2023-11-14T15:22:32+00:00 2022-12-31 990 2022-01-01 264663332 Heart Surgeons of Kansas City Inc HEAR 8169313312 4320 WORNALL ROAD 50 KANSAS CITY MO 64111 AMY NACHTIGAL VICE PRES & CHIEF FINANCIAL OFFICER 8169322000 2023-11-14 AMY NACHTIGAL 999009999 2022 2023-04-26 12:10:37Z X JANI JOHNSON 4320 WORNALL ROAD 50 KANSAS CITY MO 64111 17845774 false X www.saintlukeskc.org X 2009 MO cardiac, thoracic, and vascular surgery for heart, lung, and vascular disease 6 0 53 6 0 0 11491574 6315974 38226 0 0 17845774 30 0 15060651 0 0 2773050 17833731 0 12043 0 2003597 0 1049564 0 954033 Heart Surgeons of Kansas City, Inc. was formed for the purpose of providing heart and vascular surgery to patients and related medical services through its employed surgeons. false false 16930132 30 6315974 HSKC was formed for the purpose of providing heart and vascular surgery to patients. Heart Surgeons of Kansas City, Inc. (HSKC), serves as an extension of Saint Luke's Hospital of Kansas City. HSKC and Saint Luke's Hospital of Kansas City are both integral parts of a large healthcare system serving the greater Kansas City area, of which Saint Luke's Health System, Inc. serves as the parent organization. HSKC transplant volumes in the past decade rank among the top 15 heart transplant programs in the nation AND OUR OUTCOMES CONSISTENTLY SURPASS NATIONAL BENCHMARKS. HSKC PERFORMS MINIMALLY INVASIVE AND ROBOTIC ASSISTED SURGERIES, PARTICIPATES IN MEDICAL RESEARCH AND FEATURES THE REGION'S LONGEST CONTINUOUSLY ACTIVE ADULT HEART TRANSPLANT PROGRAM. HSKC HAS A FINANCIAL ASSISTANCE POLICY THAT COVERS PATIENTS WITHOUT ADEQUATE MEANS TO PAYFOR CARE. HSKC ALSO BENEFITS THE COMMUNITY AS A PROVIDER UNDER MEDICARE AND MEDICAID. 16930132 true true false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true X 0 0 53 true false false false false false false false false false false false false X 6 0 true false false false true true true true true false false true true true true true true false false false X AMY NACHTIGAL 8169322000 4320 WORNALL ROAD SUITE 50 KANSAS CITY MO 64111 AMY NACHTIGAL VICE PRESIDENT-DIRECTOR & CFO 5.0 50.0 X X 0 590046 108052 JANE PECK SECR/TREAS-DIRECTOR 1.0 50.0 X X 0 563954 64512 JANET GORDON DIRECTOR & VP 13.0 37.0 X X 0 244804 65981 JANI JOHNSON PRESIDENT-DIRECTOR 1.0 50.0 X X 0 1039999 222029 JOHN DAVIS MD DIRECTOR & EMPLOYED PHYSICIAN 40.0 0 X 1259489 0 47459 KARTHIK VAMANAN MD DIRECTOR & EMPLOYED PHYSICIAN 40.0 0 X 746209 0 50585 GRAHAM POLLOCK MD PHYSICIAN 40.0 0 X 1131455 0 24447 JESSICA HEIMES MD PHYSICIAN 40.0 0 X 1129624 0 34683 KEITH ALLEN MD PHYSICIAN 40.0 0 X 1129548 0 45753 MICHAEL GIBSON MD PHYSICIAN 40.0 0 X 1159336 0 38428 SEAN MCCARNEY MD PHYSICIAN 40.0 0 X 700716 0 30046 7256376 2438804 731974 30 false true false STAFF CARE INC PO BOX 281923 ATLANTA GA 303841923 STAFFING SERVICES 521222 FURST GROUP 7210 E STATE ST STE 102 ROCKFORD IL 611082622 RECRUITING SERVICES 401135 UMBRELLA MANAGED SYSTEMS 505 WALNUT ST FLOOR 1 KANSAS CITY MO 64106 IT MANAGED Services 103525 3 115 11491459 11491574 Net Patient Care Revenue 621110 4989593 4989593 1326381 1326381 0 0 6315974 38226 38226 0 0 0 0 0 0 0 0 0 17845774 6315974 0 38226 30 30 2103742 2103742 11474884 11094793 380091 280662 272775 7887 635164 617316 17848 566199 550289 15910 198 198 1253997 1160583 93414 0 1772 1722 50 200127 165813 34314 313247 8147 305100 355478 345489 9989 16814 16814 84253 72792 11461 25248 24539 709 473765 449176 24589 48151 46112 2039 0 17833731 16930132 903599 0 949111 0 0 885403 0 0 0 0 3589 148774 30097 118677 0 0 0 46817 0 2003597 879385 0 0 170179 0 1049564 X 954033 0 954033 0 2003597 X 12043 941990 X false true X true true true X 11491575 11491575 6315974 6315974 0 0 0 0 0 0 0 17807549 17807549 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17807549 38226 38226 0 0 0 0 0 38226 38226 0 0 0 0 0 0 0 0 0 0 0 17845775 17845775 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26623 653 25970 116101 29293 86808 6050 151 5899 118677 Payable to Affiliates 170179 170179 Schedule D, Part XI PART XI AND XII THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. false false false false false false false false false JANI JOHNSON PRESIDENT-DIRECTOR 0 688402 0 283422 0 68175 0 197503 0 24526 0 1262028 0 114643 AMY NACHTIGAL VICE PRESIDENT-DIRECTOR & CFO 0 399878 0 130032 0 60136 0 73234 0 34818 0 698098 0 50343 JANE PECK SECR/TREAS-DIRECTOR 0 397900 0 123880 0 42174 0 61473 0 3039 0 628467 0 26910 JANET GORDON DIRECTOR & VP 0 194288 0 46183 0 4333 0 35903 0 30078 0 310785 0 0 JOHN DAVIS MD DIRECTOR & EMPLOYED PHYSICIAN 1157622 0 100000 0 1867 0 15250 0 32209 0 1306948 0 0 0 KARTHIK VAMANAN MD DIRECTOR & EMPLOYED PHYSICIAN 744672 0 0 0 1538 0 13725 0 36860 0 796794 0 0 0 JESSICA HEIMES MD PHYSICIAN 1128684 0 0 0 940 0 13725 0 20958 0 1164306 0 0 0 KEITH ALLEN MD PHYSICIAN 1124235 0 0 0 5313 0 16775 0 28978 0 1175301 0 0 0 MICHAEL GIBSON MD PHYSICIAN 1157485 0 0 0 1852 0 12200 0 26228 0 1197764 0 0 0 GRAHAM POLLOCK MD PHYSICIAN 1130491 0 0 0 965 0 12200 0 12247 0 1155902 0 0 0 SEAN MCCARNEY MD PHYSICIAN 699866 0 0 0 850 0 6100 0 23946 0 730762 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. 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 COMPENSATION FROM RELATED ORGANIZATIONS JANI JOHNSON, AMY NACHTIGAL, JANET GORDON, AND JANE PECK RECEIVED COMPENSATION FROM A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND THE RELATED ORGANIZATION. 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 THE ORGANIZATION IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE ORGANIZATION'S VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. Form 990, Part VI, Line 1a GOVERNING BODY HEART SURGEONS OF KANSAS CITY, INC'S BOARD MEMBERS CONSIST OF EXECUTIVES OF AFFILIATED TAX-EXEMPT ORGANIZATIONS AND 2 EMPLOYEES OF THE ORGANIZATION. ALTHOUGH, THE ORGANIZATION'S GOVERNING BOARD MEMBERS ARE NOT INDEPENDENT, THE ORGANIZATION IS DEEMED TO HAVE A COMMUNITY BOARD BY VIRTUE OF ITS RELATIONSHIP WITH ITS SOLE MEMBER, SAINT LUKE'S HOSPITAL OF KANSAS CITY. SAINT LUKE'S HOSPITAL OF KANSAS CITY IS A 501C3 ORGANIZATION GOVERNED BY A BOARD OF DIRECTORS, A MAJORITY OF WHOM ARE EXTERNAL, INDEPENDENT PERSONS. Form 990, Part VI, Line 15 COMPENSATION OF EXECUTIVES/OFFICERS EXECUTIVES FROM AFFILIATED TAX-EXEMPT ORGANIZATIONS SERVE AS THE PRESIDENT, VICE PRESIDENT AND SECRETARY/TREASURER FOR THE ORGANIZATION. ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THESE EXECUTIVES. 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. DIRECTORS ARE NOT COMPENSATED FOR SERVICES AS A DIRECTOR. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons JANI JOHNSON, AMY NACHTIGAL, JANET GORDON, AND JANE PECK ARE EMPLOYEES AND/OR OFFICERS OF THE SAME RELATED TAX-EXEMPT ORGANIZATION. - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HOSPITAL OF KANSAS CITY, A 501(C)(3) ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MAJORITY OF 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 POWER OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, DEBT, BUDGETS, CAPITAL EXPENDITURES 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 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 IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT 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) DIRECTOR AND RELATED ORGANIZATION COMPENSATION JANI JOHNSON, AMY NACHTIGAL, JANET GORDON, AND JANE PECK RECEIVED COMPENSATION FROM A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND THE RELATED ORGANIZATION. Form 990, Part VIII, Line 2f Other Program Service Revenue Miscellaneous - Total Revenue: 3013, Related or Exempt Function Revenue: 3013, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Outside Service Revenue - Total Revenue: 306720, Related or Exempt Function Revenue: 306720, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Physician Professional Revenue - Total Revenue: 1016648, Related or Exempt Function Revenue: 1016648, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Beginning Net Asset Adjustment - 980213; RRG SSA Dividend - -38226; ROUNDING - 3; 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 ROAD KANSAS CITY MO 64145 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 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 LUKES HOSPITAL OF CHILLICOTHE 2799 N WASHIINGTON 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 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 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 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 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 THE 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 INCORPORATED 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 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 MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431357824 OWN & OPERATE MEDICAL OFFICE BUILDING MO NA N/A 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 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 false 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.