2023-11-14T15:33:00+00:00 2022-12-31 440160260 FORVIS LLP 1201 WALNUT STE 1700 KANSAS CITY MO 641062246 990 2022-01-01 440545297 St Lukes Hospital of Kansas City STLU 8169322000 4401 Wornall Road Kansas City MO 64111 AMY NACHTIGAL CFO 8169323318 2023-11-14 true AMY NACHTIGAL 999009999 MICHAEL J ENGLE P00482834 8162216300 2022 2023-04-26 12:10:37Z JANI JOHNSON 4401 Wornall Road Kansas City MO 64111 1077444563 false X WWW.SAINTLUKESKC.ORG X 1882 MO TERTIARY CARE TEACHING HOSPITAL 25 19 5050 193 -176156 0 15769883 23015966 1003264721 969665137 50468652 27736047 1138742 845020 1070641998 1021262170 97187602 129275792 0 315113789 336890297 0 54911 558098519 563507413 970399910 1029673502 100242088 -8411332 1771100748 1589958608 473805117 390068045 1297295631 1199890563 SAINT LUKE'S HOSPITAL IS A NOT-FOR-PROFIT TERTIARY REFERRAL CENTER COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. WE ARE DEDICATED TO MEDICAL RESEARCH AND EDUCATION. AS A MEMBER OF THE SAINT LUKE'S HEALTH SYSTEM WE ARE COMMITTED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. false false 928817321 129275792 969665137 HOSPITAL CARE: ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION, WHICH IS TO ENSURE THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. SAINT LUKE'S HOSPITAL IS A FULL-SERVICE HEALTH CARE FACILITY FEATURING AWARD-WINNING HEART SURGERY, NATIONALLY RECOGNIZED TRANSPLANT PROGRAMS, A STATE-OF-THE-ART WOMEN'S HEALTH CENTER, TRAUMA SERVICES, ADOLESCENT AND FAMILY MENTAL HEALTH TREATMENT SERVICES, AND MORE. 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 HAS OVER 500 ACTIVE PHYSICIANS AND CONTINUES TO ADVANCE TREATMENT OPTIONS THROUGH LANDMARK RESEARCH STUDIES. RESEARCH, EDUCATION, AND TEACHING: IN ADDITION TO THE SUBSTANTIAL AMOUNT OF FREE CARE PROVIDED, SAINT LUKE'S HOSPITAL HAS MADE A MAJOR COMMITMENT TO MEDICAL AND NURSING EDUCATION. THIS INCLUDES THE SIGNIFICANT FUNDING REQUIREMENTS TO MAINTAIN AN ACCREDITED TEACHING AFFILIATION AND PROVIDE FOR THE TRAINING OF RESIDENTS IN VARIOUS MEDICAL SPECIALTIES OR SUB-SPECIALTIES. SAINT LUKE'S HOSPITAL ALSO PROVIDES TRAINING PROGRAMS FOR MEDICAL IMAGING, CHAPLAINS, PATIENT CARE TECHNICIANS AND PHLEBOTOMY. SAINT LUKE'S HOSPITAL IS ALSO ACCREDITED TO OFFER CONTINUING MEDICAL EDUCATION PROGRAMS FOR PRACTICING PHYSICIANS. SAINT LUKE'S HOSPITAL IS CONCERNED ABOUT THE LONG-TERM WELFARE OF THE COMMUNITY AND MAKES AN ADDITIONAL INVESTMENT IN THE FUTURE OF HEALTH CARE THROUGH RESEARCH ACTIVITIES. 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. 928817321 true true false true false false false false true true true false true true false false true false false true false false false false false true true true false true false false false false false false true false true false false false true true true true false false true X 39 0 true 5050 true true true false false false false false false false false false false false X 25 19 true false false false true true true true true false false true true true true true true false false true false X AMY NACHTIGAL 8169322000 4401 WORNALL ROAD KANSAS CITY MO 64111 DAVID POWELL BOARD MEMBER-SECRETARY 2.0 0 X X 0 0 0 J GRANT BURCHAM BOARD MEMBER - VICE PRES 2.0 0 X X 0 0 0 JANI JOHNSON CEO & ASSIST SECR & BOD MBR 45.0 5.0 X X 1039999 0 222029 THOMAS WILLARD BOARD MEMBER-PRESIDENT 2.0 0.0 X X 0 0 0 WILLIAM ALIBER BOARD MEMBER-TREAS 2.0 0 X X 0 0 0 ALISON ARMISTEAD BOARD MEMBER 2.0 0 X 0 0 0 AMY MCANARNY BOARD MEMBER 2.0 0 X 0 0 0 BLAKE HODGES BOARD MEMBER 2.0 0 X 0 0 0 CAMILLE HONESTY MD BOARD MEMBER 2.0 40.0 X 0 251265 38864 CARMEN KYNARD BOARD MEMBER 2.0 0 X 0 0 0 CAROLYN DOWNHAM BOARD MEMBER 2.0 0 X 0 0 0 CICI ROJAS BOARD MEMBER 2.0 0 X 0 0 0 DAVID HALL BOARD MEMBER 2.0 0 X 0 0 0 ELAINE KOCH BOARD MEMBER 2.0 0 X 0 0 0 JOHN MATTHEWS BOARD MEMBER 2.0 0 X 0 0 0 KALISTA ENGELMAN BOARD MEMBER 2.0 0 X 0 0 0 LEANNA MOSHER MD BOARD MEMBER 2.0 20.0 X 0 469710 18619 LEIGH NOTTBERG BOARD MEMBER 2.0 0 X 0 0 0 LISA HARDWICK BOARD MEMBER 2.0 0 X 0 0 0 MARC LARSEN MD BOARD MEMBER 2.0 2.0 X 0 72800 1456 NIKKI NEWTON BOARD MEMBER 2.0 0 X 0 0 0 TAMMY NEBLOCK-BEIRNE BOARD MEMBER 2.0 40.0 X 0 418306 27777 TERRI CURRAN BOARD MEMBER 2.0 0 X 0 0 0 THE RT REV DIANE BRUCE BOARD MEMBER 2.0 0.0 X 0 0 0 WAYNE AUER BOARD MEMBER 2.0 0 X 0 0 0 AMY NACHTIGAL CHIEF FINANCIAL OFFICER 40.0 10.0 X 590046 0 108052 Chuck V Robb ASSISTANT SECRETARY 1.0 51.0 X 0 1256242 142062 DEBRA WILSON VP & CHIEF NURSING OFFICER-RETIRED 2022 50.0 0 X 498537 0 47506 DONNA KUNZ VP-HR TERM ENDED 2022 40.0 0.0 X 371693 0 14472 JAMIE ALLEN VP & ASSIST SECRETARY 20.0 30.0 X 0 386243 65422 JANE PECK CHIEF OPERATING OFFICER 25.0 25.0 X 563954 0 64512 JANET GORDON VP-PROVIDER BASED CLINICS 25.0 25.0 X 244804 0 65981 JASON PURCELL INTERIM CNO 40.0 0 X 196955 0 19357 MARSHAUN BUTLER VICE PRESIDENT 40.0 0 X 259688 0 46718 PETER HOLT MD VP-MEDICAL AFFAIRS 34.0 0.0 X 302748 0 37957 DONNA BUCHANAN Director-Research 40.0 0 X 225968 0 30836 JOHN SPERTUS MD PHYSICIAN 40.0 0 X 467322 0 74598 LISA BURTIN RN 40.0 0 X 266922 0 42106 SHAWN MOOREHEAD CHIEF MEDICAL PHYSICIST 40.0 0 X 250760 0 38003 TROY SYDZYIK CHIEF PERFUSIONIST 40.0 0 X 236564 0 45117 DORIS ROGERS FMR VP-HUMAN RESOURCES TERM END 4/2020 0.0 50.0 X 0 680431 185288 5515961 3534998 1336732 385 true true false Vaya Workforce Solutions LLC 5930 Cornerstone Court West Suite 300 San Diego CA 92121 Temporary Labor 78375345 J E DUNN CONSTRUCTION CO INC 1001 Locust Street Kansas City MO 64106 CONSTRUCTION SERVICES 17964529 MIDWEST TRANSPLANT NETWORK 1900 W 47TH PLACE STE 400 WESTWOOD KS 66205 MEDICAL SERVICES 14481047 UNIVERSITY OF MISSOURI - KANSAS CITY PO BOX 805111 KANSAS CITY MO 64180 MEDICAL SERVICES 12154361 P1 GROUP 16210 W 108TH ST LENEXA KS 66219 FACILITIES MANAGEMENT 5801278 61 57143 0 0 12264568 7816559 2877696 288616 23015966 NET PATIENT REVENUE 622110 872030908 872030908 PHARMACY REVENUE 446110 28518250 28518250 REGIONAL LAB SERVICES 621500 24715810 24715810 44400169 44400169 0 0 969665137 13864356 -176156 14040512 80882 80882 845020 845020 0 845020 845020 69973201 56182393 13790808 0 13790809 13790809 0 0 0 0 0 1021262170 969665137 -176156 28757223 X 129275792 129275792 4695009 340705 4354304 89054 89054 250545054 240298180 10246874 28707857 26486358 2221499 34268762 32228813 2039474 475 18584561 17515277 1069284 77781 77781 6476 6476 1734607 1734607 113296827 110398787 2875270 22770 161310 158993 2317 15321629 12300442 2989783 31404 3250498 809742 2440756 17600154 16687434 912720 710669 699885 10522 262 196645 183566 13079 8600912 8098025 502887 40495985 39683155 812830 6304776 5238976 1065800 Bad Debt 13841151 13841151 Shared Expense 106450535 39319542 67130993 Hospital Dues 309352 310406 -1054 Medical Supplies 232913163 232894185 18978 2234943 2047907 187036 0 1029673502 928817321 100801270 54911 221112419 83685643 19742014 16575356 160888273 161129563 0 0 0 0 0 0 19906733 20490087 3147430 2241030 1058217356 629399297 428134137 428818059 187273222 194151067 461181090 430960894 0 25797045 26458077 243918385 225448832 1771100748 1589958608 85593909 79432462 288310778 279129434 0 0 99900430 31506149 473805117 390068045 X 1075942706 1001425788 221352925 198464775 1297295631 1199890563 1771100748 1589958608 X -8411332 -77228249 -11765487 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 69045 false false false 69045 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY PORTION OF DUES PAID TO HOSPITAL, MEDICAL, & CIVIC ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 17686459 1779394 -1572886 3010532 14882435 15590367 1650568 1474883 1029359 17686459 14395729 1562468 1204119 1571949 15590367 13264423 1453909 1645154 1967757 14395729 14082395 1562774 -646969 1733777 13264423 0.6642 0.3358 0.0 false false 306933 13832613 14139546 618386345 292743420 325642925 13567406 8225712 5341694 399574233 319030909 80543324 12549826 9399256 3150570 428818059 Financial Square Trust Government Fund 1355169 F Silchester International Value Equity Trust 38359940 F Catalyst Fund Limited Partnership V 1395558 F SSGA Russell 1000 Index 115091397 F SSGA 1-3 Year US Credit Index Non Lending CTF 59179281 F Castlelake V Limited Partnership 1831455 F Columbia Capital Equity Partners VII 1479483 F Contrarian Distressed Real Estate Debt Fund IV LP 2070085 F Equus Investment Partnership XI Limited Partnership 1524753 F GSO Energy Select Opportunities Fund II Limited Partnership 548482 F L Catterton Growth IV Limited Partnership 1984475 F Magnitude International Class A Eligible 40893638 F Tailwater Energy Fund III Limited Partnership 1518522 F Tailwater Energy Fund IV LP 1235371 F Acl Alternative Fund 34109559 F Accel-Kkr Gwth Capital Partners III 1820480 F Ae Industrial Partners Fund II-A 2239594 F Ae Industrial Partners Fund 734025 F Castlelake IV - Limited Partnership 2593267 F Crown Global Secondaries III PLC 648760 F Dover Street VIII Cayman Fund LP 379859 F Pantheon USA Fund VII LP 712762 F Park Street Capital Natural Resource 1926806 F Siguler Guff Bric Opportunities Fund III LP 1262906 F Siguler Gulf Distressed Opportunities Fund IV 737737 F 1607 Capital International Equity Fund 37951021 F Cash - Agency Accounts -122510 F Accrued Interest 162323 F Lsv Emerging Markets Equity Fund Limited Partnership 27940252 F Trinity Street Commingled EAFE Equity Fund LP 19120657 F Aether Real Assets I LP 56920 F Aether Real Assets III LP 1404232 F Brightstar Capital Partners Fund II Limited Partnership 2295246 F Centana Growth Partners II LP 717665 F Related Re Fund III Jersey Feeder 1265248 F Sageview III B LP 1525128 F Ares Corporate Opp Fund VI LP 1713976 F Stepstone Vc Secondaries Fund I Limited Partnership 3025993 F Stepstone Vc Secondaries Fund II Limited Partnership 2013211 F Stepstone Vc Secondaries Fund III Limited Partnership 3865583 F Stepstone Vc Secondaries Fund IV Limited Partnership 3534689 F Stepstone Vc Secondaries Fund V Limited Partnership 1465875 F Accel-Kkr Capital Partners VI LP 930391 F Ae Ind Partners Ext Value Fund LP 1051680 F Concord Innovation Fund II LP 1218932 F Gryphon Partners VI-A LP 1686069 F Omega Fund VII LP 1013324 F Lead Edge Capital VI LP 492028 F Starwood Distressed Op Fund XII 999597 F 430960894 INVESTMENT IN AFFILIATES 15556803 RECEIVABLE FROM AFFILIATES 19500707 OTHER ASSETS 1487174 BENEFICIAL INTEREST IN ASSETS OF FOUNDATION 184353027 RIGHT OF USE ASSET 4551121 225448832 OTHER NONCURRENT LIABILITIES 606537 PAYABLE TO AFFILIATES 16309075 ESTIM 3RD PARTY PAYOR SETTLEMENTS 10039416 RIGHT OF USE LEASE OBLIGATION 4551121 31506149 Schedule D, Part XI PARTS XI, XII AND XIII THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. Schedule D, Part V, Line 4 Intended uses of endowment funds SAINT LUKE'S HOSPITAL'S ENDOWMENT FUNDS ARE PRIMARILY INTENDED TO COVER HOSPITAL EXPENSES FOR PATIENTS WHO ARE UNINSURED/UNDERINSURED AND CANNOT AFFORD TREATMENT, GENERAL OPERATIONS OF THE HOSPITAL AND CAPITAL EXPENDITURES FOR EQUIPMENT. North America (Canada & Mexico only) 0 0 Investments 2201000 0 0 0 0 0 0 2201000 0 2201000 true false false false true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual true true X true X true X true true false false 12659487 12659487 0.0121 183832700 121215264 62617436 0.0597 0 0.0 0 0 196492187 121215264 75276923 0.0717 2540832 1037931 1502901 0.0014 21653692 10494025 11159667 0.0106 10239995 10239995 0.0098 2900088 2631877 268211 0.0003 256021 2442 253579 0.0002 0 0 37590628 14166275 23424353 0.0223 0 0 234082815 135381539 98701276 0.0941 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 13841151 0 203986799 236328063 -32341264 X true true KANSAS CITY ORTHOPAEDIC INSTITUTE LLC ORTHOPAEDIC SERVICES 0.51 0.2581 SAINT LUKES GI DIAGNOSTICS LLC GASTROENTEROLOGY SERVICES 0.51 0.49 2 1 ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 WWW.SAINTLUKESKC.ORG 87-57 X X X X X 2 KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 3651 COLLEGE BLVD LEAWOOD KS 66211 WWW.KCOI.COM X X ORTHOPAEDIC SPECIALTY SERVICES ST LUKES HOSPITAL OF KANSAS CITY 1 false false true X X X X X X X X X 20 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 KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 2 false false true X X X X X X X X X 22 true false false true X WWW.SAINTLUKESKC.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-IMPLEMENTATION-PLANS X WWW.KCOI.COM X true 22 true WWW.SAINTLUKESKC.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-IMPLEMENTATION-PLANS false true X 133.0 133.0 X X X X 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 X false X X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ST LUKE'S HOSPITAL OF KANSAS CITY. PRIMARY DATA WERE GATHERED THROUGH KEY STAKEHOLDER INTERVIEWS AND ONLINE MEETINGS. SIX COMMUNITY MEETINGS WERE CONDUCTED: ONE IN EACH COUNTY AND ONE FOCUSED ON THE KANSAS CITY REGION. ANOTHER MEETING WAS HELD WITH SAINT LUKE'S HOSPITAL OF KANSAS CITY ("SLH")STAFF MEMBERS. INTERVIEWS WERE CONDUCTED BY PHONE AND MEETINGS WERE CONDUCTED BY ONLINE VIDEO CONFERENCES. TWENTY-SIX (26) INTERVIEWS WERE CONDUCTED WITH 28 STAKEHOLDERS PARTICIPATING TO LEARN ABOUT COMMUNITY HEALTH ISSUES IN THE SLH COMMUNITY. PARTICIPANTS INCLUDED INDIVIDUALS REPRESENTING PUBLIC HEALTH DEPARTMENTS, SOCIAL SERVICE ORGANIZATIONS, COMMUNITY HEALTH CENTERS, AND SIMILAR ORGANIZATIONS. QUESTIONS FOCUSED FIRST ON IDENTIFYING AND DISCUSSING HEALTH ISSUES IN THE COMMUNITY BEFORE THE COVID-19 PANDEMIC BEGAN. INTERVIEWS THEN FOCUSED ON THE PANDEMIC'S IMPACTS AND ON WHAT HAS BEEN LEARNED ABOUT THE COMMUNITY'S HEALTH GIVEN THOSE IMPACTS. STAKEHOLDERS ALSO WERE ASKED TO DESCRIBE THE TYPES OF INITIATIVES, PROGRAMS, AND INVESTMENTS THAT SHOULD BE IMPLEMENTED TO ADDRESS THE COMMUNITY'S HEALTH ISSUES AND TO BE BETTER PREPARED FOR FUTURE RISKS. EIGHTY-FIVE (85) STAKEHOLDERS PARTICIPATED IN THE SIX COMMUNITY MEETINGS. THESE INDIVIDUALS REPRESENTED ORGANIZATIONS SUCH AS LOCAL HEALTH DEPARTMENTS, NON-PROFIT ORGANIZATIONS, LOCAL BUSINESSES, HEALTH CARE PROVIDERS, LOCAL POLICYMAKERS, AND SCHOOL SYSTEMS. SEVENTYNINE (79) SAINT LUKE'S HEALTH SYSTEM STAFF PARTICIPATED IN THE INTERNAL MEETINGS. INDIVIDUALS FROM ADMINISTRATION, NURSING, CASE MANAGEMENT, SOCIAL SERVICES, EMERGENCY DEPARTMENTS, AND OTHER SIMILAR DEPARTMENTS PARTICIPATED. EACH MEETING BEGAN WITH A PRESENTATION THAT DISCUSSED THE GOALS AND STATUS OF THE CHNA PROCESS AND THE PURPOSE OF THE COMMUNITY MEETINGS. THEN, SECONDARY DATA WERE PRESENTED, ALONG WITH A SUMMARY OF THE MOST UNFAVORABLE COMMUNITY HEALTH INDICATORS. MEETING PARTICIPANTS THEN WERE ASKED TO DISCUSS WHETHER THE IDENTIFIED, UNFAVORABLE INDICATORS ACCURATELY IDENTIFIED THE MOST SIGNIFICANT COMMUNITY HEALTH ISSUES AND WERE ENCOURAGED TO ADD ISSUES THAT THEY BELIEVED WERE SIGNIFICANT. AFTER DISCUSSING THE NEEDS IDENTIFIED THROUGH SECONDARY DATA AND ADDING OTHERS TO THE LIST, PARTICIPANTS IN EACH MEETING WERE ASKED THROUGH AN ONLINE SURVEY PROCESS TO IDENTIFY "THREE TO FIVE" THEY CONSIDER TO BE MOST SIGNIFICANT. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST LUKE'S HOSPITAL OF KANSAS CITY. THE CHNA IDENTIFIED FIVE PRIORITY HEALTH NEEDS: ACCESS TO CARE TO ADDRESS THIS NEED, SLH WILL IMPLEMENT THE FOLLOWING INITIATIVES: 1.SUPPORT SLHS INITIATIVES TO EXPAND ACCESS FOR MEDICAID RECIPIENTS TO CONVENIENT CARE CLINICS. 2.SUPPORT SLHS INITIATIVES TO EXTEND THE FINANCIAL ASSISTANCE POLICY TO CONVENIENT CARE CLINICS. 3.SUPPORT SLHS STRATEGY TO EXPAND AVAILABILITY OF TELEHEALTH SERVICES TO THE KANSAS CITY REGION. 4.CONTINUE PROVIDING TELEHEALTH SERVICES TO VICTIMS OF DOMESTIC VIOLENCE AT THE SAFEHOME SHELTER. 5.SUPPORT SLHS ADVOCACY EFFORTS TO ASSURE SUCCESSFUL IMPLEMENTATION OF MEDICAID EXPANSION IN MISSOURI IN ADVANCE OF JULY 1, 2021. 6.SUPPORT SLHS ADVOCACY EFFORTS TO EXPAND MEDICAID ELIGIBILITY IN KANSAS. 7.EVALUATE OPPORTUNITY TO PROVIDE COMMUNITY EDUCATION REGARDING MEDICAID ENROLLMENT. 8.HELP COMMUNITY RESIDENTS ENROLL IN MEDICAID DURING HOSPITAL EPISODES OF CARE (USING HUMANARC). 9.CONTINUE PROVIDING CASE MANAGEMENT FOR HIGH-UTILIZER AND VULNERABLE PATIENTS WITH REFERRALS TO HEALTH CARE AND SOCIAL SERVICES. 10.CONTINUE PROVIDING EDUCATION AND TRAINING FOR THE COMMUNITY AND FOR HEALTH CARE PROVIDERS THROUGH ADVANCED COMPREHENSIVE STROKE COMMUNITY EDUCATION, FIFTH GRADE STROKE EDUCATION PROGRAM, ADVANCED STROKE LIFE SUPPORT, AND OTHER COMMUNITY-BASED HEALTH EDUCATION AND SUPPORT GROUPS. 11.CONTINUE THE HOSPITAL'S MEDICATION ASSISTANCE ACCESS PROGRAM FOR PATIENTS WHO ARE UNDERINSURED AND/OR UNINSURED. 12.CONTINUE PROVIDING TAXICAB AND UBER/LYFT VOUCHERS FOR LOW-INCOME PATIENTS WHO NEED TRANSPORTATION POST-DISCHARGE. 13.CONTINUE PROVIDING GRADUATE MEDICAL EDUCATION (GME) AND ALLIED HEALTH PROFESSIONS TRAINING PROGRAMS WHICH CONTRIBUTE TO THE SUPPLY OF HEALTH PROFESSIONALS ACROSS THE REGION. 14.CONTINUE OPERATING THE SLH INTERNAL MEDICINE CLINIC AS A HEALTH PROFESSIONS TRAINING SITE THAT ENHANCES ACCESS TO CARE FOR MEDICAID, MEDICARE, AND OTHER PATIENTS. 15.CONTINUE ACTIVE EFFORTS TO RECRUIT MENTAL HEALTH PROFESSIONALS, INCLUDING PSYCHIATRISTS AND SOCIAL WORKERS. 16.CONTINUE OFFERING CARE CONNECTION TEAM SERVICES THAT CONNECT UNDER-RESOURCED PATIENTS TO SOCIAL AND MEDICAL SERVICES POST-DISCHARGE. 17.CONTINUE PARTICIPATION IN SLHS (AND SAINT LUKE'S PHYSICIAN GROUP) INITIATIVES TO RECRUIT PROVIDERS THAT REPRESENT UNDER-REPRESENTED RACIAL AND ETHNIC COHORTS. 18.CONTINUE COLLABORATIONS WITH KANSAS CITY-AREA FEDERALLY QUALIFIED HEALTH CENTERS, INCLUDING THE CARE COORDINATION COLLABORATION BETWEEN SLHS AND KC CARE HEALTH CENTER THAT PLACES A 0.5 FTE COMMUNITY HEALTH WORKER IN THE EMERGENCY DEPARTMENT. COVID-19 PANDEMIC TO ADDRESS THIS NEED, SLH WILL IMPLEMENT THE FOLLOWING INITIATIVES: 1.WORK WITH THE MISSOURI HOSPITAL ASSOCIATION AND THE KANSAS HOSPITAL ASSOCIATION ON COVID-19 VACCINATION DISTRIBUTION PLANS. 2.CONTINUE OPERATING COVID-19 TESTING AT SLH AND EXPANDING TESTING AT COMMUNITY SITES. 3.CONTINUE CONDUCTING POST-DISCHARGE FOLLOW-UP WITH COVID-19 PATIENTS (CARE COORDINATOR CONTACTS SLPG PATIENTS; NON-SLPG PATIENTS ARE CONTACTED BY A CARE COORDINATOR OR SOCIAL WORKER ON DAYS 1, 3, 7, AND 10). 4.PARTICIPATE IN MID-AMERICA REGIONAL COUNCIL (MARC) COVID-19 INITIATIVES. 5.CONTINUE DEVELOPING AND UTILIZING THE "COVID-19 CARE-COMPANION PLATFORM." 6.CONTINUE PROVIDING COVID-19 INFORMATION ON THE SAINT LUKE'S COMMUNITY RESOURCE HUB. MATERNAL AND CHILD HEALTH TO ADDRESS THIS NEED, SLH WILL UNDERTAKE THE FOLLOWING PROGRAM INITIATIVES: 1.CONTINUE OPERATING THE SLH OBGYN CLINIC AS A HEALTH PROFESSIONS TRAINING SITE THAT ENHANCES ACCESS TO CARE FOR MEDICAID, MEDICARE, AND OTHER PATIENTS 2.CONTINUE SUPPORTING MEMBERS OF THE SLH MEDICAL STAFF AS THEY PARTICIPATE IN REGIONAL, STATE-WIDE, AND NATIONAL QUALITY-RELATED AND COMMUNITY HEALTH IMPROVEMENT ACTIVITIES. 3.CONTINUE PROVIDING MISSOURI SHOW-ME 5 EVIDENCE-BASED MATERNITY CARE PRACTICES SHOWN TO SUPPORT BREASTFEEDING INITIATION AND DURATION; SEEK FORMAL DESIGNATION (CERTIFICATION) FOR THE PROGRAM IN 2021. 4.CONTINUE IMPLEMENTING A CENTERING PREGNANCY PROGRAM (A CARE MODEL THAT PROVIDES PREGNANCY AND BIRTH EDUCATION IN A GROUP SETTING) ONCE GROUP MEETINGS (SUSPENDED DUE TO THE PANDEMIC) CAN BE RESUMED. 5.CONTINUE PROVIDING MATERNAL AND CHILD HEALTH PATIENTS WITH ACCESS TO SOCIAL WORKERS AND WITH REFERRALS TO WRAP-AROUND SERVICES (MENTAL HEALTH, NUTRITION, OTHER). 6.DEVELOP A COLLABORATIVE STRATEGY FOR ENHANCING ACCESS TO PRENATAL CARE FOR BLACK AND OTHER MOTHERS AND FOR ADDRESSING ABOVE AVERAGE TEEN PREGNANCY RATES. 7.EXPAND CRITTENTON'S PARTNERSHIP WITH SESAME STREET IN COMMUNITIES TO INCLUDE SLH MOTHERS AND BABIES. 8.CONTINUE INVOLVING ROSE BROOKS CENTER SOCIAL WORKER(S) IN MATERNAL AND CHILD HEALTH COMMUNITY HEALTH PROGRAMS. MENTAL AND BEHAVIORAL HEALTH TO ADDRESS THIS NEED, SLH WILL IMPLEMENT THE FOLLOWING INITIATIVES: 1.CONTINUE OPERATING A VARIETY OF CRITTENTON ON-SITE CLINICAL PROGRAMS (SUBSIDIZED HEALTH SERVICES) INCLUDING INPATIENT HOSPITALIZATION, RESIDENTIAL TREATMENT, ADOLESCENT SUBSTANCE USE, AND OUTPATIENT CLINIC. 2.CONTINUE PROVIDING CRITTENTON IN-HOME SERVICES. 3.SEEK ADDITIONAL FUNDING VIA STATE CONTRACTS AND GRANTS TO EXPAND INTENSIVE IN-HOME THERAPEUTIC AND CASE MANAGEMENT SERVICES FOR CHILDREN AND FAMILIES EXPERIENCING MENTAL/BEHAVIORAL HEALTH AND OTHER TRAUMA-RELATED CONCERNS. 4.IMPLEMENT A VIRTUAL (AND EVENTUALLY IN-PERSON) INTENSIVE OUTPATIENT PROGRAM FOR CHILDREN AND FAMILIES STRUGGLING WITH ANXIETY AND DEPRESSION. 5.EXPAND THE NATIONALLY-RECOGNIZED CRITTENTON TRAUMA SMART PROGRAM WHICH IS DESIGNED TO HELP CHILDREN HEAL FROM COMPLEX OR REPETITIVE TRAUMA. 6.EVALUATE THE ABILITY TO OFFER VIRTUAL SUICIDE RISK ASSESSMENTS TO SCHOOLS WITHIN THE GREATER KANSAS CITY REGION. 7.CONTINUE PROVIDING FOSTER CARE CASE MANAGEMENT AND ADOPTION PROGRAMS. 8.CONTINUE WORKING WITH THE SAINT LUKE'S COLLEGE OF NURSING/ROCKHURST TO DEVELOP CLASSES TO TRAIN AND CERTIFY BEHAVIORAL HEALTH TECHNICIANS (BHTS). 9.PROVIDE CRISIS INTERVENTION TRAINING FOR LAW ENFORCEMENT ON HOW TO WORK WITH CHILDREN WITH MENTAL ILLNESS AND TRAUMA. 10.CONTINUE TO UTILIZE SESAME STREET IN COMMUNITIES MATERIALS AND RESOURCES TO HELP CHILDREN AND FAMILIES UNDERSTAND RACISM, TRAUMA, HOMELESSNESS, FOSTER CARE, AND OTHER TOPICS THAT IMPACT HEALTH AND WELLNESS, SOCIAL-EMOTIONAL SKILLS, AND SCHOOL READINESS. 11.EVALUATE THE OPPORTUNITY TO EXPAND BEHAVIORAL HEALTH SERVICES FOR SLHS EMPLOYEES AND THEIR FAMILIES. 12.PROVIDE TRAUMA-INFORMED MENTAL HEALTH TRAINING AND SUPPORT TO LAW ENFORCEMENT THROUGH CRISIS INTERVENTION TEAM AND OTHER INITIATIVES. 13.CONTINUE OPERATING THE SLH BEHAVIORAL ASSESSMENT CENTER, WHICH OPERATES 24/7 FOR ANY PATIENT EXPERIENCING A BEHAVIORAL HEALTH CRISIS INCLUDING PATIENTS WHO PRESENT IN THE EMERGENCY DEPARTMENT. 14.CONTINUE PROVIDING SOCIAL WORKERS IN THE SLH EMERGENCY DEPARTMENT, SO PATIENTS CAN BE REFERRED FOR PLACEMENT OR OTHER NEEDED SERVICES. 15.SLH'S SOCIAL WORKERS WILL CONTINUE ASSISTING MEDICAL EDUCATION INTERNAL MEDICINE (PRIMARY CARE) AND OB/GYN CLINICS AND EMERGENCY ROOM DEPARTMENT PATIENTS WHO REQUIRE ADDITIONAL MENTAL HEALTH SUPPORT AND SOCIAL DETERMINANTS OF HEALTH SUPPORT. 16.CONTINUE COLLABORATING WITH THE KANSAS CITY ASSESSMENT AND TRIAGE CENTER TO PROVIDE COMMUNITY MENTAL HEALTH, DRUG, ALCOHOL, AND MEDICAL DETOXIFICATION SERVICES. 17.SEEK FUNDING TO PROVIDE TRAUMA-INFORMED EDUCATION TO MIDDLE AND HIGH SCHOOLS IN CENTER SCHOOL DISTRICT. POVERTY AND SOCIAL DETERMINANTS OF HEALTH TO ADDRESS THIS NEED, SLH WILL IMPLEMENT THE FOLLOWING INITIATIVES: 1.PARTICIPATE IN SLHS ANCHOR INSTITUTION STRATEGIES TO BE INCLUDED IN THE SLHS DESTINATION 2025 STRATEGIC PLAN. 2.IMPLEMENT A BASE WAGE OF $15 PER HOUR FOR SLHS EMPLOYEES. 3.EXPAND PROGRAMS TO INTEREST (AND BEGIN TO TRAIN) HIGH-SCHOOL AGED STUDENTS IN THE HEALTH PROFESSIONS. 4.EXPAND THE BLUFORD LEADERSHIP PROGRAM, AN INTERNSHIP OPPORTUNITY FOR MINORITY STUDENTS WITH COLLEGE AND UNIVERSITY HEALTH CARE DEGREES. 5.CONTINUE OFFERING THE SAINT LUKE'S COMMUNITY RESOURCE HUB TO EXPAND PATIENT, EMPLOYEE, AND COMMUNITY AWARENESS OF AVAILABLE HEALTH AND SOCIAL SERVICES. 6.CONTINUE SCREENING ALL PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH ISSUES. 7.IDENTIFY A STRATEGY TO ADDRESS FOOD INSECURITY. 8.CONTINUE PROVIDING POST-DISCHARGE TRANSPORTATION AND HOUSING FOR HOMELESS PATIENTS OVER THE AGE OF 18 AND IN NEED OF SERVICES THROUGH THE BODHI HOUSING PROGRAM. SLH DOES NOT INTEND TO ADDRESS 2 OF THE 8 SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH ITS 2020 CHNA, NEEDS OF GROWING SENIOR POPULATION AND UNHEALTHY BEHAVIORS. SLH has resources in place for the growing senior population and prioritized the needs addressed in the CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WAS TAKEN INTO ACCOUNT THROUGH KEY INFORMANT INTERVIEWS (4 PARTICIPANTS) AND COMMUNITY MEETINGS (85 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 AGENCIES; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS WERE INTERVIEWED: JOHNSON COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENT, JACKSON COUNTY HEALTH DEPARTMENT, MID-AMERICA REGIONAL COUNCIL (MARC), AND HARVESTERS-THE COMMUNITY FOOD NETWORK. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC. KANSAS CITY ORTHOPAEDIC INSTITUTE ("KCOI") PLANS TO ADDRESS THE SIGNIFICANT HEALTH NEEDS AS IDENTIFIED IN ITS CHNA AS FOLLOWS: *ACCESS TO CARE TO ADDRESS THIS NEED, THE HOSPITAL WILL IMPLEMENT THE FOLLOWING INITIATIVES: 1.CONTINUE TO PROVIDE FINANCIAL ASSISTANCE (CHARITY CARE) PURSUANT TO THE KCOI FINANCIAL ASSISTANCE POLICY. CONTINUE PROVIDING TRAINING SO THAT KCOI STAFF ARE ABLE TO HELP ELIGIBLE PATIENTS RECEIVE FINANCIAL ASSISTANCE. 2.IN COLLABORATION WITH SLHS, CONTINUE TO ADVOCATE FOR MEDICAID EXPANSION IN KANSAS AND FOR SUCCESSFUL IMPLEMENTATION OF EXPANSION IN MISSOURI. 3.CONTINUE TO PARTICIPATE IN THE WY/JO CARE PROGRAM, WHICH IMPROVES ACCESS TO SPECIALTY CARE FOR LOW-INCOME AND UNINSURED RESIDENTS OF WYANDOTTE AND JOHNSON COUNTIES. 4.CONTINUE TO PROVIDE ACCESS TO CARE THROUGH THE URGENT CARE CLINIC WITH EXTENDED APPOINTMENT HOURS. 5.PROVIDE COMMUNITY BENEFIT GRANTS TO THE FOLLOWING ORGANIZATIONS TO INCREASE ACCESS TO CARE (INCLUDING THE SUPPLY OF PROVIDERS) IN THE COMMUNITY: KC CARE HEALTH CENTER, KANSAS CITY HOSPICE & PALLIATIVE CARE, AND THE UNIVERSITY OF MISSOURI KANSAS CITY INTERN AND RESIDENT PROGRAM. *MENTAL HEALTH TO ADDRESS THIS NEED, THE HOSPITAL WILL IMPLEMENT THE FOLLOWING INITIATIVES: 1.CONTINUE SCREENING URGENT CARE AND SURGERY PATIENTS FOR SUICIDE RISKS, USING THE PATIENT SAFETY SCREENER (PSS-3) TOOL, AND REFER PATIENTS AT RISK TO MENTAL HEALTH RESOURCES. 2.CONTINUE IDENTIFYING PATIENTS WHO SHOW SIGNS OF BROKEN BONES CAUSED BY DOMESTIC VIOLENCE OR ABUSE AND REFERRING THEM TO APPROPRIATE RESOURCES. 3.CONTINUE REFERRING PATIENTS EXPERIENCING (OR AT RISK OF EXPERIENCING) DOMESTIC VIOLENCE TO SAFEHOME. 4.PROVIDE STAFF AND FINANCIAL SUPPORT FOR "FIGHTING FENTANYL" EVENTS IN THE COMMUNITY. *NUTRITION, PHYSICAL ACTIVITY, AND OBESITY TO ADDRESS THIS NEED, THE HOSPITAL WILL UNDERTAKE THE FOLLOWING PROGRAM INITIATIVES: 1.CONTINUE STRATEGIES FOR OPTIMIZING PATIENTS FOR SURGERY SUCH AS INCORPORATING NUTRITION AND PHYSICAL ACTIVITY THEMES IN PREOPERATIVE EDUCATION FOR PATIENTS. 2.PROVIDE INFORMATION ON, AND DIRECT ACCESS TO, SAINT LUKE'S COMMUNITY RESOURCES TO CONNECT PATIENTS TO FREE AND REDUCED COST RESOURCES (INCLUDING HEALTHY FOOD OPTIONS) IN THE COMMUNITY: HTTPS://SAINTLUKESRESOURCES.ORG/. 3. PROVIDE RESOURCES AND EDUCATION FOR RESIDENTS OF JOHNSON AND JACKSON COUNTIES REGARDING PHYSICAL ACTIVITY. KCOI DOES NOT INTEND TO ADDRESS TWO OF THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH ITS 2022 CHNA, AS FOLLOWS: 1. NEEDS OF GROWING SENIOR POPULATION. KCOI AND SLHS RECOGNIZE THE SIGNIFICANT GROWTH PROJECTED FOR THE POPULATION AGED 65 YEARS AND OLDER. SLHS OFFERS A WIDE ARRAY OF ACUTE AND CONTINUING CARE SERVICES FOR THIS GROWING POPULATION AND ANTICIPATES CONTINUING TO MEET ITS HEALTH CARE NEEDS. BASED ON THE CRITERIA DESCRIBED ABOVE, THE IMPLEMENTATION STRATEGY SHOULD FOCUS ON OTHER, HIGHER PRIORITY TYPES OF COMMUNITY HEALTH NEEDS. 2. POVERTY AND SOCIAL DETERMINANTS OF HEALTH. WHILE KCOI'S 2022 CHNA IDENTIFIED POVERTY AND SOCIAL DETERMINANTS OF HEALTH AS SIGNIFICANT COMMUNITY HEALTH NEEDS, THE COMMITTEE CHARGED WITH DEVELOPING THIS IMPLEMENTATION STRATEGY IDENTIFIED THREE OTHER NEEDS AS HIGHER PRIORITIES FOR THE 2023-2025 KCOI IMPLEMENTATION STRATEGY. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. SEE DESCRIPTION PROVIDED FOR LINE 13H. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. THE HOSPITAL PROVIDES ELECTIVE SERVICES. FINANCIAL ASSISTANCE ELIGIBILITY IS BASED ON THE FEDERAL POVERTY GUIDELINE AND OTHER FINANCIAL RESOURCES. IN ALL CASES, THE PATIENT'S AND RESPONSIBLE PARTY'S OVERALL FINANCIAL POSITION AND HOUSEHOLD SIZE AND INCOME ARE CONSIDERED WHEN DETERMINING FINANCIAL ASSISTANCE. FPL% GUIDELINES ARE APPLIED AS FOLLOWS: HOSPITAL SERVICES - UNSCHEDULED PATIENTS: 133% OR LESS FPL, 100% CHARITY 0% PATIENT RESPONSIBILITY HOSPITAL SERVICES - SCHEDULED PATIENTS: 133% OR LESS FPL, 75% CHARITY 25% PATIENT RESPONSIBILITY. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. THERE WAS NO EXTRAORDINARY COLLECTION ACTIVITY IN 2022. 0 Schedule H, Part I, Line 3c ASSISTANCE ELIGIBILITY 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 TRANSPLANT SERVICES. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 13841151 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES ARE CALCULATED USING THE APPOPRIATE COST TO CHARGE RATIO FORM THE HOSPITAL'S COST REPORT. Schedule H, Part II Community Building Activities THE ORGANIZATION WORKS WITH SEVERAL COMMUNITY ORGANIZATIONS THAT ARE DEDICATED TO THE IMPROVEMENT OF LIFE IN THE COMMUNITY. THIS INCLUDES SUPPORT OF STAFF/WORKFORCE DEVELOPMENT IN THE COMMUNITY AND PARTICIPATING IN COALITIONS TO IMPROVE COMMUNITY HEALTH, EDUCATION AND PATIENT SUPPORT. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount PATIENT RELATED BAD DEBT IS REPORTED CONSISTENT WITH THE FINANCIAL STATEMENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: 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 receiving inpatient acute care services. The System 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 the time of discharge. For outpatient 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 these outpatient services, recognition of the obligation over time yields the same result as recognizing the obligation at a point in time. Management believes this method provides a faithful depiction of the transfer of services over the term of performance obligations based on the inputs needed to satisfy the obligations. As the System's performance obligations relate to contracts with a duration of less than one year, the System has applied the optional exemption provided in the guidance 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 are primarily related 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 System 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 payor classes for inpatient revenue and major payor classes and types of services provided for outpatient revenue. Based on the historical collection trends and other analyzes, the System believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach were used. The System 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 payors, discounts provided to uninsured and underinsured patients in accordance with policy and/or implicit price concessions based on the historical collection experience of patient accounts. The System determines the transaction price associated with services provided to patients who have third-party payor coverage based on reimbursement terms per contractual agreements, discount policies and historical experience. For uninsured patients who do not qualify for charity care, the System 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 System's criteria for charity care are provided care without charge; 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. 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 HOSPITALS 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 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. Schedule H, Part V, Section B, Line 16a FAP website - ST LUKES HOSPITAL OF KANSAS CITY: Line 16a URL: WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16a URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - ST LUKES HOSPITAL OF KANSAS CITY: Line 16b URL: WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16b URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST LUKES HOSPITAL OF KANSAS CITY: Line 16c URL: WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16c URL: www.saintlukeskc.org/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment AN EFFORT TO UNDERSTAND AND CREATE A HEALTHIER COMMUNITY REQUIRES COLLABORATION AND INPUT FROM MANY COMMUNITY STAKEHOLDERS. THROUGH DATA RESEARCH AND KEY CONVERSATIONS IN THE KANSAS CITY COMMUNITY, THIS CHNA PULLS TOGETHER COMMUNITY FINDINGS AND ADDRESSES TOP HEALTH PRIORITIES TO HELP IMPROVE COMMUNITY HEALTH OVER THE NEXT THREE YEARS. SAINT LUKE'S HOSPITAL ALSO ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, AND ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL OBTAINS HIDI MARKET DATA AND OTHER OUTPATIENT MARKET DATA THROUGH ITS ANNUAL ENVIRONMENTAL ASSESSMENT PROCESS. 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 DURING STRATEGIC PLANNING. ANOTHER ELEMENT OF THE COMMUNITY NEEDS ASSESSMENT INVOLVES ANNUALLY UPDATING SAINT LUKE'S HOSPITAL'S MEDICAL STAFF DEVELOPMENT PLAN. AS A TERTIARY AND QUATERNARY HEALTHCARE PROVIDER, IT IS CRITICAL THAT THE HOSPITAL ENSURES IT HAS APPROPRIATE MEDICAL STAFF LEVELS IN A VARIETY OF MEDICAL SPECIALTIES AND SUBSPECIALTIES TO SERVE THE PATIENTS IN OUR COMMUNITY. THE HOSPITAL PARTNERS WITH ITS MEDICAL STAFF IN THIS ENDEAVOR. ANOTHER ASPECT OF THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT IS AN ANALYSIS OF WORKFORCE PLANNING TO ENSURE ADEQUATE CLINICAL AND OTHER PROFESSIONAL STAFF TO PROVIDE NEEDED HEALTHCARE SERVICES THROUGHOUT THE COMMUNITY. THE HOSPITAL AND RELATED HEALTH SYSTEM ARE ACTIVELY ENGAGED IN A VARIETY OF FORMAL HEALTH PROFESSIONALS EDUCATION PROGRAMS. FOR THIS COMMUNITY HEALTH ASSESSMENT, SAINT LUKE'S HOSPITAL OF KANSAS CITY COLLABORATED WITH THE FOLLOWING SAINT LUKE'S HOSPITALS: SAINT LUKE'S SOUTH HOSPITAL, SAINT LUKE'S EAST HOSPITAL, AND SAINT LUKE'S NORTH HOSPITAL. THESE FACILITIES COLLABORATED THROUGH GATHERING AND ASSESSING SECONDARY DATA TOGETHER, CONDUCTING COMMUNITY MEETINGS AND KEY STAKEHOLDER INTERVIEWS, RELYING ON SHARED METHODOLOGIES, REPORT FORMATS, AND STAFF TO MANAGE THE CHNA PROCESS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance SAINT LUKE'S HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE, PATIENT BILLING AND COLLECTION. IN ADDITION TO THESE POLICIES, SAINT LUKE'S 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. SAINT LUKE'S 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 SAINT LUKE'S HOSPITAL IS LOCATED IN THE URBAN CORE OF KANSAS CITY, MISSOURI. IT IS A MAJOR TEACHING AND RESEARCH FACILITY AND PROVIDES TERTIARY AND QUATERNARY LEVEL PATIENT CARE SERVICES TO THE METROPOLITAN KANSAS CITY AREA, AND SERVES AS A MAJOR REFERRAL HOSPITAL FOR THE SURROUNDING COUNTIES. FOR PURPOSES OF THE CHNA, THE COMMUNITY WAS DEFINED BY CONSIDERING THE GEOGRAPHIC ORIGINS OF THE HOSPITAL'S DISCHARGES AND EMERGENCY ROOM VISITS IN CALENDAR YEAR 2019. ON THAT BASIS, SLH'S COMMUNITY WAS DEFINED AS A FIVE-COUNTY AREA THAT INCLUDES JACKSON COUNTY, MISSOURI; JOHNSON COUNTY, KANSAS; CLAY COUNTY, MISSOURI; PLATTE COUNTY, MISSOURI; AND WYANDOTTE COUNTY, KANSAS. THE COMMUNITY ACCOUNTED FOR 72 PERCENT OF THE HOSPITAL'S 2019 INPATIENT VOLUMES AND 90 PERCENT OF ITS EMERGENCY ROOM VISITS. Schedule H, Part VI, Line 5 Promotion of community health THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS AND IN GENERAL STEWARDSHIP. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE HOSPITAL UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY. SEE HOW THE HOSPITAL IS ADDRESSING THE ACCESS TO CARE NEED IN SCH H, PART V, LINE 11 DETAIL. Schedule H, Part VI, Line 6 Affiliated health care system SAINT LUKE'S HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 16 AREA HOSPITAL FACILITIES AND MULTIPLE 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. true SAINT LUKES PHYSICIAN GROUP 901 E 104th Street Kansas City MO 64131 431598353 501c3 115633261 SUPPORT FOR HEALTH CARE NEEDS Rockhurst University 1100 Rockhurst Rd Kansas City MO 64110 440545813 501c3 40000 Community Support City of Kansas City Missouri 511 E 11th Street Kansas City MO 64106 GOVT 58979 Community Support March of Dimes 4400 COLLEGE BLVD SUITE 180 OVERLAND PARK KS 66211 131846366 501c3 16666 Community Support Heart Surgeons of Kansas City 4320 Wornall Road Suite 50 Kansas City MO 64111 264663332 501c3 11423386 SUPPORT FOR HEALTH CARE NEEDS Medical Plaza Imaging Associates LLC 4401 Wornall Road Kansas City MO 64111 431609584 501c3 2100000 SUPPORT FOR HEALTH CARE NEEDS 6 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANTS ARE PROVIDED FOR THE GENERAL OPERATION OF QUALIFIED CHARITIES AND COMMUNITY PROGRAMS AND ARE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE CHARITABLE ORGANIZATION. SUCH GRANTS FURTHER OR SUPPORT A CHARITABLE PURPOSE OF SAINT LUKE'S HOSPITAL OF KANSAS CITY. X false true false false false false false true false JANI JOHNSON CEO & ASSIST SECR & BOD MBR 688402 0 283422 0 68175 0 197503 0 24526 0 1262028 0 114643 0 TAMMY NEBLOCK-BEIRNE BOARD MEMBER 0 414976 0 0 0 3330 0 19825 0 7952 0 446083 0 0 CAMILLE HONESTY MD BOARD MEMBER 0 223898 0 25969 0 1398 0 16725 0 22139 0 290129 0 0 LEANNA MOSHER MD BOARD MEMBER 0 444070 0 25000 0 640 0 12200 0 6419 0 488329 0 0 DORIS ROGERS FMR VP-HUMAN RESOURCES TERM END 4/2020 0 462038 0 167075 0 51317 0 156584 0 28704 0 865719 0 19432 DONNA KUNZ VP-HR TERM ENDED 2022 280000 0 58680 0 33013 0 12200 0 2272 0 386165 0 0 0 Chuck V Robb ASSISTANT SECRETARY 0 719698 0 362100 0 174444 0 118025 0 24037 0 1398304 0 72533 DEBRA WILSON VP & CHIEF NURSING OFFICER-RETIRED 2022 339682 0 109474 0 49381 0 24400 0 23106 0 546043 0 26082 0 AMY NACHTIGAL CHIEF FINANCIAL OFFICER 399878 0 130032 0 60136 0 73234 0 34818 0 698098 0 50343 0 JASON PURCELL INTERIM CNO 191434 0 5000 0 520 0 10925 0 8432 0 216312 0 0 0 JAMIE ALLEN VP & ASSIST SECRETARY 0 287681 0 70445 0 28117 0 50861 0 14561 0 451666 0 22378 PETER HOLT MD VP-MEDICAL AFFAIRS 299670 0 0 0 3078 0 13725 0 24232 0 340705 0 0 0 JANE PECK CHIEF OPERATING OFFICER 397900 0 123880 0 42174 0 61473 0 3039 0 628467 0 26910 0 JANET GORDON VP-PROVIDER BASED CLINICS 194288 0 46183 0 4333 0 35903 0 30078 0 310785 0 0 0 MARSHAUN BUTLER VICE PRESIDENT 257546 0 0 0 2142 0 36400 0 10318 0 306405 0 0 0 TROY SYDZYIK CHIEF PERFUSIONIST 234201 0 1500 0 863 0 16017 0 29100 0 281681 0 0 0 JOHN SPERTUS MD PHYSICIAN 406744 0 0 0 60577 0 72742 0 1856 0 541920 0 52917 0 LISA BURTIN RN 266922 0 0 0 0 0 16493 0 25613 0 309027 0 0 0 DONNA BUCHANAN Director-Research 193592 0 31242 0 1134 0 12718 0 18118 0 256804 0 0 0 SHAWN MOOREHEAD CHIEF MEDICAL PHYSICIST 250535 0 0 0 226 0 11632 0 26371 0 288764 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVES AND OFFICERS. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSPHY 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. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 457(F) PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: CHARLES ROBB: $0 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 7 Non-fixed payments THE ORGANIZATION HAS ADOPTED A MANAGEMENT INCENTIVE COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR AND MIDDLE MANAGEMENT TO PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES. THE INCENTIVES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY CONTINGENT ON ACHIEVING QUALITY, PATIENT SATISFACTION, EMPLOYEE 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. Schedule J, Part II PART II CHARLES ROBB, DORIS ROGERS, CAMILLE HONESTY, MARC LARSEN, TAMMY NEBLOCK-BEIRNE, AND LEANNA MOSHER 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. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR JAMIE ALLEN IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. SYDNEY WILSON FAMILY MEMBER OF DEBRA WILSON, OFFICER 58238 SYDNEY WILSON IS EMPLOYED BY ST LUKES HOSPITAL OF KANSAS CITY false Emily Burcham Family member of Grant Burcham, Board Member 30817 Emily Burcham is employed by St Luke Hospital of Kansas City false X 1 288616 Cost 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Real estate - Other - THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096 ST LUKES HOSPITAL OF KANSAS CITY (SLH) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLH VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY Form 990, Part VI, Line 15 PROCESS FOR EXECUTIVE COMPENSATION ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVES AND OFFICERS. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSPHY 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. Form 990, Part VI, Line 16b JOINT VENTURES THE ORGANIZATION PARTICIPATES IN JOINT VENTURES ESTABLISHED SEVERAL YEARS AGO. THE ORGANIZATION'S PROCEDURES INCLUDE OVERSIGHT AND REVIEW OF ANY JOINT VENTURES TO ENSURE EXEMPT STATUS IS PROTECTED. THE ORGANIZATION HAS MAJORITY CONTROL AND OPERATING AGREEMENT REQUIREMENTS FOR THE VENTURE TO OPERATE IN A MANNER CONSISTENT WITH THE ORGANIZATION'S EXEMPT MISSION AND FOR THE VENTURE TO NOT ENGAGE IN POLITICAL CANDIDATE CAMPAIGN ACTIVITY OR OTHER ACTIVITIES THAT WOULD JEOPARDIZE THE ORGANIZATION'S EXEMPTION. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons AMY MCANARNEY AND DAVE HALL ARE OFFICERS AND/OR A DIRECTOR OF THE SAME ENTITY. - Business relationship, DAVID HALL AND GRANT BURCHAM, BOARD MEMBERS OF THE FILING ORG, ARE FAMILY MEMBERS. - Family relationship, CHARLES ROBB, DIANE BRUCE, JAMIE ALLEN, AMY NACHTIGAL, JANI JOHNSON, AND JANE PECK HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF AFFILIATED TAX-EXEMPT ORGANIZATIONS. - 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 AN INDEPENDENT ACCOUNTING FIRM AND THE ENTITY'S CFO OR CEO BEFORE FILING. A SUMMARY OF KEY 990 INFORMATION WAS PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND THE 990 DRAFT WAS MADE AVAILABLE TO THE COMMITTEE FOR REVIEW. THE 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy 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 VICE PRESIDENT OF INTERNAL AUDIT 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, Line 19 Required documents available to the public THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE THROUGH THE SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE AVAILABLE THROUGH EMMA AND ARE ATTACHED TO THIS RETURN. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. PART VII, AVERAGE HOURS AND COMPENSATION DIRECTORS ARE NOT COMPENSATED FOR SERVING AS A DIRECTOR OR BOARD OFFICER. CHARLES ROBB, DORIS ROGERS, CAMILLE HONESTY, MARC LARSEN, TAMMY NEBLOCK-BEIRNE, AND LEANNA MOSHER 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. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR JAMIE ALLEN IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. AVERAGE HOURS REPORTED FOR A RELATED ORGANIZATION ARE THE AVERAGE HOURS DURING THE TIME EMPLOYED BY THE RELATED ORGANIZATION OR IN A SEPARATE ROLE FOR THE RELATED ORGANIZATION. Form 990, Part VIII, Line 2f Other Program Service Revenue Other Program Service Revenue - Total Revenue: 44400169, Related or Exempt Function Revenue: 44400169, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Clinical Purchased Services - Total Expense: 43260982, Program Service Expense: 43260982, Management and General Expenses: , Fundraising Expenses: ; Clinical Repairs and Maintenance - Total Expense: 415527, Program Service Expense: 415527, Management and General Expenses: , Fundraising Expenses: ; Clinical Service Contracts - Total Expense: 3423249, Program Service Expense: 3423249, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 468987, Program Service Expense: 216759, Management and General Expenses: 252228, Fundraising Expenses: ; Foster Care Services - Total Expense: 4934205, Program Service Expense: 4934205, Management and General Expenses: , Fundraising Expenses: ; Organ Acquisition - Total Expense: 11972650, Program Service Expense: 11972650, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 5917362, Program Service Expense: 3305303, Management and General Expenses: 2589289, Fundraising Expenses: 22770; Physician Remuneration - Total Expense: 12024194, Program Service Expense: 11990441, Management and General Expenses: 33753, Fundraising Expenses: ; Research Services - Total Expense: 251123, Program Service Expense: 251123, Management and General Expenses: , Fundraising Expenses: ; Temporary Help - Total Expense: 30628548, Program Service Expense: 30628548, 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 X, Line 20 TAX-EXEMPT BOND LIABILITIES THE AMOUNT REPORTED AS TAX-EXEMPT BONDS IS THE PORTION OF SAINT LUKE'S HEALTH SYSTEM BONDS ALLOCATED TO ST LUKES HOSPITAL OF KANSAS CITY. REQUIRED INFORMATION FOR THE BONDS, INCLUDING SCHEDULE K, IS REPORTED IN THE SAINT LUKE'S HEALTH SYSTEM (EIN: 43-1747502) IRS FORM 990. Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION SETTLEMENT/LIABILITY TRANSFER - 9864060; TRANSFER FROM RESTRICTED ACCTS NOT RECORDED IN OPERATING ACCTS - -597449; CHANGE IN THE BENEFICIAL INTEREST IN ASSETS OF FOUNDATION - -21025685; RRG SSA Dividend - -6413; Schedule F, Part IV FOREIGN FORMS ALL APPLICABLE FOREIGN FORMS HAVE BEEN ATTACHED TO THE ORGANIZATION'S FORM 990-T FOR 2022. CRITTENTON LLC 10918 ELM AVENUE KANSAS CITY MO 64134 833310535 HEALTHCARE MO 0 0 ST LUKES HOSPITAL OF KANSAS CITY 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 SAINT LUKES NORTH HOSPITAL 5830 NW BARRY ROAD 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 KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE 901 E 104TH STREET KANSAS CITY MO 64131 431127200 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false ST LUKES OF TRENTON 191 IOWA BLVD TRENTON MO 64683 431707306 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 THE BISHOP SPENCER PLACE false Saint Luke's Foundation 901 E 104th Street Kansas City MO 64131 446014699 FOUNDATION MO 501(c)(3) 7 SAINT LUKES 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 LUKES 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 ST LUKES HOSPITAL OF KANSAS CITY Related 1269228 10407266 false false 0.3554 ST 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 ST LUKES HOSPITAL OF KANSAS CITY Related 780832 447749 false false 0.51 KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 3651 COLLEGE BLVD LEAWOOD KS 66211 481197295 HEALTH CARE KS ST LUKES HOSPITAL OF KANSAS CITY Related 9543437 32666099 false false 0.51 SAINT LUKES RADIATION THERAPY-LIBERTY LLC 901 E 104TH ST KANSAS CITY MO 64131 473793070 HEALTH CARE MO ST LUKES HOSPITAL OF KANSAS CITY Related 1495423 3908735 false false 0.51 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 ST LUKES HOSPITAL OF KANSAS CITY C Corporation 1506727 4705756 1 true MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MANAGEMENT MO ST LUKES HEALTH VENTURES C Corporation 602618 -1064585 1 true SAINT LUKES HEALTH SYSTEM INSURANCE LTD CAPTIVE CJ NA C Corporation false false true true false false true false false false false true true true false true false true true true MEDICAL PLAZA PARTNERS K 3253136 COST MEDICAL PLAZA PARTNERS O 269269 COST SAINT LUKES RADIATION THERAPY - LIBERTY LLC Q 1725603 COST SAINT LUKES RADIATION THERAPY-LIBERTY LLC S 1347420 COST MEDICAL PLAZA PARTNERS Q 71563 COST MEDICAL PLAZA PARTNERS S 795905 COST Saint Luke's - GI Diagnostics LLC S 918000 Cost KANSAS CITY ORTHPAEDIC INSTITUTE LLC S 11398500 COST HEART SURGEONS OF KANSAS CITY Q 10622815 COST MEDICAL PLAZA PARTNERS R 88180 COST MEDICAL PLAZA MANAGEMENT O 185838 COST HEART SURGEONS OF KANSAS CITY K 313150 COST SAINT LUKES HEALTH VENTURES O 82203 COST Schedule R, Part V, Line 1 PART V, LINE 1 SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS.