2022-11-11T13:10:01-06:00 2021-12-31 990 2021-01-01 843362602 Saint Luke's Hospital of Allen County Inc SAIN 3066 N Kentucky St Iola KS 66749 Paula Littleton CFO 6203651000 2022-11-11 Paula Littleton 999009999 2021 2022-09-23 18:48:47Z Allen County Regional Hospital Steven Schieber 3066 N Kentucky St Iola KS 66749 30540382 false X www.saintlukeskc.org X 2019 KS CRITICAL ACCESS HOSPITAL 9 5 184 32 0 0 21429 1220054 13113970 29292999 7191 27329 0 13142590 30540382 1000 7325 0 5404634 11651533 0 0 9212099 19209717 14617733 30868575 -1475143 -328193 24581350 22934275 26056493 24733572 -1475143 -1799297 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. false false 26004770 7325 29292999 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. 26004770 true true false true false false false false false true false false true true true true true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true X 0 0 184 true false false false false false false false false false false false false X 9 5 true false false false true true true true true false false true true true true true true false false false X PAULA LITTLETON 6203651000 3066 N Kentucky St IOLA KS 66749 Elmore Patterson DIRECTOR-ADMINISTRATOR 25.0 25.0 X X 283183 0 57418 Loren Korte DIRECTOR-CHAIR 1.0 0 X X 0 0 0 STEVEN SCHIEBER DIRECTOR-Chief Executive Officer 13.0 38.0 X X 0 525708 117721 Terry Sparks DIRECTOR - VICE CHAIR 1.0 0 X X 0 0 0 Alan Weber DIRECTOR 1.0 0 X 0 0 0 John Brocker DIRECTOR 1.0 0 X 0 0 0 JULIE QUIRIN DIRECTOR 1.0 51.0 X 0 1294173 310510 Mary Kay Heard DIRECTOR 1.0 0 X 0 0 0 SHELBY FRIGON DIRECTOR 1.0 50.0 X 0 406236 70691 CATHERINE HAMILTON Chief Nursing Officer 13.0 38.0 X 0 266863 52834 JANET BUCKMAN TREASURER Term Ended 8/2021 13.0 38.0 X 0 444482 33702 Katherine Quarnstrom SECRETARY 1.0 40.0 X 0 196664 29838 Larry Peterson Chief Financial Officer - TERM END 2/2021 20.0 0 X 99763 0 28664 PATRICIA MARTIN MD VICE PRESIDENT-MEDICAL AFFAIRS 4.0 36.0 X 0 495976 40099 PAULA LITTLETON Chief Financial Officer BEG 9/2021 13.0 38.0 X 0 52851 7000 BRIAN NEELY PHYSICIAN 40.0 0 X 272034 0 36558 ENGELBERT MASOT MED LAB SCIENTIST 40.0 0 X 118685 0 4917 ERIN SPLECHTER Advanced Practice Provider 40.0 0 X 112854 0 14743 JOANNA CURL Advanced Practice Provider 40.0 0 X 116125 0 12620 Ralph Hall PHYSICIAN 40.0 0 X 401444 0 38252 1404088 3682953 855567 7 false true false FAMILY PHYSICIANS 1408 East St Suite A Iola KS 66749 MEDICAL SERVICES 1266917 REHABVISIONS 11623 Arbor Street Omaha NE 68144 MEDICAL SERVICES 807693 CERNER CORPORATION 2800 Rock Creek Pkwy AVONDALE MO 64117 IT SERVICES 702814 The Chartis Group 220 West Kinzie Street Chicago IL 60654 Healthcare Advisory Services 576592 BAXLEY ANESTHETICS OF KANSAS LLC 10850 COUNTY LANE 253 WEBB CITY MO 64870 MEDICAL SERVICES 435600 13 0 1219214 840 1220054 Net Patient Revenue 622110 28133683 28133683 Pharmacy 622110 973128 973128 186188 186188 0 0 29292999 27329 27329 0 0 0 0 0 0 0 0 0 30540382 29292999 0 27329 X 7325 7325 469028 469028 8567873 7617011 950862 323954 273061 50893 1631816 1374092 257724 658862 555355 103507 -82718 -82718 42459 42459 6403308 5423005 980303 0 10083 27 10056 584131 493081 91050 70336 25167 45169 2822761 2218680 604081 22677 18130 4547 12997 8219 4778 44 11 33 287492 127957 159535 158663 132260 26403 Bad Debt 4066187 4066187 Shared SERVICES - SLHS 1621634 537070 1084564 Medical supplies 3103276 3095889 7387 86387 32243 54144 0 30868575 26004770 4863805 0 -3288544 -2175429 4819324 5361417 0 0 0 0 454148 467225 162815 487998 2019581 794896 1002406 1224685 0 0 21431201 17568379 24581350 22934275 2498612 2797600 0 0 23557881 21935972 26056493 24733572 X -1475143 -1799297 -1475143 -1799297 24581350 22934275 X -328193 4039 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 7207 false false false 7207 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE F - PORTION OF DUES PAID TO VARIOUS HOSPITAL AND RELATED MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 121527 5056 116471 1898054 789840 1108214 0 0 0 1224685 Other Receivables 176089 Due from SLHS Affiliates 88764 Right-of-Use Lease Assets 16445776 Estimated Third Party Payor Settlements 857750 17568379 DUE TO ALLEN COUNTY REGIONAL HOSPITAL BOARD OF TRUSTEES 4285960 Due to Affiliates 1029200 Estimated 3rd Party Payor Settlements 75000 Right-of-use lease obligations 16445776 Covid-19 Grant Advances 100036 21935972 X 26471946 0 0 26471946 4068436 4068436 30540382 26802385 0 0 26802385 4066190 4066190 30868575 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 true true X true X true X true true true false false 293113 236941 56172 0.0021 3242690 1631517 1611173 0.0601 0 0.0 0 0 3535803 1868458 1667345 0.0622 4113 4113 0.0002 0 0.0 3721839 2868115 853724 0.0319 0 0.0 12560 494 12066 0.0005 0 0 3738512 2868609 869903 0.0325 0 0 7274315 4737067 2537248 0.0947 0 0.0 0 0.0 0 0.0 0 0.0 2187 2187 0.0001 0 0.0 0 0.0 0 0.0 0 0.0 0 0 2187 0 2187 0.0001 false 4066187 0 11465882 11352358 113524 X true true 1 1 SAINT LUKE'S HOSPITAL OF ALLEN COUNTY 3066 N Kentucky St Iola KS 66749 www.saintlukeskc.org H-001-001 X X X X SAINT LUKE'S HOSPITAL OF ALLEN COUNTY 1 false true true X X X X X X X X X 21 true false false true X https://www.saintlukeskc.org/community-health-needs-assessments-implementation-plans X true 21 true https://www.saintlukeskc.org/community-health-needs-assessments-implementation-plans false true X 200.0 300.0 X X true true X X X true X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X www.saintlukeskc.org/financial-assistance X X X X X X true X false X X X X true X false false 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. 0 Schedule H, Part I, Line 3c ASSISTANCE ELIGIBILITY THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. IN ADDITION, MEDICAL INDIGENCY MAY BE DETERMINED ON AN INDIVIDUAL BASIS FOR INCOME ABOVE THE FEDERAL POVERTY LEVEL WHEN A SINGLE ILLNESS OR INJURY CAUSES HARDSHIP. Schedule H, Part I, Line 7g Subsidized Health Services SUBSIDIZED HEALTH SERVICES ARE FOR THE 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. true false false false false false false true false STEVEN SCHIEBER DIRECTOR-Chief Executive Officer 0 390273 0 104309 0 31126 0 88074 0 29647 0 643429 0 21204 Elmore Patterson DIRECTOR-ADMINISTRATOR 234163 0 47000 0 2019 0 30007 0 27411 0 340601 0 0 0 JULIE QUIRIN DIRECTOR 0 781766 0 380989 0 131419 0 287290 0 23220 0 1604683 0 197038 SHELBY FRIGON DIRECTOR 0 302181 0 79625 0 24430 0 39950 0 30741 0 476927 0 20000 JANET BUCKMAN TREASURER Term Ended 8/2021 0 101452 0 65579 0 277450 0 23292 0 10411 0 478184 0 0 CATHERINE HAMILTON Chief Nursing Officer 0 212506 0 49741 0 4617 0 30899 0 21936 0 319698 0 0 Katherine Quarnstrom SECRETARY 0 194520 0 2000 0 145 0 9128 0 20710 0 226502 0 0 PATRICIA MARTIN MD VICE PRESIDENT-MEDICAL AFFAIRS 0 469079 0 23797 0 3100 0 13050 0 27049 0 536075 0 0 Ralph Hall PHYSICIAN 384928 0 12666 0 3850 0 11600 0 26652 0 439696 0 0 0 BRIAN NEELY PHYSICIAN 261802 0 10000 0 233 0 11169 0 25389 0 308593 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVES. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM. Schedule J, Part 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. 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; SAINT LUKES HEALTH SYSTEM 901 E 104TH ST KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501(c)(3) Type III-FI N/A false ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES NORTH HOSPITAL 5830 NW BARRY RD KANSAS CITY MO 64154 440565393 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES SOUTH HOSPITAL 12300 METCALF AVE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES EAST HOSPITAL 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false ST LUKES OF TRENTON 191 IOWA BLVD TRENTON MO 64683 431707306 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKE'S HOSPITAL OF CHILLICOTHE 2799 N WASHINGTON CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES CUSHING HOSPITAL 711 MARSHALL LEAVENWORTH KS 66048 480543792 HEALTH CARE KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKES CARE 901 E 104TH ST KANSAS CITY MO 64131 260185090 HEALTH CARE MO 501(c)(3) Type II SAINT LUKES HEALTH SYSTEM false MEDICAL PLAZA IMAGING ASSOCIATES LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 431609584 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false ADVANCED UROLOGIC ASSOCIATES INC 901 E 104TH ST KANSAS CITY MO 64131 454725529 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false ROCKHILL ORTHOPAEDIC SPECIALISTS INC 901 E 104TH ST KANSAS CITY MO 64131 453851008 HEALTH CARE MO 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false BISHOP SPENCER PLACE 4301 MADISON AVENUE KANSAS CITY MO 64111 431139083 RETIREMENT COMMUNITY MO 501(c)(3) 10 SAINT LUKES HEALTH SYSTEM false WINDSOR CARE 4301 MADISON AVENUE KANSAS CITY MO 64111 205284328 HEALTH CARE MO 501(c)(3) 10 BISHOP SPENCER PLACE false 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 SAINT LUKES HEALTH SYSTEM false Saint Luke's Foundation 901 E 104th Street Kansas City MO 64131 446014699 Foundation MO 501(c)(3) 7 SAINT LUKES HEALTH SYSTEM false CARDIOMETABLIC CENTER ALLIANCE 4435 MAIN ST KANSAS CITY MO 64111 840768692 MEDICAL RESEARCH MO 501(c)(3) 4 SAINT LUKES HEALTH SYSTEM false Saint Luke's Physician Group Inc 901 E 104TH ST KANSAS CITY MO 64131 431598353 Health Care KS 501(c)(3) 3 SAINT LUKES HEALTH SYSTEM false SAINT LUKE'S COLLEGE OF HEALTH SCIENCES (DISSOLVED JAN 2021) 4401 WORNALL ROAD KANSAS CITY MO 64111 272716128 POST SECONDARY NURSING EDUCATION MO 501(c)(3) 2 ST LUKES HOSPITAL OF KANSAS CITY false MEDICAL PLAZA PARTNERS LP 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431357824 OWN & OPERATE MEDICAL OFFICE BUILDING MO NA N/A ST LUKES SURGICENTER-LEES SUMMIT LLC 11221 ROE AVE STE 230 OVERLAND PARK KS 66211 470853491 HEALTH CARE MO NA N/A SAINT LUKES SOUTH SURGERY CENTER LLC 11221 ROE AVE STE 230 OVERLAND PARK KS 66211 201721929 HEALTH CARE KS NA N/A SAINT LUKES-GI DIAGNOSTICS 4321 WASHINGTON STE 5700 KANSAS CITY MO 64111 274142549 HEALTH CARE MO NA N/A KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 3651 COLLEGE BLVD LEAWOOD KS 66211 481197295 HEALTH CARE KS NA N/A SAINT LUKES RADIATION THERAPY-LIBERTY LLC 901 E 104TH ST KANSAS CITY MO 64131 473793070 HEALTH CARE MO NA N/A Saint Luke's South Pain Management 7651 W 159th Street Overland Park KS 66223 863451115 HEALTH CARE KS NA N/A SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP 901 E 104TH ST KANSAS CITY MO 64131 371471890 INSURANCE SC NA C Corporation false ST LUKES HEALTH VENTURES INC 901 E 104TH ST KANSAS CITY MO 64131 431278476 ACCOUNTING MO NA C Corporation false MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL ROAD STE 714 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MANAGEMENT MO NA C Corporation false HEART SURGEONS OF KANSAS CITY 4320 WORNALL ROAD SUITE 50 KANSAS CITY MO 64111 264663332 MEDICAL PRACTICE MO NA C Corporation false SAINT LUKES HEALTH SYSTEM INSURANCE LTD CAPTIVE CJ NA C Corporation false false false false false false true false false false false false true true false true true true false false Schedule R, Part V, Line 1 TRANSACTIONS WITH AFFILIATED ENTITIES 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.