FURP.ORG / PUBLIC DATA EXPLORER

Saint Lukes Cushing Hospital Inc: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Saint Lukes Cushing Hospital Inc (EIN 48-0543792)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201243209349304099
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)
Timestamp2012-11-15T12:07:10-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN480543792EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CUSHING MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCUSHNameControl
Phone9136841100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 MARSHALLAddressLine1
CityLEAVENWORTHCity
StateKSState
ZIP Code66048ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRONALD BAKERName
TitleINTERIM CEOTitle
Phone9136841100Phone
Date Signed2012-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonADELE DUCHARMENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1711 MARSHALLAddressLine1
CityLEAVENWORTHCity
StateKSState
ZIP Code66048ZIPCode
FieldValueIRS element (for citing)
Gross Receipts30299290GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SAINTLUKESHEALTHSYSTEM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1930YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionFAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITALActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees433TotalNbrEmployees
Total Nbr Volunteers152TotalNbrVolunteers
Total Gross UBI17470TotalGrossUBI
Net Unrelated Business Txbl Income-12026NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year74347ContributionsGrantsPriorYear
Contributions Grants Current Year96885ContributionsGrantsCurrentYear
Program Service Revenue Prior Year28886841ProgramServiceRevenuePriorYear
Program Service Revenue CY30120363ProgramServiceRevenueCY
Investment Income Prior Year61677InvestmentIncomePriorYear
Investment Income Current Year80471InvestmentIncomeCurrentYear
Other Revenue Prior Year678OtherRevenuePriorYear
Other Revenue Current Year568OtherRevenueCurrentYear
Total Revenue Prior Year29023543TotalRevenuePriorYear
Total Revenue Current Year30298287TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1260788GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1201816GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15768111SalariesEtcPriorYear
Salaries Etc Current Year16359591SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17403598OtherExpensePriorYear
Other Expenses Current Year17124049OtherExpensesCurrentYear
Total Expenses Prior Year34432497TotalExpensesPriorYear
Total Expenses Current Year34685456TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5408954RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4387169RevenuesLessExpensesCY
Total Assets BOY17700950TotalAssetsBOY
Total Assets EOY18393403TotalAssetsEOY
Total Liabilities BOY24064234TotalLiabilitiesBOY
Total Liabilities EOY29265236TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-6363284NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-10871833NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCUSHING MEMORIAL HOSPITAL IS A FAITH-BASED, NOT-FOR-PROFIT COMMUNITY HOSPITAL COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE AND HEALTH RELATED SERVICES IN A CARING ENVIRONMENT. AS A MEMBER OF THE SAINT LUKE'S HEALTH SYSTEM, WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense29742478Expense
Grants1201816Grants
Revenue30105200Revenue
DescriptionAS A VOLUNTARY, NONPROFIT ORGANIZATION, CUSHING MEMORIAL HOSPITAL CORPORATION IS COMMITTED TO SERVING ALL WHO SEEK OUR SERVICES REGARDLESS OF THEIR SOCIOECONOMIC STATUS. THE HOSPITAL PARTICIPATES IN THE MEDICAID, TRICARE, AND MEDICARE PROGRAMS AND HAS CHARITY CARE POLICIES FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE.Description
Total Program Service Expense29742478TotalProgramServiceExpense
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 Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
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 Individuals1GrantsToIndividuals
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 Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees433NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 Number9136841100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1711 MARSHALLAddressLine1
CityLEAVENWORTHCity
StateKSState
ZIP Code66048ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JULIE ANDERSON
DIRECTOR1.00X000
MICHAEL CROW
DIRECTOR-CHAIRMAN1.00X000X
CAROL MEYER
DIRECTOR-SECRETARY/TREASUR1.00X026516336684X
STEVEN RANZENBERGER
DIRECTOR1.00X0901530
RITA SWANN
DIRECTOR-VICE CHAIR1.00X000X
JOHN PETERSON
DIRECTOR1.00X000
DON SIPES
DIRECTOR-PRESIDENT1.00X030719153601X
VICTORIA WELLS
DIRECTOR1.00X000
JULIE MURPHY
DIRECTOR & CFO (CFO EFF 8/1/11)1.00X022698041108
RON BAKER
CEO40.00247782050510X
SALLY BORDER
CFO40.00103336019604X
ADELE DUCHARME
CNO40.0011648008426X
ROBERT KATZENBERGER
PHARMACIST40.00120420020590X
DALE DALENBERG
PHYSICIAN40.00296738029583X
MARY BECK
PHARMACIST40.0010157605944X
LINDA ALDERMAN
PHARMACIST40.0010049506146X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1086827TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs889487TotalReportableCompFrmRltdOrgs
Total Other Compensation272196TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
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
EMERGENCY MEDICAL SERVICES KS LLC
920 MAIN STREET SUITE 300KANSAS CITYMO64105EMERGENCY ROOM PHYSICIANS1308978
P1 GROUP INC
16210 W 108TH STLENEXAKS66219MAINTENANCE SERVICES841670
HEARTLAND ANESTHESIA LLC
PO BOX 7768OVERLAND PARKKS66207ANESTHESIA SERVICES423611
J E DUNN CONSTRUCTION CO INC
1001 LOCUSTKANSAS CITYMO64106CONSTRUCTION327347
NURSEFINDERS
524 E LAMAR BLVD SUITE 300ARLINGTONTX76011TEMPORARY HELP SERVICES265252
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Membership Dues820MembershipDues
Government Grants16274GovernmentGrants
All Other Contributions79791AllOtherContributions
Total Contributions96885TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE6221102927788829277888
RENTAL REVENUE531120380156380156
REGIONAL LAB54138025730223983217470
OTHER PROGRAM SERVICES622110205017205017
FieldValueIRS element (for citing)
Total Program Service Revenue30120363TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column78164TotalRevenueColumn
Exclusion$78,164ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column568TotalRevenueColumn
Exclusion$568ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3310Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1003Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other2307Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2307TotalRevenueColumn
Related Or Exempt Function Income2307RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30298287TotalRevenueColumn
Related Or Exempt Function Income30105200RelatedOrExemptFunctionIncome
Unrelated Business Revenue17470UnrelatedBusinessRevenue
Exclusion$78,732ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1194616Total
Program Services1194616ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total7200Total
Program Services7200ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total546137Total
Management And General546137ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13014355Total
Program Services11680708ProgramServices
Management And General1333647ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total370726Total
Program Services319328ProgramServices
Management And General51398ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1447140Total
Program Services1223165ProgramServices
Management And General223975ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total981233Total
Program Services845192ProgramServices
Management And General136041ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total95157Total
Management And General95157ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13575Total
Management And General13575ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1024Total
Management And General1024ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5044608Total
Program Services4398641ProgramServices
Management And General645967ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total34595Total
Program Services2498ProgramServices
Management And General32097ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1136840Total
Program Services927793ProgramServices
Management And General209047ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total111242Total
Program Services12741ProgramServices
Management And General98501ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total699832Total
Program Services659963ProgramServices
Management And General39869ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total46742Total
Program Services26742ProgramServices
Management And General20000ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total36647Total
Program Services25426ProgramServices
Management And General11221ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total715028Total
Program Services615035ProgramServices
Management And General99993ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1278398Total
Program Services1203344ProgramServices
Management And General75054ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total146760Total
Program Services133160ProgramServices
Management And General13600ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES401063840090851553
SHARED SERVICES-SLHS18000005296731270327
BAD DEBT13959081395908
SWAP RELATED COSTS21699319685520138

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total340062Total
Program Services335405ProgramServices
Management And General4657ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34685456Total
Program Services29742478ProgramServices
Management And General4942978ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY866BOY
EOY2541772EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2982969BOY
EOY247986EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3133421BOY
EOY3497701EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2000BOY
EOY1000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY582845BOY
EOY646433EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY327768BOY
EOY273110EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23077858LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13324254LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9427146BOY
EOY9753604EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY105221BOY
EOY665351EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY870275BOY
EOY337640EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY268439BOY
EOY428806EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17700950BOY
EOY18393403EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1994995BOY
EOY2210387EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22069239BOY
EOY27054849EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24064234BOY
EOY29265236EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-6452411BOY
EOY-10961219EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY64769BOY
EOY65028EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24358BOY
EOY24358EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-6363284BOY
EOY-10871833EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17700950BOY
EOY18393403EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-4387169ReconcilationRevenueExpenses
Reconcilation Other Changes-121380ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$4,817GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB4817TotalLobbyingExpendituresIIB
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 THE KANSAS HOSPITAL ASSOCIATION USED FOR LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance89127BeginningOfYearBalance
Contributions8550Contributions
Investment Earnings Or Losses215InvestmentEarningsOrLosses
Grants Or Scholarships1500GrantsOrScholarships
Other Expenditures7006OtherExpenditures
End Of Year Balance89386EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance76514BeginningOfYearBalance
Contributions21606Contributions
Investment Earnings Or Losses307InvestmentEarningsOrLosses
Grants Or Scholarships1000GrantsOrScholarships
Other Expenditures8300OtherExpenditures
End Of Year Balance89127EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance74358BeginningOfYearBalance
Investment Earnings Or Losses3277InvestmentEarningsOrLosses
Grants Or Scholarships1121GrantsOrScholarships
End Of Year Balance76514EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance74358BeginningOfYearBalance
End Of Year Balance74358EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.72750BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.27250PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis930183OtherCostOrOtherBasis
Book Value930183BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11758195OtherCostOrOtherBasis
Depreciation6156489Depreciation
Book Value5601706BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9848345OtherCostOrOtherBasis
Depreciation6432877Depreciation
Book Value3415468BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis541135OtherCostOrOtherBasis
Depreciation734888Depreciation
Book Value-193753BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9753604TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
PAYABLE TO AFFILIATES$19,263,508
OTHER NONCURRENT LIABILITIES$56,447
RESERVE FOR SELF INSURED RISKS$437,000
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$517,521
CAPITAL LEASES$196,373
LONG TERM DEBT TO ST LUKES HEALTH SYSTEM$6,320,000
FIN 45 PHYSICIAN GUARANTEE$264,000
FieldValueIRS element (for citing)
Total Of Amounts27054849TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE INTENDED USE OF ENDOWMENT FUNDS INCLUDES BUT IS NOT LIMITED TO THE GENERAL OPERATIONS OF THE HOSPITAL AND CAPITAL EQUIPMENT PURCHASES FOR THE HOSPITAL.
PART XI, XII AND XIII - THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM.

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 Percentage200.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
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 Expense1855033TotalCommunityBenefitExpense
Net Community Benefit Expense1855033NetCommunityBenefitExpense
Percent Of Total Expense0.05570PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4274372TotalCommunityBenefitExpense
Direct Offsetting Revenue4378472DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense4164774TotalCommunityBenefitExpense
Direct Offsetting Revenue2556033DirectOffsettingRevenue
Net Community Benefit Expense1608741NetCommunityBenefitExpense
Percent Of Total Expense0.04830PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10294179TotalCommunityBenefitExpense
Direct Offsetting Revenue6934505DirectOffsettingRevenue
Net Community Benefit Expense3463774NetCommunityBenefitExpense
Percent Of Total Expense0.10400PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense67163TotalCommunityBenefitExpense
Net Community Benefit Expense67163NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense392075TotalCommunityBenefitExpense
Net Community Benefit Expense392075NetCommunityBenefitExpense
Percent Of Total Expense0.01180PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense8213TotalCommunityBenefitExpense
Net Community Benefit Expense8213NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense19655TotalCommunityBenefitExpense
Net Community Benefit Expense19655NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense487106TotalCommunityBenefitExpense
Net Community Benefit Expense487106NetCommunityBenefitExpense
Percent Of Total Expense0.01440PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10781285TotalCommunityBenefitExpense
Direct Offsetting Revenue6934505DirectOffsettingRevenue
Net Community Benefit Expense3950880NetCommunityBenefitExpense
Percent Of Total Expense0.11840PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense4TotalCommunityBuildingExpense
Net Community Building Expense4NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense4073TotalCommunityBuildingExpense
Net Community Building Expense4073NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense3109TotalCommunityBuildingExpense
Net Community Building Expense3109NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense2055TotalCommunityBuildingExpense
Net Community Building Expense2055NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense9241TotalCommunityBuildingExpense
Net Community Building Expense9241NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,395,908BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare7972999AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9753796CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1780797MedicareSurplusOrShortfall

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 Line1CUSHING MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1711 MARSHALLAddressLine1
CityLEAVENWORTHCity
StateKSState
ZIP Code66048ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CUSHING MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
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 VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7: COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRITE COST TO CHARGE RATIO FROM THE ORGANIZATION'S COST REPORT.
PART I, L7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $34,685,456. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $1,395,908. THIS LEFT US WITH A TOTAL EXPENSE OF $33,289,548 FOR PURPOSES OF CACLULATING LINE 7, COLUMN (F).
PART II: CUSHING MEMORIAL HOSPITAL SPONSORS OR PARTICIPATES IN MANY COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF OUR COMMUNITY. ACTIVE PARTICIPATION IN MANY COMMUNITY ORGANIZATIONS INCLUDE LEAVENWORTH COUNTY DEVELOPMENT CORPORATION, CHAMBER OF COMMERCE, FORT LEAVENWORTH COMMUNITY RELATIONS AND PARTNERS, LEADERSHIP LEAVENWORTH LANSING CLASS, VOLUNTEER WORK WITH HARVESTERS TO FEED CHILDREN IN NEED AND MANY MORE. WE ENCOURAGE OUR EMPLOYEES TO SERVE ON COMMUNITY BOARDS AND VOLUNTEER FOR ACTIVITIES THAT PROMOTE HEALTH IN THE COMMUNITY.
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 REPORTED CONSISTENT WITH FINANCIAL STATEMENTS.
PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN WHAT IT COSTS TO PROVIDE THE CARE AND SERVICES. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THE COST OF PROVIDING THE CARE MAY EXCEED THE FUNDS WE RECEIVE FROM MEDICARE FOR THE SERVICE. OUR SHORTFALL IS CONSIDERED TO BE COMMUNITY BENEFIT. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. ADDITIONALLY, IT IS IMPLIED IN INTERNAL REVENUE SERVICE REVENUE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS, INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD.
PART III, LINE 9B: IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE ACCOUNT IS ADJUSTED ACCORDINGLY. ANY REMAINING BALANCE WOULD BE COLLECTED UNDER THE DEBT COLLECTION POLICY. OUR COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. ALTHOUGH WE ARE NOT LEGALLY BOUND BY THE FAIR DEBT COLLECTION PRACTICES ACT, THE PRINCIPLES ADDRESSED ARE GENERALLY FOLLOWED.
PART V, SECTION B, LINE 13G: THE HOSPITAL FOLLOWS THE SAINT LUKES 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.CUSHING MEMORIAL HOSPITAL CORPORATION
PART VI, LINE 2: THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL OBTAINS HIDI MARKET DATA AND OTHER OUTPATIENT MARKET DATA. WITH THIS DATA, THE HOSPITAL IDENTIFIES SERVICES RECEIVED BY THE RESIDENTS OF OUR COMMUNITY (DEFINED BY OUR PRIMARY AND SECONDARY SERVICE AREAS). ANY PREDOMINANT SERVICES NOT CURRENTLY OFFERED BY THE HOSPITAL ARE CONSIDERED AT THIS TIME.ANOTHER ELEMENT OF THE COMMUNITY ASSESSMENT CONSISTS OF ONGOING MEETINGS WITH FORT LEAVENWORTH, U.S. PENITENTIARY, AND LANSING STATE CORRECTIONAL FACILITY OFFICIALS. THROUGH FEEDBACK FROM THESE MEETINGS, COMMUNITY NEEDS ARE COMMUNICATED TO THE HOSPITAL AND CONSIDERED.
PART VI, LINE 3: SEE RESPONSE TO PART V, LINE 13G.
PART VI, LINE 4: CUSHING MEMORIAL HOSPITAL IS LOCATED IN LEAVENWORTH COUNTY, KANSAS, JUST OUTSIDE OF THE KANSAS CITY METROPOLITAN AREA. WE GENERALLY DESCRIBE OUR COMMUNITY AS A 31 ZIP CODE SERVICE AREA.
PART VI, LINE 5: THE BOARD OF DIRECTORS CONSISTS OF MEDICAL PROFESSIONALS, BUSINESS PROFESSIONALS AND ACTIVE COMMUNITY MEMBERS NEARLY ALL OF WHOM RESIDE OR PRACTICE IN THE COMMUNITY. THE BOARD IS INVOLVED IN THE PLANNING AND COMMUNITY ASSESSMENT PROCESSES. THE MEDICAL STAFF IS OPEN FOR NEARLY ALL SPECIALTIES AND PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.CUSHING MEMORIAL HOSPITAL DONATES EMERGENCY, LABORATORY, AND RADIOLOGY SERVICES TO PATIENTS OF SAINT VINCENT'S CLINIC, WHICH PROVIDES PRIMARY HEATH CARE SERVICES TO THE UNINSURED POOR OF LEAVENWORTH COUNTY.THE HOSPITAL ALSO PROVIDES SCHOLARSHIPS TO LOCAL STUDENTS INTERESTED IN PURSUING A DEGREE IN HEALTH CARE. IN ADDITION, MANY HOURS ARE DONATED BY STAFF IN ON-THE-JOB EDUCATION OF STUDENTS IN LOCAL COLLEGE HEALTH CARE CURRICULUM.
PART VI, LINE 6: THE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 11 AREA HOSPITALS AND SEVERAL PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND HOME CARE SERVICES. FOUNDED AS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION, OUR MISSION INCLUDES A COMMITMENT TO THE HIGHEST LEVELS OF EXCELLENCE IN HEALTH CARE AND THE ADVANCEMENT OF MEDICAL RESEARCH AND EDUCATION. THE HEALTH SYSTEM IS AN ALIGNED ORGANIZATION IN WHICH THE PHYSICIANS AND HOSPITALS ASSUME RESPONSIBILITY FOR ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF PEOPLE IN THE METROPOLITAN KANSAS CITY AREA AND THE SURROUNDING REGION.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SAINT LUKES MEDICAL GROUP (501C3 AFFILIATE)BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16750 ANTIOCH ROAD STE 210AddressLine1
CitySHAWNEE MISSIONCity
StateKSState
ZIP Code66204ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient431598353EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant1182656AmountOfCashGrant
Purpose Of GrantOPERATING FUNDSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPS TO STUDENTS IN HEALTHCARE FIELDTypeOfGrant
Number Of Recipients9NumberOfRecipients
Amount Of Cash Grant7200AmountOfCashGrant

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 QUALIFIED 501(C)(3) CHARITIES. ALL DONEE INFORMATION IS KEPT AS PART OF THE ORGANIZATION'S BOOKS AND RECORDSExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
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 (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
CAROL MEYER
018873005413902229403447902205030184708199
DON SIPES
0224721065480016990036374017227036079200
JULIE MURPHY
0178731033768014481031868092400268088012096
RON BAKER
186536055011062350298200206900298292045460
DALE DALENBERG
29515205001536098000197830326321000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4ASALARY CONTINUATION/SEVERANCE PAYMENT INCLUDED IN FORM 990, PART VII, COLUMN D: SALLY BORDER - $29,598
PART I, LINE 7THE ORGANIZATION HAS ADOPTED A MANAGEMENT INCENTIVE COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR AND MIDDLE MANAGEMENT TO PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES. THE INCENTIVES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY CONTINGENT ON ACHIEVING QUALITY, PATIENT SATISFACTION, EMPLOYEE RETENTION, FINANCIAL AND OTHER OPERATIONAL PERFORMANCE TARGETS ESTABLISHED BY THE BOARD'S COMPENSATION COMMITTEE ON AN ANNUAL BASIS. INCENTIVE AWARDS ARE PAID AT THE DISCRETION OF THE BOARD OF DIRECTORS. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS.
PART IIIDON 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.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NUMBER REPORTED IN BOX 3 OF FORM 1096PART V, LINE 1ACUSHING MEMORIAL HOSPITAL IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF CUSHING MEMORIAL HOSPITAL VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY.
FORM 990, PART VI, SECTION A, LINE 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 PRIOR TO 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 RELATED ORGANIZATIONS.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -35,343. PENSION LIABILITY TRANSFER TO SLHS -74,176. RRG SSA DIVIDEND -11,860. ROUNDING -1. TOTAL TO FORM 990, PART XI, LINE 5: -121,380.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CUSHING HOSPITAL PHYSICIAN SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1711 MARSHALLAddressLine1
CityLEAVENWORTHCity
StateKSState
ZIP Code66048ZIPCode
FieldValueIRS element (for citing)
EIN261440016EIN
Primary ActivitiesPHYSICIAN SERVICES-BILLINGPrimaryActivities
Legal Domicile StateKSLegalDomicileState

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
10920 ELM AVENUEKANSAS CITYMO64134431747502HEALTH SYSTEMKS501(C)(3)509(A)(3) - TYPE 1ST LUKES HOSPITAL OF KANSAS CITY0
SAINT LUKES HOSPITAL OF KANSAS CITY
4401 WORNALL ROADKANSAS CITYMO64111440545297HEALTH CAREMO501(C)(3)170B1AIII0
SAINT LUKES NORTHLAND HOSPITAL CORPORATION
601 SOUTH 169 HWYSMITHVILLEMO64089440565393HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM INC0
SAINT LUKES SOUTH HOSPITAL INC
12300 METCALF AVEOVERLAND PARKKS66213481203262HEALTH CAREKS501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM INC0
SAINT LUKES EAST HOSPITAL
100 NE SAINT LUKES BLVDLEES SUMMITMO64086562488077HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM INC0
SAINT LUKES MEDICAL GROUP
6750 ANTIOCH SUITE 210SHAWNEE MISSIONKS66204431598353HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM INC0
CRITTENTON
10918 ELM AVENUEKANSAS CITYMO64134440545808HEALTH CAREMO501(C)(3)170B1AIIIST LUKES HOSPITAL OF KANSAS CITY0
SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE
3100 BROADWAY SUITE 1000KANSAS CITYMO64111431127200HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM INC0
ST LUKES OF TRENTON
701 EAST FIRSTTRENTONMO64683431707306HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM INC0
SAINT LUKES HOSPITAL OF GARNETT
421 SOUTH MAPLEGARNETTKS66032742849611HEALTH CAREKS501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM INC0
CABOT WESTSIDE HEALTH CENTER
2121 SUMMITKANSAS CITYMO64108440546280HEALTH CAREMO501(C)(3)170B1AVISAINT LUKES HEALTH SYSTEM INC0
MIDWEST EAR INSTITUTE INC
4200 PENNSYLVANIA SUITE 100KANSAS CITYMO64111480905027HEALTH CAREKS501(C)(3)170B1AIIIST LUKES HOSPITAL OF KANSAS CITY0
SAINT LUKES HOSPITAL OF CHILLICOTHE
100 CENTRAL STREETCHILLICOTHEMO64601431735565HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM INC0
SAINT LUKES CANCER INSTITUTE LLC
4323 WORNALL RD PEET 1KANSAS CITYMO64111431933950HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM INC0
SAINT LUKES CARE
10920 ELM AVENUEKANSAS CITYMO64134260185090HEALTH CAREMO501(C)(3)509(A)(3) - TYPE 1SAINT LUKES HEALTH SYSTEM INC0
MEDICAL PLAZA IMAGING ASSOCIATES LLC
4401 WORNALL ROADKANSAS CITYMO64111431609584HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM INC0
SAINT LUKES COLLEGE OF HEALTH SCIENCES
8320 WARD PARKWAY STE 300KANSAS CITYMO64114272716128POST-SECONDARY NURSING EDUCATIONMO501(C)(3)170B1AIIST LUKES HOSPITAL OF KANSAS CITY0
SLCC INC
4330 WORNALL ROAD STE 2000KANSAS CITYMO64111271994652HEALTH CAREKSAPPLYING FOR 501(C)(APPLYING FOR 170B1AISAINT LUKES HEALTH SYSTEM INC0
SLNC INC
4401 WORNALL ROADKANSAS CITYMO64111451470888HEALTH CAREKSAPPLYING FOR 501(C)(APPLYING FOR 170B1AISAINT LUKES HEALTH SYSTEM INC0

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 ROAD SUITE 410KANSAS CITYMO64111431357824OWN AND OPERATE MEDICAL OFFICE BUILDINGMON/A
MEDICAL PARK ASSOCIATES A LP
601 SOUTH 169 HWYSMITHVILLEMO64089431311049OWN AND OPERATE MEDICAL OFFICE BUILDINGMON/A
ST LUKES SURGICENTER-LEES SUMMIT LLC
11221 ROE AVE SUITE 230OVERLAND PARKKS66211470853481HEALTH CAREMON/A
SAINT LUKES SOUTH SURGERY CENTER LLC
11221 ROE AVE SUITE 230OVERLAND PARKKS66211201721929HEALTH CAREKSN/A
FAMILY ADVOCATES LLC
10918 ELM AVENUEKANSAS CITYMO64134202739036FOSTER CAREMON/A
SAINT LUKES CARDIOLOGY SERVICES LLC
10920 ELM AVENUEKANSAS CITYMO64134263726426HEALTH CAREMON/A
SAINT LUKES-GI DIAGNOSTICS LLC
4321 WASHINGTON STE 5700KANSAS CITYMO64111274142549HEALTH CAREMON/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP
10920 ELM AVENUEKANSAS CITYMO64134371471890INSURANCESCN/AC
ST LUKES HEALTH VENTURES INC
4320 WORNALL ROAD SUITE 410KANSAS CITYMO64111431278476ACCOUNTINGMON/AC
MEDICAL PLAZA MANAGEMENT INC
4320 WORNALL ROAD SUITE 410KANSAS CITYMO64111431352317MEDICAL OFFICE BUILDING MANAGEMENTMON/AC
VENTURE FINANCIAL SERVICES INC
9500 E 63RD STREET SUITE 202RAYTOWNMO64133431605740COLLECTIONSMON/AC
SPELMAN DEVELOPMENT CORPORATION
601 SOUTH 169 HWYSMITHVILLEMO64089431296007HEALTH CAREMON/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
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 Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg