2023-11-14T15:33:55+00:00 2022-12-31 990 2022-01-01 431707306 Saint Lukes Hospital of Trenton SAIN 6603595621 191 Iowa Blvd Trenton MO 64683 Paula Littleton CFO 6602148106 2023-11-14 PAULA LITTLETON 999009999 2022 2023-04-26 12:10:37Z Wright Memorial Hospital DARREN BASS 191 Iowa Blvd Trenton MO 64683 40132505 false X WWW.SAINTLUKESKC.ORG X 1995 MO CRITICAL ACCESS HOSPITAL 9 6 216 16 0 0 1785028 894935 40034548 39223230 13796 14340 0 41833372 40132505 20015 18252 0 15955056 17737364 0 56350 21949813 21289559 37924884 39045175 3908488 1087330 38756307 33420698 22577674 15726879 16178633 17693819 WRIGHT 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 SAINT LUKE'S HEALTH SYSTEM WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. false false 33101306 18252 39223230 SAINT LUKE'S HOSPITAL OF TRENTON OPERATES AN ACUTE CARE HOSPITAL IN RURAL MISSOURI AND IS DESIGNATED BY THE STATE OF MISSOURI AND MEDICARE AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL IS DEDICATED TO PROVIDING BOTH SERVICES AND LEADERSHIP IN CARING FOR THE NEEDY. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS A FINANCIAL ASSISTANCE POLICY FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. THE HOSPITAL ENCOURAGES PHYSICIANS PRACTICING IN SPECIALTY AREAS TO PROVIDE SERVICES TO THE HOSPITAL'S RURAL PATIENTS WHO OTHERWISE WOULD HAVE DIFFICULTY ACCESSING SUCH SPECIALTY SERVICES. THE HOSPITAL CONDUCTS COMMUNITY EDUCATION AND OUTREACH SERVICES INCLUDING FREE SEMINARS FOR HEALTHCARE PROFESSIONALS AND STUDENTS. IN ADDITION, THE HOSPITAL PROVIDES CLINICS, SCREENINGS, SUPPORT GROUPS, SOCIAL WORKS SERVICES AND PARTICIPATES IN CHARITABLE EVENTS AND SPONSORSHIPS. The hospital collaborated with other Saint Luke's Health System entities, the Missouri and Kansas Hospital Associations, and Mid-America Regional council to implement initiatives for establishing COVID testing sites, vaccine distribution, expanding virtual visits, and post-discharge follow-up for COVID-19 patients in addition to expanding coverage for the increase in hospitalized patients. The health system realigned its care and services to continue to treat and care for COVID-19 patients while protecting its employees. 33101306 true true false true false false false false false true false false true true true true true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true X 0 0 216 true false false false false false false false false false false false false X 9 6 true false false false true true true true true false false true true true true true true false false false X PAULA LITTLETON 6603595621 191 IOWA BLVD TRENTON MO 64683 Chuck V Robb TREASURER AND PRESIDENT- DIRECTOR 1.0 50.0 X X 0 1256242 142062 DIANNE ODER VICE PRES-DIRECTOR 1.0 0 X X 0 0 0 LENNY KLAVER CHAIR-DIRECTOR 1.0 0 X X 0 0 0 STEVEN SCHIEBER Chief Executive Officer AND DIRECTOR 13.0 39.0 X X 0 591767 143370 TIM MICHAEL SECRETARY-DIRECTOR 1.0 0 X X 0 0 0 BECKY VANDEVENDER DIRECTOR 1.0 0 X 0 0 0 JILL PFAFF DIRECTOR 1.0 0 X 0 0 0 LINDSEY STRINGER DIRECTOR 1.0 50.0 X 0 336950 51711 TOM WITTEN DIRECTOR 1.0 0 X 0 0 0 CATHERINE HAMILTON Chief Nursing Officer 13.0 39.0 X 0 295770 63971 ELAINA HEAD ASSISTANT SECRETARY 40.0 0 X 67051 0 22389 PAULA LITTLETON Chief Financial Officer 13.0 38.0 X 0 206360 57215 WILLIAM GILBIRDS MD VICE PRESIDENT-MEDICAL AFFAIRS 8.0 42.0 X 0 497716 22631 AARON HUFFSTUTTER ADVANCED PRACTICE PROVIDER 40.0 0 X 252048 0 33079 JENNIFER BOWE MD PHYSICIAN 40.0 0.0 X 319739 0 38211 JESSICA SNYDER MD PHYSICIAN 40.0 0 X 240604 0 25050 KHANNAH SMITH MD PHYSICIAN 40.0 0 X 315685 0 32539 TAMMY HART MD PHYSICIAN 40.0 0 X 217021 0 31449 JULIE QUIRIN FORMER PRESIDENT-DIRECTOR 50.0 X 0 1425945 372346 1412148 4610751 1036023 11 true true false EMS OF CHILLICOTHE LLC 7032 COLLECTIONS CENTER DR CHICAGO IL 60693 STAFFING SERVICES 2638496 PSYCHIATRIC MEDICAL CARE LLC PO BOX 734606 DALLAS TX 75373 STAFFING SERVICES 522790 HAVE A NICE DAY ANESTHESIA ASSOCIATES LLC 2106 WOODCREST DR CHILLICOTHE MO 64601 MEDICAL SERVICES 450000 SHARED MEDICAL SERVICES INC 209 LIMESTONE PASS COTTAGE GROVE WI 535270330 MEDICAL SERVICES 243250 DML CONSULTING INC 2604 W Kenosha StREET Broken Arrow OK 74012 CONSULTING SERVICES 127753 6 58 890461 4416 894935 Net Patient Revenue 622110 38153835 38153835 Pharmacy 622110 884604 884604 184791 184791 0 0 39223230 14340 14340 0 0 0 0 0 0 0 0 0 40132505 39223230 0 14340 X 18252 18252 89440 89440 13057649 11214221 1806474 36954 1281242 1029889 247972 3381 2435039 2078126 350124 6789 873994 745517 126030 2447 311 311 40601 40601 7409842 7149862 259386 594 10723 1279 9444 616929 487966 126804 2159 439158 204092 235064 2 2838738 2581234 253541 3963 30498 24533 5938 27 13272 8489 4783 2468 2468 571888 488942 82920 26 289655 208955 80700 Shared Services - SLHS 3224222 1079717 2144505 Medical Supplies 4605305 4598951 6349 5 Bad Debt 1123278 1123278 72671 58003 14665 3 39045175 33101306 5887519 56350 16901035 13487690 1133462 1978 3784609 3323782 0 0 0 0 792601 658715 126568 177868 8119449 5789071 2415344 2330378 0 0 13602688 13440287 38756307 33420698 2421332 2212354 0 0 20156342 13514525 22577674 15726879 X 15849714 17451616 328919 242203 16178633 17693819 38756307 33420698 X 1087330 427856 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 23605 false false false 23605 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE F - PORTION OF DUES PAID TO VARIOUS HOSPITAL AND RELATED MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 1350696 589729 760967 6768753 5199342 1569411 2330378 Beneficial Interest in Net Assets of Foundations 242203 Due from Affiliates 284949 ESTIMATED THIRD-PARTY PAYOR SETTLEMENT 1371837 Other Assets 347273 Right of Use - Lease Asset 11194025 13440287 Due to Charitable Trust 505121 Due to Affiliates 652839 Estimated Third-Party Payor Settlements 666677 Right of Use Lease Obligation 10884383 Covid-19 Grant Advances 775000 Other Liabilites 30505 13514525 X 39001664 0 0 39001664 1130841 1130841 40132505 37921897 0 0 37921897 1123278 1123278 39045175 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. MANAGEMENT IS NOT AWARE OF ANY UNCERTAINTIES IN INCOME TAX POSITIONS. THE YEARS ENDED DECEMBER 31, 2022, 2021,2020, AND 2019 REMAIN SUBJECT TO EXAMINATION FOR BOTH FEDERAL AND STATE PURPOSES. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements BAD DEBT NET WITH REVENUE FOR BOOKS; INCLUDED IN EXPENSES FOR TAX - 1123278 RRG SUBSCRIBER ALLOCATION - 7564 ROUNDING - -1 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT NET WITH REVENUE FOR BOOKS; INCLUDED IN EXPENSES FOR TAX - 1123278 true true X true X true X true true false false 666673 285466 381207 0.0101 5785339 3740444 2044895 0.0539 0 0.0 0 0 6452012 4025910 2426102 0.0640 15601 15601 0.0004 0 0.0 8906175 7457897 1448278 0.0382 0 0.0 25514 434 25080 0.0007 0 0 8947290 7458331 1488959 0.0393 0 0 15399302 11484241 3915061 0.1032 43 43 0.0000 0 0.0 43 43 0.0000 0 0.0 1351 1351 0.0000 0 0.0 0 0.0 1035 1035 0.0000 0 0.0 0 0 2472 0 2472 0.0001 false 1123278 14559754 14551645 8109 X true true 1 1 WRIGHT MEMORIAL HOSPITAL 191 IOWA BLVD TRENTON MO 64683 413-19 X X X X WRIGHT MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 21 true false false true X www.saintlukeskc.org/community-health-needs-assessments-implementation-plans# X true 21 true www.saintlukeskc.org/community-health-needs-assessments-implementation-plans# false true X 200.0 300.0 X X true true X X X true X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - WRIGHT MEMORIAL HOSPITAL. Input from persons representing the broad interests of the community was taken into account through key informant interviews (6 participants) and community meetings (21 participants). Stakeholders included: individuals with special knowledge of or expertise in public health; local public health departments; hospital staff and providers; representatives of social service organizations; and leaders, representatives, and members of medically underserved, low-income, and minority populations. Individuals from the following organizations were interviewed: Community Action Partnership of North Central Missouri, Grundy County Health Department, North Central Missouri College, Saint Luke's Critical Access Region, Wright Memorial Hospital, and Wright Memorial Physicians' Group. Individuals from the Century 21 Realty, Grundy County Health Department, North Central Missouri College, Trenton Chamber of Commerce, Trenton Republican-Times, Wesley United Methodist Church, Wright Memorial Hospital, and Wright Memorial Hospital Foundation participated in the community meetings. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - WRIGHT MEMORIAL HOSPITAL. WRIGHT MEMORIAL HOSPITAL'S ("WMH") IMPLEMENTATION STRATEGY DESCRIBES HOW THE HOSPITAL IS ADDRESSING THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA: *Access to Care and Health Insurance (Including Access to COVID-19 Treatment and Testing Services) To address this need, WMH will implement the following initiatives: 1. Continue to accept Missouri Medicaid. 2. Expand efforts to enroll community members in Medicaid (via Centauri). 3. Provide assistance to patients with the Medicaid application process. 4. Continue efforts to recruit specialty care physicians into the community. 5. Continue helping patients apply for pharmaceutical company Medication Assistance Access programs. 6. Continue providing staff to address COVID-19 vaccine safety and benefits, social distancing strategies, masking and PPE, and patient education during discharge planning. 7. Continue operating Rural Health Clinics. 8. Provide COVID-19 vaccinations at Rural Health Clinics. 9. Expand virtual visit options for all community members including low-income communities. 10. Support SLHS efforts to update the Financial Assistance Policy and include coverage for Telehealth (virtual visit) services. 11.Continue providing Eating Health During Pregnancy Nutrition Education at LifeOptions. 12. Providing staffing to health departments to support community-based health promotion events. 13.Enhance partnerships with area FQHCs. 14.Continue providing flu vaccinations in area schools. 15.Continue providing sports physicals for area schools. 16.Explore providing Wellness Clinic services for staff of local school districts. 17.Explore providing health services for area schools using telehealth resources. 18.Continue offering blood donation drives. 19.Continue screening patients for transportation needs and making referrals for those in need to appropriate community resources, including OATS Transit and Senior Life Solutions. 20.Conduct community health education through social media and marketing. 21. Provide hands-only CPR training. *Mental Health, Suicide, and Access to Mental Health Services To address this need, WMH will implement the following initiatives: 1. Actively recruit mental health providers to serve diverse populations. 2. Continue screening patients for social isolation risks and make referrals to appropriate community resources. 3. Continue connecting patients with Senior Life Solutions, a group counseling (mental health services) program for seniors. 4. Explore providing virtual access to social workers in the emergency room. 5. Explore supporting D.A.R.E. programs in area schools. 6. Support restoring/expanding Crittenton's Trauma Smart Program into area schools. 7. Explore partnership opportunities with North Central Missouri Mental Health and with Preferred Family Healthcare: a. Patient referrals. b. Crisis intervention (in area schools and elsewhere). c. QPR Training (Question, Persuade, Refer). d. Mental health first aid training. e. Advocacy for state support of mental health services. 8. Continue participating in Green Hills Regional Crisis Intervention Team Council. 9. Provide community mental health education (e.g., for first responders and others having contact with those experiencing mental health crises). 10. Screen students for mental health issues and risks when conducting sports physicals. *Obesity, Physical Inactivity, and Chronic Conditions To address this need, WMH will implement the following initiatives: 1. Expand efforts to screen patients for food insecurity and providing referrals to appropriate community resources. 2. Continue maintaining community walking trails. 3. Explore establishing a falls prevention program, in collaboration with the Grundy and Mercer health departments. 4. Re-establish (chronic disease management) weight reduction programs for adults and for children. 5. Establish a stroke support group (either in-person or virtual). 6. Expand partnerships (e.g., with MU Extension) and programs (e.g., Speaker's Bureau) designed to promote healthy eating. 7. Conduct community health events in collaboration with the health departments intended to enhance Women's Heart Health. No hospital organization can address all of the health needs present in its community. WMH is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. WMH plans to address the following significant community health needs as part the above strategic initiatives that focus on access to care, mental health, and obesity and physical inactivity: * Substance Use Disorder and Overdoses * Transportation WMH does not intend to address two of the significant community health needs identified through its 2021 CHNA, namely: 1. Poverty. While the hospital's 2021 CHNA identified poverty as a significant community health need, the committee charged with developing this implementation strategy identified other needs as higher priorities for the 2022-2024 WMH implementation strategy. The hospital's Financial Assistance Policy provides discounts for eligible, low-income households and for those with catastrophic medical bills. The hospital also is a major employer in the county and recognizes its role in enhancing the area's economy. This implementation strategy also includes several initiatives designed to ensure that community members living in poverty have access to preventive services and efforts to collaborate with community organizations that assist low income residents. 2. Smoking and Tobacco Use. While the hospital's 2021 CHNA identified smoking and tobacco use as a significant community health need, the committee charged with developing this implementation strategy identified three needs as higher priorities for the 2022-2024 WMH implementation strategy. During the course of providing health services, the hospital will be counseling patients who smoke or use tobacco to seek cessation services and will be making referrals to available resources. The hospital's support of D.A.R.E programs is another way that smoking and tobacco use risks may be addressed. 4 WRIGHT MEMORIAL PHYSICIANS GROUP 189 IOWA BLVD TRENTON MO 64683 RURAL HEALTH CLINIC SAINT LUKES MERCER COUNTY CLINIC 400 NORTH FULLERTON PRINCETON MO 64673 RURAL HEALTH CLINIC Schedule H, Part I, Line 3c THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. IN ADDITION, MEDICAL INDIGENCY MAY BE DETERMINED ON AN INDIVIDUAL BASIS FOR INCOME ABOVE THE FEDERAL POVERTY LEVEL WHEN A SINGLE ILLNESS OR INJURY CAUSES HARDSHIP. Schedule H, Part I, Line 7g Subsidized Health Services SUBSIDIZED HEALTH SERVICES ARE FOR THE EMERGENCY DEPARTMENT AND RURAL HEALTH CLINIC SERVICES PROVIDED TO THE COMMUNITY. THE COSTS ATTRIBUTABLE TO THE PHYSICIAN (RURAL HEALTH) CLINIC ARE $5,041,927. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 1123278 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO FROM THE HOSPITAL'S COST REPORT. Schedule H, Part II Community Building Activities OUR HOSPITAL SPONSORS OR PARTICIPATES IN MANY COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF OUR COMMUNITY. THE HOSPITAL PARTICIPATES IN EDUCATIONAL OFFERINGS AND SPONSORS MULTIPLE COMMUNITY EVENTS TO BENEFIT VARIOUS COMMUNITY ORGANIZATIONS. WE ALSO ENCOURAGE OUR EMPLOYEES TO SERVE ON COMMUNITY BOARDS AND VOLUNTEER FOR ACTIVITIES THAT PROMOTE HEALTH IN THE COMMUNITY. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Performance obligations are identified based on the nature of the services provided. Revenue associated with performance obligations satisfied over time is recognized based on actual charges incurred in relation to total expected (or actual) charges. Performance obligations satisfied over time relate to patients in the Hospital receiving inpatient acute care services. The Hospital measures the performance obligation from admission into the Hospital, to the point when there are no further services required for the patient, which is generally at the time of discharge. For outpatient and physician clinic services, the performance obligation is satisfied as the patient simultaneously receives and consumes the benefits provided as the services are performed. In the case of outpatient and physician clinic services, recognition of the obligation over time yields the same results as recognizing the obligation at a point in time. The Hospital believes that this method provides a faithful depiction of the transfer of services over the term of the performance obligations based on the inputs needed to satisfy the obligations. As the Hospital's performance obligations relate to contracts with a duration of less than one year, the Hospital has applied the optional exemption provided in FASB ASC 606-10-50-14 (a) and, therefore, is not required to disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially unsatisfied at the end of the reporting period. The unsatisfied or partially unsatisfied performance obligations referred to above primarily relate to inpatient acute care services at the end of the reporting period. The performance obligations for these contracts are generally completed when the patients are discharged, which generally occurs within days or weeks of the end of the reporting period. The Hospital uses a portfolio approach to account for categories of patient contracts as a collective group rather than recognizing revenue on an individual contract basis. The portfolios consist of major payer classes for inpatient revenues and types of services provided for outpatient revenues. Based on historical collection trends and analyses, the Hospital believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if the individual contract approach were used. The Hospital determines the transaction price, which involves significant estimates and judgment, based on standard charges for goods and services provided, reduced by explicit and implicit price concessions, including contractual adjustments provided to third-party payers, discounts provided to uninsured and underinsured patients in accordance with the Hospital's policy and implicit price concessions based on the historical collection experience of patient accounts. The Hospital determines the transaction price associated with services provided to patients who have third-party coverage based on reimbursement terms per contractual agreements, discount policies, and historical experience. Generally, patients who are covered by third-party payers are responsible for related deductibles and coinsurance, which vary in amount. For those patients and for uninsured patients who do not qualify for charity care, the Hospital determines the transaction price associated with services on the basis of charges, reduced by implicit price concessions. Implicit price concessions included in the estimate of the transaction price are based on historical collection experience for applicable patient portfolios. Patients who meet the Hospital's criteria for charity care are provided care without charge or at amounts less than established rates and such amounts are not reported as revenue. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. THE AMOUNT OF BAD DEBT REPORTED IN THIS FORM 990 IS CONSISTENT WITH THE FINANCIAL STATEMENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote See footnote provided above in the explanation for Part III, Line 2. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF THE PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. FOR ANY REMAINING BALANCES DUE, THE SAME COLLECTION POLICY AND PROCEDURES ARE APPLIED EQUALLY TO ALL PATIENT TYPES. ALTHOUGH WE ARE NOT LEGALLY BOUND BY THE FAIR DEBT COLLECTION PRACTICES ACT, THE PRINCIPLES ADDRESSED ARE GENERALLY FOLLOWED. Schedule H, Part V, Section B, Line 16a FAP website - WRIGHT MEMORIAL HOSPITAL: Line 16a URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - WRIGHT MEMORIAL HOSPITAL: Line 16b URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - WRIGHT MEMORIAL HOSPITAL: Line 16c URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO ITS CHNA, THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING ITS COMPREHENSIVE DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL MEETS WITH STAFF, VOLUNTEERS, PATIENTS, BOARD MEMBERS AND PHYSICIANS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE, PATIENT BILLING AND COLLECTION. 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, 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, ANY PATIENTS IDENTIFIED BY OUR SOCIAL WORKER OR CASE MANAGEMENT TEAMS, AND ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. THE ELIGIBILITY ENROLLMENT SERVICE ALSO PROVIDES PATIENTS WITH INFORMATION ON FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information WRIGHT MEMORIAL HOSPITAL IS LOCATED IN A RURAL COMMUNITY IN GRUNDY COUNTY IN NORTHWEST AREA OF MISSOURI. THE HOSPITAL'S PRIMARY SERVICE AREA IS THE IMMEDIATE COUNTY AND ALL CONTIGUOUS SURROUNDING COUNTIES. Schedule H, Part VI, Line 5 Promotion of community health THE BOARD OF DIRECTORS IS MADE UP OF COMMUNITY MEMBERS AND BUSINESS PROFESSIONALS, ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA, PLUS TWO REPRESENTATIVES OF SAINT LUKE'S HEALTH SYSTEM. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. Schedule H, Part VI, Line 6 Affiliated health care system THE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSIST OF 16 AREA HOSPITAL FACILITIES, 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. false true false false false false false false false JULIE QUIRIN FORMER PRESIDENT-DIRECTOR 0 868802 0 419509 0 137634 0 349020 0 23326 0 1798291 0 191113 Chuck V Robb TREASURER AND PRESIDENT- DIRECTOR 0 719698 0 362100 0 174444 0 118025 0 24037 0 1398304 0 72533 STEVEN SCHIEBER Chief Executive Officer AND DIRECTOR 0 386047 0 167439 0 38281 0 113668 0 29701 0 735137 0 66883 LINDSEY STRINGER DIRECTOR 0 280476 0 55420 0 1054 0 41325 0 10386 0 388661 0 0 WILLIAM GILBIRDS MD VICE PRESIDENT-MEDICAL AFFAIRS 0 393059 0 100773 0 3884 0 18300 0 4331 0 520347 0 0 CATHERINE HAMILTON Chief Nursing Officer 0 218912 0 53435 0 23423 0 41874 0 22096 0 359741 0 16974 PAULA LITTLETON Chief Financial Officer 0 205038 0 0 0 1322 0 29820 0 27395 0 263575 0 0 AARON HUFFSTUTTER ADVANCED PRACTICE PROVIDER 244026 0 7500 0 522 0 11667 0 21412 0 285127 0 0 0 JENNIFER BOWE MD PHYSICIAN 298881 0 20000 0 857 0 13725 0 24486 0 357950 0 0 0 TAMMY HART MD PHYSICIAN 210407 0 5250 0 1364 0 10015 0 21434 0 248471 0 0 0 KHANNAH SMITH MD PHYSICIAN 273019 0 17000 0 25666 0 12200 0 20339 0 348224 0 0 0 JESSICA SNYDER MD PHYSICIAN 224369 0 2750 0 13485 0 4661 0 20389 0 265654 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 457(F) PLAN PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: CHARLES ROBB - $0 JULIE QUIRIN - $65,625 FOR THE VARIOUS 457(F) PLANS, A PARTICIPANT'S BENEFIT IS PAID AT VESTING. VESTING GENERALLY OCCURS AT RETIREMENT AGE AND MAY BE SUBJECT TO CERTAIN RESTRICTIVE COVENANTS. Schedule J, Part I, Line 3 EXECUTIVE/OFFICER COMPENSATION PROCESS ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND CFO. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM. Schedule J, Part II RELATED ORGANIZATION COMPENSATION JULIE QUIRIN, LINDSEY STRINGER, AND CHARLES ROBB 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. CATHERINE HAMILTON, WILLIAM GILBIRDS, PAULA LITTLETON, AND STEVEN SCHIEBER RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. THE RELATED 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 ENGAGEMENT, 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 AND DO NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER FINANCIAL RESULTS HAVE BEEN DETERMINED FOR THE CALENDAR YEAR. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS. Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096 WRIGHT MEMORIAL HOSPITAL IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. WRIGHT MEMORIAL HOSPITAL'S VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. Form 990, Part VI, Line 15 EXECUTIVE/OFFICER COMPENSATION PROCESS ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND CFO. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE BOARD COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION DATA. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons JILL PFAFF, DIANE ODER, AND BECKY VANDEVENDER ARE OFFICERS/EMPLOYEES OF THE SAME ENTITY. - Business relationship, JULIE QUIRIN, LINDSEY STRINGER, AND CHARLES ROBB ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATION - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, APPOINTMENT & REMOVAL OF DIRECTORS AND THE CEO, DEBT, BUDGETS, CAPITAL EXPENDITURES, POLICIES APPLICABLE TO THE ORGANIZATION, AND STRATEGIC OPERATING DECISIONS. AS PART OF AN INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER ALSO PROVIDES VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO THE ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY THE ENTITY'S CFO OR CEO BEFORE FILING. A SUMMARY OF KEY 990 INFORMATION IS PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND THE 990 DRAFT IS MADE AVAILABLE TO THE COMMITTEE FOR REVIEW. THE 990 IS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE FILING ORGANIZATION HAS A COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICY 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. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE TO THE PUBLIC THROUGH THE MO SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ATTACHED TO THIS RETURN. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part VII, Section A, Line 1a, Column (E) RELATED ORGANIZATION COMPENSATION JULIE QUIRIN, LINDSEY STRINGER, AND CHARLES ROBB 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. CATHERINE HAMILTON, WILLIAM GILBIRDS, PAULA LITTLETON, AND STEVEN SCHIEBER RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. Form 990, Part VIII, Line 2f Other Program Service Revenue Other Program Service Revenue - Total Revenue: 184791, Related or Exempt Function Revenue: 184791, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Biomed Services - Total Expense: 345140, Program Service Expense: 345140, Management and General Expenses: , Fundraising Expenses: ; Pathology Services - Total Expense: 364210, Program Service Expense: 364210, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN REMUNERATION - Total Expense: 3586188, Program Service Expense: 3586188, Management and General Expenses: , Fundraising Expenses: ; Purchased Services and Other - Total Expense: 2418575, Program Service Expense: 2178168, Management and General Expenses: 239998, Fundraising Expenses: 409; Service Contracts - Total Expense: 208126, Program Service Expense: 188553, Management and General Expenses: 19388, Fundraising Expenses: 185; Temporary Help - Total Expense: 487603, Program Service Expense: 487603, Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN NET ASSETS AT WMH FOUNDATION - SFAS 136 - 32377; PENSION SETTLEMENT/LIABILITY TRANSFER TO SLHS - 403042; RRG SUBSCRIBER ALLOCATION - -7564; ROUNDING - 1; SAINT LUKES HEALTH SYSTEM 901 E 104TH ST KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501(c)(3) Type III-FI N/A false ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES NORTH HOSPITAL 5830 NW BARRY RD KANSAS CITY MO 64154 440565393 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES SOUTH HOSPITAL 12300 METCALF AVE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES EAST HOSPITAL 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES PHYSICIAN GROUP INC 901 E 104TH ST KANSAS CITY MO 64131 431598353 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE 901 E 104TH ST KANSAS CITY MO 64131 431127200 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKE'S HOSPITAL OF CHILLICOTHE 2799 N WASHINGTON CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES CUSHING HOSPITAL 711 MARSHALL LEAVENWORTH KS 66048 480543792 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES CARE 901 E 104TH ST KANSAS CITY MO 64131 260185090 HEALTH CARE MO 501(c)(3) Type II SAINT LUKES HEALTH SYSTEM false MEDICAL PLAZA IMAGING ASSOCIATES LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 431609584 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false ADVANCED UROLOGIC ASSOCIATES INC 901 E 104TH ST KANSAS CITY MO 64131 454725529 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false ROCKHILL ORTHOPAEDIC SPECIALISTS INC 901 E 104TH ST KANSAS CITY MO 64131 453851008 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false BISHOP SPENCER PLACE 4301 MADISON AVENUE KANSAS CITY MO 64111 431139083 RETIREMENT COMMUNITY MO 501(c)(3) 10 SAINT LUKES HEALTH SYSTEM false WINDSOR CARE 4301 MADISON AVENUE KANSAS CITY MO 64111 205284328 HEALTH CARE MO 501(c)(3) 10 BISHOP SPENCER PLACE false Saint Luke's Foundation 901 E 104th Street Kansas City MO 64131 446014699 Foundation MO 501(c)(3) 7 Saint Luke's Health System false Saint Luke's Hospital of Allen County Inc 3066 N Kentucky St IOLA KS 66749 843362602 Health Care KS 501(c)(3) 3 Saint Luke's Health System false CARDIOMETABOLIC CENTER ALLIANCE INC 4435 MAIN ST KANSAS CITY MO 64111 850768692 MEDICAL RESEARCH MO 501(c)(3) 4 SAINT LUKES HEALTH SYSTEM false Heart Surgeons of Kansas City 4320 WORNALL ROAD Suite 50 KANSAS CITY MO 64111 264663332 Health Care MO 501(c)(3) 10 ST LUKES HOSPITAL OF KANSAS CITY false MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431357824 OWN & OPERATE MEDICAL OFFICE BUILDING MO NA N/A SAINT LUKES SURGICENTER-LEES SUMMIT LLC 11221 ROE AVE STE 230 OVERLAND PARK KS 66211 470853481 HEALTH CARE MO NA N/A SAINT LUKES SOUTH SURGERY CENTER LLC 11221 ROE AVE STE 230 OVERLAND PARK KS 66211 201721929 HEALTH CARE KS NA N/A SAINT LUKES-GI DIAGNOSTICS 4321 WASHINGTON STE 5700 KANSAS CITY MO 64111 274142549 HEALTH CARE MO NA N/A KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 3651 COLLEGE BLVD LEAWOOD KS 66211 481197295 HEALTH CARE KS NA N/A SAINT LUKES RADIATION THERAPY-LIBERTY LLC 901 E 104TH ST KANSAS CITY MO 64131 473793070 HEALTH CARE MO NA N/A Saint Luke's South Pain Management 7651 W 159th Street Overland Park KS 66223 863451115 HEALTH CARE KS NA N/A SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP 901 E 104TH ST KANSAS CITY MO 64131 371471890 INSURANCE SC NA C Corporation false ST LUKES HEALTH VENTURES INC 901 E 104TH ST KANSAS CITY MO 64131 431278476 ACCOUNTING MO NA C Corporation false MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MANAGEMENT MO NA C Corporation false SAINT LUKES HEALTH SYSTEM INSURANCE LTD CAPTIVE CJ NA C Corporation false false false true false false true false false false false false true true false true true true false false Schedule R, Part V, Line 1 TRANSACTIONS WITH RELATED ORGANIZATIONS SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS.