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SAINT LUKES CANCER INSTITUTE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAINT LUKES CANCER INSTITUTE (EIN 43-1933950)
Tax period
2012-01-01 to 2012-11-01
Filed
2013-10-15
IRS object ID
201332889349301418
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-15T16:08:41-05:00Timestamp
Tax Period End Date2012-11-01TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431933950EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT LUKES CANCER INSTITUTEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAINNameControl
Phone8169322000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14401 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64111ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAMY NACHTIGALName
TitleCFOTitle
Phone8169322000Phone
Date Signed2013-10-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Terminated ReturnXTerminatedReturn
Name Of Principal Officer PersonJULIE QUIRINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14401 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64111ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19822646GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SAINTLUKESHEALTHSYSTEM.ORGWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Type Of Org Other DescriptionLLCTypeOfOrgOtherDescription
Year Formation2001YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionCANCER TREATMENTActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees130TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year482764ContributionsGrantsPriorYear
Contributions Grants Current Year341222ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22604034ProgramServiceRevenuePriorYear
Program Service Revenue CY19474086ProgramServiceRevenueCY
Investment Income Prior Year117321InvestmentIncomePriorYear
Investment Income Current Year7338InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year23204119TotalRevenuePriorYear
Total Revenue Current Year19822646TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year13750GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY16200GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14441471SalariesEtcPriorYear
Salaries Etc Current Year10116764SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7438274OtherExpensePriorYear
Other Expenses Current Year7433447OtherExpensesCurrentYear
Total Expenses Prior Year21893495TotalExpensesPriorYear
Total Expenses Current Year17566411TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1310624RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2256235RevenuesLessExpensesCY
Total Assets BOY7453833TotalAssetsBOY
Total Assets EOY0TotalAssetsEOY
Total Liabilities BOY21386515TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-13932682NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSAINT LUKE'S CANCER INSTITUTE IS COMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. WE ARE DEDICATED TO CANCER PATIENTS. 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense15311224Expense
Grants16200Grants
Revenue19474086Revenue
DescriptionSAINT LUKES CANCER INSTITUTE (SLCI) IS A 9 BED SPECIALTY HOSPITAL AND ONE OF THE LARGEST NON-PROFIT PROVIDERS IN THE REGION DEDICATED TO PROVIDING COMPREHENSIVE CANCER SERVICES THAT INCLUDE PREVENTION, EARLY DETECTION, DIAGNOSIS, TREATMENT, RESEARCH, EDUCATION AND SUPPORTIVE CARE. IN 2012 THERE WERE 862 PATIENT DAYS AND 28,648 OUTPATIENT VISITS. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS CHARITY CARE POLICIES FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARESAINT LUKES CANCER INSTITUTE OFFERS INPATIENT ONCOLOGY CARE WITH AN EMPHASIS ON THE CARE OF GYNECOLOGIC ONCOLOGY AND LEUKEMIA/LYMPHOMA PATIENTS; OUTPATIENT INFUSION SERVICES THAT INCLUDE: CHEMOTHERAPY, PHOTOPHERSIS, THERAPEUTIC PLASMA EXCHANGE, AND BLOOD MANAGEMENT; RADIATION THERAPY; SPECIALIZED HIGH DOSE RADIATION THERAPY; PROSTATE BRACHYTHERAPY; ONE OF THE LARGEST GYNECOLOGIC ONCOLOGY PROGRAM IN THE REGION; MEDICAL ONCOLOGY PROGRAM WITH PHYSICIANS SPECIALIZING IN BREAST, COLON AND LUNG CANCERS; CELL PROCESSING LAB; CORD BLOOD PROGRAMS; GENETIC COUNSELING; PET SCANNING; CANCER SCREENING; COMPREHENSIVE BREAST CENTER; BEHAVIORAL HEALTH SPECIALIST OFFERING SUPPORT TO PATIENTS AND FAMILIES AT NO COST; COMMUNITY OUTREACH AND EDUCATION.WE PROVIDE THE ONLY MOBILE MAMMOGRAPHY PROGRAM IN THE KANSAS CITY AREA, PROVIDING SCREENING MAMMOGRAMS TO UNINSURED AND UNDERINSURED WOMEN IN THE KANSAS CITY METROPOLITAN AREA. SLCI ALSO INVESTS IN THE FUTURE OF HEALTH CARE THROUGH RESEARCH ACTIVITIES.Description
Total Program Service Expense15311224TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated1Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees130NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATION CO ST LUKES HOSPITAL OF KANSAS CITYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8169322000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14401 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64111ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JULIE QUIRIN
DIRECTOR & CEO5.0045.00XX0603264111954
JEFFREY WIEMAN MD
DIR & CHIEF MED OFFCR ENDED 7/31/1240.00XX5762807345
THOMAS L BROWN
DIRECTOR2.00X000
GAYDEN CARRUTH PHD
DIRECTOR2.00X000
CHARLIE NEWELL
DIRECTOR2.00X000
THOMAS L WAGSTAFF
DIRECTOR2.00X000
ALI SHWAIKI MD
DIRECTOR2.0040.00X18214218007431564
THOMAS WILLARD
DIRECTOR2.00X000
AMY NACHTIGAL
CFO5.0045.00X033831849751
KARIN MCCRARY
VICE-PRESIDENT50.0050.00X012378429317
DEBBIE WHITE
CNO5.0045.00X029077466202
ROBERT BELT
PHYSICIAN40.0040.0030245627884617712X
LOWELL BYERS
PHYSICIAN40.0040.0029798627490942560X
MICHELLE DUDZINSKI
PHYSICIAN40.0040.0030068227760434916X
MUHAMMAD RIAZ
PHYSICIAN40.0040.0028341126041432842X
BRENDA SHOUP
PHYSICIAN40.0040.0029721027413234061X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1721515TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2902119TotalReportableCompFrmRltdOrgs
Total Other Compensation458224TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
JE DUNN CONSTRUCTION
1001 LOCUSTKANSAS CITYMO64106CONSTRUCTION1401014
VARIAN MEDICAL SYSTEMS INC
70140 NETWORK PLACECHICAGOIL606731701SERVICE AGREEMENT504597
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants850GovernmentGrants
All Other Contributions340372AllOtherContributions
Total Contributions341222TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6221101845169018451690
OTHER PROGRAM REVENUE622110549091549091
PET SCAN SERVICES622110315555315555
EHR MEANINGFUL USE FDS622110157750157750
FieldValueIRS element (for citing)
Total Program Service Revenue19474086TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7338TotalRevenueColumn
Exclusion$7,338ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19822646TotalRevenueColumn
Related Or Exempt Function Income19474086RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,338ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total16200Total
Program Services16200ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total262898Total
Program Services197925ProgramServices
Management And General64973ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8247007Total
Program Services7791280ProgramServices
Management And General455727ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total345458Total
Program Services324320ProgramServices
Management And General21138ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total770488Total
Program Services723344ProgramServices
Management And General47144ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total490913Total
Program Services460875ProgramServices
Management And General30038ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total72781Total
Management And General72781ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2126160Total
Program Services1891885ProgramServices
Management And General234275ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2476Total
Program Services2476ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total166589Total
Program Services164068ProgramServices
Management And General2521ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total158146Total
Program Services157485ProgramServices
Management And General661ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total626875Total
Program Services551650ProgramServices
Management And General75225ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total31728Total
Program Services21831ProgramServices
Management And General9897ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total29077Total
Program Services28938ProgramServices
Management And General139ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total533036Total
Program Services469072ProgramServices
Management And General63964ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total873541Total
Program Services768716ProgramServices
Management And General104825ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total317480Total
Program Services259462ProgramServices
Management And General58018ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SHARED SERVICES - SLHS1475000487270987730
MEDICAL SUPPLIES77018977017811
BAD DEBTS190155190155

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total60214Total
Program Services34094ProgramServices
Management And General26120ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17566411Total
Program Services15311224ProgramServices
Management And General2255187ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY594583BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3135915BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY57005BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY536863BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2639872BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14580BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY172421BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY302594BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7453833BOY
EOY0EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1634176BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19752339BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21386515BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-13932682BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-13932682BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7453833BOY
EOY0EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2256235ReconcilationRevenueExpenses
Reconcilation Other Changes11676447ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$6,937GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB6937TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationLINE 1(F): PORTION OF DUES PAID TO VARIOUS HOSPITAL AND MEDICAL ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance291250BeginningOfYearBalance
Other Expenditures291250OtherExpenditures

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Book Value0BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
ExplanationPART XI, XII, AND XIII - THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED AUDIT OF SAINT LUKE'S HEALTH SYSTEM.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage133.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense265147TotalCommunityBenefitExpense
Net Community Benefit Expense265147NetCommunityBenefitExpense
Percent Of Total Expense0.01530PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense3965464TotalCommunityBenefitExpense
Direct Offsetting Revenue4169906DirectOffsettingRevenue
Net Community Benefit Expense-204442NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense4230611TotalCommunityBenefitExpense
Direct Offsetting Revenue4169906DirectOffsettingRevenue
Net Community Benefit Expense60705NetCommunityBenefitExpense
Percent Of Total Expense0.01530PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense68329TotalCommunityBenefitExpense
Net Community Benefit Expense68329NetCommunityBenefitExpense
Percent Of Total Expense0.00390PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense412780TotalCommunityBenefitExpense
Net Community Benefit Expense412780NetCommunityBenefitExpense
Percent Of Total Expense0.02380PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense17550TotalCommunityBenefitExpense
Direct Offsetting Revenue1350DirectOffsettingRevenue
Net Community Benefit Expense16200NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense498659TotalCommunityBenefitExpense
Direct Offsetting Revenue1350DirectOffsettingRevenue
Net Community Benefit Expense497309NetCommunityBenefitExpense
Percent Of Total Expense0.02860PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4729270TotalCommunityBenefitExpense
Direct Offsetting Revenue4171256DirectOffsettingRevenue
Net Community Benefit Expense558014NetCommunityBenefitExpense
Percent Of Total Expense0.04390PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$190,155BadDebtExpenseAmount
Amount Reimbursed By Medicare2692570AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare3207821CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-515251MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT LUKES CANCER INSTITUTEBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line14401 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64111ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAINT LUKES CANCER INSTITUTEBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent133.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SLCI PHYSICIAN CLINICS
4320 WORNALL ROADKANSAS CITYMO64111PHYSICIAN CLINIC
DIAGNOSTIC BREAST CARE CENTER
4321 WASHINGTONKANSAS CITYMO64111DIAGNOSTIC BREAST CARE CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
PART I, L7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $17,566,411. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $190,155. THIS LEFT US WITH A TOTAL EXPENSE OF $17,376,256 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
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 III, LINE 2, BAD DEBT
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 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 RECORDED 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 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-IN LOCATED 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 OF CASE MANAGER AS WELL AS ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE.SAINT LUKES CANCER INSTITUTE
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 TO ENSURE APPROPRIATE MEDICAL STAFF LEVELS IN A VARIETY OF MEDICAL SPECIALTIES AND SUBSPECIALTIES TO SERVE THE PATIENTS IN OUR COMMUNITY.
PART VI, LINE 3: SEE RESPONSE TO PART V, LINE 14G.
PART VI, LINE 4: THE HOSPITAL IS LOCATED IN THE URBAN CORE OF KANSAS CITY AND PROVIDES PATIENT CARE SERVICES TO 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 USES RESOURCES TO MAINTAIN AND TO EXPAND ACCESS POINTS OF CARE FOR PATIENTS THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: 1) MOBILE BREAST IMAGING PROGRAM, 2) PARTICIPATION IN THE SUSAN KOMEN FOUNDATION FOR BREAST CANCER, 3) PARTICIPATION IN THE METROCARE PROGRAM OF THE METROPOLITAN MEDICAL SOCIETY, WHICH OFFERS FREE CARE FOR ELECTIVE PROCEDURES FOR THE UNINSURED COMMUNITY.
PART VI, LINE 6: THE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 11 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SUSAN G KOMEN RACE FOR THE CUREBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11111 MAIN STREETAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64105ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient751835298EINOfRecipient
IRC Section501C3IRCSection
Amount Of Cash Grant12735AmountOfCashGrant
Purpose Of GrantSPONSORSHIPPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: GRANTS ARE PROVIDED TO QUALIFIED 501(C)(3) CHARITIES. ALL DONEE INFORMATION IS KEPT AS PART OF THE ORGANIZATION'S BOOKS AND RECORDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JULIE QUIRIN
DIRECTOR & CEO041287501293940609950102075098790715218043680
ALI SHWAIKI MD
DIRECTOR14746717054433896875077978056255625101571015719792419585600
AMY NACHTIGAL
CFO0250000064895023423047550022010388069019720
KARIN MCCRARY
VICE-PRESIDENT0122696000108809582019735015310100
DEBBIE WHITE
CNO022907606056801130052560013642035697600
ROBERT BELT
PHYSICIAN2993322762550031242591500050003856385631131228770200
LOWELL BYERS
PHYSICIAN295967272890002019201993759375119051190531926629618900
MICHELLE DUDZINSKI
PHYSICIAN298301275224002381238010000100007458745831814029506200
MUHAMMAD RIAZ
PHYSICIAN279349257522004062289256255625107961079629983227683500
BRENDA SHOUP
PHYSICIAN2964672733900074374256255625114051140631424029116300

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4B457(F) PLAN PARTICIPANTS AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: JULIE QUIRIN: $30,375
PART IIIPART II: REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR ALL APPLICABLE PERSONS WERE FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS FOR THE ENTIRE CALENDAR YEAR ENDING 12/31/2012. SAINT LUKES CANCER INSTITUTE WAS MERGED INTO ST LUKES HOSPITAL OF KANSAS CITY DURING 2012.SUPPLEMENTAL INFORMATION

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail

FieldValueIRS element (for citing)
Description Of AssetALL NET ASSETS TRANSFERRED TO THE SUCCESSOR ORGANIZATION IN MERGER.DescriptionOfAsset
Date Of Distribution2012-11-01DateOfDistribution
FMV Of Asset-11820824FMVOfAsset
Method Of FMV DeterminationNET BOOK VALUEMethodOfFMVDetermination
EIN440545297EIN

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ST LUKES HOSPITAL OF KANSAS CITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14401 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64111ZIPCode
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSection
FieldValueIRS element (for citing)
Director Of Successor0DirectorOfSuccessor
Employee Of Successor0EmployeeOfSuccessor
Owner Of Successor0OwnerOfSuccessor
Receive Compensation0ReceiveCompensation
Assets Distributed1AssetsDistributed
Required To Notify AG1RequiredToNotifyAG
AG Notified1AGNotified
Liabilities Paid1LiabilitiesPaid
Bonds Outstanding0BondsOutstanding
Bond Liabilities Discharged0BondLiabilitiesDischarged

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3EFFECTIVE NOVEMBER 1, 2012, THE ORGANIZATION MERGED INTO SAINT LUKE'S HOSPITAL OF KANSAS CITY, AN AFFILIATED 501(C)(3) ORGANIZATION. A CERTIFIED COPY OF THE ARTICLES OF MERGER IS ATTACHED TO THIS RETURN.
FORM 990, PART VI, SECTION A, LINE 2JULIE QUIRIN, AMY NACHTIGAL, DEBBIE WHITE, AND THOMAS BROWN 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 4EFFECTIVE NOVEMBER 1, 2012, THE ORGANIZATION MERGED INTO SAINT LUKE'S HOSPITAL OF KANSAS CITY, AN AFFILIATED 501(C)(3) ORGANIZATION. A CERTIFIED COPY OF THE ARTICLES OF MERGER IS ATTACHED TO THIS RETURN.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, DEBT, BUDGETS, CAPITAL EXPENDITURES AND STRATEGIC OPERATING DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF FOR 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 BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CSAINT 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 COMPLIANCE OFFICER 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 15ANNUALLY, 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 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 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 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT PUBLICLY AVAILABLE.
FORM 990, PART VIIREPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR ALL APPLICABLE PERSONS WERE FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS FOR THE CALENDAR YEAR ENDING 12/31/2012. SAINT LUKES CANCER INSTITUTE WAS MERGED INTO ST LUKES HOSPITAL OF KANSAS CITY EFFECTIVE 11/1/2012.
OTHER FEESFORM 990, PART IX, LINE 11GANCILLARY AFFILIATE TRANSFERS: PROGRAM SERVICE EXPENSES 830,744. MANAGEMENT AND GENERAL EXPENSES 47,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 877,874. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 422,918. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 422,918. OTHER SERVICES: PROGRAM SERVICE EXPENSES 638,223. MANAGEMENT AND GENERAL EXPENSES 187,145. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 825,368.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 9:ASSET TRANSFER TO SLH DUE TO MERGER 11,820,824. RISK RETENTION GROUP SUBSCRIBER SAVINGS ACCOUNT DIVIDEND -3,567. OTHER NET ASSET TRANSFERS TO SLH -140,808. ROUNDING -2.
NUMBER REPORTED IN BOX 3 OF FORM 1096FORM 990, PART V, LINE 1ASAINT LUKE'S CANCER INSTITUTE (SLCI) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLCI'S VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY.
INVESTMENT INCOMEFORM 990, PART VIII, LINE 3INVESTMENT INCOME INCLUDES $3,567 OF SUBSCRIBER SAVINGS ACCOUNT ALLOCATION FROM RELATED RISK RETENTION GROUP.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SLCI PHYSICIAN SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14401 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64111ZIPCode
FieldValueIRS element (for citing)
EIN261960133EIN
Primary ActivitiesPHYSICIAN SERVICES - BILLINGPrimaryActivities
Legal Domicile StateMOLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SAINT LUKES CANCER INSTITUTEBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (19 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SAINT LUKES HEALTH SYSTEM INC
10920 ELM AVEKANSAS CITYMO64134431747502HEALTH SYSTEMKS501(C)(3)509(A)(3) - TYPE 1ST LUKES HOSPITAL OF KANSAS CITY0
ST LUKES HOSPITAL OF KANSAS CITY
4401 WORNALL ROADKANSAS CITYMO64111440545297HEALTH CAREMO501(C)(3)170B1AIII0
SAINT LUKE'S NORTHLAND HOSPITAL CORPORATION
601 SOUTH 169 HIGHWAYSMITHVILLEMO64089440565393HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM0
SAINT LUKE'S SOUTH HOSPITAL INC
12300 METCALF AVENUEOVERLAND PARKKS66213481203262HEALTH CAREKS501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM0
SAINT LUKE'S EAST HOSPITAL
100 NE SAINT LUKES BLVDLEES SUMMITMO64086562488077HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM0
SAINT LUKE'S MEDICAL GROUP
6750 ANTIOCH SUITE 210SHAWNEE MISSIONKS66204431598353HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM0
CRITTENTON
10918 ELM AVEKANSAS CITYMO64134440545808HEALTH CAREMO501(C)(3)170B1AIIIST LUKES HOSPITAL OF KANSAS CITY0
SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE
3100 BROADWAY SUITE 1000KANSAS CITYMO64111431127200HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM0
ST LUKE'S OF TRENTON
191 IOWA BLVDTRENTONMO64683431707306HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM0
SAINT LUKE'S HOSPITAL OF GARNETT
421 SOUTH MAPLEGARNETTKS66032742849611HEALTH CAREKS501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM0
CABOT WESTSIDE HEALTH CENTER
2121 SUMMITKANSAS CITYMO64108440546280HEALTH CAREMO501(C)(3)170B1AVISAINT LUKES HEALTH SYSTEM0
MIDWEST EAR INSTITUTE INC
4200 PENNSYLVANIA SUITE 100KANSAS CITYMO64111480905027HEALTH CAREKS501(C)(3)170B1AIIIST LUKES HOSPITAL OF KANSAS CITY0
SAINT LUKE'S HOSPITAL OF CHILLICOTHE
100 CENTRAL STREETCHILLICOTHEMO64601431735565HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM0
CUSHING MEMORIAL HOSPITAL CORPORATION
711 MARSHALLLEAVENWORTHKS66048480543792HEALTH CAREKS501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM0
SAINT LUKE'S CARE
10920 ELM AVEKANSAS CITYMO64134260185090HEALTH CAREMO501(C)(3)509(A)(3) - TYPE 1SAINT LUKES HEALTH SYSTEM0
MEDICAL PLAZA IMAGING ASSOCIATES LLC
4401 WORNALL ROADKANSAS CITYMO64111431609584HEALTH CAREMO501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM0
SAINT LUKE'S COLLEGE OF HEALTH SCIENCES
624 WESTPORT RDKANSAS CITYMO64111272716128POST SECONDARY NURSING EDUCATIONMO501(C)(3)170B1AIIST LUKES HOSPITAL OF KANSAS CITY0
SLCC INC
4330 WORNALL ROAD SUITE 2000KANSAS CITYMO64111271994652HEALTH CAREKS501(C)(3)170B1AIIISAINT LUKES HEALTH SYSTEM0
SLNC INC
4401 WORNALL ROADKANSAS CITYMO64111451470888HEALTH CAREKSAPPLYING FOR 501(C)(170B1AIIISAINT LUKES HEALTH SYSTEM0

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
MEDICAL PLAZA PARTNERS LP
4320 WORNALL ROAD SUITE 410KANSAS CITYMO64111431357824OWN & OPERATE MEDICAL OFFICE BUILDINGSMON/A
MEDICAL PARK ASSOCIATES A LP
601 SOUTH 169 HIGHWAYSMITHVILLEMO64089431311049OWN & OPERATE MEDICAL OFFICE BUILDINGSMON/A
ST LUKE'S SURGICENTER-LEE'S SUMMIT LLC
11221 ROE AVE SUITE 230OVERLAND PARKKS66211470853481HEALTHCAREMON/A
SAINT LUKE'S SOUTH SURGERY CENTER LLC
11221 ROE AVE SUITE 230OVERLAND PARKKS66211201721929HEALTHCAREKSN/A
FAMILY ADVOCATES LLC
10918 ELM AVENUEKANSAS CITYMO64134202739036FOSTER CAREMON/A
SAINT LUKE'S CARDIOLOGY SERVICES LLC
10920 ELM AVENUEKANSAS CITYMO64134263726426HEALTHCAREMON/A
SAINT LUKE'S-GI DIAGNOSTICS LLC
4321 WASHINGTON SUITE 5700KANSAS CITYMO64111274142549HEALTHCAREMON/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
SAINT LUKE'S HEALTH SYSTEM RISK RETENTION GROUP
10920 ELM AVENUEKANSAS CITYMO64134371471890INSURANCESCN/AC0
ST LUKE'S HEALTH VENTURES INC
4320 WORNALL ROAD SUITE 410KANSAS CITYMO64111431278476ACCOUNTINGMON/AC0
MEDICAL PLAZA MANAGEMENT INC
4320 WORNALL ROAD SUITE 410KANSAS CITYMO64111431352317MEDICAL OFFICE BUILDING MANAGEMENTMON/AC0
VENTURE FINANCIAL SERVICES INC
9500 E 63RD ST STE 202RAYTOWNMO64133431605740COLLECTIONSMON/AC0
SPELMAN DEVELOPMENT CORPORATION
601 S 169 HIGHWAYSMITHVILLEMO64089431296007MEDICAL OFFICE BUILDING RENTALSMON/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH RELATED ORGANIZATIONSIdentifier
Return ReferenceSCHEDULE R, PART VI, ITEM 1ReturnReference
ExplanationSAINT 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.Explanation