SAINT LUKES NORTH HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SAINT LUKES NORTH HOSPITAL (EIN 44-0565393)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201243209349304354
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T12:13:34-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440565393 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT LUKES NORTHLAND HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAIN | NameControl |
| Phone | 8165327164 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 SOUTH 169 HIGHWAY | AddressLine1 |
| City | SMITHVILLE | City |
| State | MO | State |
| ZIP Code | 64089 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN TRIMBLE | Name |
| Title | CEO | Title |
| Phone | 8165327164 | Phone |
| Date Signed | 2012-11-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KEVIN TRIMBLE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 SOUTH 169 HIGHWAY | AddressLine1 |
| City | SMITHVILLE | City |
| State | MO | State |
| ZIP Code | 64089 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 115950042 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SAINTLUKESHEALTHSYSTEM.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1989 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | HOSPITAL | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1162 | TotalNbrEmployees |
| Total Nbr Volunteers | 197 | TotalNbrVolunteers |
| Total Gross UBI | 35917 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -25449 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 222762 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 332673 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 112607841 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 115467999 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 71767 | InvestmentIncomePriorYear |
| Investment Income Current Year | 149370 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 112902370 | TotalRevenuePriorYear |
| Total Revenue Current Year | 115950042 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 14188789 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 4267171 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 49147500 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 53972125 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 29944 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 52925429 | OtherExpensePriorYear |
| Other Expenses Current Year | 53259612 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 116261718 | TotalExpensesPriorYear |
| Total Expenses Current Year | 111498908 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3359348 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4451134 | RevenuesLessExpensesCY |
| Total Assets BOY | 96862596 | TotalAssetsBOY |
| Total Assets EOY | 101409607 | TotalAssetsEOY |
| Total Liabilities BOY | 55210702 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 56089317 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 41651894 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 45320290 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SAINT LUKE'S NORTHLAND HOSPITAL CORPORATION IS A PART OF SAINT LUKE'S HEALTH SYSTEM, A FAITH BASED, NOT-FOR-PROFIT ALIGNED HEALTH SYSTEM COMMITTED TO THE HIGHEST LEVELS OF EXCELLENCE IN PROVIDING HEALTH CARE AND HEALTH RELATED SERVICES IN A CARING ENVIRONMENT. WE ARE DEDICATED TO ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THE COMMUNITIES WE SERVE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 99678221 | Expense |
| Grants | 4267171 | Grants |
| Revenue | 115432082 | Revenue |
| Description | 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 27,504 PATIENT DAYS AND 1,746 NEWBORN DAYS. IN ADDITION, THE HOSPITAL PROVIDED 88,058 OUTPATIENT AND EMERGENCY SERVICES.AS A VOLUNTARY, NONPROFIT, COMPREHENSIVE ORGANIZATION, SAINT LUKE'S NORTH HOSPITAL IS COMMITTED TO SERVING ALL WHO SEEK OUR SERVICES REGARDLESS OF THEIR SOCIOECONOMIC STATUS. THE HOSPITAL PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS AND HAS CHARITY CARE POLICIES FOR ASSISTING PEOPLE WITHOUT ADEQUATE MEANS TO PAY FOR THEIR CARE.THE BARRY ROAD CAMPUS IS AN 84-BED ACUTE CARE FACILITY LOCATED IN KANSAS CITY, MISSOURI. THE SMITHVILLE CAMPUS PROVIDES URGENT CARE SERVICES TO THE COMMUNITY, AS WELL AS REHABILITATION, MENTAL HEALTH, AND POST-ACUTE CARE SERVICES. BOTH CAMPUSES SERVE THE NORTHERN KANSAS CITY AREA. | Description |
| Total Program Service Expense | 99678221 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1162 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8165327164 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 SOUTH 169 HIGHWAY | AddressLine1 |
| City | SMITHVILLE | City |
| State | MO | State |
| ZIP Code | 64089 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| THOMAS L BROWN | |||||||
| DIRECTOR-CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| EUGENE RUIZ | |||||||
| DIRECTOR-SECRETARY/TREASUR | 1.00 | X | X | 0 | 0 | 0 | |
| RAHUL JOSHI | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GAYDEN F CARRUTH | |||||||
| DIRECTOR/VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| H D CLEBERG | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MICHELLE DEW MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 561081 | 34091 | ||
| KELLEY M MARTIN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM PARKS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GINA LAWSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 370122 | 42000 | ||
| LORA CHEATUM | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL SHORT | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CYNTHIA A TODD-TAKEYAMA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KEVIN TRIMBLE | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | 282701 | 0 | 60855 | ||
| JULIE MURPHY | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 226980 | 0 | 41109 | ||
| JEFF EYE | |||||||
| CNO | 40.00 | X | 149492 | 0 | 13271 | ||
| DON SIPES | |||||||
| CEO SMITHVILLE HOSPITAL | 5.00 | X | 0 | 307191 | 53601 | ||
| N GARY WAGES | |||||||
| CEO RETIRED 3/2011 | 40.00 | X | 286519 | 0 | 15364 | ||
| DANIEL WEED | |||||||
| PHYSICIAN | 40.00 | 433118 | 0 | 21764 | X | ||
| SAMIRAN PATEL | |||||||
| PHYSICIAN | 40.00 | 301202 | 0 | 21137 | X | ||
| JENNIFER SVETLECIC | |||||||
| PHYSICIAN | 40.00 | 321919 | 0 | 27762 | X | ||
| VANCE JERNSTROM | |||||||
| PHYSICIAN | 40.00 | 360659 | 0 | 17059 | X | ||
| SALVATORE MICELI | |||||||
| PHYSICIAN | 40.00 | 367886 | 0 | 29672 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2730476 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1238394 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 377685 | TotalOtherCompensation |
| Number Individuals GT100 K | 27 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| P1 GROUP INC | |||||
| 16210 W 108TH ST | LENEXA | KS | 66219 | MAINTENANCE | 1518966 |
| JE DUNN | |||||
| 929 HOLMES | KANSAS CITY | MO | 64106 | CONSTRUCTION & CONST MGMT | 1093947 |
| MOBILE CATARACT CARE OF KANSAS CITY LLC | |||||
| 5844 NW BARRY RD SUITE 200 | KANSAS CITY | MO | 64154 | MEDICAL SERVICES | 863187 |
| AD VIVUM ANESTHESIOLOGY PC | |||||
| 8646 N OREGON AVE | KANSAS CITY | MO | 64154 | MEDICAL SERVICES | 687500 |
| DAVID E ROSS CONSTRUCTION COMPANY | |||||
| 10201 E 75TH ST | RAYTOWN | MO | 64138 | CONSTRUCTION | 487357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 19 | NumberOfContractorsGT100K |
| All Other Contributions | 332673 | AllOtherContributions |
| Noncash Contributions | 60000 | NoncashContributions |
| Total Contributions | 332673 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | 112398265 | 112398265 | |
| OTHER PROGRAM SERVICES | 622110 | 1163429 | 1163429 | |
| REGIONAL LAB SERVICES | 621500 | 690760 | 654843 | 35917 |
| MEDICAL OFFICE RENT | 531120 | 611080 | 611080 | |
| RENT FROM AFFILIATES | 531120 | 604465 | 604465 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 115467999 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 149370 | TotalRevenueColumn |
| Exclusion | $149,370 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 115950042 | TotalRevenueColumn |
| Related Or Exempt Function Income | 115432082 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 35917 | UnrelatedBusinessRevenue |
| Exclusion | $149,370 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4254563 | Total |
| Program Services | 4254563 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12608 | Total |
| Program Services | 12608 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1076293 | Total |
| Management And General | 1076293 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42519775 | Total |
| Program Services | 41294827 | ProgramServices |
| Management And General | 1224948 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1569427 | Total |
| Program Services | 1486584 | ProgramServices |
| Management And General | 82843 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5889117 | Total |
| Program Services | 5557711 | ProgramServices |
| Management And General | 331406 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2917513 | Total |
| Program Services | 2763511 | ProgramServices |
| Management And General | 154002 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95180 | Total |
| Management And General | 95180 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42278 | Total |
| Management And General | 42278 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10613599 | Total |
| Program Services | 9606090 | ProgramServices |
| Management And General | 1007509 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23608 | Total |
| Program Services | 4751 | ProgramServices |
| Management And General | 18857 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3332425 | Total |
| Program Services | 2661314 | ProgramServices |
| Management And General | 641167 | ManagementAndGeneral |
| Fundraising | 29944 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 279871 | Total |
| Program Services | 174500 | ProgramServices |
| Management And General | 105371 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2008769 | Total |
| Program Services | 1927814 | ProgramServices |
| Management And General | 80955 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86584 | Total |
| Program Services | 67526 | ProgramServices |
| Management And General | 19058 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85768 | Total |
| Program Services | 60574 | ProgramServices |
| Management And General | 25194 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2267592 | Total |
| Program Services | 2154212 | ProgramServices |
| Management And General | 113380 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6767027 | Total |
| Program Services | 6351956 | ProgramServices |
| Management And General | 415071 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 689190 | Total |
| Program Services | 463400 | ProgramServices |
| Management And General | 225790 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 12464447 | 12462089 | 2358 |
| SHARED SERVICES- SLHS | 8576912 | 2657783 | 5919129 |
| BAD DEBT | 4913477 | 4913477 | |
| EICU EXPENSES | 223940 | 223940 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 788945 | Total |
| Program Services | 578991 | ProgramServices |
| Management And General | 209954 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111498908 | Total |
| Program Services | 99678221 | ProgramServices |
| Management And General | 11790743 | ManagementAndGeneral |
| Fundraising | 29944 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45147 | BOY |
| EOY | 100594 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9958964 | BOY |
| EOY | 16140065 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13210221 | BOY |
| EOY | 13798385 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2153346 | BOY |
| EOY | 1993881 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1374187 | BOY |
| EOY | 1500969 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 139223409 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 75502938 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64892292 | BOY |
| EOY | 63720471 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105753 | BOY |
| EOY | 885039 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1218247 | BOY |
| EOY | 438961 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3904439 | BOY |
| EOY | 2831242 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96862596 | BOY |
| EOY | 101409607 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6503078 | BOY |
| EOY | 6829381 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45328658 | BOY |
| EOY | 43896482 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3378966 | BOY |
| EOY | 5363454 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55210702 | BOY |
| EOY | 56089317 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40978147 | BOY |
| EOY | 44891122 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 673747 | BOY |
| EOY | 429168 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41651894 | BOY |
| EOY | 45320290 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96862596 | BOY |
| EOY | 101409607 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4451134 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -782738 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $10,210 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 10210 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | LINE F-PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS AND MEDICAL ORGANIZATIONS USED TOWARD LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 100371 | BeginningOfYearBalance |
| Contributions | 68525 | Contributions |
| Investment Earnings Or Losses | 416 | InvestmentEarningsOrLosses |
| Other Expenditures | 74540 | OtherExpenditures |
| End Of Year Balance | 94772 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 74120 | BeginningOfYearBalance |
| Contributions | 93625 | Contributions |
| Investment Earnings Or Losses | 482 | InvestmentEarningsOrLosses |
| Other Expenditures | 67856 | OtherExpenditures |
| End Of Year Balance | 100371 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 72833 | BeginningOfYearBalance |
| Contributions | 70450 | Contributions |
| Investment Earnings Or Losses | 605 | InvestmentEarningsOrLosses |
| Other Expenditures | 69768 | OtherExpenditures |
| End Of Year Balance | 74120 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 95720 | BeginningOfYearBalance |
| Contributions | 48400 | Contributions |
| Investment Earnings Or Losses | 1010 | InvestmentEarningsOrLosses |
| Other Expenditures | 72297 | OtherExpenditures |
| End Of Year Balance | 72833 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2433226 | OtherCostOrOtherBasis |
| Book Value | 2433226 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 63542861 | OtherCostOrOtherBasis |
| Depreciation | 35553159 | Depreciation |
| Book Value | 27989702 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68313610 | OtherCostOrOtherBasis |
| Depreciation | 36155126 | Depreciation |
| Book Value | 32158484 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4933712 | OtherCostOrOtherBasis |
| Depreciation | 3794653 | Depreciation |
| Book Value | 1139059 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 63720471 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED 3RD PARTY PAYOR SETTLEMENTS | $1,575,157 |
| RESERVE SELF INSURED RISKS | $1,233,000 |
| OTHER NONCURRENT LIABILITIES | $450,703 |
| OTHER CURRENT LIABILITIES | $611,994 |
| PAYABLES TO AFFILIATES | $1,492,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5363454 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE INTENDED USE OF ENDOWMENT FUNDS INCLUDES BUT IS NOT LIMITED TO MEDICAL STAFF DEVELOPMENT, GENERAL OPERATIONS OF THE HOSPITAL, AND STUDENT SCHOLARSHIPS. THE ASSETS HELD AT THE UNRELATED ORGANIZATION REPRESENTS THE ORGANIZATION'S SHARE OF NET ASSETS AT SPELMAN MEDICAL 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. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7197674 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7197674 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06750 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15803061 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14721770 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1081291 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23000735 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14721770 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8278965 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07760 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 364290 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 364290 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31256 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 31256 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 172075 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 172075 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 567621 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 567621 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23568356 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14721770 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8846586 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08290 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $4,913,477 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 24399456 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 32126822 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -7727366 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| SAINT LUKES NORTHLAND HOSPITAL-BARRY | ||||||||
| 1 | 5830 NW BARRY ROAD | KANSAS CITY | MO | 64154 | X | X | X | |
| SAINT LUKES NORTHLAND HOSPITAL-SMV | ||||||||
| 2 | 601 S 169 HIGHWAY | SMITHVILLE | MO | 64089 | X | X | REHABILITATION AND BEHAVIORAL HEALTH | |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Average Negotiated RatesAverageNegotiatedRates | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAINT LUKES NORTHLAND HOSPITAL-BARRY | ||||||||||||||||||||
| 1 | 1 | 1 | 200.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | 1 | 1 | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
| SAINT LUKES NORTHLAND HOSPITAL-SMV | ||||||||||||||||||||
| 2 | 1 | 1 | 200.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | 1 | 1 | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES WERE CALCULATED USING THE APPROPRIATE COST TO CHARGE RATIO FROM THE HOSPITAL'S COST REPORT. | |
| PART I, L7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $111,498,908. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $4,913,477. THIS LEFT US WITH A TOTAL EXPENSE OF $106,585,431 FOR PURPOSES OF CALCULATING 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 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 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. | SAINT LUKES NORTHLAND HOSPITAL-BARRY |
| 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. | SAINT LUKES NORTHLAND HOSPITAL-SMV |
| PART VI, LINE 2: THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL MEETS WITH STAFF, VOLUNTEERS, PATIENTS, BOARD MEMBERS AND PHYSICIANS. THE FEEDBACK PROVIDED BY THESE GROUPS IS COMMUNICATED TO HOSPITAL MANAGEMENT AND CONSIDERED WHEN DETERMINING THE NEEDS OF THE COMMUNITY.THE HOSPITAL ALSO WORKS WITH THE PATIENT ADVOCATE AND MARKETING DEPARTMENTS TO DETERMINE FEEDBACK RECEIVED FROM THE COMMUNITY REGARDING ITS NEEDS. THIS FEEDBACK IS ALSO COMMUNICATED TO HOSPITAL MANAGEMENT AND EVALUATED DURING THE ANNUAL BUDGET AND STRATEGIC PLANNING PROCESS. | |
| PART VI, LINE 3: SEE RESPONSE TO SCHEDULE H, PART V, LINE 13G. | |
| PART VI, LINE 4: THE BARRY ROAD CAMPUS IS AN 84-BED ACUTE CARE FACILITY LOCATED IN KANSAS CITY, MISSOURI. THE SMITHVILLE CAMPUS PROVIDES URGENT CARE SERVICES TO THE COMMUNITY, AS WELL AS REHABILITATION, MENTAL HEALTH, AND POST-ACUTE CARE SERVICES. BOTH CAMPUSES SERVE THE NORTHERN KANSAS CITY AREA. | |
| PART VI, LINE 5: THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, IN FUNDRAISING, AND IN GENERAL STEWARDSHIP.MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. | |
| PART VI, LINE 6: THE HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| SAINT LUKE'S MEDICAL GROUP - AFFILIATED 501(C)(3) | |||||||
| 6750 ANTIOCH SUITE 210 | SHAWNEE MISSION | KS | 66204 | 431598353 | 501(C)(3) | 2115328 | OPERATING FUNDS |
| SPELMAN MEDICAL FOUNDATION | |||||||
| 5810 NW BARRY ROAD | KANSAS CITY | MO | 64154 | 431270223 | 501(C)(3) | 11550 | CONTRIBUTION |
| SLNC INC | |||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 271994652 | 501(C)(3) | 49495 | OPERATING FUNDS |
| SLCC INC | |||||||
| 4330 WORNALL ROAD SUITE 2000 | KANSAS CITY | MO | 64111 | 271994652 | 501(C)(3) | 2038192 | OPERATING FUNDS |
| NORTHLAND HEALTHCARE ACCESS | |||||||
| PO BOX 14414 | PARKVILLE | MO | 64152 | 431578121 | 501(C)(3) | 20000 | CONTRIBUTION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | ADVANCED EDUCATION IN MEDICAL FIELD - SCHOLARSHIP | TypeOfGrant |
| Number Of Recipients | 12 | NumberOfRecipients |
| Amount Of Cash Grant | 12000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: SCHOLARSHIPS ARE GIVEN TO HIGH SCHOOL GRADUATES PURSUING ADVANCED EDUCATION IN THE MEDICAL FIELD BASED ON ACADEMICS. GRANTS ARE ALSO PROVIDED TO QUALIFIED 501(C)(3) CHARITIES. ALL DONEE INFORMATION IS KEPT AS PART OF THE HOSPITAL BOOKS AND RECORDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHELLE DEW MD | |||||||||||||
| 0 | 520852 | 0 | 14954 | 0 | 25275 | 0 | 11025 | 0 | 23066 | 0 | 595172 | 0 | 0 |
| GINA LAWSON | |||||||||||||
| 0 | 221580 | 0 | 145424 | 0 | 3118 | 0 | 18375 | 0 | 23625 | 0 | 412122 | 0 | 0 |
| KEVIN TRIMBLE | |||||||||||||
| 226476 | 0 | 40638 | 0 | 15587 | 0 | 38800 | 0 | 22055 | 0 | 343556 | 0 | 9408 | 0 |
| JULIE MURPHY | |||||||||||||
| 178731 | 0 | 33768 | 0 | 14481 | 0 | 31869 | 0 | 9240 | 0 | 268089 | 0 | 12096 | 0 |
| JEFF EYE | |||||||||||||
| 148558 | 0 | 50 | 0 | 884 | 0 | 6749 | 0 | 6522 | 0 | 162763 | 0 | 0 | 0 |
| DON SIPES | |||||||||||||
| 0 | 224721 | 0 | 65480 | 0 | 16990 | 0 | 36374 | 0 | 17227 | 0 | 360792 | 0 | 0 |
| N GARY WAGES | |||||||||||||
| 148691 | 0 | 90409 | 0 | 47419 | 0 | 9800 | 0 | 5564 | 0 | 301883 | 0 | 0 | 0 |
| DANIEL WEED | |||||||||||||
| 430575 | 0 | 50 | 0 | 2493 | 0 | 4900 | 0 | 16864 | 0 | 454882 | 0 | 0 | 0 |
| SAMIRAN PATEL | |||||||||||||
| 255044 | 0 | 45450 | 0 | 708 | 0 | 4900 | 0 | 16237 | 0 | 322339 | 0 | 0 | 0 |
| JENNIFER SVETLECIC | |||||||||||||
| 318377 | 0 | 2550 | 0 | 992 | 0 | 9800 | 0 | 17962 | 0 | 349681 | 0 | 0 | 0 |
| VANCE JERNSTROM | |||||||||||||
| 358148 | 0 | 50 | 0 | 2461 | 0 | 9800 | 0 | 7259 | 0 | 377718 | 0 | 0 | 0 |
| SALVATORE MICELI | |||||||||||||
| 233621 | 0 | 133070 | 0 | 1195 | 0 | 11025 | 0 | 18647 | 0 | 397558 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | |
| PART III | PART II: DON SIPES, GINA LAWSON, AND MICHELLE DEW 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. THE COMPENSATION REPORTED FOR GARY WAGES IS FOR DUTIES AS CEO OF THE FILING ORGANIZATION THROUGH MARCH OF 2011 AND DUTIES AS INTERIM CEO AT A RELATED 501C3 ORG FOR JUNE THROUGH NOVEMBER OF 2011. TOTAL COMPENSATION AND BENEFITS OF $211,256 IS ATTRIBUTABLE TO THE FILING ORG AND $90,357 TO THE RELATED 501C3 ORG. | SUPPLEMENTAL INFORMATION |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | MEDICAL EQUIPMENT | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 60000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NUMBER REPORTED IN BOX 3 OF FORM 1096 | FORM 990, PART V, LINE 1A | SAINT LUKE'S NORTHLAND HOSPITAL CORPORATION (SLNH) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLNH VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY. |
| FORM 990, PART VI, SECTION A, LINE 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 A, LINE 6 | THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER, | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, DEBT, BUDGETS, CAPITAL EXPENDITURES AND STRATEGIC OPERATING DECISIONS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY THE ENTITY'S CFO OR CEO. THE 990 DRAFT WAS ALSO PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS FOR REVIEW. THE 990 WAS MADE AVAILABLE TO THE ORGANIZATION'S BOARD MEMBERS FOR VIEWING 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. 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 TOTAL 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. 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 | DON SIPES, GINA LAWSON, AND MICHELLE DEW 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. THESE INDIVIDUALS WORKED 40 HOURS OR MORE PER WEEK FOR ALL RELATED ORGANIZATIONS. THE COMPENSATION REPORTED FOR GARY WAGES IS FOR DUTIES AS CEO OF THE FILING ORGANIZATION THROUGH MARCH OF 2011 AND DUTIES AS INTERIM CEO AT A RELATED 501C3 ORG FOR JUNE THROUGH NOVEMBER OF 2011. TOTAL COMPENSATION AND BENEFITS OF $211,256 IS ATTRIBUTABLE TO THE FILING ORG AND $90,357 TO THE RELATED 501C3 ORG. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | RISK RETENTION GROUP SSA DIVIDENDS -112,556. PENSION LIABILITY TRANSFER TO SAINT LUKE'S HEALTH SYSTEM -343,762. EQUITY IN AFFILIATES -87,440. CHANGE IN INTEREST IN ASSETS OF THE FOUNDATION - SFAS 136 -238,980. TOTAL TO FORM 990, PART XI, LINE 5: -782,738. |
| JOINT VENTURE | FORM 990, PART VI, SECTION B, LINE 16B | THE ORGANIZATION HAS PROCEDURES IN PLACE TO ENSURE THE VENTURE OPERATES 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. |
| 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 SAINT LUKE'S NORTHLAND HOSPITAL. REQUIRED INFORMATION FOR THE BONDS, INCLUDING SCHEDULE K, IS REPORTED IN THE SAINT LUKE'S HEALTH SYSTEM (EIN: 43-1747502) IRS FORM 990. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SLN MEDICAL SPECIALISTS LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5830 NW BARRY ROAD | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64154 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260178220 | EIN |
| Primary Activities | PHYSICIAN SERVICES - BILLING | PrimaryActivities |
| Legal Domicile State | MO | LegalDomicileState |
| Total Income | -1492220 | TotalIncome |
| EOY Assets | 1476678 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT LUKES NORTHLAND HOSPITAL | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (19 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| SAINT LUKES HEALTH SYSTEM | ||||||||||
| 10920 ELM AVENUE | KANSAS CITY | MO | 64134 | 431747502 | HEALTH SYSTEM | KS | 501(C)(3) | 509(A)(3) - TYPE 1 | ST LUKES HOSPITAL OF KANSAS CITY | 0 |
| SAINT LUKES HOSPITAL OF KANSAS CITY | ||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 440545297 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | 0 | |
| SAINT LUKES SOUTH HOSPITAL INC | ||||||||||
| 12300 METCALF AVE | OVERLAND PARK | KS | 66213 | 481203262 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| SAINT LUKES EAST HOSPITAL | ||||||||||
| 100 NE ST LUKES BLVD | LEES SUMMIT | MO | 64086 | 562488077 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| SAINT LUKES MEDICAL GROUP | ||||||||||
| 6750 ANTIOCH SUITE 210 | SHAWNEE MISSION | KS | 66204 | 431598353 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| CRITTENTON | ||||||||||
| 10918 ELM AVE | KANSAS CITY | MO | 64134 | 440545808 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HOSPITAL | 0 |
| SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE | ||||||||||
| 3100 BROADWAY SUITE 1000 | KANSAS CITY | MO | 64111 | 431127200 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| SAINT LUKES HOSPITAL OF TRENTON | ||||||||||
| 701 EAST FIRST | TRENTON | MO | 64683 | 431707306 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| SAINT LUKES HOSPITAL OF GARNETT | ||||||||||
| 421 SOUTH MAPLE | GARNETT | KS | 66032 | 742849611 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| CABOT WESTSIDE HEALTH CENTER | ||||||||||
| 2121 SUMMIT | KANSAS CITY | MO | 64108 | 440546280 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| MIDWEST EAR INSTITUTE INC | ||||||||||
| 4200 PENNSYLVANIA SUITE 100 | KANSAS CITY | MO | 64111 | 480905027 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | SAINT LUKES HOSPITAL | 0 |
| SAINT LUKES HOSPITAL OF CHILLICOTHE | ||||||||||
| 100 CENTRAL STREET | CHILLICOTHE | MO | 64601 | 431735565 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| CUSHING MEMORIAL HOSPITAL CORP | ||||||||||
| 711 MARSHALL | LEAVENWORTH | KS | 66048 | 480543792 | HEALTH CARE | KS | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| SAINT LUKES CANCER INSTITUTE LLC | ||||||||||
| 4323 WORNALL RD PEET 1 | KANSAS CITY | MO | 64111 | 431933950 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| SAINT LUKES CARE | ||||||||||
| 10920 ELM AVENUE | KANSAS CITY | MO | 64134 | 260185090 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| MEDICAL PLAZA IMAGING ASSOCIATES LLC | ||||||||||
| 4401 WORNALL ROAD | KANSAS CITY | MO | 64111 | 431609584 | HEALTH CARE | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HEALTH SYSTEM | 0 |
| SAINT LUKES COLLEGE OF HEALTH SCIENCES | ||||||||||
| 8320 WARD PARKWAY SUITE 300 | KANSAS CITY | MO | 64114 | 272716128 | POST SECONDARY NURSING EDUCATION | MO | 501(C)(3) | 170B1AIII | SAINT LUKES HOSPITAL | 0 |
| SLCC INC | ||||||||||
| 4330 WORNALL ROAD SUITE 2000 | KANSAS CITY | MO | 64111 | 271994652 | HEALTH CARE | KS | APPLYING FOR 501(C)( | APPLYING FOR 170B1AI | SAINT LUKES HEALTH SYSTEM | 0 |
| SLNC INC | ||||||||||
| 4401 WORNALL RD | KANSAS CITY | MO | 64111 | 451470888 | HEALTH CARE | KS | APPLYING FOR 501(C)( | APPLYING FOR 170B1AI | SAINT LUKES HEALTH SYSTEM | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL PLAZA PARTNERS LP | ||||||||||||||
| 4320 WORNALL RD SUITE 410 | KASAS CITY | MO | 64111 | 431357824 | OWN AND OPERATE MEDICAL OFFICE BUILDING | MO | N/A | |||||||
| MEDICAL PARK ASSOCIATES A LP | ||||||||||||||
| 601 S 169 HWY | SMITHVILLE | MO | 64089 | 431311049 | OWN AND OPERATE MEDICAL OFFICE BUILDING | MO | SPELMAN DEVELOPMENT CORP | INVESTMENT | 12503 | 979286 | 0 | 0 | 0.08250 | |
| ST LUKE'S SURGICENTER-LEE'S SUMMIT LLC | ||||||||||||||
| 11221 ROE AVE SUITE 230 | OVERLAND PARK | KS | 66211 | 470853481 | HEALTH CARE | MO | N/A | |||||||
| SAINT LUKE'S SOUTH SURGERY CENTER LLC | ||||||||||||||
| 11221 ROE AVE SUITE 230 | OVERLAND PARK | KS | 66211 | 201721929 | HEALTH CARE | KS | N/A | |||||||
| FAMILY ADVOCATES LLC | ||||||||||||||
| 10918 ELM AVE | KASAS CITY | MO | 64134 | 202739036 | FOSTER CARE | MO | N/A | |||||||
| SAINT LUKE'S CARDIOLOGY SERVICES | ||||||||||||||
| 10920 ELM AVE | KASAS CITY | MO | 64134 | 263726426 | HEALTH CARE | MO | N/A | |||||||
| SAINT LUKE'S-GI DIAGNOSTICS LLC | ||||||||||||||
| 4321 WASHINGTON SUITE 5700 | KASAS CITY | MO | 64111 | 274142549 | HEALTH CARE | MO | N/A | |||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPELMAN DEVELOPMENT CORPORATION | ||||||||||||
| 601 S 169 HIGHWAY | SMITHVILLE | MO | 64089 | 431296007 | MEDICAL OFFICE BUILDING RENTALS | MO | SAINT LUKES NORTHLAND HOSPITAL | C | -96050 | 756577 | 1.00000 | |
| SAINT LUKE'S HEALTH SYSTEM RISK RETENTION GROUP | ||||||||||||
| 1327 C ASHLEY RD SUITE 200 | CHARLESTON | SC | 29407 | 371471890 | INSURANCE | SC | C | N/A | ||||
| ST LUKE'S HEALTH VENTURES INC | ||||||||||||
| 4320 WORNALL RD SUITE 410 | KANSAS CITY | MO | 64111 | 431278476 | ACCOUNTING | MO | C | N/A | ||||
| MEDICAL PLAZA MANAGEMENT INC | ||||||||||||
| 4320 WORNALL RD SUITE 410 | KANSAS CITY | MO | 64111 | 431352317 | MEDICAL OFFICE BUILDING MANAGEMENT | MO | C | N/A | ||||
| VENTURE FINANCIAL SERVICES INC | ||||||||||||
| 6158 RAYTOWN TRAFFICWAY | RAYTOWN | MO | 64133 | 431605740 | COLLECTIONS | MO | C | N/A | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MEDICAL PARK ASSOCIATES | ||
| J | 187297 | PAID FMV RENT TO MPA FOR OFFICES |
| SPELMAN DEVELOPMENT CORPORATION | ||
| R | 1336500 | APPRAISED VALUE OF LP UNIT TRSFR |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TRANSACTIONS WITH RELATED ORGANIZATIONS | Identifier |
| Return Reference | SCHEDULE R, PART V, LINE 1 | ReturnReference |
| Explanation | 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. | Explanation |