FURP.ORG / PUBLIC DATA EXPLORER

SAINT LUKES HOSPITAL OF GARNETT INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAINT LUKES HOSPITAL OF GARNETT INC (EIN 74-2849611)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349303462
Schema version
2011v1.2
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)
Timestamp2012-11-15T10:57:14-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts16462754GrossReceipts
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 Employees257TotalNbrEmployees
Total Nbr Volunteers140TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year156039ContributionsGrantsPriorYear
Contributions Grants Current Year126248ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15175518ProgramServiceRevenuePriorYear
Program Service Revenue CY16330256ProgramServiceRevenueCY
Investment Income Prior Year5043InvestmentIncomePriorYear
Investment Income Current Year6250InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15336600TotalRevenuePriorYear
Total Revenue Current Year16462754TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year24877GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY12796GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8199953SalariesEtcPriorYear
Salaries Etc Current Year8740644SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7103690OtherExpensePriorYear
Other Expenses Current Year7582521OtherExpensesCurrentYear
Total Expenses Prior Year15328520TotalExpensesPriorYear
Total Expenses Current Year16335961TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8080RevenuesLessExpensesPriorYear
Revenues Less Expenses CY126793RevenuesLessExpensesCY
Total Assets BOY2413651TotalAssetsBOY
Total Assets EOY3179067TotalAssetsEOY
Total Liabilities BOY1870793TotalLiabilitiesBOY
Total Liabilities EOY2568966TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY542858NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY610101NetAssetsOrFundBalancesEOY
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
Expense13392436Expense
Grants12796Grants
Revenue16330256Revenue
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 2011, THERE WERE 10,909 PATIENT DAYS, 13,741 RURAL HEALTH CLINIC VISITS, 3019 EMERGENCY ROOM VISITS, 21,853 OUTPATIENT VISITS AND 926 AMBULANCE CALLS. WE PROVIDED UN-INSURED OR INDIGENT AREA CHILDREN WITH 210 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 Expense13392436TotalProgramServiceExpense
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 Organizations1GrantsToOrganizations
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees257NumberOfEmployees
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 Duties1DelegationOfManagementDuties
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 Other0CompensationProcessOther
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM BARNES
BOARD MEMBER1.00XX000
CAROL ASKINS-BELLER
VICE CHAIRMAN-BOARD MEMB1.00XX000
MACKENZIE PETERSON MD
BOD MBR/EMPLD PHYSICIAN40.00X190342027840
DON SIPES
SECRETARY-BOARD MEMBER1.00XX030719153601
EUGENE HIGHBERGER
BOARD MEMBER1.00X000
CAROL MEYER
TREASURER-BOARD MEMBER1.00XX026516336684
DAVID LYBARGER
CHAIRPERSON-BOARD MEMBER1.00XX000
DENNIS HACHENBERG
CEO40.00X207329047027
VICKI MILLS
CFO40.00X118938018921
MARGO WILLIAMS
CNO40.00X95803013196
WENDY BELCHER
PHYSICIAN40.00160355028534X
FieldValueIRS element (for citing)
Total Reportable Comp From Org772767TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs572354TotalReportableCompFrmRltdOrgs
Total Other Compensation225803TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
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 COVERAGE1115462
CPSI
6600 WALL STREETMOBILEAL36685COMPUTER SERVICES218990
BOWES ANESTHESIA
9622 PERRY LANEOVERLAND PARKKS66212CRNA SERVICES199123
BLUE VALLEY IMAGING
10222 MONROVIALENEXAKS66215IMAGING SERVICES136323
CRANSTON J CEDERLIND
8436 MAPLEWOOD LNLENEXAKS66215OB/GYN PHYSICIAN119167
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Government Grants125998GovernmentGrants
All Other Contributions250AllOtherContributions
Total Contributions126248TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6221101560217615602176
AMBULANCE CONTRACT621910555000555000
MEDICAL CLINIC RENT5311208891088910
CAFETERIA6221106309163091
OTHER PROGRAM REVENUE6221102107921079
FieldValueIRS element (for citing)
Total Program Service Revenue16330256TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6250TotalRevenueColumn
Exclusion$6,250ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16462754TotalRevenueColumn
Related Or Exempt Function Income16330256RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,250ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total12796Total
Program Services12796ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total719398Total
Program Services218182ProgramServices
Management And General501216ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6085263Total
Program Services5418461ProgramServices
Management And General666802ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total116027Total
Program Services96111ProgramServices
Management And General19916ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1313956Total
Program Services1066398ProgramServices
Management And General247558ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total506000Total
Program Services419145ProgramServices
Management And General86855ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total44967Total
Management And General44967ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total100972Total
Management And General100972ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2735115Total
Program Services2645484ProgramServices
Management And General89631ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total40101Total
Program Services11145ProgramServices
Management And General28956ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1800040Total
Program Services1613818ProgramServices
Management And General186222ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total237130Total
Program Services94863ProgramServices
Management And General142267ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total779790Total
Program Services562804ProgramServices
Management And General216986ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total30997Total
Program Services30910ProgramServices
Management And General87ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total104234Total
Program Services53352ProgramServices
Management And General50882ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2000Total
Program Services1624ProgramServices
Management And General376ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18749Total
Program Services18749ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total273586Total
Program Services257422ProgramServices
Management And General16164ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT699062699062
SHARED SERVICES-SLHS681394156176525218
OTHER296111116118450
OTHER LTC ASSESSMENT47734773

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16335961Total
Program Services13392436ProgramServices
Management And General2943525ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY403BOY
EOY391EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY305599BOY
EOY299673EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY53779BOY
EOY55059EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1333227BOY
EOY1724417EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY198744BOY
EOY233976EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY198749BOY
EOY252460EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis408186LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec232903LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4960BOY
EOY175283EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY318190BOY
EOY437808EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2413651BOY
EOY3179067EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1017993BOY
EOY1197656EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY852800BOY
EOY1371310EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1870793BOY
EOY2568966EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY542858BOY
EOY610101EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY542858BOY
EOY610101EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2413651BOY
EOY3179067EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses126793ReconcilationRevenueExpenses
Reconcilation Other Changes-59550ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
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$3,050GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB3050TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I: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 Basis4096OtherCostOrOtherBasis
Depreciation4096Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5954OtherCostOrOtherBasis
Depreciation5643Depreciation
Book Value311BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis209064OtherCostOrOtherBasis
Depreciation206210Depreciation
Book Value2854BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis189072OtherCostOrOtherBasis
Depreciation16954Depreciation
Book Value172118BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings175283TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES25506
DUE FROM AFFILIATES8814
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS403488
FieldValueIRS element (for citing)
Total Book Value Other Assets437808TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO COUNTY BOARD OF TRUSTEES$387,334
DUE TO SLHS AFFILIATED ENTITIES$683,976
ST LUKE'S HOSPITAL OF KANSAS CITY LOAN$300,000
FieldValueIRS element (for citing)
Total Of Amounts1371310TotalOfAmounts
Total Revenue16462754TotalRevenue
Total Expenses16335961TotalExpenses
Excess Or Deficit For Year126793ExcessOrDeficitForYear
Other-$59,550OtherAmount
Total Adjustments-59550TotalAdjustments
Excess Or Deficit Per FS67243ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15758066TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal15758066RevenueSubtotal
Other Revenues Not Included704688OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt704688RevenueNotRptdOnFinStmt
Total Revenue Per Form99016462754TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15636898TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15636898ExpensesSubtotal
Other Expenses Not Included699063OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt699063ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016335961TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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, 2011, 2010, 2009, AND 2008, REMAIN SUBJECT TO EXAMINATION FOR BOTH FEDERAL AND STATE PURPOSES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:PENSION LIABILITY TRANSFER TO SYSTEM -53,925. RISK RENTENTION GROUP SUBSCRIBER SAVINGS DIVIDEND -5,628. ROUNDING 3. TOTAL TO SCHEDULE D, PART XI, LINE 8: -59,550.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RISK RETENTION GROUP SUBSCRIBER SAVINGS ACCOUNT DIVIDEND 5,628. ROUNDING -2. BAD DEBT REPORTED IN NET PATIENT REV FOR BOOKS; REPORTED IN EXPENSES FOR TAX 699,062.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT REPORTED IN NET PATIENT REV FOR BOOKS; REPORTED IN EXPENSES FOR TAX 699,062. ROUNDING 1.

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 Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense200824TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense200824NetCommunityBenefitExpense
Percent Of Total Expense0.01280PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1965724TotalCommunityBenefitExpense
Direct Offsetting Revenue1610944DirectOffsettingRevenue
Net Community Benefit Expense354780NetCommunityBenefitExpense
Percent Of Total Expense0.02270PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2166548TotalCommunityBenefitExpense
Direct Offsetting Revenue1610944DirectOffsettingRevenue
Net Community Benefit Expense555604NetCommunityBenefitExpense
Percent Of Total Expense0.03550PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense107331TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense107331NetCommunityBenefitExpense
Percent Of Total Expense0.00690PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense31636TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense31636NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1824791TotalCommunityBenefitExpense
Direct Offsetting Revenue1579047DirectOffsettingRevenue
Net Community Benefit Expense245744NetCommunityBenefitExpense
Percent Of Total Expense0.01570PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense52426TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense52426NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2016184TotalCommunityBenefitExpense
Direct Offsetting Revenue1579047DirectOffsettingRevenue
Net Community Benefit Expense437137NetCommunityBenefitExpense
Percent Of Total Expense0.02800PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4182732TotalCommunityBenefitExpense
Direct Offsetting Revenue3189991DirectOffsettingRevenue
Net Community Benefit Expense992741NetCommunityBenefitExpense
Percent Of Total Expense0.06350PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense182TotalCommunityBuildingExpense
Net Community Building Expense182NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense13549TotalCommunityBuildingExpense
Net Community Building Expense13549NetCommunityBuildingExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense4876TotalCommunityBuildingExpense
Net Community Building Expense4876NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense18981TotalCommunityBuildingExpense
Net Community Building Expense18981NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense93898TotalCommunityBuildingExpense
Net Community Building Expense93898NetCommunityBuildingExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense131486TotalCommunityBuildingExpense
Net Community Building Expense131486NetCommunityBuildingExpense
Percent Of Total Expense0.00840PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$699,062BadDebtExpenseAmount
Amount Reimbursed By Medicare7170258AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7363331CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-193073MedicareSurplusOrShortfall

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 (13 entries)

ExplanationExplanationIdentifierIdentifier
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.
PART I, L7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $16,335,961. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $699,062. THIS LEFT US WITH A TOTAL EXPENSE OF $15,636,899 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 $93,898 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: BAD DEBT EXPENSE IS REPORTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT IT ALIGNS WITH GAAP.FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: 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.
PART V, SECTION B, LINE 13G: 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 AT THE CONFLUENCE OF HWY 59 AND 169. 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: GRANTS ARE PROVIDED TO QUALIFYING ORGANIZATIONS. ALL DONEE INFORMATION IS KEPT AS PART OF THE ORGANIZATION'S BOOKS AND RECORDS.Explanation

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 Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base 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
9235209460703383087710190690218182000
DON SIPES
0224721065480016990036374017227036079200
CAROL MEYER
018873005413902229403447902205030184708199
DENNIS HACHENBERG
1500730447830124730286020184250254356025650
WENDY BELCHER
8830806952402523075310210030188889000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationDON 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 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 3AS PART OF AN INTEGRATED HEALTH SYSTEM, THE ORGANIZATION ROUTINELY DELEGATED VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES.
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.
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 MADE AVAILABLE 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 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 15AANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE. 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 TOTAL 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. 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 VII, COLUMN EDON 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. THESE INDIVIDUALS WORKED 40 HOURS OR MORE PER WEEK FOR ALL RELATED ORGANIZATIONS.
FORM 990, PART XI, LINE 5:PENSION LIABILITY TRANSFER TO SYSTEM -53,925. RISK RENTENTION GROUP SUBSCRIBER SAVINGS DIVIDEND -5,628. ROUNDING 3. TOTAL TO FORM 990, PART XI, LINE 5: -59,550.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
4323 WORNALL ROAD PEET 1KANSAS 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
8320 WARD PARKWAY SUITE 300KANSAS CITYMO64114272716128POST-SECONDARY NURSING EDUCATIONMO501C3170B1AIISAINT LUKE'S HOSPITAL0
SLCC INC
4330 WORNALL ROAD SUITE 2000KANSAS CITYMO64111271994652HEALTH CAREKSAPPLYING FOR 501C3APPLYING FOR 170B1AISAINT 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 NADirectControllingEntityNA
SAINT LUKE'S HEALTH SYSTEM RISK RETENTION GROUP
10920 ELM AVENUEKANSAS CITYMO64134371471890INSURANCESCN/A
ST LUKE'S HEALTH VENTURES INC
4320 WORNALL ROAD SUITE 410KANSAS CITYMO64111431278476ACCOUNTINGMON/A
MEDICAL PLAZA MANAGEMENT INC
4320 WORNALL ROAD SUITE 410KANSAS CITYMO64111431352317MEDICAL OFFICE BUILDING MANAGEMENTMON/A
VENTURE FINANCIAL SERVICES INC
9500 E 63RD ST STE 202KANSAS CITYMO64133431605740COLLECTIONSMON/A
SPELMAN DEVELOPMENT CORPORATION
601 SOUTH 169 HIGHWAYSMITHVILLEMO64089431296007HEALTH CAREMON/A
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
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