2019-05-13T16:09:59-05:00 2018-06-30 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH ST MINNEAPOLIS MN 55402 990 2018-01-30 824314522 St Luke's Des Peres Episcopal-Presbyterian H % SCOTT JOHNSON STLU 3144341500 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 SCOTT JOHNSON EXECUTIVE VP/CFO 3144341500 2019-05-13 true Monroe J Gierl P01413237 6123055000 2019-05-13 167.68.102.5 43023420191335000003 2019-05-13 P DB36691C68C6A72A735C665B3C36D61FAF11A34F 5730E019CE73AD64C30081DBCB8D71502993F88D 2017 2019-02-21 02:37:17Z X SCOTT JOHNSON 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 15265317 false X WWW.STLUKES-STL.COM X 2018 MO 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. 3 1 0 11 0 0 0 0 0 15252056 0 0 0 13261 0 15265317 0 0 0 0 0 6347710 0 0 0 0 8398455 0 14746165 0 519152 0 65465507 0 13798184 0 51667323 X SEE SCHEDULE O, GENERAL STATEMENT 1 false false 13901401 0 15252056 SEE SCHEDULE O, GENERAL STATEMENT 2 13901401 true false false false false false false false false false true false false false true true false true false false false false false false false false true true false false false false false false false false false false false false false false false false true false false false true X 0 0 0 false false false false false false false false false false X 3 1 false false false false true true true true true false false true true true true true true true true false X SCOTT JOHNSON 3144341500 232 SOUTH WOODS MILL RD CHESTERFIELD MO 63017 X EUGENE TOOMBS DIRECTOR 1.0 4.0 X 0 0 0 CHRISTINE CANDIO PRESIDENT AND CEO SL HLTH CORP 5.0 55.0 X X 0 0 0 SCOTT JOHNSON EXECUTIVE VP/CFO SL HLTH CORP 10.0 50.0 X X 0 0 0 David Loving President 60.0 0.0 X 0 0 0 0 0 0 0 false false false 0 0 PATIENT SERVICE REVENUE 622110 15125679 15125679 RENTAL REVENUE 621111 91732 91732 RESIDENT REVENUE 622110 34645 34645 15252056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISC. REVENUE 900099 13261 13261 13261 15265317 15252056 13261 0 0 0 0 51410 51410 0 5028825 4574380 454445 55271 55271 836536 836536 375668 375668 0 0 0 0 0 0 784022 784022 84564 84564 220331 183044 37287 540654 540429 225 0 385356 385356 3106 2857 249 0 1427 1427 212206 212206 0 825234 825234 142034 142034 MEDICAL SUPPLIES 4227350 4224590 2760 CONTRACT SERVICES 333124 329267 3857 OTHER EXPENSES 328704 269403 59301 REPAIRS AND MAINTENANCE 297496 290291 7205 12847 12847 14746165 13901401 844764 0 0 0 0 3076841 0 0 0 14705471 0 0 0 0 0 0 0 2745919 0 643035 45097743 803502 0 44294241 0 0 0 0 0 0 0 0 0 0 0 65465507 0 6248192 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7549992 0 13798184 X 0 51667323 0 0 0 0 0 51667323 0 65465507 X 519152 51148171 X X false true X true false X 1020000 1020000 30684152 218370 30465782 13393591 585132 12808459 44294241 0 OTHER CURRENT LIABILITIES 639225 ASSET RETIREMENT OBLIGATION 209882 OTHER LIABILITIES 6700885 7549992 X 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 2018. true true X true X true X true false false 524963 479012 45951 0.00310 524963 479012 45951 0.00310 10683 10683 0.00070 631065 277284 353781 0.02400 2031 2031 0.00010 643779 277284 366495 0.02480 1168742 756296 412446 0.02790 true 193382 3673032 5442282 -1769250 X true true 1 1 St Luke's Des Peres Hospital 2345 Dougherty Ferry Road St Louis MO 63122 www.stlukes-stl.com/desperes 522-00 X X X X St Luke's Des Peres Hospital 1 true true false false true X 200. 400. X X X X true true X X X true X www.stlukes-stl.com/pay X www.stlukes-stl.com/pay X see suppl info 2 X X X X X X true X false X X X X true X false false Supplemental Information 1 PART V, SECTION B, LINE 2 AND LINE 3 ST. LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKES) ORGANIZED ST. LUKES DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKES DES PERES) IN ORDER TO BETTER ADDRESS THE MEDICAL NEEDS OF THE GENERAL PUBLIC IN THE GREATER ST. LOUIS METROPOLITAN AREA AND ITS SURROUNDING REGIONS. TO ACCOMPLISH THIS, ST. LUKES DES PERES ACQUIRED THE ASSETS OF DES PERES HOSPITAL FROM TENET HEALTHCARE CORPORATION ON MAY 1, 2018. Treas. Regs. section 1.501(r)-3(d)(2) provides that a hospital organization that becomes newly subject to 501(r) because it is recognized as described in IRC section 501(c)(3) must meet the CHNA requirements of 501(r)(3) with respect to any of its licensed hospital facilities by the end of its second taxable year beginning after the date the tax exempt hospital facility was licensed. St. Lukes Des Peres Episcopal-Presbyterian Hospital was incorporated on 1/30/2018, and submitted its Form 1023 application for recognition of exemption to the IRS in April, 2018. Its exempt status, assuming a favorable determination, will be retroactive to the date of its incorporation on 1/30/2018. In addition, it was licensed as a hospital by the Missouri Department of Health and Senior Services, who issued a license to St. Lukes DES Peres Episcopal-Presbyterian Hospital on May 1, 2018. UPON ACQUISITION, ST. LUKES DES PERES HOSPITAL BECAME INTEGRATED INTO ONGOING REGIONAL COMMUNITY BENEFIT EFFORTS BEING IMPLEMENTED ACROSS THE ST. LUKES NETWORK OF CARE. PRIOR TO BECOMING A NOT-FOR-PROFIT HOSPITAL, ST. LUKES DES PERES WAS ALREADY ACTIVELY ENGAGED IN MEETING THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, PARTICULARLY THROUGH THE PROVISION OF SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION. IN 2019, ST. LUKES DES PERES WILL PUBLISH ITS INAUGURAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN. AS A NEW NOT-FOR-PROFIT HOSPITAL, THIS REPORT WILL PROVIDE A FOUNDATION FOR ST. LUKES DES PERES TO MEET PRESSING COMMUNITY NEEDS THROUGH HEALTH IMPROVEMENT AND COMMUNITY BUILDING ACTIVITIES. THE INTERESTS OF THE ST. LUKES DES PERES COMMUNITY ARE REPRESENTED BY A COMMUNITY BENEFIT COORDINATOR INVOLVED WITH SEVERAL COMMUNITY ORGANIZATIONS AND COALITIONS, INCLUDING THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY AND ITS REGIONAL LEADERSHIP AND PLANNING GROUP, AND THE ST. LOUIS COUNTY HOSPITAL COLLABORATIVE. AS A PART OF THIS COUNTY COLLABORATIVE, THE HOSPITAL PARTICIPATED IN THE PLANNING PROCESS FOR A ST. LOUIS COUNTY HOSPITAL COLLABORATIVE FOCUS GROUP, WITH REPRESENTATION AT MONTHLY MEETINGS. ST. LUKES DES PERES HOSPITAL WAS ONE OF SIX (6) NOT-FOR-PROFIT HOSPITALS IN WEST AND SOUTH ST. LOUIS COUNTY THAT PARTICIPATED IN THIS FOCUS GROUP, INCLUDING: -ST. LUKES HOSPITAL -MERCY HOSPITAL ST. LOUIS -MERCY HOSPITAL SOUTH -MISSOURI BAPTIST HOSPITAL -BARNES JEWISH WEST COUNTY HOSPITAL -BJC HEALTHCARE DAVID LOVING, ST. LUKES DES PERES HOSPITAL PRESIDENT, ATTENDED THIS FOCUS GROUP IN ORDER TO ASSURE STAKEHOLDERS OF THE HOSPITALS COMMITMENT TO THE CHNA PROCESS, AND TO HEAR DIRECTLY FROM STAKEHOLDERS ABOUT COMMUNITY NEEDS. BECAUSE ST. LUKES DES PERES AND ST. LUKES HOSPITALS SERVE OVERLAPPING COMMUNITIES, THEY MAY NATURALLY ADDRESS SOME OVERLAPPING HEALTH CONCERNS WITHIN THE TARGET POPULATIONS AS A PART OF THEIR INDIVIDUAL CHNA REPORTS. HOWEVER, SEPARATE CHNA AND IMPLEMENTATION PLANS WILL IDENTIFY NUANCES IN COMMUNITY NEEDS AND HOSPITAL RESOURCES. THE ST. LUKES DES PERES CHNA WILL BE PUBLISHED IN JUNE 2019, IN CONJUNCTION WITH THE PUBLICATION OF THE ST. LUKES HOSPITAL CHNA. IMPLEMENTATION PLANS WILL BE PUBLISHED BY NOVEMBER 2019. Supplemental Information 2 PART V, SECTION B, LINE 16C WWW.STLUKES-STL.COM/PAY Supplemental Information 1 Part I, Line 6A N/A Supplemental Information 2 Part I, Line 7G N/A Supplemental Information 3 PART I, LINE 7 COLUMN (F) TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSE LINE 7B: UNREIMBURSED MEDICAID 3.56% LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS 3.56% LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS 0.07% LINE 7F: HEALTH PROFESSIONS EDUCATION 4.28% LINE 7I: CASH AND IN-KIND CONTRIBUTIONS 0.01% LINE 7J: TOTAL OTHER BENEFITS 4.36% LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS 7.92% BAD DEBT EXPENSE SUBTRACTED FROM LINE 7, COLUMN (F): N/A-BAD DEBT IS A REDUCTION OF PATIENT REVENUE. Supplemental Information 4 PART II: COMMUNITY BUILDING ACTIVITIES ST. LUKE'S WORKS WITH ITS DENOMINATIONAL SPONSORS, THE EPISCOPAL AND PRESBYTERIAN USA CHURCHES (THE CHURCHES), TO IMPROVE THE HEALTH OF THE GREATER ST. LOUIS COMMUNITY IN BODY, MIND AND SPIRIT. THROUGH VARIOUS COMMUNICATIONS AND OUTREACH EFFORTS, ST. LUKE'S WORKS TO CREATE A STRONGER CONNECTION WITH THE CHURCHES AND COMMUNITY TO SHOW HOW ST. LUKE'S LIVES OUT ITS MISSION AND MINISTRY OF HEALING. Supplemental Information 5 PART III, LINE 2 AND LINE 3: COSTING METHODOLOGY COST TO CHARGE RATIO Supplemental Information 6 PART III, LINE 4 NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - NET PATIENT SERVICE REVENUES (ST. LUKE'S HEALTH CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS) - "ST. LUKE'S RECORDS A PROVISION FOR UNCOLLECTIBLE RECEIVABLES RELATED TO UNINSURED PATIENTS, AND TO THE PATIENT RESPONSIBILITY PORTION OF THOSE PATIENTS COVERED BY THIRD-PARTY PAYORS, IN THE PERIOD THE SERVICES ARE PROVIDED AND BASED ON HISTORICAL EXPERIENCE." Supplemental Information 7 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. Supplemental Information 8 PART III, LINE 9B COLLECTION POLICY REGARDING PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE - ST. LUKE'S DES PERES 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 DES PERES HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S DES PERES HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S DES PERES 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 DES PERES 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 AND PATIENTS ARE TREATED WITH DIGNITY, RESPECT AND IN LINE WITH OUR MISSION AND VALUES. Supplemental Information 9 PART VI, LINE 2: NEEDS ASSESSMENT UPON ACQUISITION, ST. LUKES DES PERES HOSPITAL BECAME INTEGRATED INTO ONGOING REGIONAL COMMUNITY BENEFIT EFFORTS BEING IMPLEMENTED ACROSS THE ST. LUKES NETWORK OF CARE. PRIOR TO BECOMING A NOT-FOR-PROFIT HOSPITAL, ST. LUKES DES PERES WAS ALREADY ACTIVELY ENGAGED IN MEETING THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, PARTICULARLY THROUGH THE PROVISION OF SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION. IN 2019, ST. LUKES DES PERES WILL PUBLISH ITS INAUGURAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN. AS A NEW NOT-FOR-PROFIT HOSPITAL, THIS REPORT WILL PROVIDE A FOUNDATION FOR ST. LUKES DES PERES TO MEET PRESSING COMMUNITY NEEDS THROUGH HEALTH IMPROVEMENT AND COMMUNITY BUILDING ACTIVITIES. THE INTERESTS OF THE ST. LUKES DES PERES COMMUNITY ARE REPRESENTED BY A COMMUNITY BENEFIT COORDINATOR INVOLVED WITH SEVERAL COMMUNITY ORGANIZATIONS AND COALITIONS, INCLUDING THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY AND ITS REGIONAL LEADERSHIP AND PLANNING GROUP, AND THE ST. LOUIS COUNTY HOSPITAL COLLABORATIVE. AS A PART OF THIS COUNTY COLLABORATIVE, THE HOSPITAL PARTICIPATED IN THE PLANNING PROCESS FOR A ST. LOUIS COUNTY HOSPITAL COLLABORATIVE FOCUS GROUP, WITH REPRESENTATION AT MONTHLY MEETINGS. ST. LUKES DES PERES HOSPITAL WAS ONE OF SIX (6) NOT-FOR-PROFIT HOSPITALS IN WEST AND SOUTH ST. LOUIS COUNTY THAT PARTICIPATED IN THIS FOCUS GROUP, INCLUDING: -ST. LUKES HOSPITAL -MERCY HOSPITAL ST. LOUIS -MERCY HOSPITAL SOUTH -MISSOURI BAPTIST HOSPITAL -BARNES JEWISH WEST COUNTY HOSPITAL -BJC HEALTHCARE DAVID LOVING, ST. LUKES DES PERES HOSPITAL PRESIDENT, ATTENDED THIS FOCUS GROUP IN ORDER TO ASSURE STAKEHOLDERS OF THE HOSPITALS COMMITMENT TO THE CHNA PROCESS, AND TO HEAR DIRECTLY FROM STAKEHOLDERS ABOUT COMMUNITY NEEDS. BECAUSE ST. LUKES DES PERES AND ST. LUKES HOSPITALS SERVE OVERLAPPING COMMUNITIES, THEY MAY NATURALLY ADDRESS SOME OVERLAPPING HEALTH CONCERNS WITHIN THE TARGET POPULATIONS AS A PART OF THEIR INDIVIDUAL CHNA REPORTS. HOWEVER, SEPARATE CHNA AND IMPLEMENTATION PLANS WILL IDENTIFY NUANCES IN COMMUNITY NEEDS AND HOSPITAL RESOURCES. THE ST. LUKES DES PERES CHNA WILL BE PUBLISHED IN JUNE 2019, IN CONJUNCTION WITH THE PUBLICATION OF THE ST. LUKES HOSPITAL CHNA. IMPLEMENTATION PLANS WILL BE PUBLISHED BY NOVEMBER 2019. Supplemental Information 10 PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS ARE INFORMED ABOUT ST. LUKE'S DES PERES 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 OPTIONS AND FINANCIAL ASSISTANCE. - DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING WITH ANY PATIENTS ON THE PHONE PRIOR TO AND/OR AFTER THEIR SERVICE. - INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS LOCATED VIA THE: - WEBSITE - BILLING STATEMENTS - REGISTRATION BOOKLETS/BROCHURES - CASHIER'S OFFICE - REGISTRATION AREAS - BILLING OFFICE - SOCIAL SERVICES/CARE MANAGEMENT - 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. Supplemental Information 11 PART VI, LINE 4: COMMUNITY INFORMATION ST. LUKE'S DES PERES SERVES THE ST. LOUIS METRO REGION, WITH ITS SERVICE AREA INCLUDING ST. LOUIS COUNTY, ST. FRANCOIS COUNTY AND JEFFERSON COUNTY. THE GEOGRAPHIC AREA POPULATION IS GREATER THAN 1.4 MILLION, WITH OVER 500,000 HOUSEHOLDS. IN ADDITION, PATIENTS FROM ILLINOIS UTILIZE ST. LUKE'S DES PERES HOSPITAL. Supplemental Information 12 PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH ADDITIONAL COMMUNITY SUPPORT INCLUDES: - ST. LUKE'S DES PERES OFFERS USE OF ITS MEETING SPACE FREE OF CHARGE TO AREA NON-PROFITS FOR HEALTH EDUCATION AND SUPPORT GROUPS. - ST. LUKE'S DES PERES ORGANIZES PERIODIC BLOOD DRIVES, IN CONJUNCTION WITH AND IN SUPPORT OF THE MISSISSIPPI VALLEY REGIONAL BLOOD CENTER. OTHER SERVICES PROVIDED: ST. LUKE'S DES PERES HOSPITAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR PATIENTS AND THE COMMUNITY. ST. LUKE'S DES PERES OFFERS SERVICES INCLUDING PRIMARY CARE, EMERGENCY CARE, GENERAL SURGICAL SERVICES, ORTHOPEDICS, VASCULAR CARE, THERAPY (PHYSICAL, OCCUPATIONAL, SPEECH, RESPIRATORY), ENDOSCOPY, GASTROENTEROLOGY, ENT, AND MY NEW SELF BARIATRICS. MEDICAL STAFF: ST. LUKE'S DES PERES HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR PRIMARY CARE SERVICES (I.E. INTERNAL MEDICINE). GOVERNING BODY: ST. LUKE'S DES PERES HOSPITAL HAS THREE VOTING MEMBERS ON ITS BOARD OF DIRECTORS. ALLOCATION OF SURPLUS FUNDS: POSITIVE FINANCIAL RESULTS SUPPORT 1) INVESTMENT IN STRATEGIC CAPITAL EXPENDITURES AND NEW TECHNOLOGY, 2) GROWTH AND EXPANSION OF SERVICES TO MEET IDENTIFIED COMMUNITY NEEDS, AND 3) RECRUITMENT AND RETENTION OF QUALITY HEALTHCARE PROFESSIONALS THROUGH A COMPREHENSIVE MARKET-BASED COMPENSATION AND BENEFITS PROGRAM. Supplemental Information 13 PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM N/A Supplemental Information 14 PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT N/A GENERAL STATEMENT 1 PART III, LINE 1: DESCRIPTION OF MISSION OUR MISSION Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke's DES PERES Hospital is dedicated to improving the health of the community. Using talents and resources responsibly, our medical staff, employees and volunteers provide care for the whole person with compassion, professional excellence and respect for each other and those we serve. St. Lukes Episcopal-Presbyterian Hospital (St. Lukes) organized St. Lukes Des Peres Episcopal-Presbyterian Hospital (St. Lukes Des Peres) in order to better address the medical needs of the general public in the greater St. Louis Metropolitan area and its surrounding regions. To accomplish this, St. Lukes Des Peres acquired the assets of Des Peres Hospital from Tenet Healthcare Corporation on May 1, 2018. GENERAL STATEMENT 2 PART III, LINE 4A: PROGRAM SERVICES DESCRIPTION OF SERVICES PROVIDED At St. Luke's Des Peres Hospital, we're dedicated to one thing: our patients, living a healthy, happy life. Since 1974 and now as part of the St. Luke's network of care, we are proud to serve health care needs with compassion and a personalized approach. Medically necessary health services are provided to all individuals in a non-discriminatory manner, regardless of race, color, national origin, age, gender, religion or ability to pay. From primary care to emergency care, with general medical and specialty surgical services, specializing in bariatric, orthopedics and heart care. Other services include radiology, endoscopy, laboratory, gastroenterology, ENT/otolaryngology, foot care, nutrition counseling, respiratory therapy, physical therapy, occupational therapy, speech therapy, urology, urogynecology and vascular care. We provide caring treatment in a 143-bed acute care hospital with network access to higher level services if needed. In support of our mission, St. Luke's Des Peres 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. St. Lukes Des Peres Hospital has a proud heritage of graduate medical education. Since 1954 we have provided quality osteopathic medical education. We currently have six osteopathic residency programs in: family medicine, internal medicine, general surgery, anesthesiology, otolaryngology/facial plastic surgery and orthopedic surgery. We offer hands on clinical experience through hospital rotations. Participation on our clinical rotation programs provides medical students an opportunity to begin their growing knowledge in a true healthcare environment. St. Luke's Des Peres Hospital is a core training site for the Kirksville College of Osteopathic Medicine, Kansas City University of Medicine and Biosciences and Des Moines University College of Osteopathic Medicine. We also schedule medical students from all other osteopathic medical schools for single/multiple rotations. St. Luke's Des Peres Hospital has been recognized as one of America's Best Hospitals for Bariatrics, Orthopedics and Patient Safety by the national Women's Choice Award program. These achievements are a testament to the dedication of St. Luke's physicians, staff and volunteers who provide quality, compassionate care to our patients every day. The MyNewSelf surgical weight loss program offers several procedure options, pre-surgery education, post-surgery classes and support groups and personal nutrition and lifestyle counseling and support. Our board-certified physicians will tailor a solution to help each patient reach a healthier weight and our team of nurses, dietitians and counselors will teach lifestyle changes to support a longer, healthier and more active life. The MyNewSelf surgical weight loss program has been accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS). St. Luke's Des Peres Hospital has also been recognized as one of America's Best Hospitals for Bariatrics by the national Women's Choice Award program. St. Luke's Des Peres Hospital is a recipient of the 2018 Get With The Guidelines-Heart Failure Gold Plus Quality Achievement Award. The award recognizes the hospital's commitment to ensuring heart failure patients receive the most appropriate treatment according to nationally recognized, research-based guidelines founded in the latest scientific evidence. The goal is speeding recovery and reducing hospital readmissions for heart failure patients. This marks the tenth year that St. Luke's Des Peres Hospital has been recognized with a quality achievement award for heart failure and the eighth year as a Gold Plus provider. GENERAL STATEMENT 3 PART V, LINE 2A: COMPENSATION ST. LUKES DES PERES HOSPITAL WAS ACQUIRED BY ST. LUKES EPISCOPAL PRESBYTERIAN HOSPITALS ON MAY 1, 2018 AND SUBSEQUENTLY BECAME AN EXEMPT ORGANIZATION. DES PERES INITIAL FORM 990 IS FOR SHORT TAX YEAR JANUARY 30, 2018 TO JUNE 30, 2018. AS SUCH, ITS INITIAL YEAR FILING DOES NOT INCLUDE A CALENDAR YEAR END. DES PERES IS NOT REPORTING ANY EMPLOYEES ON PARTS I AND V OF THE 990 AND IS REPORTING ZERO COMPENSATION ON PART VII. DES PERES DOES HAVE SALARIES AND BENEFITS EXPENSE REPORTED ON PART IX OF FORM 990. THE REASON FOR THIS DISPARITY IS THAT PARTS I, V, AND VII REQUIRE REPORTING BASED ON THE CALENDAR YEAR ENDING WITHIN THE TAXPAYERS FISCAL YEAR AND PART IX REQUIRES REPORTING BASED ON THE FISCAL YEAR. THE SALARIES AND BENEFITS EXPENSE FOR CALENDAR YEAR 2017 WAS REPORTED ON DES PERES 2017 FORM 1120 AND THE CALENDAR YEAR 2018 COMPENSATION WILL BE REPORTED ON DES PERES FORM 990 FOR THE TAX YEAR ENDING JUNE 30, 2019. GENERAL STATEMENT 4 Part VI, Section A, Line 6: Organization Members or Stockholders St. Lukes Episcopal-Presbyterian Hospitals, a 501 (C)(3) organization, is the sole corporate member of St. Lukes Des Peres Episcopal-Presbyterian Hospital. GENERAL STATEMENT 5 PART VI, SECTION A, LINE 7A: POWER TO ELECT OR APPOINT ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, IS AUTHORIZED UNDER THE ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL'S ARTICLES OF INCORPORATION TO APPOINT TWO MEMBERS TO THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL. THE ADDITIONAL MEMBER IS DEFINED PER THE ARTICLES OF INCORPORATION AS THE CURRENT CHAIRMAN OF THE BOARD OF DIRECTORS OF THE MEMBER, ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS. GENERAL STATEMENT 6 PART VI, SECTION A, LINE 7B: GOVERNANCE DECISIONS ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, HAS RESERVED POWERS INCLUDING THE ELECTION AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL AND THE APPROVAL OF PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL. GENERAL STATEMENT 7 PART VI, SECTION B, LINE 11: 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'S EXECUTIVE AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING FOR REVIEW AND INPUT. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION. GENERAL STATEMENT 8 PART VI, SECTION B, LINE 12C: CONFLICT 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 AUDIT COMMITTEE. THE AUDIT 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. General Statement 9 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. GENERAL STATEMENT 10 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. GENERAL STATEMENT 11 PART XI, LINE 9: OTHER CHANGES IN NET ASSETS CAPITAL CONTRIBUTIONS FROM ST. LUKE'S E-P HOSPITALS 51,148,171 ---------- 51,148,171 GENERAL STATEMENT 12 PART XII, LINE 2C: FINANCIAL STATEMENTS AND REPORTING THIS IS AN INITIAL FILING FOR ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL (DES PERES). DES PERES IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ST. LUKE'S HEALTH CORPORATION. ST. LUKE'S HEALTH CORPORATION'S BOARD OF DIRECTORS HAS A COMMITTEE IN PLACE THAT OVERSEES THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. ST LUKE'S EPISCOPAL-PRESBY HOSPITALS 232 S WOODS MILL RD CHESTERFIELD MO 63017 430652680 HEALTH CARE MO 501(C)(3) line 3 SL HLTH CORP false ST LUKE'S HEALTH CORPORATION 232 S WOODS MILL RD CHESTERFIELD MO 63017 431246752 SOLE MEMBER MO 501(C)(3) 12B NA false ST LUKE'S MEDICAL GROUP 232 S WOODS MILL RD CHESTERFIELD MO 63017 431349332 HEALTH CARE MO 501(C)(3) 12A SL HLTH CORP false St Luke's Development Corporation 232 S Woods Mill Road Chesterfield MO 63017 431238961 OTHER MISC. MO SL HEALTH CORP C CORP false false false false false false false false false false false false false false false false false false false true