2024-11-14T15:43:24+00:00 2023-12-31 990 2023-01-01 431735565 Saint Luke's Hospital of Chillicothe SAIN 6606461480 2799 N Washington Street Chillicothe MO 64601 Erin Parde CFO 8168805277 2024-11-14 2023 2024-10-15 13:58:12Z Hedrick Medical Center Darren Bass 2799 N Washington Street Chillicothe MO 64601 69039563 false X www.saintlukeskc.org X 2003 MO CRITICAL ACCESS HOSPITAL 10 6 402 23 0 0 499110 105275 68695027 68089513 601876 844775 0 69796013 69039563 26830 12022046 0 30121511 31687664 0 96010 35100581 32239117 65248922 75948827 4547091 -6909264 76077971 74680410 11630287 16353354 64447684 58327056 SAINT LUKE'S HOSPITAL OF CHILLICOTHE D/B/A HEDRICK MEDICAL CENTER ("HMC") IS A MEMBER OF SAINT LUKE'S HEALTH SYSTEM. AS A FAITH-BASED COMMUNITY HOSPITAL, HMC'S MISSION IS TO ENHANCE THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THE PATIENTS IT SERVES. AS PART OF SAINT LUKE'S, HMC PARTNERS WITH PATIENTS, PHYSICIANS, PAYERS, EMPLOYEES AND THE COMMUNITIES IT SERVES TO PROVIDE HEALTH CARE SERVICES. false false 65853196 12022046 68089513 SAINT LUKE'S HOSPITAL OF CHILLICOTHE D/B/A/ HEDRICK MEDICAL CENTER ("HMC") IS A LICENSED CRITICAL ACCESS HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES. HMC IS LOCATED IN CHILLICOTHE (LIVINGSTON COUNTY), MISSOURI, APPROXIMATELY 90 MILES NORTHEAST OF KANSAS CITY. HEDRICK MEDICAL CENTER 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, HMC IS DEDICATED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES SERVED. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS FINANCIAL ASSISTANCE POLICIES FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE. IN ADDITION TO THE ACTIVE MEDICAL STAFF, HMC'S SPECIALTY CLINICS HOST MORE THAN 30 VISITING SPECIALISTS. THE HOSPITAL ALSO PROVIDES HEALTH RELATED ACTIVITIES AND SERVICES IN SUPPORT OF THE COMMUNITY, INCLUDING BUT NOT LIMITED TO SOCIAL WORK SERVICES, SPIRITUAL SERVICES, AND COMMUNITY EDUCATION/HEALTH FAIRS. 65853196 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 true false true false false false false false false true false false false false false false true false false false true X 0 0 402 true false false false false false false false false false false false false X 10 6 true false false false true true true true true false false true true true true true true false false false X Erin Parde 6606461480 2799 N Washington Street Chillicothe MO 64601 CAROL SLOAN DIRECTOR-VICE CHAIR 1.0 0 X X 0 0 0 CYNTHIA CHRISTENSEN DIRECTOR-PRESIDENT TERM END 6/23 1.0 49.0 X X 0 632090 93289 JENNIFER LOVELL DIRECTOR - SECR & TREAS 1.0 0 X X 0 0 0 JOHN MARCOLLA DIRECTOR - CHAIR 1.0 0 X X 0 0 0 PATRICK ALTENHOFEN DIRECTOR-PRESIDENT TERM BEG 6/23 1.0 49.0 X X 0 307044 49194 KRISTA CLARK DO Director and Employed Physician 40.0 0 X X 420669 0 52968 BRIAN ENGLERT DIRECTOR 1.0 0 X 0 0 0 DONALD METRY MD DIRECTOR & EMPLOYED PHYSICIAN 40.0 0 X 307180 0 42841 ERIN PARDE DIRECTOR 1.0 49.0 X 0 392182 75479 SCOTT CADY DIRECTOR 1.0 0 X 0 0 0 WYATT PICKERING DO DIRECTOR 1.0 0 X 0 0 0 CATHERINE HAMILTON Chief Nursing Officer/INTERIM ADMINSTRATOR 13.0 37.0 X 299430 0 67551 DARREN BASS Chief Executive Officer BEG 8/2023 7.0 43.0 X 0 332028 25479 PAULA LITTLETON Chief Financial Officer 12.0 38.0 X 246229 0 67940 STEVEN SCHIEBER Chief Executive Officer TERM END 8/2023 13.0 37.0 X 965892 0 32202 TERRY PLASTER ASST SECR & EMPLOYEE 40.0 0 X 73480 0 28712 WILLIAM GILBIRDS MD VP-MEDICAL AFFAIRS 8.0 42.0 X 0 472964 24034 ANKUR AGRAWAL MD PHYSICIAN 40.0 0 X 558786 0 46242 BAILEY MARTIN MD PHYSICIAN 40.0 0 X 330359 0 20295 JAMES SUCHSLAND MD PHYSICIAN 40.0 0 X 269503 0 36750 KENNETH TAN MD PHYSICIAN 40.0 0 X 435840 0 51038 MATTHEW HENDRIX MD PHYSICIAN 40.0 0 X 319183 0 43131 4226550 2136309 757146 45 false true false EMS LLC 7032 COLLECTIONS CENTER DR CHICAGO IL 60693 MEDICAL SERVICES 3104206 HAVE A NICE DAY ANESTHESIA ASSOCIATES 2106 WOODCREST CHILLICOTHE MO 64601 MEDICAL SERVICES 1011080 SHARED MEDICAL SERVICES INC 209 LIMESTONE PASS COTTAGE GROVE WI 635270330 MEDICAL SERVICES 475649 PREMIER SPECIALTY NETWORK LLC 1835 E Republic Rd Ste 200 Springfield MO 65804 MEDICAL SERVICES 381209 CHG COMPANIES INC PO Box 972651 Dallas TX 753972651 MEDICAL SERVICES 369470 10 4500 83687 17088 105275 Net Patient Revenue 622110 65847187 65847187 Pharmacy 622110 1820989 1820989 421337 421337 0 0 68089513 844775 844775 0 0 0 0 0 0 0 0 0 69039563 68089513 0 844775 X 12022046 12022046 2605094 823659 1781435 64332 64332 21771027 19870685 1830289 70053 1005941 871374 131617 2950 4631943 3918742 699983 13218 1609327 1362657 242057 4613 20739 20739 54643 54643 10233670 9809062 424144 464 7462 2898 4564 1072910 883915 188420 575 442057 243689 198361 7 2512186 2142851 365505 3830 43603 18089 25503 11 57537 32966 24571 1330558 1143921 186360 277 1403194 1301974 101220 Shared expenses 5481059 1855414 3625645 Medical supplies 6908884 6898734 10139 11 Bad Debt 2422104 2422104 248511 228416 20094 1 75948827 65853196 9999621 96010 27658346 23018681 888073 893313 7501365 6913817 0 0 0 0 898805 879527 255006 263169 18551476 12445267 6309392 6106209 19053374 20519614 2920216 3077175 17954 3955 10575440 13004950 76077971 74680410 4275779 3925977 0 0 7354508 12427377 11630287 16353354 X 64183515 58071520 264169 255536 64447684 58327056 76077971 74680410 X -6909264 788636 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 14730 false false false 14730 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY PORTION OF DUES PAID TO VARIOUS HOSPITAL AND MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 182737 94987 87750 4119146 1555904 2563242 12126373 8694533 3431840 2123220 2099843 23377 6106209 Due from Affiliates 579882 Beneficial Interest in Net Assets of Foundations 255536 Estimated Third Party Payor Settlements 1669708 Long Term Deposits 814000 Right of Use - Lease Asset 9685824 13004950 Payables To Affiliates 1044468 Estimated Third-Party Payor Settlements 1860010 Right of Use Lease Obligation 9522899 12427377 X 67414726 850611 0 850611 66564115 2475448 2475448 69039563 61526721 0 0 61526721 14422106 14422106 75948827 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAX 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, 2023, 2022, 2021, AND 2020 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 - 2422104 RRG SUBSCRIBER ALLOCATION - 53346 ROUNDING - -2 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 AS EXPENSES FOR TAX - 2422104 GRANT EXPENSE RECORDED IN OTHER CHANGES IN FUND BALANCE - 12000000 Rounding - 2 true true X true X true X true true false false 665267 377458 287809 0.0039 12274236 10848518 1425718 0.0194 0 0.0 0 0 12939503 11225976 1713527 0.0233 28985 28985 0.0004 0 0.0 11456562 9316373 2140189 0.0291 0 0.0 42440 1110 41330 0.0006 0 0 11527987 9317483 2210504 0.0301 0 0 24467490 20543459 3924031 0.0534 0 0.0 0 0.0 538 538 0.0000 0 0.0 5384 5384 0.0001 0 0.0 0 0.0 5621 5621 0.0001 0 0.0 0 0 11543 0 11543 0.0002 false 2422104 18335258 18422362 -87104 X true true 1 1 HEDRICK MEDICAL CENTER 2799 N WASHINGTON CHILLICOTHE MO 64601 422-18 X X X X HEDRICK MEDICAL CENTER 1 false false true X X X X X X X X X 21 true false false true X https://www.saintlukeskc.org/community-health-needs-assessments-implementation-plans X true 21 true https://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/policy X www.saintlukeskc.org/financial-assistance/policy X www.saintlukeskc.org/financial-assistance/policy 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 - HEDRICK MEDICAL CENTER. Input from persons representing the broad interests of the community was taken into account through key informant interviews (6 participants) and community meetings (16 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, Community Resource Center, Hedrick Family Care, Hedrick Medical Center, Livingston County Health Center, and Saint Luke's Critical Access Region. Individuals from the Bank Midwest - Chillicothe, Chillicothe City Council, Chillicothe R-2 School District, Hedrick Medical Center, and Main Street Chillicothe participated in the community meetings. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HEDRICK MEDICAL CENTER. The hospital's CHNA identified the following significant health needs in the community served by Hedrick Medical Center: *Access to Care and Health Insurance (Including Transportation and Access to COVID-19 Treatment and Testing Services) To address this need, HMC 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 primary care physicians and specialists 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 conducting "Lunch & Learn" sessions. 12.Continue supporting the Livingston County Healthy Baby Shower for Expectant Mothers. 13.Continue participating in the Livingston County Breastfeeding Taskforce. 14. Provide staffing to health departments to support community-based health promotion events. 15.Enhance partnerships with area FQHCs. 16.Continue providing flu vaccinations in area schools. 17.Continue providing Head Start and sports physicals for area schools. 18.Explore providing Wellness Clinic services for staff of local school districts. 19.Explore providing health services for area schools using telehealth resources. 20.Continue conducting Community Blood Center Drives. 21.Continue screening patients for transportation needs and making referrals for those in need to appropriate community resources, including OATS Transit. 22.Conduct community health education through social media and marketing. 23. Provide hands-only CPR training. *Mental Health and Access to Mental Health Services To address this need, HMC 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. Expand D.A.R.E. programs (currently in Chillicothe schools R-2) to other area schools. 6. Support restoring/expanding Crittenton Children's Center 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. f. Other services. 8. Continue participation 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 Head Start and sports physicals. 11.Collaborate with the HMC Foundation in support of D.A.R.E. programs. *Obesity, Physical Inactivity, and Chronic Conditions To address this need, HMC 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. Establish partnership with Walk Chillicothe. 4. Restart the hospital's fall prevention program, in partnership with the Livingston County Health Center. 5. Re-establish (chronic disease management) weight reduction programs for adults and for children. 6. Establish a stroke support group (either in-person or virtual). 7. Expand partnerships (e.g., with MU Extension) and programs (e.g., Speaker's Bureau) designed to promote healthy eating. 8. Conduct community health events in collaboration with the health departments intended to enhance Women's Heart Health. 9. Consider participating in Trenton R-9 School District Fit-Tastic programs. No hospital organization can address all of the health needs present in its community. HMC 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. HMC plans to address the Substance Use Disorders and Overdoses community health need as part the above strategic initiatives that focus on mental health. HMC does not intend to address two of the other 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 HMC 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 lowincome 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 HMC 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 planned support of D.A.R.E. programs is another way that smoking and tobacco use risks will be addressed. 1 HEDRICK FAMILY CARE 2791 N WASHINGTON CHILLICOTHE MO 64601 RURAL HEALTH CLINIC 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 IS FOR THE RURAL HEALTH CLINIC PROVIDED TO THE COMMUNITY. THE COSTS ATTRIBUTABLE TO THE PHYSICIAN RURAL HEALTH CLINIC INCLUDED IN COLUMN C ARE $6,154,275. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 2422104 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 THE ORGANIZATION IS INVOLVED IN SEVERAL COMMUNITY ORGANIZATIONS THAT ARE DEDICATED TO THE IMPROVEMENT OF LIFE IN THE COMMUNITY THROUGH PHYSICAL IMPROVEMENTS AND HOUSING. THE ORGANIZATION HELPS SUPPORT HABITAT FOR HUMANITY THROUGH DONATIONS OF TIME BY EMPLOYEES. MANY OF THE EMPLOYEES PARTICIPATE IN LOCAL ORGANIZATIONS AND CHURCH GROUPS THAT ARE WORKING TO HELP THE COMMUNITY GROW AND BE SUCCESSFUL. 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 Medical Center receiving inpatient acute care services. The Medical Center measures the performance obligation from admission into the Medical Center, 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 Medical Center 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 Medical Center's performance obligations relate to contracts with a duration of less than one year, the Medical Center 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 Medical Center 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 Medical Center 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 Medical Center 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 Medical Center's policy and implicit price concessions based on the historical collection experience of patient accounts. The Medical Center 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 Medical Center 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 Medical Center'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 - HEDRICK MEDICAL CENTER: Line 16a URL: www.saintlukeskc.org/financial-assistance/policy; Schedule H, Part V, Section B, Line 16b FAP Application website - HEDRICK MEDICAL CENTER: Line 16b URL: www.saintlukeskc.org/financial-assistance/policy; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - HEDRICK MEDICAL CENTER: Line 16c URL: www.saintlukeskc.org/financial-assistance/policy; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. WE INVITE COMMUNITY FEEDBACK. WE ALSO SEND PATIENT SATISFACTION SURVEYS TO OUR PATIENTS TO MEASURE HOW WE ARE MEETING THEIR NEEDS. 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 WEBSITE, 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 HEDRICK MEDICAL CENTER IS LOCATED IN CHILLICOTHE, MISSOURI, A RURAL COMMUNITY. THE HOSPITAL IS WITHIN A 90 MILE DRIVE OF THE KANSAS CITY METROPOLITAN AREA. THE CITY OF CHILLICOTHE POPULATION IS 9,106, WHILE LIVINGSTON COUNTY (THE COUNTY WHERE THE HOSPITAL IS LOCATED) POPULATION IS 14,969 (2020). The community was defined by considering the geographic origins of the hospital's inpatient discharges and emergency room visits in calendar year 2020. Livingston and Linn counties accounted for approximately 60 percent of the hospital's 2020 inpatient discharges and 78 percent of emergency room cases. The total population of the HMC community in 2019 was 27,239. Schedule H, Part VI, Line 5 Promotion of community health THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROGRESSIONALS, ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA, PLUS TWO REPRESENTATIVES OF SAINT LUKE'S HEALTH SYSTEM. MEDICAL STAFF PRIVELEGES 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 14 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. true SAINT LUKE'S HEALTH SYSTEM (AFFILIATED 501C3 ORG) 901 E 104th Street Kansas City MO 64131 431747502 501c3 12000000 SUPPORT FOR HEALTHCARE SERVICES 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANTS ARE PROVIDED TO QUALIFIED CHARITIES FOR GENERAL OPERATIONS AND TO BE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE CHARITABLE ORGANIZATION. SUCH GRANTS FURTHER OR SUPPORT A CHARITABLE PURPOSE OF THE FILING ORGANIZATION. true false false false false false false true false CYNTHIA CHRISTENSEN DIRECTOR-PRESIDENT TERM END 6/23 0 296658 0 268772 0 66660 0 65460 0 27829 0 725379 0 28651 PATRICK ALTENHOFEN DIRECTOR-PRESIDENT TERM BEG 6/23 0 240246 0 46118 0 20681 0 44187 0 5007 0 356238 0 17910 KRISTA CLARK DO Director and Employed Physician 403977 0 16000 0 692 0 16500 0 36468 0 473638 0 0 0 ERIN PARDE DIRECTOR 0 303195 0 60000 0 28987 0 52254 0 23225 0 467661 0 23026 DONALD METRY MD DIRECTOR & EMPLOYED PHYSICIAN 288214 0 16000 0 2966 0 14007 0 28834 0 350021 0 0 0 WILLIAM GILBIRDS MD VP-MEDICAL AFFAIRS 0 405280 0 63678 0 4006 0 19800 0 4234 0 496998 0 0 CATHERINE HAMILTON Chief Nursing Officer/INTERIM ADMINSTRATOR 241506 0 33767 0 24157 0 43115 0 24436 0 366980 0 17484 0 STEVEN SCHIEBER Chief Executive Officer TERM END 8/2023 284610 0 131339 0 549943 0 6600 0 25602 0 998094 0 81920 0 PAULA LITTLETON Chief Financial Officer 212413 0 31950 0 1866 0 36784 0 31156 0 314169 0 0 0 DARREN BASS Chief Executive Officer BEG 8/2023 0 298317 0 11333 0 22378 0 5845 0 19634 0 357508 0 0 JAMES SUCHSLAND MD PHYSICIAN 252325 0 14000 0 3178 0 13639 0 23112 0 306253 0 0 0 KENNETH TAN MD PHYSICIAN 416181 0 19000 0 659 0 14850 0 36188 0 486878 0 0 0 ANKUR AGRAWAL MD PHYSICIAN 540695 0 17500 0 591 0 14850 0 31392 0 605029 0 0 0 MATTHEW HENDRIX MD PHYSICIAN 298192 0 11000 0 9990 0 12542 0 30589 0 362313 0 0 0 BAILEY MARTIN MD PHYSICIAN 321473 0 3375 0 5511 0 6582 0 13713 0 350654 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment SEVERANCE PAYMENT INCLUDED IN SCH J, PART II, B(III) OTHER REPORTABLE COMPENSATION: Steven Schieber - $411,030 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 OFT HE 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 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 REPORTED COMPENSATION PATRICK ALTENHOFEN, ERIN PARDE, AND CYNTHIA CHRISTENSEN 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. COMPENSATION REPORTED FOR OTHER BOARD MEMBERS IS FOR SERVICES AS EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. BOARD MEMBERS ARE NOT COMPENSATED FOR SERVICES PROVIDED AS DIRECTORS OF THE ORGANIZATION. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR DARREN BASS AND WILLIAM GILBIRDS IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. Sherry Stirling FAMILY MEMBER OF Terry Plaster, OFFICER 64332 Sherry Stirling is employed by SAINT LUKE'S HOSPITAL OF CHILLICOTHE false Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096 HEDRICK MEDICAL CENTER IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. HEDRICK MEDICAL CENTER'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 COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET DATA. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons SOME OF OUR DIRECTORS AND EMPLOYED OFFICERS ARE DIRECTORS/OFFICERS/EMPLOYEES OF OUR AFFILIATED 501C3 ORGS. - 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 draft of the Form 990 was provided to the BJC Health System Board and members of the BJC Audit and Community Benefit Committees. 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 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 MADE 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 PATRICK ALTENHOFEN, ERIN PARDE, AND CYNTHIA CHRISTENSEN 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. COMPENSATION REPORTED FOR OTHER BOARD MEMBERS IS FOR SERVICES AS EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. BOARD MEMBERS ARE NOT COMPENSATED FOR SERVICES PROVIDED AS DIRECTORS OF THE ORGANIZATION. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR DARREN BASS AND WILLIAM GILBIRDS IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. AVERAGE HOURS REPORTED FOR THE 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 Cafeteria Sales - Total Revenue: 252856, Related or Exempt Function Revenue: 252856, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Meals on Wheels - Total Revenue: 17847, Related or Exempt Function Revenue: 17847, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records Transcrt - Total Revenue: 161, Related or Exempt Function Revenue: 161, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous - Total Revenue: 27308, Related or Exempt Function Revenue: 27308, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Operating Revenue - Total Revenue: 6214, Related or Exempt Function Revenue: 6214, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Outside Service Revenue - Total Revenue: 116951, Related or Exempt Function Revenue: 116951, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees BIOMED OUTSOURCING - Total Expense: 508790, Program Service Expense: 508790, Management and General Expenses: , Fundraising Expenses: ; CONSULTING - Total Expense: 276641, Program Service Expense: 53638, Management and General Expenses: 222922, Fundraising Expenses: 81; PHYSICIAN REMUNERATION - Total Expense: 5187601, Program Service Expense: 5187601, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 3451979, Program Service Expense: 3295441, Management and General Expenses: 156483, Fundraising Expenses: 55; SERVICE CONTRACTS - Total Expense: 328270, Program Service Expense: 283203, Management and General Expenses: 44739, Fundraising Expenses: 328; TEMPORARY HELP - Total Expense: 480389, Program Service Expense: 480389, 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 INTEREST IN ASSETS OF FOUNDATION - SFAS 136 - -8633; RRG SUBSCRIBER ALLOCATION - -53346; UNREALIZED GAIN RECORDED IN OTHER INCOME FOR BOOKS - 850611; Rounding - 4; 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 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 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 LUKES 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 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 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) 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 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 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 ST LUKES SURGICENTER-LEES SUMMIT LLC 11221 ROE AVE STE 230 OVERLAND PARK KS 66211 470853491 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 Center LLC 7651 W 159th Street Overland Park KS 66223 863451115 HEALTH CARE KS NA N/A Saint Lukes North Surgery Center LLC 8860 Northeast St 82nd Terrace Kansas City MO 64158 920591506 Health Care MO 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 true true false false true false false false false false false false false true true true false false Schedule R, Part V, Line 1 PART V, ITEM 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.