STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SAINT LUKES HOSPITAL OF ALLEN COUNTY INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SAINT LUKES HOSPITAL OF ALLEN COUNTY INC (EIN 84-3362602)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202203159349304740
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-11T13:10:01-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN843362602EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Luke's Hospital of Allen County IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAINBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13066 N Kentucky StAddressLine1Txt
CityIolaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66749ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPaula LittletonPersonNm
Person TitleCFOPersonTitleTxt
Phone6203651000PhoneNum
Signature2022-11-11SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPaulaPersonFirstNm
Person LastLittletonPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Allen County Regional HospitalBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Steven SchieberBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13066 N Kentucky StAddressLine1Txt
CityIolaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66749ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$30,540,382GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.saintlukeskc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2019FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionCRITICAL ACCESS HOSPITALActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee184TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$21,429PYContributionsGrantsAmt
CY Contributions Grants$1,220,054CYContributionsGrantsAmt
PY Program Service Revenue$13,113,970PYProgramServiceRevenueAmt
CY Program Service Revenue$29,292,999CYProgramServiceRevenueAmt
PY Investment Income$7,191PYInvestmentIncomeAmt
CY Investment Income$27,329CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$13,142,590PYTotalRevenueAmt
CY Total Revenue$30,540,382CYTotalRevenueAmt
PY Grants And Similar Paid$1,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,325CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,404,634PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,651,533CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,212,099PYOtherExpensesAmt
CY Other Expenses$19,209,717CYOtherExpensesAmt
PY Total Expenses$14,617,733PYTotalExpensesAmt
CY Total Expenses$30,868,575CYTotalExpensesAmt
PY Revenues Less Expenses-$1,475,143PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$328,193CYRevenuesLessExpensesAmt
Total Assets BOY$24,581,350TotalAssetsBOYAmt
Total Assets EOY$22,934,275TotalAssetsEOYAmt
Total Liabilities BOY$26,056,493TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,733,572TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,475,143NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,799,297NetAssetsOrFundBalancesEOYAmt
MissionSaint Luke's Hospital of Allen County is a member of Saint Luke's Health System. As a faith-based county hospital, its mission is to enhance the physical, mental, and spiritual health of the patients it serves. As a member of Saint Luke's Health System, the Hospital partners with patients, physicians, payers, employees, and the communities it serves to provide health care services.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$26,004,770ExpenseAmt
Grant$7,325GrantAmt
Revenue$29,292,999RevenueAmt
DescSAINT LUKE'S HOSPITAL OF ALLEN COUNTY HAS BEEN DESIGNATED BY THE STATE OF KANSAS AND MEDICARE AS A CRITICAL ACCESS HOSPITAL. ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION, WHICH IS TO ENSURE HIGH QUALITY HEALTHCARE IN A CARING ENVIRONMENT FOR THE COMMUNITIES WE SERVE. IN 2021, THERE WERE ALMOST 1,700 PATIENT DAYS, 8,200 RURAL HEALTH CLINIC VISITS, 5,400 EMERGENCY ROOM VISITS, AND 11,900 OUTPATIENT VISITS. AS A NONPROFIT, RURAL CRITICAL ACCESS HOSPITAL, SAINT LUKE'S HOSPITAL OF ALLEN COUNTY IS COMMITTED TO SERVING ALL WHO SEEK OUR SERVICES REGARDLESS OF THEIR SOCIOECONOMIC STATUS. 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 ALSO PROVIDES HEALTH RELATED ACTIVITIES AND SERVICES IN SUPPORT OF THE COMMUNITY. 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.Desc
Total Program Service Expenses$26,004,770TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee184EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAULA LITTLETONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6203651000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13066 N Kentucky StAddressLine1Txt
CityIOLACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66749ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Elmore Patterson
DIRECTOR-ADMINISTRATOR25.025.0Yes (X)Yes (X)$283,183$0$57,418
Loren Korte
DIRECTOR-CHAIR1.00Yes (X)Yes (X)$0$0$0
STEVEN SCHIEBER
DIRECTOR-Chief Executive Officer13.038.0Yes (X)Yes (X)$0$525,708$117,721
Terry Sparks
DIRECTOR - VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
Alan Weber
DIRECTOR1.00Yes (X)$0$0$0
John Brocker
DIRECTOR1.00Yes (X)$0$0$0
JULIE QUIRIN
DIRECTOR1.051.0Yes (X)$0$1,294,173$310,510
Mary Kay Heard
DIRECTOR1.00Yes (X)$0$0$0
SHELBY FRIGON
DIRECTOR1.050.0Yes (X)$0$406,236$70,691
CATHERINE HAMILTON
Chief Nursing Officer13.038.0Yes (X)$0$266,863$52,834
JANET BUCKMAN
TREASURER Term Ended 8/202113.038.0Yes (X)$0$444,482$33,702
Katherine Quarnstrom
SECRETARY1.040.0Yes (X)$0$196,664$29,838
Larry Peterson
Chief Financial Officer - TERM END 2/202120.00Yes (X)$99,763$0$28,664
PATRICIA MARTIN MD
VICE PRESIDENT-MEDICAL AFFAIRS4.036.0Yes (X)$0$495,976$40,099
PAULA LITTLETON
Chief Financial Officer BEG 9/202113.038.0Yes (X)$0$52,851$7,000
BRIAN NEELY
PHYSICIAN40.00$272,034$0$36,558Yes (X)
ENGELBERT MASOT
MED LAB SCIENTIST40.00$118,685$0$4,917Yes (X)
ERIN SPLECHTER
Advanced Practice Provider40.00$112,854$0$14,743Yes (X)
JOANNA CURL
Advanced Practice Provider40.00$116,125$0$12,620Yes (X)
Ralph Hall
PHYSICIAN40.00$401,444$0$38,252Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,404,088TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,682,953TotReportableCompRltdOrgAmt
Total Other Compensation$855,567TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FAMILY PHYSICIANS
1408 East StSuite AIolaKS66749MEDICAL SERVICES$1,266,917
REHABVISIONS
11623 Arbor StreetOmahaNE68144MEDICAL SERVICES$807,693
CERNER CORPORATION
2800 Rock Creek PkwyAVONDALEMO64117IT SERVICES$702,814
The Chartis Group
220 West Kinzie StreetChicagoIL60654Healthcare Advisory Services$576,592
BAXLEY ANESTHETICS OF KANSAS LLC
10850 COUNTY LANE 253WEBB CITYMO64870MEDICAL SERVICES$435,600
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$1,219,214GovernmentGrantsAmt
All Other Contributions$840AllOtherContributionsAmt
Total Contributions$1,220,054TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue622110$28,133,683$28,133,683
Pharmacy622110$973,128$973,128

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$186,188TotalRevenueColumnAmt
Related Or Exempt Func Income$186,188RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$29,292,999TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,329TotalRevenueColumnAmt
Exclusion$27,329ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,540,382TotalRevenueColumnAmt
Related Or Exempt Func Income$29,292,999RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$27,329ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$7,325TotalAmt
Program Services$7,325ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$469,028TotalAmt
Management And General$469,028ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,567,873TotalAmt
Program Services$7,617,011ProgramServicesAmt
Management And General$950,862ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$323,954TotalAmt
Program Services$273,061ProgramServicesAmt
Management And General$50,893ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,631,816TotalAmt
Program Services$1,374,092ProgramServicesAmt
Management And General$257,724ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$658,862TotalAmt
Program Services$555,355ProgramServicesAmt
Management And General$103,507ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total-$82,718TotalAmt
Management And General-$82,718ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,459TotalAmt
Management And General$42,459ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,403,308TotalAmt
Program Services$5,423,005ProgramServicesAmt
Management And General$980,303ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,083TotalAmt
Program Services$27ProgramServicesAmt
Management And General$10,056ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$584,131TotalAmt
Program Services$493,081ProgramServicesAmt
Management And General$91,050ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$70,336TotalAmt
Program Services$25,167ProgramServicesAmt
Management And General$45,169ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,822,761TotalAmt
Program Services$2,218,680ProgramServicesAmt
Management And General$604,081ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$22,677TotalAmt
Program Services$18,130ProgramServicesAmt
Management And General$4,547ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,997TotalAmt
Program Services$8,219ProgramServicesAmt
Management And General$4,778ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$44TotalAmt
Program Services$11ProgramServicesAmt
Management And General$33ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$287,492TotalAmt
Program Services$127,957ProgramServicesAmt
Management And General$159,535ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$158,663TotalAmt
Program Services$132,260ProgramServicesAmt
Management And General$26,403ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt$4,066,187$4,066,187
Shared SERVICES - SLHS$1,621,634$537,070$1,084,564
Medical supplies$3,103,276$3,095,889$7,387

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$86,387TotalAmt
Program Services$32,243ProgramServicesAmt
Management And General$54,144ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$30,868,575TotalAmt
Program Services$26,004,770ProgramServicesAmt
Management And General$4,863,805ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$3,288,544BOYAmt
EOY-$2,175,429EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,819,324BOYAmt
EOY$5,361,417EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$454,148BOYAmt
EOY$467,225EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$162,815BOYAmt
EOY$487,998EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,019,581LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$794,896LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,002,406BOYAmt
EOY$1,224,685EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$21,431,201BOYAmt
EOY$17,568,379EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,581,350BOYAmt
EOY$22,934,275EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,498,612BOYAmt
EOY$2,797,600EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,557,881BOYAmt
EOY$21,935,972EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,056,493BOYAmt
EOY$24,733,572EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,475,143BOYAmt
EOY-$1,799,297EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,475,143BOYAmt
EOY-$1,799,297EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,581,350BOYAmt
EOY$22,934,275EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$328,193ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,039OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$7,207GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$7,207TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationLINE F - PORTION OF DUES PAID TO VARIOUS HOSPITAL AND RELATED MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$121,527OtherCostOrOtherBasisAmt
Depreciation$5,056DepreciationAmt
Book Value$116,471BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,898,054OtherCostOrOtherBasisAmt
Depreciation$789,840DepreciationAmt
Book Value$1,108,214BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,224,685TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Other Receivables$176,089
Due from SLHS Affiliates$88,764
Right-of-Use Lease Assets$16,445,776
Estimated Third Party Payor Settlements$857,750
FieldValueIRS element (for citing)
Total Book Value Other Assets$17,568,379TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO ALLEN COUNTY REGIONAL HOSPITAL BOARD OF TRUSTEES$4,285,960
Due to Affiliates$1,029,200
Estimated 3rd Party Payor Settlements$75,000
Right-of-use lease obligations$16,445,776
Covid-19 Grant Advances$100,036
FieldValueIRS element (for citing)
Total Liability$21,935,972TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$26,471,946TotalRevEtcAuditedFinclStmtAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$26,471,946RevenueSubtotalAmt
Other Revenues Not Included$4,068,436OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$4,068,436RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$30,540,382TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$26,802,385TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$26,802,385ExpensesSubtotalAmt
Other Expenses Not Included$4,066,190OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,066,190ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$30,868,575TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Hospital is a notforprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on its related income pursuant to Section 501(a) of the Code. Management is not aware of any uncertainties in income tax positions. THE YEAR ENDED DECEMBER 31, 2021, AND The sixmonth period ended December 31, 2020, remains subject to examination by both federal and state taxing authorities.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsBAD DEBTS REPORTED IN NET PATIENT REVENUE FOR BOOKS; REPORTED IN EXPENSES FOR TAX - 4066187 RRG SSA DIVIDEND - 2249
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsBAD DEBTS REPORTED IN NET PATIENT REVENUE FOR BOOKS; REPORTED IN EXPENSES FOR TAX - 4066187 ROUNDING - 3

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$293,113TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$236,941DirectOffsettingRevenueAmt
Net Community Benefit Expns$56,172NetCommunityBenefitExpnsAmt
Total Expense0.0021TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,242,690TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,631,517DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,611,173NetCommunityBenefitExpnsAmt
Total Expense0.0601TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,535,803TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,868,458DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,667,345NetCommunityBenefitExpnsAmt
Total Expense0.0622TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,113TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,113NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,721,839TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,868,115DirectOffsettingRevenueAmt
Net Community Benefit Expns$853,724NetCommunityBenefitExpnsAmt
Total Expense0.0319TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,560TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$494DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,066NetCommunityBenefitExpnsAmt
Total Expense0.0005TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,738,512TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,868,609DirectOffsettingRevenueAmt
Net Community Benefit Expns$869,903NetCommunityBenefitExpnsAmt
Total Expense0.0325TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$7,274,315TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,737,067DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,537,248NetCommunityBenefitExpnsAmt
Total Expense0.0947TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,187TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,187NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,187TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,187NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,066,187BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$11,465,882ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$11,352,358CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$113,524MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAINT LUKE'S HOSPITAL OF ALLEN COUNTYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13066 N Kentucky StAddressLine1Txt
CityIolaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66749ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.saintlukeskc.orgWebsiteAddressTxt
State LicenseH-001-001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAINT LUKE'S HOSPITAL OF ALLEN COUNTYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (true)TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.saintlukeskc.org/community-health-needs-assessments-implementation-plansOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.saintlukeskc.org/community-health-needs-assessments-implementation-plansStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.saintlukeskc.org/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.saintlukeskc.org/financial-assistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.saintlukeskc.org/financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 2Saint Luke's Hospital of Allen County was determined to be tax-exempt as of September 6, 2019 (incorporation date) and began operations as of July 1, 2020. On October 23, 2019, the Hospital and the Board of Trustees of Allen County Regional Hospital entered into an agreement providing for the lease of the hospital facility (the Agreement). The Agreement has an initial tenyear term commencing on July 1, 2020, the date the Hospital began operations.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - SAINT LUKE'S HOSPITAL OF ALLEN COUNTY. Input from persons representing the broad interests of the community was taken into account through key informant interviews (8 participants) and community meetings (29 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: Allen County Regional Hospital, Allen County Rural Health Clinic, Community Health Center of Southeast Kansas, Kansas Department of Health & Environment, SE District -Mental Health, Saint Luke's Critical Access Region, SEK Multi-County Health Department, and Thrive Allen County. Individuals from the Allen County Regional Hospital, Hope Unlimited, Independent Living Resource Center, K-State Frontier Extension District - Garnett Office, Southeast Kansas Mental Health Center, and Thrive Allen County participated in the community meetings.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Saint Luke's Hospital of Allen County, Inc.. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THESE PRIORITY HEALTH NEEDS: *Access to Care (Including Access to COVID-19 Treatment and Testing Services and Transportation) To address this need, ACRH will implement the following initiatives: 1. Support SLHS advocacy efforts to expand Medicaid eligibility in Kansas. 2. Provide assistance to patients with the Medicaid application process. 3. Help patients enroll in general insurance programs including Medicare. 4. Expand virtual visit options for all community members including low-income communities. 5. Support SLHS efforts to update the Financial Assistance Policy and include coverage for Telehealth (virtual visit) services. 6. Formalize the hospital's partnership with Thrive Allen County. a. Help expand Thrive Allen County's transportation program for residents of Allen County. b. Support Thrive Allen County's transportation services that help patients travel to specialty services. 7. Enhance the existing pool of funds set aside to help patients pay for transportation after discharge. 8. Continue providing vaccine and immunization services for adults and children and support providing flu vaccines in area schools. 9. Continue providing (and expanding access to) physicals for students in K-12 schools. 10.Continue providing sports physicals at Allen County Community College in Iola. 11.Conduct community blood drives. 12.Enhance partnerships with area community health centers (FQHCs) - including efforts to streamline access to ACRH services for uninsured and Medicaid FQHC patients. 13.Continue helping patients apply for Medication Assistance Access Programs offered by pharmaceutical companies. 14. Develop and implement a medication history program (with medication history technicians) to provide accurate information across SLHS. 15.Continue screening patients for transportation needs and making referrals for those in need to appropriate community resources. 16.Continue providing staff to address COVID-19 vaccine safety and benefits, social distancing strategies, masking and PPE, and patient education during discharge planning. 17.Continue providing access to COVID-19 vaccines at primary care clinics. 18.Continue providing pandemic-related community health education through social media and marketing initiatives. 19. Provide community health education for prevention and recognition of cardiac illness. 20. Provide CPR training in off-site settings. *Mental Health To address this need, ACRH will implement the following initiatives: 1. Continue connecting patients with Senior Life Solutions, a group counseling (mental health services) program for seniors. 2. Actively recruit mental health providers to serve diverse populations. 3. Support expansion of Crittenton's Trauma Smart program into area schools. 4. Explore partnership opportunities with the Southeast Kansas Mental Health Center: a. Social workers b. Therapists placed in schools c. Mental health first aid training d. Advocacy for state support of mental health services e. Other services 5. Screen students for mental health issues and risks when conducting physicals. 6. Collect unused medications through community-based drop boxes and a collections service. *Obesity, Physical Inactivity, and Access to Healthy Foods To address this need, ACRH will implement the following initiatives: 1. Continue screening patients for food insecurity and providing referrals to appropriate community resources. 2. Develop community walking trail in partnership with Thrive Allen County. 3. Continue participating in health fairs that help identify and manage risks associated with obesity and associated chronic conditions. 4. Continue providing support for on-site community outdoor fitness area. 5. Provide Eating Healthy During Pregnancy nutrition education. 6. Expand access to (and better promote) SLHS on-line support groups, including Gilda's Club. 7. Establish in-person support groups, in collaboration with Thrive Allen County. 8. In partnership with Thrive Allen County, collaborate with local government on healthy trails and sidewalk initiatives. 9. Begin offering free or sliding fee scale group exercise ("Stay in Shape") programs for children and teens. No hospital organization can address all of the health needs present in its community. ACRH 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. ACRH does not intend to address one of the eight significant community health needs identified through its 2021 CHNA, namely poverty. *Poverty. While the hospital's 2021 CHNA identified poverty and affordable housing as significant community health needs, the committee charged with developing this implementation strategy identified other needs as higher priorities for the 2022-2024 ACRH 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 and recognizes its role in enhancing the area's economy. This implementation strategy 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.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c ASSISTANCE ELIGIBILITYTHE 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 ServicesSUBSIDIZED HEALTH SERVICES ARE FOR THE EMERGENCY DEPARTMENT AND RURAL HEALTH CLINIC PROVIDED TO THE COMMUNITY. THE COSTS ATTRIBUTABLE TO A PHYSICIAN (RURAL HEALTH) CLINIC INCLUDED IN COLUMN CARE $1,444,369.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation4066187
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceCOST 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 ActivitiesTHE ORGANIZATION IS INVOLVED IN SEVERAL COMMUNITY ORGANIZATIONS THAT ARE DEDICATED TO THE IMPROVEMENT OF LIFE IN THE COMMUNITY. THIS INCLUDES SUPPORT OF THE ROTARY CLUB AND THRIVE ORGANIZATION. MANY OF THE EMPLOYEES PARTICIPATE IN LOCAL ORGANIZATIONS AND CHURCH GROUP THAT ARE WORKING TO HELP THE COMMUNITY GROW AND BE SUCCESSFUL.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountPerformance obligations are identified based on the nature of the services provided. Revenue associated with performance obligations satisfied over time is recognized based on actual charges incurred in relation to total expected (or actual) charges. Performance obligations satisfied over time relate to patients in the Hospital receiving inpatient acute care services. The Hospital measures the performance obligation from admission into the Hospital to the point when there are no further services required for the patient, which is generally at the time of discharge. For outpatient and physician clinic services, the performance obligation is satisfied as the patient simultaneously receives and consumes the benefits provided as the services are performed. In the case of outpatient and physician clinic services, recognition of the obligation over time yields the same results as recognizing the obligation at a point in time. The Hospital believes that this method provides a faithful depiction of the transfer of services over the term of the performance obligations based on the inputs needed to satisfy the obligations. As the Hospital's performance obligations relate to contracts with a duration of less than one year, the Hospital has applied the optional exemption provided in FASB ASC XXX-XX-XXXX(a) and, therefore, is not required to disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially unsatisfied at the end of the reporting period. The unsatisfied or partially unsatisfied performance obligations referred to above primarily relate to inpatient acute care services at the end of the reporting period. The performance obligations for these contracts are generally completed when the patients are discharged, which generally occurs within days or weeks of the end of the reporting period. The Hospital uses a portfolio approach to account for categories of patient contracts as a collective group rather than recognizing revenue on an individual contract basis. The portfolios consist of major payor classes for inpatient revenues and types of services provided for outpatient revenues. Based on historical collection trends and analyses, the Hospital believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if the individual contract approach were used. The Hospital determines the transaction price, which involves significant estimates and judgment, based on standard charges for goods and services provided, reduced by explicit and implicit price concessions, including contractual adjustments provided to thirdparty payors, discounts provided to uninsured and underinsured patients in accordance with the Hospital's policy, and implicit price concessions based on the historical collection experience of patient accounts. The Hospital determines the transaction price associated with services provided to patients who have thirdparty coverage based on reimbursement terms per contractual agreements, discount policies, and historical experience. Generally, patients who are covered by thirdparty payors are responsible for related deductibles and coinsurance, which vary in amount. For those patients and for uninsured patients who do not qualify for charity care, the Hospital determines the transaction price associated with services on the basis of charges, reduced by implicit price concessions. Implicit price concessions included in the estimate of the transaction price are based on historical collection experience for applicable patient portfolios. Patients who meet the Hospital's criteria for charity care are provided care without charge or at amounts less than established rates, and such amounts are not reported as revenue. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteSee footnote provided above in the explanation for Part III, Line 2.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsMEDICARE ALLOWABLE COSTS WERE CALCULATED USING THE COST-TO-CHARGE RATIO FROM THE MEDICARE COST REPORT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceTHE 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- SAINT LUKE'S HOSPITAL OF ALLEN COUNTY: Line 16a URL: www.saintlukeskc.org/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website- SAINT LUKE'S HOSPITAL OF ALLEN COUNTY: Line 16b URL: www.saintlukeskc.org/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- SAINT LUKE'S HOSPITAL OF ALLEN COUNTY: Line 16c URL: www.saintlukeskc.org/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentTHE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING ITS COMPREHENSIVE DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL ALSO HAS A NUMBER OF COMMUNITY ADVISORY BOARDS REPRESENTING DIFFERENT CONSTITUENCIES THAT MEET AT LEAST ANNUALLY TO ASSIST IN PLANNING FOR THE HEALTH CARE NEEDS OF THE COMMUNITY. WE PARTICIPATE MONTHLY IN THE COMMUNITY WIDE HEALTH COALITION MADE UP OF OTHER HEALTH PROVIDERS WITHIN OUR AREA. FROM TIME TO TIME WE HAVE COMMUNITY FOCUS GROUPS TO ASSIST US IN UNDERSTANDING THE HEALTHCARE NEEDS IN OUR COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceTHE HOSPITAL INFORMED AND EDUCATED PATIENTS WHO MAY BE BILLED FOR PATIENT CARE ABOUT ELIGIBILITY FOR ASSISTANCE BY POSTING SIGNS THROUGHOUT THE FACILITY AND ON HOSPITAL SPECIFIC LITERATURE GIVEN OUT TO EACH PATIENT WHO SEEKS SERVICES AS WELL AS ON OUR PATIENT BILLING STATEMENTS. WE COORDINATE IDENTIFICATION OF NEED WITH OUR PHYSICIAN OFFICE AND WITH OTHER ENTITIES WITHIN OUR HEALTH SYSTEM. WE HAVE FINANCIAL AND SOCIAL SERVICE COUNSELORS WHO WORK WITH FAMILIES AND INDIVIDUALS IN NEED. SINCE ALLEN COUNTY IS A LOW-INCOME HPSA WE UNDERSTAND THAT A LARGE PART OF OUR POPULATION NEEDS ASSISTANCE. 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 informationTHE HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN IOLA, KS, A RURAL COMMUNITY SOUTHWEST OF KANSAS CITY. THE SERVICE AREA ENCOMPASSES ALLEN COUNTY AND THE SURROUNDING AREA. THE CURRENT COUNTY POPULATION IS 12,000 PEOPLE. THE COUNTY IS FEDERALLY DESIGNATED AS A LOW-INCOME HEALTH PROFESSIONALS SHORTAGE AREA.
Schedule H, Part VI, Line 5 Promotion of community healthTHE BOARD OF DIRECTORS IS MADE UP BUSINESS PROFESSIONALS AND COMMUNITY MEMBERS, MOST OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA, PLUS TWO REPRESENTATIVES OF SAINT LUKE'S HEALTH SYSTEM. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.
Schedule H, Part VI, Line 6 Affiliated health care systemTHE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSIST OF 16 AREA HOSPITAL FACILITIES, AND SEVERAL PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND HOME CARE SERVICES. FOUNDED AS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION, OUR MISSION INCLUDES A COMMITMENT TO THE HIGHEST LEVELS OF EXCELLENCE IN HEALTH CARE AND THE ADVANCEMENT OF MEDICAL RESEARCH AND EDUCATION. THE HEALTH SYSTEM IS AN ALIGNED ORGANIZATION IN WHICH THE PHYSICIANS AND HOSPITALS ASSUME RESPONSIBILITY FOR ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF PEOPLE IN THE METROPOLITAN KANSAS CITY AREA AND THE SURROUNDING REGION.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN SCHIEBER
DIRECTOR-Chief Executive Officer$0$390,273$0$104,309$0$31,126$0$88,074$0$29,647$0$643,429$0$21,204
Elmore Patterson
DIRECTOR-ADMINISTRATOR$234,163$0$47,000$0$2,019$0$30,007$0$27,411$0$340,601$0$0$0
JULIE QUIRIN
DIRECTOR$0$781,766$0$380,989$0$131,419$0$287,290$0$23,220$0$1,604,683$0$197,038
SHELBY FRIGON
DIRECTOR$0$302,181$0$79,625$0$24,430$0$39,950$0$30,741$0$476,927$0$20,000
JANET BUCKMAN
TREASURER Term Ended 8/2021$0$101,452$0$65,579$0$277,450$0$23,292$0$10,411$0$478,184$0$0
CATHERINE HAMILTON
Chief Nursing Officer$0$212,506$0$49,741$0$4,617$0$30,899$0$21,936$0$319,698$0$0
Katherine Quarnstrom
SECRETARY$0$194,520$0$2,000$0$145$0$9,128$0$20,710$0$226,502$0$0
PATRICIA MARTIN MD
VICE PRESIDENT-MEDICAL AFFAIRS$0$469,079$0$23,797$0$3,100$0$13,050$0$27,049$0$536,075$0$0
Ralph Hall
PHYSICIAN$384,928$0$12,666$0$3,850$0$11,600$0$26,652$0$439,696$0$0$0
BRIAN NEELY
PHYSICIAN$261,802$0$10,000$0$233$0$11,169$0$25,389$0$308,593$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationANNUALLY, 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 I, Line 4a Severance or change-of-control paymentSEVERANCE PAYMENT INCLUDED IN SCH J, PART II, B(III) OTHER REPORTABLE COMPENSATION: JANET BUCKMAN: 240,000
Schedule J, Part I, Line 7 Non-fixed paymentsTHE 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 SAINT LUKE'S HEALTH SYSTEM 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 RELATED ORGANIZATION COMPENSATIONDIRECTORS ARE NOT COMPENSATED FOR SERVICES AS A DIRECTOR OR BOARD OFFICER. JULIE QUIRIN, KATHERINE QUARNSTROM, AND SHELBY FRIGON 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 STEVE SCHIEBER, PATRICIA MARTIN, JANET BUCKMAN, PAULA LITTLETON, AND CATHERINE HAMILTON IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. ELMORE PATTERSON RECEIVED COMPENSATION FROM THE FILING ORGANIZATION FOR SERVICES RENDERED TO RELATED AND FILING ORGANIZATIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096THE HOSPITAL IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE HOSPITAL'S 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 & OFFICER COMPENSATIONANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND CFO. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE BOARD COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION DATA. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATIONS 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 personsJULIE QUIRIN, SHELBY FRIGON, AND KATHERINE QUARNSTROM ARE EMPLOYEES/OFFICERS OF THE SAME RELATED TAX-EXEMPT ORGANIZATION. - Business relationship, STEVEN SCHIEBER, CATHERINE HAMILTON, JANET BUCKMAN, AND PAULA LITTLETON ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATION. - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE 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 bodyTHE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE SOLE MEMBER HAS SPECIFIED RESERVE POWERS 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 bodyTHE 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 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 policyTHE 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 publicTHE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE TO THE PUBLIC THROUGH THE KS SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ATTACHED TO THIS FORM 990. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A RELATED ORGANIZATION COMPENSATIONDIRECTORS ARE NOT COMPENSATED FOR SERVICES AS A DIRECTOR OR BOARD OFFICER. JULIE QUIRIN, KATHERINE QUARNSTROM, AND SHELBY FRIGON 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 STEVE SCHIEBER, PATRICIA MARTIN, JANET BUCKMAN, PAULA LITTLETON, AND CATHERINE HAMILTON IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. ELMORE PATTERSON RECEIVED COMPENSATION FROM THE FILING ORGANIZATION FOR SERVICES RENDERED TO RELATED AND FILING ORGANIZATIONS.
Form 990, Part VII, Section A, Line 1b AVERAGE HOURSAVERAGE 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 RevenueOther Program Service Revenue - Total Revenue: 186188, Related or Exempt Function Revenue: 186188, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesConsulting - Total Expense: 709802, Program Service Expense: 632148, Management and General Expenses: 77654, Fundraising Expenses: ; Physician Remuneration - Total Expense: 1919093, Program Service Expense: 1919093, Management and General Expenses: , Fundraising Expenses: ; Purchased Services and Other - Total Expense: 2364459, Program Service Expense: 2108974, Management and General Expenses: 255485, Fundraising Expenses: ; Service Contracts - Total Expense: 855582, Program Service Expense: 208418, Management and General Expenses: 647164, Fundraising Expenses: ; Biomed Services - Total Expense: 73422, Program Service Expense: 73422, Management and General Expenses: , Fundraising Expenses: ; Temporary Help - Total Expense: 480950, Program Service Expense: 480950, 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 balancesRRG SSA DIVIDEND - -2249; PENSION LIABILITY SETTLEMENT TO SYSTEM PARENT - 6285; ROUNDING - 3;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SAINT LUKES HEALTH SYSTEM
901 E 104TH STKANSAS CITYMO64131431747502HEALTH SYSTEMKS501(c)(3)Type III-FIN/Afalse
ST LUKES HOSPITAL OF KANSAS CITY
4401 WORNALL ROADKANSAS CITYMO64111440545297HEALTH CAREMO501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
SAINT LUKES NORTH HOSPITAL
5830 NW BARRY RDKANSAS CITYMO64154440565393HEALTH CAREMO501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
SAINT LUKES SOUTH HOSPITAL
12300 METCALF AVEOVERLAND PARKKS66213481203262HEALTH CAREKS501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
SAINT LUKES EAST HOSPITAL
100 NE SAINT LUKES BLVDLEES SUMMITMO64086562488077HEALTH CAREMO501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
ST LUKES OF TRENTON
191 IOWA BLVDTRENTONMO64683431707306HEALTH CAREMO501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
SAINT LUKES HOSPITAL OF GARNETT
421 SOUTH MAPLEGARNETTKS66032742849611HEALTH CAREKS501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
SAINT LUKE'S HOSPITAL OF CHILLICOTHE
2799 N WASHINGTONCHILLICOTHEMO64601431735565HEALTH CAREMO501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
SAINT LUKES CUSHING HOSPITAL
711 MARSHALLLEAVENWORTHKS66048480543792HEALTH CAREKS501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
SAINT LUKES CARE
901 E 104TH STKANSAS CITYMO64131260185090HEALTH CAREMO501(c)(3)Type IIfalseSAINT LUKES HEALTH SYSTEM
MEDICAL PLAZA IMAGING ASSOCIATES LLC
4401 WORNALL ROADKANSAS CITYMO64111431609584HEALTH CAREMO501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
ADVANCED UROLOGIC ASSOCIATES INC
901 E 104TH STKANSAS CITYMO64131454725529HEALTH CAREMO501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
ROCKHILL ORTHOPAEDIC SPECIALISTS INC
901 E 104TH STKANSAS CITYMO64131453851008HEALTH CAREMO501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
BISHOP SPENCER PLACE
4301 MADISON AVENUEKANSAS CITYMO64111431139083RETIREMENT COMMUNITYMO501(c)(3)10falseSAINT LUKES HEALTH SYSTEM
WINDSOR CARE
4301 MADISON AVENUEKANSAS CITYMO64111205284328HEALTH CAREMO501(c)(3)10falseBISHOP SPENCER PLACE
SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE
901 E 104TH STKANSAS CITYMO64131431127200HEALTH CAREMO501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
Saint Luke's Foundation
901 E 104th StreetKansas CityMO64131446014699FoundationMO501(c)(3)7falseSAINT LUKES HEALTH SYSTEM
CARDIOMETABLIC CENTER ALLIANCE
4435 MAIN STKANSAS CITYMO64111840768692MEDICAL RESEARCHMO501(c)(3)4falseSAINT LUKES HEALTH SYSTEM
Saint Luke's Physician Group Inc
901 E 104TH STKANSAS CITYMO64131431598353Health CareKS501(c)(3)3falseSAINT LUKES HEALTH SYSTEM
SAINT LUKE'S COLLEGE OF HEALTH SCIENCES (DISSOLVED JAN 2021)
4401 WORNALL ROADKANSAS CITYMO64111272716128POST SECONDARY NURSING EDUCATIONMO501(c)(3)2falseST LUKES HOSPITAL OF KANSAS CITY

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
MEDICAL PLAZA PARTNERS LP
4320 WORNALL ROAD STE 714KANSAS CITYMO64111431357824OWN & OPERATE MEDICAL OFFICE BUILDINGMONAN/A
ST LUKES SURGICENTER-LEES SUMMIT LLC
11221 ROE AVE STE 230OVERLAND PARKKS66211470853491HEALTH CAREMONAN/A
SAINT LUKES SOUTH SURGERY CENTER LLC
11221 ROE AVE STE 230OVERLAND PARKKS66211201721929HEALTH CAREKSNAN/A
SAINT LUKES-GI DIAGNOSTICS
4321 WASHINGTON STE 5700KANSAS CITYMO64111274142549HEALTH CAREMONAN/A
KANSAS CITY ORTHOPAEDIC INSTITUTE LLC
3651 COLLEGE BLVDLEAWOODKS66211481197295HEALTH CAREKSNAN/A
SAINT LUKES RADIATION THERAPY-LIBERTY LLC
901 E 104TH STKANSAS CITYMO64131473793070HEALTH CAREMONAN/A
Saint Luke's South Pain Management
7651 W 159th StreetOverland ParkKS66223863451115HEALTH CAREKSNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line2USAddress/AddressLine2TxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP
901 E 104TH STKANSAS CITYMO64131371471890INSURANCESCNAC Corporationfalse
ST LUKES HEALTH VENTURES INC
901 E 104TH STKANSAS CITYMO64131431278476ACCOUNTINGMONAC Corporationfalse
MEDICAL PLAZA MANAGEMENT INC
4320 WORNALL ROAD STE 714KANSAS CITYMO64111431352317MEDICAL OFFICE BUILDING MANAGEMENTMONAC Corporationfalse
HEART SURGEONS OF KANSAS CITY
4320 WORNALL ROADKANSAS CITYMO64111264663332MEDICAL PRACTICEMONAC CorporationfalseSUITE 50
SAINT LUKES HEALTH SYSTEM INSURANCE LTD
CAPTIVENAC CorporationfalseCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part V, Line 1 TRANSACTIONS WITH AFFILIATED ENTITIESFormAndLineReferenceDesc
ExplanationSAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS.ExplanationTxt