Saint Lukes Health System Home Care and Hospice

Nonprofit profile at a glance

EIN
431127200
IRS 990 coverage
2010–2023
Forms available
Form 990 2023
Location
Kansas City, MO, USA
Phone
8167561160
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$71,946,148
Expenses
$72,445,308
Assets
$16,914,599
Liabilities
$6,080,895

Source: IRS Form 990. Selected filing: tax year 2023. Amounts in USD.

Leadership & pay

20 people listed

Source: IRS Form 990. Selected filing: tax year 2023. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Saint luke's health system home care and hospice, an affiliate of saint luke's health system, is committed to enhancing the physical, mental, and spiritual health of the communities we serve. We provide home care services and products including: home health nursing and therapy, home infusion pharmacy, hospice, and home telemonitoring.

What it reported doing in 2023

Saint luke's health system home care and hospice ("slhs hch") provides in-home health care services directly to the patient and families in 29 counties in Missouri and Kansas. The specialty services include cardiac home care, home infusion, telemonitoring, rehabilitation (physical, occupational and speech), skilled nursing, palliative care, social services and wound care. Care is also provided to terminally ill patients in homes, nursing homes and hospitals. A multidisciplinary hospice team consisting of nurses, aides, chaplains, music therapists, bereavement counselors and social workers work with the families and patients to provide the best care for the end of life transition. Saint luke's health system hospice house has 12 beds and serves patients and families needing end of life care outside of the home. Slhs hch makes a significant commitment to those covered by the medicaid program. Unreimbursed costs for medicaid were $392,000 for 2023. Additional unreimbursed costs of over $5,000 for charity care were incurred in 2023. Slhs hch also provides community education and outreach. This includes support groups, volunteer training, nursing education, public speaking, funerals and health fairs.

Operating model

Revenue model
Other-operating. 99% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 96
  • Transparency & Controls: 65
  • Accountability: 64
  • Sustainability: 27
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 95.6%; rating input score 96
  • Program expense ratio: 94.9%; rating input score 95
  • Fundraising efficiency: $567.3 raised per $1 spent on fundraising; rating input score 95; 95th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 46.2%; rating input score 46; 12th percentile among comparable filings
  • Governance controls: 7 of 8 controls in place; rating input score 88
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -0.7%; rating input score 27; 27th percentile among comparable filings
  • Total-asset coverage ratio: 0.23; rating input score 7; 7th percentile among comparable filings
  • Liabilities to assets ratio: 0.36; rating input score 51; 51st percentile among comparable filings
  • Officer compensation ratio: 2.3%; rating input score 49; 49th percentile among comparable filings

Growth

  • Program expense growth: 12.6% per year; rating input score 100; 82nd percentile among comparable filings
  • Revenue growth: 9.9% per year; rating input score 100; 77th percentile among comparable filings
  • Asset growth: 0.6% per year; rating input score 100; 9th percentile among comparable filings

Details

  • Where the money goes: 95.6% of revenue deployed · 94.9% of spending went to programs
  • Governance: 6 of 13 board members independent · 7 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $68.7M in reported program spending
  • Leadership: top reported pay $854K · 20 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 3 contractors listed · $583K reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 13 filing years from 2010 to 2023
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • Related organizations: 32 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Moderate — Accountability: Independent voting board scored 46/100.
  • High — Sustainability: Operating margin scored 27/100.
  • High — Sustainability: Total-asset coverage ratio scored 7/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • Moderate — Sustainability: Officer compensation ratio scored 49/100.
  • Review — Sustainability: Liabilities to assets ratio scored 51/100.