FURP.ORG / PUBLIC DATA EXPLORER

Saint Lukes Cushing Hospital Inc: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
Saint Lukes Cushing Hospital Inc (EIN 48-0543792)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201103189349305030
Schema version
2010v3.4
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)
Timestamp2011-11-14T14:36:15-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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
TitleCEOTitle
Phone9136841100Phone
Date Signed2011-11-14DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRON BAKERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1711 MARSHALLAddressLine1
CityLEAVENWORTHCity
StateKSState
ZIP Code66048ZIPCode
FieldValueIRS element (for citing)
Gross Receipts29025414GrossReceipts
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 Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees398TotalNbrEmployees
Total Nbr Volunteers162TotalNbrVolunteers
Total Gross UBI18326TotalGrossUBI
Net Unrelated Business Txbl Income-2949NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year49035ContributionsGrantsPriorYear
Contributions Grants Current Year74347ContributionsGrantsCurrentYear
Program Service Revenue Prior Year26206823ProgramServiceRevenuePriorYear
Program Service Revenue CY28886841ProgramServiceRevenueCY
Investment Income Prior Year16612InvestmentIncomePriorYear
Investment Income Current Year61677InvestmentIncomeCurrentYear
Other Revenue Prior Year1271OtherRevenuePriorYear
Other Revenue Current Year678OtherRevenueCurrentYear
Total Revenue Prior Year26273741TotalRevenuePriorYear
Total Revenue Current Year29023543TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year951132GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1260788GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14844121SalariesEtcPriorYear
Salaries Etc Current Year15768111SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14733097OtherExpensePriorYear
Other Expenses Current Year17403598OtherExpensesCurrentYear
Total Expenses Prior Year30528350TotalExpensesPriorYear
Total Expenses Current Year34432497TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4254609RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5408954RevenuesLessExpensesCY
Total Assets BOY15525767TotalAssetsBOY
Total Assets EOY17700950TotalAssetsEOY
Total Liabilities BOY16498891TotalLiabilitiesBOY
Total Liabilities EOY24064234TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-973124NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-6363284NetAssetsOrFundBalancesEOY
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
Expense29926058Expense
Grants1260788Grants
Revenue28868496Revenue
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 Expense29926058TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Attached0FinancialStmtAttached
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
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees398NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JULIE ANDERSON
DIRECTOR1.00X000
MICHAEL CROW
DIRECTOR-CHAIRMAN1.00X000X
CAROL MEYER
DIRECTOR-SECRETARY/TREASUR1.00X020735234702X
STEVEN RANZENBERGER
DIRECTOR1.00X000
RITA SWANN
DIRECTOR-VICE CHAIR1.00X000X
JOHN PETERSON
DIRECTOR1.00X000
DON SIPES
DIRECTOR-PRESIDENT1.00X025661452488X
VICTORIA WELLS
DIRECTOR1.00X000
RON BAKER
CEO40.00186388049380X
IDA BEYING
CNO THRU 12/201040.0010971206887X
SALLY BORDER
CFO40.00105853024404X
ADELE DUCHARME
CNO BEGINNING 12/201040.00000X
ROBERT KATZENBERGER
PHARMACIST40.00116504022429X
DALE DALENBERG
PHYSICIAN40.00285644024228X
CHUCK ROBB
FORMER DIRECTOR000X
JUDITH SCOTT
FORMER CFO40.00000X
SHELBY FRIGON
FORMER INTERIM CFO40.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org804101TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs463966TotalReportableCompFrmRltdOrgs
Total Other Compensation214518TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EMERGENCY MEDICAL SERVICES KS LLC
920 MAIN STREET SUITE 300KANSAS CITYMO64105EMERGENCY ROOM PHYSICIANS1373762
P1 GROUP INC
16210 W 108TH STLENEXAKS66219MAINTENANCE SERVICES612116
J E DUNN CONSTRUCTION CO INC
1001 LOCUSTKANSAS CITYMO64106CONSTRUCTION495448
ANESTHESIA SERVICES PA
2205 S 4TH STLEAVENWORTHKS66048PHYSICIAN SERVICES399996
NURSEFINDERS
524 E LAMAR BLVD SUITE 300ARLINGTONTX76011TEMPORARY HELP SERVICES309538
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Membership Dues120MembershipDues
Government Grants21365GovernmentGrants
All Other Contributions52862AllOtherContributions
Total Contributions74347TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE6221102810648328106483
RENTAL REVENUE531120384836384836
OTHER PROGRAM SERVICES622110209331209331
REGIONAL LAB54138018619116786518326
FieldValueIRS element (for citing)
Total Program Service Revenue28886841TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column61696TotalRevenueColumn
Exclusion$61,696ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column678TotalRevenueColumn
Exclusion$678ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1852Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1871Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-19Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-19TotalRevenueColumn
Related Or Exempt Function Income-19RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29023543TotalRevenueColumn
Related Or Exempt Function Income28868496RelatedOrExemptFunctionIncome
Unrelated Business Revenue18326UnrelatedBusinessRevenue
Exclusion$62,374ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1254138Total
Program Services1254138ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total6650Total
Program Services6650ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total482624Total
Management And General482624ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12735452Total
Program Services11580531ProgramServices
Management And General1154921ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total329224Total
Program Services288433ProgramServices
Management And General40791ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1298398Total
Program Services1113036ProgramServices
Management And General185362ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total922413Total
Program Services808126ProgramServices
Management And General114287ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total100987Total
Management And General100987ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total34082Total
Management And General34082ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total564Total
Management And General564ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5014576Total
Program Services4435589ProgramServices
Management And General578987ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total48120Total
Program Services3972ProgramServices
Management And General44148ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4869748Total
Program Services4675465ProgramServices
Management And General194283ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total102927Total
Program Services13161ProgramServices
Management And General89766ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total620673Total
Program Services584901ProgramServices
Management And General35772ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total42360Total
Program Services27149ProgramServices
Management And General15211ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30182Total
Program Services24582ProgramServices
Management And General5600ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total646070Total
Program Services561514ProgramServices
Management And General84556ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1088239Total
Program Services998768ProgramServices
Management And General89471ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total277591Total
Program Services266913ProgramServices
Management And General10678ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT21785542178554
SHARED SERVICES-SLHS18000005847411215259
SWAP RELATED COSTS21513319467420459
RE TAXES & LICENSES15991315985459
EICU EXPENSES113534113534

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total60345Total
Program Services51773ProgramServices
Management And General8572ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34432497Total
Program Services29926058ProgramServices
Management And General4506439ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY830BOY
EOY866EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2006248BOY
EOY2982969EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3466839BOY
EOY3133421EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1000BOY
EOY2000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY498008BOY
EOY582845EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY220830BOY
EOY327768EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21699867LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12272721LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8484334BOY
EOY9427146EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY69504BOY
EOY105221EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY747517BOY
EOY870275EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY30657BOY
EOY268439EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15525767BOY
EOY17700950EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2043592BOY
EOY1994995EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14455299BOY
EOY22069239EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16498891BOY
EOY24064234EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1049639BOY
EOY-6452411EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY52157BOY
EOY64769EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24358BOY
EOY24358EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-973124BOY
EOY-6363284EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15525767BOY
EOY17700950EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-5408954ReconcilationRevenueExpenses
Reconcilation Other Changes18794ReconcilationOtherChanges
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$4,201GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB4201TotalLobbyingExpendituresIIB
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 Balance76514BeginningOfYearBalance
Contributions21606Contributions
Investment Earnings Or Losses307InvestmentEarningsOrLosses
Grants Or Scholarships1000GrantsOrScholarships
Other Expenditures8300OtherExpenditures
End Of Year Balance89127EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance74358BeginningOfYearBalance
End Of Year Balance74358EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.72670BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.27330PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis20000InvestmentCostOrOtherBasis
Other Cost Or Other Basis407583OtherCostOrOtherBasis
Book Value427583BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11261533OtherCostOrOtherBasis
Depreciation5624708Depreciation
Book Value5636825BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8836920OtherCostOrOtherBasis
Depreciation5965170Depreciation
Book Value2871750BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1173831OtherCostOrOtherBasis
Depreciation682843Depreciation
Book Value490988BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9427146TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
PAYABLE TO AFFILIATES$14,118,325
OTHER NONCURRENT LIABILITIES$53,838
RESERVE FOR SELF INSURED RISKS$603,000
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$688,027
CAPITAL LEASES$286,049
LONG TERM DEBT TO ST LUKES HEALTH SYSTEM$6,320,000
FieldValueIRS element (for citing)
Total Of Amounts22069239TotalOfAmounts

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 Percentage125.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1452028TotalCommunityBenefitExpense
Direct Offsetting Revenue986003DirectOffsettingRevenue
Net Community Benefit Expense466025NetCommunityBenefitExpense
Percent Of Total Expense0.01440PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense3867980TotalCommunityBenefitExpense
Direct Offsetting Revenue3474480DirectOffsettingRevenue
Net Community Benefit Expense393500NetCommunityBenefitExpense
Percent Of Total Expense0.01220PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense3905736TotalCommunityBenefitExpense
Direct Offsetting Revenue2662091DirectOffsettingRevenue
Net Community Benefit Expense1243645NetCommunityBenefitExpense
Percent Of Total Expense0.03860PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense9225744TotalCommunityBenefitExpense
Direct Offsetting Revenue7122574DirectOffsettingRevenue
Net Community Benefit Expense2103170NetCommunityBenefitExpense
Percent Of Total Expense0.06520PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense87188TotalCommunityBenefitExpense
Net Community Benefit Expense87188NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense97893TotalCommunityBenefitExpense
Net Community Benefit Expense97893NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense355TotalCommunityBenefitExpense
Net Community Benefit Expense355NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense20248TotalCommunityBenefitExpense
Net Community Benefit Expense20248NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense205684TotalCommunityBenefitExpense
Net Community Benefit Expense205684NetCommunityBenefitExpense
Percent Of Total Expense0.00630PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9431428TotalCommunityBenefitExpense
Direct Offsetting Revenue7122574DirectOffsettingRevenue
Net Community Benefit Expense2308854NetCommunityBenefitExpense
Percent Of Total Expense0.07150PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2736TotalCommunityBuildingExpense
Net Community Building Expense2736NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense1945TotalCommunityBuildingExpense
Net Community Building Expense1945NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense4681TotalCommunityBuildingExpense
Net Community Building Expense4681NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$708,030BadDebtExpenseAmount
Amount Reimbursed By Medicare7575049AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9738385CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2163336MedicareSurplusOrShortfall

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 Line1NOT REQUIREDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanation
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 $34,432,497. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $2,178,554. THIS LEFT US WITH A TOTAL EXPENSE OF $32,253,943 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.THE RATIO OF PATIENT CARE COST TO CHARGES (FROM MEDICARE COST REPORT) IS APPLIED TO THE BAD DEBT EXPENSE FROM OUR FINANCIAL STATEMENTS TO CALCULATE COST OF BAD DEBT ON LINE 2. DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE. 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. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS REVIEW OF ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING, TAKING INTO CONSIDERATION RECENT WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES, AND OTHER FACTORS. THE RESULTS OF THESE EVALUATIONS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER AMOUNTS DUE FROM THIRD PARTY PAYORS ARE SATISFIED, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES.
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 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: THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR THE UNINSURED. IN ADDITION TO THESE POLICIES, THE HOSPITAL PROVIDES EDUCATION ON FINANCIAL ASSISTANCE ELIGIBILITY TO PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES THROUGH MANY SOURCES INCLUDING THE SLHS WEB SITE, INFORMATION ON BILLING STATEMENTS PERTAINING TO POSSIBLE NEED IN PAYING THEIR BILL, INFORMATION UPON CHECK IN LOCATED IN THE ADMITTING PATIENT PACKETS, ON OUR B-131 RELEASE TO TREAT FORMS SIGNED BY ALL PATIENTS REQUESTING SERVICES, AND VISITS BY SOCIAL WORKER TEAMS WHEN AN IN-PATIENT AS WELL AS 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 HUMAN ARC, AN ELIGIBILITY ENROLLMENT SERVICE COMPANY THAT SCREENS ALL UNINSURED PATIENTS WITH A BALANCE OVER $2,000, ANY PATIENT IDENTIFIED BY A SOCIAL WORKER AS WELL AS ON ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR POSSIBLE MEDICAID OR OTHER GOVERNMENT COVERAGE.
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 6: 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 7: 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 Grant1241306AmountOfCashGrant
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 Recipients10NumberOfRecipients
Amount Of Cash Grant6650AmountOfCashGrant

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 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 (4 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
018600005002130203242802274024205408944
DON SIPES
02214260500351380326990197890309102018033
RON BAKER
183599050027390246650247150235768000
DALE DALENBERG
28448905001105021950220330309872000

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)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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 12C
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. 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 B, LINE 15A
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT PUBLICLY AVAILABLE.FORM 990, PART VI, SECTION C, LINE 19
DON 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 VII, COLUMN E
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 33,749. PENSION LIABILITY TRANSFER TO SLHS -3,550. RRG SAA DIVIDEND -17,411. MEDICAL STAFF ACCOUNT - OPENING BALANCE 6,006. TOTAL TO FORM 990, PART XI, LINE 5: 18,794.FORM 990, PART XI, LINE 5:

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 (18 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
ST LUKES HOSPITAL OF KANSAS CITY
4401 WORNALL ROADKANSAS CITYMO64111440545297HEALTH CAREMO501(C)(3)170B1AIII0
SAINT LUKES NORTHLAND HOSPITAL CORPORATION
601 SOUTH 169 HWYSMITHVILLEMO64089440545393HEALTH 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
SAINT LUKES HOSPITAL OF TRENTON
191 IOWA BLVDTRENTONMO64683431707306HEALTH 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
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

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
SAINT 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 STE 202KANSAS CITYMO64133431605740COLLECTIONSMON/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 Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
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

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH RELATED ORGANIZATIONSIdentifier
Return ReferenceSCHEDULE R, PART V, ITEM 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