ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL (EIN 43-0652680)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-09
IRS object ID: 201821299349301912
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-09T11:14:19-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	210 Park Ave Suite 2650	AddressLine1Txt
City	Oklahoma City	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430652680	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% SCOTT JOHNSON	InCareOfNm
Business Name Control	STLU	BusinessNameControlTxt
Phone	3144341500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	232 SOUTH WOODS MILL ROAD	AddressLine1Txt
City	CHESTERFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63017	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SCOTT JOHNSON	PersonNm
Person Title	SR. VP FINANCE/CFO	PersonTitleTxt
Phone	3144341500	PhoneNum
Signature	2018-05-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STEPHANIE L BAILEY	PreparerPersonNm
PTIN	P01646944	PTIN
Phone	4052396411	PhoneNum
Preparation	2018-05-09	PreparationDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SCOTT JOHNSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	232 SOUTH WOODS MILL ROAD	AddressLine1Txt
City	CHESTERFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63017	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$492,063,488	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STLUKES-STL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1866	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or 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.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	4053	TotalEmployeeCnt
Total Volunteers	391	TotalVolunteersCnt
Total Gross UBI	$3,382,896	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$28,531	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,386,204	PYContributionsGrantsAmt
CY Contributions Grants	$18,519,923	CYContributionsGrantsAmt
PY Program Service Revenue	$460,237,641	PYProgramServiceRevenueAmt
CY Program Service Revenue	$466,136,447	CYProgramServiceRevenueAmt
PY Investment Income	$4,200,084	PYInvestmentIncomeAmt
CY Investment Income	$6,454,854	CYInvestmentIncomeAmt
PY Other Revenue	-$202,917	PYOtherRevenueAmt
CY Other Revenue	$629,231	CYOtherRevenueAmt
PY Total Revenue	$467,621,012	PYTotalRevenueAmt
CY Total Revenue	$491,740,455	CYTotalRevenueAmt
PY Grants And Similar Paid	$97,025	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$70,440	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$217,592,337	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$223,289,251	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$30,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$30,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$942,333	CYTotalFundraisingExpenseAmt
PY Other Expenses	$217,054,256	PYOtherExpensesAmt
CY Other Expenses	$220,938,754	CYOtherExpensesAmt
PY Total Expenses	$434,773,618	PYTotalExpensesAmt
CY Total Expenses	$444,328,445	CYTotalExpensesAmt
PY Revenues Less Expenses	$32,847,394	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$47,412,010	CYRevenuesLessExpensesAmt
Total Assets BOY	$597,698,657	TotalAssetsBOYAmt
Total Assets EOY	$656,293,534	TotalAssetsEOYAmt
Total Liabilities BOY	$174,932,208	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$163,517,591	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$422,766,449	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$492,775,943	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O, GENERAL STATEMENT 1	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$417,154,969	ExpenseAmt
Grant	$70,440	GrantAmt
Revenue	$466,136,447	RevenueAmt
Desc	SEE SCHEDULE O, GENERAL STATEMENT 2	Desc
Total Program Service Expenses	$417,154,969	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	216	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4053	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SCOTT JOHNSON	PersonNm
Phone	3144341500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	232 SOUTH WOODS MILL ROAD	AddressLine1Txt
City	CHESTERFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63017	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Eugene M Toombs
Chairman	3.0	1.0	Yes (X)	$0	$0	$0
Daniel K Stegmann
Vice Chairman	3.0	1.0	Yes (X)	$0	$0	$0
Norman L Eaker
Treasurer	1.0	1.0	Yes (X)	$0	$0	$0
Ann M Sullins
Secretary	1.0	1.0	Yes (X)	$0	$0	$0
William W Benedict MD
Director	1.0	1.0	Yes (X)	$0	$0	$0
Oscar C Berryman
Director	1.0	1.0	Yes (X)	$0	$0	$0
Philip B Cady Jr
Director	1.0	1.0	Yes (X)	$0	$0	$0
The Rev Terry L Epling
Director Thru 12/31/16	1.0	1.0	Yes (X)	$0	$0	$0
Edward L Glotzbach
Director	1.0	1.0	Yes (X)	$0	$0	$0
Laurna C Godwin
Director	1.0	1.0	Yes (X)	$0	$0	$0
Ned O Lemkemeier
Director	1.0	1.0	Yes (X)	$0	$0	$0
Cynthia A Maritz
Director	1.0	1.0	Yes (X)	$0	$0	$0
John Mason MD
Director	1.0	1.0	Yes (X)	$0	$0	$0
Caroline A Morgan MD
Director Thru 12/31/16	1.0	1.0	Yes (X)	$0	$0	$0
David B Price Jr
Director Thru 12/31/16	1.0	1.0	Yes (X)	$0	$0	$0
Robert W Reeg
Director	1.0	1.0	Yes (X)	$0	$0	$0
Hugh Scott III
Director	1.0	1.0	Yes (X)	$0	$0	$0
The Rt Rev G Wayne Smith
Director	1.0	1.0	Yes (X)	$0	$0	$0
Daniel G Wagner MD
Director	1.0	1.0	Yes (X)	$0	$0	$0
Christine Candio
President and CEO	48.0	12.0		$864,285	$0	$20,934	Yes (X)
Scott Johnson
Sr. VP finance/CFO	36.0	24.0		$308,668	$0	$22,259	Yes (X)
Martha Fleischmann
Vice President Finance	36.0	24.0		$208,693	$0	$21,779	Yes (X)
David Krajcovic MD
Chief of Surgery	40.0	20.0		$0	$221,818	$26,354		Yes (X)
Maged Haikal MD
Chief of Medicine	40.0	25.0		$0	$836,259	$26,657		Yes (X)
Ronald Leidenfrost MD
Chairman Heart Institute	40.0	25.0		$0	$1,387,788	$31,155		Yes (X)
Jon Bettale
Vice President Surgical Serv.	50.0	0.0		$218,850	$0	$21,208		Yes (X)
Jan Hess
Vice President	50.0	0.0		$241,848	$0	$39,883		Yes (X)
Sharon Mertzlufft
VP & Exec. Dir. Development	50.0	0.0		$219,426	$0	$13,693		Yes (X)
William Meyer
Chief Information Officer	50.0	0.0		$296,446	$0	$42,134		Yes (X)
Don Miller
VP Operations	41.0	9.0		$287,522	$0	$31,285		Yes (X)
Diane Ray
VP Patient Services	50.0	0.0		$247,488	$0	$40,440		Yes (X)
Janette Taaffe
VP Human Resources	50.0	0.0		$230,069	$0	$32,070		Yes (X)
Talat Nawas MD
Hospitalist	60.0	0.0		$1,702,160	$0	$34,939			Yes (X)
Hope Cranston D'Amato MD
Medical Director ICU	60.0	0.0		$535,575	$0	$26,234			Yes (X)
Eric Jenkins MD
CVICU	55.0	0.0		$467,480	$0	$28,636			Yes (X)
Michael Klevens MD
Emergency Department	55.0	0.0		$433,591	$0	$31,285			Yes (X)
Abdul Moheet MD
Emergency Department	55.0	0.0		$404,972	$0	$34,939			Yes (X)
Jerome G Piontek MD
Former Director	0.0	0.0		$0	$382,602	$28,233				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,667,073	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,828,467	TotReportableCompRltdOrgAmt
Total Other Compensation	$554,117	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	212	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Field	Value	IRS element (for citing)
Person	See Schedule O General Statement 9	PersonNm

Field	Value	IRS element (for citing)
Contractor Address		ContractorAddress
Compensation	$27,901,095	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	55	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$77,297	FundraisingAmt
All Other Contributions	$18,442,626	AllOtherContributionsAmt
Noncash Contributions	$838,878	NoncashContributionsAmt
Total Contributions	$18,519,923	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PROGRAM SERVICE REVENUE	622110	$441,649,738	$441,649,738
PHYSICIAN OFFICES RENTAL INCOME	621111	$9,945,207	$9,945,207
RETAIL PHARMACIES	446110	$6,654,340	$5,645,221	$1,009,119
CAFETERIA INCOME	622110	$2,029,147	$1,994,235	$34,912
NONPATIENT LAB SERVICES	621500	$2,124,115		$2,124,115

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,733,900	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,519,150	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$214,750	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$466,136,447	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,113,549	TotalRevenueColumnAmt
Exclusion	$5,113,549	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,391,403	SecuritiesAmt
Other	$8,635	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$58,733	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,391,403	SecuritiesAmt
Other	-$50,098	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,341,305	TotalRevenueColumnAmt
Exclusion	$1,341,305	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$359,956	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$77,297	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$264,300	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$95,656	TotalRevenueColumnAmt
Exclusion	$95,656	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MISC. REVENUE	900099	$242,736	$242,736
GAIN ON EARLY EXTINGUISHMENT OF DEBT	621111	$290,839	$290,839

Field	Value	IRS element (for citing)
Other Revenue Total	$533,575	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$491,740,455	TotalRevenueColumnAmt
Related Or Exempt Func Income	$462,753,551	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,382,896	UnrelatedBusinessRevenueAmt
Exclusion	$7,084,085	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$70,440	TotalAmt
Program Services	$70,440	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,351,491	TotalAmt
Management And General	$3,150,402	ManagementAndGeneralAmt
Fundraising	$201,089	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$174,741,205	TotalAmt
Program Services	$167,136,580	ProgramServicesAmt
Management And General	$7,164,341	ManagementAndGeneralAmt
Fundraising	$440,284	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,923,845	TotalAmt
Program Services	$4,475,220	ProgramServicesAmt
Management And General	$285,984	ManagementAndGeneralAmt
Fundraising	$162,641	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$28,176,282	TotalAmt
Program Services	$26,539,761	ProgramServicesAmt
Management And General	$1,636,521	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,096,428	TotalAmt
Program Services	$11,393,849	ProgramServicesAmt
Management And General	$702,579	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$791,987	TotalAmt
Management And General	$791,987	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$130,104	TotalAmt
Management And General	$130,104	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$43,706	TotalAmt
Management And General	$43,706	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$30,000	TotalAmt
Fundraising	$30,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,818,975	TotalAmt
Program Services	$5,656,703	ProgramServicesAmt
Management And General	$1,162,272	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,111,099	TotalAmt
Program Services	$22,417	ProgramServicesAmt
Management And General	$1,088,682	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,357,244	TotalAmt
Program Services	$5,040,999	ProgramServicesAmt
Management And General	$1,277,174	ManagementAndGeneralAmt
Fundraising	$39,071	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,699,727	TotalAmt
Program Services	$4,667,394	ProgramServicesAmt
Management And General	$32,333	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,406,005	TotalAmt
Program Services	$12,315,800	ProgramServicesAmt
Management And General	$90,205	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$517,887	TotalAmt
Program Services	$473,281	ProgramServicesAmt
Management And General	$44,356	ManagementAndGeneralAmt
Fundraising	$250	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$53,849	TotalAmt
Program Services	$48,376	ProgramServicesAmt
Management And General	$5,473	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,813,445	TotalAmt
Program Services	$2,813,445	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,037,624	TotalAmt
Program Services	$24,037,624	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,533,915	TotalAmt
Management And General	$4,533,915	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$102,050,037	$101,773,297	$271,463	$5,277
CONTRACT SERVICES	$14,557,482	$12,961,478	$1,580,808	$15,196
REPAIR & MAINTENANCE	$6,441,009	$6,422,663	$18,346
MEDICAID FRA EXPENSE	$22,476,000	$22,476,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,098,659	TotalAmt
Program Services	$8,829,642	ProgramServicesAmt
Management And General	$2,220,492	ManagementAndGeneralAmt
Fundraising	$48,525	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$444,328,445	TotalAmt
Program Services	$417,154,969	ProgramServicesAmt
Management And General	$26,231,143	ManagementAndGeneralAmt
Fundraising	$942,333	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$78,592,359	BOYAmt
EOY	$74,265,232	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,454,341	BOYAmt
EOY	$7,247,021	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$46,912,314	BOYAmt
EOY	$43,765,618	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,730,703	BOYAmt
EOY	$6,700,216	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,396,706	BOYAmt
EOY	$5,523,116	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$623,702,814	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$400,172,053	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$204,733,732	BOYAmt
EOY	$223,530,761	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$222,459,295	BOYAmt
EOY	$260,490,784	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,419,207	BOYAmt
EOY	$34,770,786	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$597,698,657	BOYAmt
EOY	$656,293,534	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$42,403,719	BOYAmt
EOY	$39,829,620	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$299,887	BOYAmt
EOY	$500,510	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$92,869,102	BOYAmt
EOY	$95,772,409	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$343,650	BOYAmt
EOY	$319,810	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,015,850	BOYAmt
EOY	$27,095,242	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$174,932,208	BOYAmt
EOY	$163,517,591	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$399,136,313	BOYAmt
EOY	$463,442,366	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,429,855	BOYAmt
EOY	$10,351,786	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,200,281	BOYAmt
EOY	$18,981,791	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$422,766,449	BOYAmt
EOY	$492,775,943	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$597,698,657	BOYAmt
EOY	$656,293,534	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$47,412,010	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$20,397,697	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,199,787	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$43,706	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$43,706	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL INFORMATION 1	FormAndLineReferenceDesc
Explanation	PART II-B, LINE 1F Approximately $43,706 of the dues paid to various trade organizations for the year ended in June 30, 2017 are attributable to lobbying activities by the organizations.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,630,136	BeginningYearBalanceAmt
Contributions	$7,590,253	ContributionsAmt
Investment Earnings Or Losses	$781,010	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,667,822	OtherExpendituresAmt
End Year Balance	$29,333,577	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,919,310	BeginningYearBalanceAmt
Contributions	$2,244,191	ContributionsAmt
Investment Earnings Or Losses	-$63,398	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,469,967	OtherExpendituresAmt
End Year Balance	$23,630,136	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,400,487	BeginningYearBalanceAmt
Contributions	$7,290,848	ContributionsAmt
Investment Earnings Or Losses	$247,388	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,019,413	OtherExpendituresAmt
End Year Balance	$22,919,310	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,849,501	BeginningYearBalanceAmt
Contributions	$8,731,884	ContributionsAmt
Investment Earnings Or Losses	$1,146,318	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,327,216	OtherExpendituresAmt
End Year Balance	$17,400,487	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,856,410	BeginningYearBalanceAmt
Contributions	$1,645,604	ContributionsAmt
Investment Earnings Or Losses	$653,884	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,306,397	OtherExpendituresAmt
End Year Balance	$10,849,501	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.64710	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.35290	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,267,851	OtherCostOrOtherBasisAmt
Book Value	$17,267,851	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$349,530,183	OtherCostOrOtherBasisAmt
Depreciation	$191,674,213	DepreciationAmt
Book Value	$157,855,970	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,247,396	OtherCostOrOtherBasisAmt
Depreciation	$13,072,350	DepreciationAmt
Book Value	$11,175,046	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$227,312,716	OtherCostOrOtherBasisAmt
Depreciation	$195,425,490	DepreciationAmt
Book Value	$31,887,226	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,344,668	OtherCostOrOtherBasisAmt
Book Value	$5,344,668	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$223,530,761	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED COMPENSATION	$8,458,000
ORGANIZATION COSTS	$2,040
SPECIAL PURPOSE FUND	$3,104,765
ESCROW DEPOSITS	$10,253,567
INVESTMENTS	$8,054,042
FINANCING COSTS	$64,717
INTERCOMPANY RECEIVABLE	$815,655
DUE TO MEDICARE	$4,018,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$34,770,786	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$8,458,000
INSURANCE RESERVES & OTHER	$13,412,366
PENSION LIABILITY	$3,162,782
MEDICARE REIMBURSEMENT/SETTLEMENT	$1,947,633
OTHER CURRENT LIABILITIES	$114,461

Field	Value	IRS element (for citing)
Total Liability	$27,095,242	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B: ESCROW AND CUSTODIAL ARRANGEMENTS	THE HOSPITAL OBTAINS ONE MONTH'S WORTH OF DEPOSITS IN ADVANCE FOR ROOM AND BOARD CHARGES FOR SKILLED NURSING FACILITY PRIVATE PAY RESIDENTS.
PART V, LINE 4: INTENDED USE OF ENDOWMENT FUNDS	ENDOWMENT FUNDS CONSIST OF APPROXIMATELY ELEVEN 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 2017 OR 2016.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	WILKINSON GROUP	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4516 Pershing Place	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63108	ZIPCd

Field	Value	IRS element (for citing)
Activity	CONSULTING	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Retained By Contractor	$30,000	RetainedByContractorAmt
Net To Organization	-$30,000	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$30,000	TotalRetainedByContractorsAmt
Total Net To Organization	-$30,000	TotalNetToOrganizationAmt
Licensed States	MO	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Bike Tour	Event1Nm
Gross Receipts Event1	$49,443	GrossReceiptsEvent1Amt
Charitable Contri Event1	$2,763	CharitableContriEvent1Amt
Gross Revenue Event1	$46,680	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$6,792	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$4,179	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$16,891	OtherDirectExpensesEvent1Amt
Event2	Gala	Event2Nm
Gross Receipts Event2	$335,538	GrossReceiptsEvent2Amt
Charitable Contri Event2	$54,930	CharitableContriEvent2Amt
Gross Revenue Event2	$280,608	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$142,254	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$85,327	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$52,272	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$19,604	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$32,668	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$6,810	RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events	$2,047	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$437,253	GrossReceiptsTotalAmt
Charitable Contributions Tot	$77,297	CharitableContributionsTotAmt
Gross Revenue Total Events	$359,956	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$155,856	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$4,179	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$104,265	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$264,300	DirectExpenseSummaryEventsAmt
Net Income Summary	$95,656	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	17895	PersonsServedCnt
Total Community Benefit Expns	$6,057,287	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,057,287	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	8329	PersonsServedCnt
Total Community Benefit Expns	$8,716,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,484,524	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,232,137	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	26224	PersonsServedCnt
Total Community Benefit Expns	$14,773,948	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,484,524	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,289,424	NetCommunityBenefitExpnsAmt
Total Expense	0.02090	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,860,627	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,366	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,768,261	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,727,757	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,392,478	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,335,279	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	5680	PersonsServedCnt
Total Community Benefit Expns	$1,600,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$548,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,052,389	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$587,194	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$587,194	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	5680	PersonsServedCnt
Total Community Benefit Expns	$10,776,437	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,033,314	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,743,123	NetCommunityBenefitExpnsAmt
Total Expense	0.01520	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	31904	PersonsServedCnt
Total Community Benefit Expns	$25,550,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,517,838	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,032,547	NetCommunityBenefitExpnsAmt
Total Expense	0.03610	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,006,561	BadDebtExpenseAmt
Bad Debt Expense Attributable	$133,915	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$127,713,024	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$136,212,935	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,499,911	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct
ST LUKE'S CENTER
OUTPATIENT IMAGING MGMT SERV	0.31	0.18
FOR DIAGNOSTIC

IMAGING LLC

ST LUKE'S HOSPITAL
ORTHOPEDIC/MGMT SERVICES	0.375	0.5	0.125
ORTHOPEDIC SERVICES

LLC

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
ST LUKE'S HOSPITAL
1	232 S WOODS MILL RD	CHESTERFIELD	MO	63017	WWW.STLUKES-STL.COM	274-42	Yes (X)	Yes (X)	Yes (X)	Yes (X)
ST LUKE'S REHABILITATION HOSPITAL
2	14709 OLIVE BLVD	CHESTERFIELD	MO	63017	WWW.KHREHABSTLUKE.COM	510-9	Yes (X)				REHABILITATION HOSP.

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Asset Level CriteriaAssetLevelCriteriaInd	Other CriteriaOtherCriteriaInd	Other PublicityOtherPublicityInd	Other Actions TakenOtherActionsTakenInd	No Emergency CareNoEmergencyCareInd
ST LUKE'S HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE SUPPLEMENTAL INFORMATION 2	Yes (X)	Yes (true)	15	Yes (true)	SEE SUPPLEMENTAL INFORMATION 3	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.STLUKES-STL.COM/PAY	Yes (X)	WWW.STLUKES-STL.COM/PAY	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
ST LUKE'S REHABILITATION HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE SUPPLEMENTAL INFORMATION 2	Yes (X)	Yes (true)	15	Yes (true)	SEE SUPPLEMENTAL INFORMATION 3	false	Yes (true)					Yes (X)			Yes (true)	Yes (true)	Yes (X)	Yes (X)		Yes (true)	Yes (X)	WWW.STLUKES-STL.COM/PAY	Yes (X)	WWW.STLUKES-STL.COM/PAY							Yes (true)	Yes (X)	false					false	Yes (X)	false	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ASIDE FROM SUPPLEMENTAL INFORMATIONS 5 AND 6, 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. SUPPLEMENTAL INFORMATION 1 PART V, SECTION B, LINES 5, 6A, AND 6B ST. LUKE'S HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2016 REPORT IS ATTACHED. THE HOSPITAL FACILITY SOLICITED INPUT FROM AREA HEALTH EXPERTS AND COMMUNITY LEADERS, AND SELECTED PRIMARY AND SECONDARY SURVEY SOURCES OF INPUT TO IDENTIFY TARGET AREAS FOR IMPROVEMENT WHEN CONDUCTING THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AS OUTLINED IN THE COMMUNITY INPUT FOCUS GROUPS SECTION OF THE ST. LUKE'S HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2016, THE PRIMARY RESEARCH METHODOLOGY INCLUDED COLLABORATION WITH BJC HEALTHCARE, MERCY ST. LOUIS, AND ST. ANTHONY'S MEDICAL CENTER IN SOLICITING INPUT FROM HEALTH EXPERTS AND INDIVIDUALS WITH SPECIAL INTEREST IN POPULATIONS SERVED BY THESE HOSPITALS, SPECIFICALLY IN THE WEST AND SOUTH ST. LOUIS COUNTY AREAS. NINETEEN (19) INDIVIDUALS REPRESENTING VARIOUS ST. LOUIS COUNTY ORGANIZATIONS PARTICIPATED IN A FOCUS GROUP PROCESS. THE COMMUNITY STAKEHOLDER FOCUS GROUP MEMBERS (AS OUTLINED IN APPENDIX B OF THE CHNA REPORT) REPRESENTED THE FOLLOWING ORGANIZATIONS: -AMERICAN CANCER SOCIETY -AMERICAN HEART ASSOCIATION -CATHOLIC REPRESENTATIVE/CATHOLIC FAMILY SERVICES -JEWISH COMMUNITY CENTER -MANCHESTER UNITED METHODIST CHURCH -LEMAY FIRE PROTECTION DISTRICT -MID EAST AREA ON AGING -NATIONAL COUNCIL ON ALCOHOLISM AND DRUG ABUSE -SOUTH COUNTY HEALTH CENTER -BEHAVIORAL HEALTH NETWORK -ST. LOUIS COUNTY HEALTH DEPT. -OFFICE OF THE COUNTY EXECUTIVE -REGIONAL HEALTH COMMISSION -ST. LOUIS SUBURBAN SCHOOL NURSES -ST. LOUIS COUNTY COUNCIL 3RD DIST. - TOWN & COUNTRY -UNITED WAY -ALIVE -ST. LOUIS CRISIS NURSERY -CRISIS NURSERY -FEED MY PEOPLE -PEOPLES HEALTH CENTERS A FOCUS GROUP WAS CONDUCTED IN JULY 2015 TO SOLICIT FEEDBACK FROM THESE INDIVIDUALS ON THE NEEDS OF THE ST. LOUIS COUNTY POPULATION. PARTICIPANTS WERE GIVEN THE LIST OF THE NEEDS IDENTIFIED IN THE 2013 ASSESSMENT AND ASKED TO RE-RANK THEM ON A SCALE OF 1(LOW) TO 5(HIGH), BASED ON THEIR PERCEIVED LEVEL OF COMMUNITY CONCERN AND THE ABILITY OF COMMUNITY ORGANIZATIONS TO COLLABORATE AROUND THEM (SEE CHART ON PAGE 15 OF THE CHNA REPORT). TO FURTHER VALIDATE THE PRIORITIZED NEEDS DETERMINED BY THE FOCUS GROUP, ST. LUKE'S HOSPITAL SURVEYED DAY OF DANCE PARTICIPANTS (FREE WELLNESS EVENT), COMPLETED A HEALTH STATUS SURVEY, AND COMPILED RESULTS AND KEY FINDINGS FROM THE COMPLETED SURVEYS INTO A GROUP HEALTH PROFILE AND COMPARED TO THE 2013 DATA. (SEE RESULTS ON PAGE 17 OF THE CHNA). IN ADDITION, ST. LUKE'S PROVIDES A WORKSITE WELLNESS PROGRAM CALLED PASSPORT TO WELLNESS TO MORE THAN 100 LOCAL EMPLOYERS (INCLUDING ST. LUKES EMPLOYEES). THROUGH A HEALTH RISK ASSESSMENT, WE COLLECT AND AGGREGATE DATA. THE DATA WAS COLLECTED USING A GROUP HEALTH REPORT FROM 2013 COMPARED WITH THE SAME CONSUMERS IN 2015 (SEE PAGE 17 AND APPENDIX C OF THE CHNA REPORT FOR THE COMPARISON). IN ADDITION TO THE PRIMARY RESEARCH, ST. LUKE'S UTILIZED THE FOLLOWING MAJOR SECONDARY DATA SOURCES: -2012 ST. LOUIS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (SEE PAGE 13 OF THE CHNA REPORT FOR COMMUNITY SURVEY RESULTS FOR "HEALTH STATUS"PRIMARY CARE") -HEALTH COMMUNITIES INSTITUTE (SEE THROUGHOUT "ST. LUKE'S HOSPITAL PRIORITY FOCUS AREAS" OF THE CHNA REPORT) -2016 ST. LOUIS COUNTY HEALTH RANKINGS (SEE APPENDIX A OF THE CHNA REPORT) -ST. LOUIS COUNTY DEPT. OF PUBLIC HEALTH "LEADING CAUSES OF DEATH" REPORT, PUBLISHED FEBRUARY 2016 (SEE PAGES 11 AND 12 OF THE CHNA REPORT) -2016 ST. LOUIS COUNTY HEALTH RANKINGS AND ROADMAPS REPORT (SEE PAGE 13 OF THE CHNA REPORT) ST. LUKE'S CHNA WORKGROUP REVIEWED AND EVALUATED ALL PRIMARY AND SECONDARY DATA SOURCES AND BASED ON THE RESULTS, ST. LUKE'S MAINTAINED ITS THREE (3) PRIORITY FOCUS AREAS THAT WERE IDENTIFIED IN THE 2013 ASSESSMENT, WHILE CONTINUING TO ADDRESS A VARIETY OF OTHER COMMUNITY NEEDS AND COLLABORATING WITH OTHER COMMUNITY RESOURCES WHEN NEEDED. THE THREE PRIORITY AREAS ARE: OBESITY AND SEDENTARY LIFESTYLES, CANCER SCREENING AND SUPPORT SERVICES, AND MANAGEMENT OF CHRONIC CONDITIONS.
SUPPLEMENTAL INFORMATION 2	PART V, SECTION B, LINE 7A WEBSITE URL: HTTPS://STLUKES-STL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/INDEX.HTML SUPPLEMENTAL INFORMATION 3 PART V, SECTION B, LINE 10A WEBSITE URL: HTTPS://STLUKES-STL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/INDEX.HTML SUPPLEMENTAL INFORMATION 4 PART V, SECTION B, LINE 11 ST. LUKE'S HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT 2016 REPORT IS ATTACHED. IN THE "OTHER IDENTIFIED NEEDS" SECTION OF THE CHNA REPORT (ATTACHED), THE FOLLOWING HEALTH ISSUES WERE ALSO IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND EXISTING RESOURCES TO MEET THESE NEEDS IN THE COMMUNITY ARE ADDRESSED. -ACCESS- ACCESS TO SERVICES DESCRIBES THE CAPACITY FOR INDIVIDUALS TO AFFORD AND ACCESS ACCEPTABLE, QUALITY HEALTH CARE IN A TIMELY AND CULTURALLY COMPETENT MANNER. BARRIERS TO ACCESS INCLUDE HIGH COST OF CARE, LACK OF INSURANCE OR UNDERINSURANCE, LOW INCOME, LACK OF SAFE AND RELIABLE TRANSPORTATION, HEALTH LITERACY, OR LIGUISTIC SERVICES, LOCATION AND INCONVENTIENT HOURS OF OPERATION. WHILE ST. LOUIS COUNTY HAS A STRONG RATIO OF PRIMARY CARE PHYSICIANS TO THE POPULATION (830:1) COMPARED TO THE STATE (1,420:1), ACCESS TO SERVICES WAS LISTED AS A TOP CONCERN BY FOCUS GROUPS IN THE COMMUNITY, RANKING 4TH BELOW BEHAVIORAL/MENTAL HEALTH, ALCOHOL/SUBSTANCE ABUSE, AND MATERNAL/CHILD HEALTH IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT. (ACCESS TO COVERAGE RANKED 7TH). AS A SUBPOPULATION OF ST. LOUIS COUNTY, ST. LUKES POPULATION IN WEST ST. LOUIS COUNTY FARES BETTER IN TERMS OF ACCESS TO CARE. ONLY 11% OF INDIVIDUALS REPORTED NOT HAVING A REGULAR SOURCE OF CARE, COMPARED TO 16% IN ST. LOUIS COUNTY AS A WHOLE, AND 17% IN THE STATE OF MISSOURI (ST. LOUIS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, 2012). 91% NAMED A DOCTORS OFFICE AS A USUAL SOURCE OF CARE, AND LESS THAN 19% REPORTED NOT HAVING A CHECCKUP WITHIN THE LAST TWO YEARS (ST. LOUIS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, 2012). BECAUSE ACCESS DOES NOT PRESENT AN URGENT NEED IN OUR AREA, IT WAS NOT ADDRESSED AS A PART OF OUR IMPLEMENTATION STRATEGY. HOWEVER, IN ORDER TO PROVIDE ACCESS IN THE COMMUNITY, ST. LUKE'S HOSPITAL PROVIDES FINANCIAL ASSISTANCE TO ALL PATIENTS WITH AN IDENTIFIED NEED. ST. LUKE'S HOSPITAL REACHES OUT TO SELF-PAY AND UNDERINSURED PATIENTS IN A NUMBER OF WAYS, INCLUDING RAISING AWARENESS OF MEDICAID HEALTH INSURANCE AND THE HOSPITAL'S SELF-PAY PLAN FOR PATIENTS. FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR PATIENTS DEPENDING ON INCOME, ASSETS, FAMILY SIZE AND MEDICAL NEEDS. ELIGIBILITY IS BASED ON FEDERAL POVERTY GUIDELINES. ASSISTANCE MAY BE AVAILABLE IN THE FORM OF FREE SERVICES OR REDUCED RATES. TRANSPORTATION IS MADE ACCESSIBLE TO PATIENTS THROUGH ST. LUKE'S HOSPITAL'S ARRANGEMENT WITH OLDER ADULTS TRANSPORTATION SERVICES (OATS) TRANSIT. ST. LUKE'S 26 LOCATIONS ACROSS ST. LOUIS AND ST. CHARLES COUNTIES, INCLUDING 9 URGENT AND CONVENIENT CARE CENTERS, FACILITATE ACCESS TO CARE ACROSS THE REGION. EACH FACILITY PROVIDES FREE PARKING AND ADA ACCESSIBILITY. URGENT CARE CENTERS ARE OPEN 8AM TO 8PM, SEVEN DAYS A WEEK. ST. LUKE'S PEDIATRIC CARE CENTER IS A MISSION-BASED AGENCY OF ST. LUKE'S HOSPITAL THAT HAS BEEN PROVIDING PRIMARY AND PREVENTATIVE CARE TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN FROM BIRTH TO AGE 18 IN NORTH ST. LOUIS CITY AND COUNTY FOR MORE THAN 60 YEARS. ST. LUKE'S FUNDS THIS COMMUNITY PROJECT, WITH OPERATING COSTS EXCEEDING $1 MILLION DOLLARS. HEALING GRACE WAS FORMED IN 2007 BY A ST. LUKE'S MEDICAL GROUP PHYSICIAN, WITH THE GOAL OF PROVIDING A CLINIC FOR THE UNINSURED IN WEST ST. LOUIS COUNTY BY USING PRIMARILY VOLUNTEER HELP AND LOW COST GENERIC MEDICATIONS. ST. LUKE'S HOSPITAL HAS PROVIDED MEDICAL SUPPLIES AND USED EQUIPMENT FOR THE CLINIC. THROUGH THE ST. LUKES 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 HOSPITAL DEPARTMENTS AND MEMBERS OF ST. LUKES MEDICAL STAFF, WITH FINANCIAL ASSISTANCE PROVIDED. VOLUNTEERS IN MEDICINE IS A NATIONAL NONPROFIT DEDICATED TO BUILDING A NETWORK OF SUSTAINABLE FREE PRIMARY HEALTH CARE CLINICS FOR THE UNINSURED IN LOCAL COMMUNITIES. OUR LOCAL WEST COUNTY CHAPTER SERVES ADULTS BETWEEN THE AGES OF 18-24 IN SEVERAL WEST COUNTY MUNICIPALITIES. SEVERAL OTHER ST. LOUIS COUNTY RESOURCES ARE ALSO LISTED IN THE CHNA REPORT TO ADDRESS ACCESS. -SENIOR CITIZENS- SEVERAL CONCERNS LISTED WITH REGARD TO THE ELDERLY IN THE COMMUNITY INCLUDE ACCESS TO CARE AND ABILITY TO PAY FOR NECESSARY SERVICES, SAFETY IN THE HOME, MANAGING MEDICATIONS, ETC. ST. LUKE'S HOSPITAL PROVIDES A SCOPE OF SERVICES WHICH ADDRESS THESE, AND OTHER ISSUES AFFECTING THE ELDERLY. THESE SERVICES INCLUDE: -HOME HEALTH SERVICES- ST. LUKE'S HOME HEALTH TEAM WORKS CLOSELY WITH THE PATIENT'S PHYSICIAN TO DEVELOP A PLAN TO PROVIDE CARE FOR THE PATIENT AT HOME. ST. LUKE'S ALSO REFERS PATIENTS AND COMMUNITY MEMBERS SEEKING ADDITIONAL RESOURCES OR CARE TO THE FOLLOWING ORGANIZATIONS: -ALZHEIMER'S ASSOCIATION -EXTRA HELP PROGRAM -MISSOURI AGING INFORMATION NETWORK -MISSOURI RX -SHOW ME FALLS FREE MISSOURI -SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM -SUBSTANCE ABUSE- FOUR MAJOR CONCERNS REGARDING DRUG AND ALCOHOL ABUSE WERE IDENTIFIED BY FOCUS GROUP RESPONDENTS: (1) PRESCRIPTION MEDICATION ABUSE, (2) ILLEGAL DRUGS, (3) BINGE DRINKING IN FEMALES OVER THE AGE OF 65, AND (4) THE USE OF MULTIPLE MEDICATIONS AT THE SAME TIME. SEVERAL RESOURCES IN ST. LOUIS COUNTY EXIST WITH A FOCUS ON PROVIDING INTERVENTION AND TREATMENT FOR THESE ISSUES: -ALCOHOLICS ANONYMOUS ST. LOUIS CHAPTER -BARNES-JEWISH HOSPITAL CHEMICAL DEPENDENCY PROGRAM -CENTERPOINTE OUTPATIENT CENTER -HYLAND BEHAVIORAL HEALTH -MERCY BEHAVIORAL HEALTH -NATIONAL COUNCIL ON ALCOHOLISM AND DRUG ABUSE (NCADA) - ST. LOUIS AREA -PROVIDENCE COUNSELING -MENTAL HEALTH- THE STAKEHOLDER FOCUS GROUPS IDENTIFIED TWO MAJOR NEEDS FOR MENTAL HEALTH WITHIN THE WEST COUNTY AREA: 1) A NEED FOR OUTPATIENT MENTAL HEALTH FOR ADULTS AND 2) A NEED FOR ADOLESCENT DAY CARE FOR CHILDREN DISCHARGED FROM HOSPITALS NEEDING EXTRA SUPPORT. ST. LOUIS COUNTY HAS A VERY ROBUST OFFERING OF BEHAVIORAL HEALTH SERVICES TO ADEQUATELY ADDRESS THIS HEALTH ISSUE: -BARNES-JEWISH HOSPITAL -MERCY HOSPITAL -SSM DEPAUL HEALTH CENTER -SSM ST. MARY'S HEALTH CENTER -ST. ANTHONY'S MEDICAL CENTER -ST. LOUIS CHILDREN'S HOSPITAL -GRACE HILL CLINIC -KIDS FIRST IN ST. LOUIS COUNTY THE ST. LOUIS COUNTY HEALTH AND WELLNESS PROGRAM OFFERS A FAMILY MENTAL HEALTH COLLABORATIVE, WHICH FOCUSES ON MEETING THE MENTAL HEALTH NEEDS OF ST. LOUIS COUNTY. THE SERVICES ARE PROVIDED ON A SLIDING SCALE BASED ON THE FAMILY'S INCOME AND INSURANCE PLAN. -CULTURAL COMPETENCE & HEALTH LITERACY- HEALTH LITERACY DESCRIBES THE DEGREE TO WHICH A PERSON CAN OBTAIN, PROCESS, AND UNDERSTAND BASIC AND ESSENTIAL HEALTH INFORMATION AND SERVICES IN ORDER TO MAKE INFORMED, APPROPRIATE HEALTH CARE DECISIONS. BEING "HEALTH LITERATE", OR HAVING SOMEONE ACT AS AN ADVOCATE ON YOUR BEHALF, IS A NECESSARY REQUIREMENT IN TODAY'S COMPLEX HEALTH SYSTEM FOR A PERSON TO NAVIGATE THE HEALTH SYSTEM, RECEIVE TIMELY AND EFFECTIVE HEALTHCARE SERVICES, MANAGE CHRONIC CONDITIONS, AND UNDERSTAND HEALTH RISK. ST. LUKE'S HOSPITAL SUPPORTS THE PATIENT CARE NEEDS AND EDUCATIONAL NEEDS OF PATIENTS AND FAMILIES THROUGH A LIBRARY OF PRINT AND ONLINE RESOURCES, AS WELL AS ONE-ON-ONE PATIENT EDUCATION. ADDITIONALLY, WE MAINTAIN THE COMPETENCY OF OUR PROFESSIONAL STAFF BY PROVIDING EDUCATIONAL COURSES THAT ARE AVAILABLE THROUGHOUT THE YEAR. -INFANT MORTALITY RATE- FOCUS GROUPS IDENTIFIED INFANT MORTALITY RATES ARE A CONCERN FOR THE REGION. THE LEADING CAUSES OF DEATH AMONG INFANTS ARE BIRTH DEFECTS, PRE-TERM DELIVERY, LOW BIRTH WEIGHT, SUDDEN INFANT DEATH SYNDROME (SIDS), AND MATERNAL COMPLICATIONS DURING PREGNANCY. THE MATERNAL, CHILD AND FAMILY HEALTH COALITION PROVIDES PROGRAMS AND COLLABORATIONS WITH ORGANIZATIONS ACROSS THE REGION TO IMPROVE BIRTH OUTCOMES, PROMOTE HEALTHY FAMILIES, AND BUILD HEALTHY COMMUNITIES BY UNITING AND MOBILIZING THE ST. LOUIS REGION.
SUPPLEMENTAL INFORMATION 5	PART V, SECTION B, LINE 13H: ST. LUKE'S REHABILITATION HOSPITAL MEDICAID PENDING. SUPPLEMENTAL INFORMATION 6 PART V, SECTION B, LINE 16J AND 20E: ST. LUKE'S REHABILITATION HOSPITAL ST. 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. Lukes Hospital website St. Lukes Rehabilitation HOSPITAL IS LISTED UNDER THE "SERVICES"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 OBTAINED AT ANY ONE OF OUR FACILITIES."

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ST LUKE'S HOSP SK NURS FAC-SURREY PLACE
14701 OLIVE BLVD	CHESTERFIELD	MO	63017	SKILLED NURSING/RESIDENTIAL CARE FACILITY
ST LUKE'S HOSPITAL HOME HEALTH AGENCY
111 S WOODS MILL RD	CHESTERFIELD	MO	63017	HOME HEALTH SERVICES
ST LUKE'S HOSPITAL HOSPICE
111 S WOODS MILL RD	CHESTERFIELD	MO	63017	HOSPICE CARE
GATEWAY ENDOSCOPY CTR
12855 N 40 DR SUITE 150	ST LOUIS	MO	63141	GASTROINTESTINAL ENDOSCOPY

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL INFORMATION 1	PART I, LINE 3C N/A
SUPPLEMENTAL INFORMATION 2	PART I, LINE 6A N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATION
SUPPLEMENTAL INFORMATION 3	PART I, LINE 7G N/A
SUPPLEMENTAL INFORMATION 4	PART I, LINE 7 COLUMN (F) TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSE LINE 7A: CHARITY CARE 1.36% LINE 7B: UNREIMBURSED MEDICAID 1.96% LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS 3.32% LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES .42% LINE 7F: HEALTH PROFESSIONS EDUCATION 1.51% LINE 7G: SUBSIDIZED HEALTH SERVICES .36% LINE 7I: CASH AND IN-KIND CONTRIBUTIONS .13% LINE 7J: TOTAL OTHER BENEFITS 2.42% LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS 5.75% BAD DEBT EXPENSE SUBTRACTED FROM LINE 7, COLUMN (F): N/A-BAD DEBT IS A REDUCTION OF PATIENT REVENUE.
SUPPLEMENTAL INFORMATION 5	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. KEY INITIATIVES INCLUDE: 1) ANNUAL REPRESENTATION AT A MEETING OF THE PRESBYTERY OF GIDDINGS-LOVEJOY/EPISCOPAL DIOCESE OF MISSOURI BY THE PASTORAL CARE DIRECTOR TO PROVIDE AN OVERVIEW OF ANNUAL MISSION ACTIVITIES; 2) ANNUAL MISSION BROCHURE TO DESCRIBE HOSPITAL SERVICES, COMMUNITY OUTREACH, EDUCATION, PROVISION OF CHARITY CARE TO THE UNINSURED AND UNDERINSURED WITHIN THE COMMUNITY, AND INFORMATION ABOUT OTHER RESOURCES PROVIDED BY THE HOSPITAL, SUCH AS MEALS ON WHEELS AND THE PEDIATRIC CARE CENTER; 3) ANNUAL FOUNDER'S DAY CELEBRATION AT ST. LUKE'S ATTENDED BY HOSPITAL PHYSICIANS, EMPLOYEES, VOLUNTEERS AND CLERGY LEADERS FROM THROUGHOUT THE AREA TO CELEBRATE THE RENEWAL OF ST. LUKE'S MISSION AND COMMUNICATE HOW IT IS LIVED OUT IN THE DAILY SERVICES PROVIDED TO THE COMMUNITY; 4) RAISING AWARENESS ABOUT THE ST. LUKE'S PASTORAL CARE DEPARTMENT AND CLINICAL PASTORAL EDUCATION PROGRAM; AND 5) IDENTIFYING OPPORTUNITIES TO PROVIDE HEALTH EDUCATION ARTICLES AND INFORMATION ABOUT UPCOMING HEALTHY LIVING EVENTS TO THE PRESBYTERY/DIOCESE.
SUPPLEMENTAL INFORMATION 6	PART III, LINE 2 AND LINE 3: COSTING METHODOLOGY COST TO CHARGE RATIO
SUPPLEMENTAL INFORMATION 7	PART III, LINE 3: BAD DEBT EXPENSE 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.
SUPPLEMENTAL INFORMATION 8	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 9	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 10	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 AND PATIENTS ARE TREATED WITH DIGNITY, RESPECT AND IN LINE WITH OUR MISSION AND VALUES.
SUPPLEMENTAL INFORMATION 11	PART VI, LINE 2: NEEDS ASSESSMENT ALSO, SEE ST. LUKE'S HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2016 ATTACHED. ST. LUKE'S HOSPITAL HAS A STRONG COMMITMENT TO THE HEALTH OF OUR COMMUNITY. THROUGH THE HOSPITAL AND MORE THAN 26 AFFILIATED FACILITIES, WE IMPACT THE HEALTH OF PATIENTS EVERY DAY. BEYOND DELIVERING INPATIENT AND OUTPATIENT CARE, WE HAVE AN ACTIVE COMMUNITY OUTREACH OFFERING THAT PROVIDES NEARLY 1,000 EDUCATIONAL AND PREVENTIVE HEALTH OPPORTUNITIES EACH YEAR TO OUR COMMUNITY, IMPACTING NEARLY 40,000 PEOPLE. ADDITIONALLY, WE WORK WITH EMPLOYERS ACROSS THE AREA TO BRING HEALTH EDUCATION AND SCREENINGS TO THEIR WORKSITES. AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT ALL NON-PROFIT HOSPITALS ARE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS TO EVALUATE THE COMMUNITY NEEDS AND ENSURE WE ARE OFFERING PROGRAMMING AND SERVICES TO MEET THESE NEEDS. BASED ON OUR ANALYSIS FROM SURVEY DATA AND FEEDBACK FROM HEALTH EXPERTS AND THE COMMUNITY AND BUILDING ON THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT, THE PRIMARY AREAS OF FOCUS FOR OUR IMPLEMENTATION PLAN INCLUDE: -OBESITY AND SEDENTARY LIFESTYLE -CANCER SCREENINGS AND SUPPORT SERVICES -MANAGEMENT OF CHRONIC CONDITIONS ST. LUKE'S COMMUNITY HEALTH NEEDS ASSESSMENT AND REPORT IS THE PRODUCT OF A 12-MONTH PROCESS TO IDENTIFY AND ASSESS THE FULL SCOPE OF NEEDS OF THE WEST ST. LOUIS COUNTY POPULATION THROUGH INPUT SOLICITED FROM AREA HEALTH EXPERTS AND COMMUNITY LEADERS, AND SELECTED PRIMARY AND SECONDARY SURVEY SOURCES OF INPUT TO IDENTIFY TARGET AREAS FOR IMPROVEMENT. THE NEEDS ASSESSMENT DOCUMENT PROVIDES DETAILS ABOUT THE DATA COLLECTION, COMMUNITY INPUT AND THE ANALYSIS OF EXISTING PROGRAMS AND RESOURCES TO MEET IDENTIFIED COMMUNITY NEEDS. WE ALSO PREPARED AN UPDATED IMPLEMENTATION PLAN (NOVEMBER OF 2016) WITH WAYS TO ENHANCE OUR EDUCATIONAL PROGRAMS AND PARTNER WITH COMMUNITY ORGANIZATIONS TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITY. IMPLEMENTATION PLAN HIGHLIGHTS ARE LOCATED ON THE HOSPITAL WEBSITE - HTTPS://WWW.STLUKES-STL.COM -HEALTH PRIORITY: OBESITY AND SEDENTARY LIFESTYLE- GOAL: OFFER TOOLS TO HELP COMBAT RISING RATES OF ADULTS WHO ARE OBESE OR OVERWEIGHT; ENCOURAGE ACTIVE LIFESTYLES. -HEALTH PRIORITY: CANCER SCREENINGS AND SUPPORT SERVICES- GOAL: PROVIDE EDUCATION AND SCREENINGS TO HELP IDENTIFY CANCERS EARLIER. OFFER COMPREHENSIVE EDUCATION AND SUPPORT SERVICES TO CANCER PATIENTS. -HEALTH PRIORITY: MANAGEMENT OF CHRONIC CONDITIONS- GOAL: DECREASE RISK OF HEART DISEASE BY TARGETING HYPERTENSION AND TYPE 2 DIABETES. AFTER EVALUATING THESE HEALTH PRIORITIES, WE ESTABLISHED AN IMPLEMENTATION PLAN THAT INCORPORATED THESE INTO TWO HEALTH ISSUE GOALS: 1) AWARENESS OF LIFESTYLE RISK FACTORS TO PREVENT HEART DISEASE: THREE YEAR GOAL FOR IMPROVEMENT: BY 2019, INCREASE BY 2% THE NUMBER OF ADULTS IN OUR DEFINED COMMUNITY SCREENED AND COUNSELED FOR BMI, BLOOD PRESSURE, CHOLESTEROL OR GLUCOSE LEVELS THROUGH COMMUNITY EDUCATION PROGRAMS AND SCREENINGS TO PREVENT RISK OF HEART DISEASE. o STRATEGIES -EDUCATE ADULTS IN OUR COMMUNITY ON THE RISK FACTORS OF PRE-DIABETES, HYPERTENSION, ETC. -OFFER FREE OR LOW-COST WEIGHT MANAGEMENT RESOURCES -PROVIDE SCREENINGS FOR ADULTS IN OUR COMMUNITY TO IDENTIFY THOSE WITH ABNORMAL GLUCOSE, BLOOD PRESSURE OR CHOLESTEROL LEVELS o ACTIONS -PROVIDE EDUCATION/FREE OR LOW-COST SCREENINGS FOR BLOOD PRESSURE, CHOLESTEROL OR GLUCOSE AT COMMUNITY EVENTS -UTILIZE ST.LUKE'S WEBSITE TO PROVIDE EDUCATION AND RESOURCE MATERIALS RELATED TO PREVENTION OF HEART DISEASE -EVALUATE OPPORTUNITIES TO PARTICIPATE IN COMMUNITY PARTNERSHIPS (SEE PARTNERS IN IMPLEMENTATION PLAN ON ST. LUKES WEBSITE) o PROCESS AND OUTCOME MEASURES -INCREASE BY 2% THE NUMBER OF ADULTS ATTENDING PRE-DIABETES AND/OR MANAGEMENT OF DIABETES EDUCATION CLASSES -THROUGH A POST-CLASS EVALUATION, >95% OF ATTENDEES AT DIABETES PROGRAMS REPORT A GREATER UNDERSTANDING OF RISK PREVENTION AND/OR DIABETES MANAGEMENT -INCREASE BY 2% THE NUMBER OF ADULTS SCREENED FOR BLOOD PRESSURE, CHOLESTEROL OR GLUCOSE -100% OF THOSE SCREENED FOR BLOOD PRESSURE, CHOLESTEROL OR GLUCOSE RECEIVE CONSULTATION BY A HEALTH PROFESSIONAL ON HOW TO REDUCE THEIR LIFESTYLE RISK FACTORS THIS WILL EVENTUALLY LEAD TO BETTER HEALTH OUTCOMES RELATED TO MORBIDITY, MORTALITY, LIFE EXPECTANCY, HEALTHCARE EXPENDITURES, HEALTH STATUS AND FUNCTIONAL LIMITATIONS. 2) AWARENESS OF PREVENTIVE CANCER SCREENINGS AND RESOURCES THREE YEAR GOAL FOR IMPROVEMENT: BY 2019, INCREASE BY 2% THE NUMBER OF ADULTS IN WEST ST. LOUIS COUNTY REPORTED HAVING HAD A SCREENING FOR BREAST CANCER (WOMEN 40+), COLON CANCER (50+) OR LUNG CANCER (THOSE AT HIGH RISK). o STRATEGIES -EDUCATE THE ADULTS IN OUR COMMUNITY ON THE RECOMMENDED SCREENINGS FOR BREAST, COLON AND LUNG CANCER AND RESOURCES AVAILABLE IN THE COMMUNITY -OFFER ACCESS TO MAMMOGRAPHY, COLONOSCOPY AND LUNG CANCER SCREENINGS -PROVIDE A LUNG CANCER COORDINATOR TO IDENTIFY THOSE AT RISK FOR LUNG CANCER o ACTIONS -DISTRIBUTE EDUCATION MATERIALS TO INCREASE AWARENESS OF SCREENING GUIDELINES FOR BREAST, COLON AND LUNG CANCER -UTILIZE MOBILE MAMMOGRAPHY VAN TO PROVIDE EASIER ACCESS TO SCREENING MAMMMOGRAMS -EDUCATE THE COMMUNITY AND RECOMMEND TO PATIENTS AGE/RISK APPROPRIATE CANCER SCREENINGS -PROVIDE EDUCATION AND RESOURCES AT COMMUNITY AND WORKSITE WELLNESS PROGRAMS -CONDUCT REGULAR EMAIL DATABASE CAMPAIGNS TO INCREASE AWARENESS OF RISK AND WHEN TO GET APPROPRIATE SCREENINGS SEE PARTNERS IN IMPLEMENTATION PLAN OVERVIEW ON ST. LUKES WEBSITE o PROCESS AND OUTCOME MEASURES -INCREASE BY 2% THE NUMBER OF SPIRIT OF WOMEN MEMBERS RECEIVING PANEL CARD ON PREVENTIVE/RISK APPROPRIATE SCREENINGS FOR BREAST, COLON AND LUNG CANCER -ST. LUKES MEDICAL GROUP PHYSICIANS WILL INCREASE QUALITY PERFORMANCE SCORES RELATED TO RECOMMENDED AGE/RISK APPROPRIATE COLON CANCER SCREENINGS BY 15% -INCREASE BY 2% THE NUMBER OF HIGH-RISK ADULTS SCREENED FOR LUNG CANCER -INCREASE MOBILE MAMMOGRAPHY VAN SITES BY FIVE SITES
SUPPLEMENTAL INFORMATION 12	PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS 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 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 13	PART VI, LINE 4: COMMUNITY INFORMATION ST. LUKE'S SERVES THE REGION FROM MORE THAN 26 LOCATIONS ACROSS ST. LOUIS AND ST. CHARLES COUNTIES, WITH ITS SECONDARY SERVICE AREA INCLUDING PORTIONS OF THE CITY OF ST. LOUIS, FRANKLIN COUNTY AND JEFFERSON COUNTY. THE GEOGRAPHIC AREA POPULATION IS GREATER THAN 1.3 MILLION, WITH OVER 500,000 HOUSEHOLDS. IN ADDITION, PATIENTS FROM ST. CLAIR AND MADISON COUNTIES IN ILLINOIS UTILIZE ST. LUKE'S HOSPITAL.
SUPPLEMENTAL INFORMATION 14	PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH ADDITIONAL COMMUNITY SUPPORT INCLUDES: - ST. LUKE'S OFFERS A FREE MEMBERSHIP PROGRAM TO COMMUNITY WOMEN CALLED SPIRIT OF WOMEN. THIS NATIONAL PROGRAM FOCUSES ON ADVANCING WOMEN'S HEALTHCARE AND INSPIRING WOMEN TO TAKE ACTION FOR THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. 13,000 WOMEN HAVE JOINED THE PROGRAM TO-DATE TO RECEIVE ONGOING HEALTH INFORMATION ABOUT KEY HEALTH TOPICS AND INFORMATION ON MANY FREE HEALTH EDUCATION PROGRAMS OFFERED BY ST.LUKE'S. - ST. LUKE'S SUPPORTS THE LEADERSHIP CHESTERFIELD PROGRAM BY PROVIDING SPEAKERS AND MEETING ROOMS FOR THIS GROUP. THIS PROGRAM IS STRUCTURED TO CHALLENGE BUSINESS PROFESSIONALS AND COMMUNITY MEMBERS BY ADDRESSING TOPICS SUCH AS GOVERNMENT AND PUBLIC SERVICE, HISTORY, ARTS AND CULTURE, EDUCATION AND TRAINING, HEALTH CARE AND QUALITY OF LIFE, AND COMMUNITY GROWTH AND DEVELOPMENT. - ST. LUKE'S PARTICIPATES ON THE CHESTERFIELD CHAMBER OF COMMERCE BOARD OF DIRECTORS AND IS AN ACTIVE PARTICIPANT IN VARIOUS AREA CHAMBERS OF COMMERCE WITHIN ITS SERVICE AREA. - ST. LUKE'S PARTICIPATES ON THE YMCA WEST COUNTY BOARD OF DIRECTORS, GIRL SCOUTS OF EASTERN MISSOURI BOARD OF DIRECTORS AND OTHER VARIOUS LOCAL BOARDS. - A ST. LUKE'S LEADERSHIP TEAM MEMBER PARTICIPATES IN AN ACTIVE ROLE ON THE HEALTH SUBCOMMITTEE FOR PARTNERS FOR PROGRESS OF ST. CHARLES COUNTY, WHICH IS AFFILIATED WITH THE ECONOMIC DEVELOPMENT CENTER. THIS COMMITTEE MEETS TO DISCUSS ENVIRONMENT AND INFRASTRUCTURE, EDUCATION, HEALTH AND PUBLIC POLICY. - A ST. LUKE'S SR. STAFF MEMBER PARTICIPATES ON THE EPISCOPAL-PRESBYTERIAN TRUST FUND BOARD WHICH DONATES SIGNIFICANT MONIES TO HELP THE POOR IN THE CITY OF ST. LOUIS. - A ST. LUKE'S SR. STAFF MEMBER PARTICIPATES ON THE CHESTERFIELD DEVELOPMENT ADVISORY BOARD. THIS GROUP PROVIDES A SOUNDING BOARD FOR THE MAYOR AND STAFF, AS WELL AS AN OPPORTUNITY TO SEEK THE OPINION OF LOCAL BUSINESS LEADERS. - ST. LUKE'S COMMUNITY OUTREACH DEPARTMENT STRONGLY SUPPORTS THE AREA'S SCHOOL NURSES, PROVIDING MEETING ROOMS AND MISSOURI NURSING ASSOCIATION (MONA) CREDIT HOURS FOR THEIR EDUCATIONAL MONTHLY MEETINGS AND AN ANNUAL "CONCEPTS IN SCHOOL NURSING" WORKSHOP. FOCUS IS ON THE KEY "HOT TOPICS" SCHOOL NURSES MUST ADDRESS TO KEEP STUDENTS HEALTHY AND SAFE IN THE SCHOOL ENVIRONMENT. - ST. LUKE'S HAS PARTICIPATED IN THE ST. LOUIS INTERNSHIP PROGRAM FOR NEARLY 15 YEARS. THIS PROGRAM IS DESIGNED TO INVEST IN OUR COMMUNITY BY OFFERING SUPPORT IN LIFE SKILLS AND INSPIRATION TO UNDERSERVED HIGH SCHOOL STUDENTS. AS A CORPORATE PARTNER, ST. LUKE'S HELPS THESE STUDENTS REALIZE THEIR POTENTIAL BY EXPOSING THEM TO HEALTHCARE JOB OPPORTUNITIES AND PROVIDING THEM WITH MEANINGFUL WORK DURING AN 8 WEEK SUMMER INTERNSHIP. EACH SUMMER, ST. LUKE'S SPONSORS 4-8 HIGH SCHOOL INTERNS. ST. LUKE'S HAS BEEN RECOGNIZED BY THE BOARD OF THE ST. LOUIS INTERNSHIP PROGRAM FOR THE HOSPITAL'S CONSISTENT DEDICATION TO THESE YOUTH AND FOR THE HIGH MARKS THE INTERNS GIVE THE HOSPITAL FOR THEIR PROFESSIONAL WORK EXPERIENCE. APPROXIMATELY 95 PERCENT OF THE INTERNS GRADUATE FROM HIGH SCHOOL AND GO ON TO POST-SECONDARY EDUCATION OR TRAINING. ST. LUKE'S IS A PROUD PARTICIPANT IN THE PROGRAM, BELIEVING THAT THE ENTIRE COMMUNITY BENEFITS BECAUSE THE PROGRAM INCREASES THE SKILLED TALENT IN THE WORKFORCE AND CULTIVATES FUTURE ST. LOUIS LEADERS. - ST. LUKE'S ALSO PARTNERS WITH ACADEMIC FACILITIES THROUGHOUT THE REGION BY PROVIDING SUPERVISED INTERNSHIPS FOR COLLEGE AND GRADUATE STUDENTS IN VARIOUS HEALTHCARE FIELDS (NURSING, PHYSICAL THERAPY, HOSPITAL ADMINISTRATION, HEALTH INFORMATION SERVICES, SOCIAL SERVICES, ETC.). THESE INTERNSHIPS PROVIDE NEW GRADUATES WITH THE REAL LIFE PROFESSIONAL EXPERIENCES THEY NEED PRIOR TO ENTERING THE WORKFORCE AS A HEALTHCARE PROFESSIONAL. - ST. LUKE'S OFFERS USE OF ITS INSTITUTE FOR HEALTH EDUCATION AUDITORIUM AND MEETING SPACE FREE OF CHARGE TO AREA NON-PROFITS FOR HEALTH EDUCATION AND SUPPORT GROUPS. - ST. LUKE'S PHYSICIANS AND HEALTH EDUCATORS AUTHOR TWO HEALTH COLUMNS IN THE ST. LOUIS POST-DISPATCH NEWSPAPER EACH MONTH TO RAISE AWARENESS ABOUT KEY HEALTH TOPICS. THE PHYSICIANS AND HEALTH EDUCATORS ALSO CONDUCT MEDIA INTERVIEWS FOR PRINT AND TELEVISION ON KEY HEALTH TOPICS TO HELP EDUCATE THE PUBLIC ON DIAGNOSIS AND TREATMENTS FOR VARIOUS MEDICAL CONDITIONS. - ST. LUKE'S WORKS WITH AREA PUBLIC AND PRIVATE HIGH SCHOOLS AND COLLEGES TO PROVIDE "SHADOWING" EXPERIENCES FOR STUDENTS INTERESTED IN THE MEDICAL PROFESSION. THIS ENABLES STUDENTS TO GAIN ADDITIONAL KNOWLEDGE TO HELP GUIDE THEM IN THEIR CHOICE OF PROFESSIONAL CAREERS. OTHER SERVICES PROVIDED: ST. LUKE'S HOSPITAL IS A REGIONAL HEALTH CARE PROVIDER COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR PATIENTS AND THE COMMUNITY. ST. LUKE'S OFFERS SERVICES FROM MORE THAN 26 LOCATIONS WITH SERVICES IN 60 SPECIALTY AREAS INCLUDING CARDIOVASCULAR CARE AND SURGERY, CANCER CARE, NEUROSURGERY AND NEUROLOGY, ORTHOPEDICS, MATERNITY AND OTHER WOMEN'S HEALTH, GENERAL MEDICINE, OUTPATIENT SERVICES, PEDIATRICS AND COMPREHENSIVE SURGICAL SERVICES. GIVEN THE DRAMATIC GROWTH IN THE NUMBER OF PEOPLE USING THE INTERNET TO OBTAIN INFORMATION ON HEALTHCARE, ST. LUKE'S UTILIZES TECHNOLOGY RESOURCES TO IMPROVE THE HEALTH OF THE COMMUNITY AND EDUCATE PATIENTS AND THE PUBLIC BY OFFERING THE FOLLOWING HEALTH INFORMATION: - WOMEN'S CENTER - PROVIDES IN-DEPTH INFORMATION ON THE PREVENTION, DIAGNOSIS, TREATMENT, AND CARE OF CONDITIONS THAT AFFECT WOMEN OF ALL AGES. - PEDIATRIC CENTER - PROVIDES IN-DEPTH INFORMATION ON THE PREVENTION, DIAGNOSIS, TREATMENT, AND CARE OF CONDITIONS THAT AFFECT NEWBORNS, CHILDREN, AND ADOLESCENTS. - SENIOR CENTER - PROVIDES IN-DEPTH INFORMATION ON THE PREVENTION, DIAGNOSIS, TREATMENT, AND CARE OF CONDITIONS THAT BECOME MORE COMMON AS PEOPLE AGE. - MEN'S CENTER - PROVIDES IN-DEPTH INFORMATION ON THE PREVENTION, DIAGNOSIS, TREATMENT, AND CARE OF CONDITIONS THAT AFFECT MEN OF ALL AGES. - MULTIMEDIA ENCYCLOPEDIA - TAKE CHARGE OF YOUR HEALTH AND GAIN KNOWLEDGE BY WATCHING INFORMATIVE MULTIMEDIA PRESENTATIONS. - SYMPTOM NAVIGATOR - "WHERE DOES IT HURT?" - MY CHECKUPS - KNOW WHEN TO SCHEDULE IMPORTANT EXAMS. - IN-DEPTH REPORTS - 100 TOPICS FOR ADVANCED STUDY. - PREGNANCY HEALTH CENTER - IMPORTANT INFORMATION DESIGNED TO GUIDE YOU THROUGH YOUR PREGNANCY - YOU WILL SEE HOW YOUR BABY DEVELOPS EACH WEEK, FIND HELPFUL PLANNING TIPS, AND LEARN WHAT TO EXPECT FROM LABOR AND DELIVERY. - SURGERY AND PROCEDURES - INCLUDES DESCRIPTIONS, VISUAL ILLUSTRATIONS AND INDICATORS FOR SPECIFIC SURGERIES. - HEALTH CARE GUIDES - EDUCATIONAL MATERIALS FOR SPECIFIC CONDITIONS INCLUDING: HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, ALLERGIES AND TYPE I DIABETES. - WELLNESS TOOLS - HEALTH CALCULATORS INCLUDING: BODY MASS INDEX, CALORIE BURNER COUNTER, TARGET HEART RATE, IDEAL BODY WEIGHT, NUTRITIONAL NEEDS AND WAIST TO HIP CALCULATORS. - DRUG INTERACTION CENTER - MEDICATION INFORMATION INCLUDING DESCRIPTION OF THE MEDICINES, POSSIBLE INTERACTIONS AND REASONS FOR TAKING PRESCRIBED MEDICATIONS. - DRUG NOTES - MEDICATIONS IN ALPHABETICAL ORDER. - BODY GUIDE - INTERACTIVE GUIDE TO ALL 12 BODY SYSTEMS. - ANIMATION PLAYER - VISUALLY-RICH, MULTIMEDIA PRESENTATION. - HEART AWARE RISK ASSESSMENT - THIS ASSESSMENT HELPS PATIENTS ASSESS AND IDENTIFY POTENTIAL RISK OF HEART DISEASE AND OTHER HEALTH CONCERNS. ST. LUKE'S HOSPITAL EARLY DETECTION CENTER CONTACTS AT RISK PATIENTS TO SCHEDULE A FREE FOLLOW-UP EVALUATION WITH A REGISTERED HEART CARING PROFESSIONAL. THIS 45-MINUTE APPOINTMENT INCLUDES A FREE CHOLESTEROL/GLUCOSE SCREENING, A BLOOD PRESSURE CHECK AND PERSONAL CONSULTATION ON SCREENING RESULTS. - OTHER HEALTH AWARE RISK ASSESSMENTS - THESE ONLINE ASSESSMENTS FOR STROKE, SPINE ISSUES AND SLEEP HEALTH, DIABETES AND LUNG HEALTH PROVIDE THE COMMUNITY WITH ESTIMATED RISK FOR VARIOUS CONDITIONS. MEDICAL STAFF: ST. LUKE'S HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR PRIMARY CARE SERVICES (I.E. INTERNAL MEDICINE AND PEDIATRICS). OF THE CURRENT 737 PHYSICIANS ON THE MEDICAL STAFF, 94% ARE BOARD CERTIFIED. GOVERNING BODY: ST. LUKE'S HOSPITAL HAS 16 VOTING MEMBERS ON ITS BOARD OF DIRECTORS. THEY INCLUDE COMMUNITY AND CORPORATE LEADERS AS WELL AS PHYSICIANS AND REPRESENTATIVES OF BOTH THE EPISCOPAL AND PRESBYTERIAN CHURCHES. 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 15	PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM N/A
SUPPLEMENTAL INFORMATION 16	PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT N/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA)
SUPPLEMENTAL INFORMATION 17	ST. LUKES EPISCOPAL-PRESBYTERIAN HOSPITALS PERFORMED AN INTERNAL COMPLIANCE ASSESSMENT OF THE SYSTEMS ADHERENCE TO THE FINAL SECTION 501(R) REGULATIONS, APPLICABLE TO ALL ST. LUKES HOSPITAL FACILITIES BEGINNING WITH THE FISCAL YEAR ENDED JUNE 30, 2017. THE OBJECTIVE OF THIS ASSESSMENT WAS TO EVALUATE ST. LUKES COMPLIANCE WITH THE FINAL REGULATIONS ISSUED ON DECEMBER 30, 2014, IDENTIFY ANY COMPLIANCE GAPS, AND IMMEDIATELY FACILITATE THE CORRECTION OF ANY IDENTIFIED DEFICIENCIES. FINANCIAL ASSISTANCE POLICY AS OF JUNE 30, 2017, ST. LUKES DISCOVERED GAPS IN ITS COMPLIANCE WITH THE SECTION 501(R) REGULATIONS. NECESSARY REVISIONS INCLUDED MAKING THE FAP AVAILABLE ON THE WEBSITE IN ENGLISH AND SPANISH; PROVIDING CONTACT INFORMATION TO OBTAIN INFORMATION ABOUT THE POLICY AND/OR ASSISTANCE WITH THE APPLICATION PROCESS; ADDING LANGUAGE TO INFORM PATIENTS THAT THE FAP IS AVAILABLE FREE OF CHARGE; DESCRIBING THE METHOD FOR DETERMINING AGB; OUTLINING THE PERCENTAGE FOR AGB; AND DESCRIBING ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. TO ADDRESS THESE IDENTIFIED GAPS, ST. LUKES PATIENT FINANCIAL SERVICES DEPT. REVISED AND REVIEWED THE FAP DURING ITS YEAR ENDING JUNE 30, 2018 TO ENSURE ALL CRITERIA WERE MET WITH RESPECT TO THE FINAL 501(R) REGULATIONS. ALL REQUIRED DOCUMENTATION RELATED TO THE FAP HAS BEEN MADE AVAILABLE IN ALL REQUIRED LANGUAGES ON THE ST. LUKES PUBLIC WEBSITE. ST. LUKES ALSO EXPANDED THE TRANSLATIONS AVAILABLE TO KOREAN, BOSNIAN, AND CHINESE (EVEN THOUGH NOT REQUIRED BY THE REGULATIONS). PLAIN LANGUAGE SUMMARY AS OF JUNE 30, 2017, ST. LUKES DISCOVERED GAPS IN ITS PLAIN LANGUAGE SUMMARY (PLS). NECESSARY REVISIONS INCLUDED MAKING THE PLS AVAILABLE IN ENGLISH AND SPANISH; ADDING LANGUAGE TO OUTLINE THE PERCENTAGES FOR AGB FOR PATIENTS ELIGIBLE FOR ASSISTANCE UNDER THE FAP; AND MAKING THE PLS WIDELY AVAILABLE ON THE WEBSITE. TO ADDRESS THESE IDENTIFIED GAPS, ST. LUKES PATIENT FINANCIAL SERVICES DEPT. REVIEWED AND REVISED THE PLS DURING ITS YEAR ENDING JUNE 30, 2018 TO ENSURE ALL CRITERIA WERE MET WITH RESPECT TO THE FINAL 501(R) REGULATIONS. THE PLAIN LANGUAGE SUMMARY WAS MADE AVAILABLE IN LANGUAGES WITH SIGNIFICANT POPULATIONS (ENGLISH AND SPANISH), BOTH INSIDE THE ST. LUKES HOSPITALS FACILITY AND ON THE PUBLIC WEBSITE. IN ADDITION, ST. LUKES EXPANDED THE TRANSLATIONS AVAILABLE TO ADDITIONAL POPULATION GROUPS EVEN THOUGH NOT REQUIRED BY THE REGULATIONS. TO MINIMIZE THE LIKELIHOOD OF RECURRING ERRORS AND TO FACILITATE THE PROMPT IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE FAILURES THAT DO OCCUR, THE FAP WILL BE REVIEWED ANNUALLY BY THE PATIENT FINANCIAL SERVICES DEPT. IN CONCURRENCE WITH 501(R) GUIDELINE POLICIES, APPLICATIONS, AND PLAIN LANGUAGE SUMMARIES. LIMITATIONS ON CHARGES DURING FISCAL YEAR ENDED JUNE 30, 2017, ST. LUKES IMPLEMENTATION OF AMOUNTS GENERALLY BILLED ("AGB") DID NOT COMPORT WITH THE SPECIFIC REQUIREMENTS OF THE LOOK-BACK METHOD AS SET FORTH UNDER TREAS. REG. SECTION 1.501(R)-5. INSTEAD, ST. LUKES CONTINUED TO USE THE THREE LOWEST COMMERCIAL PLANS TO DETERMINE AGB, AS PREVIOUSLY PERMITTED AND DESCRIBED IN THE TECHNICAL EXPLANATION OF THE AFFORDABLE CARE ACT. TO ADDRESS THE INCORRECT AGB PERCENTAGE ST. LUKES RECOMPUTED ITS AGB USING THE LOOK-BACK METHOD AND IMMEDIATELY IMPLEMENTED THE NEW AGB PERCENTAGE. ST. LUKES IS CURRENTLY IN THE PROCESS OF REVIEWING PATIENT ACCOUNTS TO DETERMINE WHETHER ANY PATIENT WAS OVERBILLED AS A RESULT OF THIS UPDATE TO THE AGB AND WILL ENSURE THAT ANY AMOUNTS OWED TO PATIENTS ARE REMITTED. TO FACILITATE IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE GAPS, ST. LUKES WILL ANNUALLY COMPUTE THE AGB CALCULATION AND IMPLEMENT IT WITHIN 120 DAYS OF THE END OF THE 12-MONTH PERIOD IT USED TO COMPUTE THE AGB, AS REQUIRED BY THE REGULATIONS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GIRL SCOUTS OF EASTERN MISSOURI INC
2300 BALL DRIVE	ST LOUIS	MO	63146	430662471	501(C)(3)	$5,625	GENERAL SUPPORT
ST CHARLES COUNTY ECONOMIC DEVELOP COUNCIL
5988 MID RIVERS DR 100	ST CHARLES	MO	63304	431545618	501(C)(4)	$15,000	GENERAL SUPPORT
FAMILY RESOURCE CENTER
3309 S KINGSHIGHWAY	ST LOUIS	MO	63139	431071300	501(C)(3)	$7,500	GENERAL SUPPORT
MO STATE MED ASSOC PHYSICIANS HEALTH FND
PO BOX 1028	JEFFERSON CITY	MO	65102	431572458	501(C)(3)	$7,500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Christine Candio
President and CEO	$614,285	$0	$250,000	$0	$0	$0	$8,613	$0	$12,321	$0	$885,219	$0	$0	$0
Scott Johnson
Sr. VP finance/CFO	$308,668	$0	$0	$0	$0	$0	$9,938	$0	$12,321	$0	$330,927	$0	$0	$0
Martha Fleischmann
Vice President Finance	$201,537	$0	$7,156	$0	$0	$0	$15,182	$0	$6,597	$0	$230,472	$0	$0	$0
David Krajcovic MD
Chief of Surgery	$0	$221,818	$0	$0	$0	$0	$0	$14,032	$0	$12,322	$0	$248,172	$0	$0
Maged Haikal MD
Chief of Medicine	$0	$836,259	$0	$0	$0	$0	$0	$16,563	$0	$10,094	$0	$862,916	$0	$0
Ronald Leidenfrost MD
Chairman Heart Institute	$0	$731,679	$0	$0	$0	$656,109	$0	$16,563	$0	$14,592	$0	$1,418,943	$0	$0
Jon Bettale
Vice President Surgical Serv.	$210,250	$0	$8,600	$0	$0	$0	$11,114	$0	$10,094	$0	$240,058	$0	$0	$0
Jan Hess
Vice President	$229,118	$0	$12,730	$0	$0	$0	$27,562	$0	$12,321	$0	$281,731	$0	$0	$0
Sharon Mertzlufft
VP & Exec. Dir. Development	$203,676	$0	$15,750	$0	$0	$0	$7,295	$0	$6,398	$0	$233,119	$0	$0	$0
William Meyer
Chief Information Officer	$278,842	$0	$17,604	$0	$0	$0	$29,813	$0	$12,321	$0	$338,580	$0	$0	$0
Don Miller
VP Operations	$267,701	$0	$19,821	$0	$0	$0	$13,912	$0	$17,373	$0	$318,807	$0	$0	$0
Diane Ray
VP Patient Services	$241,613	$0	$5,875	$0	$0	$0	$28,119	$0	$12,321	$0	$287,928	$0	$0	$0
Janette Taaffe
VP Human Resources	$213,569	$0	$16,500	$0	$0	$0	$14,697	$0	$17,373	$0	$262,139	$0	$0	$0
Talat Nawas MD
Hospitalist	$505,249	$0	$0	$0	$1,196,911	$0	$16,563	$0	$18,376	$0	$1,737,099	$0	$0	$0
Hope Cranston D'Amato MD
Medical Director ICU	$535,575	$0	$0	$0	$0	$0	$13,913	$0	$12,321	$0	$561,809	$0	$0	$0
Eric Jenkins MD
CVICU	$467,480	$0	$0	$0	$0	$0	$11,263	$0	$17,373	$0	$496,116	$0	$0	$0
Michael Klevens MD
Emergency Department	$433,591	$0	$0	$0	$0	$0	$13,912	$0	$17,373	$0	$464,876	$0	$0	$0
Abdul Moheet MD
Emergency Department	$404,972	$0	$0	$0	$0	$0	$16,563	$0	$18,376	$0	$439,911	$0	$0	$0
Jerome G Piontek MD
Former Director	$0	$382,602	$0	$0	$0	$0	$0	$9,938	$0	$18,295	$0	$410,835	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Supplemental Information 1

PART I, LINE 4B CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. THE PERSONS RECEIVING SUCH A DISTRIBUTION IN CALENDAR 2016 ARE AS FOLLOWS: Ronald Leidenfrost, MD $ 656,109 Talat Nawas, MD $1,196,911

Supplemental Information 2

PART I, LINE 7 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HEALTH & EDUCATIONAL FACILITIES - STATE OF MO
A	431178966	60637ABJ0	2011-09-08	$45,299,701	SEE PART VI	false	false	false
HEALTH & EDUCATIONAL FACILITIES - STATE OF MO
B	431178966	60637AKH4	2015-11-12	$34,089,886	SEE PART VI	false	false	false
HEALTH & EDUCATIONAL FACILITIES - STATE OF MO
C	431178966	000000000	2016-09-02	$25,000,000	SEE PART VI	false	false	false
HEALTH & EDUCATIONAL FACILITIES - STATE OF MO
D	431178966	000000000	2016-12-20	$14,100,200	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$20,905,000	$0	$45,299,701	$0	$0	$0	$551,581	$0	$0	$0	$44,748,120	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$34,460,816	$0	$0	$0	$0	$0	$0	$10,024,338	$24,436,478	$0	2016	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$25,000,000	$0	$0	$0	$184,750	$0	$0	$0	$24,815,250	$0		Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$14,140,798	$0	$0	$0	$100,200	$0	$0	$3,816,826	$0	$10,223,772		false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	false	false	false	Yes (true)
C	false	false	Yes (true)	false	false	false	false	false	Yes (true)
D	false	false	Yes (true)	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false		false	false	false	0	false	Yes (true)	Yes (true)
0
C	false		false	false	false	0	false	Yes (true)	Yes (true)
0
D	false		false	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, SECTION A, COLUMN F	2011 Bonds issued September 8, 2011 at a fixed rate with proceeds of $46 million used to refund remaining portion of Series 2001 Bonds (issued June 14, 2001).
PART I, SECTION B, 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 C, 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 D, COLUMN F	2016 BONDS ISSUED DECEMBER 20, 2016 AT A FIXED RATE WITH PROCEEDS OF $14 MILLION USED TO FINANCE CAPITAL IMPROVEMENTS.
PART II, LINE 3, COLUMN B	The difference between 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 D	THE DIFFERENCE BETWEEN TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND.
PART II, LINE 11, COLUMNS A, B, AND C	Proceeds used to currently refund prior issue.
PART IV, LINE 2C, COLUMN A	Rebate Calculation performed SEPTEMBER, 2016 with no rebate payment or yield reduction payment required.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	ST LUKE'S ORTHO SERV LLC	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V BELOW	RelationshipDescriptionTxt
Transaction	$487,246	TransactionAmt
Transaction	SEE PART V BELOW	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Supplemental Information 1	FormAndLineReferenceDesc
Explanation	PART IV, LINE 1: The interested person is more than 5% owned by Dr. Jerome Piontek, former director. BREAK OUT OF TRANSACTIONS: $ 641,250 MANAGEMENT SERVICES (11,667) GUARANTEED PAYMENTS (142,337) PARTNERSHIP DISTRIBUTIONS ----------- $ 487,246 TRANSACTION TOTAL - NET ALL FEES WERE NEGOTIATED AT ARM'S LENGTH AND ARE AT FAIR MARKET VALUE.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	32	ContributionCnt
Noncash Contributions Rpt F990	$838,878	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, COLUMN (B)	THE NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF INDIVIDUAL CONTRIBUTIONS RECEIVED.
PART I, LINE 32B	ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS USES AN OUTSIDE TRUST COMPANY TO SELL EQUITY Securities CONTRIBUTED TO THE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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. 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 remember and reaffirm our mission, which is the foundation supporting our service in and to the community. St. Luke's lives out 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 and education and community services. St. Luke's vision as a premier regional healthcare provider is a catalyst for building a healthy community. 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, sex, national origin, handicap, age or ability to pay. As we continue to provide quality and compassionate care to heal the acutely ill in our hospital and skilled nursing facility in a cost-efficient manner, we also increase 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. Lukes Home Health and Hospice services are integral to this effort. In addition to the regular services we provide, as a not-for-profit organization, St. Luke's continues to provide much needed charitable care to people throughout the St. Louis area. We 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 our co-workers in need. These important endeavors embrace a common thread congruent with our mission statement 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.
GENERAL STATEMENT 2	Part III, Line 4A: Program Services Description of Services Provided Medically-necessary health services are provided to all individuals in a non-discriminatory manner regardless of race, color, national origin, religion or ability to pay. Our 493-bed, not-for-profit hospital serves the region from more than 25 locations across the greater St. Louis area including St. Louis and St. Charles Counties. St. Luke's comprehensive approach to healthcare includes a hospital, an outpatient center, a skilled nursing/residential care facility, eight urgent care centers, convenient care center, a rehabilitation hospital, diagnostic imaging centers, a vascular access center, home health services and hospice services. Nationally-recognized for clinical excellence, St. Luke's offers care in more than 60 specialty areas including cancer care, orthopedics, neurosurgery and neurology, cardiology and cardiovascular surgery and interventions, 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 health care 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 and education and social support services to their families. St. Lukes Hospital has a robust volunteer program. Our Volunteer Services Department has 391 active volunteers who serve in approximately 70 departments and areas of the hospital. 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. More than 85,000 hours of service were contributed by our volunteers in calendar year 2016. St. Lukes Hospital received seven five-star ratings for 2018 in the areas of cardiac care, critical care, gastrointestinal care and surgery and pulmonary care from Healthgrades. According to the national hospital quality study published by Healthgrades, St. Lukes achieved five stars for its quality in valve surgery, coronary interventional procedures, heart attack treatment, pneumonia treatment, colorectal surgeries, bowel obstruction treatment and respiratory failure treatment. For the third straight year, St. Lukes Hospital has earned the Womens Choice Award as one of Americas Best Hospitals. The 2017 honor recognizes St. Lukes as one of Americas Best Hospitals for Heart Care, Cancer Care, Obstetrics and Orthopedics and as one of Americas Best Breast Centers. The Womens Choice Award identifies the nations best healthcare institutions based on clinical excellence, female patient satisfaction and what women say they want from a hospital experience. WomenCertified Inc., an advocate for female consumers, created the national Womens Choice Award program. In addition to clinical honors, St. Lukes has received honors based on employee feedback including Best Places to Work, from the St. Louis Business Journal, 2010-2016 and Top Workplaces, from the St. Louis Post-Dispatch, 2013-2016. The hospital was also named to the Healthiest Employer list of the St. Louis Business Journal from 2011 to 2014 and in 2016.
GENERAL STATEMENT 2 (CONTINUED)	PART III, LINE 4A: PROGRAM SERVICES 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 the Residency in Internal Medicine program is an integral part of our service to the community by preparing new physicians. At any given time, there are about 40 medical residents in the program. This program provides a unique opportunity for training in primary care internal medicine at both St. Luke's Hospital 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 available. - 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 15 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. Lukes Hospital provides pastoral care services around the clock seven days a week, as well as a fully accredited ACPE Clinical Pastoral Education (CPE) Program. Both of these services are provided through St. Lukes Pastoral Care Department. St. Lukes Pastoral Care Department provides pastoral care to patients, their families and loved ones, visitors, staff, and physicians 24/7 in the Hospital and Surrey Place (St. Lukes skilled nursing facility). We also do so at St. Lukes Rehabilitation Hospital upon request. The Pastoral Care Department participates in St. Luke's ministry of healing by working with the health-care team to provide holistic care for patients, their families, visitors, physicians and employees of all faiths. The department holds regular worship services, including Episcopal and Presbyterian Eucharist Services, Roman Catholic Mass, ecumenical worship services, morning and evening prayer services and other liturgical services on special feast days. Clinical Pastoral Education (CPE) at St. Luke's Hospital, accredited by the Association of Clinical Pastoral Education, Inc., is theological and professional education for ministry. Chaplains of various faith traditions minister to persons in crisis situations, reflecting on their ministry encounters to develop their pastoral practice. - St. Lukes Mission Outreach Committee, comprised of employees across the organization, coordinates efforts throughout the year. Employees, patients and physicians generously support initiatives such as winter clothing drives, health screenings, food drives and school supply drives to assist the families of the St. Lukes Pediatric Care Center, Isaiah 58 Ministries and Operation Food Search. - St. Luke's Pediatric Care Center is a mission-based agency of St. Luke's Hospital that has been providing care for medically underserved and underinsured children in the St. Louis region for more than 60 years. The Center, located in North St. Louis County, offers care for children from birth to age 18 in a private practice setting rather than in a clinic 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. - We participate in the Meals on Wheels program, which provides meals to community residents who are not able to prepare meals for themselves due to their medical conditions. - St. Luke's provides free, confidential health risk assessments on our website. These assessments provide valuable information to help individuals and families determine if they are at risk for chronic illnesses, enabling them to make more informed, proactive decisions about their health. - Women's Health - St. Luke's helps educate women about important health topics that impact their health and the health of their families. About 16,000 area women have joined this free membership program to receive health information from St. Luke's via emails, mailed class calendars and a womens health magazine. 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, ranging from smaller "ask the physician" format discussions to large interactive events such as St. Luke's Day of Dance. This event attracts more than 1,200 women each year who dance for their health and take advantage of free health screenings. - 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 clinics, bone density screenings, lunchtime seminars, health coaching and ask the expert tabling events. Educational materials are provided at each offering for the employee and/or 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 more than 50 employers, which are designed to educate employees on pertinent health issues and provide details regarding available health promotion activities. - St. Luke's Heart Failure Disease Management Program is a referral-based outpatient program designed to provide heart failure patients with effective, state-of-the-art disease management. This comprehensive, integrated program is designed specifically for patients living with heart failure. Patients work with their physicians and the Center's multidisciplinary team to develop an individualized plan of care that includes cardiac diagnostic testing, management of medication, laboratory monitoring, education, counseling and follow-up. Patients and physicians may access the heart failure disease manager 24 hours a day.
GENERAL STATEMENT 2 (CONTINUED)	- St. Lukes Medical Group provides a nurse practitioner and medical assistant each Saturday morning to support the Healing Grace Clinic, housed on the grounds of the Central Baptist Church in Eureka, Missouri. This clinic provides medical care including office visits, testing and medications for people who are uninsured. St. Lukes Hospital has also provided equipment and supplies to the clinic at no cost. Additional services, such as imaging, are provided at no cost through arrangements with St. Lukes health care partners such as Centers for Diagnostic Imaging (CDI). - The Albert Pujols Wellness Center for Adults with Down Syndrome is solely devoted to providing services to adults, 17 years and older. St. Lukes offers caregiver classes on a variety of topics. Classes and programs are also offered for adults with Down syndrome, covering topics focused on life skills including nutrition, exercise, money management, safety and social/emotional well-being plus those just for fun such as dancing and various arts and crafts. - As part of the Patient Protection and Affordable Care Act, St. Lukes participated with other nonprofit hospitals in conducting a Community Health Needs Assessment in 2016 to evaluate the community needs and ensure we are offering services to meet these needs. With this information, St. Lukes developed an implementation plan with ways to enhance our education and partner with community organizations to improve the quality of life in our community, specifically in the areas of Obesity and Sedentary Lifestyle, Cancer Screenings and Support Services, and Management of Chronic Conditions. The full Community Health Needs Assessment Report is available on the St. Lukes website at stlukes-stl.com.
GENERAL STATEMENT 3	PART VI, SECTION A, LINE 2 THE FOLLOWING PERSONS HAVE A BUSINESS RELATIONSHIP: martha fleischmann Scott Johnson Don Miller
GENERAL STATEMENT 4	Part VI, Section A, Line 6: Organization Members or Stockholders St. Lukes Health Corporation, A 501 (C)(3) Organization, is the sole corporate member of St. Lukes Episcopal-Presbyterian Hospitals, a Regional Health Care Provider.
GENERAL STATEMENT 5	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. Lukes Health Corporations 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 6	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 7	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 8	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 9	Part VII, Section B, Line 1: Independent Contractors McCarthy Brothers Construction Construction Services $21,195,227 1341 NORTH ROCK HILL ROAD ST. LOUIS, MO 63124 ICS Construction Services LTD Construction Services $ 2,802,997 2930 MARKET STREET St. LOUIS, MO 63103 Quest Diagnostics Lab Services $ 1,321,716 3 giralda farms madison, nj 07940 Armstrong Teasdale Legal Services $ 1,313,566 7700 Forsyth Blvd., Suite 1800 St. Louis, Mo 63105 Faultless Linen Co. Linen Services $ 1,267,589 P.O. Box 795145 St. Louis, MO 63179
GENERAL STATEMENT 10	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.
GENERAL STATEMENT 11	PART XI, LINE 9: OTHER CHANGES IN NET ASSETS Change in pension obligation 13,014,790 Transfer to Medical Group (13,988,154) Change in restricted assets 3,173,151 -------------- 2,199,787

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ST LUKE'S HEALTH CORPORATION
232 S WOODS MILL ROAD	CHESTERFIELD	MO	63017	431246752	SOLE MEMBER	MO	501(C)(3)	12B	SL HOSPITALS	Yes (true)
ST LUKE'S MEDICAL GROUP
232 S WOODS MILL ROAD	CHESTERFIELD	MO	63017	431349332	MEDICAL SERV.	MO	501(C)(3)	12A	SL HLTH CORP	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S DEVELOPMENT CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	232 S WOODS MILL ROAD	AddressLine1Txt
City	CHESTERFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63017	ZIPCd

Field	Value	IRS element (for citing)
EIN	431238961	EIN
Primary Activities	OTHER MISC.	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SL HEALTH CORP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corp	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST LUKE'S MEDICAL GROUP
b	$13,988,154	FMV
ST LUKE'S MEDICAL GROUP
p	$4,099,996	FMV