2023-05-12T16:06:01-05:00 2022-06-30 135565207 KPMG LLP 90 S 7TH ST STE 4200 MINNEAPOLIS MN 55402 990 2021-07-01 430652680 ST LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS STLU 3144341500 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 MARTHA FLEISCHMANN SENIOR VP/CFO 3144341500 2023-05-10 1 MARTHA FLEISCHMANN 999009999 MONROE J GIERL P01413237 6123055000 2023-05-10 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MARTHA FLEISCHMANN 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 723799101 0 X WWW.STLUKES-STL.COM X 1866 MO SEE SCHEDULE O. 21 19 4447 200 4648918 0 20234823 8807512 548312469 583940570 82152523 8083990 1446452 264048 652146267 601096120 59900 71550 0 0 239824159 260075889 0 0 836060 262139019 284472634 502023078 544620073 150123189 56476047 901415338 801987585 289169618 241100017 612245720 560887568 X SEE SCHEDULE O. 0 0 508172303 71550 579291652 SEE SCHEDULE O. SEE SCHEDULE O 508172303 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 198 0 1 4447 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 21 19 0 0 0 0 1 0 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X MARTHA FLEISCHMANN 3144341500 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 JASON EDWARDS MD RADIATION ONCOLOGIST 1.00 55.00 X 0 1473327 10875 JEFFREY THOMPSON MD OB/GYN 1.00 50.00 X 0 636634 30927 DAVID B PRICE JR CHAIRMAN 3.00 2.00 X 0 0 0 NORMAN L EAKER VICE CHAIRMAN 1.00 1.00 X 0 0 0 JAMES M SNOWDEN JR SECRETARY 1.00 1.00 X 0 0 0 EDWARD L GLOTZBACH TREASURER 1.00 1.00 X 0 0 0 JEAN C DAVIS DIRECTOR 1.00 1.00 X 0 0 0 JEFFREY S DAVIS DIRECTOR 1.00 1.00 X 0 0 0 SHARON HARVEY DAVIS DIRECTOR 1.00 1.00 X 0 0 0 VINCENT FERRARI DIRECTOR 1.00 1.00 X 0 0 0 STEVEN L GOSIK DIRECTOR 1.00 1.00 X 0 0 0 KIMBERLY R JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 BISHOP DEON JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 NED O LEMKEMEIER DIRECTOR 1.00 1.00 X 0 0 0 STEVEN H MANDEVILLE DIRECTOR 1.00 1.00 X 0 0 0 CYNTHIA A MARITZ DIRECTOR 1.00 1.00 X 0 0 0 DIANE MODRELL DIRECTOR 1.00 1.00 X 0 0 0 REV JOY MYERS DIRECTOR 1.00 1.00 X 0 0 0 ROBERT W REEG DIRECTOR 1.00 1.00 X 0 0 0 DANIEL K STEGMANN DIRECTOR 1.00 1.00 X 0 0 0 CHRISTOPHER J TERRY DIRECTOR 1.00 1.00 X 0 0 0 SCOTT JOHNSON EXEC VP & CFO - THRU 12/31/21 25.00 35.00 X 924798 0 26387 SHANE M CERONE PRESIDENT & CEO - THRU 4/1/22 42.00 18.00 X 940387 0 9425 MARTHA FLEISCHMANN SENIOR VP & CFO - START 8/2021 25.00 35.00 X 351263 0 34882 GARY OLSON INTERIM PRES & CEO - START 4/22 42.00 18.00 X 0 0 0 MAGED HAIKAL MD CHIEF OF MEDICINE 40.00 25.00 X 0 909063 27960 MICHAEL BOLAND MD CHIEF OF SURG - THRU 01/11/22 40.00 20.00 X 0 801732 37352 RONALD LEIDENFROST MD CHAIRMAN HEART & VASCULAR INST 30.00 25.00 X 0 654179 27960 DARREN HASKELL MD CHIEF MEDICAL OFF - START 8/21 20.00 30.00 X 0 534411 38177 MICHAEL KLEVENS MD NETWORK VP IMMEDIATE CARE SERV 50.00 0.00 X 509138 0 37270 DIANE RAY SENIOR VP/NETWORK CNO/SLH COO 50.00 10.00 X 411983 0 45569 DON MILLER NETWORK VICE PRESIDENT FACILITIES 41.00 9.00 X 355097 0 30936 SCOTT HOLTSWARTH VP/NETWORK CIO 50.00 0.00 X 330244 0 37310 JANETTE TAAFFE VP NETWORK HR - THRU 04/2022 50.00 0.00 X 298635 0 27940 SHARON MERTZLUFFT VICE PRESIDENT & EXEC DIRECTOR 50.00 0.00 X 299496 0 25269 LAURA OVERTURF NETWORK VP REVENUE CYCLE 50.00 0.00 X 281496 0 38985 JON BETTALE VICE PRESIDENT SURGICAL SERVIC 50.00 0.00 X 291177 0 27933 GRETCHEN BLAKE NETWORK VP QUALITY 50.00 0.00 X 264806 0 25503 GREGORY HUDSON CHIEF STRAT OFF - THRU 9/13/21 50.00 0.00 X 202872 0 16792 SAMUEL FLANDERS MD EXEC VP QUALITY - START 8/16/21 50.00 0.00 X 203521 0 7771 HOPE CRANSTON D'AMATOMD MEDICAL DIRECTOR ICU 50.00 0.00 X 637206 0 28952 ERIC JENKINS MD PHYSICIAN CVICU 50.00 0.00 X 519756 0 35277 TALAT NAWAS MD HOSPITALIST 50.00 0.00 X 466972 0 33837 JULIANNE DONNELLY MD PHYSICIAN CVICU 50.00 0.00 X 462071 0 10875 MICHAEL FRITSCHE DO PHYSICIAN ER 50.00 0.00 X 408766 0 21354 8159684 5009346 695518 355 0 1 0 TRIMEDX LLC 5050 KINGSLY DR CINCINNATI OH 45227 EQUIPMENT MAIN. 4289054 ROCK HILL MECHANICAL CORP 524 CLARK AVE ST LOUIS MO 63122 CONSTRUCTION SERVICE 3845209 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 2107929 AIM LABORATORIES 3165 MCKELVEY RD 110 BRIDGETON MO 63044 LAB SERVICES 1495375 ARMSTRONG TEASDALE PO BOX 790100 ST LOUIS MO 63179 LEGAL SERVICES 1280216 77 X 435056 4354896 4017560 357661 8807512 PATIENT SERVICE REV. 621300 552145520 552145520 PHYSICIAN OFFICES RENT 621110 12144183 12144183 RETAIL PHARMACIES 446110 10717630 7767177 2950453 CAFETERIA INCOME 622110 1779945 1779097 848 NONPATIENT LAB SERVICE 621500 1494628 1494628 5658664 5455675 202989 583940570 7001444 7001444 123498163 25000 122329289 111328 1168874 -86328 1082546 1082546 73145 435056 262364 -189219 -189219 MISC. 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PART V, LINE 4: INTENDED USE OF ENDOWMENT FUNDS ENDOWMENT FUNDS CONSIST OF NINE INDIVIDUAL FUNDS, OF WHICH THREE WERE ESTABLISHED FOR INDIGENT CARE. ALL REALIZED INVESTMENT RETURNS ARE RELEASED TO OPERATIONS IN ACCORDANCE WITH THE DONOR RESTRICTIONS. PART X, LINE 2: FOOTNOTE FOR UNCERTAIN TAX POSITIONS ST. LUKE'S EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED IN 2022 OR 2021. 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LUKE'S HOSPITAL PART V, SECTION B, LINE 5: PART V, SECTION B, LINES 5, 6A, AND 6BTHE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS COLLECTED PRIMARY DATA THROUGH KEY STAKEHOLDER AND COMMUNITY MEMBER SURVEYS, COORDINATED THROUGH A COLLABORATIVE APPROACH BETWEEN ST. LOUIS AREA HOSPITALS AND HEALTH SYSTEMS INCLUDING BJC HEALTHCARE, MERCY, SSM HEALTH, ST. LUKE'S HOSPITAL, AND SHRINERS HOSPITALS FOR CHILDREN. APPENDIX B OF THE ST. LUKE'S HOSPITAL CHNA INCLUDES QUESTIONS AND RESPONSES FOR EACH SURVEY.THE STAKEHOLDER SURVEY SOLICITED INPUT FROM PARTNERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS WEB-BASED, EMAILED DIRECTLY TO IDENTIFIED PARTNERS, AND AVAILABLE DURING THE MONTH OF JUNE 2021. RESPONSES FROM 17 PARTNERS IN THE WEST AND CENTRAL ST. LOUIS COUNTY AREAS WERE INCLUDED IN THE ST. LUKE'S CHNA. COMMUNITY PARTNERS REPRESENTED PUBLIC HEALTH, COMMUNITY-BASED ORGANIZATIONS, LOCAL MUNICIPAL GOVERNMENT, EDUCATION, AND FIRE AND POLICE DEPARTMENTS. ORGANIZATIONS REPRESENTED IN STAKEHOLDER SURVEY RESPONSES INCLUDE THE FOLLOWING:CIRCLE OF CONCERNCITY OF DES PERESCREVE COEUR POLICE DEPARTMENTEUREKA POLICE DEPARTMENTEVENT EXHIBITS, INC.JEWISH COMMUNITY CENTERKIRKWOOD FIRE DEPARTMENTMARYVILLE UNIVERSITYMETROWEST ANESTHESIA GROUPMISSOURI BAPTIST UNIVERSITYPREVENTEDROCKWOOD SCHOOL DISTRICTST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTHST. LOUIS COUNTY POLICEST. LUKE'S DES PERES ADVISORY BOARDTOWN AND COUNTRY POLICE DEPARTMENTTHE COMMUNITY MEMBER SURVEY WAS WEB-BASED AND AVAILABLE TO ALL MEMBERS OF THE ST. LOUIS METROPOLITAN AREA BETWEEN MAY AND JUNE 2021. SURVEY PROMOTIONS INCLUDED A PRESS RELEASE TO LOCAL MEDIA OUTLETS, HOSPITAL NEWS STORIES, SOCIAL MEDIA PROMOTIONS, FLYER DISTRIBUTION THROUGHOUT THE COMMUNITY AT HOSPITAL-SPONSORED ACTIVITIES, AND THROUGH COMMUNITY-BASED PARTNER ORGANIZATIONS INCLUDING THOSE WITH INTERNET AVAILABILITY FOR INDIVIDUALS WITHOUT ACCESS TO INTERNET AT HOME. SURVEY RESPONSES WERE AGGREGATED AT THE ZIP CODE LEVEL TO ALIGN WITH THE UNIQUE CHNA COMMUNITIES OF EACH HOSPITAL. A TOTAL OF 465 RESPONSES WERE COLLECTED FROM THE ST. LUKE'S CHNA GEOGRAPHY. ST. LUKE'S HOSPITAL PART V, SECTION B, LINE 13H: ST. LUKE'S REHABILITATION HOSPITAL MEDICAID PENDING. ST. LUKE'S HOSPITAL PART V, SECTION B, LINE 16J: ST. LUKE'S REHABILITATION HOSPITALST. LUKE'S REHABILITATION HOSPITAL (THE REHAB HOSPITAL) RECEIVES PATIENTS ON A REFERRAL-ONLY BASIS, MANY OF WHOM ARE REFERRED BY ST. LUKE'S HOSPITAL. THE REHAB HOSPITAL HONORS THE FINANCIAL ASSISTANCE DETERMINATIONS MADE BY ST. LUKE'S HOSPITAL UNDER ITS FINANCIAL ASSISTANCE POLICY, WHICH IS PUBLICIZED WITHIN THE COMMUNITY SERVED BY BOTH FACILITIES. ON THE ST. LUKE'S HOSPITAL WEBSITE, ST. LUKE'S REHABILITATION HOSPITAL IS LISTED UNDER THE "SERVICES AND "LOCATIONS" TAB OF THE HOSPITAL AND UNDER THE "PAYMENTS & FINANCIAL ASSISTANCE" TAB - "COMMITTED TO ASSISTING OUR PATIENTS IN FINDING THE INFORMATION THEY NEED REGARDING BILLING AND CHARGES FROM HEALTHCARE SERVICES OBTAINED AT ONE OF OUR FACILITIES". PART V, SECTION C ASIDE FROM THE ADDITIONAL DISCLOSURES FOR PART V, SECTION B, LINE 13H AND PART VI, SECTION B, LINES 16J AND 20E, THE SUPPLEMENTAL INFORMATION PROVIDED IN SCHEDULE H, PART V, SECTION C APPLIES TO BOTH ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS (ST. LUKE'S HOSPITAL) AND ST. LUKE'S REHABILITATION HOSPITAL (REHAB HOSPITAL). ADDITIONALLY, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COVERS ST. LUKE'S HOSPITAL AND THE REHAB HOSPITAL, AS IT IS INCLUDED IN ST. LUKE'S PROCESS AND STEERING COMMITTEE. SCHEDULE H, SECTION B, PART V, LINE 11: BASED ON ASSESSMENT OF LOCAL HEALTH, SOCIAL, AND DEMOGRAPHIC DATA; COMMUNITY AND STAKEHOLDER SURVEY INPUT; AND IN CONSIDERATION OF REGIONAL STRATEGIES AND HOSPITAL PRIORITIES, THE ST. LUKE'S HOSPITAL'S 2022 CHNA EXECUTIVE TEAM PRIORITIZED THE FOLLOWING NEEDS ON WHICH TO FOCUS INITIATIVES THROUGH STRATEGIES IDENTIFIED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) BETWEEN FY2023 AND FY2025:- OLDER ADULTS- OBESITY- MENTAL HEALTHTHE GOAL OF THE OLDER ADULTS IMPLEMENTATION PLAN IS TO INCREASE THE NUMBER OF OLDER ADULTS ACTIVELY ENGAGED IN HEALTHY LIFESTYLES, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE OF HEALTHY BEHAVIORS AND DISEASE MANAGEMENT STRATEGIES, 2) INCREASE OPPORTUNITIES TO ENGAGE IN HEALTHY BEHAVIORS, 3) IMPROVE ACCESS TO INSURANCE COVERAGE AND SERVICES, AND 4) DECREASE THE NUMBER OF AVOIDABLE HOSPITALIZATIONS AMONG OLDER ADULTS.THE GOAL OF THE OBESITY IMPLEMENTATION PLAN IS TO REDUCE THE PREVALENCE OF AT-RISK, OVERWEIGHT, AND OBESE INDIVIDUALS IN THE COMMUNITY, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE AVAILABILITY OF HEALTHY FOOD AND EXERCISE OPTIONS AND 2) IMPROVE KNOWLEDGE AND AWARENESS ABOUT HEALTHY HABITS, RESOURCES, AND ACCESS.THE GOAL OF THE MENTAL HEALTH IMPLEMENTATION PLAN IS TO IMPROVE ACCESS TO AND KNOWLEDGE OF MENTAL HEALTH RESOURCES, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE THROUGH COMMUNITY EDUCATION ABOUT MENTAL HEALTH AWARENESS, REDUCED STIGMA, COPING STRATEGIES, AND RESOURCE CONNECTIONS, 2) IMPROVE PATIENT ACCESS TO MENTAL HEALTH SERVICES THROUGH COMMUNITY PARTNERSHIPS AND COORDINATION OF PATIENT CARE, AND 3) IMPROVE KNOWLEDGE AMONG HOSPITAL STAFF ABOUT MENTAL HEALTH RESOURCES AND HOW TO NAVIGATE AND ACCESS POINTS OF CARE.ADDITIONAL HEALTH NEEDS WERE IDENTIFIED THROUGH THE ST. LUKE'S CHNA PROCESS, HOWEVER LIMITED RESOURCES NECESSITATE SELECTION OF FOCUS AREAS FOR IMPLEMENTATION OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE FOLLOWING COMMUNITY NEEDS HAVE BEEN IDENTIFIED BUT WERE NOT PRIORITIZED AS TOP HEALTH NEEDS IN THE ST. LUKE'S 2022 CHNA.CANCER: ST. LUKE'S CENTER FOR CANCER CARE OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICES, EDUCATIONAL INFORMATION, AND EMOTIONAL SUPPORT FOR THE PREVENTION, DIAGNOSIS, AND TREATMENT OF CANCER. CANCER CARE IS A SERVICE LINE STRENGTH AT ST. LUKE'S AND WE PLAN TO CONTINUE TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH PREVENTION AND EARLY DETECTION.ARTHRITIS/JOINT DISEASE: ST. LUKE'S ORTHOPEDICS AND PHYSICAL THERAPY SERVICE LINES OFFER COMPREHENSIVE TREATMENT AND THERAPY OPTIONS FOR INDIVIDUALS WHO SUFFER FROM PAIN, INJURY, AND OTHER MEDICAL PROBLEMS WITH THE GOAL OF RETURNING PATIENTS TO OPTIMAL LEVELS OF PHYSICAL FUNCTION. SINCE JOINT PAIN AND ARTHRITIS ARE HEALTH CONDITIONS OFTEN AFFECTING OLDER ADULTS, THE PRIORITY FOCUS OF THE OLDER ADULT POPULATION MAY ALSO INCLUDE INITIATIVES TO ADDRESS PAIN IN THE VULNERABLE POPULATION. SMOKING (VAPING + TOBACCO): WHILE SMOKING AND VAPING IMPACT A SIGNIFICANT NUMBER OF INDIVIDUALS IN THE COMMUNITY, INDICATORS PRESENT SMOKING AS LESS OF A PRIORITY HEALTH NEED THAN OTHER IDENTIFIED NEEDS. THE RATE OF SMOKING IN THE ST. LUKE'S CHNA IS LESS THAN THE COMPARISON BENCHMARK OF ST. LOUIS COUNTY, AND THE COMMUNITY SURVEY RANKED SMOKING AS A LOWER CONCERN THAN OTHER IDENTIFIED NEEDS. PLANNED COMMUNITY OUTREACH EFFORTS WILL HELP EDUCATE AND NAVIGATE CURRENT AND FORMER SMOKERS TO LOW DOSE CT SCAN SCREENING FOR LUNG CANCER AND SMOKING CESSATION RESOURCES.DRUG ABUSE: DRUG ABUSE WAS NOT SELECTED AS A FOCUSED HEALTH NEED, HOWEVER THE 2019 CHNA OPIOID MISUSE ACTION TEAM WILL CONTINUE ONGOING INITIATIVES AND WILL ADDRESS AND IMPLEMENT NEW INITIATIVES WITH COMMUNITY PARTNERS. IN ADDITION, OTHER SUBSTANCE ABUSE NEEDS WILL LIKELY BE ADDRESSED THROUGH IMPLEMENTATION OF INITIATIVES FOR MENTAL HEALTH. ALZHEIMER'S DISEASE: ST. LUKE'S CURRENTLY PARTNERS WITH THE ALZHEIMER'S ASSOCIATION TO OFFER COMMUNITY EDUCATION, RESOURCES, AND DEMENTIA CARE COORDINATION. THIS ONGOING PARTNERSHIP WILL CONTINUE AND WILL BE COMPLEMENTED WITH SIMILAR AND LIKELY RELATED INITIATIVES FOR THE PRIORITY OLDER ADULT POPULATION IN OUR COMMUNITY.HYPERTENSION, HEART DISEASE, DIABETES: HYPERTENSION, HEART DISEASE, AND DIABETES ARE RELATED CONDITIONS OFTEN RESULTING FROM BEING OVERWEIGHT OR OBESE. SELECTING OBESITY AS A PRIORITY HEALTH NEED RECOGNIZES THAT RELATED HEALTH CONDITIONS WILL LIKELY BE ADDRESSED AND IMPACTED THROUGH INITIATIVES FOR OBESITY. OVERLAND, 63114: ST. LUKE'S HAS BEEN INVESTED IN THE OVERLAND COMMUNITY FOR MORE THAN 60 YEARS THROUGH ITS PEDIATRIC CARE CENTER AND IS COMMITTED TO CONTINUING TO OFFER PEDIATRIC HEALTH CARE SERVICES, EDUCATION AND PREVENTION TO AREA CHILDREN AND THEIR FAMILIES. 4 1 - ST LUKES HOSP SK NURS FAC-SURREY PLACE 14701 OLIVE BLVD CHESTERFIELD MO 63017 SKILLED NURSING/RESIDENTIAL CARE FACILITY 2 - ST LUKE'S HOSPITAL HOME HEALTH AGENCY 111 S WOODS MILL RD CHESTERFIELD MO 63017 HOME HEALTH SERVICES 3 - ST LUKE'S HOSPITAL HOSPICE 111 S WOODS MILL RD CHESTERFIELD MO 63017 HOSPICE CARE 4 - GATEWAY ENDOSCOPY CTR 12855 N 40 DR SUITE 150 ST LOUIS MO 63141 GASTROINTESTINAL ENDOSCOPY PART I, LINE 6A N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATION PART I, LINE 7G N/APART I, LINE 7 COLUMN (F)TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSELINE 7A: CHARITY CARE, 1.16%LINE 7B: UNREIMBURSED MEDICAID, 2.74%LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 3.90%LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.25%LINE 7F: HEALTH PROFESSIONS EDUCATION, 1.29%LINE 7G: SUBSIDIZED HEALTH SERVICES, 0.25%LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.00%LINE 7J: TOTAL OTHER BENEFITS, 1.79%LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 5.69%BAD DEBT EXPENSE SUBTRACTED FROM LINE 7, COLUMN (F): N/A-BAD DEBT IS AN IMPLICIT PRICE CONCESSION AND A REDUCTION OF PATIENT REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: ST. LUKE'S EMPLOYEES ENGAGE IN A VARIETY OF COMMUNITY-BUILDING PARTNERSHIPS AND ACTIVITIES TO SUPPORT AND IMPROVE THE HEALTH AND SAFETY OF INDIVIDUALS LIVING IN OUR SURROUNDING COMMUNITY. ACTIVITIES REPORTED IN PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE: COMMUNITY SUPPORT: ST. LUKE'S LEADERSHIP AND STAFF ARE INVOLVED ON LOCAL NONPROFIT BOARDS AND COMMITTEES INTENDED TO ADVANCE COMMUNITY HEALTH, INCLUDING EPISCOPAL PRESBYTERIAN HEALTH TRUST, WHICH ALLOCATES FUNDS TO BENEFIT THE HEALTH OF VULNERABLE POPULATIONS IN THE CITY OF ST. LOUIS AND VARIOUS REGIONAL AND NATIONAL DISASTER RESPONSE COLLABORATIONS AND PLANNING GROUPS.ST. LUKE'S HOSPITAL LEADERS PROVIDE CAREER PLANNING ADVICE, OPPORTUNITY, AND GUIDANCE TO ASSIST AND GUIDE STUDENTS ABOUT CAREERS IN THE HEALTHCARE INDUSTRY THROUGH THE ST. LOUIS INTERNSHIP PROGRAM (SLIP) AND THE ST. CHARLES COUNTY CENTER FOR ADVANCED PROFESSIONAL STUDIES (CAPS).ADDITIONALLY, ST. LUKE'S COORDINATES VOCATIONAL SKILLS PROGRAMS TO SUPPORT DISABLED STUDENTS FROM THE COMMUNITY AND PROVIDE THEM WITH ON-THE-JOB TRAINING AND EXPERIENCE TO SUPPORT THEM ON THEIR PATH TO EMPLOYMENT.LEADERSHIP DEVELOPMENT AND TRAINING: ST. LUKE'S HOSPITAL SUPPORTS VISION ST. CHARLES LEADERSHIP DEVELOPMENT AND TRAINING THROUGH FINANCIAL SUPPORT AND STAFF INVOLVEMENT ON THE HEALTH SUBCOMMITTEE. COALITION BUILDING: ST. LUKE'S LEADERSHIP AND STAFF PARTICIPATE IN VARIOUS COLLABORATIVE EFFORTS WITH OTHER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS TO ADVANCE THE HEALTH AND SAFETY OF OUR COMMUNITY, INCLUDING: CITY OF CHESTERFIELD COMMUNITY CENTER, ALLIANCE FOR HEALTHY COMMUNITIES, AND ST. LOUIS AREA MEDICATION SAFETY (SLAMS). PART III, LINE 2: COST TO CHARGE RATIO PART III, LINE 3: ST. LUKE'S CONSIDERS THIS PORTION OF BAD DEBT EXPENSE A COMMUNITY BENEFIT AS IT IS THE ADDITIONAL COST OF PROVIDING FINANCIAL ASSISTANCE TO THE COMMUNITY. PART III, LINE 4: NOTE 4-PATIENT SERVICE REVENUE AND OTHER OPERATING REVENUE (ST. LUKE'S HEALTH CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS) - "ST. LUKE'S DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS IN ACCORDANCE WITH ST. LUKE'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. ST. LUKE'S DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. ST. LUKE'S DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS." PART III, LINE 8: PROVISION OF CARE TO MEDICARE BENEFICIARIES MEETS A NEED IN THE COMMUNITY AND ANY SHORTFALL IS CONSIDERED TO BE A COMMUNITY BENEFIT.COSTING METHODOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COSTS - COST TO CHARGE RATIOS/MEDICARE COST REPORT. PART III, LINE 9B: COLLECTION POLICY REGARDING PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE - ST. LUKE'S HOSPITAL HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM ST. LUKE'S HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT IMPOSE WAGE GARNISHMENTS OR FORCE A FORECLOSURE ON PRIMARY RESIDENCES, WILL NOT IMPOSE ACTIONS THAT FORCE BANKRUPTCY AND WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES. ST. LUKE'S HOSPITAL ADHERES TO THE LAWS OF THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY. PATIENTS ARE TREATED WITH DIGNITY, RESPECT AND IN LINE WITH OUR MISSION AND VALUES. PART VI, LINE 2: NEEDS ASSESSMENTIN ADDITION TO CONDUCTING A FORMAL CHNA EVERY THREE YEARS, ST. LUKE'S CONTINUOUSLY MONITORS THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY THROUGH VARIOUS APPROACHES, MOST DIRECTLY THROUGH THE ST. LUKE'S COMMUNITY BENEFIT PROGRAM AND DEDICATED COMMUNITY BENEFIT STAFF. THE ST. LUKE'S COMMUNITY BENEFIT COORDINATOR PARTICIPATES IN COMMUNITY COLLABORATIONS AND COALITIONS INCLUDING ONGOING REGIONAL HOSPITAL COMMUNITY HEALTH COLLABORATION WITH OTHER LOCAL HOSPITAL SYSTEMS TO INTENTIONALLY ADDRESS OUTSTANDING REGIONAL NEEDS EFFICIENTLY AND EFFECTIVELY. ADDITIONAL COMMUNITY ASSESSMENT IS ACHIEVED THROUGH INVOLVEMENT IN THE LOCAL HEALTH DEPARTMENT HEALTH ASSESSMENT PROCESS; PARTICIPATION ON THE COMMISSION ON CANCER STEERING COMMITTEE AND ANNUAL DEVELOPMENT OF FOCUSED EFFORTS TO ADDRESS OUTSTANDING SCREENING AND PREVENTION NEEDS; ADVISING ON MISSOURI HOSPITAL ASSOCIATION COMMUNITY HEALTH INITIATIVES INTENDED TO BETTER ASSIST STATE HOSPITALS TO ADDRESS HEALTH EQUITY; COLLABORATION WITH PARTNERS THROUGH THE ALLIANCE FOR HEALTHY COMMUNITIES COALITION TO ADDRESS SUBSTANCE ABUSE AND MISUSE; AND ONGOING MARKET ASSESSMENT AND RESEARCH THROUGH LOCAL CURRENT EVENTS, COMPETITOR ACTIVITY, AND LITERATURE REVIEW. ADDITIONALLY, HOSPITAL LEADERSHIP AND MEMBERS OF THE MANAGEMENT TEAM SERVE ON COMMUNITY BOARDS AND PARTNER WITH COMMUNITY ORGANIZATIONS. COMMUNITY OUTREACH STAFF SERVE MEMBERS OF THE COMMUNITY THROUGH A VARIETY OF SCREENINGS, EDUCATION, AND HEALTH COACHING EVENTS, WHICH PROVIDE ADDITIONAL ASSESSMENT OF THE OUTSTANDING HEALTH NEEDS THAT ARE IMPORTANT TO OUR COMMUNITY. CARE MANAGEMENT STAFF INTERACTIONS WITH PATIENTS PROVIDE ONGOING MONITORING AND SERVE AS IMPORTANT INPUT FOR ADDRESSING PATIENT NEEDS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS ARE INFORMED ABOUT ST. LUKE'S FINANCIAL ASSISTANCE AND THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS IN A NUMBER OF WAYS:-FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO PATIENTS DURING THEIR STAY.-PATIENT FINANCIAL SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO PROVIDE PATIENTS WITH THEIR EXPECTED AMOUNTS DUE AND DISCUSS PAYMENT / DISCOUNT OPTIONS.-DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING TO PATIENTS ON THE PHONE ABOUT THEIR ACCOUNT BALANCES.-INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS LOCATED ON OUR WEBSITE, OUR BILLING STATEMENTS, AS WELL AS OUR REGISTRATION BOOKLETS/BROCHURES AND SIGNAGE IN ALL REGISTRATION AREAS.-APPLICATIONS ARE AVAILABLE FREE OF CHARGE BY MAIL OR PHONE AND CAN BE OBTAINED ON OUR WEBSITE.-FINANCIAL COUNSELORS SCREEN PATIENTS FOR MEDICAID ELIGIBILITY TO ASSIST WITH ENROLLMENT IN THE STATE MEDICAID PROGRAM.-CERTIFIED APPLICATION COUNSELORS ARE AVAILABLE TO PATIENTS AND MEMBERS OF THE COMMUNITY TO ASSIST THEM WITH ENROLLING IN AN INSURANCE PLAN ON THE MARKETPLACE.-PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. PART VI, LINE 4: COMMUNITY INFORMATIONTHE DEFINITION OF ST. LUKE'S CHNA COMMUNITY WAS DEVELOPED FROM ZIP CODE EVALUATION OF CONCENTRATED HOSPITAL INPATIENT VOLUME AND MARKET SHARE TO UNDERSTAND IN WHICH ZIP CODES THE MAJORITY OF PATIENTS RELY ON ST. LUKE'S FOR SERVICES. TO ENSURE INCLUSION OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHO LIVE IN OR NEAR THE GEOGRAPHIC AREA FROM WHICH ST. LUKE'S DRAWS PATIENTS, THE COMMUNITY EVALUATION INCLUDED ZIP-CODE LEVEL VULNERABILITIES IN ADDITION TO VOLUME AND MARKET-SHARE. TO ACCOMPLISH THIS, THE DIGNITY HEALTH COMMUNITY NEED INDEX (CNI) HIGHLIGHTED AREAS IN OUR COMMUNITY WITH GREATER NEEDS AND DISPARITIES THAT MAY LEAD TO POOR HEALTH OUTCOMES. THE AREAS OF HIGH NEED ON THE PERIPHERY OF THE GEOGRAPHIC AREA OF CONCENTRATED VOLUME AND MARKET SHARE WERE INCLUDED IN THE DEFINITION OF ST. LUKE'S COMMUNITY. THE RESULTING ST. LUKE'S CHNA COMMUNITY DEFINITION OF 13 ZIP CODES WAS APPROVED BY THE ST. LUKE'S HOSPITAL CHNA STEERING COMMITTEE. REFINING THE ST. LUKE'S CHNA GEOGRAPHIC AREA BASED ON ZIP CODE-LEVEL VOLUME, MARKET SHARE, AND COMMUNITY NEED ALLOWS FOR A MORE FOCUSED ASSESSMENT OF OUTSTANDING NEEDS AND FOR MORE OPPORTUNITY TO MAKE AN IMPACT IN AREAS MOST SIGNIFICANT TO OUR ORGANIZATION.AS A COMBINED GEOGRAPHY, THE ST. LUKE'S COMMUNITY REPRESENTS AN OLDER, WELL-EDUCATED POPULATION WITH HIGH INCOME. THE AGE 65+ AGE GROUP IS GROWING AT 1.24% ANNUALLY COMPARED TO 0.08% POPULATION GROWTH FOR THE ENTIRE POPULATION. THE CHESTERFIELD, MO (63017) ZIP CODE, WHERE ST. LUKE'S HOSPITAL IS LOCATED, HAS THE HIGHEST PROPORTION OF AGE GROUP 65+ AMONG ALL OTHER ZIP CODES IN THE ST. LUKE'S COMMUNITY. THE ST. LUKE'S COMMUNITY IS LESS RACIALLY DIVERSE THAN THE BENCHMARK SURROUNDING GEOGRAPHY OF ST. LOUIS COUNTY, WITH 13% MORE WHITES AND 19% FEWER BLACKS, WITH ZIP CODE 63114 (OVERLAND, MO) BEING AN EXCEPTION.DESPITE THE OVERALL DEMOGRAPHIC COMPOSITION OF THE ST. LUKE'S COMMUNITY, POCKETS OF VULNERABLE POPULATIONS WITH GREATER HEALTH AND SOCIAL NEEDS EXIST IN ZIP CODES 63114, 63088, 63043, AND 63146. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTHAS A COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL'S BOARD IS REPRESENTATIVE OF A MAJORITY OF VOLUNTEER COMMUNITY MEMBERS WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF ST. LUKE'S, BUT ARE COMMUNITY LEADERS WHOSE PRIMARY INTEREST IN BOARD INVOLVEMENT IS TO ENSURE THE HEALTH OF OUR REGION. ST. LUKE'S EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY BASED ON ORGANIZATIONAL AND COMMUNITY NEED. ALL SURPLUS FUNDS OF THE ORGANIZATION ARE REINVESTED IN THE FACILITIES TO IMPROVE PATIENT CARE THROUGH A SYSTEMATIC CAPITAL APPROVAL AND ALLOCATION PROCESS TO ENSURE COMMUNITY AND ORGANIZATION NEEDS ARE PRIORITIZED AND ADDRESSED.TO FURTHER PROMOTE THE HEALTH OF OUR COMMUNITY, ST. LUKE'S ENGAGES IN THE FOLLOWING ONGOING INITIATIVES TO INCREASE ACCESS TO HEALTH CARE SERVICES, IMPROVE THE HEALTH OF OUR COMMUNITY, AND TO EDUCATE COMMUNITY MEMBERS ON MEDICAL AND HEALTH TOPICS: - COMMUNITY EDUCATION FOCUSED ON PREVENTION AND HEALTH BEHAVIOR MODIFICATION THROUGH IN-PERSON AND VIRTUAL CLASSES, PRINT INFORMATION AND NEWSLETTERS, RADIO AND TV APPEARANCES, ONLINE APPLICATIONS AND RESOURCES, AND INDIVIDUAL HEALTH COACHING.- COMMUNITY-BASED CLINICAL SERVICES THAT DO NOT GENERATE A PATIENT BILL INCLUDING BLOOD DRIVES, VACCINATION CLINICS, BIOMETRIC SCREENINGS, COLORECTAL CANCER SCREENINGS, AND MAMMOGRAMS.- HEALTH CARE SUPPORT SERVICES TO EXTEND ACCESS AND CONNECT ANY COMMUNITY MEMBER WITH SERVICES INCLUDING FINANCIAL RESOURCES IN THE COMMUNITY, MEDICATION ASSISTANCE, TRANSPORTATION ASSISTANCE, GENETIC COUNSELING AND TESTING, AND FACILITATING CONNECTIONS WITH COMMUNITY-BASED ORGANIZATIONS AND RESOURCES.- HEALTH PROFESSIONS EDUCATION TO ADVANCE KNOWLEDGE OF MEDICAL PROFESSIONALS AND STUDENTS INCLUDING GRADUATE MEDICAL EDUCATION, CONTINUING MEDICAL EDUCATION, PASTORAL CARE, PHARMACY, RADIOLOGY, ULTRASOUND, NUCLEAR MEDICINE, THERAPY SERVICES, AND NURSING.- SUBSIDIZED HEALTH SERVICES PROVIDED DESPITE A FINANCIAL LOSS, INCLUDING ST. LUKE'S PEDIATRIC CARE CENTER, THE ALBERT PUJOLS WELLNESS CENTER FOR ADULTS WITH DOWN SYNDROME AND THE HEALING GRACE CLINIC.- CASH DONATIONS TO NONPROFIT ORGANIZATIONS WITH COMMUNITY BENEFIT INTENT AND IN-KIND DONATIONS INCLUDING ONSITE USE OF MEETING SPACE FREE OF CHARGE TO LOCAL NONPROFITS. IN ADDITION, ST. LUKE'S EXTENDS ITS PASSPORT TO WELLNESS WORKSITE WELLNESS PROGRAM THROUGHOUT THE COMMUNITY TO PROACTIVELY ADDRESS HEALTH NEEDS AND PROMOTE HEALTHY LIVING THROUGH EDUCATION AND HEALTH SCREENINGS AMONG EMPLOYEES OF AREA ORGANIZATIONS. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEMN/A PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORTN/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA) 1 FAMILYFORWARD 11358 VAN CLEVE AVE ST LOUIS MO 63114 430652622 501(C)(3) 7500 0 GENERAL SUPPORT CHESTFIELD CHAMBER OF COMMERCE 101 CHESTERFIELD BUSINESS PARKWAY CHESTERFIELD MO 63005 431096294 501(C)(6) 5500 0 GENERAL SUPPORT 1 1 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. X 1 1 X X X X X X 1 1 0 1 0 0 0 0 0 JASON EDWARDS MD RADIATION ONCOLOGIST 0 1454050 0 19277 0 0 0 10875 0 0 0 1484202 0 0 SCOTT JOHNSON EXEC VP & CFO - THRU 12/31/21 542330 0 63916 0 318552 0 12325 0 14062 0 951185 0 297952 0 SHANE M CERONE PRESIDENT & CEO - THRU 4/1/22 734137 0 206250 0 0 0 9425 0 0 0 949812 0 0 0 MAGED HAIKAL MD CHIEF OF MEDICINE 0 880837 0 28226 0 0 0 21025 0 6935 0 937023 0 0 MICHAEL BOLAND MD CHIEF OF SURG - THRU 01/11/22 0 796530 0 5202 0 0 0 18125 0 19227 0 839084 0 0 RONALD LEIDENFROST MD CHAIRMAN HEART & VASCULAR INST 0 650278 0 3901 0 0 0 21025 0 6935 0 682139 0 0 JEFFREY THOMPSON MD OB/GYN 0 626634 0 10000 0 0 0 10875 0 20052 0 667561 0 0 HOPE CRANSTON D'AMATOMD MEDICAL DIRECTOR ICU 636831 0 0 0 375 0 18125 0 10827 0 666158 0 0 0 DARREN HASKELL MD CHIEF MEDICAL OFF - START 8/21 0 418955 0 115456 0 0 0 18125 0 20052 0 572588 0 0 ERIC JENKINS MD PHYSICIAN CVICU 519756 0 0 0 0 0 15225 0 20052 0 555033 0 0 0 MICHAEL KLEVENS MD NETWORK VP IMMEDIATE CARE SERV 509138 0 0 0 0 0 18125 0 19145 0 546408 0 0 0 TALAT NAWAS MD HOSPITALIST 466347 0 0 0 625 0 21025 0 12812 0 500809 0 0 0 JULIANNE DONNELLY MD PHYSICIAN CVICU 462071 0 0 0 0 0 10875 0 0 0 472946 0 0 0 DIANE RAY SENIOR VP/NETWORK CNO/SLH COO 368483 0 43500 0 0 0 32625 0 12944 0 457552 0 0 0 MICHAEL FRITSCHE DO PHYSICIAN ER 371104 0 37662 0 0 0 10875 0 10479 0 430120 0 0 0 MARTHA FLEISCHMANN SENIOR VP & CFO - START 8/2021 317294 0 33969 0 0 0 26825 0 8057 0 386145 0 0 0 DON MILLER NETWORK VICE PRESIDENT FACILITIES 304681 0 38650 0 11766 0 18125 0 12811 0 386033 0 0 0 SCOTT HOLTSWARTH VP/NETWORK CIO 283192 0 36158 0 10894 0 26825 0 10485 0 367554 0 0 0 JANETTE TAAFFE VP NETWORK HR - THRU 04/2022 265310 0 33325 0 0 0 21025 0 6915 0 326575 0 0 0 SHARON MERTZLUFFT VICE PRESIDENT & EXEC DIRECTOR 265401 0 34095 0 0 0 12325 0 12944 0 324765 0 0 0 LAURA OVERTURF NETWORK VP REVENUE CYCLE 257008 0 24488 0 0 0 31863 0 7122 0 320481 0 0 0 JON BETTALE VICE PRESIDENT SURGICAL SERVIC 248227 0 33507 0 9443 0 20998 0 6935 0 319110 0 0 0 GRETCHEN BLAKE NETWORK VP QUALITY 233406 0 31400 0 0 0 5451 0 20052 0 290309 0 0 0 GREGORY HUDSON CHIEF STRAT OFF - THRU 9/13/21 136755 0 0 0 66117 0 2605 0 14187 0 219664 0 0 0 SAMUEL FLANDERS MD EXEC VP QUALITY - START 8/16/21 203521 0 0 0 0 0 0 0 7771 0 211292 0 0 0 PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES OR FEES THE ORGANIZATION PAYS SPECIFIC SOCIAL CLUB DUES OR FEES INCURRED FOR BUSINESS PURPOSES; SUPPORTING DOCUMENTATION IS REQUIRED PRIOR TO PAYMENT. EXPENSES INCURRED FOR PERSONAL USE OF THE SOCIAL CLUB ARE PAID BY THE EXECUTIVE. ONE LISTED INDIVIDUAL RECEIVED THIS BENEFIT DURING THE YEAR. PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2021: GREGORY HUDSON: 53,846 CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. THE FOLLOWING INDIVIDUAL RECEIVED A DISTRIBUTION DURING CALENDAR 2021: SCOTT JOHNSON: $297,952 PART I, LINE 5 THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATION. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD OBJECTIVES. THE INCENTIVE COMPENSATION PLAN IS DETERMINED BY A FIXED FORMULA BASED ON ACHIEVING CERTAIN GOALS AND OBJECTIVES EACH YEAR. THE OBJECTIVES ARE BUILT AROUND FOUR PERSPECTIVES INCLUDING: 1. QUALITY & PATIENT SATISFACTION 2. FINANCIAL PERFORMANCE 3. EXECUTIVE INDIVIDUAL GOALS 4. EXECUTIVE'S INTERNAL BUSINESS (DIVISION) GOALS THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS AND DEPARTMENT DIRECTORS OF THE HOSPITAL. A HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 60637AKH4 2015-11-12 34089886 SEE PART VI 0 0 0 B HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 2016-09-02 25000000 SEE PART VI 0 0 0 C HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 2016-12-20 14100200 SEE PART VI 0 0 0 D HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 60637AQL9 2019-06-20 60066599 SEE PART VI 0 0 0 A 34460816 10024338 24436478 2016 1 0 1 1 B 25000000 25000000 184750 24815250 1 0 1 1 C 7077166 14354602 100200 14254402 2021 0 0 0 1 D 60335656 768432 30300943 25000000 4266281 0 0 0 1 A 0 1 1 0 1 0 0 0 1 B 0 1 1 0 1 0 0 0 1 C 0 0 0 0 0 0 1 D 0 1 1 0 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 PART I, SECTION A, COLUMN F 2015 (SERIES 2015B) BONDS ISSUED NOVEMBER 12, 2015 AT A FIXED RATE WITH PROCEEDS OF $34 MILLION USED IN PART TO REFUND A PORTION OF THE SERIES 2006 BONDS (ISSUED JANUARY 9, 2007) AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS. PART I, SECTION B, COLUMN F 2016 (SERIES 2015A) BONDS ISSUED SEPTEMBER 2, 2016 AT A FIXED RATE WITH PROCEEDS OF $25 MILLION USED TO REFUND A PORTION OF THE SERIES 2006 BONDS (ISSUED JANUARY 9, 2007). PART I, SECTION C, COLUMN F 2016 BONDS ISSUED DECEMBER 20, 2016 AT A FIXED RATE WITH PROCEEDS OF $14 MILLION USED TO FINANCE CAPITAL IMPROVEMENTS. PART I, SECTION D, COLUMN F 2019 BONDS ISSUED JUNE 20, 2019 AT A FIXED RATE WITH PROCEEDS OF $60 MILLION USED IN PART TO REFUND A PRIOR TAXABLE LOAN AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS. PART II, LINE 3, COLUMN A THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND AND FUNDS TRANSFERRED FROM DEBT SERVICE FUND FOR THE REFUNDED BONDS. PART II, LINE 3, COLUMN C THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND. PART II, LINE 3, COLUMN D THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND. PART II, LINE 11, COLUMNS A & B PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE. PART III, LINE 2 ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS MAY HAVE LEASE ARRANGEMENTS IN BOND-FINANCED SPACE. THE HOSPITAL MONITORS ALL SUCH LEASES AND WORKS ROUTINELY TO WITH BOND COUNSEL TO REVIEW AND DETERMINE WHETHER AN EXCEPTION TO OR EXCLUSION FROM PRIVATE BUSINESS USE APPLIES, THAT THERE IS SUFFICIENT EQUITY TO OFFSET ANY PRIVATE BUSINESS USE OR, IF NECESSARY, TO CALCULATE THE AMOUNT OF PRIVATE BUSINESS USE AND ENSURE POST-ISSUANCE COMPLIANCE REQUIREMENTS ARE MET. X 14 357661 FMV 0 0 1 1 PART I, LINE 32B: ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS USES AN OUTSIDE TRUST COMPANY TO SELL EQUITY SECURITIES CONTRIBUTED TO THE ORGANIZATION. PART-I LINE-(B) THE NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF INDIVIDUAL CONTRIBUTIONS RECEIVED. FORM 990, PART I, LINE 1 DESCRIPTION OF ORGANIZATION MISSION: ST. LUKE'S IS DEDICATED TO IMPROVE THE HEALTH OF THE COMMUNITY AND TO PROVIDE CARE FOR THE WHOLE PERSON WITH COMPASSION, PROFESSIONAL EXCELLENCE AND RESPECT. PART III, LINE 1: DESCRIPTION OF MISSION OUR MISSION FAITHFUL TO OUR EPISCOPAL-PRESBYTERIAN HERITAGE AND ITS MINISTRY OF HEALING, ST. LUKE'S IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. USING TALENTS AND RESOURCES RESPONSIBLY, WE PROVIDE HIGH QUALITY, SAFE CARE WITH COMPASSION, PROFESSIONAL EXCELLENCE AND RESPECT FOR EACH OTHER AND THOSE WE SERVE. LIVING OUR MISSION MISSION OUTREACH IS A FOUNDING PRINCIPLE OF ST. LUKE'S HOSPITAL, WHICH HAD ITS BEGINNINGS FEBRUARY 28, 1866. WE CELEBRATE FOUNDERS' DAY TO REMEMBER OUR HERITAGE AND TO HONOR OUR FOUNDERS, WHOSE VISION WE CONTINUE TO LIVE OUT EACH DAY. WE ALSO REAFFIRM OUR MISSION, WHICH IS THE FOUNDATION SUPPORTING OUR SERVICE IN AND TO THE COMMUNITY. ST. LUKE'S LIVES ITS MINISTRY OF HEALING BY DEDICATING ITSELF TO IMPROVING THE HEALTH OF THE COMMUNITY THROUGH THE WIDE ARRAY OF SERVICES IT MAKES AVAILABLE TO THE ST. LOUIS METROPOLITAN AREA. OUR MISSION COMMITMENT INCLUDES THE VITAL AREAS OF COMMUNITY OUTREACH, COMMUNITY HEALTH, COMMUNITY HEALTH INFORMATION/EDUCATION AND COMMUNITY SERVICES. ST. LUKE'S VISION AS AN INDEPENDENT HEALTHCARE NETWORK IS TO CREATE HEALTHY COMMUNITIES IN THE REGION THROUGH OUR COMMITMENT TO HIGH QUALITY, SAFE AND PERSONALIZED SERVICES. WE STRESS EDUCATION REGARDING LIFESTYLES, NUTRITION, IMMUNIZATION AND OTHER METHODS OF MAINTAINING THE HEALTH OF THE BODY AND THE SPIRIT. WE FIND NEW AND INNOVATIVE MEANS OF BRINGING THIS MESSAGE TO THE COMMUNITY, INCLUDING THE UNDERSERVED. ST. LUKE'S PROVIDES QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. AS WE CONTINUE TO PROVIDE QUALITY, SAFE AND COMPASSIONATE CARE TO HEAL THE ACUTELY ILL IN OUR HOSPITALS AND OTHER LOCATIONS IN A COST-EFFICIENT MANNER, WE HAVE ALSO INCREASED OUR EFFORTS TO ASSIST THOSE WHO ARE LIVING WITH CHRONIC DISEASE IN THEIR HOMES, TO RELIEVE THEIR SUFFERING AND IMPROVE THEIR QUALITY OF LIFE. ST. LUKE'S HOME HEALTH AND HOSPICE SERVICES ARE INTEGRAL TO THIS EFFORT. AS A NOT-FOR-PROFIT ORGANIZATION, ST. LUKE'S CONTINUES TO PROVIDE MUCH NEEDED CHARITABLE CARE TO PEOPLE THROUGHOUT THE ST. LOUIS AREA. WE ALSO SUPPORT A WIDE VARIETY OF COMMUNITY CAUSES AND OUTREACH EFFORTS, BOTH EXTERNALLY AND INTERNALLY, FROM SPONSORING FREE CLINICS AND SCREENINGS FOR THE UNDERSERVED TO MAKING AVAILABLE AN EMPLOYEE CRISIS FUND WHICH SERVES TEAM MEMBERS IN NEED. THESE IMPORTANT ENDEAVORS REFLECT OUR MISSION TO SERVE BY PROVIDING SERVICES FOR THOSE WHO MAY OTHERWISE GO WITHOUT. AS WE RECEIVE INPUT, WE MEASURE AND EVALUATE OUR EFFORTS TO BE SURE THAT WHAT WE DO BRINGS BENEFIT TO THE PEOPLE IN OUR COMMUNITY. WE CONTINUALLY REFINE OUR APPROACHES TO MAINTAIN AND IMPROVE COMMUNITY HEALTH AND WELLNESS. PART III, LINE 4A DESCRIPTION OF SERVICES PROVIDED MEDICALLY NECESSARY HEALTH SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. OUR INDEPENDENT NETWORK OF CARE PROVIDES PERSONALIZED HEALTHCARE SERVICES AT OUR 493-BED HOSPITAL IN CHESTERFIELD, MISSOURI AND 143-BED ST. LUKE'S DES PERES HOSPITAL. ST. LUKE'S ALSO OFFERS ABOUT 30 OTHER LOCATIONS ACROSS THE GREATER ST. LOUIS AREA, INCLUDING AN OUTPATIENT CENTER, A SKILLED NURSING/RESIDENTIAL CARE FACILITY, EIGHT URGENT CARE CENTERS, A REHABILITATION HOSPITAL, DIAGNOSTIC IMAGING CENTERS, PHYSICIAN OFFICES, A VASCULAR ACCESS CENTER, HOME HEALTH SERVICES AND HOSPICE SERVICES. NATIONALLY RECOGNIZED FOR EXCELLENCE IN HEALTHCARE QUALITY, SAFETY AND PATIENT EXPERIENCE, ST. LUKE'S OFFERS CARE IN MORE THAN 60 SPECIALTY AREAS INCLUDING CARDIOLOGY AND CARDIOVASCULAR SURGERY, CANCER CARE, ORTHOPEDICS, BARIATRICS, NEUROSURGERY AND NEUROLOGY, WOMEN'S SERVICES (INCLUDING OBSTETRICS), PEDIATRICS, URGENT CARE, PULMONARY MEDICINE, SLEEP MEDICINE AND WELLNESS SERVICES FOR ADULTS WITH DOWN SYNDROME. ADDITIONALLY, ST. LUKE'S HOSPITAL IS THE EXCLUSIVE SPIRIT OF WOMEN HOSPITAL IN ST. LOUIS AND HAS BEEN RECOGNIZED AS A SPIRIT OF WOMEN PREMIER HOSPITAL FOR ITS FOCUS ON ELEVATING THE STANDARDS IN WOMEN'S HEALTH. THE NATIONAL DESIGNATION IS BASED ON A COMPREHENSIVE EVALUATION OF INNOVATION AND EXCELLENCE IN WOMEN'S HEALTHCARE AND COMMUNITY OUTREACH DEVELOPED IN CONSULTATION WITH THE OFFICE ON WOMEN'S HEALTH IN THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. TO FURTHER OUR MISSION OF PROVIDING CARE FOR THE MEDICALLY UNDERSERVED AND UNDERINSURED, ST. LUKE'S HOSPITAL OPERATES A PEDIATRIC CARE CENTER WHICH PROVIDES HEALTHCARE TO CHILDREN IN A PRIVATE PRACTICE SETTING AS WELL AS EDUCATION AND SOCIAL SUPPORT SERVICES TO THEIR FAMILIES. ST. LUKE'S HOSPITAL HAS A ROBUST VOLUNTEER PROGRAM. OUR VOLUNTEER SERVICES DEPARTMENT HAS ABOUT 200 VOLUNTEERS WHO SERVE IN MORE THAN 20 DEPARTMENTS/SITES ACROSS ST. LUKE'S NETWORK. VOLUNTEERS ASSIST BY TRANSPORTING PATIENTS AND VISITORS BY WHEELCHAIR, STOCKING SUPPLIES, GREETING AND DIRECTING ALL VISITORS TO OUR CAMPUS, AND SERVING IN CLERICAL AND RECEPTIONIST ROLES. VOLUNTEERS CONTRIBUTE AN AVERAGE OF 40,000 HOURS OF SERVICE A YEAR. ST. LUKE'S IS CONSISTENTLY RECOGNIZED WITH NATIONAL HONORS FOR EXCELLENCE IN HEALTHCARE QUALITY, SAFETY AND PATIENT EXPERIENCE. RECENT HONORS AND AWARDS INCLUDE: ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES HOSPITAL RECOGNIZED AS BEST HOSPITALS BY U.S. NEWS & WORLD REPORT, 2022-2023 ST. LUKE'S HOSPITAL IN CHESTERFIELD HAS BEEN RECOGNIZED AS A 2022-2023 BEST HOSPITAL IN 15 CATEGORIES BY U.S. NEWS & WORLD REPORT. IN ADDITION TO RANKING 5TH IN MISSOURI AND 4TH IN THE ST. LOUIS METRO AREA IN BEST REGIONAL HOSPITALS, ST. LUKE'S HOSPITAL RECEIVED "HIGH PERFORMING" RATINGS IN 13 SPECIALTY AREAS, INCLUDING ABDOMINAL AORTIC ANEURYSM REPAIR, AORTIC VALVE SURGERY, BACK SURGERY (SPINAL FUSION), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), COLON CANCER SURGERY, HEART ATTACK, HEART BYPASS SURGERY, HEART FAILURE, HIP FRACTURE, HIP REPLACEMENT, KIDNEY FAILURE, KNEE REPLACEMENT, AND LUNG CANCER SURGERY. ST. LUKE'S DES PERES HOSPITAL RECEIVED "HIGH PERFORMING" RATINGS IN 3 SPECIALTY AREAS, INCLUDING HIP FRACTURE, SPINAL FUSION, AND PNEUMONIA. U.S. NEWS EVALUATED EACH HOSPITAL'S PERFORMANCE USING A VARIETY OF MEASURES SUCH AS SURVIVAL AND COMPLICATION RATES, PATIENT EXPERIENCE AND LEVEL OF NURSING CARE, FACTORING IN DATA FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES. AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY, HEALTHGRADES, 2022 ST. LUKE'S HOSPITAL IN CHESTERFIELD HAS BEEN NAMED ONE OF AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY BY HEALTHGRADES FOR THE FOURTH YEAR IN A ROW (2019-22). ST. LUKE'S IS THE ONLY HOSPITAL IN MISSOURI TO ACHIEVE THIS 2022 DESIGNATION AND IS AMONG THE TOP 5% OF HOSPITALS NATIONWIDE FOR CARDIAC SURGERY FOR SUPERIOR OUTCOMES IN CORONARY ARTERY BYPASS GRAFTING PROCEDURES AND HEART VALVE SURGERY. AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION, HEALTHGRADES, 2022 ST. LUKE'S HOSPITAL IS RECOGNIZED AS ONE OF AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION BY HEALTHGRADES. ST. LUKE'S HOSPITAL IS THE ONLY HOSPITAL IN THE ST. LOUIS REGION TO RECEIVE THIS HONOR. AMERICA'S 100 BEST HOSPITALS FOR SPINAL SURGERY, HEALTHGRADES, 2022 ST. LUKE'S HOSPITAL IS RECOGNIZED AS ONE OF AMERICA'S 100 BEST HOSPITALS FOR SPINAL SURGERY BY HEALTHGRADES. ST. LUKE'S HOSPITAL IS THE ONLY HOSPITAL IN THE ST. LOUIS REGION TO RECEIVE THIS HONOR. MEDICARE QUALITY 5-STAR RATING, CENTERS FOR MEDICARE & MEDICAID SERVICES, 2022 THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS), ALONG WITH KEY STAKEHOLDERS, DEVELOPED A METHODOLOGY TO CALCULATE AND DISPLAY OVERALL HOSPITAL-LEVEL QUALITY USING A STAR RATING SYSTEM OF ONE TO FIVE STARS. ST. LUKE'S HOSPITAL RECEIVED THE HIGHEST RATING, FIVE STARS, AND PLACED IN THE TOP 13 PERCENT OF ALL HOSPITALS NATIONWIDE. ST. LUKE'S WAS ALSO ONE OF ONLY THREE HOSPITALS IN THE ST. LOUIS METRO AREA TO RECEIVE THE RATING. OUTSTANDING PATIENT EXPERIENCE AWARD, HEALTHGRADES 2011-2022 ST. LUKE'S HOSPITAL IS A RECIPIENT OF THE HEALTHGRADES 2022 OUTSTANDING PATIENT EXPERIENCE AWARD. THIS DISTINCTION PLACES ST. LUKE'S HOSPITAL AMONG THE TOP 5 PERCENT OF HOSPITALS NATIONWIDE BASED ON AN ANALYSIS OF PATIENT EXPERIENCE DATA. ST. LUKE'S HOSPITAL IS THE ONLY HOSPITAL IN MISSOURI THAT HAS ACHIEVED THIS AWARD FOR 12 YEARS IN A ROW. WOMEN'S CHOICE AWARD, WOMENCERTIFIED INC., 2022 FOR THE EIGHTH STRAIGHT YEAR, ST. LUKE'S HAS EARNED THE WOMEN'S CHOICE AWARD AS ONE OF AMERICA'S BEST HOSPITALS. THE 2022 HONOR RECOGNIZES ST. LUKE'S AS ONE OF AMERICA'S BEST HOSPITALS FOR CANCER CARE, HEART CARE, MINIMALLY INVASIVE SURGERY, OBSTETRICS, ORTHOPEDICS, PATIENT SAFETY, STROKE CARE AND WOMEN'S SERVICES, AND AS ONE OF AMERICA'S BEST MAMMOGRAM IMAGING CENTERS. WOMENCERTIFIED INC., AN ADVOCATE FOR FEMALE CONSUMERS, CREATED THE NATIONAL WOMEN'S CHOICE AWARD PROGRAM. ACCORDING TO WOMENCERTIFIED, THE WOMEN'S CHOICE AWARD IS BASED ON ROBUST CRITERIA THAT CONSIDER PATIENT SATISFACTION, CLINICAL EXCELLENCE AND WHAT WOMEN REALLY WANT WHEN IT COMES TO TREATMENT AND A QUALITY HOSPITAL EXPERIENCE. ST. LUKE'S HOSPITAL NAMED ONE OF THE BEST HOSPITALS FOR MATERNITY BY U.S. NEWS & WORLD REPORT, 2022 IN ITS INAUGURAL LIST OF BEST HOSPITALS FOR MATERNITY, U.S. NEWS HAS RECOGNIZED ST. LUKE'S AS "HIGH PERFORMING" IN CARING FOR PATIENTS WITH UNCOMPLICATED PREGNANCIES. TO BE RECOGNIZED AMONG THE BEST HOSPITALS FOR MATERNITY, HOSPITALS HAD TO EXCEL ON MULTIPLE QUALITY METRICS THAT MATTER TO EXPECTANT FAMILIES, INCLUDING COMPLICATION RATES, C-SECTIONS, WHETHER BIRTHS WERE SCHEDULED TOO EARLY IN PREGNANCY AND HOW SUCCESSFULLY EACH HOSPITAL SUPPORTED BREASTFEEDING. THE EVALUATION REFLECTS 2019 HOSPITAL DATA RELATED TO UNCOMPLICATED PREGNANCIES. BEST NURSING HOMES FOR SHORT-STAY REHABILITATION, U.S. NEWS & WORLD REPORT, 2021-2022 ST. LUKE'S SURREY PLACE HAS BEEN NAMED A "BEST NURSING HOME FOR SHORT-STAY REHABILITATION" BY U.S. NEWS & WORLD REPORT. THIS DISTINCTION PLACES ST. LUKE'S SURREY PLACE AMONG THE TOP 1.5 PERCENT OF NURSING HOMES IN MISSOURI TO RECEIVE THIS SHORT-STAY REHABILITATION TOP RATING. PART III, LINE 4B RESOURCES INVESTED AND PROGRAM SERVICES TO SUPPORT MISSION IN SUPPORT OF OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, WHICH INCLUDES THOSE WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. IN ADDITION, THE ORGANIZATION PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE LESS THAN THE RELATED COSTS FOR THE SERVICES PROVIDED TO THE RECIPIENTS. EACH YEAR, WE INVEST CONSIDERABLE RESOURCES TO IMPROVE THE HEALTH, WELLNESS AND QUALITY OF LIFE IN OUR COMMUNITY. IN RESPONSE TO IDENTIFIED NEEDS, ST. LUKE'S ALSO BENEFITS THE COMMUNITY IN THE FOLLOWING WAYS: - ST. LUKE'S SUPPORT FOR ITS MEDICAL RESIDENCY PROGRAMS IS AN INTEGRAL PART OF OUR SERVICE TO THE MEDICAL COMMUNITY BY PREPARING NEW PHYSICIANS FOR THEIR CAREERS. ST. LUKE'S HOSPITAL OFFERS A RESIDENCY IN INTERNAL MEDICINE PROGRAM, WHICH IS ACGME (ACCREDITATION FOR GRADUATE MEDICAL EDUCATION) ACCREDITED FOR 45 RESIDENTS. THIS PAST YEAR, THE PROGRAM INCLUDED RESIDENTS FROM THE UNITED STATES AND 16 OTHER COUNTRIES. THIS PROGRAM PROVIDES A UNIQUE OPPORTUNITY FOR TRAINING IN PRIMARY CARE INTERNAL MEDICINE AT BOTH ST. LUKE'S AND PUBLIC HEALTH CLINICS SERVING THE NEEDS OF THE INDIGENT POPULATION IN THE ST. LOUIS AREA. ST. LUKE'S MEDICAL RESIDENTS ALSO PROVIDE COMMUNITY SERVICE BY SPEAKING AT SCHOOLS AND TO VARIOUS CIVIC ORGANIZATIONS. TRAINING OPPORTUNITIES FOR HEALTH PROFESSIONALS IN NURSING, PHARMACY AND OTHER HEALTH SPECIALTIES ARE ALSO AVAILABLE. A PROGRAM DIRECTOR, TWO ASSOCIATE PROGRAM DIRECTORS, A PROGRAM SECRETARY AND A PROGRAM COORDINATOR OVERSEE THE RESIDENCY PROGRAM. MORE THAN 100 PHYSICIANS CONTRIBUTE TO THE TEACHING MISSION AS FULL AND PART-TIME FACULTY. THE ST. LUKE'S DES PERES HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM IS ALSO AN ACGME ACCREDITED PROGRAM. IT PROVIDES GRADUATE MEDICAL TRAINING FOR 14 RESIDENTS WHO GAIN EXPERIENCE THROUGH A NUMBER OF DAILY, WEEKLY AND MONTHLY DIDACTIC EXPERIENCES INCLUDING JOURNAL CLUB, READING CLUB, GRAND ROUNDS, BOARD REVIEW, STFM CORE CURRICULUM, CONFERENCES AND RESEARCH METHODOLOGY. PROGRAM LEADERSHIP AND CORE FACULTY EDUCATION ARE PROVIDED BY ST. LUKE'S MEDICAL GROUP PHYSICIANS AT THE CEDAR HILL PRIMARY CARE PRACTICE, AND OTHER REQUIREMENTS ARE ADDRESSED THROUGH CLINICAL ROTATIONS WITH SPECIALISTS THROUGHOUT THE ST. LUKE'S NETWORK. - ST. LUKE'S OFFERS CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. THE PROGRAM RECENTLY EARNED A SIX-YEAR ACCREDITATION WITH COMMENDATION BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME), RANKING AMONG THE TOP 25 PERCENT OF CME PROVIDERS IN THE UNITED STATES, INCLUDING SOME OF THE NATION'S MOST PRESTIGIOUS MEDICAL SCHOOLS. THE PROGRAM CONTINUES ITS PROUD TRADITION AND SERVICE. - ST. LUKE'S MINISTRY OF HEALING CELEBRATES ALL FAITHS THROUGH SPIRITUAL CARE SERVICES THAT IMPROVE THE HEALTH OF THE COMMUNITY IN BODY, MIND AND SPIRIT. WORSHIP AND PRAYER SERVICES, SACRAMENTS AND SPIRITUAL SUPPORT ARE OFFERED AROUND THE CLOCK. WE MINISTER TO ALL IN NEED, HELP PATIENTS AND CAREGIVERS MAKE COMPLEX MEDICAL DECISIONS AND WALK BESIDE THOSE HAVING MEDICAL PROCEDURES OR NAVIGATING SERIOUS ILLNESSES. SOME OF THE CHAPLAINS SERVING AS PART OF OUR HEALTHCARE TEAM ARE PART OF OUR CHAPLAIN RESIDENCY PROGRAM. THEOLOGICALLY EDUCATED STUDENTS COME FROM ACROSS THE COUNTRY TO PARTICIPATE IN ST. LUKE'S ONE-YEAR CLINICAL PASTORAL EDUCATION (CPE) RESIDENCY, WHICH IS ACCREDITED BY THE ASSOCIATION OF CLINICAL PASTORAL EDUCATION. THESE GIFTED INDIVIDUALS BRING FRESH PERSPECTIVES AND COMPASSIONATE HEARTS TO CARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR TEAM MEMBERS. - ST. LUKE'S TEAM MEMBERS GENEROUSLY SUPPORT THE COMMUNITY ALL YEAR LONG. OUR MISSION OUTREACH COMMITTEE LEADS THESE EFFORTS IN OUR WORKPLACE AND CONDUCTS THREE COLLECTION DRIVES FOR DONATIONS OF FOOD, SCHOOL SUPPLIES, WARM CLOTHING AND TOYS TO ASSIST FAMILIES IN NEED. TEAM MEMBERS, PATIENTS AND PHYSICIANS GENEROUSLY SUPPORT THESE INITIATIVES TO ASSIST THE FAMILIES SERVED BY ST. LUKE'S PEDIATRIC CARE CENTER, ISAIAH 58 MINISTRIES, OPERATION FOOD SEARCH AND LITTLE PATRIOTS EMBRACED. - ST. LUKE'S HAS HAD A LONG-STANDING COMMITMENT TO PROVIDING PREVENTIVE HEALTHCARE AND TREATMENT TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN IN THE ST. LOUIS REGION. LOCATED IN NORTH ST. LOUIS COUNTY, ST. LUKE'S PEDIATRIC CARE CENTER IS A MISSION-BASED AGENCY OF ST. LUKE'S THAT PROVIDES QUALITY PRIMARY CARE TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN IN ST. LOUIS CITY AND COUNTY IN A PRIVATE PRACTICE SETTING. THE PRIMARY GOAL OF THE CENTER IS TO ESTABLISH AND MAINTAIN ACCESS TO HEALTHCARE FOR FAMILIES THROUGH A PRIMARY CARE PHYSICIAN, THEREBY HELPING THEM UNDERSTAND AND DEAL WITH POTENTIAL HEALTH ISSUES BEFORE THE ISSUES BECOME SERIOUS ENOUGH TO REQUIRE ACUTE CARE. THE STAFF CONSISTS OF TWO FULL-TIME BOARD-CERTIFIED PEDIATRICIANS AS WELL AS A SITE MANAGER, REGISTERED NURSE, SOCIAL WORKER AND OFFICE COORDINATOR, ALL OF WHOM ARE DEDICATED TO IMPROVING HEALTHCARE FOR CHILDREN AND FAMILIES. - ST. LUKE'S HELPS EDUCATE WOMEN ABOUT IMPORTANT TOPICS THAT IMPACT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. THROUGH A FREE MEMBERSHIP ST. LUKE'S SPIRIT OF WOMEN PROGRAM, WOMEN RECEIVE HEALTH INFORMATION FROM ST. LUKE'S VIA EMAILS, A WOMEN'S HEALTH MAGAZINE AND MORE. THROUGH A WEBSITE, WOMEN CAN ACCESS MONTHLY HEALTH TOPICS AS WELL AS EASY-TO-NAVIGATE PREVENTIVE HEALTH INFORMATION BY DECADE OF LIFE. THE COMMUNITY IS INVITED TO SPIRIT OF WOMEN PROGRAMMING AND EVENTS THROUGHOUT THE YEAR. - ST. LUKE'S PASSPORT TO WELLNESS PROGRAM PARTNERS WITH MORE THAN 100 LOCAL EMPLOYERS FOR WORKSITE WELLNESS PROGRAMS, WORKING WITH THEM TO IDENTIFY, ADDRESS AND ELIMINATE EMPLOYEE HEALTH RISKS BEFORE THEY RESULT IN COSTLY HEALTHCARE CLAIMS. OUR TEAM VISITS EMPLOYERS FREE OF CHARGE AND COLLECTS PERSONAL HEALTH PROFILES FROM THEIR EMPLOYEES. THEN, WE PROVIDE A GROUP HEALTH REPORT TO IDENTIFY THE SPECIFIC HEALTH RISKS PRESENT IN THEIR WORKFORCE AND WAYS TO ADDRESS THESE RISKS. ST. LUKE'S HEALTHCARE PROFESSIONALS COORDINATE AND PROVIDE ON-SITE LOW-COST HEALTH SCREENINGS (CHOLESTEROL, GLUCOSE, BLOOD PRESSURE, WAIST MEASUREMENT), FLU VACCINE CLINICS, BONE DENSITY SCREENINGS, LUNCHTIME SEMINARS, HEALTH COACHING AND ASK THE EXPERT TABLING EVENTS. EDUCATIONAL MATERIALS ARE PROVIDED AT EACH OFFERING FOR THE EMPLOYEES AND/OR THEIR FAMILY MEMBERS. ST. LUKE'S ALSO PROVIDES EMPLOYERS WITH ACCESS TO AN INTERNET-BASED FINANCIAL ANALYSIS TOOL THAT ALLOWS THE EMPLOYER TO UNDERSTAND THE HEALTH RISKS FACED BY WORKERS, PROJECT HOW HEALTHCARE DOLLARS WILL BE SPENT AND IDENTIFY POTENTIAL SAVINGS THROUGH THE ATTAINMENT OF A HEALTHIER WORKFORCE. ST. LUKE'S PROVIDES HEALTH INFORMATION CENTERS (WALL-MOUNTED DISPLAYS) AT MANY EMPLOYERS, WHICH ARE DESIGNED TO EDUCATE EMPLOYEES ON PERTINENT HEALTH ISSUES AND PROVIDE DETAILS REGARDING AVAILABLE HEALTH PROMOTION ACTIVITIES. - ST. LUKE'S HEART AND VASCULAR INSTITUTE'S NEW HEART FAILURE CLINIC OFFERS INDIVIDUALIZED TREATMENT OPTIONS FOR PATIENTS WITH HEART FAILURE TO RELIEVE SYMPTOMS, TREAT UNDERLYING CAUSES AND HELP SLOW PROGRESSION OF THE DISEASE. THE CLINIC'S MULTIDISCIPLINARY TEAM ASSESSES AND TREATS EACH ASPECT OF THE DISEASE PROCESS AND WORKS CLOSELY WITH PATIENTS TO HELP MANAGE THEIR CONDITION. THE TEAM IS WELL-TRAINED IN THE SPECIAL NEEDS OF HEART FAILURE PATIENTS AND INCLUDES ST. LUKE'S HEART FAILURE CARDIOLOGIST, DR. SHANE LARUE, AS WELL AS CARDIAC SURGEONS, ELECTROPHYSIOLOGISTS, INTERVENTIONAL CARDIOLOGISTS, NURSES, DIETITIANS, SOCIAL WORKERS, PHARMACISTS, EXERCISE PHYSIOLOGISTS AND PHYSICAL/RECREATIONAL THERAPISTS. IMPLEMENTATION OF A MULTIDISCIPLINARY HEART FAILURE CLINIC HAS BEEN SHOWN TO REDUCE HOSPITAL READMISSIONS AND MORTALITY FROM THE DISEASE. - THE GOAL OF THE HEALING GRACE CLINIC, FOUNDED BY A ST. LUKE'S MEDICAL GROUP PHYSICIAN, IS TO PROVIDE A CLINIC FOR THE UNINSURED IN WEST ST. LOUIS COUNTY. IT IS LOCATED ON THE GROUNDS OF AND OPERATED BY CENTRAL BAPTIST CHURCH IN EUREKA, MISSOURI AND IS PRIMARILY STAFFED BY VOLUNTEERS. ONGOING SUPPORT FROM ST. LUKE'S INCLUDES THE PROVISION OF A PART-TIME PHYSICIAN ASSISTANT AND MEDICAL ASSISTANT WHO SEE PATIENTS AT THE CLINIC THREE DAYS PER WEEK, SOME MEDICAL SUPPLIES AND PHYSICIAN COVERAGE FOR THE PHYSICIAN ASSISTANT. THROUGH THE ST. LUKE'S CENTER FOR DIAGNOSTIC IMAGING, IMAGING SERVICES ARE PROVIDED FREE OR AT A REDUCED COST TO PATIENTS. CHRONIC CONDITIONS ARE MANAGED AND CARE IS COORDINATED THROUGH ARRANGEMENTS WITH OTHER ST. LUKE'S DEPARTMENTS AND MEMBERS OF ST. LUKE'S MEDICAL STAFFS, WITH FINANCIAL ASSISTANCE PROVIDED. PART III, LINE 4B (CONT'D) - THE ALBERT PUJOLS WELLNESS CENTER FOR ADULTS WITH DOWN SYNDROME AT ST. LUKE'S HOSPITAL HELPS FILL A GROWING NEED FOR SERVICES IN OUR COMMUNITY. PATIENTS 17 YEARS OF AGE AND OLDER ARE REFERRED TO THE CENTER FOR SERVICES FOCUSED ON NUTRITION, EXERCISE, SAFETY AND SOCIAL/EMOTIONAL WELL-BEING. CLASSES AND PROGRAMS JUST FOR FUN, SUCH AS DANCING AND VARIOUS ARTS AND CRAFTS, ARE ALSO OFFERED. THE CENTER OFFERS PROGRAMMING ON VARIOUS TOPICS FOR CAREGIVERS AS WELL. - ST. LUKE'S COMMITMENT TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IS FACILITATED THROUGH THE DEVELOPMENT OF COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLANS (CHIP). THE PROCESS TO DEVELOP THE CHNA AND CHIP HELPS US TO BETTER UNDERSTAND AND FOCUS ON THE IMPORTANT HEALTH AND HEALTH-RELATED ISSUES AFFECTING OUR COMMUNITIES AND TO DEVELOP STRATEGIES AND IMPLEMENTATION PLANS INTENDED TO DRIVE MEANINGFUL RESULTS. THE CURRENT 2022 CHNAS FOR ST. LUKE'S HOSPITAL FOCUS ON THE FOLLOWING PRIORITY NEEDS: OBESITY, MENTAL HEALTH AND OLDER ADULTS. THE CURRENT 2022 CHNAS FOR ST. LUKE'S DES PERES HOSPITAL FOCUS ON THE FOLLOWING PRIORITY NEEDS: OBESITY, SMOKING/RESPIRATORY HEALTH AND ACCESS IN PRIORITY AREAS. THE FULL REPORTS ARE AVAILABLE ON ST. LUKE'S WEBSITE AT STLUKES-STL.COM. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS OR STOCKHOLDERS: ST. LUKE'S HEALTH CORPORATION, A 501 (C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, A REGIONAL HEALTH CARE PROVIDER. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS OF THE ORGANIZATION: CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION, INCLUDING AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BY-LAWS AND CHANGES TO THE SIZE OF THE BOARD OF DIRECTORS, ARE SUBJECT TO APPROVAL BY THE DIOCESE OF MISSOURI OF THE PROTESTANT EPISCOPAL CHURCH IN THE UNITED STATES OF AMERICA AND BY THE PRESBYTERY OF GIDDINGS-LOVEJOY OF THE PRESBYTERIAN CHURCH (U.S.A.). SUCH DECISIONS ALSO REQUIRE APPROVAL BY ST. LUKE'S HEALTH CORPORATION, THE SOLE CORPORATE MEMBER OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS. THE DIOCESE OF MISSOURI OF THE PROTESTANT EPISCOPAL CHURCH IN THE UNITED STATES OF AMERICA AND THE PRESBYTERY OF GIDDINGS-LOVEJOY OF THE PRESBYTERIAN CHURCH (U.S.A.) ARE ALSO REPRESENTED ON THE BOARD OF DIRECTORS OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, HOLDING FOUR OF TWENTY-ONE POSITIONS WITH EACH POSITION HAVING ONE VOTE. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE 990 THE FORM 990 HAS BEEN DISCUSSED AND PRESENTED TO THE BOARD AND ITS COMMITTEES. THE ORGANIZATION PROVIDED A COPY OF THE FORM 990 TO ST. LUKE'S HEALTH CORPORATION FINANCE, AUDIT AND RISK COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING FOR REVIEW AND INPUT. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST POLICY: THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY PROVIDING THE POLICY AND QUESTIONNAIRE TO EACH BOARD MEMBER AT THE TIME OF APPOINTMENT AND TO EACH NEW EMPLOYEE AT THE TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER. EACH BOARD MEMBER AND KEY EMPLOYEE IS REQUIRED TO SIGN A STATEMENT ACKNOWLEDGING HE/SHE HAS READ, UNDERSTANDS AND AGREES TO COMPLY WITH THE POLICY AS WELL AS SUBMIT THE COMPLETED QUESTIONNAIRE. ANY/ALL ACTUAL OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE FROM THE FORMS ARE DISCLOSED TO THE FINANCE, AUDIT AND RISK COMMITTEE. THE FINANCE, AUDIT AND RISK COMMITTEE ADDRESSES ANY POTENTIAL CONFLICT OF INTEREST AND TAKES APPROPRIATE ACTION TO RESOLVE. THE ORGANIZATION CONSIDERS THE POSSIBILITY THAT BOARD MEMBERS OR KEY EMPLOYEES MAY INADVERTENTLY FAIL TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND PERFORMS DUE DILIGENCE TO ADDRESS AND RESPOND IN ACCORDANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION EXECUTIVE, KEY EMPLOYEE AND PHYSICIAN SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE ORGANIZATION ALSO ENGAGED CONSULTANTS FOR INDEPENDENT REVIEWS TO ENSURE COMPENSATION FOR CERTAIN OF THE ABOVE EMPLOYEES IS FAIR AND WITHIN MARKET PARAMETERS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS FOR EXECUTIVES AND KEY EMPLOYEES ARE PRESENTED TO THE COMPENSATION COMMITTEE TO APPROVE OR MODIFY. THE COMPENSATION COMMITTEE HAS REPRESENTATION FROM THE INDEPENDENT MEMBERS OF THE BOARD AND LEGAL COUNSEL. MINUTES ARE MAINTAINED OF THE DISCUSSIONS AND CONCLUSIONS OF THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC ACCESS ANNUAL FINANCIAL STATEMENTS INCLUDING FORM 990 ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. ANY PROPRIETARY INTERNAL POLICIES OR GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. PART VIII, LINE 7C, COLUMN I: GAINS AND LOSSES FROM INVESTMENTS THE ORGANIZATION PARTICIPATES IN A SYSTEM-WIDE POOLED INVESTMENT PROGRAM. THE INVESTMENTS ARE REPORTED ONLY AS REALIZED GAINS OR LOSSES TO EACH ORGANIZATION AND DO NOT REPORT THE ALLOCATION PORTION OF PROCEEDS AND COST BASIS RELATED TO THOSE REALIZED GAINS/LOSSES. FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION -8,209,579. TRANSFER TO MEDICAL GROUP -37,345,104. CHANGE IN RESTRICTED ASSETS -603,976. DES PERES PROJECT FUND REIMBURSEMENT -8,356,216. 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