FURP.ORG / PUBLIC DATA EXPLORER

SAINT LUKES HOSPITAL OF GARNETT INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAINT LUKES HOSPITAL OF GARNETT INC (EIN 74-2849611)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201343199349305444
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T12:04:18-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742849611EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT LUKES HOSPITAL OF GARNETT INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAINNameControl
Phone7854483131Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1421 SOUTH MAPLE BOX 309AddressLine1
CityGARNETTCity
StateKSState
ZIP Code66032ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameVICKI MILLSName
TitleCFOTitle
Phone7854483131Phone
Date Signed2013-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1ANDERSON COUNTY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENNIS HACHENBERGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1421 S MAPLEAddressLine1
CityGARNETTCity
StateKSState
ZIP Code66032ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18168093GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SAINTLUKESHEALTHSYSTEM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionCRITICAL ACCESS HOSPITALActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees233TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year126248ContributionsGrantsPriorYear
Contributions Grants Current Year132921ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16330256ProgramServiceRevenuePriorYear
Program Service Revenue CY18031475ProgramServiceRevenueCY
Investment Income Prior Year6250InvestmentIncomePriorYear
Investment Income Current Year3697InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year16462754TotalRevenuePriorYear
Total Revenue Current Year18168093TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year12796GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5341GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8740644SalariesEtcPriorYear
Salaries Etc Current Year9176467SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7582521OtherExpensePriorYear
Other Expenses Current Year8690301OtherExpensesCurrentYear
Total Expenses Prior Year16335961TotalExpensesPriorYear
Total Expenses Current Year17872109TotalExpensesCurrentYear
Revenues Less Expenses Prior Year126793RevenuesLessExpensesPriorYear
Revenues Less Expenses CY295984RevenuesLessExpensesCY
Total Assets BOY3179067TotalAssetsBOY
Total Assets EOY3841306TotalAssetsEOY
Total Liabilities BOY2568966TotalLiabilitiesBOY
Total Liabilities EOY2963097TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY610101NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY878209NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionANDERSON COUNTY HOSPITAL IS A FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE AND HEALTH RELATED SERVICES IN A CARING ENVIRONMENT. AS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM, WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15195239Expense
Grants5341Grants
Revenue18031475Revenue
DescriptionANDERSON COUNTY HOSPITAL HAS BEEN DESIGNATED BY THE STATE OF KANSAS AND MEDICARE AS A CRITICAL ACCESS HOSPITAL.ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION, WHICH IS TO ENSURE HIGH QUALITY HEALTHCARE IN A CARING ENVIRONMENT FOR THE COMMUNITIES WE SERVE. IN 2012, THERE WERE 10,903 PATIENT DAYS, 14,496 RURAL HEALTH CLINIC VISITS, 2851 EMERGENCY ROOM VISITS, 22,799 OUTPATIENT VISITS AND 863 AMBULANCE CALLS. WE PROVIDED UN-INSURED OR INDIGENT AREA CHILDREN WITH 209 VACCINATIONS.AS A VOLUNTARY, NONPROFIT, RURAL CRITICAL ACCESS HOSPITAL, SAINT LUKE'S HOSPITAL OF GARNETT IS COMMITTED TO SERVING ALL WHO SEEK OUR SERVICES REGARDLESS OF THEIR SOCIOECONOMIC STATUS. THOUGH WE HAVE PROVIDED SUCH CARE THROUGHOUT OUR 59-YEAR HISTORY, OUR COMMITMENT TO THOSE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE HAS GROWN SIGNIFICANTLY IN RECENT YEARS. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS CHARITY CARE POLICIES FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE.THE HOSPITAL ALSO PROVIDES HEALTH RELATED ACTIVITIES AND SERVICES IN SUPPORT OF THE COMMUNITY INCLUDING PROVIDING AN ANNUAL HEATH FAIR, AN ANNUAL BREAST CANCER AWARENESS CAMPAIGN AND CLINIC AND COMMUNITY WIDE HEALTH, WEIGHT, FIRST AID AND CPR CLASSES. IN ADDITION, WE PROVIDE A HEALTH CAREERS CLASS AT THE HIGH SCHOOL AND ARE A WORK STUDY SITE FOR HIGH SCHOOL STUDENTS INTERESTED IN HEALTH RELATED CAREERS.Description
Total Program Service Expense15195239TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees233NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7854483131TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1421 SOUTH MAPLE BOX 309AddressLine1
CityGARNETTCity
StateKSState
ZIP Code66032ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM BARNES
BOARD MEMBER1.00X000
CAROL ASKINS-BELLER
VICE CHAIRMAN-BOARD MEMB1.00X000X
MACKENZIE PETERSON MD
BOD MBR/EMPLD PHYSICIAN40.00X165330027827
DON SIPES
SECRETARY-BOARD MEMBER1.00X033904155261X50.00
EUGENE HIGHBERGER
BOARD MBR - TERM END 12/31/121.00X000
CAROL MEYER
TREASURER-BOARD MEMBER1.00X030236839155X50.00
DAVID LYBARGER
CHAIRPERSON-BOARD MEMBER1.00X000X
DENNIS HACHENBERG
CEO40.00232616052675X
VICKI MILLS
CFO40.00143701020851X
MARGO WILLIAMS
CNO40.0097100014703X
WENDY BELCHER
PHYSICIAN40.00145571030629X
LINDSEY WESTBERG
PHYSICIAN40.00190305010796X
FieldValueIRS element (for citing)
Total Reportable Comp From Org974623TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs641409TotalReportableCompFrmRltdOrgs
Total Other Compensation251897TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DOCS WHO CARE
1337 S FOUNTAIN DROLATHEKS66061ER & URGENT CARE COVERAGE1155100
AUBURN PHARMACY
429 N MAPLEGARNETTKS66032CONTRACT PHARMACY439832
CPSI
6600 WALL STREETMOBILEAL36685COMPUTER SERVICES213508
BOWES ANESTHESIA
9622 PERRY LANEOVERLAND PARKKS66212CRNA SERVICES208495
CRANSTON J CEDERLIND
8436 MAPLEWOOD LNLENEXAKS66215PHYSICIAN SERVICES130000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Government Grants132090GovernmentGrants
All Other Contributions831AllOtherContributions
Noncash Contributions831NoncashContributions
Total Contributions132921TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6221101589856615898566
CONTRACT PHARMACY622110937180937180
AMBULANCE CONTRACT621910574019574019
EHR MEANINGFUL USE622110442759442759
MEDICAL CLINIC RENT5311209219092190

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column86761TotalRevenueColumn
Related Or Exempt Function Income86761RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue18031475TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3697TotalRevenueColumn
Exclusion$3,697ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18168093TotalRevenueColumn
Related Or Exempt Function Income18031475RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,697ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5341Total
Program Services5341ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total754803Total
Program Services193157ProgramServices
Management And General561646ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6321676Total
Program Services5861084ProgramServices
Management And General460592ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total159375Total
Program Services136352ProgramServices
Management And General23023ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1427188Total
Program Services1195591ProgramServices
Management And General231597ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total513425Total
Program Services439258ProgramServices
Management And General74167ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15543Total
Management And General15543ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total79439Total
Management And General79439ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3294637Total
Program Services3148887ProgramServices
Management And General145750ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total35244Total
Program Services20990ProgramServices
Management And General14254ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total831084Total
Program Services685658ProgramServices
Management And General145426ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total297692Total
Program Services234861ProgramServices
Management And General62831ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total828507Total
Program Services597965ProgramServices
Management And General230542ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total33131Total
Program Services33032ProgramServices
Management And General99ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total88420Total
Program Services51726ProgramServices
Management And General36694ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total10655Total
Program Services8968ProgramServices
Management And General1687ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total44606Total
Program Services44606ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total240060Total
Program Services217915ProgramServices
Management And General22145ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES116072011523458375
BAD DEBT970794970794
SHARED SERVICES-SLHS727806184716543090
OTHER319631199319970

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17872109Total
Program Services15195239ProgramServices
Management And General2676870ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY391BOY
EOY509EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY299673BOY
EOY735177EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY55059BOY
EOY55059EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1724417BOY
EOY1591017EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY233976BOY
EOY232855EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY252460BOY
EOY132144EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis491981LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec277509LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY175283BOY
EOY214472EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY437808BOY
EOY880073EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3179067BOY
EOY3841306EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1197656BOY
EOY1521286EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1371310BOY
EOY1441811EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2568966BOY
EOY2963097EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY610101BOY
EOY878209EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY610101BOY
EOY878209EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3179067BOY
EOY3841306EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses295984ReconcilationRevenueExpenses
Reconcilation Other Changes-27876ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$2,988GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB2988TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationLINE F - PORTION OF DUES PAID TO VARIOUS HOSPITAL AND RELATED MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8704OtherCostOrOtherBasis
Depreciation4326Depreciation
Book Value4378BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5954OtherCostOrOtherBasis
Depreciation5850Depreciation
Book Value104BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis471211OtherCostOrOtherBasis
Depreciation267333Depreciation
Book Value203878BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6112OtherCostOrOtherBasis
Book Value6112BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings214472TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES321469
DUE FROM AFFILIATES10390
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS548214
FieldValueIRS element (for citing)
Total Book Value Other Assets880073TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO COUNTY BOARD OF TRUSTEES$387,334
DUE TO SLHS AFFILIATED ENTITIES$328,367
ST LUKE'S HOSPITAL OF KANSAS CITY LOAN$726,110
FieldValueIRS element (for citing)
Total Of Amounts1441811TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt17194019TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal17194019RevenueSubtotal
Other Revenues Not Included974074OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt974074RevenueNotRptdOnFinStmt
Total Revenue Per Form99018168093TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16901313TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16901313ExpensesSubtotal
Other Expenses Not Included970796OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt970796ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017872109TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. MANAGEMENT IS NOT AWARE OF ANY UNCERTAINTIES IN INCOME TAX POSITIONS. THE YEARS ENDED DECEMBER 31, 2012, 2011, 2010, AND 2009, REMAIN SUBJECT TO EXAMINATION FOR BOTH FEDERAL AND STATE PURPOSES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RISK RETENTION GROUP SUBSCRIBER SAVINGS ACCOUNT DIVIDEND 3,284. ROUNDING -4. BAD DEBT REPORTED IN NET PATIENT REV FOR BOOKS; REPORTED IN EXPENSES FOR TAX 970,794.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT REPORTED IN NET PATIENT REV FOR BOOKS; REPORTED IN EXPENSES FOR TAX 970,794. ROUNDING 2.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage133.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense97364TotalCommunityBenefitExpense
Net Community Benefit Expense97364NetCommunityBenefitExpense
Percent Of Total Expense0.00580PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1497360TotalCommunityBenefitExpense
Direct Offsetting Revenue1831243DirectOffsettingRevenue
Net Community Benefit Expense-333883NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1594724TotalCommunityBenefitExpense
Direct Offsetting Revenue1831243DirectOffsettingRevenue
Net Community Benefit Expense-236519NetCommunityBenefitExpense
Percent Of Total Expense0.00580PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense58050TotalCommunityBenefitExpense
Net Community Benefit Expense58050NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense49818TotalCommunityBenefitExpense
Net Community Benefit Expense49818NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4596375TotalCommunityBenefitExpense
Direct Offsetting Revenue3315421DirectOffsettingRevenue
Net Community Benefit Expense1280954NetCommunityBenefitExpense
Percent Of Total Expense0.07580PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense38662TotalCommunityBenefitExpense
Net Community Benefit Expense38662NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4742905TotalCommunityBenefitExpense
Direct Offsetting Revenue3315421DirectOffsettingRevenue
Net Community Benefit Expense1427484NetCommunityBenefitExpense
Percent Of Total Expense0.08440PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6337629TotalCommunityBenefitExpense
Direct Offsetting Revenue5146664DirectOffsettingRevenue
Net Community Benefit Expense1190965NetCommunityBenefitExpense
Percent Of Total Expense0.09020PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense16465TotalCommunityBuildingExpense
Net Community Building Expense16465NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense7531TotalCommunityBuildingExpense
Net Community Building Expense7531NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense19144TotalCommunityBuildingExpense
Net Community Building Expense19144NetCommunityBuildingExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense84128TotalCommunityBuildingExpense
Net Community Building Expense84128NetCommunityBuildingExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense127268TotalCommunityBuildingExpense
Net Community Building Expense127268NetCommunityBuildingExpense
Percent Of Total Expense0.00750PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$970,794BadDebtExpenseAmount
Amount Reimbursed By Medicare7458256AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7662277CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-204021MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT LUKE'S HOSPITAL OF GARNETTBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1421 S MAPLEAddressLine1
CityGARNETTCity
StateKSState
ZIP Code66032ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAINT LUKES HOSPITAL OF GARNETT INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent133.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
ANDERSON COUNTY LONG TERM CARE UNIT
421 S MAPLEGARNETTKS66032LONG TERM CARE NURSING FACILITY
ANDERSON COUNTY HOSPITAL FAMILY CARE CTR
536 W 4THGARNETTKS66032RURAL HEALTH CLINIC
ANDERSON COUNTY EMS
421 S MAPLEGARNETTKS66032AMBULANCE

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
PART I, LINE 3C: THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY.IN ADDITION, MEDICAL INDIGENCY MAY BE DETERMINED ON AN INDIVIDUAL BASIS FOR INCOME ABOVE THE FEDERAL POVERTY LEVEL WHEN A SINGLE ILLNESS OR INJURY CAUSES HARDSHIP.
PART I, LINE 7: COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRITE COST TO CHARGE RATIO FROM THE HOSPITAL'S COST REPORT
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES FOR EMERGENCY DEPARTMENT AND RURAL HEALTH CLINIC
PART I, L7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $17,872,109. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $970,794. THIS LEFT US WITH A TOTAL EXPENSE OF $16,901,315 FOR PURPOSES OF CACLULATING LINE 7, COLUMN (F).
PART II: ANDERSON COUNTY HOSPITAL'S COMMUNITY BUILDING ACTIVITIES COVER A WIDE RANGE. THE HOSPITAL TAKES THE LEAD IN MANY COMMUNITY ENDEAVORS. WE PROVIDE MEETING SPACE, REFRESHMENTS AND SPEAKERS FOR MANY COMMUNITY PROJECTS AND OTHER CHARITABLE ORGANIZATIONS. WE ASSIST WITH COALITION BUILDING IN OUR COMMUNITY AND BRING TOGETHER OTHER HEALTH AND SOCIAL SERVICES ORGANIZATIONS TO PLAN FOR THE BENEFIT OF THE COMMUNITY. WE PROVIDE OVER $84,128 IN FUNDS FOR WORKFORCE DEVELOPMENT IN THE COMMUNITY INCLUDING EMT, NURSE AID AND MEDICATION AID CLASSES THAT ARE OPEN TO THE COMMUNITY. WE PARTICIPATE IN THE GRADE AND HIGHSCHOOL BY OFFERING HEALTH RELATED CLASSES TO ALL AGE GROUPS. WE OFFER HEALTH CAREER ASSISTANCE AND CLASSES TO THE HIGH SCHOOL AND PARTICIPATE IN THE HIGH SCHOOL WORK STUDY PROGRAM WHICH OFFERS STUDENTS AN OPPORTUNITY TO SHADOW IN THE HEALTH CARE WORK ENVIRONMENT.
PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH A THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL 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. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.BAD DEBT IS REPORTED CONSISTENT WITH THE FINANCIAL STATEMENTS.
PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO FROM MEDICARE COST REPORT.ANDERSON COUNTY HOSPITAL IS A CRITICAL ACCESS HOSPITAL IN A FEDERALLY DESIGNATED LOW INCOME HPSA, LOCATED IN THE SECOND LOWEST INCOME COUNTY IN THE STATE OF KANSAS. THE AVERAGE AGE OF OUR INPATIENT POPULATION IS 74 AND THE AVERAGE AGE OF OUR OUTPATIENT POPULATION IS 62. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. WE PROVIDE SERVICES TO THE MOST NEEDY CONSTITUENCIES IN OUR AREA. THESE INCLUDE BOTH MEDICAID AND MEDICARE POPULATIONS. THE LOSS ON MEDICARE SHOULD BE TREATED AS COMMUNITY BENEFIT.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.
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, BAD DEBT
PART V, SECTION B, LINE 14G: ANDERSON COUNTY HOSPITAL INFORMED AND EDUCATED PATIENTS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THE ELIGIBILITY FOR ASSISTANCE BY POSTING SIGNS THROUGHOUT THE FACILITY AND ON HOSPITAL SPECIFIC LITERATURE GIVEN OUT TO EACH PATIENT WHO SEEKS SERVICES AS WELL AS ON OUR PATIENT STATEMENTS. WE COORDINATE IDENTIFICATION OF NEED WITH OUR PHYSICIAN OFFICE AND WITH OTHER ENTITIES WITHIN OUR HEALTH SYSTEM. WE HAVE A FINANCIAL AND SOCIAL SERVICE COUNSELORS WHO WORK WITH FAMILIES AND INDIVIDUALS IN NEED. SINCE ANDERSON COUNTY IS A LOW-INCOME HPSA WE UNDERSTAND THAT A LARGE PART OF OUR POPULATION NEEDS ASSISTANCE.SAINT LUKES HOSPITAL OF GARNETT INC
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. IN ADDITION, ONCE EVERY 3 YEARS, A COMMUNITY HEALTH SURVEY WHICH IS DELIVERED TO OVER 4000 HOMES IN THE SERVICE AREA. DETAILED INFORMATION ON HEALTH AND SOCIAL CONCERNS IN THE COMMUNITY AS WELL AS OTHER HEALTH RELATED INFORMATION IS GARNERED FROM THE SURVEYS. THE HOSPITAL ALSO HAS A NUMBER OF COMMUNITY ADVISORY BOARDS REPRESENTING DIFFERENT CONSTITUENCIES THAT MEET AT LEAST ANNUALLY TO ASSIST US IN PLANNING FOR THE HEALTH CARE NEEDS OF THE COMMUNITY. WE PARTICIPATE MONTHLY IN THE COMMUNITY WIDE HEALTH COALITION MADE UP OF OTHER HEALTH PROVIDERS WITHIN OUR AREA. FROM TIME TO TIME WE HAVE COMMUNITY FOCUS GROUPS TO ASSIST US IN UNDERSTANDING THE HEALTHCARE NEEDS IN OUR COMMUNITY.
PART VI, LINE 3: ANDERSON COUNTY HOSPITAL INFORMED AND EDUCATED PATIENTS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THE ELIGIBILITY FOR ASSISTANCE BY POSTING SIGNS THROUGHOUT THE FACILITY AND ON HOSPITAL SPECIFIC LITERATURE GIVEN OUT TO EACH PATIENT WHO SEEKS SERVICES AS WELL AS ON OUR PATIENT STATEMENTS. WE COORDINATE IDENTIFICATION OF NEED WITH OUR PHYSICIAN OFFICE AND WITH OTHER ENTITIES WITHIN OUR HEALTH SYSTEM. WE HAVE A FINANCIAL AND SOCIAL SERVICE COUNSELORS WHO WORK WITH FAMILIES AND INDIVIDUALS IN NEED. SINCE ANDERSON COUNTY IS A LOW-INCOME HPSA WE UNDERSTAND THAT A LARGE PART OF OUR POPULATION NEEDS ASSISTANCE.
PART VI, LINE 4: ANDERSON COUNTY HOSPITAL IS A CRITICAL ACCESS HOSPITAL, LOCATED IN GARNETT, A RURAL COMMUNITY SOUTHWEST OF KANSAS CITY. THE SERVICE AREA ENCOMPASSES ALL OF ANDERSON COUNTY AND PORTIONS OF FRANKLIN, LINN, COFFEY AND ALLEN COUNTIES. THE CURRENT COUNTY POPULATION IS 8700 AND THE EXTENDED SERVICE AREA POPULATION IS 12,000 PEOPLE. THE GARNETT AREA IS MAINLY A FARMING COMMUNITY. THE COUNTY IS FEDERALLY DESIGNATED AS A LOW-INCOME HEALTH PROFESSIONALS SHORTAGE AREA.
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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MACKENZIE PETERSON MD
BOD MBR/EMPLD PHYSICIAN9163406927904417076880201390193157000
DON SIPES
SECRETARY-BOARD MEMBER02351950668410370050378700173910394302017999
CAROL MEYER
TREASURER-BOARD MEMBER0216000055256031112037280018750341523014879
DENNIS HACHENBERG
CEO16715504574901971203269901997602852910123200
VICKI MILLS
CFO12574101694501015011021098300164552000
WENDY BELCHER
PHYSICIAN8779605486302912069590236700176200000
LINDSEY WESTBERG
PHYSICIAN1667870221980132003833069630201101000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 7ReturnReference
ExplanationTHE 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2DON SIPES AND CAROL MEYER 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 6THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11THE 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 BEFORE FILING. THE 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS FOR VIEWING BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CSAINT LUKE'S HEALTH SYSTEM AND ITS AFFILIATES, INCLUDING THE FILING ORGANIZATION, HAVE COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICIES APPLICABLE TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. ANY ACTUAL, POSSIBLE OR PERCEIVED CONFLICT OF INTEREST IS EXPECTED TO BE HANDLED THROUGH FULL AND TIMELY DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSENCE OF PERSUASION IN ANY DISCUSSION AND IN ANY VOTE WHEREIN THE INTEREST IS INVOLVED. DISCLOSURE IS TO BE MADE WHEN THE INTEREST ARISES, AT ANY TIME THE INTEREST BECOMES A MATTER OF GOVERNING BOARD ACTION, AND THEN ANNUALLY THROUGH COMPLETION OF A CONFLICT OF INTEREST QUESTIONNAIRE. THE SYSTEM VICE PRESIDENT OF INTERNAL AUDIT REVIEWS COMPLETED QUESTIONNAIRES AND 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 15ANNUALLY, 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 PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT PUBLICLY AVAILABLE.
FORM 990, PART IX, LINE 11GPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,545,398. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,545,398. REPAIRS AND MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 258,385. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 258,385. TECHNICAL FEES: PROGRAM SERVICE EXPENSES 229,399. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 229,399. CRNA FEES: PROGRAM SERVICE EXPENSES 197,586. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 197,586. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 918,119. MANAGEMENT AND GENERAL EXPENSES 145,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,063,869.OTHER FEES
FORM 990, PART XI, LINE 9:PENSION LIABILITY TRANSFER TO SYSTEM -24,598. RISK RENTENTION GROUP SUBSCRIBER SAVINGS DIVIDEND -3,284. ROUNDING 6.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (19 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SAINT LUKES HEALTH SYSTEM INC
10920 ELM AVENUEKANSAS CITYMO64134431747502HEALTH SYSTEMKS501(C)(3)509(A)(3) - TYPE 1ST LUKES HOSPITAL OF KANSAS CITY0
ST LUKES HOSPITAL OF KANSAS CITY
4401 WORNALL ROADKANSAS CITYMO64111440545297HEALTH CAREMO501(C)(3)170B1AIII0
SAINT LUKE'S NORTHLAND HOSPITAL CORPORATION
601 S 169 HWYSMITHVILLEMO64089440545393HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKE'S HEALTH SYSTEM0
SAINT LUKE'S SOUTH HOSPITAL INC
12300 METCALF AVENUEOVERLAND PARKKS66213481203262HEALTH CAREKS501(C)(3)170B1AIIISAINT LUKE'S HEALTH SYSTEM0
SAINT LUKE'S EAST HOSPITAL
100 NE SAINT LUKES BLVDLEES SUMMITMO64086562488077HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKE'S HEALTH SYSTEM0
SAINT LUKE'S CARE
10920 ELM AVENUEKANSAS CITYMO64134260185090HEALTH CAREMO501(C)(3)509(A)(3) - TYPE 1SAINT LUKE'S HEALTH SYSTEM0
SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE
3100 BROADWAY SUITE 1000KANSAS CITYMO64111431127200HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKE'S HEALTH SYSTEM0
SAINT LUKE'S CANCER INSTITUTE LLC
4401 WORNALL ROADKANSAS CITYMO64111431933950HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKE'S HEALTH SYSTEM0
CUSHING MEMORIAL HOSPITAL CORPORATION
711 MARSHALLLEAVENWORTHKS66048480543792HEALTH CAREKS501(C)(3)170B1AIIISAINT LUKE'S HEALTH SYSTEM0
SAINT LUKE'S MEDICAL GROUP
6750 ANTIOCH SUITE 210SHAWNEE MISSIONKS66204431598353HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKE'S HEALTH SYSTEM0
SAINT LUKE'S HOSPITAL OF CHILLICOTHE
100 CENTRAL STREETCHILLICOTHEMO64601431735565HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKE'S HEALTH SYSTEM0
SAINT LUKE'S HOSPITAL OF TRENTON
191 IOWA BLVDTRENTONMO64683431707306HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKE'S HEALTH SYSTEM0
MIDWEST EAR INSTITUTE INC
4200 PENNSYLVANIA SUITE 100KANSAS CITYMO64111480905027HEALTH CAREKS501(C)(3)170B1AIIIST LUKES HOSPITAL OF KANSAS CITY0
CRITTENTON
10918 ELM AVENUEKANSAS CITYMO64134440545808HEALTH CAREMO501(C)(3)170B1AIIIST LUKES HOSPITAL OF KANSAS CITY0
CABOT WESTSIDE HEALTH CENTER
2121 SUMMITKANSAS CITYMO64108440546280HEALTH CAREMO501(C)(3)170B1AVISAINT LUKE'S HEALTH SYSTEM0
MEDICAL PLAZA IMAGING ASSOCIATES LLC
4401 WORNALL ROADKANSAS CITYMO64111431609584HEALTH CAREMO501C3170B1AIIISAINT LUKE'S HEALTH SYSTEM0
SAINT LUKE'S COLLEGE OF HEALTH SCIENCES
624 WESTPORT RDKANSAS CITYMO64111272716128POST-SECONDARY NURSING EDUCATIONMO501C3170B1AIISAINT LUKE'S HOSPITAL0
SLCC INC
4330 WORNALL ROAD SUITE 2000KANSAS CITYMO64111271994652HEALTH CAREKS501C3170B1AIIISAINT LUKE'S HEALTH SYSTEM0
SLNC INC
4401 WORNALL ROADKANSAS CITYMO64111451470888HEALTH CAREKSAPPLYING FOR 501C3APPLYING FOR 170B1AISAINT LUKE'S HEALTH SYSTEM0

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
MEDICAL PLAZA PARTNERS LP
4320 WORNALL RD SUITE 410KANSAS CITYMO64111431357824OWN & OPERATE MEDICAL OFFICE BUILDINGMON/A
MEDICAL PARK ASSOCIATES A LP
601 SOUTH 169 HIGHWAYSMITHVILLEMO64089431311049OWN & OPERATE MEDICAL OFFICE BUILDINGMON/A
ST LUKE'S SURGICENTER-LEE'S SUMMIT LLC
11221 ROE AVE SUITE 230OVERLAND PARKKS66211470853481HEALTH CAREMON/A
SAINT LUKE'S SOUTH SURGERY CENTER LLC
11221 ROE AVE SUITE 230OVERLAND PARKKS66211201721929HEALTH CAREKSN/A
FAMILY ADVOCATES LLC
10918 ELM AVENUEKANSAS CITYMO64134202739036FOSTER CAREMON/A
SAINT LUKE'S CARDIOLOGY SERVICES LLC
10920 ELM AVENUEKANSAS CITYMO64134263726426HEALTH CAREMON/A
SAINT LUKE'S-GI DIAGNOSTICS LLC
4321 WASHINGTON SUITE 5700KANSAS CITYMO64111274142549HEALTH CAREMON/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
SAINT LUKE'S HEALTH SYSTEM RISK RETENTION GROUP
10920 ELM AVENUEKANSAS CITYMO64134371471890INSURANCESCN/A0
ST LUKE'S HEALTH VENTURES INC
10920 ELM AVENUEKANSAS CITYMO64134431278476ACCOUNTINGMON/A0
MEDICAL PLAZA MANAGEMENT INC
4320 WORNALL ROAD SUITE 410KANSAS CITYMO64111431352317MEDICAL OFFICE BUILDING MANAGEMENTMON/A0
VENTURE FINANCIAL SERVICES INC
9500 E 63RD ST STE 202KANSAS CITYMO64133431605740COLLECTIONSMON/A0
SPELMAN DEVELOPMENT CORPORATION
601 SOUTH 169 HIGHWAYSMITHVILLEMO64089431296007HEALTH CAREMON/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH RELATED ORGANIZATIONSIdentifier
Return ReferenceSCHEDULE R, PART V, LINE 1ReturnReference
ExplanationSAINT 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