2014-11-17T16:00:19-06:00 2013-12-31 990 2013-01-01 431747502 SAINT LUKES HEALTH SYSTEM INC SAIN 8169323377 901 EAST 104TH STREET MAILSTOP 900S KANSAS CITY MO 64131 CHARLES V ROBB SR VP FINANCE/ADMIN &CFO 8169323729 2014-11-17 2013 2015-11-30 17:44:51Z CHARLES V ROBB 10920 ELM AVENUE KANSAS CITY MO 64134 98510559 0 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1996 KS OPERATE INTEGRATED HEALTH CARE DELIVERY SYSTEM 14 10 610 12 -109352 -109352 328690 363998 82081664 98139611 6177 6950 0 0 82416531 98510559 205166 330175 0 0 39138835 47613309 0 0 0 42791880 51246372 82135881 99189856 280650 -679297 128279486 172159026 138785961 104837319 -10506475 67321707 X SAINT LUKE'S HEALTH SYSTEM IS 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 95678072 330175 98139611 SAINT LUKES HEALTH SYSTEM (SLHS) MANAGES AN INTEGRATED HEALTHCARE DELIVERY SYSTEM AND PROVIDES COMMON MANAGEMENT AND VARIOUS CENTRALIZED SERVICES TO AFFILIATED ENTITIES. SLHS MANAGES AND OPERATES 11 HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION-ORIENTED HEALTH CARE DELIVERY SYSTEM TO SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. PRIMARY BUSINESS OPERATIONS OF THE SYSTEM INCLUDE ACUTE AND BEHAVIORAL HEALTH-RELATED SERVICES IN BOTH HOSPITAL AND CLINIC SETTINGS, HOME CARE, AND CARE TO THE TERMINALLY ILL. SLHS ALSO OFFERS WEB-BASED HEALTH INFORMATION TO THE COMMUNITY THROUGH ITS WEBSITE. 95678072 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 591 0 1 610 1 1 1 0 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 8169323377 901 EAST 104TH STREET MAILSTOP 900S KANSAS CITY MO 64131 X GREGORY BENTZ DIRECTOR 2.00 X 0 0 0 MARSHALL DEAN DIRECTOR - TREASURER 2.00 X X 0 0 0 DAVID GIBSON DIRECTOR - VICE CHAIR 2.00 X X 0 0 0 MELINDA ESTES MD DIR - PRESIDENT AND CEO 50.00 X X 1632786 0 235230 ELLEN HOCKADAY DIRECTOR TERM END 12/2013 2.00 X 0 0 0 PETER HOLT MD DIRECTOR TERM END 12/2013 2.00 30.00 X 134237 0 0 RET REV MARTIN FIELD DIRECTOR 2.00 X 0 0 0 J CHRIS PERRYMAN MD DIRECTOR 2.00 40.00 X 0 262191 28919 THOMAS W WAGSTAFF DIRECTOR - CHAIR 2.00 X X 0 0 0 RICHARD NORDEN DIRECTOR 2.00 X 0 0 0 JOHN PHILLIPS DIRECTOR - SECRETARY 2.00 X X 0 0 0 JOHN MACDONALD DIRECTOR 2.00 X 0 0 0 THOMAS BROWN DIRECTOR 2.00 X 0 0 0 THOMAS JACKSON DIRECTOR 2.00 X 0 0 0 CHERYL BEVEL VP DIVERSITY 50.00 X 97352 0 21564 ROBERT BONNEY ASST SECR & SR VP BUSINESS 50.00 X 570504 0 467536 DEBORAH GASH VP & CHIEF INFORMATION OFF 50.00 X 352525 0 68349 RANDALL HOUSE VP HEALTH INFORMATICS 50.00 X 282282 0 58736 ELIZABETH CESSOR VP MISSION & COMMUNITY SVC 25.00 25.00 X 214417 0 33653 CAROL MEYER VP FINANCE 50.00 X 295351 0 40692 DAWN MURPHY SR VP HUMAN RESOURCES 50.00 X 358954 0 127727 SCOTT PESTER VP REIMBURSEMENT 50.00 X 221605 0 52879 CHARLES V ROBB SR VP FINANCE/ADMIN & CFO 50.00 X 728594 0 264651 NANCY SEELEN VP PUBLIC AFFAIRS 50.00 X 283063 0 46531 DON SIPES VP REGIONAL SERVICES 40.00 10.00 X 334800 0 58828 SALLY THIEMAN VP RISK & COMPLIANCE 50.00 X 236044 0 57643 DIANE WATKINS VP REVENUE CYCLE 50.00 X 236004 0 55603 RENE GILLESPIE VP TAXATION 50.00 X 233276 0 41673 KATHERINE HOWELL CHIEF NURSE EXEC 50.00 50.00 X 358269 0 73082 KAREN KRAMER VP INTERNAL AUDIT 50.00 X 167493 0 44395 LEONARDO LOZADA MD CHIEF PHYSICIAN EXEC 50.00 X 597683 0 114529 JULIE QUIRIN SR VP CONTINUUM CARE & HOSP CEO 10.00 40.00 X 0 622060 124882 ANNE STRASSFELD SR VP LEGAL 50.00 X 402552 0 79326 ROBERT OLM-SHIPMAN VP-PLANNING & PROJECT MGMT 50.00 X 161347 0 31680 REBECCA SESLER VP-MARKETING & COMMUNICATIONS 50.00 X 175750 0 45697 CYNTHIA CHRISTENSEN CONTROLLER 50.00 X 262562 0 45101 TODD HATTON IT DIRECTOR 50.00 X 213996 0 33889 ROGER ZAREMBA CHIEF TECHNOLOGY OFFICER 50.00 X 183050 0 8707 WILLIAM DANIEL CHIEF QUALITY OFFCR & PHYSICIAN 50.00 X 207577 341293 44021 TAMMY LESLIE SYSTEM DIRECTOR-TOTAL REWARDS 50.00 X 185754 0 31470 GEORGE PAGELS MD FMR SR VP & CMO RETIRED 12/2012 0.00 X 158077 0 4179 9285904 1225544 2341172 56 1 1 0 DELOITTE CONSULTING LLP PO BOX 844717 DALLAS TX 75284 CONSULTING SERVICES 19221400 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 532880314 CONSULTING SERVICES 5193072 NORDIC CONSULTING PARTNERS INC 740 REGENT ST STE 400 MADISON WI 53175 CONSULTING SERVICES 3289560 VISION CONSULTING LLC 8 CORPORATE CENTER 490 METROPLEX NASHVILLE TN 372113110 SOFTWARE SUPPORT 2788034 KRONOS INCORPORATED 297 BILLERICA ROAD CHELMSFORD MA 01824 SOFTWARE SUPPORT 1209451 43 49748 314250 363998 HEALTH SYSTEM SERVICES 561000 97294112 97294112 EICU PROGRAM 621110 528292 528292 OTHER PROGRAM REVENUE 561000 317207 317207 98139611 6950 -109352 116302 98510559 98139611 -109352 116302 330175 330175 9960653 9960653 29173886 29173886 2975803 2975803 2907911 2907911 2595056 2595056 3057578 3057578 454206 454206 5052 5052 4844511 4844511 2525360 2525360 1720599 1720599 24057028 24057028 2287939 2287939 510500 510500 877014 877014 -107197 -107197 9906789 9906789 106471 106471 LOSS/GAIN ON ASSET DISP 664590 664590 DUES/MEMBERSHIPS 274126 274126 61806 61806 99189856 95678072 3511784 0 41466342 20038265 4050378 44055592 380629 169367 5906473 7980478 117082232 67678267 30296765 49403965 46809 9916 46132090 50501443 128279486 172159026 14234213 45681103 46809 9916 124504939 59146300 138785961 104837319 X -10506475 67321707 -10506475 67321707 128279486 172159026 X -679297 78507479 X 0 1 X 1 0 X X X 0 0 0 ST LUKES HOSPITAL OF KC & AFFILIATES 440545297 3 1 1 1 95678072 1 95678072 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 117271 1 347322 0 0 464593 0 PART II-B, LINE 1: LINE F - PORTION OF DUES PAID TO ASSOCIATIONS AND CHAMBERS USED TOWARD LOBBYING ACTIVITIES. LINE G - DIRECT CONTACT WITH GOVERNMENT REPRESENTATIVES TO COMMUNICATE HEALTH SYSTEM'S POSITION ON MAJOR HEALTHCARE ISSUES AND TO COMMUNICATE COMPLEXITIES OF HEALTHCARE POLICIES. COSTS INCLUDE PUBLIC AFFAIRS DEPARTMENT EXPENSES AND PAYMENTS TO CONSULTANTS. 7355896 5605577 1750319 44979958 33202571 11777387 64746378 28870119 35876259 49403965 DEFERRED COMP PLAN ASSETS 16915236 LAND HELD FOR DEVELOPMENT 7506640 RECEIVABLES FROM AFFILIATES 7232159 OTHER ASSETS 4487104 INVESTMENT IN RISK RETENTION GROUP 14360304 50501443 PAYABLE TO AFFILIATES 2289637 DEFERRED COMPENSATION 20077720 INTEREST RATE SWAP CONTRACTS 21111423 PENSION OBLIGATION 15667520 59146300 PART XI, XII, AND XIII THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM. CAYMAN ISLANDS 0 0 INVESTMENTS 31268000 IRELAND 0 0 INVESTMENTS 818000 0 0 0 0 0 0 32086000 0 32086000 0 0 0 0 0 0 1 SUSAN G KOMEN BREAST CANCER FOUNDATION INC 1111 MAIN STREET KANSAS CITY MO 64105 751835298 501(C)(3) 15000 SUPPORT PEOPLE AFFECTED BY BREAST CANCER KANSAS CITY AREA LIFE SCIENCES INSTITUTE INC 1055 BROADWAY SUITE 130 KANSAS CITY MO 64105 431889037 501(C)(3) 51900 SUPPORT FOR HEALTHCARE EDUCATION AND COMMUNITY PROGRAMS AIDS SERVICE FOUNDATION OF GREATER KANSAS CITY PO BOX 32192 KANSAS CITY MO 64171 431613911 501(C)(3) 15500 SUPPORT OF AIDS RESEARCH MARCH OF DIMES FOUNDATION 4400 COLLEGE BLVD SUITE 180 OVERLAND PARK KS 66211 131846366 501(C)(3) 52000 SUPPORT FOR HEALTHCARE NEEDS CENTER FOR PRACTICAL BIOETHICS 1111 MAIN STREET KANSAS CITY MO 64105 480985815 501(C)(3) 35000 SUPPORT FOR HEALTHCARE NEEDS AMERICAN HEART ASSOCIATION PO BOX 4002902 DES MOINES IA 50340 135613797 501(C)(3) 7700 SUPPORT FOR RESEARCH OF HEART DISEASES US ARMY FAMILY AND MORALE WELFARE & RECREATION 600 THOMAS AVE FORT LEAVENWORTH KS 66027 170(C)(1) 5240 SUPPORT FOR HEALTHCARE NEEDS KANSAS CITY CARE CLINIC 3515 BROADWAY KANSAS CITY MO 64111 430967292 501(C)(3) 10600 SUPPORT FOR HEALTHCARE NEEDS MID-AMERICA COALITION ON HEALTHCARE 6901 SHAWNEE MISSION PKWY STE 216 OVERLAND PARK KS 66202 431248648 501(C)(3) 24000 SUPPORT FOR HEALTHCARE NEEDS 9 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 HEALTH SYSTEM. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 MELINDA ESTES MD DIR - PRESIDENT AND CEO 1236352 0 335520 0 60914 0 210200 0 25030 0 1868016 0 0 0 J CHRIS PERRYMAN MD DIRECTOR 0 259432 0 0 0 2759 0 20326 0 8593 0 291110 0 0 ROBERT BONNEY ASST SECR & SR VP BUSINESS 406888 0 93200 0 70416 0 443749 0 23787 0 1038040 0 51317 0 DEBORAH GASH VP & CHIEF INFORMATION OFF 269412 0 49582 0 33531 0 42560 0 25789 0 420874 0 22100 0 RANDALL HOUSE VP HEALTH INFORMATICS 224803 0 37280 0 20199 0 38800 0 19936 0 341018 0 15381 0 ELIZABETH CESSOR VP MISSION & COMMUNITY SVC 160020 0 29153 0 25244 0 25131 0 8522 0 248070 0 12906 0 CAROL MEYER VP FINANCE 223000 0 40262 0 32089 0 38240 0 2452 0 336043 0 16442 0 DAWN MURPHY SR VP HUMAN RESOURCES 252334 0 58250 0 48370 0 106375 0 21352 0 486681 0 36355 0 SCOTT PESTER VP REIMBURSEMENT 202240 0 0 0 19365 0 34652 0 18227 0 274484 0 17150 0 CHARLES V ROBB SR VP FINANCE/ADMIN & CFO 501652 0 113554 0 113388 0 236403 0 28248 0 993245 0 101520 0 NANCY SEELEN VP PUBLIC AFFAIRS 207708 0 37968 0 37387 0 37962 0 8569 0 329594 0 19093 0 DON SIPES VP REGIONAL SERVICES 252783 0 44550 0 37467 0 39677 0 19151 0 393628 0 19889 0 SALLY THIEMAN VP RISK & COMPLIANCE 205177 0 0 0 30867 0 34121 0 23522 0 293687 0 17503 0 DIANE WATKINS VP REVENUE CYCLE 184085 0 34111 0 17808 0 34189 0 21414 0 291607 0 15249 0 RENE GILLESPIE VP TAXATION 181990 0 33552 0 17734 0 25436 0 16237 0 274949 0 15028 0 KATHERINE HOWELL CHIEF NURSE EXEC 283619 0 46542 0 28108 0 53126 0 19956 0 431351 0 19152 0 KAREN KRAMER VP INTERNAL AUDIT 165888 0 0 0 1605 0 20384 0 24011 0 211888 0 0 0 LEONARDO LOZADA MD CHIEF PHYSICIAN EXEC 593132 0 0 0 4551 0 89100 0 25429 0 712212 0 0 0 JULIE QUIRIN SR VP CONTINUUM CARE & HOSP CEO 0 452297 0 102520 0 67243 0 112996 0 11886 0 746942 0 53905 ANNE STRASSFELD SR VP LEGAL 354085 0 40775 0 7692 0 60425 0 18901 0 481878 0 0 0 ROBERT OLM-SHIPMAN VP-PLANNING & PROJECT MGMT 141103 0 18873 0 1371 0 8313 0 23367 0 193027 0 0 0 REBECCA SESLER VP-MARKETING & COMMUNICATIONS 174136 0 0 0 1614 0 21253 0 24444 0 221447 0 0 0 CYNTHIA CHRISTENSEN CONTROLLER 197500 0 35975 0 29087 0 40400 0 4701 0 307663 0 20443 0 TODD HATTON IT DIRECTOR 174172 0 38642 0 1182 0 13074 0 20815 0 247885 0 0 0 ROGER ZAREMBA CHIEF TECHNOLOGY OFFICER 166665 0 14972 0 1413 0 8174 0 533 0 191757 0 0 0 WILLIAM DANIEL CHIEF QUALITY OFFCR & PHYSICIAN 205879 330322 0 0 1698 10971 0 15300 3288 25433 210865 382026 0 0 TAMMY LESLIE SYSTEM DIRECTOR-TOTAL REWARDS 161466 0 23212 0 1076 0 7703 0 23767 0 217224 0 0 0 GEORGE PAGELS MD FMR SR VP & CMO RETIRED 12/2012 0 0 96113 0 61964 0 3162 0 1017 0 162256 0 61964 0 PART I, LINE 1A THE ORGANIZATION SPENT $6,247 TO CHARTER A PLANE FOR ONE TRIP FOR 2 OFFICERS OF THE ORGANIZATION. THE BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION BECAUSE TRAVEL WAS EXCLUSIVELY FOR BUSINESS PURPOSES. CHARTER TRAVEL WAS USED AS THE MOST APPROPRIATE MEANS BASED ON THE TIMING AND LOCATION OF THE MEETING. PART I, LINE 4B 457(F) PLAN PARTICIPANTS AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: CHARLES ROBB - $115,121 DEFERRAL ROBERT BONNEY - $370,489 DEFERRAL DAWN MURPHY - $49,750 DEFERRAL MELINDA ESTES, MD - $200,000 DEFERRAL JULIE QUIRIN - $34,080 DEFERRAL GEORGE PAGELS RECEIVED FINAL PAYMENT OF INCENTIVE COMPENSATION AWARDED FOR ACHIEVING PERFORMANCE TARGETS BEFORE HIS RETIREMENT. 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 II JULIE QUIRIN RECEIVED COMPENSATION FROM A RELATED ORGANIZATION FOR DUTIES AS AN OFFICER OF THE FILING ORGANIZATION AND FOR SERVICES RENDERED TO THE RELATED ORGANIZATION. J CHRIS PERRYMAN, MD, AND PETER HOLT, MD, DID NOT RECEIVE COMPENSATION FOR DUTIES AS DIRECTORS OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. DON SIPES AND ELIZABETH CESSOR RECEIVED COMPENSATION FROM THE FILING ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND TO RELATED ORGANIZATIONS. GEORGE PAGELS RECEIVED FINAL PAYMENT OF INCENTIVE COMPENSATION AWARDED FOR ACHIEVING PERFORMANCE TARGETS BEFORE HIS RETIREMENT. A HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2003A&2003B 431178966 60635RF85 2003-09-17 125000000 NEW 52-BED HOSPITAL. EXPANSION AND CAPITAL PROJECTS AT SLHS HOSPITALS 0 0 0 B HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2004A 431178966 60635RH75 2004-04-28 105136306 REFUND SERIES 1993 BONDS 0 0 0 C HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2005A&2005B 431178966 60635RW45 2005-12-07 100000000 CAPITAL PROJECTS AT ST LUKES HOSPITAL OF KANSAS CITY 0 0 0 D HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2010A 431178966 60635R7U5 2010-06-03 101289824 REFUND SERIES 1996A B&P; FACILITIES EXPANSIONS & EQUIPMENT AT SLEH & SLHKC 0 0 0 A 127221569 771250 2951566 123498752 2006 0 0 1 1 B 39550000 105136306 880192 1615716 2004 1 0 1 1 C 112609434 2283226 106938102 2011 0 0 1 1 D 4280000 101305784 43055401 58252438 2011 1 0 1 1 A 0 0 1 1 0 0.00050 0.00050 0 0 1 B 0 0 0 0 0.00470 0.00470 0 0 1 C 0 0 1 1 0 0.00150 0.00150 0 0 1 D 0 0 1 1 0 0.00050 0.00050 0 0 1 A 0 0 0 1 0 1 UBS 29.600000000000 0 1 1 MBIA INC 1.900000000000 1 1 1 B 0 0 1 0 0 0 0 0 1 C 0 0 0 1 0 1 UBS 30.100000000000 0 1 1 PALLAS CAPITAL CORP 1.800000000000 1 1 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K THE MASTER TRUST INDENTURE PROVIDES THAT THE TAX-EXEMPT REVENUE BONDS ARE THE JOINT AND SEVERAL OBLIGATIONS OF EACH OF THE MEMBERS OF THE OBLIGATED GROUP. IN 2013, THE OBLIGATED GROUP INCLUDES SAINT LUKE'S HEALTH SYSTEM, SAINT LUKE'S HOSPITAL OF KANSAS CITY, SAINT LUKE'S NORTHLAND HOSPITAL, SAINT LUKE'S SOUTH HOSPITAL AND SAINT LUKE'S EAST HOSPITAL. ONLY A PORTION OF THE BONDS WAS USED FOR THE FILING ORGANIZATION'S PROJECTS. PART IV, LINE 2C ISSUER NAME: HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO: SERIES 2003A&2003B REBATE COMPUTATION PERFORMED AS OF 7/1/2008. NO FURTHER COMPUTATION REQUIRED. ISSUER NAME: HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO: SERIES 2005A&2005B REBATE COMPUTATION PERFORMED AS OF 11/15/2010. A HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2012A&2012B 431178966 60637ACH3 2012-08-21 140000000 REFUND SERIES 2008A,B&C BONDS 0 0 0 B HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2012C 431178966 2012-12-13 50000000 CAPITAL PROJECTS AT SLHKC & SLEH 0 0 0 A 140000000 140000000 2012 1 0 1 1 B 50000000 50000000 2012 0 0 0 1 A 0 0 1 1 0 0.00210 0.00210 0 0 1 B 0 0 1 1 0 0 0 1 A 0 1 0 0 1 1 UBS 19.200000000000 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 AUDREY HILL FAMILY MEMBER OF THOMAS BROWN, DIRECTOR 56192 AUDREY HILL IS EMPLOYED BY SAINT LUKE'S HEALTH SYSTEM. 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION ARE SAINT LUKE'S HOSPITAL OF KANSAS CITY, SAINT LUKE'S NORTHLAND HOSPITAL, SAINT LUKE'S EAST HOSPITAL, AND SAINT LUKE'S SOUTH HOSPITAL, INC., EACH A 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BODY IS ELECTED BY THE CORPORATE MEMBERS OF 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 BEFORE FILING. THE 990 DRAFT WAS ALSO PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. 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 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 OR THE SYSTEM VICE PRESIDENT OF HUMAN RESOURCES 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 EXECUTIVE AND OTHER HIGHLY COMPENSATED 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 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. 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 AND/OR KS 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. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A, COLUMN (B): JULIE QUIRIN RECEIVED COMPENSATION FROM A RELATED ORGANIZATION FOR DUTIES AS AN OFFICER OF THE FILING ORGANIZATION AND FOR SERVICES RENDERED TO THE RELATED ORGANIZATION. J CHRIS PERRYMAN, MD, AND PETER HOLT, MD, DID NOT RECEIVE COMPENSATION FOR DUTIES AS DIRECTORS OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. DON SIPES AND ELIZABETH CESSOR RECEIVED COMPENSATION FROM THE FILING ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND TO RELATED ORGANIZATIONS. GEORGE PAGELS RECEIVED FINAL PAYMENT OF INCENTIVE COMPENSATION AWARDED FOR ACHIEVING PERFORMANCE TARGETS BEFORE HIS RETIREMENT. FORM 990, PART XI, LINE 9: ADDITIONAL PENSION OBLIGATION 30,915,496. UNREALIZED INTEREST RATE SWAP GAIN (LOSS) 15,397,005. AFFILIATES-BOND PROCEEDS TRANSFERS 32,194,976. ROUNDING 2. PART X, LINE 11,12,13 INVESTMENTS SAINT LUKE'S HEALTH SYSTEM IS THE OWNER OF VARIOUS INVESTMENTS WHICH ARE ALLOCATED TO AFFILIATED HOSPITALS AND REPORTED ON SUCH HOSPITALS' BALANCE SHEETS. ST LUKES HOSPITAL OF KANSAS CITY 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 HEALTH CARE MO 501(C)(3) 170B1AIII 0 SAINT LUKES NORTHLAND HOSPITAL CORPORATION 601 SOUTH 169 HWY SMITHVILLE MO 64089 440565393 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKE'S HEALTH SYSTEM 0 SAINT LUKES SOUTH HOSPITAL INC 12300 METCALF AVE OVERLAND PARK KS 66213 481203262 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKE'S HEALTH SYSTEM 0 SAINT LUKES EAST HOSPITAL 100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086 562488077 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKE'S HEALTH SYSTEM 0 SAINT LUKES MEDICAL GROUP 6750 ANTIOCH STE 210 SHAWNEE MISSION KS 66204 451598353 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKE'S HEALTH SYSTEM 0 CRITTENTON 10918 ELM AVENUE KANSAS CITY MO 64134 440545808 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKE'S HOSPITAL OF KANSAS CITY 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 LUKE'S HEALTH SYSTEM 0 ST LUKES OF TRENTON 191 IOWA BOULEVARD TRENTON MO 64683 431707306 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKE'S HEALTH SYSTEM 0 SAINT LUKES HOSPITAL OF GARNETT 421 SOUTH MAPLE GARNETT KS 66032 742849611 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKE'S HEALTH SYSTEM 0 CABOT WESTSIDE HEALTH CENTER 901 E 104TH ST KANSAS CITY MO 64131 440546280 HEALTH CARE MO 501(C)(3) 170B1AVI SAINT LUKE'S HEALTH SYSTEM 0 MIDWEST EAR INSTITUTE INC 4200 PENNSYLVANIA STE 100 KANSAS CITY MO 64111 480905027 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKE'S HOSPITAL OF KANSAS CITY 0 SAINT LUKES HOSPITAL OF CHILLICOTHE 100 CENTRAL STREET CHILLICOTHE MO 64601 431735565 HEALTH CARE MO 501(C)(3) 170B1AIII SAINT LUKE'S HEALTH SYSTEM 0 SAINT LUKES CUSHING HOSPITAL 711 MARSHALL LEAVENWORTH KS 66048 480543792 HEALTH CARE KS 501(C)(3) 170B1AIII SAINT LUKE'S HEALTH SYSTEM 0 SAINT LUKES CARE 901 E 104TH ST KANSAS CITY MO 64131 260185090 HEALTH CARE MO 501(C)(3) 509(A)(3) - TYPE 1 SAINT LUKE'S HEALTH SYSTEM 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CARE L 877951 COST SAINT LUKES CARE P 877951 COST VENTURE FINANCIAL SERVICES INC S 849858 COST MEDICAL PLAZA MANAGEMENT INC L 55000 COST 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.