2015-11-16T15:20:10-06:00 2014-12-31 990 2014-01-01 440545297 ST LUKES HOSPITAL OF KANSAS CITY STLU 8169322000 4401 WORNALL ROAD KANSAS CITY MO 64111 AMY NACHTIGAL CFO 8169322000 2015-11-16 2014 2016-04-25 22:37:26Z JULIE QUIRIN 4401 WORNALL ROAD KANSAS CITY MO 64111 787889694 0 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1882 MO TERTIARY CARE TEACHING HOSPITAL 28 22 4275 692 165400 0 17364549 23321852 604290972 638494489 18431803 13118486 7848539 7969532 647935863 682904359 33832251 63305929 0 0 277719216 293978406 0 0 0 324741508 348528433 636292975 705812768 11642888 -22908409 1195825366 1187588626 386726868 389203013 809098498 798385613 X 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. 0 0 634759146 63305929 646024985 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 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 ALSO CONCERNED ABOUT THE LONG-TERM WELFARE OF THE COMMUNITY AND MAKES AN ADDITIONAL INVESTMENT IN THE FUTURE OF HEALTH CARE THROUGH RESEARCH ACTIVITIES. 634759146 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 X 2 0 1 4275 1 1 1 0 0 0 0 0 0 0 0 0 X 28 22 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 0 X THE ORGANIZATION 8169322000 4401 WORNALL ROAD KANSAS CITY MO 64111 X THOMAS W WAGSTAFF BOARD MEMBER - PRESIDENT 2.00 X X 0 0 0 DAVID W GIBSON BOARD MEMBER - VICE PRESID 2.00 X X 0 0 0 JOHN R PHILLIPS BOARD MEMBER - SECRETARY 2.00 X X 0 0 0 MARSHALL H DEAN JR BOARD MEMBER - TREASURER 2.00 X X 0 0 0 WILLIAM J ALIBER BOARD MEMBER 2.00 X 0 0 0 GREGORY M BENTZ BOARD MEMBER 2.00 X 0 0 0 MARK BERNHARDT MD BOARD MEMBER 2.00 X 0 0 0 JOHN HELZBERG MD BOARD MBR/EMPLOYED PHYSICI 40.00 X 547904 0 35775 CHARLES D HORNER BOARD MEMBER 2.00 X 0 0 0 DANIEL P BOLEN BOARD MEMBER - TERM END 5/2014 2.00 X 0 0 0 J GRANT BURCHAM BOARD MEMBER 2.00 X 0 0 0 DAVID T HUNT BOARD MEMBER 2.00 X 0 0 0 ROBERT N SAWYER BOARD MEMBER 2.00 X 0 0 0 RICHARD G NORDEN BOARD MEMBER 2.00 X 0 0 0 RICHARD F OWEN BOARD MEMBER 2.00 X 0 0 0 BRUCE PENDLETON BOARD MEMBER 2.00 X 0 0 0 ALISON SCHOLES MD BOARD MEMBER & PHYSICIAN 10.00 X 66565 0 1331 DAVID POWELL BOARD MEMBER 2.00 X 0 0 0 STANLEY SHAFFER MD BOARD MEMBER 2.00 X 0 0 0 THOMAS L WAGSTAFF BOARD MEMBER 2.00 X 0 0 0 MINA STEEN BOARD MEMBER 2.00 X 0 0 0 H GUYON TOWNSEND III BOARD MEMBER 2.00 X 0 0 0 THOMAS R WILLARD BOARD MEMBER 2.00 X 0 0 0 DEBORAH WILLIAMS BOARD MEMBER 2.00 X 0 0 0 JEFFREY A WATERS MD BOARD MEMBER 2.00 X 0 0 0 MICHAEL L WEAVER MD BOARD MEMBER 2.00 X 0 93462 14656 RT REV MARTIN FIELD BOARD MEMBER - CHAIR 2.00 X X 0 0 0 TERRY WALL BOARD MEMBER - TERM END 12/2014 2.00 X 0 0 0 STARR WAGSTAFF BOARD MEMBER 2.00 X 0 0 0 JULIE QUIRIN CEO & ASSIST SECR 50.00 X 712230 0 136944 DEBBIE WILSON VP & CHIEF NURSING OFFICER 50.00 X 332992 0 63404 CHARLES ROBB ASSIST SECRETARY 1.00 50.00 X 0 932663 246296 DORIS ROGERS VP-HUMAN RESOURCES 50.00 X 211999 0 57167 JOHN YEAST MD VP-MED ED & RESEARCH 50.00 X 457106 0 37094 AMY NACHTIGAL CFO 50.00 X 371920 0 54502 BRADLEY SIMMONS CHIEF OPER OFFCR 50.00 X 421794 0 61872 MELINDA ESTES ASSIST SECRETARY 1.00 50.00 X 0 1621971 236083 PETER HOLT MD VP-MEDICAL AFFAIRS 50.00 X 220881 0 3352 SCOTT RAVIS MD PHYSICIAN 40.00 X 800229 0 12376 STEPHEN GRIFFITH MD PHYSICIAN 40.00 X 788567 0 34400 DARREN LOVICK MD PHYSICIAN 40.00 X 930816 0 33973 BRIAN MILLIGAN MD PHYSICIAN 40.00 X 799959 0 36295 BRADLEY HISER MD PHYSICIAN 40.00 X 768985 0 19945 KEVIN THORPE FORMER SR VP 0.00 X 211969 0 24069 7643916 2648096 1109534 335 1 1 0 JE DUNN CONSTRUCTION COMPANY PO BOX 801150 KANSAS CITY MO 64180 CONSTRUCTION & CONSTR MANAGEMENT 10331362 UNIVERSITY OF MISSOURI - KANSAS CITY PO BOX 805111 KANSAS CITY MO 64180 MEDICAL RESIDENT SERVICES 8854386 HEART SURGEONS OF KANSAS CITY 4320 WORNALL ROAD STE 50 KANSAS CITY MO 64111 MEDICAL SERVICES 4971070 P1 GROUP 16210 W 108TH ST LENEXA KS 66219 FACILITIES MANAGEMENT 4489260 INTUITIVE SURGICAL 1020 KIFER ROAD SUNNYVALE CA 94086 MEDICAL SERVICES 4053303 81 10636607 1381871 11303374 23321852 NET PATIENT REVENUE 622110 603934451 603934451 REGIONAL LAB SERVICES 621500 13732348 13732348 PHARMACY REVENUE 446110 3553729 3553729 PHYSICIAN SERVICES 621110 3219994 3219994 EHR/MEANINGFUL USE 622110 3013448 3013448 11040519 11040519 638494489 5602551 -561806 6164357 345 345 439036 0 439036 439036 439036 112500925 104985335 7515590 7515590 727206 6788384 EQUITY IN KCOI 622110 5843125 5843125 EQUITY IN AFFILIATES 900099 1687371 1687371 7530496 682904359 646024985 165400 13392122 63305929 63305929 3794831 875808 2919023 243488365 233661862 9826503 8871185 8326796 544389 25717511 23679829 2037682 12106514 11396011 710503 122415 122415 150276 150276 807782 807782 52579261 49658007 2921254 20795 19512 1283 10124269 7897259 2227010 2999200 392625 2606575 17622409 16540902 1081507 252155 222976 29179 759171 733566 25605 12430867 11825656 605211 35806260 34662940 1143320 8206600 7503669 702931 OTHER MEDICAL SUPPLIES 116535626 116485082 50544 SHARED SERVICES 70490451 28113088 42377363 BAD DEBT 14968416 14968416 OTHER EXPENSES 2515878 2458503 57375 2136602 2030710 105892 705812768 634759146 71053622 0 X 31342573 44387396 3068119 3068223 87367215 95527544 930808 930808 13978685 11978311 6056725 5823209 818775530 351015345 474731756 467760185 127707861 132404200 252104556 257931847 28902968 3736151 8418151 9005979 161215949 155034773 1195825366 1187588626 49811131 59873220 302923911 297279144 33991826 32050649 386726868 389203013 X 649938369 635940766 123334119 126536851 35826010 35907996 809098498 798385613 1195825366 1187588626 X -22908409 12835036 -639512 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 20355 0 0 0 20355 0 PART II-B, LINE 1: LINE F-PORTION OF DUES PAID TO HOSPITAL, MEDICAL, & CIVIC ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 11821445 279480 644676 599492 12146109 10758171 343890 1650991 931607 11821445 10636673 226226 1193355 1298083 10758171 13861202 184270 258844 3667643 10636673 12913296 446175 1409156 907425 13861202 0.77900 0.22100 1 0 395175 6089798 6484973 496157988 133689224 362468764 8783526 6749952 2033574 291180302 204083927 87096375 16168741 6492242 9676499 467760185 SELECTINVEST MULTISTRATEGY LTD 413138 F FINANCIAL SQUARE TRUST PRIME-COMMERCE BANK 3599046 F PATHEON USA FUND VII LP 6311864 F CASH-AGENCY ACCOUNTS 413531 F SSGA RUSSELL 1000 INDEX 76302143 F SIGULER GUFF DISTRESSED OPPORTUNITIES 4388000 F 1607 CAPITAL EQUITY FUND 25741928 F AETHER REAL ASSETS 3100943 F CASH-MONEY MARKET 22058692 F SSGA 1-3 YEAR US CREDIT INDEX 46865382 F SIGULER GUFF BRIC OPPORTUNITIES FUND 4620557 F SIGULER GUFF DISTRESSED OPPORTUNITIES FUND IV 4766717 F MAGNITUDE INTERNATIONAL CLASS A SERIES 08/11 11115824 F PRISMA SPECTRUM FUND LTD 10300176 F PARK STREET CAPITAL NATURAL RESOURCE 2818950 F CROWN GLOBAL SECONDARIES 1603518 F DOVER STREET VIII CAYMAN FUND LP 2328802 F GREENSPRING SECONDARIES FUND I 2014480 F ACL ALTERNATIVE FUND 14896389 F NEUBERGER BERMAN DYNAMIC REAL RETURN PORTFOLIO OFFSHORE LMT 14271767 F 257931847 INVESTMENT IN AFFILIATES -1399033 RECEIVABLES FROM AFFILIATES 2561926 INVESTMENT IN HOSPITAL LINEN SERVICE 485000 OTHER ASSETS 3088144 BENEFICIAL INTEREST IN ASSETS OF FOUNDATION 150298736 155034773 RESERVE FOR SELF INSURED RISKS 8394000 OTHER CURRENT LIABILITIES 2360324 OTHER NONCURRENT LIABILITIES 6584267 PAYABLES TO AFFILIATES 2883877 ESTIM 3RD PARTY PAYOR SETTLEMENTS 11828181 32050649 PART V, LINE 4: 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. THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENTS THE ORGANIZATION'S BENEFICIAL INTEREST IN NET ASSETS OF SAINT LUKE'S FOUNDATION. SUCH ASSETS ARE REPORTED IN PART X, LINE 15. SCHEDULE D, PARTS XI, XII AND XIII PART XI, XII, AND XIII - THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. 1 1 X 1 X 133.000000000000 1 X 1 1 0 0 12079770 1054451 11025319 0.01550 90707406 75989369 14718037 0.02060 102787176 77043820 25743356 0.03610 933051 95000 838051 0.00120 15520642 6006180 9514462 0.01330 554022 160834 393188 0.00060 4955121 4475064 480057 0.00070 39610099 1460 39608639 0.05560 61572935 10738538 50834397 0.07140 164360111 87782358 76577753 0.10750 0 15243866 181125313 216338816 -35213503 X 1 1 1 KANSAS CITY ORTHOPAEDIC INSTITUTE LLC ORTHOPAEDIC SERVICES 0.40000 0.42740 2 HEALTH OUTCOMES SCIENCES CLINICAL DECISION SUPPORT 0.01090 0.50050 3 SAINT LUKE'S - GI DIAGNOSTICS LLC GASTROENTEROLOGY SERVICES 0.51000 0.49000 2 1 ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 87-57 X X X X X 2 KANSAS CITY ORTHOPAEDIC INSTITUTELLC 3651 COLLEGE BLVD LEAWOOD KS 66211 X X ORTHOPAEDIC SPECIALTY SERVICES ST LUKE'S HOSPITAL OF KANSAS CITY 1 0 0 1 X X X X X X X X X 13 1 0 0 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1 13 1 WWW.SAINTLUKESHEALTHSYSTEM.ORG 0 0 1 X 133.000000000000 300.000000000000 X X 1 1 X X 1 X X X X X X X X 1 X 0 X X X X 1 X 0 0 KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 2 0 0 1 X X X X X X X X 13 1 1 0 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG 1 13 1 WWW.SAINTLUKESHEALTHSYSTEM.ORG 0 0 1 X X X X 0 1 X X X X 1 X X X X 1 X X 1 X X X X X 0 X X 0 0 ST LUKE'S HOSPITAL OF KANSAS CITY PART V, SECTION B, LINE 5: THE FOLLOWING ORGANIZATIONS WERE INTERVIEWED IN ORDER TO IDENTIFY COMPREHENSIVE LOCAL COMMUNITY HEALTH NEEDS:DIVISION OF ENVIRONMENTAL HEALTH SERVICES, KANSAS CITY MO HEALTH DEPT.JOHNSON COUNTY KS HEALTH DEPARTMENTSWOPE HEALTH SERVICESKANSAS CITY FREE HEALTH CLINICKANSAS CITY PUBLIC SCHOOLSARTISTS HELPING THE HOMELESSCABOT WESTSIDE HEALTH CENTERTHE INTERVIEWED COMMUNITY EXPERTS ARE FROM PUBLIC HEALTH AGENCIES AND HEALTH CARE-RELATED NOT-FOR-PROFIT ORGANIZATIONS WHOSE SERVICE SCOPES EXTEND THROUGHOUT THE REPORTING HOSPITAL'S COMMUNITY. KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC PART V, SECTION B, LINE 5: RECOGNIZING KCOI'S STRATEGIC ALLIANCE WITH SAINT LUKE'S HEALTH SYSTEM, KCOI ALSO CONSIDERED DATA AND INFORMATION PROVIDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED BY SAINT LUKE'S SOUTH HOSPITAL, A SAINT LUKE'S HEALTH SYSTEM FACILITY THAT SHARES A SIMILAR MARKET AREA WITH KCOI. THESE SOURCES TAKE INTO ACCOUNT INPUT FROM PERSONS AND ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY KCOI SERVES. KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC PART V, SECTION B, LINE 6A: SAINT LUKE'S SOUTH HOSPITAL INC ST LUKE'S HOSPITAL OF KANSAS CITY PART V, SECTION B, LINE 11: THE FOLLOWING NEEDS WERE DETERMINED TO BE FOCUSED PRIORITIES. FOCUSED PRIORITIES ARE PART OF IN-SCOPE COMMUNITY HEALTH NEEDS, WHICH SAINT LUKE'S HOSPITAL OF KANSAS CITY IS TAKING OR PLANS TO TAKE AN ACTIVE LEADERSHIP ROLE IN ADDRESSING OVER THE NEXT THREE YEARS.1. HEALTH CARE ACCESS. SAINT LUKE'S HEALTH SYSTEM WILL CONTINUE TO 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. SLH WILL CONTINUE TO OFFER THE MEDICATION ASSISTANCE PROGRAM. SLH WILL CONTINUE TO HOST CLINIC-BASED AND COMMUNITY BASED WELLNESS EDUCATION FOR PATIENTS AND SLH'S COMMUNITY AT LARGE.2. CARDIOVASCULAR DISEASE AND DIABETES. SLH WILL CONTINUE TO PREVENT, TREAT, AND MANAGE CARDIOVASCULAR DISEASE AND DIABETES WITH BOTH HOSPITAL-BASED AND COMMUNITY-BASED PROGRAMS OPERATED BY SAINT LUKE'S MID-AMERICA HEART INSTITUTE AND SAINT LUKE'S MARION BLOCH NEUROSCIENCE INSTITUTE.3. MATERNAL AND NEWBORN HEALTH NEED. SLH WILL CONTINUE TO HOST THE RESOURCES ADDRESSING MATERNAL AND NEWBORN HEALTH NEEDS BY BEING THE ONLY MILK BANK IN THE KANSAS CITY AREA, SPONSOR OF MOTHER AND CHILD HEALTH COALITION AND CONTINUE CURRENT WOMEN'S AND CHILDREN'S SERVICES.4. WOMEN'S HEALTH NEED. SLH WILL CONTINUE TO HOST THE RESOURCES ADDRESSING WOMEN'S HEALTH NEEDS: 1) SLH ELLEN HOCKADAY CENTER FOR WOMEN'S CARE; 2)SLH MURIEL I. KAUFFMAN WOMEN'S HEART CENTER; 3)SLH BREAST CANCER SERVICES.5. CANCERS. SLH WILL CONTINUE TO HOST THE RESOURCES ADDRESSING CANCER NEEDS INCLUDING SAINT LUKE'S CANCER INSTITUTE (SLCI), SLCI BREAST CANCER SERVICES, AND SAINT LUKE'S SAINT LUKE FS MARION BLOCH NEUROSCIENCE INSTITUTE (SLMBNI).6. HOMELESSNESS. SLH WILL CONTINUE TO PARTNER WITH THE HOMELESS-SERVICE ORGANIZATIONS IN ENSURING HOMELESS INDIVIDUALS' LONG-TERM RECOVERY AND REINTEGRATION INTO THE COMMUNITY.7. NURSE SHORTAGE. IN ORDER TO MAINTAIN AN ADEQUATE LONG-TERM NURSE WORKFORCE FOR SLH'S COMMUNITY, SAINT LUKE'S HOSPITAL OF KANSAS CITY (SLH) AND SAINT LUKE'S COLLEGE OF HEALTH SCIENCES (SLCHS) WILL CONTINUE TO FOLLOW THE TWO RECOMMENDATIONS PROPOSED BY THE INSTITUTE OF MEDICINE IN RELATION TO NURSING SHORTAGES: (1) TRAIN MORE RNS AND APRNS, AND (2) ALLOW RNS AND APRNS TO PRACTICE TO THEIR FULL SCOPE OF EDUCATION AND TRAINING.8. PRIMARY CARE PHYSICIAN SHORTAGE. AS A TEACHING HOSPITAL, SLH WILL CONTINUE TO COMMIT THE RESOURCES IN AN EFFORT TO REDUCE THE PRIMARY CARE PHYSICIAN SHORTAGE INCLUDING PRE-MEDICINE TRAINING, M.D. PROGRAM, RESIDENCY AND FELLOWSHIP, NURSING SUPPORT, PHYSICIAN ASSISTANT (PA) TRAINING.9. HOSPITAL INFECTION CONTROL. IN ADDITION TO FOLLOWING STANDARD HOSPITAL HYGIENE PRACTICES, SLH HAS BEEN VIGOROUSLY OBSERVING JOINT COMMISSION CORE MEASURES OF PNEUMOCOCCAL VACCINATION AND ANTIBIOTIC ADMINISTRATION.THREE OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA WERE NOT DETERMINED TO BE PRIORITY NEEDS. THESE NEEDS WERE DEEMED OUT-OF-SCOPE, MEANING THAT THEY FALL OUTSIDE SLH'S AND SLH AFFILIATES' AND ITS COMMUNITY COLLABORATIONS' SERVICE SCOPES.OUT-OF-SCOPE NEEDS:1. INPATIENT MENTAL AND BEHAVIORAL HEALTH NEEDSAINT LUKE'S HOSPITAL OF KANSAS CITY DOES NOT HAVE ITS OWN INPATIENT PSYCHIATRIC UNITS AND THEREFORE ONLY OFFERS OUTPATIENT MENTAL AND BEHAVIORAL HEALTH SERVICES WHILE REFERRING INPATIENT PSYCHIATRIC SERVICES TO OTHER HOSPITALS IN AND OUTSIDE SAINT LUKE'S HEALTH SYSTEM (SLHS).2. GENERAL CHILDREN'S HEALTH NEEDIN SLH'S COMMUNITY, CHILDREN'S MERCY HOSPITALS AND CLINICS (KANSAS CITY) HAS FAR MORE COMPREHENSIVE PEDIATRIC SERVICES THAN ANY OTHER LOCAL HEALTH CARE PROVIDERS (THE LARGEST PEDIATRIC SERVICE MARKET SHARE). SLH IS ONLY EQUIPPED TO ADDRESS MATERNAL AND NEWBORN HEALTH NEED AND SOME OUTPATIENT PEDIATRIC CARE NICHE AREAS. MOST PEDIATRIC PATIENTS (OUTPATIENT AND INPATIENT) ARE THEREFORE REFERRED TO CHILDREN'S MERCY HOSPITALS AND CLINICS. FURTHERMORE, LOCAL PUBLIC SCHOOL DISTRICTS HAVE CONTROL OVER IN-SCHOOL MEDICAL STAFF, FACILITIES, AND SUPPLIES. SLH CAN ONLY SERVE IN SUPPORTING ROLES.3. STREET VIOLENCEAS A HOSPITAL, SLH IS ONLY EQUIPPED TO ADDRESS VIOLENCE ISSUES WHILE VICTIMS ARE STILL IN THE CLINICAL SETTINGS (E.G., PATIENTS SUFFERING FROM DOMESTIC VIOLENCE). GOVERNMENT LAW ENFORCEMENT AGENCIES AND COMMUNITY-LED PROGRAMS CAN MORE EFFECTIVELY MANAGE AND PREVENT STREET VIOLENCE THROUGHOUT THE COMMUNITY. KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC PART V, SECTION B, LINE 11: THE FOLLOWING SECTION OUTLINES HOW KCOI PLANS TO ADDRESS PRIORITY NEEDS.1. NUTRITION AND PHYSICAL ACTIVITYKCOI WILL WORK TO PROMOTE HEALTH AND REDUCE THE PREVALENCE OF OVERWEIGHT AND OBESE INDIVIDUALS THROUGH THE CONSUMPTION OF HEALTHY DIETS AND INCREASED PHYSICAL ACTIVITY, RESULTING IN ACHIEVEMENT AND MAINTENANCE OF HEALTHY BODY WEIGHT. KCOI WILL IMPLEMENT THE FOLLOWING STRATEGIES IN ADDRESSING NUTRITION AND PHYSICAL ACTIVITY AS A PRIORITY NEED:. CONTINUE TO PROVIDE RESOURCES AND EDUCATION FOR THE PRIMARY SERVICE AREA REGARDING PHYSICAL ACTIVITY. THIS INCLUDES CONTINUATION OF THE SPORTS INJURY PREVENTION CLINICS. THESE CLINICS ARE FREE TO THE PUBLIC TO HELP PREVENT INJURIES SUSTAINED WHILE ENGAGING IN PHYSICAL ACTIVITY; RUNNING IN PARTICULAR.. CONTINUE STRATEGIES FOR OPTIMIZING PATIENTS FOR SURGERY SUCH AS INCORPORATING NUTRITION AND PHYSICAL ACTIVITY THEMES IN PREOPERATIVE EDUCATION TO PATIENTS2. ACCESS TO CARE FOR LOW INCOME INDIVIDUALSKCOI 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 FOR LOW INCOME INDIVIDUALS AS A PRIORITY NEED:. AS A MEMBER OF SAINT LUKE FS HEALTH SYSTEM, KCOI WILL CONTINUE TO 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.. CONTINUE TO SUPPORT NUMBER OF WY/JO CARE CASES PER YEAR THAT KCOI SUPPORTS THROUGH PROVISION OF CARE AND SERVICES. WY/JO CARE IS A COMMUNITY PARTNERSHIP TO IMPROVE ACCESS TO SPECIALTY HEALTH CARE FOR LOW INCOME, UNINSURED RESIDENTS OF WYANDOTTE AND JOHNSON COUNTIES. KCOI DONATES SPECIALTY CARE IN A COORDINATED REFERRAL PROGRAM LED BY THE MEDICAL SOCIETY TO ENHANCE THE WORK OF EXISTING SAFETY NET CLINICS AND OTHER COMMUNITY AGENCIES.. CONTINUE TO OFFER INCREASED ACCESS TO CARE WITH EXTENDED APPOINTMENT HOURS.3. MENTAL HEALTH/SUBSTANCE ABUSEKCOI WILL IMPLEMENT THE FOLLOWING STRATEGIES IN ADDRESSING MENTAL HEALTH/SUBSTANCE ABUSE 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 WHICH WAS 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. KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC PART V, SECTION B, LINE 13B: THE HOSPITAL PROVIDES ELECTIVE SERVICES. THE HOSPITAL DETERMINES ELIGIBILITY FOR FINANCIAL ASSISTANCE BY ANALYZING VARIOUS CRITERIA INCLUDING GROSS INCOME, EMPLOYMENT STATUS, FAMILY SIZE, OTHER FINANCIACIAL OBLIGATIONS, AMOUNT AND FREQUENCY OF HOSPITAL BILLS, IMPACT OF CATASTROPHIC HOSPITALIZATION EXPENSES AND ELIGIBILITY IN GOVERNMENTS PROGRAMS. THE HOSPITAL ALSO RE-EVALUATES ELIGIBILITY WHEN CERTAIN CHANGES OCCUR. KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC PART V, SECTION B, LINE 13H: SEE RESPONSE ABOVE TO 13B. ST LUKE'S HOSPITAL OF KANSAS CITY PART V, SECTION B, LINE 16I: THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE, PATIENT BILLING AND COLLECTION. IN ADDITION TO THESE POLICIES,THE HOSPITAL PROVIDES EDUCATION ON FINANCIAL ASSISTANCE ELIGIBILITY TO PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES THROUGH MANY SOURCES INCLUDING THE SLHS 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. THE HOSPITAL ALSO CONTRACTS WITH ELIGIBILITY ENROLLMENT COMPANIES TO SCREEN ALL UNINSURED PATIENTS, ANY PATIENTS IDENTIFIED BY OUR SOCIAL WORKER OR CASE MANAGEMENT TEAMS, AND ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. THE ELIGIBILITY ENROLLMENT SERVICE ALSO PROVIDES PATIENTS WITH INFORMATION ON FINANCIAL ASSISTANCE. ST LUKE'S HOSPITAL OF KANSAS CITY PART V, SECTION B, LINE 20E: SEE RESPONSE TO LINE 16I. KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC PART V, SECTION B, LINE 22D: KCOI PROVIDES ELECTIVE SERVICES. DISCOUNTS FOR FAP ELIGIBLE PATIENTS ARE APPLIED TO CHARGES AND/OR PATIENT'S RESPONSIBLE PORTION AFTER INSURANCE PAYMENTS AND ADJUSTMENTS. THE AMOUNTS ULTIMATELY CHARGED TO PATIENTS IS LESS THAN AMOUNTS BILLED TO PATIENTS WITH COMMERCIAL INSURANCE. PART V, SECTION B, LINE 6 AS PERMITTED BY IRS TRANSITION RULES, BOTH HOSPITAL FACILITIES ADOPTED THEIR IMPLEMENTATION STRATEGY BY MAY 15, 2014 AND THEREFORE ARE DEEMED TO SATISFY THE REQUIREMENT TO ADOPT THE STRATEGY IN THE SAME YEAR THE CHNA WAS COMPLETED AND WIDELY PUBLICIZED, 2013. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY ST LUKE'S HOSPITAL OF KANSAS CITY PART V, SECTION B, LINE 16A WEBSITE: SAINTLUKESHEALTHYSTEM.ORG ST LUKE'S HOSPITAL OF KANSAS CITY PART V, SECTION B, LINE 16B WEBSITE: SAINTLUKESHEALTHSYSTEM.ORG ST LUKE'S HOSPITAL OF KANSAS CITY PART V, SECTION B, LINE 16C WEBSITE: SAINTLUKESHEALTHSYSTEM.ORG 6 SAINT LUKE'S PHYSICIAN SPECIALISTSLLC 4320 WORNALL ROAD KANSAS CITY MO 64111 PHYSICIAN CLINICS SAINT LUKE'S - GI DIAGNOSTICS LLC 4321 WASHINGTON SUITE 5700 KANSAS CITY MO 64111 GI SERVICES INFUSION CENTER 4321 WASHINGTON KANSAS CITY MO 64111 INFUSION CENTER INFUSION CENTER 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 INFUSION CENTER INFUSION CENTER 12300 METCALF OVERLAND PARK KS 66213 INFUSION CENTER CHILDREN'S SPOT 4333 PENNSYLVANIA KANSAS CITY MO 64111 SPECIAL NEEDS CHILDREN THERAPY PART I, LINE 7: COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO FROM THE HOSPITAL'S COST REPORT. THIS RATIO CALCULATION IS PERFORMED SEPARATELY FOR HOSPITAL FACILITY REVENUES AND PHYSICIAN PROFESSIONAL REVENUE. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES $554,022 IN UNREIMBURSED COSTS FOR COMMUNITY SERVICE PHYSICIAN CLINICS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATION THE PERCENTAGE IN THIS COLUMN IS $14,601,202. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (INCLUDING COPAYMENT AND DEDUCTIBLE AMOUNTS FROM PATIENTS), THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE,WHICH INDICATES THAT SOME PATIENTS ARE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS, AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.PATIENT RELATED BAD DEBT IS REPORTED CONSISTENT WITH THE FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN WHAT IT COSTS TO PROVIDE THE CARE AND SERVICES. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THE COST OF PROVIDING THE CARE MAY EXCEED THE FUNDS WE RECEIVE FROM MEDICARE FOR THE SERVICE. OUR SHORTFALL IS CONSIDERED TO BE COMMUNITY BENEFIT. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. ADDITIONALLY, IT IS IMPLIED IN INTERNAL REVENUE SERVICE REVENUE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS, INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD. PART III, LINE 9B: 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. PART VI, LINE 2: THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, 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 AT THIS TIME.ANOTHER ELEMENT OF THE COMMUNITY NEEDS ASSESSMENT INVOLVES ANNUALLY UPDATING ITS 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 IS ACTIVELY ENGAGED IN A VARIETY OF FORMAL EDUCATION ACTIVITIES. PART VI, LINE 3: SEE RESPONSE TO SCHEDULE H, PART V, LINE 16I. PART VI, LINE 4: THE 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 67 COUNTY AREA. MAJOR PATIENT SERVICE LINES INCLUDE CARDIOVASCULAR SERVICES, NEUROSCIENCES, WOMEN'S AND CHILDREN'S SERVICES, AND CANCER CARE SERVICES. APPROXIMATELY 20% OF THE OVERALL PATIENT VOLUME THAT THE HOSPITAL SERVES COMES FROM OUTSIDE THE METROPOLITAN KANSAS CITY AREA. PART VI, LINE 5: 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, IN FUNDRAISING, 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 INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: 1) COMMUNITY SERVICE OUTPATIENT CLINICS THAT PROVIDE SUBSIDIZED CARE TO LOW INCOME PATIENTS; 2) DIABETES EDUCATION PROGRAMS, PARENT EDUCATION, AND PRENATAL EDUCATION; 3) PSYCHIATRIC SERVICES; AND 4) FORMAL RESEARCH ACTIVITIES. PART VI, LINE 6: THE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 10 AREA HOSPITALS AND SEVERAL PRIMARY AND SPECIALTY CARE PRACTICES, AND PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND HOME CARE SERVICES. FOUNDED AS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION, OUR MISSION INCLUDES A COMMITMENT TO THE HIGHEST LEVELS OF EXCELLENCE IN HEALTH CARE AND THE ADVANCEMENT OF MEDICAL RESEARCH AND EDUCATION. THE HEALTH SYSTEM IS AN ALIGNED ORGANIZATION IN WHICH THE PHYSICIANS AND HOSPITALS ASSUME RESPONSIBILITY FOR ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF PEOPLE IN THE METROPOLITAN KANSAS CITY AREA AND THE SURROUNDING REGION. PART 1, ITEM 7 IN SUPPORT OF ONGOING ACCESS TO HEALTH CARE SERVICES IN LEAVENWORTH COUNTY, ST LUKES HOSPITAL OF KANSAS CITY FORGAVE ITS $25,000,000 LOAN TO CUSHING HOSPITAL. ST LUKES HOSPITAL OF KANSAS CITY ALSO TRANFERRED $14,000,000 CASH DURING 2014 IN SUPPORT OF ONGOING OPERATIONS OF THE ORGANIZATION AND EXPANSION OF SERVICES AVAILABLE TO THE LEAVENWORTH COMMUNITY THROUGH CUSHING HOSPITAL AND AFFILIATED PHYSICIAN SERVICES. 1 SLCC INC (501C3 AFFILIATE) 4330 WORNALL ROAD STE 2000 KANSAS CITY MO 64111 271994652 501(C)(3) 14986868 SUPPORT FOR HEALTHCARE NEEDS SAINT LUKE'S MEDICAL GROUP (501C3 AFFILIATE) 901 E 104TH ST KANSAS CITY MO 64131 431598353 501(C)(3) 5208224 SUPPORT FOR HEALTHCARE NEEDS SLNC INC (501C3 AFFILIATE) 4401 WORNALL ROAD KANSAS CITY MO 64111 451470888 501(C)(3) 3308226 SUPPORT FOR HEALTHCARE NEEDS TRUMAN MEDICAL CENTER 2301 HOLMES ST KANSAS CITY MO 64108 440661018 501(C)(3) 675000 SUPPORT FOR HEALTHCARE NEEDS AND COMMUNITY PROGRAMS SAINT LUKES CUSHING HOSPITAL (501C3 AFFILIATE) 711 MARSHALL LEAVENWORTH KS 66048 480543792 501(C)(3) 38854969 SUPPORT FOR HEALTHCARE SERVICES IN LEAVENWORTH COUNTY SAINT LUKES HEALTH SYSTEM (501C3 AFFILIATE) 901 E 104TH ST KANSAS CITY MO 64131 431747502 501(C)(3) 252920 SUPPORT FOR HEALTHCARE NEEDS AND COMMUNITY PROGRAMS 6 0 PART I, LINE 2: GRANTS ARE PROVIDED TO QUALIFIED CHARITIES FOR GENERAL OPERATIONS AND TO BE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE CHARITABLE ORGANIZATION. SUCH GRANTS FURTHER OR SUPPORT A CHARITABLE PURPOSE OF SAINT LUKE'S HOSPITAL OF KANSAS CITY. X 1 1 0 0 0 0 0 1 0 JOHN HELZBERG MD BOARD MBR/EMPLOYED PHYSICI 542501 0 0 0 5403 0 10400 0 25375 0 583679 0 0 0 JULIE QUIRIN CEO & ASSIST SECR 461537 0 96333 0 154360 0 115250 0 21694 0 849174 0 56700 0 DEBBIE WILSON VP & CHIEF NURSING OFFICER 248465 0 42187 0 42340 0 39798 0 23606 0 396396 0 33810 0 CHARLES ROBB ASSIST SECRETARY 0 507904 0 106935 0 317824 0 217740 0 28556 0 1178959 0 97471 DORIS ROGERS VP-HUMAN RESOURCES 177154 0 19843 0 15002 0 32301 0 24866 0 269166 0 12000 0 JOHN YEAST MD VP-MED ED & RESEARCH 378575 0 63875 0 14656 0 13000 0 24094 0 494200 0 0 0 AMY NACHTIGAL CFO 275602 0 45860 0 50458 0 51455 0 3047 0 426422 0 33800 0 BRADLEY SIMMONS CHIEF OPER OFFCR 352439 0 67182 0 2173 0 39115 0 22757 0 483666 0 0 0 MELINDA ESTES ASSIST SECRETARY 0 1261068 0 315965 0 44938 0 210400 0 25683 0 1858054 0 0 PETER HOLT MD VP-MEDICAL AFFAIRS 210254 0 0 0 10627 0 2803 0 549 0 224233 0 0 0 SCOTT RAVIS MD PHYSICIAN 798273 0 0 0 1956 0 8156 0 4220 0 812605 0 0 0 STEPHEN GRIFFITH MD PHYSICIAN 787144 0 0 0 1423 0 10400 0 24000 0 822967 0 0 0 DARREN LOVICK MD PHYSICIAN 928916 0 0 0 1900 0 10400 0 23573 0 964789 0 0 0 BRIAN MILLIGAN MD PHYSICIAN 798353 0 0 0 1606 0 10400 0 25895 0 836254 0 0 0 BRADLEY HISER MD PHYSICIAN 767589 0 0 0 1396 0 10400 0 9545 0 788930 0 0 0 KEVIN THORPE FORMER SR VP 2776 0 0 0 209193 0 167 0 23902 0 236038 0 201227 0 PART I, LINES 4A-B 457(F) PLAN PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: CHARLES ROBB - $94,040 MELINDA ESTES - $200,000 JULIE QUIRIN - $34,762 SEVERANCE PAID DURING 2014: KEVIN THORPE - $236,038 PART I, LINE 7 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 RETENTION, 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 CHARLES ROBB AND MELINDA ESTES 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. JOHN HELZBERG AND ALISON SCHOLES DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OF THE ORGANIZATION BUT RECEIVED COMPENSATION FOR SERVICES RENDERED AS AN EMPLOYEE OF THE ORGANIZATION. WAGSTAFF & CARTMELL (IP) IP IS 35% OR MORE CONTROLLED ENTITY OF CERTAIN BOARD MEMBERS 730797 LEGAL SERVICES 0 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, SECTION A, LINE 2 THOMAS L WAGSTAFF, THOMAS W WAGSTAFF, AND STARR WAGSTAFF - FAMILY AND BUSINESS RELATIONSHIP. JOHN R PHILIPS AND CHARLES D HORNER - BUSINESS RELATIONSHIP. CHARLES ROBB, MELINDA ESTES, AND MICHAEL WEAVER HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED AND UPDATED SELECTED PROVISIONS OF ITS ARTICLES AND BYLAWS DECEMBER 30, 2014. THE CHANGES INSTALLED SAINT LUKE'S HEALTH SYSTEM, INC. (A 501(C)(3) AFFILIATE) ("SYSTEM") AS THE SOLE MEMBER OF THE ORGANIZATION. THE SOLE MEMBER WILL APPOINT THE ORGANIZATION'S BOARD OF DIRECTORS, WHICH PREVIOUSLY WAS SELF-PERPETUATING. THE BOARD FORMALIZED ADDITIONAL RESERVE POWERS FOR THE SOLE MEMBER, UPDATED BOARD MEMBER QUALIFICATIONS REGARDING PROTESTANT EPISCOPAL CHURCH AFFILIATION AND OTHER QUALIFICATIONS CONSISTENT WITH SYSTEM STANDARDS, CLARIFIED OBLIGATIONS TO CARRY OUT POLICIES AND ORDERS OF THE SOLE MEMBER, UPDATED AND ALIGNED CEO AUTHORITY AND DUTIES, CLARIFIED MEDICAL STAFF RESPONSIBILITIES TO THE BOARD, AND STANDARDIZED CERTAIN PROVISIONS ACROSS SYSTEM HOSPITALS WITH THE GOAL OF BETTER FACILITATING OPERATIONS AS AN ALIGNED AND INTEGRATED HEALTH SYSTEM. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY THE ENTITY'S CFO BEFORE FILING. THE 990 DRAFT WAS ALSO MADE AVAILABLE TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS FOR REVIEW. THE 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C 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, SECTION B, LINE 15 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, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE THROUGH THE MO AND/OR KS SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED WITHIN 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. 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/OR 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 VII, COLUMN E DIRECTORS ARE NOT COMPENSATED FOR SERVING AS A DIRECTOR OR BOARD OFFICER. CHARLES ROBB, MELINDA ESTES, AND MICHAEL WEAVER 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. JOHN HELZBERG AND ALISON SCHOLES DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OF THE ORGANIZATION BUT RECEIVED COMPENSATION FOR SERVICES RENDERED AS AN EMPLOYEE OF THE ORGANIZATION. FORM 990, PART X, BALANCE SHEET, 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: PENSION SETTLEMENT/LIABILITY TRANSFER -2,556,212. TRANSFER FROM RESTRICTED ACCTS NOT RECORDED IN OPERATING ACCTS -438,019. CHANGE IN THE BENEFICIAL INTEREST IN ASSETS OF FOUNDATION 2,960,053. RDG 1. RRG SSA DIVIDEND ALLOCATION -605,335. SAINT LUKE'S PHYSICIAN SPECIALISTS LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 760820877 PHYSICIAN SERVICES MO 70409303 24679696 ST LUKES HOSPITAL OF KANSAS CITY SAINT LUKES HEALTH SYSTEM INC 901 E 104TH ST KANSAS CITY MO 64131 431747502 HEALTH SYSTEM KS 501(C)(3) 509(A)(3) - TYPE 1 ST LUKES HOSPITAL OF KANSAS CITY 0 SAINT LUKES NORTHLAND HOSPITAL 601 S 169 HWY SMITHVILLE MO 64089 440545393 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES SOUTH HOSPITAL 12300 METCALF AVE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES EAST HOSPITAL 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES MEDICAL GROUP 901 E 104TH ST KANSAS CITY MO 64131 431598353 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 CRITTENTON 10918 ELM AVENUE KANSAS CITY MO 64134 440545808 HEALTH CARE MO 501(C)(3) 170B1AIII ST LUKES HOSPITAL OF KANSAS CITY 1 SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE 3100 BROADWAY STE 1000 KANSAS CITY MO 64111 431127200 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES HOSPITAL OF TRENTON 191 IOWA BLVD TRENTON MO 64683 431707306 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 CABOT WESTSIDE HEALTH CENTER 901 E 104TH ST KANSAS CITY MO 64131 440546280 HEALTH CARE MO 501(C)(3) 170B1AVI SAINT LUKES HEALTH SYSTEM INC 0 MIDWEST EAR INSTITUTE INC 4320 WORNALL ROAD STE 420 KANSAS CITY MO 64111 480905027 HEALTH CARE KS 501(C)(3) 170B1AIII ST LUKES HOSPITAL OF KANSAS CITY 1 SAINT LUKE'S HOSPITAL OF CHILLICOTHE 2799 N WASHINGTON CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM INC 0 SAINT LUKES CUSHING HOSPITAL 711 MARSHALL LEAVENWORTH KS 66048 480543792 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431605740 COLLECTION SERVICES MO ST LUKES HEALTH VENTURES INC C 1.00000 1 SAINT LUKES HEALTH SYSTEM INSURANCE LTD 113 SOUTH CHURCH ST GEORGETOWN CJ CAPTIVE INSURANCE CJ N/A C 0 1 1 1 1 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 SAINT LUKES CUSHING HOSPITAL D 165700 CASH PRINCIPLE AMOUNT SAINT LUKES CUSHING HOSPITAL L 254197 COST SAINT LUKES CUSHING HOSPITAL M 296218 COST SAINT LUKES CUSHING HOSPITAL O 171082 COST SAINT LUKES CUSHING HOSPITAL C 88459 CASH OR BOOK VALUE SANT LUKES HOSPITAL OF CHILLICOTHE L 117487 COST SANT LUKES HOSPITAL OF CHILLICOTHE O 218710 COST MEDICAL PLAZA IMAGING ASSOCIATES LLC L 130852 COST MEDICAL PLAZA IMAGING ASSOCIATES LLC O 799845 COST MEDICAL PLAZA PARTNERS K 4233527 FAIR MARKET VALUE MEDICAL PLAZA PARTNERS L 96544 COST SLCC INC B 14986868 CASH OR BOOK VALUE SLCC INC O -429622 COST SAINT LUKES COLLEGE OF HEALTH SCIENCES L 71070 COST SAINT LUKES COLLEGE OF HEALTH SCIENCES N 66600 COST SAINT LUKES COLLEGE OF HEALTH SCIENCES O 218205 COST SAINT LUKES COLLEGE OF HEALTH SCIENCES Q 53332 COST SAINT LUKES COLLEGE OF HEALTH SCIENCES R 65338 CASH OR BOOK VALUE SAINT LUKES EAST HOSPITAL O 867271 COST SAINT LUKES EAST HOSPITAL Q 242748 COST SAINT LUKES EAST HOSPITAL R 131117 CASH OR BOOK VALUE SAINT LUKES EAST HOSPITAL L 2305780 CASH OR BOOK VALUE SAINT LUKES HEALTH SYSTEM M 71161614 COST SAINT LUKES HEALTH SYSTEM O 297628 COST SAINT LUKES HEALTH SYSTEM P 20867042 COST SAINT LUKES HEALTH SYSTEM Q 121800 COST SAINT LUKES HEALTH SYSTEM R 34219357 CASH OR BOOK VALUE SAINT LUKES HEALTH SYSTEM S 1378623 CASH OR BOOK VALUE SLNC INC B 2583558 CASH OR BOOK VALUE SAINT LUKES MEDICAL GROUP B 5208224 CASH OR BOOK VALUE SAINT LUKES MEDICAL GROUP K 72279 COST SAINT LUKES MEDICAL GROUP L 104302 COST SAINT LUKES NORTHLAND HOSPITAL C 1822563 CASH OR BOOK VALUE SAINT LUKES NORTHLAND HOSPITAL L 1444566 COST SAINT LUKES NORTHLAND HOSPITAL O 908256 COST SAINT LUKES NORTHLAND HOSPITAL Q 175186 COST SAINT LUKES NORTHLAND HOSPITAL R 62607 CASH OR BOOK VALUE SAINT LUKES NORTHLAND HOSPITAL S 83812 CASH OR BOOK VALUE SAINT LUKES SOUTH HOSPITAL K 310408 CASH OR BOOK VALUE SAINT LUKES SOUTH HOSPITAL L 1051358 COST SAINT LUKES SOUTH HOSPITAL M 251193 COST SAINT LUKES SOUTH HOSPITAL O 887898 COST SAINT LUKES SOUTH HOSPITAL Q 158561 COST SAINT LUKES SOUTH HOSPITAL R 127733 CASH OR BOOK VALUE SAINT LUKES SOUTH HOSPITAL C 6257052 CASH OR BOOK VALUE SAINT LUKES HOSPITAL OF TRENTON L 81683 COST SAINT LUKES HOSPITAL OF TRENTON O 86084 COST SAINT LUKES CUSHING HOSPITAL B 36854969 CASH OR BOOK VALUE SAINT LUKES HEALTH SYSTEM B 252920 CASH OR BOOK VALUE MEDICAL PLAZA IMAGING ASSOCIATES LLC K 51280 FAIR MARKET VALUE MEDICAL PLAZA IMAGING ASSOCIATES LLC M 70454 COST MEDICAL PLAZA IMAGING ASSOCIATES LLC N 58508 COST MEDICAL PLAZA PARTNERS S 66935 CASH OR BOOK VALUE MIDWEST EAR INSTITUTE L 78536 COST MIDWEST EAR INSTITUTE S 635702 CASH OR BOOK VALUE SLCC INC L 140795 COST SAINT LUKES EAST HOSPITAL K 386168 FAIR MARKET VALUE SAINT LUKES EAST HOSPITAL M 62037 COST SAINT LUKES EAST HOSPITAL S 1239858 CASH OR BOOK VALUE SAINT LUKES HEALTH SYSTEM L 370460 COST SLHS HOME CARE AND HOSPICE L 108897 COST SLHS HOME CARE AND HOSPICE O 87043 COST SLNC INC L 222109 COST VENTURE FINANCIAL SERVICES M 688452 COST SAINT LUKES EAST HOSPITAL C 2468534 CASH OR BOOK VALUE SLNC INC B 724668 CASH OR BOOK VALUE SAINT LUKES HOSPITAL OF GARNETT A 17579 CASH SAINT LUKE'S CUSHING HOSPITAL A 480 CASH MEDICAL PLAZA IMAGING ASSOCIATES LLC A 102128 CASH MIDWEST EAR INSTITUTE A 33660 CASH SAINT LUKES EAST HOSPITAL A 1840 CASH SAINT LUKES NORTHLAND HOSPITAL A 560 CASH SAINT LUKES SOUTH HOSPITAL A 490 CASH SCHEDULE R, PART V, LINE 1, TRANSACTIONS WITH RELATED ORGANIZATIONS SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS.