2012-11-15T12:14:35-06:00 2011-12-31 990 2011-01-01 562488077 SAINT LUKES EAST HOSPITAL SAIN 8163475000 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 JOSEPH STASI 8163474887 2012-11-15 2011 2016-02-24 21:20:13Z SAINT LUKE'S EAST-LEE'S SUMMIT JOSEPH STASI 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 140796961 0 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 2004 MO HOSPITAL 14 11 1129 169 66173 -15851 45163 40933 121832295 140615084 39222 140944 0 0 121916680 140796961 3198498 4431820 0 0 42492681 51155604 0 0 56909 66041024 69783859 111732203 125371283 10184477 15425678 213870708 229706891 149834317 155880460 64036391 73826431 X SAINT LUKE'S EAST-LEE'S SUMMIT IS A FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE AND HEALTH SERVICES IN A CARING ENVIRONMENT. AS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM, WE ARE COMMITTED TO ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. 0 0 111384216 9831820 140548911 SAINT LUKE'S EAST HOSPITAL (SLEH) IS A FULL SERVICE, 125 BED HOSPITAL AND OUTPATIENT CAMPUS PROVIDING ACUTE AND GENERAL HEALTH CARE TO THE COMMUNITY. 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 HAD 27,241 INPATIENT DAYS AND PROVIDED APPROXIMATELY 95,041 OUTPATIENT AND EMERGENCY SERVICES. EMERGENCY SERVICES ARE PROVIDED 24 HOURS A DAY, 7 DAYS A WEEK AND ARE STAFFED BY BOARD-CERTIFIED EMERGENCY PHYSICIANS. THE HOSPITAL ALSO PROVIDES HEALTH RELATED ACTIVITIES AND SERVICES IN SUPPORT OF THE COMMUNITY, INCLUDING BUT NOT LIMITED TO SOCIAL WORK SERVICES, SPIRITUAL SERVICES, AND COMMUNITY EDUCATION / HEALTH FAIRS. 111384216 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 X 3 0 1 1129 1 1 1 0 0 0 0 0 0 0 0 0 X 14 11 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X CFO 8163475000 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 X GEORGE A PAGELS MD 20.00 X X 0 602969 213173 JEAN ALLEY 2.00 X X 0 0 0 LAURA E MAXWELL 2.00 X 0 0 0 ROBERT BONNEY 2.00 X 0 484852 250734 HERBERT A DEMPSEY SR MD 2.00 X 0 0 0 GERALD F DUGAN MD 2.00 X 0 0 0 THOMAS D JACKSON 2.00 X X 0 0 0 LESSIE THOMPSON 2.00 X 0 0 0 MICHELE R SPILKER 2.00 X 0 0 0 MACHELLE H RIFFE 2.00 X 0 0 0 KEITH ASEL 2.00 X 0 0 0 ALBERT TRANCHILLA JR 2.00 X 0 0 0 JOHN D CULVER 2.00 X 0 0 0 WILLIAM J SIMPSON 2.00 X 0 0 0 JOSEPH STASI 40.00 X 242647 0 51325 GLORIA SOLIS 40.00 X 189242 0 39806 DENNIS SHARPE 40.00 X 110115 0 26459 PATRICIA BEATTY 40.00 X 119751 0 3474 JOHN CLABAUGH 40.00 X 120913 0 7776 GREG TEALE 40.00 X 120738 0 25829 JOHN WHIPPLE III 40.00 X 105836 0 4233 1009242 1087821 622809 13 0 1 0 JE DUNN CONSTRUCTION INC 929 HOLMES KANSAS CITY MO 64106 CONSTRUCTION & CONSTRUCTION MANAGEMENT 4556011 TURNER CONSTRUCTION COMPANY 2345 GRAND BLVD STE 1000 KANSAS CITY MO 64108 CONSTRUCTION & CONSTRUCTION MANAGEMENT 4538735 P1 GROUP INC 16210 W 108TH STREET LENEXA MO 66219 MAINTENANCE 1592250 ACIBOLAND INC 1421 E 104TH STREET STE 100 KANSAS CITY MO 64131 ARCHITECTS 1092182 NURSEFINDERS 524 E LAMAR BLVD SUITE 300 ARLINGTON TX 76011 TEMPORARY HELP 938822 19 4676 36257 4676 40933 NET PATIENT REVENUE 622110 129856712 129856712 LEE'S SUMMIT ASC 621400 6128489 6128489 MEDICAL OFFICE BLDING 531120 2319824 2319824 REGIONAL LAB 621500 741599 675426 66173 1568460 1568460 140615084 140944 140944 140796961 140548911 66173 140944 4431820 4431820 523018 523018 40783690 37554317 3172835 56538 1286140 1170902 115238 5742116 5260456 481660 2820640 2567911 252729 259837 259837 42534 42534 10592562 9526593 1065969 92733 4809 87924 4352872 3927013 425488 371 436711 1265 435446 2073997 2008102 65895 38491 21770 16721 50916 39093 11823 4821586 4651866 169720 10984262 10726865 257397 993907 812325 181582 MEDICAL SUPPLIES 17661597 17655104 6493 SHARED SERVICES-SLHS 9073432 2856749 6216683 BAD DEBTS 6385441 6385441 BOND FEES 1373369 1325027 48342 549612 456788 92824 125371283 111384216 13930158 56909 23191788 28460633 1079409 1206956 15743790 17081630 1961415 2351246 902702 1062346 225594661 56088059 161476355 169506602 258073 251905 2972927 2979095 6284249 6806478 213870708 229706891 8713490 11076358 1162897 129233981 128395715 11886846 15245490 149834317 155880460 X 63872675 73635481 163716 190950 64036391 73826431 213870708 229706891 X 15425678 -5635638 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 19010 0 0 0 19010 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: LINE F- PORTION OF DUES PAID TO MISSOURI HOSPITAL ASSOCIATION AND OTHER HEALTHCARE RELATED ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 163716 71500 668 44916 18 190950 125921 85500 1006 48704 7 163716 81417 75200 1074 31759 11 125921 75050 45200 1331 40164 81417 1.00000 1 0 4405640 4405640 145700904 27006158 118694746 5924284 3568802 2355482 54590781 23531304 31059477 14973052 1981795 12991257 169506602 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 8357549 OTHER LIABILITIES 1778469 RESERVE FOR SELF INSURED RISKS 3092000 FIN 45 PHYSICIAN GUARANTEE 2017472 15245490 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INTENDED USE OF ENDOWMENT FUNDS INCLUDES BUT IS NOT LIMITED TO MEDICAL STAFF DEVELOPMENT AND GENERAL OPERATIONS OF THE HOSPITAL. PART XI, XII, AND XIII - THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. 1 1 X 1 X 1 X 1 1 1 0 0 3461285 3461285 0.02910 13947170 15694013 -1746843 0.00000 17408455 15694013 1714442 0.01400 229987 30 229957 0.00190 237046 237046 0.00200 19773 19773 0.00020 94234 955 93279 0.00080 581040 985 580055 0.00490 17989495 15694998 2294497 0.01890 4727 4727 0.00000 1601 1601 0.00000 112807 112807 0.00090 119135 119135 0.00090 0 6385441 30082361 40277539 -10195178 X 1 1 1 SAINT LUKES SURGICENTER-LEE'S SUMMIT LLC OUTPATIENT SURGERY 0.51000 0.00000 0.45000 1 1 SAINT LUKES EAST HOSPITAL

100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086

X X X SAINT LUKES EAST HOSPITAL 1 1 1 200.000000000000 1 400.000000000000 1 X X X 1 1 X X X 1 0 1 X 0 0 1 SAINT LUKES SURGICENTER - LEES SUMMIT

120 NE SAINT LUKES BLVD LEES SUMMIT MO 64086

AMBULATORY SURGERY CENTER PART I, LINE 7: COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO FROM THE HOSPITAL'S COST REPORT. PART I, L7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $125,371,283. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $6,385,441. THIS LEFT US WITH A TOTAL EXPENSE OF $118,985,842 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART II: OUR HOSPITAL SPONSORS OR PARTICIPATES IN MANY COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF OUR COMMUNITY. THESE ACTIVITIES INCLUDE FREE FLU SHOOTS AVAILABLE TO THE PUBLIC, CHILD CARE SEAT SAFETY CHECKS, AND COLLECTING CLOTHING ARTICLES AND FOOD FOR LEE'S SUMMIT CARES. OTHER SPONSORSHIPS OF COMMUNITY EVENTS INCLUDE COLLECTING FOOD DONATIONS FOR HARVESTERS TO FEED INDIVIDUALS IN NEED, IMPLEMENTATION AND EDUCATION OF GREEN INITIATIVES, CAREER SHADOWING, AND PARTICIPATION IN A HIGH SCHOOL CAREER ADVISORY PROGRAM. WE ENCOURAGE OUR EMPLOYEES TO SERVE ON COMMUNITY BOARDS AND VOLUNTEER FOR ACTIVITIES THAT PROMOTE HEALTH IN THE COMMUNITY. 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: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (INCLUDING COPAYMENT AND DEDUCTIBLE AMOUNTS FROM PATIENTS), THE SYSTEM ANALYZED CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEY THEY ARE DEEMED UNCOLLECTIBLE.BAD DEBT IS RECORDED CONSISTENT WITH FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN WHAT IT COSTS TO PROVIDE THE CARE AND SERVICES. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THE COST OF PROVIDING THE CARE MAY EXCEED THE FUNDS WE RECEIVE FROM MEDICARE FOR THE SERVICE. OUR SHORTFALL IS CONSIDERED TO BE COMMUNITY BENEFIT. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. ADDITIONALLY, IT IS IMPLIED IN INTERNAL REVENUE SERVICE REVENUE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS, INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD. PART III, LINE 9B: IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE ACCOUNT IS ADJUSTED ACCORDINGLY. ANY REMAINING BALANCE WOULD BE COLLECTED UNDER THE DEBT COLLECTION POLICY. OUR COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. ALTHOUGH WE ARE NOT LEGALLY BOUND BY THE FAIR DEBT COLLECTION PRACTICES ACT, THE PRINCIPLES ADDRESSED ARE GENERALLY FOLLOWED. SAINT LUKES EAST HOSPITAL PART V, SECTION B, LINE 13G: THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE. THE HOSPITAL PROVIDES EDUCATION ON FINANCIAL ASSISTANCE ELIGIBILITY TO PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES THROUGH MANY SOURCES INCLUDING THE SLHS WEB SITE, INFORMATION ON BILLING STATEMENTS NOTIFYING PATIENTS THAT THE HOSPITAL HAS FINANCIAL ASSISTANCE FOR WHICH THEY MAY QUALIFY, INFORMATION UPON CHECK-IN LOCATED IN THE ADMITTING PATIENT PACKETS, ON OUR B-131 RELEASE TO TREAT FORMS SIGNED BY ALL PATIENTS REQUESTING SERVICES, VISITS WITH INPATIENTS BY SOCIAL WORKER TEAMS, AND FOLLOW-UP CALLS TO PATIENTS AFTER DISCHARGE. FINANCIAL ASSISTANCE APPLICATIONS OR MEDICAID APPLICATIONS ARE REQUESTED ON ALL UNINSURED INPATIENTS PRIOR TO DISCHARGE. THE HOSPITAL ALSO CONTRACTS WITH ELIGIBILITY ENROLLMENT COMPANIES TO SCREEN ALL UNINSURED PATIENTS WITH A BALANCE OVER $2,000, ANY PATIENTS IDENTIFIED BY OUR SOCIAL WORKER TEAMS, AND ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. PART VI, LINE 2: THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL OBTAINS HIDI MARKET DATA AND OTHER OUTPATIENT MARKET DATA. WITH THIS DATA, THE HOSPITAL IDENTIFIES SERVICES RECEIVED BY THE RESIDENTS OF OUR COMMUNITY (DEFINED BY OUR PRIMARY AND SECONDARY SERVICE AREAS). ANY PREDOMINANT SERVICES NOT CURRENTLY OFFERED BY THE HOSPITAL ARE CONSIDERED AT THIS TIME.ANOTHER ELEMENT OF THE COMMUNITY ASSESSMENT CONSISTS OF QUARTERLY MEETINGS OF THE SENIOR ADVISORY COMMITTEE AND BUSINESS ADVISORY COMMITTEE OF BOARD OF DIRECTORS. THROUGH FEEDBACK FROM THESE MEETINGS, COMMUNITY NEEDS ARE COMMUNICATED TO THE HOSPITAL AND CONSIDERED. PART VI, LINE 3: SEE RESPONSE TO PART V, LINE 13G. PART VI, LINE 4: SAINT LUKE'S EAST HOSPITAL IS LOCATED IN JACKSON COUNTY, MISSOURI, A SUBURB OF THE KANSAS CITY METROPOLITAN AREA. WE GENERALLY DESCRIBE OUR COMMUNITY AS A 26 ZIP CODE SERVICE AREA. PART VI, LINE 5: THE BOARD OF DIRECTORS CONSISTS OF MEDICAL PROFESSIONALS, BUSINESS PROFESSIONALS AND ACTIVE COMMUNITY MEMBERS, NEARLY ALL OF WHOM RESIDE OR PRACTICE IN THE COMMUNITY. THE BOARD IS INVOLVED IN THE PLANNING AND COMMUNITY ASSESSMENT PROCESSES. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. PART VI, LINE 6: THE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 11 AREA HOSPITALS AND SEVERAL PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND HOME CARE SERVICES. FOUNDED AS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION, OUR MISSION INCLUDES A COMMITMENT TO THE HIGHEST LEVELS OF EXCELLENCE IN HEALTH CARE AND THE ADVANCEMENT OF MEDICAL RESEARCH AND EDUCATION. THE HEALTH SYSTEM IS AN ALIGNED ORGANIZATION IN WHICH THE PHYSICIANS AND HOSPITALS ASSUME RESPONSIBILITY FOR ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF PEOPLE IN THE METROPOLITAN KANSAS CITY AREA AND THE SURROUNDING REGION. 1 SAINT LUKE'S MEDICAL GROUP 6750 ANTIOCH ROAD SUITE 210 MERRIAM KS 66204 431598353 501 C 3 1010659 OPERATING FUNDS SAINT LUKE'S FOUNDATION 4225 BALTIMORE AVE KANSAS CITY MO 64111 446014699 501 C 3 36000 DONATION SLCC INC 4330 WORNALL ROAD SUITE 2000 KANSAS CITY MO 64111 271994652 APPLYING FOR 501C3 3300852 OPERATING FUNDS CONTRIBUTION TO ENTITY SLNC INC 4401 WORNALL ROAD KANSAS CITY MO 64111 451470888 APPLYING FOR 501C3 46537 OPERATING FUNDS SUMMIT ART 1301 NW DUNCAN RD BLUE SPRINGS MO 64015 412147766 501 C 3 10000 DONATION LEE'S SUMMIT SYMPHONY ORCHESTRA 500 SW MARKET LEES SUMMIT MO 64063 270055476 501 C 3 6000 DONATION 6 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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. X 1 1 0 0 0 0 0 1 0 GEORGE A PAGELS MD 0 402477 0 145690 0 54802 0 193709 0 19464 0 816142 0 41280 ROBERT BONNEY 0 335777 0 120669 0 28406 0 230843 0 19891 0 735586 0 11899 JOSEPH STASI 180815 0 40971 0 20861 0 25876 0 25449 0 293972 0 10265 0 GLORIA SOLIS 174612 0 50 0 14580 0 23726 0 16080 0 229048 0 12160 0 PART I, LINES 4A-B 457(F) PLAN PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: ROBERT BONNEY - $172,873 GEORGE PAGELS - $124,805 SALARY CONTINUATION/SEVERANCE PAYMENT AMOUNT INCLUDED IN COLUMN D OF FORM 990, PART VII: PATRICIA BEATTY - $53,256 PART I, LINE 7 THE ORGANIZATION HAS ADOPTED A MANAGEMENT INCENTIVE COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR AND MIDDLE MANAGEMENT TO PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES. THE INCENTIVES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY CONTINGENT ON ACHIEVING QUALITY, PATIENT SATISFACTION, EMPLOYEE RETENTION, FINANCIAL AND OTHER OPERATIONAL PERFORMANCE TARGETS ESTABLISHED BY THE BOARD'S COMPENSATION COMMITTEE ON AN ANNUAL BASIS. INCENTIVE AWARDS ARE PAID AT THE DISCRETION OF THE BOARD OF DIRECTORS. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS. SUPPLEMENTAL INFORMATION PART III PART II: REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR GEORGE PAGELS IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. ROBERT BONNEY 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. ROCKHILL ORTHOPAEDICS GERALD DUGAN IS AN OFFICER OF ROCKHILL ORTHOPAEDICS 501340 MEDICAL OFFICE BUILDING RENT. 0 NUMBER REPORTED IN BOX 3 OF FORM 1096 PART V, LINE 1A SAINT LUKE'S EAST HOSPITAL (SLEH) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLEH VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. FORM 990, PART VI, SECTION A, LINE 3 AS 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 6 THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, DEBT, BUDGETS, CAPITAL EXPENDITURES AND STRATEGIC OPERATING DECISIONS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY THE ENTITY'S CFO OR CEO BEFORE FILING. THE 990 DRAFT WAS ALSO PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS FOR REVIEW. 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 12C SAINT LUKE'S HEALTH SYSTEM AND ITS AFFILIATES, INCLUDING THE FILING ORGANIZATION, HAVE COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICIES APPLICABLE TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. ANY ACTUAL, POSSIBLE OR PERCEIVED CONFLICT OF INTEREST IS EXPECTED TO BE HANDLED THROUGH FULL AND TIMELY DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSENCE OF PERSUASION IN ANY DISCUSSION AND IN ANY VOTE WHEREIN THE INTEREST IS INVOLVED. DISCLOSURE IS TO BE MADE WHEN THE INTEREST ARISES, AT ANY TIME THE INTEREST BECOMES A MATTER OF GOVERNING BOARD ACTION, AND THEN ANNUALLY THROUGH COMPLETION OF A CONFLICT OF INTEREST QUESTIONNAIRE. THE SYSTEM COMPLIANCE OFFICER OR THE SYSTEM VICE PRESIDENT OF HUMAN RESOURCES REVIEWS COMPLETED QUESTIONNAIRES AND FURTHER INVESTIGATES POSSIBLE CONFLICTS OF INTEREST. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND ANY IDENTIFIED CONFLICT OF INTEREST IS REPORTED TO THE APPLICABLE ENTITY. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND OTHER HIGHLY COMPENSATED OFFICERS. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE 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. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT PUBLICLY AVAILABLE. FORM 990, PART VII, COLUMN E REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR GEORGE PAGELS IS FOR COMPENSATION FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. GEORGE PAGELS WORKED 20 HOURS OR MORE PER WEEK FOR RELATED ORGANIZATIONS. ROBERT BONNEY 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. ROBERT BONNEY WORKED 40 HOURS OR MORE PER WEEK FOR RELATED ORGANIZATIONS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFER TO SAINT LUKE'S HEALTH SYSTEM FOR PENSION -235,638. EQUITY TRANSFER TO SAINT LUKE'S HOSPITAL -5,400,000. TOTAL TO FORM 990, PART XI, LINE 5: -5,635,638. JOINT VENTURE FORM 990, PART VI, SECTION B, LINE 16B DURING 2011, THE ORGANIZATION PARTICIPATED IN A JOINT VENTURE ESTABLISHED SEVERAL YEARS AGO. WHILE THE ORGANIZATION DID NOT ADOPT A WRITTEN POLICY REGARDING JOINT VENTURES BY THE END OF 2011, THE ORGANIZATION'S PROCEDURES INCLUDE OVERSIGHT AND REVIEW OF ANY JOINT VENTURES TO ENSURE EXEMPT STATUS IS PROTECTED. THE ORGANIZATION HAS MAJORITY CONTROL AND/OR OPERATING AGREEMENT REQUIREMENTS FOR THE VENTURE TO OPERATE IN A MANNER CONSISTENT WITH THE ORGANIZATION'S EXEMPT MISSION AND FOR THE VENTURE TO NOT ENGAGE IN POLITICAL CANDIDATE CAMPAIGN ACTIVITY OR OTHER ACTIVITIES THAT WOULD JEOPARDIZE THE ORGANIZATION'S EXEMPTION. SAINT LUKES HEALTH SYSTEM INC 10920 ELM AVENUE KANSAS CITY MO 64134 431747502 HEALTH SYSTEM KS 501(C)(3) 509(A)(3) - TYPE 1 ST LUKES HOSPITAL OF KANSAS CITY 0 ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(C)(3) 170B1AIII 0 SAINT LUKES NORTHLAND HOSPITAL CORPORATION 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 440565393 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES SOUTH HOSPITAL INC 12300 METCALF AVENUE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES MEDICAL GROUP 6750 ANTIOCH SUITE 210 SHAWNEE MISSION KS 66204 431598353 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 CRITTENTON 10918 ELM AVENUE KANSAS CITY MO 64134 440545808 HEALTH CARE MO 501(C)(3) 170B1AIII ST LUKES HOSPITAL OF KANSAS CITY 0 SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE 3100 BROADWAY SUITE 1000 KANSAS CITY MO 64111 431127200 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 ST LUKES OF TRENTON 701 EAST FIRST TRENTON MO 64683 431707306 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 CABOT WESTSIDE HEALTH CENTER 2121 SUMMIT KANSAS CITY MO 64108 440546280 HEALTH CARE MO 501(C)(3) 170B1AVI SAINT LUKES HEALTH SYSTEM 0 MIDWEST EAR INSTITUTE INC 4200 PENNSYLVANIA SUITE 100 KANSAS CITY MO 64111 480905027 HEALTH CARE KS 501(C)(3) 170B1AIII ST LUKES HOSPITAL OF KANSAS CITY 0 SAINT LUKES HOSPITAL OF CHILLICOTHE 100 CENTRAL STREET CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 CUSHING MEMORIAL HOSPITAL CORPORATION 711 MARSHALL LEAVENWORTH KS 66048 480543792 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES CANCER INSTITUTE LLC 4323 WORNALL ROAD PEET 1 KANSAS CITY MO 64111 431933950 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES CARE 10920 ELM AVENUE KANSAS CITY MO 64134 260185090 HEALTH CARE MO 501(C)(3) 509A3 TYPE 1 SAINT LUKES HEALTH SYSTEM 0 MEDICAL PLAZA IMAGING ASSOCIATES LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 431609584 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES COLLEGE OF HEALTH SCIENCES 8320 WARD PARKWAY SUITE 300 KANSAS CITY MO 64114 272716128 POST SECONDARY NURSING EDUCATION MO 501(C)(3) 170B1AII ST LUKES HOSPITAL OF KANSAS CITY 0 SLCC INC 4330 WORNALL ROAD KANSAS CITY MO 64111 271994652 HEALTH CARE KS APPLYING FOR 501(C)( 170B1A111 SAINT LUKES HEALTH SYSTEM 0 SLNC INC 4401 WORNALL ROAD KANSAS CITY MO 64111 451470888 HEALTH CARE KS APPLYING FOR 501(C)( 170B1A111 SAINT LUKES HEALTH SYSTEM 0 ST LUKES SURGICENTER-LEES SUMMIT LLC 11221 ROE AVENUE STE 230 OVERLAND PARK KS 66211 470853481 HEALTH CARE MO SAINT LUKES EAST HOSPITAL RELATED 6234302 2797456 0 1 0.51000 MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD SUITE 410 KANSAS CITY MO 64111 431357824 OWN AND OPERATE MEDICAL OFFICE BUILDING MO N/A MEDICAL PARK ASSOCIATES A LP 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 431311049 OWN AND OPERATE MEDICAL OFFICE BUILDING MO N/A SAINT LUKES SOUTH SURGERY CENTER LLC 11221 ROE AVENUE STE 230 OVERLAND PARK KS 66211 201721929 HEALTH CARE KS N/A FAMILY ADVOCATES LLC 10918 ELM AVENUE KANSAS CITY MO 64134 202739036 FOSTER CARE MO N/A SAINT LUKES CARDIOLOGY SERVICES LLC 10920 ELM AVENUE KANSAS CITY MO 64134 263726426 HEALTH CARE MO N/A SAINT LUKES - GI DIAGNOSTICS LLC 4321 WASHINGTON SUITE 5700 KANSAS CITY MO 64111 274142549 HEALTH CARE MO N/A SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP 10920 ELM AVENUE KANSAS CITY MO 64134 371471890 INSURANCE SC N/A C ST LUKES HEALTH VENTURES INC 4320 WORNALL ROAD SUITE 410 KANSAS CITY MO 64111 431278476 ACCOUNTING MO N/A C MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL ROAD SUITE 410 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MANAGEMENT MO N/A C VENTURE FINANCIAL SERVICES INC 9500 E 63RD STREET SUITE 202 RAYTOWN MO 64133 431605740 COLLECTIONS MO N/A C SPELMAN DEVELOPMENT CORPORATION 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 431296007 MEDICAL OFFICE BUILDING OWNER MO N/A C 1 1 0 1 0 1 0 0 1 1 1 1 1 1 1 1 1 1 ST LUKE'S SURGICENTER - LEE'S SUMMIT LLC A 720424 FMV RENT - HOSPITAL CAMPUS ST LUKE'S SURGICENTER - LEE'S SUMMIT LLC R 5977755 LLC CASH DISTRIBUTIONS TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART V, LINE 1 SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS.