2014-11-17T11:09:02-06:00 2013-12-31 990 2013-01-01 440565393 SAINT LUKES NORTHLAND HOSPITAL CORPORATION SAIN 8165327382 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 KEVIN TRIMBLE CEO 8165327382 2014-11-17 2013 2015-11-30 17:44:51Z KEVIN TRIMBLE 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 130865392 0 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1989 MO HOSPITAL 12 10 1105 143 855940 -198547 442617 1067085 126083898 129791350 83336 6957 0 0 126609851 130865392 5385584 6636568 0 0 56899954 56188858 0 0 18739 58944184 63708512 121229722 126533938 5380129 4331454 103119557 106246202 53354175 52437678 49765382 53808524 X SAINT LUKE'S NORTHLAND HOSPITAL CORPORATION IS A PART OF SAINT LUKE'S HEALTH SYSTEM, A FAITH BASED, NOT-FOR-PROFIT ALIGNED HEALTH SYSTEM COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE AND HEALTH RELATED SERVICES IN A CARING ENVIRONMENT. WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. 0 0 112447888 6636568 128935410 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. IN 2013, THERE WERE 29,200 PATIENT DAYS AND 1,650 NEWBORN DAYS. IN ADDITION, THE HOSPITAL PROVIDED 88,000 OUTPATIENT AND EMERGENCY SERVICES.AS A VOLUNTARY, NONPROFIT, COMPREHENSIVE ORGANIZATION, SAINT LUKE'S NORTH HOSPITAL IS COMMITTED TO SERVING ALL WHO SEEK OUR SERVICES REGARDLESS OF THEIR SOCIOECONOMIC STATUS. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS CHARITY CARE POLICIES FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE.THE BARRY ROAD CAMPUS IS AN 84-BED ACUTE CARE FACILITY LOCATED IN KANSAS CITY, MISSOURI. THE SMITHVILLE CAMPUS PROVIDES URGENT CARE SERVICES TO THE COMMUNITY, AS WELL AS REHABILITATION, MENTAL HEALTH, AND POST-ACUTE CARE SERVICES. BOTH CAMPUSES SERVE THE NORTHERN KANSAS CITY AREA. 112447888 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 7 0 1 1105 1 1 1 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 8165327164 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 X THOMAS L BROWN DIRECTOR-CHAIRMAN 1.00 X X 0 0 0 EUGENE RUIZ DIRECTOR-SECRETARY/TREASUR 1.00 X X 0 0 0 RAHUL JOSHI DIRECTOR 1.00 X 0 0 0 GAYDEN F CARRUTH DIRECTOR/VICE CHAIRMAN 1.00 X X 0 0 0 KELLEY M MARTIN DIRECTOR 1.00 X 0 0 0 WILLIAM PARKS DIRECTOR 1.00 X 0 0 0 GINA LAWSON DO DIRECTOR 1.00 40.00 X 0 412460 42297 LORA CHEATUM DIRECTOR - TERM END 12/2013 1.00 X 0 0 0 MICHAEL SHORT DIRECTOR 1.00 X 0 0 0 GEORGE RICHTER DIRECTOR 1.00 X 0 0 0 TWYLA WILSON DIRECTOR 1.00 X 0 0 0 ANTHONY FANGMAN MD DIRECTOR 1.00 40.00 X 0 332243 34640 KEVIN TRIMBLE CHIEF EXECUTIVE OFFICER 50.00 X 333546 0 67299 JULIE MURPHY CHIEF FINANCIAL OFFICER 50.00 X 252624 0 46681 JEFFREY EYE CHIEF NURSING OFFICER 50.00 X 193277 0 16180 DON SIPES CEO SMITHVILLE HOSPITAL 5.00 45.00 X 0 334800 58828 DANIEL WEED PHYSICIAN 40.00 X 505599 0 32730 JENNIFER SVETLECIC PHYSICIAN 40.00 X 425107 0 31834 VANCE JERNSTROM PHYSICIAN 40.00 X 359536 0 20699 MICHAEL WILLIAMSON PHYSICIAN 40.00 X 477939 0 27195 MARK EPSTEIN PHYSICIAN 40.00 X 389603 0 29972 2937231 1079503 408355 37 0 1 0 P1 GROUP INC 16210 W 108TH ST LENEXA KS 66219 MAINTENANCE 1438614 MOBILE CATARACT CARE OF KANSAS CITY LLC 5844 NW BARRY RD SUITE 200 KANSAS CITY MO 64154 MEDICAL SERVICES 1078154 JE DUNN 929 HOLMES KANSAS CITY MO 64106 CONSTRUCTION & CONST MGMT 893749 AD VIVUM ANESTHESIOLOGY PC 8646 N OREGON AVE KANSAS CITY MO 64154 MEDICAL SERVICES 750000 METRO EMERGENCY PHYSICIAN LLC 55 WESTPORT PLAZA ST LOUIS MO 63146 EMERGENCY PHYSICIANS 444750 17 865190 9506 192389 1067085 NET PATIENT REVENUE 622110 123373520 123373520 RETAIL PHARMACY 446110 1831221 999480 831741 EHR MEANINGFUL USE FDS 622110 1775012 1775012 MEDICAL OFFICE RENT 531120 1392968 1392968 REGIONAL LAB SERVICES 621500 315448 291249 24199 1103181 1103181 129791350 6957 6957 130865392 128935410 855940 6957 6603294 6603294 33274 33274 909606 909606 44254170 42827223 1426947 1569732 1488522 81210 6510980 6138270 372710 2944370 2773686 170684 938 938 47000 47000 12323871 9693133 2630738 9968 5565 4403 2939908 2392115 529054 18739 428756 193735 235021 2065707 1989043 76664 101894 86644 15250 91507 80492 11015 2195332 2073220 122112 6900013 6517320 382693 574352 344892 229460 MEDICAL SUPPLIES 14145221 14106480 38741 SHARED SERVICES- SLHS 11360000 4706054 6653946 BAD DEBT 9941925 9941925 OTHER EXPENSES 376492 247373 129119 205628 205628 126533938 112447888 14067311 18739 56335 97941 21330158 28132297 14456703 12822796 2059908 2524403 1233890 1023337 144133226 84133686 61470434 59999540 58605 516557 624394 240443 1829130 888888 103119557 106246202 7872947 8687644 42410317 40868895 3070911 2881139 53354175 52437678 X 49462872 53436891 302510 371633 49765382 53808524 103119557 106246202 X 4331454 -288312 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 11741 0 0 0 11741 0 PART II-B, LINE 1: LINE F-PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS AND MEDICAL ORGANIZATIONS USED TOWARD LOBBYING ACTIVITIES. 110085 126995 236 70071 167245 94772 91850 285 76822 110085 100371 68525 416 74540 94772 74120 93625 482 67856 100371 72833 70450 605 69768 74120 1.00000 1 0 2591240 2591240 64349561 36986952 27362609 72787820 43593700 29194120 4404605 3553034 851571 59999540 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 1157850 RESERVE SELF INSURED RISKS 498014 OTHER NONCURRENT LIABILITIES 62737 PAYABLES TO AFFILIATES 1162538 2881139 PART V, LINE 4: THE INTENDED USE OF ENDOWMENT FUNDS INCLUDES BUT IS NOT LIMITED TO MEDICAL STAFF DEVELOPMENT, GENERAL OPERATIONS OF THE HOSPITAL, AND STUDENT SCHOLARSHIPS. THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENTS THE ORGANIZATION'S SHARE OF NET ASSETS AT SAINT LUKE'S FOUNDATION PER SFAS 136. SUCH ASSETS ARE REPORTED IN PART X, LINE 15. 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 6645127 6645127 0.05700 16946449 15900956 1045493 0.00900 23591576 15900956 7690620 0.06600 349021 349021 0.00300 273516 273516 0.00230 136792 136792 0.00120 759329 759329 0.00650 24350905 15900956 8449949 0.07250 7440 7440 0.00010 5120 5120 0.00000 850 850 0.00000 13410 13410 0.00010 0 9941925 0 28818174 36269061 -7450887 X 1 1 2 1 SAINT LUKES NORTHLAND HOSPITAL-BARRY 5830 NW BARRY ROAD KANSAS CITY MO 64154 365-25 X X X 2 SAINT LUKES NORTHLAND HOSPITAL-SMV 601 S 169 HIGHWAY SMITHVILLE MO 64089 43-57 X X REHABILITATION AND BEHAVIORAL HEALTH SAINT LUKES NORTHLAND HOSPITAL-BARRY 1 1 X X X X X X X X 13 1 1 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X X X X X X X X X 0 0 1 1 133.000000000000 1 400.000000000000 1 X X X 1 1 X X X X 1 0 X X X X 1 X 0 0 SAINT LUKES NORTHLAND HOSPITAL-SMV 2 1 X X X X X X X X 13 1 1 1 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X X X X X X X X X 0 0 1 1 133.000000000000 1 400.000000000000 1 X X X 1 1 X X X 1 0 X X X X 1 X 0 0 SAINT LUKES NORTHLAND HOSPITAL-BARRY PART V, SECTION B, LINE 3: INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS WERE INTERVIEWED AS PART OF THE CHNA. THESE INDIVIDUALS REPRESENT THE PUBLIC HEALTH OFFICIALS' OPINIONS OF THE HEALTH NEEDS OF THE NORTHLAND COMMUNITY:SAINT LUKE'S HEALTH SYSTEM MANAGEMENTTRI COUNTY MENTAL HEALTH CENTERNORTHLAND HEALTH CARE ACCESSPLATTE COUNTY HEALTH DEPARTMENTMID-AMERICA REGIONAL COUNCIL GOVERNMENTPARK HILL SCHOOL DISTRICT FOOD SERVICESCHILDREN'S MERCY NORTHLANDCLAY COUNTY HEALTH DEPARTMENTSMITHVILLE SCHOOL DISTRICT, SUPERINTENDENT SAINT LUKES NORTHLAND HOSPITAL-SMV PART V, SECTION B, LINE 3: INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS WERE INTERVIEWED AS PART OF THE CHNA. THESE INDIVIDUALS REPRESENT THE PUBLIC HEALTH OFFICIALS' OPINIONS OF THE HEALTH NEEDS OF THE NORTHLAND COMMUNITY:SAINT LUKE'S HEALTH SYSTEM MANAGEMENTTRI COUNTY MENTAL HEALTH CENTERNORTHLAND HEALTH CARE ACCESSPLATTE COUNTY HEALTH DEPARTMENTMID-AMERICA REGIONAL COUNCIL GOVERNMENTPARK HILL SCHOOL DISTRICT FOOD SERVICESCHILDREN'S MERCY NORTHLANDCLAY COUNTY HEALTH DEPARTMENTSMITHVILLE SCHOOL DISTRICT, SUPERINTENDENT SAINT LUKES NORTHLAND HOSPITAL-BARRY PART V, SECTION B, LINE 4: SAINT LUKE'S NORTHLAND HOSPITAL-SMV SAINT LUKES NORTHLAND HOSPITAL-SMV PART V, SECTION B, LINE 4: SAINT LUKE'S NORTHLAND HOSPITAL - BARRY SAINT LUKES NORTHLAND HOSPITAL-BARRY PART V, SECTION B, LINE 7: SEVEN OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA WILL NOT BE ADDRESSED AS PRIORITY NEEDS BY SAINT LUKE'S NORTH HOSPITAL. SAINT LUKE'S NORTH HOSPITAL MAY CURRENTLY OFFER SERVICES THAT ADDRESS THESE COMMUNITY NEEDS; HOWEVER, THESE NEEDS HAVE NOT BEEN IDENTIFIED AS PRIORITY NEEDS TO BE ADDRESSED AS A PART OF THIS IMPLEMENTATION PLAN. ADDITIONALLY, THERE ARE PROVIDERS IN THE PRIMARY SERVICE AREA THAT ARE CURRENTLY ADDRESSING THESE NEEDS FOR THE COMMUNITY.NEEDS NOT BEING ADDRESSED:1. COORDINATION OF CARE THROUGHOUT COMMUNITY2. OBESITY3. DIABETES4. COPD5. VIOLENT CRIME6. PREVENTABLE HOSPITALIZATIONS7. EXCESSIVE DRINKING AND BINGE DRINKING1. COORDINATION OF CARE THROUGHOUT COMMUNITYWHILE COORDINATION OF CARE AMONG PROVIDERS IN THE COMMUNITY IS WIDELY RECOGNIZED AS A KEY ISSUE, SAINT LUKE'S NORTH HOSPITAL CANNOT MEET THIS NEED ALONE. HOWEVER, IN PARTNERING WITH VISION NORTH, SPELMAN MEDICAL FOUNDATION, AND OTHER COMMUNITY ORGANIZATIONS, AND ADDRESSING OTHER COMMUNITY HEALTH NEEDS, SAINT LUKE'S NORTH HOSPITAL CONTINUES TO WORK TOWARD RESOLVING THIS ISSUE.2. OBESITYOBESITY IS A CONCERN IN THIS POPULATION, BUT AT THIS TIME THE RATES FOR CLAY AND PLATTE COUNTIES ARE NOT HIGHER THAN THE STATE RATES. SAINT LUKE'S NORTH HOSPITAL WILL CONTINUE TO ADDRESS THIS ISSUE THROUGH COMMUNITY HEALTH AND WELLNESS EDUCATION.3. DIABETESTHE RATE OF DIABETES IN THE SERVICE AREA IS HIGHER THAN THE STATE AVERAGE. HOWEVER, THE DIABETIC SCREENING RATE IS NOTABLY HIGHER THAN THE STATE AVERAGE IN BOTH CLAY AND PLATTE COUNTY. SAINT LUKE'S NORTH HOSPITAL WILL CONTINUE TO PROVIDE DIABETIC SCREENINGS, BUT AN EMPHASIS WILL NOT BE PLACED ON DIABETES CARE AS A PRIORITY NEED.4. COPDCOPD IS NOT ALWAYS DUE TO THE EFFECTS OF SMOKING BUT CAN BE LINKED TO THIS BEHAVIOR. AN EMPHASIS ON SMOKING CESSATION CAN HELP DECREASE THE RATE OF COPD AND OTHER RESPIRATORY CONCERNS. SAINT LUKE'S NORTH HOSPITAL WILL CONTINUE ITS PARTNERSHIP WITH THE MISSOURI SOCIETY FOR RESPIRATORY CARE AND CONTINUE PARTICIPATION IN THE DRIVE4COPD PUBLIC HEALTH INITIATIVE.5. VIOLENT CRIMEVIOLENT CRIME IS NOT GENERALLY AN ISSUE HEALTH CARE ORGANIZATIONS CAN DIRECTLY AFFECT. SAINT LUKE'S NORTH HOSPITAL WILL CONTINUE TO PROVIDE ESSENTIAL MENTAL HEALTH SERVICES WHICH HAVE THE ABILITY TO DECREASE THE OCCURRENCE OF VIOLENT CRIME.6. PREVENTABLE HOSPITALIZATIONSPREVENTABLE HOSPITALIZATIONS ARE DUE TO A MULTITUDE OF DISEASES; HOWEVER, A HIGH NUMBER OF PREVENTABLE HOSPITALIZATIONS ARE IN PART DUE TO RESPIRATORY PROBLEMS. THE RATE OF PREVENTABLE HOSPITALIZATIONS COULD DECREASE WITH AN INCREASED FOCUS ON SMOKING CESSATION.7. EXCESSIVE DRINKING AND BINGE DRINKINGTHOUGH THE RATE FOR EXCESSIVE DRINKING AND BINGE DRINKING IS HIGHER IN PLATTE COUNTY THAN THE STATE RATES, THIS IS NOT THE CASE FOR THE ENTIRE SERVICE AREA SAINT LUKES NORTHLAND HOSPITAL-SMV PART V, SECTION B, LINE 7: SEVEN OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA WILL NOT BE ADDRESSED AS PRIORITY NEEDS BY SAINT LUKE'S NORTH HOSPITAL. SAINT LUKE'S NORTH HOSPITAL MAY CURRENTLY OFFER SERVICES THAT ADDRESS THESE COMMUNITY NEEDS; HOWEVER, THESE NEEDS HAVE NOT BEEN IDENTIFIED AS PRIORITY NEEDS TO BE ADDRESSED AS A PART OF THIS IMPLEMENTATION PLAN. ADDITIONALLY, THERE ARE PROVIDERS IN THE PRIMARY SERVICE AREA THAT ARE CURRENTLY ADDRESSING THESE NEEDS FOR THE COMMUNITY.NEEDS NOT BEING ADDRESSED:1. COORDINATION OF CARE THROUGHOUT COMMUNITY2. OBESITY3. DIABETES4. COPD5. VIOLENT CRIME6. PREVENTABLE HOSPITALIZATIONS7. EXCESSIVE DRINKING AND BINGE DRINKING1. COORDINATION OF CARE THROUGHOUT COMMUNITYWHILE COORDINATION OF CARE AMONG PROVIDERS IN THE COMMUNITY IS WIDELY RECOGNIZED AS A KEY ISSUE, SAINT LUKE'S NORTH HOSPITAL CANNOT MEET THIS NEED ALONE. HOWEVER, IN PARTNERING WITH VISION NORTH, SPELMAN MEDICAL FOUNDATION, AND OTHER COMMUNITY ORGANIZATIONS, AND ADDRESSING OTHER COMMUNITY HEALTH NEEDS, SAINT LUKE'S NORTH HOSPITAL CONTINUES TO WORK TOWARD RESOLVING THIS ISSUE.2. OBESITYOBESITY IS A CONCERN IN THIS POPULATION, BUT AT THIS TIME THE RATES FOR CLAY AND PLATTE COUNTIES ARE NOT HIGHER THAN THE STATE RATES. SAINT LUKE'S NORTH HOSPITAL WILL CONTINUE TO ADDRESS THIS ISSUE THROUGH COMMUNITY HEALTH AND WELLNESS EDUCATION.3. DIABETESTHE RATE OF DIABETES IN THE SERVICE AREA IS HIGHER THAN THE STATE AVERAGE. HOWEVER, THE DIABETIC SCREENING RATE IS NOTABLY HIGHER THAN THE STATE AVERAGE IN BOTH CLAY AND PLATTE COUNTY. SAINT LUKE'S NORTH HOSPITAL WILL CONTINUE TO PROVIDE DIABETIC SCREENINGS, BUT AN EMPHASIS WILL NOT BE PLACED ON DIABETES CARE AS A PRIORITY NEED.4. COPDCOPD IS NOT ALWAYS DUE TO THE EFFECTS OF SMOKING BUT CAN BE LINKED TO THIS BEHAVIOR. AN EMPHASIS ON SMOKING CESSATION CAN HELP DECREASE THE RATE OF COPD AND OTHER RESPIRATORY CONCERNS. SAINT LUKE'S NORTH HOSPITAL WILL CONTINUE ITS PARTNERSHIP WITH THE MISSOURI SOCIETY FOR RESPIRATORY CARE AND CONTINUE PARTICIPATION IN THE DRIVE4COPD PUBLIC HEALTH INITIATIVE.5. VIOLENT CRIMEVIOLENT CRIME IS NOT GENERALLY AN ISSUE HEALTH CARE ORGANIZATIONS CAN DIRECTLY AFFECT. SAINT LUKE'S NORTH HOSPITAL WILL CONTINUE TO PROVIDE ESSENTIAL MENTAL HEALTH SERVICES WHICH HAVE THE ABILITY TO DECREASE THE OCCURRENCE OF VIOLENT CRIME.6. PREVENTABLE HOSPITALIZATIONSPREVENTABLE HOSPITALIZATIONS ARE DUE TO A MULTITUDE OF DISEASES; HOWEVER, A HIGH NUMBER OF PREVENTABLE HOSPITALIZATIONS ARE IN PART DUE TO RESPIRATORY PROBLEMS. THE RATE OF PREVENTABLE HOSPITALIZATIONS COULD DECREASE WITH AN INCREASED FOCUS ON SMOKING CESSATION.7. EXCESSIVE DRINKING AND BINGE DRINKINGTHOUGH THE RATE FOR EXCESSIVE DRINKING AND BINGE DRINKING IS HIGHER IN PLATTE COUNTY THAN THE STATE RATES, THIS IS NOT THE CASE FOR THE ENTIRE SERVICE AREA SAINT LUKES NORTHLAND HOSPITAL-BARRY PART V, SECTION B, LINE 14G: THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR UNINSURED. 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-INLOCATED IN THE ADMITTING PATIENT PACKETS, ON OUR B-131 RELEASE TO TREAT FORMS SIGNED BY ALL PATIENTS REQUESTING SERVICES, AND VISITS BY SOCIAL WORKER TEAMS WHEN AN INPATIENT AS WELL AS FOLLOW UP CALLS AFTER DISCHARGE. FINANCIAL ASSISTANCE OR MEDICAID APPLICATIONS ARE REQUESTED ON ALL UNINSURED PATIENTS PRIOR TO DISCHARGE.THE HOSPITAL ALSO CONTRACTS WITH ELIGIBILITY ENROLLMENT SERVICE COMPANIES TO SCREEN ALL UNINSURED PATIENTS, ANY PATIENT IDENTIFIED BY A SOCIAL WORKER OR CASE MANAGER AS WELL AS ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. SAINT LUKES NORTHLAND HOSPITAL-SMV PART V, SECTION B, LINE 14G: THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR UNINSURED. 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-INLOCATED IN THE ADMITTING PATIENT PACKETS, ON OUR B-131 RELEASE TO TREAT FORMS SIGNED BY ALL PATIENTS REQUESTING SERVICES, AND VISITS BY SOCIAL WORKER TEAMS WHEN AN INPATIENT AS WELL AS FOLLOW UP CALLS AFTER DISCHARGE. FINANCIAL ASSISTANCE OR MEDICAID APPLICATIONS ARE REQUESTED ON ALL UNINSURED PATIENTS PRIOR TO DISCHARGE.THE HOSPITAL ALSO CONTRACTS WITH ELIGIBILITY ENROLLMENT SERVICE COMPANIES TO SCREEN ALL UNINSURED PATIENTS, ANY PATIENT IDENTIFIED BY A SOCIAL WORKER OR CASE MANAGER AS WELL AS ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. SAINT LUKES NORTHLAND HOSPITAL-BARRY PART V, SECTION B, LINE 18E: SEE RESPONSE TO LINE 14G SAINT LUKES NORTHLAND HOSPITAL-SMV PART V, SECTION B, LINE 18E: SEE RESPONSE TO LINE 14G PART V, SECTION B, LINE 6 AS PERMITTED BY IRS TRANSITION RULES, BOTH HOSPITAL FACILITIES ADOPTED THEIR IMPLEMENTATION STRATEGIES 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 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. PART I, LN 7 COL(F): TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) OF $126,533,938 LESS BAD DEBT EXPENSE OF $9,941,925 EQUALS TOTAL EXPENSE OF $116,592,013 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F), 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 ANALYZED 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 SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR 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.BAD DEBT IS REPORTED CONSISTENT WITH 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 III, LINE 2, BAD DEBT BAD DEBT EXPENSE IS REPORTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT IT ALIGNS WITH GAAP. 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 MEETS WITH STAFF, VOLUNTEERS, PATIENTS, BOARD MEMBERS AND PHYSICIANS. THE FEEDBACK PROVIDED BY THESE GROUPS IS COMMUNICATED TO HOSPITAL MANAGEMENT AND CONSIDERED WHEN DETERMINING THE NEEDS OF THE COMMUNITY.THE HOSPITAL ALSO WORKS WITH THE PATIENT ADVOCATE AND MARKETING DEPARTMENTS TO DETERMINE FEEDBACK RECEIVED FROM THE COMMUNITY REGARDING ITS NEEDS. THIS FEEDBACK IS ALSO COMMUNICATED TO HOSPITAL MANAGEMENT AND EVALUATED DURING THE ANNUAL BUDGET AND STRATEGIC PLANNING PROCESS. PART VI, LINE 3: SEE RESPONSE TO SCHEDULE H, PART V, LINE 14G. PART VI, LINE 4: THE BARRY ROAD CAMPUS IS AN 84-BED ACUTE CARE FACILITY LOCATED IN KANSAS CITY, MISSOURI. THE SMITHVILLE CAMPUS PROVIDES URGENT CARE SERVICES TO THE COMMUNITY, AS WELL AS REHABILITATION, MENTAL HEALTH, AND POST-ACUTE CARE SERVICES. BOTH CAMPUSES SERVE THE NORTHERN 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. 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. 1 SAINT LUKE'S MEDICAL GROUP - AFFILIATED 501(C)(3) 6750 ANTIOCH SUITE 210 SHAWNEE MISSION KS 66204 431598353 501(C)(3) 2412281 SUPPORT FOR HEALTHCARE NEEDS SAINT LUKE'S FOUNDATION 4225 BALTIMORE KANSAS CITY MO 64111 446014699 501(C)(3) 18500 SUPPORT FOR HEALTHCARE NEEDS SLNC INC - AFFILIATED 501C3 4401 WORNALL ROAD KANSAS CITY MO 64111 451470888 501(C)(3) 221025 SUPPORT FOR HEALTHCARE NEEDS SLCC INC - AFFILIATED 501C3 4330 WORNALL ROAD SUITE 2000 KANSAS CITY MO 64111 271994652 501(C)(3) 2369093 SUPPORT FOR HEALTHCARE NEEDS NORTHLAND HEALTHCARE ACCESS PO BOX 14414 PARKVILLE MO 64152 431578121 501(C)(3) 42500 SUPPORT FOR COMMUNITY PROGRAMS AND HEALTHCARE NEEDS ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 501(C)(3) 1529630 SUPPORT FOR HEALTHCARE NEEDS 6 0 ADVANCED EDUCATION IN MEDICAL FIELD - SCHOLARSHIP 12 12000 PART I, LINE 2: SCHOLARSHIPS ARE GIVEN TO HIGH SCHOOL GRADUATES PURSUING ADVANCED EDUCATION IN THE MEDICAL FIELD BASED ON ACADEMICS. GRANTS ARE ALSO 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 NORTHLAND HOSPITAL. 0 0 0 0 0 0 0 1 0 GINA LAWSON DO DIRECTOR 0 411381 0 0 0 1079 0 20400 0 21897 0 454757 0 0 ANTHONY FANGMAN MD DIRECTOR 0 330638 0 0 0 1605 0 12750 0 21890 0 366883 0 0 KEVIN TRIMBLE CHIEF EXECUTIVE OFFICER 257441 0 47905 0 28200 0 41628 0 25671 0 400845 0 21216 0 JULIE MURPHY CHIEF FINANCIAL OFFICER 205239 0 28237 0 19148 0 36829 0 9852 0 299305 0 16354 0 JEFFREY EYE CHIEF NURSING OFFICER 169150 0 23038 0 1089 0 8720 0 7460 0 209457 0 0 0 DON SIPES CEO SMITHVILLE HOSPITAL 0 252783 0 44550 0 37467 0 39677 0 19151 0 393628 0 19889 DANIEL WEED PHYSICIAN 502102 0 0 0 3497 0 10200 0 22530 0 538329 0 0 0 JENNIFER SVETLECIC PHYSICIAN 423574 0 0 0 1533 0 10200 0 21634 0 456941 0 0 0 VANCE JERNSTROM PHYSICIAN 356662 0 0 0 2874 0 11475 0 9224 0 380235 0 0 0 MICHAEL WILLIAMSON PHYSICIAN 477380 0 0 0 559 0 10200 0 16995 0 505134 0 0 0 MARK EPSTEIN PHYSICIAN 385791 0 0 0 3812 0 10200 0 19772 0 419575 0 0 0 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. PART I, LINE 3 ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVES. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM. PART II GINA LAWSON AND ANTHONY FANGMAN DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZTION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR DON SIPES IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. FORM 990, PART V, LINE 1A, NUMBER REPORTED IN BOX 3 OF FORM 1096 SAINT LUKE'S NORTHLAND HOSPITAL CORPORATION (SLNH) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLNH VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER, FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, DEBT, BUDGETS, CAPITAL EXPENDITURES AND STRATEGIC OPERATING DECISIONS. AS PART OF AN INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER ALSO PROVIDES VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO THE ORGANIZATION. FORM 990, PART VI, 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 OR CEO. THE 990 DRAFT WAS ALSO PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS. THE 990 IS 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. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE MADE AVAILABLE TO THE PUBLIC BY THE FILING OF THOSE DOCUMENTS WITH THE MO SECRETARY OF STATE. ALSO, THE ORGANIZATION IS INCLUDED WITHIN THE COMBINED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE MADE AVAILABLE TO THE PUBLIC BY THE POSTING OF THOSE DOCUMENTS 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, COLUMN E GINA LAWSON AND ANTHONY FANGMAN 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 DON SIPES IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS FORM 990, PART XI, LINE 9: PENSION LIABILITY TRANSFER TO SAINT LUKE'S HEALTH SYSTEM -300,275. CHANGE IN INTEREST IN ASSETS OF THE FOUNDATION - SFAS 136 11,963. 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 SAINT LUKE'S NORTHLAND HOSPITAL. REQUIRED INFORMATION FOR THE BONDS, INCLUDING SCHEDULE K, IS REPORTED IN THE SAINT LUKE'S HEALTH SYSTEM (EIN: 43-1747502) IRS FORM 990. SLN MEDICAL SPECIALISTS LLC 5830 NW BARRY ROAD KANSAS CITY MO 64154 260178220 PHYSICIAN SERVICES - BILLING MO 5375959 1549435 SAINT LUKES NORTHLAND HOSPITAL SAINT LUKES HEALTH SYSTEM 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 HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(C)(3) 170B1AIII 0 SAINT LUKES SOUTH HOSPITAL INC 12300 METCALF AVE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES EAST HOSPITAL 100 NE ST LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES MEDICAL GROUP 6750 ANTIOCH SUITE 210 SHAWNEE MISSION KS 66204 431598353 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 CRITTENTON 10918 ELM AVE KANSAS CITY MO 64134 440545808 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HOSPITAL 0 SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE 3100 BROADWAY SUITE 1000 KANSAS CITY MO 64111 431127200 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES HOSPITAL OF TRENTON 701 EAST FIRST TRENTON MO 64683 431707306 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 CABOT WESTSIDE HEALTH CENTER 901 E 104TH ST KANSAS CITY MO 64131 440546280 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 MIDWEST EAR INSTITUTE INC 4200 PENNSYLVANIA SUITE 100 KANSAS CITY MO 64111 480905027 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HOSPITAL 0 SAINT LUKES HOSPITAL OF CHILLICOTHE 100 CENTRAL STREET CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES CUSHING HOSPITAL 711 MARSHALL LEAVENWORTH KS 66048 480543792 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES CARE 901 E 104TH ST KANSAS CITY MO 64131 260185090 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 MEDICAL PLAZA IMAGING ASSOCIATES LLC 4401 WORNALL ROAD KANSAS CITY MO 64111 431609584 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SAINT LUKES COLLEGE OF HEALTH SCIENCES 624 WESTPORT ROAD KANSAS CITY MO 64111 272716128 POST SECONDARY NURSING EDUCATION MO 501(C)(3) 170B1AIII SAINT LUKES HOSPITAL 0 SLCC INC 4330 WORNALL ROAD SUITE 2000 KANSAS CITY MO 64111 271994652 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 SLNC INC 4401 WORNALL RD KANSAS CITY MO 64111 451470888 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKES HEALTH SYSTEM 0 MEDICAL PLAZA PARTNERS LP 4320 WORNALL RD SUITE 410 KASAS CITY MO 64111 431357824 OWN AND OPERATE MEDICAL OFFICE BUILDING MO N/A ST LUKE'S SURGICENTER-LEE'S SUMMIT LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 470853481 HEALTH CARE MO N/A SAINT LUKE'S SOUTH SURGERY CENTER LLC 11221 ROE AVE SUITE 230 OVERLAND PARK KS 66211 201721929 HEALTH CARE KS N/A FAMILY ADVOCATES LLC 10918 ELM AVE KASAS CITY MO 64134 202739036 FOSTER CARE MO N/A SAINT LUKE'S CARDIOLOGY SERVICES 901 E 104TH ST KASAS CITY MO 64131 263726426 HEALTH CARE MO N/A SAINT LUKE'S-GI DIAGNOSTICS LLC 4321 WASHINGTON SUITE 5700 KASAS CITY MO 64111 274142549 HEALTH CARE MO N/A SAINT LUKE'S HEALTH SYSTEM RISK RETENTION GROUP 901 E 104TH ST KANSAS CITY MO 64131 371471890 INSURANCE SC N/A C 0 ST LUKE'S HEALTH VENTURES INC 901 E 104TH ST KANSAS CITY MO 64131 431278476 ACCOUNTING MO N/A C 0 MEDICAL PLAZA MANAGEMENT INC 4320 WORNALL RD SUITE 410 KANSAS CITY MO 64111 431352317 MEDICAL OFFICE BUILDING MANAGEMENT MO N/A C 0 VENTURE FINANCIAL SERVICES INC 6158 RAYTOWN TRAFFICWAY RAYTOWN MO 64133 431605740 COLLECTIONS MO N/A C 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 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.