2012-11-15T13:21:27-06:00 2011-12-31 990 2011-01-01 440545297 ST LUKES HOSPITAL OF KANSAS CITY STLU 8169322000 4401 WORNALL ROAD KANSAS CITY MO 64111 AMY NACHTIGAL 8169322000 2012-11-15 2011 2016-02-24 21:20:13Z JULIE QUIRIN 4401 WORNALL ROAD KANSAS CITY MO 64111 960320798 0 X WWW.SAINTLUKESHEALTHSYSTEM.ORG X 1882 MO TERTIARY CARE TEACHING HOSPITAL 41 33 4630 462 11928 -683002 21613430 11591006 471211812 505697698 7869816 27909485 6831685 8627862 507526743 553826051 24712187 17001865 0 0 214672375 241767137 0 0 184188 243058897 255281889 482443459 514050891 25083284 39775160 1113018155 1120069946 381912521 376608671 731105634 743461275 X SAINT LUKE'S HOSPITAL IS A NOT-FOR-PROFIT TERTIARY REFERRAL CENTER COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. WE ARE DEDICATED TO MEDICAL RESEARCH AND EDUCATION. AS A MEMBER OF THE SAINT LUKE'S HEATLH SYSTEM WE ARE COMMITTED TO ENHANCING THE PHYSICAL, MENTAL AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. 0 0 452286775 17001865 513875621 HOSPITAL CARE:ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION, WHICH IS TO ENSURE THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE SERVICES TO ALL PATIENTS IN A CARING ENVIRONMENT. IN 2011, THERE WERE 96,875 PATIENT DAYS AND 4,642 NEWBORN DAYS. SAINT LUKE'S HOSPITAL IS A FULL-SERVICE HEALTH CARE FACILITY FEATURING AWARD-WINNING HEART SURGERY, NATIONALLY RECOGNIZED TRANSPLANT PROGRAMS, A STATE-OF-THE-ART WOMEN'S HEALTH CENTER, TRAUMA SERVICES AND MORE.THE HOSPITAL HAS 578 ACTIVE PHYSICIANS AND CONTINUES TO ADVANCE TREATMENT OPTIONS THROUGH LANDMARK RESEARCH STUDIES.RESEARCH, EDUCATION, AND TEACHING:IN ADDITION TO THE SUBSTANTIAL AMOUNT OF FREE CARE PROVIDED, SAINT LUKE'S HOSPITAL HAS MADE A MAJOR COMMITMENT TO MEDICAL AND NURSING EDUCATION. THIS INCLUDES THE SIGNIFICANT FUNDING REQUIREMENTS TO MAINTAIN AN ACCREDITED TEACHING AFFILIATION AND PROVIDE FOR THE TRAINING OF 120 RESIDENTS IN 25 MEDICAL SPECIALTIES OR SUB-SPECIALTIES. SAINT LUKE'S HOSPITAL ALSO PROVIDES TRAINING PROGRAMS FOR RADIATION THERAPY, MEDICAL IMAGING, CHAPLAINS, PATIENT CARE TECHNICIANS AND PHLEBOTOMY. SAINT LUKE'S HOSPITAL IS ALSO ACCREDITED TO OFFER CONTINUING MEDICAL EDUCATION PROGRAMS FOR PRACTICING PHYSICIANS. SAINT LUKE'S HOSPITAL IS ALSO CONCERNED ABOUT THE LONG-TERM WELFARE OF THE COMMUNITY AND MAKES AN ADDITIONAL INVESTMENT IN THE FUTURE OF HEALTH CARE THROUGH RESEARCH ACTIVITIES. 452286775 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 0 0 1 X 16 0 1 4630 1 1 1 0 0 0 0 0 0 0 0 0 X 41 33 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 8169322000 4401 WORNALL ROAD KANSAS CITY MO 64111 X RT RVE BARRY R HOWE 2.00 X X 0 0 0 ROBERT H WEST 2.00 X X 0 0 0 THOMAS W WAGSTAFF 2.00 X X 0 0 0 DAVID W GIBSON 2.00 X X 0 0 0 JOHN R PHILLIPS 2.00 X X 0 0 0 MARSHALL H DEAN JR 2.00 X X 0 0 0 WILLIAM J ALIBER 2.00 X 0 0 0 THOMAS T CROUCH 2.00 X 0 18938 0 GREGORY M BENTZ 2.00 X 0 0 0 CINDY COWHERD 2.00 X 0 0 0 MARK BERNHARDT MD 2.00 X 0 0 0 BUSH C HELZBERG 2.00 X 0 0 0 JOHN HELZBERG MD 2.00 X 211870 0 11634 ELLEN J HOCKADAY 2.00 X 0 0 0 CHARLES D HORNER 2.00 X 0 0 0 DANIEL P BOLEN 2.00 X 0 0 0 THOMAS L BROWN 2.00 X 0 0 0 J GRANT BURCHAM 2.00 X 0 0 0 PETER S HOLT MD 2.00 X 172520 17235 0 JOHN A MACDONALD 2.00 X 0 0 0 DAVID T HUNT 2.00 X 0 0 0 JAMES T LACY 2.00 X 0 0 0 CANDICE MCDOWELL 2.00 X 0 0 0 CHARLES M NEWELL 2.00 X 0 0 0 ROBERT N SAWYER 2.00 X 0 0 0 RICHARD G NORDEN 2.00 X 0 0 0 RICHARD F OWEN 2.00 X 0 0 0 JAMES P PACE 2.00 X 0 0 0 BRUCE PENDLETON 2.00 X 0 0 0 ALISON SCHOLES MD 2.00 X 0 0 0 DAVID POWELL 2.00 X 0 0 0 STANLEY SHAFFER MD 2.00 X 0 0 0 MARY SPRADLEY 2.00 X 0 0 0 THOMAS L WAGSTAFF 2.00 X 0 0 0 MINA STEEN 2.00 X 0 0 0 MICHAEL THOMAS 2.00 X 0 0 0 H GUYON TOWNSEND III 2.00 X 0 0 0 THOMAS R WILLARD 2.00 X 0 0 0 DEBORAH WILLIAMS 2.00 X 0 0 0 JEFFREY A WATERS MD 2.00 X 0 0 0 MICHAEL L WEAVER MD 2.00 X 0 85929 9077 RT REV MARTIN FIELD 2.00 X 0 0 0 JULIE QUIRIN 40.00 X 537220 0 86793 DEBBIE WHITE 40.00 X 253533 0 32707 JAMA JOHNSON 40.00 X 173860 0 2919 G RICHARD HASTINGS 2.00 X 0 8075555 176042 JANI JOHNSON 40.00 X 295546 0 60937 CHARLES ROBB 2.00 X 0 729234 228781 DORIS ROGERS 40.00 X 138120 0 42082 KEVIN THORPE 40.00 X 247809 0 58266 JOHN YEAST MD 40.00 X 363230 0 36411 AMY NACHTIGAL 40.00 X 255140 11790 41223 BRANDT WIBLE 40.00 X 698345 0 32842 TODD MOORE MD 40.00 X 704605 0 28777 SHAYA ANSARI MD 40.00 X 785847 0 27111 PAUL CHESIS MD 40.00 X 681606 0 32639 SCOTT RAVIS MD 40.00 X 840908 0 11480 6360159 8938681 919721 201 0 1 0 JE DUNN CONSTRUCTION COMPANY PO BOX 801150 KANSAS CITY MO 64180 CONSTRUCTION & CONSTR MANAGEMENT 51472645 UNIVERSITY OF MISSOURI - KANSAS CITY PO BOX 805111 KANSAS CITY MO 64180 MEDICAL RESIDENT SERVICES 8644532 P1 GROUP 16210 W 108TH ST LENEXA KS 66219 FACILITIES MANAGEMENT 4901680 WESTPORT ANESTHESIA SERVICES INC PO BOX 10370 KANSAS CITY MO 64171 ANESTHESIA SERVICES 4641472 SIEMENS MEDICAL SOLUTIONS USA 51 VALLEY STREAM PARKWAY MALVERN PA 19355 SERVICE CONTRACTS 2887889 89 2750697 8840309 200018 11591006 NET PATIENT REVENUE 622110 476618401 476618401 REGIONAL LAB SERVICES 621500 11353072 11353072 PHYSICIAN PROFESSIONAL 621110 4142097 4142097 HOST HOSPITAL REVENUE 622110 2613888 2613888 10970240 10970240 505697698 13694024 11928 13682096 10341 10341 449939 449939 449939 449939 420678540 21327 406494747 14183793 21327 14205120 14205120 EQUITY IN KCOI 622110 5591273 5591273 EQUITY IN AFFILIATES 900099 2586650 2586650 8177923 553826051 513875621 11928 28347496 17001865 17001865 2848627 223503 2625124 196011953 185123223 10713377 175353 7790904 7261462 529442 21040243 19610424 1421265 8554 14075410 13118896 956514 869711 869711 184730 184730 765707 765707 51455693 50377577 1078116 15908 8924 6984 13419594 11291913 2127400 281 2086338 806221 1280117 16652037 13158533 3493504 518985 434307 84678 559136 533681 25455 7345208 4931686 2413522 23523384 15908994 7614390 3841530 2750297 1091233 MEDICAL SUPPLIES 86002492 85907686 94806 SHARED SERVICES 33749223 10492633 23256590 BAD DEBT 11363688 11363688 0 SWAP RELATED COSTS 2102285 1411507 690778 826240 569755 256485 514050891 452286775 61579928 184188 15722005 16673830 14618240 8662048 69476761 74259377 1138394 1230161 9590325 9896316 7512005 7946383 704665613 248317686 399821068 456347927 65869733 144867877 315250537 217256704 41979049 42656943 6497370 7274977 165542668 132997403 1113018155 1120069946 50623659 49894439 3320 1938217 299462731 294182369 31822811 30593646 381912521 376608671 X 597743905 616717251 97694606 91009056 35667123 35734968 731105634 743461275 1113018155 1120069946 X 39775160 -27419519 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 9747 0 0 0 9747 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: LINE F-PORTION OF DUES PAID TO HOSPITAL, MEDICAL, & CIVIC ASSOCIATIONS USED TOWARD LOBBYING ACTIVITIES. 13861202 184270 258844 3667643 10636673 12913296 446175 1409156 907425 13861202 11473500 410455 1636652 607311 12913296 17822493 384178 -1606263 5126908 11473500 0.73700 0.26300 1 0 395175 6089798 6484973 434271907 88240189 346031718 5009860 2865575 2144285 240868690 151678654 89190036 18030183 5533268 12496915 456347927 PASSIVE BOND MARKET INDEX SL COMMON TRUST 47232828 F SELECTINVEST MULTISTRATEGY LTD 1826925 F CADOGEN ALTERNATIVE STRATEGIES FUND LTD 486154 F FINANCIAL SQUARE TRUST PRIME-COMMERCE BANK 5140492 F PATHEON USA FUND VII LP 4863046 F CASH-AGENCY ACCOUNTS 309914 F SSGA RUSSELL 1000 INDEX 45950324 F SIGULER GUFF DISTRESSED OPPORTUNITIES 6668124 F SSGA TIPS 29538645 F 1607 CAPITAL EQUITY FUND 14294469 F AETHER REAL ASSETS 1127115 F CASH-MONEY MARKET 14876625 F SSGA 1-3 YEAR US CREDIT INDEX 17390648 F SIGULER GUFF BRIC OPPORTUNITIES FUND 750000 F SIGULER GUFF DISTRESSED OPPORTUNITIES FUND IV 1341729 F MAGNITUDE INTERNATIONAL CLASS A SERIES 08/11 3897943 F MAGNITUDE INTERNATIONAL CLASS A SERIES 09/11 4313295 F MAGNITUDE INTERNATIONAL CLASS A SERIES 0808 4997683 F PRISMA SPECTRUM FUND LTD 12250745 F 217256704 INVESTMENT IN AFFILIATES 5441797 RECEIVABLES FROM AFFILIATES 2937215 INVESTMENT IN HOSPITAL LINEN SERVICE 485000 OTHER ASSETS 133544 INTEREST IN ASSETS OF FOUNDATION - SFAS 136 116107350 FIN 45 PHYSICIAN GUARANTEE ASSETS 7892497 132997403 RESERVE FOR SELF INSURED RISKS 11036077 OTHER CURRENT LIABILITIES 2966981 OTHER NONCURRENT LIABILITIES 4950572 PAYABLES TO AFFILIATES 3747519 FIN 45 PHYSICIAN GUARANTEE LIABILITY 7892497 30593646 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: SAINT LUKE'S HOSPITAL'S ENDOWMENT FUNDS ARE PRIMARILY INTENDED TO PROVIDE SCHOLARSHIPS FOR STUDENTS ENROLLED IN HEALTH SCIENCES PROGRAMS AT SAINT LUKE'S COLLEGE, COVER HOSPITAL EXPENSES FOR PATIENTS WHO ARE UNINSURED/UNDERINSURED AND CANNOT AFFORD TREATMENT, GENERAL OPERATIONS OF THE HOSPITAL AND CAPITAL EXPENDITURES FOR EQUIPMENT. THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENTS THE ORGANIZATION'S SHARE OF NET ASSETS AT SAINT LUKE'S HOSPITAL 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 1 X 1 1 1 0 0 12776372 12776372 0.02450 76235446 74406655 1828791 0.00350 89011818 74406655 14605163 0.02800 1274596 337372 937224 0.00180 16812671 4283245 12529426 0.02400 3834337 2358572 1475765 0.00280 4106619 4106619 0.00790 198867 2730 196137 0.00040 26227090 6981919 19245171 0.03690 115238908 81388574 33850334 0.06490 0 11968064 141845825 171445128 -29599303 X 1 1 1 KANSAS CITY ORTHOPAEDIC INSTITUTE LLC ORTHOPAEDIC SERVICES 0.40000 0.45830 2 HEALTH OUTCOMES SCIENCES LLC RESEARCH 0.01090 0.50050 3 SAINT LUKE'S - GI DIAGNOSTICS LLC GASTROENTEROLOGY SERVICES 0.51000 0.49000 2 1 ST LUKES HOSPITAL OF KANSAS CITY

4401 WORNALL ROAD KANSAS CITY MO 64111

X X X X X 2 KANSAS CITY ORTHOPAEDIC INSTITUTELLC

3651 COLLEGE BLVD LEAWOOD KS 66211

X X ORTHOPAEDIC SPECIALTY SERVICES ST LUKE'S HOSPITAL OF KANSAS CITY 1 1 1 200.000000000000 1 400.000000000000 1 X X X 1 1 X X X 1 0 1 X 0 0 KANSAS CITY ORTHOPAEDIC INSTITUTE LLC 2 1 1 200.000000000000 1 400.000000000000 1 X X X X X X 1 1 X 1 0 0 X X 0 0 6 SAINT LUKE'S PHYSICIAN SPECIALISTSLLC

4320 WORNALL ROAD KANSAS CITY MO 64111

PHYSICIAN CLINICS SAINT LUKE'S - GI DIAGNOSTICS LLC

4321 WASHINGTON SUITE 5700 KANSAS CITY MO 64111

GI SERVICES INFUSION CENTER

4321 WASHINGTON KANSAS CITY MO 64111

INFUSION CENTER INFUSION CENTER

100 NE SAINT LUKES BLVD LEES SUMMIT MO 64086

INFUSION CENTER INFUSION CENTER

12300 METCALF OVERLAND PARK KS 66213

INFUSION CENTER CHILDREN'S SPOT

4333 PENNSYLVANIA KANSAS CITY MO 64111

SPECIAL NEEDS CHILDREN THERAPY PART I, LINE 7: COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO FROM THE HOSPITAL'S COST REPORT. THIS RATIO CALCULATION IS PERFORMED SEPARATELY FOR HOSPITAL FACILITY REVENUES AND PHYSICIAN PROFESSIONAL REVENUE. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES $1,476,000 IN UNREIMBURSED COSTS FOR COMMUNITY SERVICE PHYSICIAN CLINICS. PART I, L7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $514,050,891. THE TOTAL EXPENSE FROM REPORTABLE JOINT VENTURES WAS $20,002,637. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $11,968,064 FROM THE ORGANIZATION AND $302,482 FROM REPORTABLE JOINT VENTURES. THIS LEFT US WITH A TOTAL EXPENSE OF $522,085,464 FOR PURPOSES OF CACLULATING LINE 7, COLUMN (F), PART III, LINE 4: 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.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 WHEY THEY ARE DEEMED UNCOLLECTIBLE.BAD DEBT IS REPORTED CONSISTENT WITH THE FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN WHAT IT COSTS TO PROVIDE THE CARE AND SERVICES. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THE COST OF PROVIDING THE CARE MAY EXCEED THE FUNDS WE RECEIVE FROM MEDICARE FOR THE SERVICE. OUR SHORTFALL IS CONSIDERED TO BE COMMUNITY BENEFIT. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. ADDITIONALLY, IT IS IMPLIED IN INTERNAL REVENUE SERVICE REVENUE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS, INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD. PART III, LINE 9B: IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE ACCOUNT IS ADJUSTED ACCORDINGLY. ANY REMAINING BALANCE WOULD BE COLLECTED UNDER THE DEBT COLLECTION POLICY. OUR COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. ALTHOUGH WE ARE NOT LEGALLY BOUND BY THE FAIR DEBT COLLECTION PRACTICES ACT, THE PRINCIPLES ADDRESSED ARE GENERALLY FOLLOWED. ST LUKE'S HOSPITAL OF KANSAS CITY PART V, SECTION B, LINE 13G: THE HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE. 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 NOTIFYING PATIENTS THAT THE HOSPITAL HAS FINANCIAL ASSISTANCE FOR WHICH THEY MAY QUALIFY, INFORMATION UPON CHECK-IN LOCATED IN THE ADMITTING PATIENT PACKETS, ON OUR B-131 RELEASE TO TREAT FORMS SIGNED BY ALL PATIENTS REQUESTING SERVICES, VISITS WITH INPATIENTS BY SOCIAL WORKER TEAMS, AND FOLLOW-UP CALLS TO PATIENTS AFTER DISCHARGE. FINANCIAL ASSISTANCE APPLICATIONS OR MEDICAID APPLICATIONS ARE REQUESTED ON ALL UNINSURED INPATIENTS PRIOR TO DISCHARGE. THE HOSPITAL ALSO CONTRACTS WITH ELIGIBILITY ENROLLMENT COMPANIES TO SCREEN ALL UNINSURED PATIENTS WITH A BALANCE OVER $2,000, ANY PATIENTS IDENTIFIED BY OUR SOCIAL WORKER TEAMS, AND ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC PART V, SECTION B, LINE 19D: KCOI PROVIDES ELECTIVE SERVICES. DISCOUNTS FOR FAP ELIGIBLE PATIENTS ARE APPLIED TO CHARGES AND/OR PATIENT'S RESPONSIBLE PORTION AFTER INSURANCE PAYMENTS AND ADJUSTMENTS. PART VI, LINE 2: THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL OBTAINS HIDI MARKET DATA AND OTHER OUTPATIENT MARKET DATA THROUGH ITS ANNUAL ENVIRONMENTAL ASSESSMENT PROCESS. WITH THIS DATA, THE HOSPITAL IDENTIFIES SERVICES RECEIVED BY THE RESIDENTS OF OUR COMMUNITY (DEFINED BY OUR PRIMARY AND SECONDARY SERVICE AREAS). ANY PREDOMINANT SERVICES NOT CURRENTLY OFFERED BY THE HOSPITAL ARE CONSIDERED AT THIS TIME.ANOTHER ELEMENT OF THE COMMUNITY NEEDS ASSESSMENT INVOLVES ANNUALLY UPDATING ITS MEDICAL STAFF DEVELOPMENT PLAN. AS A TERTIARY AND QUATERNARY HEALTHCARE PROVIDER, IT IS CRITICAL THAT THE HOSPITAL ENSURES IT HAS APPROPRIATE MEDICAL STAFF LEVELS IN A VARIETY OF MEDICAL SPECIALTIES AND SUBSPECIALTIES TO SERVE THE PATIENTS IN OUR COMMUNITY. THE HOSPITAL PARTNERS WITH ITS MEDICAL STAFF IN THIS ENDEAVOR.ANOTHER ASPECT OF THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT IS AN ANALYSIS OF WORKFORCE PLANNING TO ENSURE ADEQUATE CLINICAL AND OTHER PROFESSIONAL STAFF TO PROVIDE NEEDED HEALTHCARE SERVICES THROUGHOUT THE COMMUNITY. THE HOSPITAL IS ACTIVELY ENGAGED IN A VARIETY OF FORMAL EDUCATION ACTIVITIES. PART VI, LINE 3: SEE RESPONSE TO SCHEDULE H, PART V, LINE 13G. PART VI, LINE 4: THE HOSPITAL IS A LOCATED IN THE URBAN CORE OF KANSAS CITY, MISSOURI. IT IS A MAJOR TEACHING AND RESEARCH FACILITY, AND PROVIDES TERTIARY AND QUATERNARY LEVEL PATIENT CARE SERVICES TO THE METROPOLITAN KANSAS CITY AREA, AND SERVES AS A MAJOR REFERRAL HOSPITAL FOR THE SURROUNDING 67 COUNTY AREA. MAJOR PATIENT SERVICE LINES INCLUDE CARDIOVASCULAR SERVICES, BRAIN AND STROKE SERVICES, WOMEN'S AND CHILDREN'S SERVICES, AND CANCER CARE SERVICES. APPROXIMATELY 20% OF THE OVERALL PATIENT VOLUME THAT THE HOSPITAL SERVES COMES FROM OUTSIDE THE METROPOLITAN KANSAS CITY AREA. PART VI, LINE 5: THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, IN FUNDRAISING, AND IN GENERAL STEWARDSHIP. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.THE HOSPITAL UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: 1) COMMUNITY SERVICE OUTPATIENT CLINICS THAT PROVIDE SUBSIDIZED CARE TO LOW INCOME PATIENTS; 2) PARTICIPATION IN THE METROCARE PROGRAM OF THE METROPOLITAN MEDICAL SOCIETY, WHICH OFFERS FREE CARE FOR ELECTIVE PROCEDURES FOR THE UNINSURED COMMUNITY; 3) DIABETES EDUCATION PROGRAMS AND PARENT EDUCATION AND PRENATAL EDUCATION; 4) PSYCHIATRIC SERVICES; AND 5) FORMAL RESEARCH ACTIVITIES. 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. 1 SLCC INC (501C3 AFFILIATE) 4330 WORNALL ROAD STE 2000 KANSAS CITY MO 64111 271994652 501(C)(3) 11940054 CAPITAL FUNDS TRANSFER SAINT LUKE'S MEDICAL GROUP (501C3 AFFILIATE) 6750 ANTIOCH RD STE 210 SHAWNEE MISSION KS 64086 431598353 501(C)(3) 4677213 CAPITAL FUNDS TRANSFER SLNC INC (501C3 AFFILIATE) 4401 WORNALL ROAD KANSAS CITY MO 64111 451470888 501(C)(3) 326735 CAPITAL FUNDS TRANSFER MARCH OF DIMES FOUNDATION 1275 MAMARONECK WHITE PLAINS NY 10605 131846366 501(C)(3) 7500 CHARITABLE DONATION TO BENEFIT COMMUNITY 4 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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. X 0 0 X 1 1 0 0 0 0 0 1 0 JOHN HELZBERG MD 210889 0 50 0 931 0 3809 0 7825 0 223504 0 0 0 PETER S HOLT MD 172520 17235 0 0 0 0 0 0 0 0 172520 17235 0 0 JULIE QUIRIN 352328 0 126746 0 58146 0 76610 0 10183 0 624013 0 45983 0 DEBBIE WHITE 205962 0 42579 0 4992 0 18375 0 14332 0 286240 0 0 0 JAMA JOHNSON 22147 0 72700 0 79013 0 0 0 2919 0 176779 0 12631 0 G RICHARD HASTINGS 0 405119 0 303338 0 7367098 0 158003 0 18039 0 8251597 0 5431819 JANI JOHNSON 225369 0 66934 0 3243 0 36775 0 24162 0 356483 0 0 0 CHARLES ROBB 0 459163 0 167081 0 102990 0 204213 0 24568 0 958015 0 90023 DORIS ROGERS 135167 0 50 0 2903 0 21818 0 20264 0 180202 0 1488 0 KEVIN THORPE 198869 0 44133 0 4807 0 35770 0 22496 0 306075 0 0 0 JOHN YEAST MD 356169 0 50 0 7011 0 12250 0 24161 0 399641 0 0 0 AMY NACHTIGAL 204167 11669 33134 0 17839 121 38880 595 1671 77 295691 12462 16406 0 BRANDT WIBLE 487679 0 210050 0 616 0 9800 0 23042 0 731187 0 0 0 TODD MOORE MD 321489 0 381475 0 1641 0 11025 0 17752 0 733382 0 0 0 SHAYA ANSARI MD 498627 0 285150 0 2070 0 9800 0 17311 0 812958 0 0 0 PAUL CHESIS MD 573421 0 105050 0 3135 0 9800 0 22839 0 714245 0 0 0 SCOTT RAVIS MD 368416 0 471364 0 1128 0 6125 0 5355 0 852388 0 0 0 PART I, LINE 1A THE ORGANIZATION CHARTERED A TRIP FOR VARIOUS OFFICERS/DIRECTORS/EMPLOYEES TO MEET WITH ANOTHER HOSPITAL IN CONJUNCTION WITH A POTENTIAL HOSPITAL PARTNERSHIP. CHARTER TRAVEL WAS USED AS THE MOST APPROPRIATE MEANS OF GETTING TO AND FROM THE HOSPITAL SITES. PART I, LINES 4A-B 457(F) PLAN PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: CHARLES ROBB: $81,951 JULIE QUIRIN: $13,127 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. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS. SUPPLEMENTAL INFORMATION PART III CHARLES ROBB AND RICHARD HASTINGS 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. COMPENSATION FOR G. RICHARD HASTINGS, FORMER CEO AND PRESIDENT OF SAINT LUKE'S HEALTH SYSTEM, INCLUDES PAYMENT OF $5,299,963 OF DEFERRED COMPENSATION THAT WAS EARNED DURING MR. HASTINGS' MORE THAN 35-YEAR TENURE WITH THE ORGANIZATION. ALTHOUGH, THE COMPENSATION WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990'S FILED BY THE ORGANIZATION, IRS REQUIREMENTS MANDATE THAT THE COMPENSATION BE REPORTED AGAIN IN THIS FORM 990 AS "OTHER COMPENSATION" SINCE THE FUNDS WERE PAID TO MR. HASTINGS IN 2011. IN CONNECTION WITH HIS RETIREMENT, MR. HASTINGS ALSO RECEIVED $1,432,215 AS SEVERANCE. JE DUNN CONSTRUCTION JE DUNN CONSTRUCTION CO. OWNED > 35% BY FAMILY OF TERRENCE DUNN. 51472645 CONSTRUCTION 0 DIXON DIVELY MARK BERNHARDT IS >5% MEMBER & OFFICER OF DIXON DIVELY. 614166 MEDICAL SERVICES 0 MID-AMERICA GASTRO-INTESTINAL CONSULTANTS JOHN HELZBERG IS A >5% OWNER OF MID-AMER GI CONS PRIOR TO EMPLOYMENT AT SLH 210325 MEDICAL SERVICES 0 WAGSTAFF & CARTMELL THOMAS L. & THOMAS W. WAGSTAFF, FAMILY MEMBERS, ARE >5% PARTNERS 943988 LEGAL SERVICES 0 METRO EMERGENCY PHYSICIANS LLC ALISON SCHOLES IS >5% MEMBER OF METRO EMERGENCY PHYSICIANS, LLC 579533 MEDICAL SERVICES 0 KANSAS CITY POWER & LIGHT ROBERT WEST IS A DIRECTOR OF KANSAS CITY POWER & LIGHT 3062467 PUBLIC UTILITIES 0 X 1 200018 FMV 1 0 0 0 NUMBER REPORTED IN BOX 3 OF FORM 1096 FORM 990, PART V, LINE 1A ST LUKES HOSPITAL OF KANSAS CITY (SLH) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLH VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY FORM 990, PART VI, SECTION A, LINE 2 THOMAS L WAGSTAFF AND THOMAS W WAGSTAFF - FAMILY AND BUSINESS RELATIONSHIP. ELLEN HOCKADY AND GRANT BURCHAM - FAMILY RELATIONSHIP. JOHN R PHILIPS AND CHARLES D HORNER - BUSINESS RELATIONSHIP. CHARLES ROBB, RICHARD HASTINGS AND MICHAEL WEAVER HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 3 AS PART OF AN INTEGRATED HEALTH SYSTEM, THE ORGANIZATION ROUTINELY DELEGATED VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES. 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. THE 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C SAINT LUKE'S HEALTH SYSTEM AND ITS AFFILIATES, INCLUDING THE FILING ORGANIZATION, HAVE COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICIES APPLICABLE TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. ANY ACTUAL, POSSIBLE OR PERCEIVED CONFLICT OF INTEREST IS EXPECTED TO BE HANDLED THROUGH FULL AND TIMELY DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSENCE OF PERSUASION IN ANY DISCUSSION AND IN ANY VOTE WHEREIN THE INTEREST IS INVOLVED. DISCLOSURE IS TO BE MADE WHEN THE INTEREST ARISES, AT ANY TIME THE INTEREST BECOMES A MATTER OF GOVERNING BOARD ACTION, AND THEN ANNUALLY THROUGH COMPLETION OF A CONFLICT OF INTEREST QUESTIONNAIRE. THE SYSTEM 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 15 ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVES AND CERTAIN OTHER OFFICERS. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSPHY AND ANALYZES MARKET COMPETITITVENESS (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. 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 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT PUBLICLY AVAILABLE. FORM 990, PART VII, COLUMN E RICHARD HASTINGS, CHARLES ROBB, AND MICHAEL WEAVER DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. RICHARD HASTINGS AND CHARLES ROBB WORKED 50 HOURS OR MORE PER WEEK FOR THE RELATED ORGANIZATIONS. MICHAEL WEAVER WORKED PART-TIME FOR THE RELATED ORGANIZATIONS. COMPENSATION FOR G. RICHARD HASTINGS, FORMER CEO AND PRESIDENT OF SAINT LUKE'S HEALTH SYSTEM, INCLUDES PAYMENT OF $5,299,963 OF DEFERRED COMPENSATION THAT WAS EARNED DURING MR. HASTINGS' MORE THAN 35-YEAR TENURE WITH THE ORGANIZATION. ALTHOUGH, THE COMPENSATION WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990'S FILED BY THE ORGANIZATION, IRS REQUIREMENTS MANDATE THAT THE COMPENSATION BE REPORTED AGAIN IN THIS FORM 990 AS "OTHER COMPENSATION" SINCE THE FUNDS WERE PAID TO MR. HASTINGS IN 2011. IN CONNECTION WITH HIS RETIREMENT, MR. HASTINGS ALSO RECEIVED $1,432,215 AS SEVERANCE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -18,701,461. PRIOR PERIOD ADJUSTMENTS: -758,675. PENSION LIABILITY TRANSFER -1,865,783. RRG DIVIDEND -696,040. TRANSFER FROM RESTRICTED ACCTS NOT RECORDED IN OPERATING ACCTS 1,230,225. OTHER RESTRICTED ACCOUNT ACTIVITY -721,509. CHANGE IN THE INTEREST IN ASSETS OF FOUNDATION - SFAS 136 -3,393,177. RESTRICTED ACCOUNT ACTIVITY RECOGNIZED IN PRIOR YEAR -2,018,887. RELATED ENTITY NET ASSET TRANSFERS -538,182. INTERCOMPANY TRANSFERS 43,966. ROUNDING 4. TOTAL TO FORM 990, PART XI, LINE 5: -27,419,519. JOINT VENTURES FORM 990, PART VI, LINE 16B DURING 2011, THE ORGANIZATION PARTICIPATED IN A JOINT VENTURE ESTABLISHED SEVERAL YEARS AGO. THE ORGANIZATION'S PROCEDURES INCLUDE OVERSIGHT AND REVIEW OF ANY JOINT VENTURES TO ENSURE EXEMPT STATUS IS PROTECTED. THE ORGANIZATION HAS MAJORITY CONTROL AND/OR OPERATING AGREEMENT REQUIREMENTS FOR THE VENTURE TO OPERATE IN A MANNER CONSISTENT WITH THE ORGANIZATION'S EXEMPT MISSION AND FOR THE VENTURE TO NOT ENGAGE IN POLITICAL CANDIDATE CAMPAIGN ACTIVITY OR OTHER ACTIVITIES THAT WOULD JEOPARDIZE THE ORGANIZATION'S EXEMPTION. INVESTMENT INCOME FORM 990, PART VIII, LINE 3 INVESTMENT INCOME INCLUDES $696,040 OF SUBSCRIBER SAVINGS ACCOUNT ALLOCATION FROM RELATED RISK RETENTION GROUP. TAX EXEMPT BOND LIABILITIES FORM 990, PART X, BALANCE SHEET, LINE 20 THE AMOUNT REPORTED AS TAX-EXEMPT BONDS IS THE PORTION OF SAINT LUKE'S HEALTH SYSTEM BONDS ALLOCATED TO ST LUKES HOSPITAL OF KANSAS CITY. REQUIRED INFORMATION FOR THE BONDS, INCLUDING SCHEDULE K, IS REPORTED IN THE SAINT LUKE'S HEALTH SYSTEM (EIN: 43-1747502) IRS FORM 990. 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