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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T13:10:01-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 843362602 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Luke's Hospital of Allen County Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3066 N Kentucky St | AddressLine1Txt |
| City | Iola | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66749 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paula Littleton | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6203651000 | PhoneNum |
| Signature | 2022-11-11 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Paula | PersonFirstNm |
| Person Last | Littleton | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Allen County Regional Hospital | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Steven Schieber | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3066 N Kentucky St | AddressLine1Txt |
| City | Iola | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66749 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,540,382 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.saintlukeskc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2019 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | CRITICAL ACCESS HOSPITAL | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 184 | TotalEmployeeCnt |
| Total Volunteers | 32 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $21,429 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,220,054 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,113,970 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,292,999 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,191 | PYInvestmentIncomeAmt |
| CY Investment Income | $27,329 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $13,142,590 | PYTotalRevenueAmt |
| CY Total Revenue | $30,540,382 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,325 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,404,634 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,651,533 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,212,099 | PYOtherExpensesAmt |
| CY Other Expenses | $19,209,717 | CYOtherExpensesAmt |
| PY Total Expenses | $14,617,733 | PYTotalExpensesAmt |
| CY Total Expenses | $30,868,575 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,475,143 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$328,193 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,581,350 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,934,275 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,056,493 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,733,572 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,475,143 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,799,297 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Saint 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $26,004,770 | ExpenseAmt |
| Grant | $7,325 | GrantAmt |
| Revenue | $29,292,999 | RevenueAmt |
| Desc | SAINT 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 | $26,004,770 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 184 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAULA LITTLETON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6203651000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3066 N Kentucky St | AddressLine1Txt |
| City | IOLA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66749 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Elmore Patterson | ||||||||
| DIRECTOR-ADMINISTRATOR | 25.0 | 25.0 | Yes (X) | Yes (X) | $283,183 | $0 | $57,418 | |
| Loren Korte | ||||||||
| DIRECTOR-CHAIR | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEVEN SCHIEBER | ||||||||
| DIRECTOR-Chief Executive Officer | 13.0 | 38.0 | Yes (X) | Yes (X) | $0 | $525,708 | $117,721 | |
| Terry Sparks | ||||||||
| DIRECTOR - VICE CHAIR | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Alan Weber | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| John Brocker | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JULIE QUIRIN | ||||||||
| DIRECTOR | 1.0 | 51.0 | Yes (X) | $0 | $1,294,173 | $310,510 | ||
| Mary Kay Heard | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| SHELBY FRIGON | ||||||||
| DIRECTOR | 1.0 | 50.0 | Yes (X) | $0 | $406,236 | $70,691 | ||
| CATHERINE HAMILTON | ||||||||
| Chief Nursing Officer | 13.0 | 38.0 | Yes (X) | $0 | $266,863 | $52,834 | ||
| JANET BUCKMAN | ||||||||
| TREASURER Term Ended 8/2021 | 13.0 | 38.0 | Yes (X) | $0 | $444,482 | $33,702 | ||
| Katherine Quarnstrom | ||||||||
| SECRETARY | 1.0 | 40.0 | Yes (X) | $0 | $196,664 | $29,838 | ||
| Larry Peterson | ||||||||
| Chief Financial Officer - TERM END 2/2021 | 20.0 | 0 | Yes (X) | $99,763 | $0 | $28,664 | ||
| PATRICIA MARTIN MD | ||||||||
| VICE PRESIDENT-MEDICAL AFFAIRS | 4.0 | 36.0 | Yes (X) | $0 | $495,976 | $40,099 | ||
| PAULA LITTLETON | ||||||||
| Chief Financial Officer BEG 9/2021 | 13.0 | 38.0 | Yes (X) | $0 | $52,851 | $7,000 | ||
| BRIAN NEELY | ||||||||
| PHYSICIAN | 40.0 | 0 | $272,034 | $0 | $36,558 | Yes (X) | ||
| ENGELBERT MASOT | ||||||||
| MED LAB SCIENTIST | 40.0 | 0 | $118,685 | $0 | $4,917 | Yes (X) | ||
| ERIN SPLECHTER | ||||||||
| Advanced Practice Provider | 40.0 | 0 | $112,854 | $0 | $14,743 | Yes (X) | ||
| JOANNA CURL | ||||||||
| Advanced Practice Provider | 40.0 | 0 | $116,125 | $0 | $12,620 | Yes (X) | ||
| Ralph Hall | ||||||||
| PHYSICIAN | 40.0 | 0 | $401,444 | $0 | $38,252 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,404,088 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,682,953 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $855,567 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| FAMILY PHYSICIANS | ||||||
| 1408 East St | Suite A | Iola | KS | 66749 | MEDICAL SERVICES | $1,266,917 |
| REHABVISIONS | ||||||
| 11623 Arbor Street | Omaha | NE | 68144 | MEDICAL SERVICES | $807,693 | |
| CERNER CORPORATION | ||||||
| 2800 Rock Creek Pkwy | AVONDALE | MO | 64117 | IT SERVICES | $702,814 | |
| The Chartis Group | ||||||
| 220 West Kinzie Street | Chicago | IL | 60654 | Healthcare Advisory Services | $576,592 | |
| BAXLEY ANESTHETICS OF KANSAS LLC | ||||||
| 10850 COUNTY LANE 253 | WEBB CITY | MO | 64870 | MEDICAL SERVICES | $435,600 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $1,219,214 | GovernmentGrantsAmt |
| All Other Contributions | $840 | AllOtherContributionsAmt |
| Total Contributions | $1,220,054 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 622110 | $28,133,683 | $28,133,683 |
| Pharmacy | 622110 | $973,128 | $973,128 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $186,188 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $186,188 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,292,999 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,329 | TotalRevenueColumnAmt |
| Exclusion | $27,329 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,540,382 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,292,999 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $27,329 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,325 | TotalAmt |
| Program Services | $7,325 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,028 | TotalAmt |
| Management And General | $469,028 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,567,873 | TotalAmt |
| Program Services | $7,617,011 | ProgramServicesAmt |
| Management And General | $950,862 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,954 | TotalAmt |
| Program Services | $273,061 | ProgramServicesAmt |
| Management And General | $50,893 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,631,816 | TotalAmt |
| Program Services | $1,374,092 | ProgramServicesAmt |
| Management And General | $257,724 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $658,862 | TotalAmt |
| Program Services | $555,355 | ProgramServicesAmt |
| Management And General | $103,507 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$82,718 | TotalAmt |
| Management And General | -$82,718 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,459 | TotalAmt |
| Management And General | $42,459 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,403,308 | TotalAmt |
| Program Services | $5,423,005 | ProgramServicesAmt |
| Management And General | $980,303 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,083 | TotalAmt |
| Program Services | $27 | ProgramServicesAmt |
| Management And General | $10,056 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,131 | TotalAmt |
| Program Services | $493,081 | ProgramServicesAmt |
| Management And General | $91,050 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,336 | TotalAmt |
| Program Services | $25,167 | ProgramServicesAmt |
| Management And General | $45,169 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,822,761 | TotalAmt |
| Program Services | $2,218,680 | ProgramServicesAmt |
| Management And General | $604,081 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,677 | TotalAmt |
| Program Services | $18,130 | ProgramServicesAmt |
| Management And General | $4,547 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,997 | TotalAmt |
| Program Services | $8,219 | ProgramServicesAmt |
| Management And General | $4,778 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44 | TotalAmt |
| Program Services | $11 | ProgramServicesAmt |
| Management And General | $33 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,492 | TotalAmt |
| Program Services | $127,957 | ProgramServicesAmt |
| Management And General | $159,535 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,663 | TotalAmt |
| Program Services | $132,260 | ProgramServicesAmt |
| Management And General | $26,403 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,387 | TotalAmt |
| Program Services | $32,243 | ProgramServicesAmt |
| Management And General | $54,144 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,868,575 | TotalAmt |
| Program Services | $26,004,770 | ProgramServicesAmt |
| Management And General | $4,863,805 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,288,544 | BOYAmt |
| EOY | -$2,175,429 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,819,324 | BOYAmt |
| EOY | $5,361,417 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $454,148 | BOYAmt |
| EOY | $467,225 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,815 | BOYAmt |
| EOY | $487,998 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,019,581 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $794,896 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,002,406 | BOYAmt |
| EOY | $1,224,685 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,431,201 | BOYAmt |
| EOY | $17,568,379 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,581,350 | BOYAmt |
| EOY | $22,934,275 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,498,612 | BOYAmt |
| EOY | $2,797,600 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,557,881 | BOYAmt |
| EOY | $21,935,972 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,056,493 | BOYAmt |
| EOY | $24,733,572 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,475,143 | BOYAmt |
| EOY | -$1,799,297 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,475,143 | BOYAmt |
| EOY | -$1,799,297 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,581,350 | BOYAmt |
| EOY | $22,934,275 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$328,193 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $4,039 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $7,207 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $7,207 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | LINE F - PORTION OF DUES PAID TO VARIOUS HOSPITAL AND RELATED MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $121,527 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,056 | DepreciationAmt |
| Book Value | $116,471 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,898,054 | OtherCostOrOtherBasisAmt |
| Depreciation | $789,840 | DepreciationAmt |
| Book Value | $1,108,214 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,224,685 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,568,379 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $21,935,972 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,471,946 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,471,946 | RevenueSubtotalAmt |
| Other Revenues Not Included | $4,068,436 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $4,068,436 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $30,540,382 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,802,385 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $26,802,385 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $4,066,190 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $4,066,190 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $30,868,575 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | The 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 statements | BAD 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 statements | BAD DEBTS REPORTED IN NET PATIENT REVENUE FOR BOOKS; REPORTED IN EXPENSES FOR TAX - 4066187 ROUNDING - 3 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $293,113 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $236,941 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $56,172 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0021 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,242,690 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,631,517 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,611,173 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0601 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,535,803 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,868,458 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,667,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0622 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,113 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,113 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,721,839 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,868,115 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $853,724 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0319 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,560 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $494 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,066 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,738,512 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,868,609 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $869,903 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0325 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $7,274,315 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,737,067 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,537,248 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0947 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,187 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,187 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,187 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,187 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,066,187 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,465,882 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,352,358 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $113,524 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT LUKE'S HOSPITAL OF ALLEN COUNTY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3066 N Kentucky St | AddressLine1Txt |
| City | Iola | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66749 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.saintlukeskc.org | WebsiteAddressTxt |
| State License | H-001-001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT LUKE'S HOSPITAL OF ALLEN COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (true) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.saintlukeskc.org/community-health-needs-assessments-implementation-plans | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.saintlukeskc.org/community-health-needs-assessments-implementation-plans | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.saintlukeskc.org/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.saintlukeskc.org/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.saintlukeskc.org/financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 2 | Saint 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 , 1 | Facility , 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 , 1 | Facility , 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c ASSISTANCE ELIGIBILITY | THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. IN ADDITION, MEDICAL INDIGENCY MAY BE DETERMINED ON AN INDIVIDUAL BASIS FOR INCOME ABOVE THE FEDERAL POVERTY LEVEL WHEN A SINGLE ILLNESS OR INJURY CAUSES HARDSHIP. |
| Schedule H, Part I, Line 7g Subsidized Health Services | SUBSIDIZED HEALTH SERVICES ARE FOR THE 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 calculation | 4066187 |
| 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. 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 amount | Performance obligations are identified based on the nature of the services provided. Revenue associated with performance obligations satisfied over time is recognized based on actual charges incurred in relation to total expected (or actual) charges. Performance obligations satisfied over time relate to patients in the Hospital receiving inpatient acute care services. The Hospital measures the performance obligation from admission into the Hospital to the point when there are no further services required for the patient, which is generally at the time of discharge. For outpatient and physician clinic services, the performance obligation is satisfied as the patient simultaneously receives and consumes the benefits provided as the services are performed. In the case of outpatient and physician clinic services, recognition of the obligation over time yields the same results as recognizing the obligation at a point in time. The Hospital believes that this method provides a faithful depiction of the transfer of services over the term of the performance obligations based on the inputs needed to satisfy the obligations. As the Hospital's performance obligations relate to contracts with a duration of less than one year, the Hospital has applied the optional exemption provided in FASB ASC 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 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 THE COST-TO-CHARGE RATIO FROM THE MEDICARE COST REPORT. |
| 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 | - 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 assessment | THE 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 assistance | THE 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 information | THE 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 health | THE 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 system | THE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSIST OF 16 AREA HOSPITAL FACILITIES, AND SEVERAL PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND HOME CARE SERVICES. FOUNDED AS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION, OUR MISSION INCLUDES A COMMITMENT TO THE HIGHEST LEVELS OF EXCELLENCE IN HEALTH CARE AND THE ADVANCEMENT OF MEDICAL RESEARCH AND EDUCATION. THE HEALTH SYSTEM IS AN ALIGNED ORGANIZATION IN WHICH THE PHYSICIANS AND HOSPITALS ASSUME RESPONSIBILITY FOR ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF PEOPLE IN THE METROPOLITAN KANSAS CITY AREA AND THE SURROUNDING REGION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVES. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | SEVERANCE PAYMENT INCLUDED IN SCH J, PART II, B(III) OTHER REPORTABLE COMPENSATION: JANET BUCKMAN: 240,000 |
| 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 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 COMPENSATION | DIRECTORS 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096 | THE 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 COMPENSATION | ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT 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 persons | JULIE 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 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, DEBT, BUDGETS, CAPITAL EXPENDITURES AND STRATEGIC OPERATING DECISIONS. AS PART OF AN INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER ALSO PROVIDES VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO THE ORGANIZATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY 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 policy | THE FILING ORGANIZATION HAS A COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICY APPLICABLE TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. ANY ACTUAL, POSSIBLE OR PERCEIVED CONFLICT OF INTEREST IS EXPECTED TO BE HANDLED THROUGH FULL AND TIMELY DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSENCE OF PERSUASION IN ANY DISCUSSION AND IN ANY VOTE WHEREIN THE INTEREST IS INVOLVED. DISCLOSURE IS TO BE MADE WHEN THE INTEREST ARISES, AT ANY TIME THE INTEREST BECOMES A MATTER OF GOVERNING BOARD ACTION, AND THEN ANNUALLY THROUGH COMPLETION OF A CONFLICT OF INTEREST QUESTIONNAIRE. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE TO THE PUBLIC THROUGH THE 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 COMPENSATION | DIRECTORS 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 HOURS | 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 | Other 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 Fees | Consulting - 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 balances | RRG 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SAINT LUKES HEALTH SYSTEM | |||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431747502 | HEALTH SYSTEM | KS | 501(c)(3) | Type III-FI | N/A | false | |
| ST LUKES HOSPITAL OF KANSAS CITY | |||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 440545297 | HEALTH CARE | MO | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| SAINT LUKES NORTH HOSPITAL | |||||||||||
| 5830 NW BARRY RD | KANSAS CITY | MO | 64154 | 440565393 | HEALTH CARE | MO | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| SAINT LUKES SOUTH HOSPITAL | |||||||||||
| 12300 METCALF AVE | OVERLAND PARK | KS | 66213 | 481203262 | HEALTH CARE | KS | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| SAINT LUKES EAST HOSPITAL | |||||||||||
| 100 NE SAINT LUKES BLVD | LEES SUMMIT | MO | 64086 | 562488077 | HEALTH CARE | MO | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| ST LUKES OF TRENTON | |||||||||||
| 191 IOWA BLVD | TRENTON | MO | 64683 | 431707306 | HEALTH CARE | MO | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| SAINT LUKES HOSPITAL OF GARNETT | |||||||||||
| 421 SOUTH MAPLE | GARNETT | KS | 66032 | 742849611 | HEALTH CARE | KS | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| SAINT LUKE'S HOSPITAL OF CHILLICOTHE | |||||||||||
| 2799 N WASHINGTON | CHILLICOTHE | MO | 64601 | 431735565 | HEALTH CARE | MO | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| SAINT LUKES CUSHING HOSPITAL | |||||||||||
| 711 MARSHALL | LEAVENWORTH | KS | 66048 | 480543792 | HEALTH CARE | KS | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| SAINT LUKES CARE | |||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 260185090 | HEALTH CARE | MO | 501(c)(3) | Type II | false | SAINT LUKES HEALTH SYSTEM | |
| MEDICAL PLAZA IMAGING ASSOCIATES LLC | |||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 431609584 | HEALTH CARE | MO | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| ADVANCED UROLOGIC ASSOCIATES INC | |||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 454725529 | HEALTH CARE | MO | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| ROCKHILL ORTHOPAEDIC SPECIALISTS INC | |||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 453851008 | HEALTH CARE | MO | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| BISHOP SPENCER PLACE | |||||||||||
| 4301 MADISON AVENUE | KANSAS CITY | MO | 64111 | 431139083 | RETIREMENT COMMUNITY | MO | 501(c)(3) | 10 | false | SAINT LUKES HEALTH SYSTEM | |
| WINDSOR CARE | |||||||||||
| 4301 MADISON AVENUE | KANSAS CITY | MO | 64111 | 205284328 | HEALTH CARE | MO | 501(c)(3) | 10 | false | BISHOP SPENCER PLACE | |
| SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE | |||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431127200 | HEALTH CARE | MO | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| Saint Luke's Foundation | |||||||||||
| 901 E 104th Street | Kansas City | MO | 64131 | 446014699 | Foundation | MO | 501(c)(3) | 7 | false | SAINT LUKES HEALTH SYSTEM | |
| CARDIOMETABLIC CENTER ALLIANCE | |||||||||||
| 4435 MAIN ST | KANSAS CITY | MO | 64111 | 840768692 | MEDICAL RESEARCH | MO | 501(c)(3) | 4 | false | SAINT LUKES HEALTH SYSTEM | |
| Saint Luke's Physician Group Inc | |||||||||||
| 901 E 104TH ST | KANSAS CITY | MO | 64131 | 431598353 | Health Care | KS | 501(c)(3) | 3 | false | SAINT LUKES HEALTH SYSTEM | |
| SAINT LUKE'S COLLEGE OF HEALTH SCIENCES (DISSOLVED JAN 2021) | |||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 272716128 | POST SECONDARY NURSING EDUCATION | MO | 501(c)(3) | 2 | false | ST LUKES HOSPITAL OF KANSAS CITY | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||
| 7651 W 159th Street | Overland Park | KS | 66223 | 863451115 | HEALTH CARE | KS | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||
| HEART SURGEONS OF KANSAS CITY | |||||||||||
| 4320 WORNALL ROAD | KANSAS CITY | MO | 64111 | 264663332 | MEDICAL PRACTICE | MO | NA | C Corporation | false | SUITE 50 | |
| SAINT LUKES HEALTH SYSTEM INSURANCE LTD | |||||||||||
| CAPTIVE | NA | C Corporation | false | CJ | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (true) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V, Line 1 TRANSACTIONS WITH AFFILIATED ENTITIES | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |