Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1a · Federated campaigns

  $25,000

• 1b · Membership dues

  $0

• 1c · Fundraising events

  $0

• 1d · Related organizations

  $15,581,953

• 1e · Government grants (contributions)

  $4,440,937

• 1f · All other contributions, gifts and grants

  $508,715

• 2a · Program service revenue: NET PATIENT REVENUE

  total $973,090,163 · related or exempt $973,090,163

• 2b · Program service revenue: PHARMACY REVENUE

  total $37,979,418 · related or exempt $37,979,418

• 2c · Program service revenue: REGIONAL LAB SERVICES

  total $22,797,760 · related or exempt $22,797,760

• 2f · All other program service revenue

  total $51,388,362 · related or exempt $51,388,362 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $13,558,125 · unrelated business $13,104,419 · excluded $453,706

• 4 · Income from investment of tax-exempt bond proceeds

  total $313,269 · excluded $313,269

• 6a · Gross rents

  real property $580,536

• 6c · Rental income or loss

  real property $580,536 · personal property $0

• 6d · Net rental income or loss

  total $580,536 · excluded $580,536

• 7a · Gross sales of assets other than inventory

  securities $237,429,749

• 7b · Less cost or other basis and sales expenses

  securities $199,903,834

• 7c · Gain or loss

  securities $37,525,915 · other assets $0

• 7d · Net gain or loss

  total $37,525,914 · excluded $37,525,914

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $0

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $143,333,870 · program services $143,333,870

• 5 · Compensation of officers, directors and key employees

  total $1,969,852 · program services $174,578 · management and general $1,795,274

• 6 · Compensation of disqualified persons

  total $154,599 · management and general $154,599

• 7 · Other salaries and wages

  total $267,526,006 · program services $253,314,035 · management and general $14,211,971

• 8 · Pension plan contributions

  total $11,520,684 · program services $10,409,210 · management and general $1,111,474

• 9 · Other employee benefits

  total $38,483,465 · program services $36,711,741 · management and general $1,771,724

• 10 · Payroll taxes

  total $19,488,563 · program services $18,320,491 · management and general $1,168,072

• 11b · Fees: legal

  total $96,522 · management and general $96,522

• 11f · Fees: investment management

  total $1,675,869 · management and general $1,675,869

• 11g · Fees: other

  total $106,997,886 · program services $103,986,624 · management and general $2,995,230 · fundraising $16,032

• 12 · Advertising and promotion

  total $51,711 · program services $47,029 · management and general $4,682

• 13 · Office expenses

  total $15,763,897 · program services $12,632,294 · management and general $3,115,632 · fundraising $15,971

• 14 · Information technology

  total $4,805,722 · program services $848,023 · management and general $3,957,699

• 16 · Occupancy

  total $20,373,118 · program services $19,279,573 · management and general $1,093,545

• 17 · Travel

  total $795,607 · program services $782,821 · management and general $12,723 · fundraising $63

• 19 · Conferences, conventions and meetings

  total $476,639 · program services $445,092 · management and general $24,471 · fundraising $7,076

• 20 · Interest

  total $9,766,528 · program services $9,159,269 · management and general $607,259

• 22 · Depreciation, depletion and amortization

  total $42,056,056 · program services $41,220,431 · management and general $796,294 · fundraising $39,331

• 23 · Insurance

  total $5,337,444 · program services $4,261,564 · management and general $1,075,880

• 24a · Other expenses: Bad Debt

  total $19,898,212 · program services $19,898,212

• 24b · Other expenses: Shared Expense

  total $109,121,761 · program services $39,916,471 · management and general $69,205,290

• 24c · Other expenses: Hospital Dues

  total $310,587 · program services $310,587

• 24d · Other expenses: Medical Supplies

  total $257,061,780 · program services $257,037,940 · management and general $23,840

• 24e · All other expenses

  total $2,064,660 · program services $1,638,797 · management and general $425,863 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $83,685,643 · end of year $81,376,917

• 2 · Savings and temporary cash investments

  beginning of year $16,575,356 · end of year $17,018,109

• 4 · Accounts receivable

  beginning of year $161,129,563 · end of year $195,736,328

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $0

• 8 · Inventories for sale or use

  beginning of year $20,490,087 · end of year $20,553,378

• 9 · Prepaid expenses and deferred charges

  beginning of year $2,241,030 · end of year $2,391,424

• 10a · Land, buildings and equipment: cost or other basis

  $1,095,251,643

• 10b · Land, buildings and equipment: accumulated depreciation

  $662,228,789

• 10c · Land, buildings and equipment, net

  beginning of year $428,818,059 · end of year $433,022,854

• 11 · Investments: publicly traded securities

  beginning of year $194,151,067 · end of year $171,386,661

• 12 · Investments: other securities

  beginning of year $430,960,894 · end of year $531,065,019

• 13 · Investments: program-related

  beginning of year $0

• 14 · Intangible assets

  beginning of year $26,458,077 · end of year $25,599,893

• 15 · Other assets

  beginning of year $225,448,832 · end of year $240,146,381

• 17 · Accounts payable and accrued expenses

  beginning of year $79,432,462 · end of year $92,615,960

• 20 · Tax-exempt bond liabilities

  beginning of year $279,129,434 · end of year $269,732,148

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $31,506,149 · end of year $38,017,325

• 27 · Net assets without donor restrictions

  beginning of year $1,001,425,788 · end of year $1,108,074,566

• 28 · Net assets with donor restrictions

  beginning of year $198,464,775 · end of year $209,856,965

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVES AND OFFICERS. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSPHY AND ANALYZES MARKET 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.

Schedule J, Part I, Line 4a Severance or change-of-control payment

SEVERANCE PAYMENT INCLUDED IN SCH J, PART II, B(III) OTHER REPORTABLE COMPENSATION: Debbie Wilson - $172,940

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

457(F) PARTICIPANT AND PAYOUT AMOUNT INCLUDED IN COLUMN B(iii) FOR THE PLAN: CHARLES ROBB: $5,662,424 PRIOR TO THE AFFILIATION WITH BJC HEALTH SYSTEM IN 2024, CERTAIN SLHS SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS WERE TERMINATED EFFECTIVE 12/31/2023. PAYOUTS TO THE PARTICIPANTS WERE MADE IN 2023.

Schedule J, Part I, Line 7 Non-fixed payments

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 ENGAGEMENT, 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 AND DO NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER FINANCIAL RESULTS HAVE BEEN DETERMINED FOR THE CALENDAR YEAR. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS.

Schedule J, Part II PART II

CHARLES ROBB, DORIS ROGERS, CAMILLE HONESTY, MARC LARSEN, TAMMY NEBLOCK-BEIRNE, Leo Andrew Benedict, Tibor Mohacsi, AND LEANNA MOSHER 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. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR JAMIE ALLEN IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• CRITTENTON LLC

  HEALTHCARE · MO · income $0 · assets $0

  Directly controlled by ST LUKES HOSPITAL OF KANSAS CITY

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• MEDICAL PLAZA PARTNERS LP

  Related · OWN & OPERATE MEDICAL OFFICE BUILDING · MO · 37.02% owned · share of income $1,403,623 · share of assets $10,873,205

  Directly controlled by ST LUKES HOSPITAL OF KANSAS CITY

• ST LUKES SURGICENTER-LEES SUMMIT LLC

  N/A · HEALTH CARE · MO

  Directly controlled by NA

• SAINT LUKES SOUTH SURGERY CENTER LLC

  N/A · HEALTH CARE · KS

  Directly controlled by NA

• SAINT LUKES-GI DIAGNOSTICS

  Related · HEALTH CARE · MO · 51% owned · share of income $980,724 · share of assets $823,242

  Directly controlled by ST LUKES HOSPITAL OF KANSAS CITY

• KANSAS CITY ORTHOPAEDIC INSTITUTE LLC

  Related · HEALTH CARE · KS · 51% owned · share of income $13,438,151 · share of assets $63,221,430

  Directly controlled by ST LUKES HOSPITAL OF KANSAS CITY

• SAINT LUKES RADIATION THERAPY-LIBERTY LLC

  Related · HEALTH CARE · MO · 51% owned · share of income $1,331,404 · share of assets $3,709,919

  Directly controlled by ST LUKES HOSPITAL OF KANSAS CITY

• Saint Luke's South Pain Management Center LLC

  N/A · HEALTH CARE · KS

  Directly controlled by NA

• Saint Lukes North Surgery Center LLC

  N/A · Health Care · MO

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP

  C Corporation · INSURANCE · SC

  Directly controlled by NA

• ST LUKES HEALTH VENTURES INC

  C Corporation · ACCOUNTING · MO · 100% owned · share of income $1,597,336 · share of assets $4,705,756 · controlled entity

  Directly controlled by ST LUKES HOSPITAL OF KANSAS CITY

• MEDICAL PLAZA MANAGEMENT INC

  C Corporation · MEDICAL OFFICE BUILDING MANAGEMENT · MO · 100% owned · share of income $617,956 · share of assets -$1,064,585 · controlled entity

  Directly controlled by ST LUKES HEALTH VENTURES

• SAINT LUKES HEALTH SYSTEM INSURANCE LTD

  C Corporation · CAPTIVE · CJ

  Directly controlled by NA