ST LUKES HOSPITAL OF KANSAS CITY: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: ST LUKES HOSPITAL OF KANSAS CITY (EIN 44-0545297)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-11
IRS object ID: 202223159349304917
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 F
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-11T13:13:56-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 WALNUT STE 1700	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440545297	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Lukes Hospital of Kansas City	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STLU	BusinessNameControlTxt
Phone	8169322000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4401 Wornall Road	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64111	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AMY NACHTIGAL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8169323318	PhoneNum
Signature	2022-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	AMY	PersonFirstNm
Person Last	NACHTIGAL	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J ENGLE	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JANI JOHNSON	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4401 Wornall Road	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64111	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,214,341,008	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	1882	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	TERTIARY CARE TEACHING HOSPITAL	ActivityOrMissionDesc
Voting Members Governing Body	27	VotingMembersGoverningBodyCnt
Voting Members Independent	21	VotingMembersIndependentCnt
Total Employee	4951	TotalEmployeeCnt
Total Volunteers	66	TotalVolunteersCnt
Total Gross UBI	-$1,001,674	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$57,791,936	PYContributionsGrantsAmt
CY Contributions Grants	$15,769,883	CYContributionsGrantsAmt
PY Program Service Revenue	$892,544,700	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,003,264,721	CYProgramServiceRevenueAmt
PY Investment Income	$15,801,863	PYInvestmentIncomeAmt
CY Investment Income	$50,468,652	CYInvestmentIncomeAmt
PY Other Revenue	$894,306	PYOtherRevenueAmt
CY Other Revenue	$1,138,742	CYOtherRevenueAmt
PY Total Revenue	$967,032,805	PYTotalRevenueAmt
CY Total Revenue	$1,070,641,998	CYTotalRevenueAmt
PY Grants And Similar Paid	$101,737,558	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$97,187,602	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$281,754,808	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$315,113,789	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$21,211	CYTotalFundraisingExpenseAmt
PY Other Expenses	$520,799,712	PYOtherExpensesAmt
CY Other Expenses	$558,098,519	CYOtherExpensesAmt
PY Total Expenses	$904,292,078	PYTotalExpensesAmt
CY Total Expenses	$970,399,910	CYTotalExpensesAmt
PY Revenues Less Expenses	$62,740,727	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$100,242,088	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,625,227,945	TotalAssetsBOYAmt
Total Assets EOY	$1,771,100,748	TotalAssetsEOYAmt
Total Liabilities BOY	$498,753,738	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$473,805,117	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,126,474,207	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,297,295,631	NetAssetsOrFundBalancesEOYAmt
Mission	SAINT LUKE'S HOSPITAL IS A NOT-FOR-PROFIT TERTIARY REFERRAL CENTER COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. WE ARE DEDICATED TO MEDICAL RESEARCH AND EDUCATION. AS A MEMBER OF THE SAINT LUKE'S HEALTH SYSTEM WE ARE COMMITTED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$873,124,807	ExpenseAmt
Grant	$97,187,602	GrantAmt
Revenue	$1,003,264,721	RevenueAmt
Desc	HOSPITAL CARE: ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION, WHICH IS TO ENSURE THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. SAINT LUKE'S HOSPITAL IS A FULL-SERVICE HEALTH CARE FACILITY FEATURING AWARD-WINNING HEART SURGERY, NATIONALLY RECOGNIZED TRANSPLANT PROGRAMS, A STATE-OF-THE-ART WOMEN'S HEALTH CENTER, TRAUMA SERVICES, ADOLESCENT AND FAMILY MENTAL HEALTH TREATMENT SERVICES, AND MORE. 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 HAS OVER 500 ACTIVE PHYSICIANS AND CONTINUES TO ADVANCE TREATMENT OPTIONS THROUGH LANDMARK RESEARCH STUDIES. RESEARCH, EDUCATION, AND TEACHING: IN ADDITION TO THE SUBSTANTIAL AMOUNT OF FREE CARE PROVIDED, SAINT LUKE'S HOSPITAL HAS MADE A MAJOR COMMITMENT TO MEDICAL AND NURSING EDUCATION. THIS INCLUDES THE SIGNIFICANT FUNDING REQUIREMENTS TO MAINTAIN AN ACCREDITED TEACHING AFFILIATION AND PROVIDE FOR THE TRAINING OF RESIDENTS IN VARIOUS MEDICAL SPECIALTIES OR SUB-SPECIALTIES. SAINT LUKE'S HOSPITAL ALSO PROVIDES TRAINING PROGRAMS FOR MEDICAL IMAGING, CHAPLAINS, PATIENT CARE TECHNICIANS AND PHLEBOTOMY. SAINT LUKE'S HOSPITAL IS ALSO ACCREDITED TO OFFER CONTINUING MEDICAL EDUCATION PROGRAMS FOR PRACTICING PHYSICIANS. SAINT LUKE'S HOSPITAL IS CONCERNED ABOUT THE LONG-TERM WELFARE OF THE COMMUNITY AND MAKES AN ADDITIONAL INVESTMENT IN THE FUTURE OF HEALTH CARE THROUGH RESEARCH ACTIVITIES. 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	$873,124,807	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	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	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	Yes (true)	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	Yes (true)	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	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
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	3	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4951	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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	27	GoverningBodyVotingMembersCnt
Independent Voting Member	21	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AMY NACHTIGAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8169322000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4401 WORNALL ROAD	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64111	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID POWELL
BOARD MEMBER-SECRETARY	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
J GRANT BURCHAM
BOARD MEMBER - VICE PRES	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
JANI JOHNSON
CEO & ASSIST SECR & BOD MBR	45.0	5.0	Yes (X)	Yes (X)	$867,767	$0	$181,625
RICHARD OWEN
BOARD MEMBER-TREASURER	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
THE RT REV MARTIN FIELD
BOARD MEMBER-CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
THOMAS WILLARD
BOARD MEMBER-PRESIDENT	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ALISON ARMISTEAD
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
AMY MCANARNY
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
BLAKE HODGES
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
CAMILLE HONESTY MD
BOARD MEMBER	2.0	40.0	Yes (X)		$0	$292,101	$19,584
CARMEN KYNARD
BOARD MEMBER - TERM BEG 2021	2.0	0	Yes (X)		$0	$0	$0
CAROLYN DOWNHAM
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
CHEERAG UPADHYAYA MD
BOARD MEMBER	2.0	40.0	Yes (X)		$0	$971,722	$25,241
CICI ROJAS
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
DAVID HALL
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
ELAINE KOCH
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
JEFF KRUM
BOARD MEMBER-TERM END DURING 2021	2.0	0	Yes (X)		$0	$0	$0
JOHN HELZBERG MD
BOARD MEMBER	2.0	40.0	Yes (X)		$0	$542,236	$40,058
JOHN MATTHEWS
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
KALISTA ENGELMAN
BOARD MEMBER TERM BEG 2021	2.0	0	Yes (X)		$0	$0	$0
LEANNA MOSHER MD
BOARD MEMBER	2.0	20.0	Yes (X)		$0	$364,550	$0
LISA HARDWICK
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
MARC MD LARSEN MD
BOARD MEMBER	2.0	2.0	Yes (X)		$0	$14,860	$157
NIKKI NEWTON
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
RUBEN ALONSO III
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
TERRI CURRAN
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
WAYNE AUER
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
WILLIAM ALIBER
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
AMY NACHTIGAL
CHIEF FINANCIAL OFFICER	45.0	5.0		Yes (X)	$577,708	$0	$103,872
CHARLES V ROBB
ASSISTANT SECRETARY	1.0	51.0		Yes (X)	$0	$1,423,242	$583,647
DEBRA WILSON
VP & CHIEF NURSING OFFICER	50.0	0		Yes (X)	$466,190	$0	$72,981
DONNA KUNZ
VP-HUMAN RESOURCES	40.0	0		Yes (X)	$311,138	$0	$13,547
JAMIE ALLEN
VP & ASSIST SECRETARY	20.0	30.0		Yes (X)	$0	$363,215	$51,360
JANE PECK
CHIEF OPERATING OFFICER	25.0	25.0		Yes (X)	$521,345	$0	$46,476
JANET GORDON
VP-PROVIDER BASED CLINICS	25.0	25.0		Yes (X)	$211,721	$0	$37,476
PETER HOLT MD
VP-MEDICAL AFFAIRS	34.0	0.0		Yes (X)	$297,045	$0	$34,805
JEFF LITTLE
PHARMACY DIRECTOR	40.0	0			$206,912	$0	$28,627	Yes (X)
JOHN SPERTUS MD
PHYSICIAN	40.0	0			$466,822	$0	$23,206	Yes (X)
LISA BURTIN
RN	40.0	0			$225,231	$0	$39,461	Yes (X)
SHAWN MOOREHEAD
CHIEF MEDICAL PHYSICIST	40.0	0			$245,805	$0	$38,077	Yes (X)
TROY SYDZYIK
CHIEF PERFUSIONIST	40.0	0			$222,615	$0	$43,954	Yes (X)
DORIS ROGERS
FMR VP-HUMAN RESOURCES TERM END 4/2020	0.0	50.0			$0	$570,664	$147,293		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,620,298	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,542,589	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,531,449	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	378	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Vizient Inc
290 E John Carpenter Freeway	Irving	TX	75062	Temporary Labor	$19,642,078
UNIVERSITY OF MISSOURI - KANSAS CITY
PO BOX 805111	KANSAS CITY	MO	64180	MEDICAL SERVICES	$11,737,887
George Clinical Inc
10975 Benson Drive	Overland Park	KS	66210	MEDICAL SERVICES	$7,780,091	Building 12 Suite 200
MIDWEST TRANSPLANT NETWORK
1900 W 47TH PLACE STE 400	WESTWOOD	KS	66205	MEDICAL SERVICES	$7,551,598
P1 GROUP
16210 W 108TH ST	LENEXA	KS	66219	FACILITIES MANAGEMENT	$5,906,452

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	70	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$67,857	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$6,881,402	RelatedOrganizationsAmt
Government Grants	$6,851,539	GovernmentGrantsAmt
All Other Contributions	$1,969,085	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$15,769,883	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$891,823,522	$891,823,522
PHARMACY REVENUE	446110	$30,211,345	$30,211,345
REGIONAL LAB SERVICES	621500	$28,120,199	$28,120,199

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$53,109,655	TotalRevenueColumnAmt
Related Or Exempt Func Income	$53,109,655	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,003,264,721	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,188,855	TotalRevenueColumnAmt
Unrelated Business Revenue	-$1,001,674	UnrelatedBusinessRevenueAmt
Exclusion	$10,190,529	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,358	TotalRevenueColumnAmt
Exclusion	$2,358	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,138,742	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,138,742	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,138,742	TotalRevenueColumnAmt
Exclusion	$1,138,742	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$184,976,449	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$143,699,010	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$41,277,439	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$41,277,439	TotalRevenueColumnAmt
Exclusion	$41,277,439	ExclusionAmt

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	$1,070,641,998	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,003,264,721	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$1,001,674	UnrelatedBusinessRevenueAmt
Exclusion	$52,609,068	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	$97,187,602	TotalAmt
Program Services	$97,187,602	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,743,697	TotalAmt
Program Services	$331,851	ProgramServicesAmt
Management And General	$3,411,846	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$29,090	TotalAmt
Management And General	$29,090	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$244,976,294	TotalAmt
Program Services	$234,711,471	ProgramServicesAmt
Management And General	$10,264,823	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,282,795	TotalAmt
Program Services	$11,333,989	ProgramServicesAmt
Management And General	$948,806	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$35,871,164	TotalAmt
Program Services	$34,358,350	ProgramServicesAmt
Management And General	$1,512,707	ManagementAndGeneralAmt
Fundraising	$107	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,210,749	TotalAmt
Program Services	$17,207,360	ProgramServicesAmt
Management And General	$1,003,389	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$115,767	TotalAmt
Management And General	$115,767	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,673,086	TotalAmt
Management And General	$1,673,086	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$111,078,581	TotalAmt
Program Services	$107,811,917	ProgramServicesAmt
Management And General	$3,260,524	ManagementAndGeneralAmt
Fundraising	$6,140	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$189,942	TotalAmt
Program Services	$179,519	ProgramServicesAmt
Management And General	$10,423	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,610,805	TotalAmt
Program Services	$9,838,199	ProgramServicesAmt
Management And General	$2,758,206	ManagementAndGeneralAmt
Fundraising	$14,400	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,362,572	TotalAmt
Program Services	$664,237	ProgramServicesAmt
Management And General	$3,698,335	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,426,526	TotalAmt
Program Services	$18,476,662	ProgramServicesAmt
Management And General	$949,864	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$498,014	TotalAmt
Program Services	$486,470	ProgramServicesAmt
Management And General	$11,544	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$96,962	TotalAmt
Program Services	$90,579	ProgramServicesAmt
Management And General	$6,208	ManagementAndGeneralAmt
Fundraising	$175	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,318,347	TotalAmt
Program Services	$7,816,018	ProgramServicesAmt
Management And General	$502,329	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$39,367,156	TotalAmt
Program Services	$38,536,927	ProgramServicesAmt
Management And General	$829,840	ManagementAndGeneralAmt
Fundraising	$389	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,045,714	TotalAmt
Program Services	$6,265,865	ProgramServicesAmt
Management And General	$779,849	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$225,364,759	$225,354,252	$10,507
Shared Expense	$103,738,661	$38,455,922	$65,282,739
Bad Debt	$21,664,680	$21,664,680

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,546,947	TotalAmt
Program Services	$2,352,937	ProgramServicesAmt
Management And General	$194,010	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$970,399,910	TotalAmt
Program Services	$873,124,807	ProgramServicesAmt
Management And General	$97,253,892	ManagementAndGeneralAmt
Fundraising	$21,211	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$242,587,049	BOYAmt
EOY	$221,112,419	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$21,920,605	BOYAmt
EOY	$19,742,014	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$124,289,341	BOYAmt
EOY	$160,888,273	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,371,799	BOYAmt
EOY	$19,906,733	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,653,930	BOYAmt
EOY	$3,147,430	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,021,888,115	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$593,753,978	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$436,148,494	BOYAmt
EOY	$428,134,137	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$150,188,593	BOYAmt
EOY	$187,273,222	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$382,827,099	BOYAmt
EOY	$461,181,090	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,767,132	BOYAmt
EOY	$25,797,045	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$220,473,903	BOYAmt
EOY	$243,918,385	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,625,227,945	BOYAmt
EOY	$1,771,100,748	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$72,403,609	BOYAmt
EOY	$85,593,909	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$297,269,348	BOYAmt
EOY	$288,310,778	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	$129,080,781	BOYAmt
EOY	$99,900,430	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$498,753,738	BOYAmt
EOY	$473,805,117	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	$930,707,395	BOYAmt
EOY	$1,075,942,706	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$195,766,812	BOYAmt
EOY	$221,352,925	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,126,474,207	BOYAmt
EOY	$1,297,295,631	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,625,227,945	BOYAmt
EOY	$1,771,100,748	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$100,242,088	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$46,190,028	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$24,389,308	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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	$81,403	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$81,403	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	PORTION OF DUES PAID TO HOSPITAL, MEDICAL, & CIVIC ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,590,367	BeginningYearBalanceAmt
Contributions	$1,650,568	ContributionsAmt
Investment Earnings Or Losses	$1,474,883	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,029,359	OtherExpendituresAmt
End Year Balance	$17,686,459	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,395,729	BeginningYearBalanceAmt
Contributions	$1,562,468	ContributionsAmt
Investment Earnings Or Losses	$1,204,119	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,571,949	OtherExpendituresAmt
End Year Balance	$15,590,367	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,264,423	BeginningYearBalanceAmt
Contributions	$1,453,909	ContributionsAmt
Investment Earnings Or Losses	$1,645,154	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,967,757	OtherExpendituresAmt
End Year Balance	$14,395,729	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,082,395	BeginningYearBalanceAmt
Contributions	$1,562,774	ContributionsAmt
Investment Earnings Or Losses	-$646,969	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,733,777	OtherExpendituresAmt
End Year Balance	$13,264,423	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,881,613	BeginningYearBalanceAmt
Contributions	$1,444,060	ContributionsAmt
Investment Earnings Or Losses	$1,715,325	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,958,603	OtherExpendituresAmt
End Year Balance	$14,082,395	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.7061	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.2939	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$306,933	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$13,543,987	OtherCostOrOtherBasisAmt
Book Value	$13,850,920	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$595,468,714	OtherCostOrOtherBasisAmt
Depreciation	$270,889,036	DepreciationAmt
Book Value	$324,579,678	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,341,141	OtherCostOrOtherBasisAmt
Depreciation	$7,797,696	DepreciationAmt
Book Value	$6,543,445	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$381,430,734	OtherCostOrOtherBasisAmt
Depreciation	$306,121,618	DepreciationAmt
Book Value	$75,309,116	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,796,606	OtherCostOrOtherBasisAmt
Depreciation	$8,945,628	DepreciationAmt
Book Value	$7,850,978	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$428,134,137	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (48 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Financial Square Trust Government Fund	$3,970,125	F
Silchester International Value Equity Trust	$39,528,808	F
Catalyst Fund Limited Partnership V	$1,198,914	F
SSGA Russell 1000 Index	$140,673,622	F
SSGA 1-3 Year US Credit Index Non Lending CTF	$43,055,647	F
Castlelake V Limited Partnership	$2,317,249	F
Columbia Capital Equity Partners VII	$924,512	F
Contrarian Distressed Real Estate Debt Fund IV LP	$1,462,765	F
Equus Investment Partnership XI Limited Partnership	$1,695,979	F
GSO Energy Select Opportunities Fund II Limited Partnership	$457,321	F
L Catterton Growth IV Limited Partnership	$2,127,758	F
Magnitude International Class A Eligible	$40,206,867	F
Tailwater Energy Fund III Limited Partnership	$1,788,993	F
Tailwater Energy Fund IV LP	$1,618,494	F
Acl Alternative Fund	$27,185,102	F
Accel-Kkr Gwth Capital Partners III	$1,819,236	F
Ae Industrial Partners Fund II-A	$2,097,508	F
Ae Industrial Partners Fund	$1,300,096	F
Castlelake IV - Limited Partnership	$3,127,278	F
Crown Global Secondaries III PLC	$1,423,799	F
Dover Street VIII Cayman Fund LP	$715,484	F
Pantheon USA Fund VII LP	$1,059,723	F
Park Street Capital Natural Resource	$1,935,528	F
Siguler Guff Bric Opportunities Fund III LP	$2,221,021	F
Siguler Gulf Distressed Opportunities Fund IV	$1,052,257	F
1607 Capital International Equity Fund	$49,618,602	F
Cash - Agency Accounts	$3,938,553	F
Accrued Interest	$199,219	F
Lsv Emerging Markets Equity Fund Limited Partnership	$30,392,741	F
Trinity Street Commingled EAFE Equity Fund LP	$21,721,158	F
Aether Real Assets I LP	$496,895	F
Aether Real Assets III LP	$1,526,250	F
Brightstar Capital Partners Fund II Limited Partnership	$826,249	F
Centana Growth Partners II LP	$374,636	F
Related Re Fund III Jersey Feeder	$791,076	F
Sageview III B LP	$961,742	F
Siguler Guff Distressed Opportunities Fund III	$188,568	F
Ares Corporate Opp Fund VI LP	$902,410	F
Stepstone Vc Secondaries Fund I Limited Partnership	$5,211,783	F
Stepstone Vc Secondaries Fund II Limited Partnership	$3,481,046	F
Stepstone Vc Secondaries Fund III Limited Partnership	$6,552,520	F
Stepstone Vc Secondaries Fund IV Limited Partnership	$3,742,615	F
Stepstone Vc Secondaries Fund V Limited Partnership	$845,578	F
Accel-Kkr Capital Partners VI LP	$459,660	F
Ae Ind Partners Ext Value Fund LP	$919,479	F
Concord Innovation Fund II LP	$1,166,630	F
Gryphon Partners VI-A LP	$1,099,512	F
Omega Fund VII LP	$800,082	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$461,181,090	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN AFFILIATES	$17,005,035
RECEIVABLE FROM AFFILIATES	$13,753,915
OTHER ASSETS	$2,697,922
BENEFICIAL INTEREST IN ASSETS OF FOUNDATION	$205,378,713
RIGHT OF USE ASSET	$5,082,800

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$243,918,385	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCELERATED PAYMENTS	$63,091,979
OTHER NONCURRENT LIABILITIES	$1,028,757
PAYABLE TO AFFILIATES	$20,677,652
ESTIM 3RD PARTY PAYOR SETTLEMENTS	$10,019,242
RIGHT OF USE LEASE OBLIGATION	$5,082,800
OTHER CURRENT LIABILITIES

Field	Value	IRS element (for citing)
Total Liability	$99,900,430	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part XI PARTS XI, XII AND XIII	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM.
Schedule D, Part V, Line 4 Intended uses of endowment funds	SAINT LUKE'S HOSPITAL'S ENDOWMENT FUNDS ARE PRIMARILY INTENDED TO COVER HOSPITAL EXPENSES FOR PATIENTS WHO ARE UNINSURED/UNDERINSURED AND CANNOT AFFORD TREATMENT, GENERAL OPERATIONS OF THE HOSPITAL AND CAPITAL EXPENDITURES FOR EQUIPMENT.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	North America (Canada & Mexico only)	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$1,800,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$1,800,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$1,800,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual	ExplanationTxt

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	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,282,945	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,282,945	NetCommunityBenefitExpnsAmt
Total Expense	0.0208	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$161,480,271	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$106,374,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,105,927	NetCommunityBenefitExpnsAmt
Total Expense	0.0564	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	$181,763,216	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$106,374,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,388,872	NetCommunityBenefitExpnsAmt
Total Expense	0.0772	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,785,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$870,978	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$914,793	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,534,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,760,777	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,773,249	NetCommunityBenefitExpnsAmt
Total Expense	0.0151	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,358,703	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,358,703	NetCommunityBenefitExpnsAmt
Total Expense	0.0034	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,162,791	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,808,146	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$354,645	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$257,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,287	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$253,425	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$33,099,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,444,188	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,654,815	NetCommunityBenefitExpnsAmt
Total Expense	0.0201	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$214,862,219	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$119,818,532	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,043,687	NetCommunityBenefitExpnsAmt
Total Expense	0.0973	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,821	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,821	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,138	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,138	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
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	$20,959	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,959	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$22,029,897	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$203,914,531	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$234,918,087	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$31,003,556	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
KANSAS CITY ORTHOPAEDIC INSTITUTE LLC
ORTHOPAEDIC SERVICES	0.51	0.4091
SAINT LUKES GI DIAGNOSTICS LLC
GASTROENTEROLOGY SERVICES	0.51	0.49

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
ST LUKES HOSPITAL OF KANSAS CITY
1	4401 WORNALL ROAD	KANSAS CITY	MO	64111	WWW.SAINTLUKESKC.ORG	87-57	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
KANSAS CITY ORTHOPAEDIC INSTITUTE LLC
2	3651 COLLEGE BLVD	LEAWOOD	KS	66211	WWW.KCOI.COM		Yes (X)	Yes (X)				ORTHOPAEDIC SPECIALTY SERVICES

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Income Level CriteriaIncomeLevelCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other CriteriaOtherCriteriaInd	Other Actions TakenOtherActionsTakenInd	No Emergency CareNoEmergencyCareInd
ST LUKES HOSPITAL OF KANSAS CITY
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	20	Yes (true)	false	false	Yes (true)	Yes (X)	www.saintlukeskc.org/community-health-needs-assessments-implementation-plans	Yes (X)	Yes (true)	21	Yes (true)	www.saintlukeskc.org/community-health-needs-assessments-implementation-plans	false	Yes (true)	Yes (X)	200.0	300.0	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE	Yes (X)	WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE	Yes (X)	WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
KANSAS CITY ORTHOPAEDIC INSTITUTE LLC
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	false	false	Yes (true)	Yes (X)	www.saintlukeskc.org/community-health-needs-assessments-implementation-plans	Yes (X)	Yes (true)	19	Yes (true)	www.saintlukeskc.org/community-health-needs-assessments-implementation-plans	false	Yes (true)	Yes (X)	133.0	133.0	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.saintlukeskc.org/financial-assistance	Yes (X)	www.saintlukeskc.org/financial-assistance	Yes (X)	www.saintlukeskc.org/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	Yes (X)	false	false	Yes (X)	WWW.KCOI.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST LUKE'S HOSPITAL OF KANSAS CITY. Primary data were gathered through key stakeholder interviews and online meetings. Six community meetings were conducted: one in each county and one focused on the Kansas City region. Another meeting was held with Saint Luke's Hospital of Kansas City ("SLH")staff members. Interviews were conducted by phone and meetings were conducted by online video conferences. Twenty-six (26) interviews were conducted with 28 stakeholders participating to learn about community health issues in the SLH community. Participants included individuals representing public health departments, social service organizations, community health centers, and similar organizations. Questions focused first on identifying and discussing health issues in the community before theCOVID-19 pandemic began. Interviews then focused on the pandemic's impacts and on what has been learned about the community's health given those impacts. Stakeholders also were asked to describe the types of initiatives, programs, and investments that should be implemented to address the community's health issues and to be better prepared for future risks. Eighty-five (85) stakeholders participated in the six community meetings. These individuals represented organizations such as local health departments, non-profit organizations, local businesses, health care providers, local policymakers, and school systems. Seventy-nine (79) Saint Luke's Health System staff participated in the internal meetings. Individuals from administration, nursing, case management, social services, emergency departments, and other similar departments participated. Each meeting began with a presentation that discussed the goals and status of the CHNA process and the purpose of the community meetings. Then, secondary data were presented, along with a summary of the most unfavorable community health indicators. Meeting participants then were asked to discuss whether the identified, unfavorable indicators accurately identified the most significant community health issues and were encouraged to add issues that they believed were significant. After discussing the needs identified through secondary data and adding others to the list, participants in each meeting were asked through an online survey process to identify "three to five" they consider to be most significant.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST LUKE'S HOSPITAL OF KANSAS CITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED FIVE PRIORITY HEALTH NEEDS: ACCESS TO CARE To address this need, SLH will implement the following initiatives: 1. Support SLHS initiatives to expand access for Medicaid recipients to Convenient Care Clinics. 2. Support SLHS initiatives to extend the Financial Assistance Policy to Convenient Care Clinics. 3. Support SLHS strategy to expand availability of Telehealth services across the Kansas City region. 4. Continue providing Telehealth services to victims of domestic violence at the Safehome Shelter. 5. Support SLHS advocacy efforts to assure successful implementation of Medicaid expansion in Missouri in advance of July 1, 2021. 6. Support SLHS advocacy efforts to expand Medicaid eligibility in Kansas. 7. Evaluate opportunity to provide community education regarding Medicaid enrollment. 8. Help community residents enroll in Medicaid during hospital episodes of care (use Humanarc). 9. Continue providing case management for high-utilizer and vulnerable patients with referrals to health care and social services. 10. Continue providing education and training for the community and for health care through Advanced Comprehensive Stroke community education, Fifth grade stroke education program, advanced stroke life support and other community based health education & support groups. 11. Continue the hospital's Medication Assistance Access Program for patients who are underinsured and/or uninsured. 12. Continue providing taxicab and Uber/Lyft vouchers for low-income patients who need transportation post-discharge. 13. Continue providing Graduate Medical Education (GME) and Allied Health Professions training programs which contribute to the supply of health professionals across the region. 14. Continue operating the SLH Internal Medicine Clinic as a health professions training site that enhances access to care for Medicaid, Medicare, and other patients. 15. Continue active efforts to recruit mental health professionals, including psychiatrists and social workers. 16. Continue offering Care Connection Team services that connect under-resourced patients to social and medical services post-discharge. 17. Continue participation in SLHS (and Saint Luke's Physician Group) initiatives to recruit providers that represent under-represented racial and ethnic cohorts. 18. Continue collaborations with Kansas City-area Federally Qualified Health Centers, including the Care Coordination collaboration between SLHS and KC Care Health Center that places a 0.5 FTE Community Health Worker in the Emergency Department. COVID-19 PANDEMIC To address this need, SLH will implement the following initiatives: 1. Work with the Missouri Hospital Association and the Kansas Hospital Association on COVID-19 vaccination distribution plans. 2. Continue operating COVID-19 testing at SLH and expanding testing at community sites. 3. Continue conducting post-discharge follow-up with COVID-19 patients (care coordinator contacts SLPG patients; non-SLPG patients are contacted by a care coordinator or social worker on days 1, 3, 7, and 10). 4. Participate in Mid-America Regional Council (MARC) COVID-19 initiatives. 5. Continue developing and utilizing the "COVID-19 Care-Companion Platform." 6. Continue providing COVID-19 information on the Saint Luke's Community Resource Hub. MATERNAL AND CHILD HEALTH To address this need, SLH will undertake the following program initiatives: 1. Continue operating the SLH OBGYN Clinic as a health professions training site that enhances access to care for Medicaid, Medicare, and other patients 2. Continue supporting members of the SLH Medical Staff as they participate in regional, state-wide, and national quality-related and community health improvement activities. 3. Continue providing Missouri Show-Me 5 evidence-based maternity care practices shown to support breastfeeding initiation and duration; seek formal designation (certification) for the program in 2021. 4. Continue implementing a Centering Pregnancy Program (a care model that provides pregnancy and birth education in a group setting) once group meetings (suspended due to the pandemic) can be resumed. 5. Continue providing maternal and child health patients with access to Social Workers and with referrals to wrap-around services (mental health, nutrition, other). 6. Develop a collaborative strategy for enhancing access to prenatal care for Black and other mothers and for addressing above average teen pregnancy rates. 7. Expand Crittenton's partnership with Sesame Street in Communities to include SLH mothers and babies. 8. Continue involving Rose Brooks Center social worker(s) in maternal and child health community health programs. MENTAL AND BEHAVIORAL HEALTH To address this need, SLH will implement the following initiatives: 1. Continue operating a variety of Crittenton on-site clinical programs (subsidized health services) including inpatient hospitalization, residential treatment, adolescent substance use, and outpatient clinic. 2. Continue providing Crittenton In-Home services. 3. Seek additional funding via state contracts and grants to expand intensive in-home therapeutic and case management services for children and families experiencing mental/behavioral health and other trauma-related concerns. 4. Implement a virtual (and eventually in-person) intensive outpatient program for children and families struggling with anxiety and depression. 5. Expand the nationally-recognized Crittenton Trauma Smart program which is designed to help children heal from complex or repetitive trauma. 6. Evaluate the ability to offer virtual suicide risk assessments to schools within the Greater Kansas City Region. 7. Continue providing Foster Care case management and Adoption programs. 8. Continue working with the Saint Luke's College of Nursing/Rockhurst to develop classes to train and certify Behavioral Health Technicians (BHTs). 9. Provide Crisis Intervention Training for law enforcement on how to work with children with mental illness and trauma. 10. Continue to utilize Sesame Street in Communities materials and resources to help children and families understand racism, trauma, homelessness, foster care, and other topics that impact health and wellness, social-emotional skills, and school readiness. 11. Evaluate the opportunity to expand behavioral health services for SLHS employees and their families. 12. Provide trauma-informed mental health training and support to law enforcement through Crisis Intervention Team and other initiatives. 13. Continue operating the SLH Behavioral Assessment Center, which operates 24/7 for any patient experiencing a behavioral health crisis including patients who present in the Emergency Department. 14. Continue providing Social Workers in the SLH Emergency Department, so patients can be referred for placement or other needed services. 15. SLH's social workers will continue assisting Medical Education Internal Medicine (Primary Care) and OB/GYN clinics and Emergency Room Department patients who require additional mental health support and social determinants of health support. 16. Continue collaborating with the Kansas City Assessment and Triage Center to provide community mental health, drug, alcohol, and medical detoxification services. 17. Seek funding to provide trauma-informed education to middle and high schools in Center School District. POVERTY AND SOCIAL DETERMINANTS OF HEALTH To address this need, SLH will implement the following initiatives: 1. Participate in SLHS Anchor Institution strategies to be included in the SLHS Destination 2025 Strategic Plan. 2. Implement a base wage of $15 per hour for SLHS employees. 3. Expand programs to interest (and begin to train) high-school aged students in the health professions. 4. Expand the Bluford Leadership Program, an internship opportunity for minority students with college and university health care degrees. 5. Continue offering the Saint Luke's Community Resource Hub to expand patient, employee, and community awareness of available health and social services. 6. Continue screening all patients for social determinants of health issues. 7. Identify a strategy to address food insecurity. 8. Continue providing post-discharge transportation and housing for homeless patients over the age of 18 and in need of services through the Bodhi Housing Program. SLH does not intend to address two of the eight significant community health needs identified through its 2020 CHNA, Needs of Growing Senior Population and Unhealthy Behaviors. SLH already offers a wide array of acute and continuing care services for this growing senior population and anticipates continuing to meet its health care needs. For Unhealthy Behaviors, the committee charged with developing this implementation strategy identified six other needs as higher priorities for the 2021-2023 SLH implementation strategy.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. A wide range of primary and secondary data was used to identify the top three health priorities in KCOI's community. Priorities were identified based on recurrent themes from interviews conducted with key contributors, alignment with national and local priorities and the ability of KCOI to address the health need. Hospital leaders and community stakeholders were engaged to better understand the needs of the community. Secondary quantitative data was analyzed from multiple community and hospital sources to better understand the impact of each of the identified needs. Secondary data was collected through multiple community resources. The most current data available was compiled and analyzed for key population health indicators. Secondary Data Sources: * Centers for Disease Control and Prevention * City Data * County Health Rankings * Healthy Kansans 2020 * Healthy People 2020 * Johnson County Government Data * Kansas Department of Health and Environment * Kansas Health Matters * Medicare's Hospital Compare * National Institute of Mental Health * Truven Health Analytics * U.S. Census Bureau
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC. Kansas City Orthopaedic Institute (KCOI) and Saint Luke's Health System (SLHS) leadership reviewed the significant needs identified via interviews, input received from community representatives and local and national data and considered how KCOI can address each. In addition, KCOI and SLHS leadership determined which of the top priority health issues to pursue in a more strategic and targeted approach over the next three years. The following represent the three resulting prioritized needs. Priority 1: Behavioral Health Care KCOI is committed to providing services to support behavioral health in Johnson County. KCOI will provide the following services in addressing behavioral health as a priority need: - KCOI physicians can help identify those patients who show signs of broken bones caused by domestic violence or abuse. Staff members at KCOI follow a robust policy put into place to ensure any patient indicating a need for advocacy, protection or shelter will be referred to the appropriate resources. - KCOI will continue to provide education on this topic to staff members. KCOI will continue to refer patients to SAFEHOME should the need be assessed. SAFEHOME is a local organization dedicated to providing shelter, advocacy, counseling and education to domestic violence victims within the community. Priority 2: Improve Access to Care KCOI will work to expand access to comprehensive, quality health care services for low-income individuals. KCOI will implement the following strategies in addressing access to care as a priority need: - KCOI has in place Charity Care and Financial Assistance protocols and will make those processes readily available for those who qualify in order to increase access - KCOI will advocate on key health policy issues at the state and national level, including Medicaid reform, access to care, and health care financing for the low-income population. - Aid a number of Wy/Jo Care cases per year that KCOI supports through provision of care and services. - Continue to provide access to care through the urgent care clinic with extended appointment hours. - KCOI will host the local chapter of the National Association for Orthopaedic Nurses' medical Education program for mid-level clinicians that provide access to care for allpatients. Priority 3: Increase Access to Physical Activity and Nutrition KCOI will work to improve the access to physical activity and healthy nutrition in Johnson County. kCOI will provide the following services dedicated to nutrition and physical activity: - Continue strategies for optimizing patients for surgery such as incorporating nutrition and physical activity themes in preoperative education to patients. - Provide resources and education for primary service area regarding physical activity. THERE ARE NO NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. THE HOSPITAL PROVIDES ELECTIVE SERVICES. FINANCIAL ASSISTANCE ELIGIBILITY IS BASED ON THE FEDERAL POVERTY GUIDELINE AND OTHER FINANCIAL RESOURCES. IN ALL CASES, THE PATIENT'S AND RESPONSIBLE PARTY'S OVERALL FINANCIAL POSITION AND HOUSEHOLD SIZE AND INCOME ARE CONSIDERED WHEN DETERMINING FINANCIAL ASSISTANCE. FPL% GUIDELINES ARE APPLIED AS FOLLOWS: HOSPITAL SERVICES - UNSCHEDULED PATIENTS: 133% OR LESS FPL, 100% CHARITY 0% PATIENT RESPONSIBILITY HOSPITAL SERVICES - SCHEDULED PATIENTS: 133% OR LESS FPL, 75% CHARITY 25% PATIENT RESPONSIBILITY
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. THE HOSPITAL PROVIDES ELECTIVE SERVICES. FINANCIAL ASSISTANCE ELIGIBILITY IS BASED ON THE FEDERAL POVERTY GUIDELINE AND OTHER FINANCIAL RESOURCES. IN ALL CASES, THE PATIENT'S AND RESPONSIBLE PARTY'S OVERALL FINANCIAL POSITION AND HOUSEHOLD SIZE AND INCOME ARE CONSIDERED WHEN DETERMINING FINANCIAL ASSISTANCE. FPL% GUIDELINES ARE APPLIED AS FOLLOWS: HOSPITAL SERVICES - UNSCHEDULED PATIENTS: 133% OR LESS FPL, 100% CHARITY 0% PATIENT RESPONSIBILITY HOSPITAL SERVICES - SCHEDULED PATIENTS: 133% OR LESS FPL, 75% CHARITY 25% PATIENT RESPONSIBILITY.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. THERE WAS NO EXTRAORDINARY COLLECTION ACTIVITY IN 2021.

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 AE FOR THE TRANSPLANT SERVICES.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	21664680
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES ARE CALCULATED USING THE APPOPRIATE COST TO CHARGE RATIO FORM THE HOSPITAL'S COST REPORT.
Schedule H, Part II Community Building Activities	THE ORGANIZATION WORKS WITH SEVERAL COMMUNITY ORGANIZATIONS THAT ARE DEDICATED TO THE IMPROVEMENT OF LIFE IN THE COMMUNITY. THIS INCLUDES SUPPORT OF STAFF/WORKFORCE DEVELOPMENT IN THE COMMUNITY AND PARTICIPATING IN COALITIONS TO IMPROVE COMMUNITY HEALTH, EDUCATION AND PATIENT SUPPORT.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	PATIENT RELATED BAD DEBT IS REPORTED CONSISTENT WITH THE FINANCIAL STATEMENTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: 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 receiving inpatient acute care services. The System 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 the time of discharge. For outpatient 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 these outpatient services, recognition of the obligation over time yields the same result as recognizing the obligation at a point in time. Management believes this method provides a faithful depiction of the transfer of services over the term of performance obligations based on the inputs needed to satisfy the obligations. As the System's performance obligations relate to contracts with a duration of less than one year, the System has applied the optional exemption provided in the guidance 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 are primarily related 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 System 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 revenue and major payor classes and types of services provided for outpatient revenue. Based on the historical collection trends and other analyzes, the System believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach were used. The System determines the transaction price, which involves significant estimates and judgment, based on standard charges for goods and services provided, reduced by explicit and implicit price concessions, including contractual adjustments provided to third-party payors, discounts provided to uninsured and underinsured patients in accordance with policy and/or implicit price concessions based on the historical collection experience of patient accounts. The System determines the transaction price associated with services provided to patients who have third-party payor coverage based on reimbursement terms per contractual agreements, discount policies and historical experience. For uninsured patients who do not qualify for charity care, the System 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 System's criteria for charity care are provided care without charge; 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 8 Community benefit & methodology for determining medicare costs	MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN WHAT IT COSTS TO PROVIDE THE CARE AND SERVICES. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THE COST OF PROVIDING THE CARE MAY EXCEED THE FUNDS WE RECEIVE FROM MEDICARE FOR THE SERVICE. OUR SHORTFALL IS CONSIDERED TO BE COMMUNITY BENEFIT. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. ADDITIONALLY, IT IS IMPLIED IN INTERNAL REVENUE SERVICE REVENUE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS, INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE ACCOUNT IS ADJUSTED ACCORDINGLY. ANY REMAINING BALANCE WOULD BE COLLECTED UNDER THE DEBT COLLECTION POLICY. OUR COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. 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	- ST LUKES HOSPITAL OF KANSAS CITY: Line 16a URL: WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16a URL: www.saintlukeskc.org/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ST LUKES HOSPITAL OF KANSAS CITY: Line 16b URL: WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16b URL: www.saintlukeskc.org/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ST LUKES HOSPITAL OF KANSAS CITY: Line 16c URL: WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16c URL: www.saintlukeskc.org/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	AN EFFORT TO UNDERSTAND AND CREATE A HEALTHIER COMMUNITY REQUIRES COLLABORATION AND INPUT FROM MANY COMMUNITY STAKEHOLDERS. THROUGH DATA RESEARCH AND KEY CONVERSATIONS IN THE KANSAS CITY COMMUNITY, THIS CHNA PULLS TOGETHER COMMUNITY FINDINGS AND ADDRESSES TOP HEALTH PRIORITIES TO HELP IMPROVE COMMUNITY HEALTH OVER THE NEXT THREE YEARS. SAINT LUKE'S HOSPITAL ALSO ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, AND ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL OBTAINS HIDI MARKET DATA AND OTHER OUTPATIENT MARKET DATA THROUGH ITS ANNUAL ENVIRONMENTAL ASSESSMENT PROCESS. WITH THIS DATA, THE HOSPITAL IDENTIFIES SERVICES RECEIVED BY THE RESIDENTS OF OUR COMMUNITY (DEFINED BY OUR PRIMARY AND SECONDARY SERVICE AREAS). ANY PREDOMINANT SERVICES NOT CURRENTLY OFFERED BY THE HOSPITAL ARE CONSIDERED DURING STRATEGIC PLANNING. ANOTHER ELEMENT OF THE COMMUNITY NEEDS ASSESSMENT INVOLVES ANNUALLY UPDATING SAINT LUKE'S HOSPITAL'S MEDICAL STAFF DEVELOPMENT PLAN. AS A TERTIARY AND QUATERNARY HEALTHCARE PROVIDER, IT IS CRITICAL THAT THE HOSPITAL ENSURES IT HAS APPROPRIATE MEDICAL STAFF LEVELS IN A VARIETY OF MEDICAL SPECIALTIES AND SUBSPECIALTIES TO SERVE THE PATIENTS IN OUR COMMUNITY. THE HOSPITAL PARTNERS WITH ITS MEDICAL STAFF IN THIS ENDEAVOR. ANOTHER ASPECT OF THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT IS AN ANALYSIS OF WORKFORCE PLANNING TO ENSURE ADEQUATE CLINICAL AND OTHER PROFESSIONAL STAFF TO PROVIDE NEEDED HEALTHCARE SERVICES THROUGHOUT THE COMMUNITY. THE HOSPITAL AND RELATED HEALTH SYSTEM ARE ACTIVELY ENGAGED IN A VARIETY OF FORMAL HEALTH PROFESSIONALS EDUCATION PROGRAMS. For this community health assessment, Saint Luke's Hospital of Kansas City collaborated with the following Saint Luke's hospitals: Saint Luke's South Hospital, Saint uke's East Hospital, and Saint Luke's North Hospital. These facilities collaborated through gathering and assessing secondary data together, conducting community meetings and key stakeholder interviews, relying on shared methodologies, report formats, and staff to manage the CHNA process.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	SAINT LUKE'S HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE, PATIENT BILLING AND COLLECTION. IN ADDITION TO THESE POLICIES, SAINT LUKE'S HOSPITAL PROVIDES EDUCATION ON FINANCIAL ASSISTANCE ELIGIBILITY TO PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES THROUGH MANY SOURCES INCLUDING THE SLHS WEB SITE, INFORMATION ON BILLING STATEMENTS, INFORMATION UPON CHECK-IN LOCATED IN THE ADMITTING PATIENT PACKETS, ON OUR B-131 RELEASE TO TREAT FORMS SIGNED BY ALL PATIENTS REQUESTING SERVICES, VISITS WITH INPATIENTS BY SOCIAL WORKER TEAMS, AND FOLLOW-UP CALLS TO PATIENTS AFTER DISCHARGE. FINANCIAL ASSISTANCE APPLICATIONS OR MEDICAID APPLICATIONS ARE REQUESTED ON ALL UNINSURED INPATIENTS PRIOR TO DISCHARGE. SAINT LUKE'S 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	SAINT LUKE'S HOSPITAL IS LOCATED IN THE URBAN CORE OF KANSAS CITY, MISSOURI. IT IS A MAJOR TEACHING AND RESEARCH FACILITY, AND PROVIDES TERTIARY AND QUATERNARY LEVEL PATIENT CARE SERVICES TO THE METROPOLITAN KANSAS CITY AREA, AND SERVES AS A MAJOR REFERRAL HOSPITAL FOR THE SURROUNDING COUNTIES. FOR purposes of THE CHNA, The community was defined by considering the geographic origins of the hospital's discharges and Emergency room visits in calendar year 2019. On that basis, SLH's community was defined as a five-county area that includes Jackson County, Missouri; Johnson County, Kansas; Clay County, Missouri; Platte County, Missouri; and Wyandotte County, Kansas. The community accounted for 72 percent of the hospital's 2019 inpatient volumes and 90 percent of its emergency room visits.
Schedule H, Part VI, Line 5 Promotion of community health	THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS AND IN GENERAL STEWARDSHIP. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE HOSPITAL UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY. SEE HOW THE HOSPITAL IS ADDRESSING THE ACCESS TO CARE NEED IN SCH H, PART V, LINE 11 DETAIL.
Schedule H, Part VI, Line 6 Affiliated health care system	SAINT LUKE'S HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 16 AREA HOSPITAL FACILITIES AND MULTIPLE 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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SAINT LUKES PHYSICIAN GROUP
901 E 104th Street	Kansas City	MO	64131	431598353	501c3	$97,083,560	SUPPORT FOR HEALTH CARE NEEDS
Rockhurst University
1100 Rockhurst Rd	Kansas City	MO	64110	440545813	501c3	$40,000	Community Support
City of Kansas City Missouri
511 E 11th Street	Kansas City	MO	64106		GOVT	$58,979	Community Support

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	GRANTS ARE PROVIDED FOR THE GENERAL OPERATION OF QUALIFIED CHARITIES AND COMMUNITY PROGRAMS AND ARE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE CHARITABLE ORGANIZATION. SUCH GRANTS FURTHER OR SUPPORT A CHARITABLE PURPOSE OF SAINT LUKE'S HOSPITAL OF KANSAS CITY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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 (19 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
JANI JOHNSON
CEO & ASSIST SECR & BOD MBR	$619,954	$0	$185,039	$0	$62,774	$0	$152,317	$0	$29,308	$0	$1,049,392	$0	$42,700	$0
CAMILLE HONESTY MD
BOARD MEMBER	$0	$266,114	$0	$24,606	$0	$1,381	$0	$18,850	$0	$734	$0	$311,685	$0	$0
JOHN HELZBERG MD
BOARD MEMBER	$0	$533,768	$0	$2,000	$0	$6,468	$0	$14,500	$0	$25,558	$0	$582,294	$0	$0
CHEERAG UPADHYAYA MD
BOARD MEMBER	$0	$970,522	$0	$0	$0	$1,200	$0	$13,050	$0	$12,191	$0	$996,963	$0	$0
LEANNA MOSHER MD
BOARD MEMBER	$0	$364,550	$0	$0	$0	$0	$0	$0	$0	$0	$0	$364,550	$0	$0
DORIS ROGERS
FMR VP-HUMAN RESOURCES TERM END 4/2020	$0	$402,238	$0	$134,525	$0	$33,901	$0	$118,764	$0	$28,529	$0	$717,957	$0	$18,775
DONNA KUNZ
VP-HUMAN RESOURCES	$240,000	$0	$42,950	$0	$28,188	$0	$11,600	$0	$1,947	$0	$324,685	$0	$0	$0
CHARLES V ROBB
ASSISTANT SECRETARY	$0	$671,852	$0	$311,608	$0	$439,783	$0	$558,589	$0	$25,058	$0	$2,006,889	$0	$198,847
DEBRA WILSON
VP & CHIEF NURSING OFFICER	$329,766	$0	$99,809	$0	$36,615	$0	$50,065	$0	$22,917	$0	$539,171	$0	$23,642	$0
AMY NACHTIGAL
CHIEF FINANCIAL OFFICER	$404,856	$0	$118,175	$0	$54,677	$0	$70,703	$0	$33,169	$0	$681,580	$0	$45,500	$0
JAMIE ALLEN
VP & ASSIST SECRETARY	$0	$295,930	$0	$64,939	$0	$2,346	$0	$36,100	$0	$15,261	$0	$414,575	$0	$0
PETER HOLT MD
VP-MEDICAL AFFAIRS	$293,073	$0	$1,000	$0	$2,972	$0	$13,050	$0	$21,755	$0	$331,851	$0	$0	$0
JANE PECK
CHIEF OPERATING OFFICER	$380,000	$0	$102,914	$0	$38,431	$0	$43,450	$0	$3,026	$0	$567,821	$0	$0	$0
JANET GORDON
VP-PROVIDER BASED CLINICS	$185,398	$0	$24,342	$0	$1,981	$0	$8,810	$0	$28,666	$0	$249,197	$0	$0	$0
TROY SYDZYIK
CHIEF PERFUSIONIST	$219,128	$0	$2,000	$0	$1,487	$0	$15,108	$0	$28,846	$0	$266,569	$0	$0	$0
JOHN SPERTUS MD
PHYSICIAN	$404,244	$0	$2,000	$0	$60,577	$0	$18,850	$0	$4,356	$0	$490,028	$0	$0	$0
LISA BURTIN
RN	$207,891	$0	$1,000	$0	$16,340	$0	$13,980	$0	$25,481	$0	$264,692	$0	$0	$0
JEFF LITTLE
PHARMACY DIRECTOR	$204,654	$0	$2,000	$0	$259	$0	$9,643	$0	$18,984	$0	$235,539	$0	$0	$0
SHAWN MOOREHEAD
CHIEF MEDICAL PHYSICIST	$243,586	$0	$2,000	$0	$219	$0	$11,421	$0	$26,655	$0	$283,881	$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 AND OFFICERS. 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 PHILOSPHY 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.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	457(F) PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: CHARLES ROBB: $452,179 FOR THE VARIOUS 457(F) PLANS, A PARTICIPANT'S BENEFIT IS PAID AT VESTING. VESTING GENERALLY OCCURS AT RETIREMENT AGE AND MAY BE SUBJECT TO CERTAIN RESTRICTIVE COVENANTS.
Schedule J, Part I, Line 7 Non-fixed payments	THE ORGANIZATION HAS ADOPTED A MANAGEMENT INCENTIVE COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR AND MIDDLE MANAGEMENT TO PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES. THE INCENTIVES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY CONTINGENT ON ACHIEVING QUALITY, PATIENT SATISFACTION, EMPLOYEE ENGAGEMENT, FINANCIAL AND OTHER OPERATIONAL PERFORMANCE TARGETS ESTABLISHED BY THE BOARD'S COMPENSATION COMMITTEE ON AN ANNUAL BASIS. INCENTIVE AWARDS ARE PAID AT THE DISCRETION 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 PART II	CHARLES ROBB, DORIS ROGERS, JOHN HELZBERG, CHEERAG UPADHYAYA, CAMILLE HONESTY, MARC LARSEN, AND LEANNA MOSHER 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 JAMIE ALLEN IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SYDNEY WILSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF DEBRA WILSON, OFFICER	RelationshipDescriptionTxt
Transaction	$29,091	TransactionAmt
Transaction	SYDNEY WILSON IS EMPLOYED BY ST LUKES HOSPITAL OF KANSAS CITY	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096	ST LUKES HOSPITAL OF KANSAS CITY (SLH) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLH 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 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 AND OFFICERS. 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 PHILOSPHY 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.
Form 990, Part VI, Line 16b JOINT VENTURES	THE ORGANIZATION PARTICIPATES IN JOINT VENTURES ESTABLISHED SEVERAL YEARS AGO. THE ORGANIZATION'S PROCEDURES INCLUDE OVERSIGHT AND REVIEW OF ANY JOINT VENTURES TO ENSURE EXEMPT STATUS IS PROTECTED. THE ORGANIZATION HAS MAJORITY CONTROL AND OPERATING AGREEMENT REQUIREMENTS FOR THE VENTURE TO OPERATE IN A MANNER CONSISTENT WITH THE ORGANIZATION'S EXEMPT MISSION AND FOR THE VENTURE TO NOT ENGAGE IN POLITICAL CANDIDATE CAMPAIGN ACTIVITY OR OTHER ACTIVITIES THAT WOULD JEOPARDIZE THE ORGANIZATION'S EXEMPTION.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	CHARLES ROBB, CAMILLE HONESTY, CHEERAG UPADHYAYA, AND JOHN HELZBERG HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF AFFILIATED TAX-EXEMPT ORGANIZATIONS. - Business relationship, AMY MCANARNEY AND DAVE HALL ARE OFFICERS AND/OR A DIRECTOR OF THE SAME ENTITY. - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, APPOINTMENT & REMOVAL OF DIRECTORS AND THE CEO, DEBT, BUDGETS, CAPITAL EXPENDITURES, POLICIES APPLICABLE TO THE ORGANIZATION, AND STRATEGIC OPERATING DECISIONS. AS PART OF AN INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER ALSO PROVIDES VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO THE ORGANIZATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND THE ENTITY'S CFO OR CEO BEFORE FILING. A SUMMARY OF KEY 990 INFORMATION WAS PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND THE 990 DRAFT WAS MADE AVAILABLE TO THE COMMITTEE FOR REVIEW. THE 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	SAINT LUKE'S HEALTH SYSTEM AND ITS AFFILIATES, INCLUDING THE FILING ORGANIZATION, HAVE COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICIES 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. THE SYSTEM VICE PRESIDENT OF INTERNAL AUDIT REVIEWS COMPLETED QUESTIONNAIRES AND FURTHER INVESTIGATES POSSIBLE CONFLICTS OF INTEREST. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND ANY IDENTIFIED CONFLICT OF INTEREST IS REPORTED TO THE APPLICABLE ENTITY.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE THROUGH THE SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE AVAILABLE THROUGH EMMA AND ARE ATTACHED TO THIS RETURN. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
PART VII, AVERAGE HOURS AND COMPENSATION	DIRECTORS ARE NOT COMPENSATED FOR SERVING AS A DIRECTOR OR BOARD OFFICER. CHARLES ROBB, DORIS ROGERS, JOHN HELZBERG, CHEERAG UPADHYAYA, CAMILLE HONESTY, MARC LARSEN, AND LEANNA MOSHER 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 JAMIE ALLEN IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. AVERAGE HOURS REPORTED FOR A 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: 53109655, Related or Exempt Function Revenue: 53109655, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Clinical Purchased Services - Total Expense: 42167295, Program Service Expense: 42167295, Management and General Expenses: , Fundraising Expenses: ; Clinical Repairs and Maintenance - Total Expense: 882694, Program Service Expense: 874732, Management and General Expenses: 7812, Fundraising Expenses: 150; Clinical Service Contracts - Total Expense: 4872008, Program Service Expense: 4872008, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 895465, Program Service Expense: 722509, Management and General Expenses: 172956, Fundraising Expenses: ; Organ Acquisition - Total Expense: 12378439, Program Service Expense: 12378439, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 6758074, Program Service Expense: 3881297, Management and General Expenses: 2870787, Fundraising Expenses: 5990; Physician Remuneration - Total Expense: 12754899, Program Service Expense: 12545930, Management and General Expenses: 208969, Fundraising Expenses: ; Research Services - Total Expense: 349550, Program Service Expense: 349550, Management and General Expenses: , Fundraising Expenses: ; Temporary Help - Total Expense: 13324489, Program Service Expense: 13324489, Management and General Expenses: , Fundraising Expenses: ; Foster Care Services - Total Expense: 5217999, Program Service Expense: 5217999, Management and General Expenses: , Fundraising Expenses: ; HSKC Services - Total Expense: 11477669, Program Service Expense: 11477669, 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 X, Line 20 TAX-EXEMPT BOND LIABILITIES	THE AMOUNT REPORTED AS TAX-EXEMPT BONDS IS THE PORTION OF SAINT LUKE'S HEALTH SYSTEM BONDS ALLOCATED TO ST LUKES HOSPITAL OF KANSAS CITY. REQUIRED INFORMATION FOR THE BONDS, INCLUDING SCHEDULE K, IS REPORTED IN THE SAINT LUKE'S HEALTH SYSTEM (EIN: 43-1747502) IRS FORM 990.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PENSION SETTLEMENT/LIABILITY TRANSFER - 284897; TRANSFER FROM RESTRICTED ACCTS NOT RECORDED IN OPERATING ACCTS - -4491; CHANGE IN THE BENEFICIAL INTEREST IN ASSETS OF FOUNDATION - 23490022; RRG SSA Dividend - -952; Rounding - 1; TRANSFER OF INVESTMENTS FROM SAINT LUKES CUSHING HOSPITAL INC - 619831;
Schedule F, Part IV FOREIGN FORMS	ALL APPLICABLE FOREIGN FORMS HAVE BEEN ATTACHED TO THE ORGANIZATION'S FORM 990-T FOR 2021.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CRITTENTON LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10918 ELM AVENUE	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64134	ZIPCd

Field	Value	IRS element (for citing)
EIN	833310535	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKES HOSPITAL OF KANSAS CITY	BusinessNameLine1Txt

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
SAINT LUKES NORTH HOSPITAL
5830 NW BARRY ROAD	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
SAINT LUKES 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 HEALTH SYSTEM HOME CARE AND HOSPICE
901 E 104TH STREET	KANSAS CITY	MO	64131	431127200	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	THE BISHOP SPENCER PLACE
Saint Luke's Foundation
901 E 104th Street	Kansas City	MO	64131	446014699	FOUNDATION	MO	501(c)(3)	7		false	SAINT LUKES HEALTH SYSTEM
Saint Luke's Hospital of Allen County Inc
3066 N Kentucky St	IOLA	KS	66749	843362602	HEALTH CARE	KS	501(c)(3)	3		false	SAINT LUKES HEALTH SYSTEM
CARDIOMETABOLIC CENTER ALLIANCE INC
4435 MAIN ST	KANSAS CITY	MO	64111	850768692	MEDICAL RESEARCH	MO	501(c)(3)	4		false	SAINT LUKES HEALTH SYSTEM
SAINT LUKE'S COLLEGE OF HEALTH SCIENCES (DISSOLVED JAN 2021)
4401 WORNALL ROAD	WORNALL ROAD	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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MEDICAL PLAZA PARTNERS LP
4320 WORNALL ROAD STE 714	KANSAS CITY	MO	64111	431357824	OWN & OPERATE MEDICAL OFFICE BUILDING	MO	ST LUKES HOSPITAL OF KANSAS CITY	Related	$992,120	$9,894,417	false	false	0.3444
ST LUKES SURGICENTER-LEES SUMMIT LLC
11221 ROE AVE STE 230	OVERLAND PARK	KS	66211	470853481	HEALTH CARE	MO	NA	N/A
SAINT LUKES SOUTH SURGERY CENTER LLC
11221 ROE AVE STE 230	OVERLAND PARK	KS	66211	201721929	HEALTH CARE	KS	NA	N/A
SAINT LUKES-GI DIAGNOSTICS
4321 WASHINGTON STE 5700	KANSAS CITY	MO	64111	274142549	HEALTH CARE	MO	ST LUKES HOSPITAL OF KANSAS CITY	Related	$650,568	$584,917	false	false	0.51
KANSAS CITY ORTHOPAEDIC INSTITUTE LLC
3651 COLLEGE BLVD	LEAWOOD	KS	66211	481197295	HEALTH CARE	KS	ST LUKES HOSPITAL OF KANSAS CITY	Related	$12,084,309	$39,568,101	false	false	0.51
SAINT LUKES RADIATION THERAPY-LIBERTY LLC
901 E 104TH ST	KANSAS CITY	MO	64131	473793070	HEALTH CARE	MO	ST LUKES HOSPITAL OF KANSAS CITY	Related	$267,901	$3,950,576	false	false	0.51
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	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Address Line2USAddress/AddressLine2Txt	Share Of Total IncomeShareOfTotalIncomeAmt
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	ST LUKES HOSPITAL OF KANSAS CITY	C Corporation	Yes (true)	$3,518,294	1
MEDICAL PLAZA MANAGEMENT INC
4320 WORNALL ROAD STE 714	KANSAS CITY	MO	64111	431352317	MEDICAL OFFICE BUILDING MANAGEMENT	MO	ST LUKES HEALTH VENTURES	C Corporation	Yes (true)	-$1,310,593	1
SAINT LUKES HEALTH SYSTEM INSURANCE LTD
					CAPTIVE		NA	C Corporation	false			CJ
HEART SURGEONS OF KANSAS CITY
4320 WORNALL ROAD	KANSAS CITY	MO	64111	264663332	MEDICAL PRACTICE	MO	SAINT LUKES HOSPITAL OF KANSAS CITY	C Corporation	Yes (true)	$2,052,634	1		STE 50	$14,858

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	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	Yes (true)	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	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL PLAZA PARTNERS
K	$3,426,516	COST
MEDICAL PLAZA PARTNERS
O	$125,572	COST
SAINT LUKES RADIATION THERAPY - LIBERTY LLC
Q	$1,618,963	COST
SAINT LUKES RADIATION THERAPY-LIBERTY LLC
S	$1,187,280	COST
MEDICAL PLAZA PARTNERS
Q	$568,230	COST
MEDICAL PLAZA PARTNERS
S	$554,142	COST
Saint Luke's - GI Diagnostics LLC
S	$561,000	Cost
KANSAS CITY ORTHPAEDIC INSTITUTE LLC
S	$13,489,500	COST
HEART SURGEONS OF KANSAS CITY
Q	$626,049	COST
MEDICAL PLAZA PARTNERS
R	$65,432	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part V, Line 1 PART V, LINE 1	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