENT DAYS AND 28,648 OUTPATIENT VISITS. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS CHARITY CARE POLICIES FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARESAINT LUKES CANCER INSTITUTE OFFERS INPATIENT ONCOLOGY CARE WITH AN EMPHASIS ON THE CARE OF GYNECOLOGIC ONCOLOGY AND LEUKEMIA/LYMPHOMA PATIENTS; OUTPATIENT INFUSION SERVICES THAT INCLUDE: CHEMOTHERAPY, PHOTOPHERSIS, THERAPEUTIC PLASMA EXCHANGE, AND BLOOD MANAGEMENT; RADIATION THERAPY; SPECIALIZED HIGH DOSE RADIATION THERAPY; PROSTATE BRACHYTHERAPY; ONE OF THE LARGEST GYNECOLOGIC ONCOLOGY PROGRAM IN THE REGION; MEDICAL ONCOLOGY PROGRAM WITH PHYSICIANS SPECIALIZING IN BREAST, COLON AND LUNG CANCERS; CELL PROCESSING LAB; CORD BLOOD PROGRAMS; GENETIC COUNSELING; PET SCANNING; CANCER SCREENING; COMPREHENSIVE BREAST CENTER; BEHAVIORAL HEALTH SPECIALIST OFFERING SUPPORT TO PATIENTS AND FAMILIES AT NO COST; COMMUNITY OUTREACH AND EDUCATION.WE PROVIDE THE ONLY MOBILE MAMMOGRAPHY PROGRAM IN THE KANSAS CITY AREA, PROVIDING SCREENING MAMMOGRAMS TO UNINSURED AND UNDERINSURED WOMEN IN THE KANSAS CITY METROPOLITAN AREA. SLCI ALSO INVESTS IN THE FUTURE OF HEALTH CARE THROUGH RESEARCH ACTIVITIES. 15311224 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 1 0 1 130 1 0 0 0 0 0 0 0 0 0 0 X 8 4 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION CO ST LUKES HOSPITAL OF KANSAS CITY 8169322000 4401 WORNALL ROAD KANSAS CITY MO 64111 X JULIE QUIRIN 5.00 45.00 X X 0 603264 111954 JEFFREY WIEMAN MD 40.00 X X 57628 0 7345 THOMAS L BROWN 2.00 X 0 0 0 GAYDEN CARRUTH PHD 2.00 X 0 0 0 CHARLIE NEWELL 2.00 X 0 0 0 THOMAS L WAGSTAFF 2.00 X 0 0 0 ALI SHWAIKI MD 2.00 40.00 X 182142 180074 31564 THOMAS WILLARD 2.00 X 0 0 0 AMY NACHTIGAL 5.00 45.00 X 0 338318 49751 KARIN MCCRARY 50.00 50.00 X 0 123784 29317 DEBBIE WHITE 5.00 45.00 X 0 290774 66202 ROBERT BELT 40.00 40.00 X 302456 278846 17712 LOWELL BYERS 40.00 40.00 X 297986 274909 42560 MICHELLE DUDZINSKI 40.00 40.00 X 300682 277604 34916 MUHAMMAD RIAZ 40.00 40.00 X 283411 260414 32842 BRENDA SHOUP 40.00 40.00 X 297210 274132 34061 1721515 2902119 458224 18 0 1 0 JE DUNN CONSTRUCTION 1001 LOCUST KANSAS CITY MO 64106 CONSTRUCTION 1401014 VARIAN MEDICAL SYSTEMS INC 70140 NETWORK PLACE CHICAGO IL 606731701 SERVICE AGREEMENT 504597 2 850 340372 341222 NET PATIENT REVENUE 622110 18451690 18451690 OTHER PROGRAM REVENUE 622110 549091 549091 PET SCAN SERVICES 622110 315555 315555 EHR MEANINGFUL USE FDS 622110 157750 157750 19474086 7338 7338 19822646 19474086 0 7338 16200 16200 262898 197925 64973 8247007 7791280 455727 345458 324320 21138 770488 723344 47144 490913 460875 30038 72781 72781 2126160 1891885 234275 2476 2476 166589 164068 2521 158146 157485 661 626875 551650 75225 31728 21831 9897 29077 28938 139 533036 469072 63964 873541 768716 104825 317480 259462 58018 SHARED SERVICES - SLHS 1475000 487270 987730 MEDICAL SUPPLIES 770189 770178 11 BAD DEBTS 190155 190155 60214 34094 26120 17566411 15311224 2255187 0 594583 0 0 0 3135915 0 0 0 0 57005 0 536863 0 0 0 2639872 0 14580 0 172421 0 0 0 302594 0 7453833 0 1634176 0 19752339 0 21386515 0 X -13932682 0 -13932682 0 7453833 0 X 2256235 11676447 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 6937 0 0 0 6937 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: LINE 1(F): PORTION OF DUES PAID TO VARIOUS HOSPITAL AND MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 291250 291250 0 0 0 0 PART XI, XII, AND XIII - THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. 1 1 X 1 X 133.000000000000 1 X 1 1 0 0 265147 265147 0.01530 3965464 4169906 -204442 0.00000 4230611 4169906 60705 0.01530 68329 68329 0.00390 412780 412780 0.02380 17550 1350 16200 0.00090 498659 1350 497309 0.02860 4729270 4171256 558014 0.04390 0 190155 2692570 3207821 -515251 X 1 1 1 1 SAINT LUKES CANCER INSTITUTE

4401 WORNALL ROAD KANSAS CITY MO 64111

X X X SAINT LUKES CANCER INSTITUTE 1 1 1 133.000000000000 1 400.000000000000 1 X X X 1 1 X X X 1 0 1 X 0 0 2 SLCI PHYSICIAN CLINICS

4320 WORNALL ROAD KANSAS CITY MO 64111

PHYSICIAN CLINIC DIAGNOSTIC BREAST CARE CENTER

4321 WASHINGTON KANSAS CITY MO 64111

DIAGNOSTIC BREAST CARE CENTER PART I, L7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $17,566,411. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $190,155. THIS LEFT US WITH A TOTAL EXPENSE OF $17,376,256 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). 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.BAD DEBT IS RECORDED 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. SAINT LUKES CANCER INSTITUTE 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 OF CASE MANAGER AS WELL AS ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. 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 THROUGH ITS ANNUAL ENVIRONMENTAL ASSESSMENT PROCESS. 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 NEEDS ASSESSMENT INVOLVES ANNUALLY UPDATING ITS MEDICAL STAFF DEVELOPMENT PLAN TO ENSURE APPROPRIATE MEDICAL STAFF LEVELS IN A VARIETY OF MEDICAL SPECIALTIES AND SUBSPECIALTIES TO SERVE THE PATIENTS IN OUR COMMUNITY. PART VI, LINE 3: SEE RESPONSE TO PART V, LINE 14G. PART VI, LINE 4: THE HOSPITAL IS LOCATED IN THE URBAN CORE OF KANSAS CITY AND PROVIDES PATIENT CARE SERVICES TO THE METROPOLITAN KANSAS CITY AREA. PART VI, LINE 5: THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, IN FUNDRAISING, AND IN GENERAL STEWARDSHIP.MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.THE HOSPITAL USES RESOURCES TO MAINTAIN AND TO EXPAND ACCESS POINTS OF CARE FOR PATIENTS THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: 1) MOBILE BREAST IMAGING PROGRAM, 2) PARTICIPATION IN THE SUSAN KOMEN FOUNDATION FOR BREAST CANCER, 3) PARTICIPATION IN THE METROCARE PROGRAM OF THE METROPOLITAN MEDICAL SOCIETY, WHICH OFFERS FREE CARE FOR ELECTIVE PROCEDURES FOR THE UNINSURED COMMUNITY. 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. 1 SUSAN G KOMEN RACE FOR THE CURE 1111 MAIN STREET KANSAS CITY MO 64105 751835298 501C3 12735 SPONSORSHIP 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. 0 1 0 0 0 0 0 0 0 JULIE QUIRIN 0 412875 0 129394 0 60995 0 102075 0 9879 0 715218 0 43680 ALI SHWAIKI MD 147467 170544 33896 8750 779 780 5625 5625 10157 10157 197924 195856 0 0 AMY NACHTIGAL 0 250000 0 64895 0 23423 0 47550 0 2201 0 388069 0 19720 KARIN MCCRARY 0 122696 0 0 0 1088 0 9582 0 19735 0 153101 0 0 DEBBIE WHITE 0 229076 0 60568 0 1130 0 52560 0 13642 0 356976 0 0 ROBERT BELT 299332 276255 0 0 3124 2591 5000 5000 3856 3856 311312 287702 0 0 LOWELL BYERS 295967 272890 0 0 2019 2019 9375 9375 11905 11905 319266 296189 0 0 MICHELLE DUDZINSKI 298301 275224 0 0 2381 2380 10000 10000 7458 7458 318140 295062 0 0 MUHAMMAD RIAZ 279349 257522 0 0 4062 2892 5625 5625 10796 10796 299832 276835 0 0 BRENDA SHOUP 296467 273390 0 0 743 742 5625 5625 11405 11406 314240 291163 0 0 PART I, LINE 4B 457(F) PLAN PARTICIPANTS AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: JULIE QUIRIN: $30,375 SUPPLEMENTAL INFORMATION PART III PART II: REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR ALL APPLICABLE PERSONS WERE FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS FOR THE ENTIRE CALENDAR YEAR ENDING 12/31/2012. SAINT LUKES CANCER INSTITUTE WAS MERGED INTO ST LUKES HOSPITAL OF KANSAS CITY DURING 2012. ALL NET ASSETS TRANSFERRED TO THE SUCCESSOR ORGANIZATION IN MERGER. 2012-11-01 -11820824 NET BOOK VALUE 440545297 ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 501(C)(3) 0 0 0 0 1 1 1 1 0 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 EFFECTIVE NOVEMBER 1, 2012, THE ORGANIZATION MERGED INTO SAINT LUKE'S HOSPITAL OF KANSAS CITY, AN AFFILIATED 501(C)(3) ORGANIZATION. A CERTIFIED COPY OF THE ARTICLES OF MERGER IS ATTACHED TO THIS RETURN. FORM 990, PART VI, SECTION A, LINE 2 JULIE QUIRIN, AMY NACHTIGAL, DEBBIE WHITE, AND THOMAS BROWN 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 EFFECTIVE NOVEMBER 1, 2012, THE ORGANIZATION MERGED INTO SAINT LUKE'S HOSPITAL OF KANSAS CITY, AN AFFILIATED 501(C)(3) ORGANIZATION. A CERTIFIED COPY OF THE ARTICLES OF MERGER IS ATTACHED TO THIS RETURN. 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. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF FOR 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 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 COMPLIANCE OFFICER 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 OFFICERS. 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 ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. 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 REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR ALL APPLICABLE PERSONS WERE FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS FOR THE CALENDAR YEAR ENDING 12/31/2012. SAINT LUKES CANCER INSTITUTE WAS MERGED INTO ST LUKES HOSPITAL OF KANSAS CITY EFFECTIVE 11/1/2012. OTHER FEES FORM 990, PART IX, LINE 11G ANCILLARY AFFILIATE TRANSFERS: PROGRAM SERVICE EXPENSES 830,744. MANAGEMENT AND GENERAL EXPENSES 47,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 877,874. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 422,918. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 422,918. OTHER SERVICES: PROGRAM SERVICE EXPENSES 638,223. MANAGEMENT AND GENERAL EXPENSES 187,145. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 825,368. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ASSET TRANSFER TO SLH DUE TO MERGER 11,820,824. RISK RETENTION GROUP SUBSCRIBER SAVINGS ACCOUNT DIVIDEND -3,567. OTHER NET ASSET TRANSFERS TO SLH -140,808. ROUNDING -2. NUMBER REPORTED IN BOX 3 OF FORM 1096 FORM 990, PART V, LINE 1A SAINT LUKE'S CANCER INSTITUTE (SLCI) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLCI'S VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. INVESTMENT INCOME FORM 990, PART VIII, LINE 3 INVESTMENT INCOME INCLUDES $3,567 OF SUBSCRIBER SAVINGS ACCOUNT ALLOCATION FROM RELATED RISK RETENTION GROUP. SLCI PHYSICIAN SERVICES LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 261960133 PHYSICIAN SERVICES - BILLING MO SAINT LUKES CANCER INSTITUTE SAINT LUKES HEALTH SYSTEM INC 10920 ELM AVE KANSAS CITY MO 64134 431747502 HEALTH SYSTEM KS 501(C)(3) 509(A)(3) - TYPE 1 ST LUKES HOSPITAL OF KANSAS CITY 0 ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(C)(3) 170B1AIII 0 SAINT LUKE'S NORTHLAND HOSPITAL CORPORATION 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 440565393 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S SOUTH HOSPITAL INC 12300 METCALF AVENUE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S EAST HOSPITAL 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S MEDICAL GROUP 6750 ANTIOCH SUITE 210 SHAWNEE MISSION KS 66204 431598353 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 CRITTENTON 10918 ELM AVE KANSAS CITY MO 64134 440545808 HEALTH CARE MO 501(C)(3) 170B1AIII ST LUKES HOSPITAL OF KANSAS CITY 0 SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE 3100 BROADWAY SUITE 1000 KANSAS CITY MO 64111 431127200 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 ST LUKE'S OF TRENTON 191 IOWA BLVD TRENTON MO 64683 431707306 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 CABOT WESTSIDE HEALTH CENTER 2121 SUMMIT KANSAS CITY MO 64108 440546280 HEALTH CARE MO 501(C)(3) 170B1AVI SAINT LUKES HEALTH SYSTEM 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 LUKE'S HOSPITAL OF CHILLICOTHE 100 CENTRAL STREET CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 CUSHING MEMORIAL HOSPITAL CORPORATION 711 MARSHALL LEAVENWORTH KS 66048 480543792 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S CARE 10920 ELM AVE KANSAS CITY MO 64134 260185090 HEALTH CARE MO 501(C)(3) 509(A)(3) - TYPE 1 SAINT LUKES HEALTH SYSTEM 0 MEDICAL PLAZA IMAGING ASSOCIATES LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 431609584 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKE'S COLLEGE OF HEALTH SCIENCES 624 WESTPORT RD 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 SUITE 2000 KANSAS CITY MO 64111 271994652 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SLNC INC 4401 WORNALL ROAD KANSAS CITY MO 64111 451470888 HEALTH CARE KS APPLYING FOR 501(C)( 170B1AIII SAINT LUKES HEALTH SYSTEM 0 MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD SUITE 410 KANSAS CITY MO 64111 431357824 OWN & OPERATE MEDICAL OFFICE BUILDINGS MO N/A MEDICAL PARK ASSOCIATES A LP 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 431311049 OWN & OPERATE MEDICAL OFFICE BUILDINGS MO N/A ST LUKE'S SURGICENTER-LEE'S SUMMIT LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 470853481 HEALTHCARE MO N/A SAINT LUKE'S SOUTH SURGERY CENTER LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 201721929 HEALTHCARE KS N/A FAMILY ADVOCATES LLC 10918 ELM AVENUE KANSAS CITY MO 64134 202739036 FOSTER CARE MO N/A SAINT LUKE'S CARDIOLOGY SERVICES LLC 10920 ELM AVENUE KANSAS CITY MO 64134 263726426 HEALTHCARE MO N/A SAINT LUKE'S-GI DIAGNOSTICS LLC 4321 WASHINGTON SUITE 5700 KANSAS CITY MO 64111 274142549 HEALTHCARE MO N/A SAINT LUKE'S HEALTH SYSTEM RISK RETENTION GROUP 10920 ELM AVENUE KANSAS CITY MO 64134 371471890 INSURANCE SC N/A C 0 ST LUKE'S 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 ST STE 202 RAYTOWN MO 64133 431605740 COLLECTIONS MO N/A C 0 SPELMAN DEVELOPMENT CORPORATION 601 S 169 HIGHWAY SMITHVILLE MO 64089 431296007 MEDICAL OFFICE BUILDING RENTALS MO N/A C 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 1 1 TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART VI, ITEM 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.