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TIN: 44-0545297
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
21
Open to Public Inspection
Name of the organization
St Lukes Hospital of Kansas City
Employer identification number
44-0545297
Part I
Identification of Disregarded Entities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(1)
CRITTENTON LLC
10918 ELM AVENUE
KANSAS CITY
,
MO
64134
83-3310535
HEALTHCARE
MO
0
0
ST LUKES HOSPITAL OF KANSAS CITY
Part II
Identification of Related Tax-Exempt Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
SAINT LUKES HEALTH SYSTEM
901 E 104TH ST
KANSAS CITY
,
MO
64131
43-1747502
HEALTH SYSTEM
KS
501(c)(3)
Type III-FI
N/A
No
(2)
SAINT LUKES NORTH HOSPITAL
5830 NW BARRY ROAD
KANSAS CITY
,
MO
64154
44-0565393
HEALTH CARE
MO
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(3)
SAINT LUKES SOUTH HOSPITAL
12300 METCALF AVE
OVERLAND PARK
,
KS
66213
48-1203262
HEALTH CARE
KS
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(4)
SAINT LUKES EAST HOSPITAL
100 NE SAINT LUKES BLVD
LEES SUMMIT
,
MO
64086
56-2488077
HEALTH CARE
MO
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(5)
SAINT LUKES PHYSICIAN GROUP INC
901 E 104TH ST
KANSAS CITY
,
MO
64131
43-1598353
HEALTH CARE
KS
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(6)
SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE
901 E 104TH STREET
KANSAS CITY
,
MO
64131
43-1127200
HEALTH CARE
MO
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(7)
ST LUKES OF TRENTON
191 IOWA BLVD
TRENTON
,
MO
64683
43-1707306
HEALTH CARE
MO
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(8)
SAINT LUKES HOSPITAL OF GARNETT
421 SOUTH MAPLE
GARNETT
,
KS
66032
74-2849611
HEALTH CARE
KS
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(9)
SAINT LUKE'S HOSPITAL OF CHILLICOTHE
2799 N WASHINGTON
CHILLICOTHE
,
MO
64601
43-1735565
HEALTH CARE
MO
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(10)
SAINT LUKES CUSHING HOSPITAL
711 MARSHALL
LEAVENWORTH
,
KS
66048
48-0543792
HEALTH CARE
KS
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(11)
SAINT LUKES CARE
901 E 104TH ST
KANSAS CITY
,
MO
64131
26-0185090
HEALTH CARE
MO
501(c)(3)
Type II
SAINT LUKES HEALTH SYSTEM
No
(12)
MEDICAL PLAZA IMAGING ASSOCIATES LLC
4401 WORNALL ROAD
KANSAS CITY
,
MO
64111
43-1609584
HEALTH CARE
MO
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(13)
ADVANCED UROLOGIC ASSOCIATES INC
901 E 104TH ST
KANSAS CITY
,
MO
64131
45-4725529
HEALTH CARE
MO
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(14)
ROCKHILL ORTHOPAEDIC SPECIALISTS INC
901 E 104TH ST
KANSAS CITY
,
MO
64131
45-3851008
HEALTH CARE
MO
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(15)
BISHOP SPENCER PLACE
4301 MADISON AVENUE
KANSAS CITY
,
MO
64111
43-1139083
RETIREMENT COMMUNITY
MO
501(c)(3)
10
SAINT LUKES HEALTH SYSTEM
No
(16)
WINDSOR CARE
4301 MADISON AVENUE
KANSAS CITY
,
MO
64111
20-5284328
HEALTH CARE
MO
501(c)(3)
10
THE BISHOP SPENCER PLACE
No
(17)
Saint Luke's Foundation
901 E 104th Street
Kansas City
,
MO
64131
44-6014699
FOUNDATION
MO
501(c)(3)
7
SAINT LUKES HEALTH SYSTEM
No
(18)
Saint Luke's Hospital of Allen County Inc
3066 N Kentucky St
IOLA
,
KS
66749
84-3362602
HEALTH CARE
KS
501(c)(3)
3
SAINT LUKES HEALTH SYSTEM
No
(19)
CARDIOMETABOLIC CENTER ALLIANCE INC
4435 MAIN ST
KANSAS CITY
,
MO
64111
85-0768692
MEDICAL RESEARCH
MO
501(c)(3)
4
SAINT LUKES HEALTH SYSTEM
No
(20)
SAINT LUKE'S COLLEGE OF HEALTH SCIENCES (DISSOLVED JAN 2021)
4401 WORNALL ROAD
WORNALL ROAD
,
MO
64111
27-2716128
POST SECONDARY NURSING EDUCATION
MO
501(c)(3)
2
ST LUKES HOSPITAL OF KANSAS CITY
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
MEDICAL PLAZA PARTNERS LP
4320 WORNALL ROAD STE 714
KANSAS CITY
,
MO
64111
43-1357824
OWN & OPERATE MEDICAL OFFICE BUILDING
MO
ST LUKES HOSPITAL OF KANSAS CITY
Related
992,120
9,894,417
No
No
34.44 %
(2)
ST LUKES SURGICENTER-LEES SUMMIT LLC
11221 ROE AVE STE 230
OVERLAND PARK
,
KS
66211
47-0853481
HEALTH CARE
MO
NA
N/A
(3)
SAINT LUKES SOUTH SURGERY CENTER LLC
11221 ROE AVE STE 230
OVERLAND PARK
,
KS
66211
20-1721929
HEALTH CARE
KS
NA
N/A
(4)
SAINT LUKES-GI DIAGNOSTICS
4321 WASHINGTON STE 5700
KANSAS CITY
,
MO
64111
27-4142549
HEALTH CARE
MO
ST LUKES HOSPITAL OF KANSAS CITY
Related
650,568
584,917
No
No
51 %
(5)
KANSAS CITY ORTHOPAEDIC INSTITUTE LLC
3651 COLLEGE BLVD
LEAWOOD
,
KS
66211
48-1197295
HEALTH CARE
KS
ST LUKES HOSPITAL OF KANSAS CITY
Related
12,084,309
39,568,101
No
No
51 %
(6)
SAINT LUKES RADIATION THERAPY-LIBERTY LLC
901 E 104TH ST
KANSAS CITY
,
MO
64131
47-3793070
HEALTH CARE
MO
ST LUKES HOSPITAL OF KANSAS CITY
Related
267,901
3,950,576
No
No
51 %
(7)
Saint Luke's South Pain Management
7651 W 159th Street
Overland Park
,
KS
66223
86-3451115
HEALTH CARE
KS
NA
N/A
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP
901 E 104TH ST
KANSAS CITY
,
MO
64131
37-1471890
INSURANCE
SC
NA
C Corporation
No
(2)
ST LUKES HEALTH VENTURES INC
901 E 104TH ST
KANSAS CITY
,
MO
64131
43-1278476
ACCOUNTING
MO
ST LUKES HOSPITAL OF KANSAS CITY
C Corporation
3,518,294
100 %
Yes
(3)
MEDICAL PLAZA MANAGEMENT INC
4320 WORNALL ROAD STE 714
KANSAS CITY
,
MO
64111
43-1352317
MEDICAL OFFICE BUILDING MANAGEMENT
MO
ST LUKES HEALTH VENTURES
C Corporation
-1,310,593
100 %
Yes
(4)
SAINT LUKES HEALTH SYSTEM INSURANCE LTD
CAPTIVE
CJ
NA
C Corporation
No
(5)
HEART SURGEONS OF KANSAS CITY
4320 WORNALL ROAD
STE 50
KANSAS CITY
,
MO
64111
26-4663332
MEDICAL PRACTICE
MO
SAINT LUKES HOSPITAL OF KANSAS CITY
C Corporation
14,858
2,052,634
100 %
Yes
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page
3
Part V
Transactions With Related Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
Yes
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
MEDICAL PLAZA PARTNERS
K
3,426,516
COST
(2)
MEDICAL PLAZA PARTNERS
O
125,572
COST
(3)
SAINT LUKES RADIATION THERAPY - LIBERTY LLC
Q
1,618,963
COST
(4)
SAINT LUKES RADIATION THERAPY-LIBERTY LLC
S
1,187,280
COST
(5)
MEDICAL PLAZA PARTNERS
Q
568,230
COST
(6)
MEDICAL PLAZA PARTNERS
S
554,142
COST
(7)
Saint Luke's - GI Diagnostics LLC
S
561,000
Cost
(8)
KANSAS CITY ORTHPAEDIC INSTITUTE LLC
S
13,489,500
COST
(9)
HEART SURGEONS OF KANSAS CITY
Q
626,049
COST
(10)
MEDICAL PLAZA PARTNERS
R
65,432
COST
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference
Explanation
Schedule R, Part V, Line 1 PART V, LINE 1
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.
Schedule R (Form 990) 2021
Additional Data
Software ID:
21014044
Software Version:
2021v4.2