Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
ST LUKES HOSPITAL OF KANSAS CITY |
440545297 | 3 | Yes | 75,217,354 | 0 | |
| (B)
SAINT LUKES EAST HOSPITAL |
562488077 | 3 | Yes | 27,503,682 | 0 | |
| (C)
SAINT LUKES SOUTH HOSPITAL INC |
481203262 | 3 | Yes | 15,269,534 | 0 | |
| (D)
SAINT LUKES NORTHLAND HOSPITAL CORPORATION |
440565393 | 3 | Yes | 16,487,475 | 0 | |
| (E)
SAINT LUKES HOSPITAL OF TRENTON |
431707306 | 3 | Yes | 1,881,824 | 0 | |
| (F)
SAINT LUKES HOSPITAL OF CHILLICOTHE |
431735565 | 3 | Yes | 2,808,128 | 0 | |
| (G)
SAINT LUKES CUSHING HOSPITAL |
480543792 | 3 | Yes | 3,417,208 | 0 | |
| (H)
SAINT LUKES HOSPITAL OF GARNETT INC |
742849611 | 3 | Yes | 1,279,987 | 0 | |
| (I)
SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE |
431127200 | 3 | Yes | 1,983,181 | 0 | |
| (J)
CRITTENTON |
440545808 | 3 | Yes | 2,495,481 | 0 | |
| (K)
SAINT LUKES MEDICAL GROUP |
431598353 | 3 | Yes | 4,431,811 | 0 | |
| (L)
SLCC INC |
271994652 | 3 | Yes | 1,836,982 | 0 | |
| (M)
SLNC INC |
451470888 | 3 | Yes | 228,453 | 0 | |
| (N)
ADVANCED UROLOGIC ASSOCIATES INC |
454725529 | 3 | Yes | 2,356,000 | 0 | |
| (O)
MEDICAL PLAZA IMAGING ASSOCIATES LLC |
431609584 | 3 | Yes | 160,000 | 0 | |
| (P)
MIDWEST EAR INSTITUTE INC |
480905027 | 3 | Yes | 27,000 | 0 | |
| (Q)
SAINT LUKES COLLEGE OF HEALTH SCIENCES |
272716128 | 2 | Yes | 173,000 | 0 | |
| (R)
ROCKHILL ORTHOPAEDIC SPECIALISTS |
453851008 | 3 | No | 1,063,000 | 0 | |
| Total 18 | 158,620,100 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART IV, SECTION A, LINE 1 | THE FILING ORGANIZATION IS A PARENT ENTITY OF AN INTEGRATED HEALTH CARE SYSTEM. SUPPORTED ORGANIZATIONS INCLUDE ALL SECTION 509(A)(1) AND 509(A)(2) AFFILATES OF THE HEALTH SYSTEM. ALL SUPPORTED ORGANIZATIONS ARE NAMED IN THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION OTHER THAN ONE, ROCKHILL ORTHOPAEDIC SPECIALISTS (ROS), EIN 45-3851008, A TAX-EXEMPT ORGANIZATION WHICH WAS ADDED AS A SUPPORTED ORGANIZATION DURING 2015. IN ADDITION TO THE SUPPORTED ORGANIZATIONS SPECIFICALLY NAMED, THE ARTICLES OF INCORPORATION ALLOW FOR SAINT LUKE'S HEALTH SYSTEM TO BE THE SUPPORTING ORGANIZATION FOR "OTHER ORGANIZATIONS THAT BECOME PART OF THE SAINT LUKE'S HEALTH SYSTEM INTEGRATED HEALTH CARE DELIVERY SYSTEM". THE ARTICLES WILL BE AMENDED TO SPECIFICALLY NAME ROS AS A SUPPORTED ORGANIZATION. |
| PART I, LINE 11G | SAINT LUKE'S HEALTH SYSTEM, INC. (SLHS) IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTH CARE SYSTEM. SLHS' SUPPORTED ORGANIZATIONS INCLUDE ALL SECTION 509(A)(1) AND 509(A)(2) AFFILIATES OF SLHS. SLHS IS FUNCTIONALLY INTEGRATED WITH ITS SUPPORTED ORGANIZATIONS AND PROVIDED MANAGEMENT AND COORDINATION, INFORMATION TECHNOLOGY, HUMAN RESOURCES, LEGAL, REAL ESTATE, FINANCIAL, ADVISORY AND OTHER CORPORATE SERVICES TO ITS SUPPORTED ORGANIZATIONS. |
| PART IV, SECTION A, LINE 5A | THE ORGANIZATION AMENDED AND UPDATED SELECTED PROVISIONS OF ITS ARTICLES AND BYLAWS DECEMBER 30, 2014. THE CHANGES REMOVED THE CURRENT CORPORATE MEMBERS AND ESTABLISHED A SELF-PERPETUATING COMMUNITY BOARD OF DIRECTORS, UPDATED BOARD MEMBER QUALIFICATIONS, CREATED NEW BOARD COMMITTEES AND SPECIFIED QUALIFICATIONS FOR SERVING ON CERTAIN COMMITTEES. THE PURPOSE OF THE CHANGES TO GOVERNING DOCUMENTS WAS TO ESTABLISH THE ORGANIZATION AS THE CORPORATE PARENT OF ALL ENTITIES IN THE HEALTH SYSTEM AND TO FACILITATE OPERATIONS AS AN ALIGNED AND INTEGRATED HEALTH SYSTEM. AS A RESULT OF THESE CHANGES, THE ORGANIZATION CHANGED FROM A TYPE I SUPPORTING ORGANIZATION TO A TYPE III FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATION. SUPPORTED ORGANIZATIONS WERE NAMED IN THE ARTICLES OF INCORPORATION AS PART OF THE GOVERNING DOCUMENTS CHANGES. ALSO SEE ABOVE RESPONSE FOR LINE 1. |
| SECTION D, LINE 2 | THE OFFICERS AND DIRECTORS OF THE SUPPORTING ORGANIZATION AND THE SUPPORTED ORGANIZATIONS MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP. THE SUPPORTING ORGANIZATION SERVES AS THE PARENT ENTITY FOR A CONTROLLED GROUP OF ENTITIES THAT OPERATE AS AN INTEGRATED HEALTH CARE SYSTEM. IT HAS THE POWER TO APPOINT THE BOARDS OF THE SUPPORTED ORGANIZATIONS AND HAS RESERVE POWERS OVER SPECIFIED DECISIONS. THE FILING ORGANIZATION SUPPORTS THE OTHER ORGANIZATIONS BY PROVIDING EXTENSIVE MANAGEMENT AND COORDINATION SERVICES TO THE SUPPORTED ORGANIZATIONS. |
| SECTION D, LINE 3 | THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S ACTIVITIES AND PURCHASE MANY CENTRALIZED SERVICES FROM THE SUPPORTING ORGANIZATION. |
| PART IV, SECTION E, LINE 3A | SAINT LUKE'S HEALTH SYSTEM (SLHS) IS DIRECT PARENT AND SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS OTHER THAN FOR TWO OF WHICH IT IS THE INDIRECT PARENT. THE GOVERNING BODY OF EACH SUPPORTED ORGANIZATION IS ELECTED BY ITS SOLE MEMBER. SAINT LUKE'S HOSPITAL OF KANSAS CITY SERVES AS THE SOLE MEMBER OF MIDWEST EAR INSTITUTE AND SAINT LUKES COLLEGE OF HEALTH SCIENCES. SLHS IS THE SOLE MEMBER OF SAINT LUKE'S HOSPITAL OF KANSAS CITY. |
| PART IV, SECTION E, LINE 3B | THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, APPOINTMENT AND REMOVAL OF DIRECTORS, DEBT, BUDGETS, CAPITAL EXPENDITURES, POLICIES APPLICABLE TO THE SUPPORTED ORGANIZATION, STRATEGIC OPERATING DECISIONS AND INVESTMENT IN THIRD PARTY DEBT OR EQUITY SECURITIES. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| 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 BEFORE FILING. A SUMMARY OF KEY 990 INFORMATION WAS PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND THE 990 DRAFT WAS MADE AVAILABLE TO THE COMMITTEE 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 HAVE COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICIES APPLICABLE TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. ANY ACTUAL, POSSIBLE OR PERCEIVED CONFLICT OF INTEREST IS EXPECTED TO BE HANDLED THROUGH FULL AND TIMELY DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSENCE OF PERSUASION IN ANY DISCUSSION AND IN ANY VOTE WHEREIN THE INTEREST IS INVOLVED. DISCLOSURE IS TO BE MADE WHEN THE INTEREST ARISES, AT ANY TIME THE INTEREST BECOMES A MATTER OF GOVERNING BOARD ACTION, AND THEN ANNUALLY THROUGH COMPLETION OF A CONFLICT OF INTEREST QUESTIONNAIRE. THE SYSTEM VICE PRESIDENT OF INTERNAL AUDIT REVIEWS COMPLETED QUESTIONNAIRES AND FURTHER INVESTIGATES POSSIBLE CONFLICTS OF INTEREST. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND ANY IDENTIFIED CONFLICT OF INTEREST IS REPORTED TO THE APPLICABLE ENTITY. |
| FORM 990, PART VI, SECTION B, LINE 15 | ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND OTHER HIGHLY COMPENSATED OFFICERS. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE THROUGH MO AND/OR KS SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC AND ARE AVAILABLE THROUGH EMMA. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| PART VI, SECTION A, LINE 4 | IN 2015, THE ORGANIZATION'S BYLAWS WERE AMENDED TO CLARIFY INDEPENDENCE OF THE AUDIT AND COMPLIANCE COMMITTEE AND TO SET TERM LIMITS FOR THE GOVERNING BOARD OF DIRECTORS. |
| FORM 990, PART VII, SECTION A, COLUMN (B): | JULIE QUIRIN AND ROBERT OLM-SHIPMAN RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATION. J CHRIS PERRYMAN, MD, MARIE GRIFFIN, MD, AND GINA LAWSON, DO DID NOT RECEIVE COMPENSATION FOR DUTIES AS DIRECTORS OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. DON SIPES RECEIVED COMPENSATION FROM THE FILING ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND TO RELATED ORGANIZATIONS. DON SIPE'S COMPENSATION INCLUDES PAYOUT OF PREVIOUSLY DEFERRED COMPENSATION. |
| PART X, LINE 11,12,13 INVESTMENTS | SAINT LUKE'S HEALTH SYSTEM IS THE OWNER OF VARIOUS INVESTMENTS WHICH ARE ALLOCATED TO AFFILIATED HOSPITALS AND REPORTED ON SUCH HOSPITALS' BALANCE SHEETS. |
| FORM 990, PART XI, LINE 9: | ADDITIONAL PENSION OBLIGATION -4,846,649. ROUNDING -3. |
| Software ID: | |
| Software Version: |