2014-05-05T14:50:06-05:00 2013-06-30 KPMG LLP 210 Park Ave Suite 2850 Oklahoma City OK 73102 990 2012-07-01 430652680 St Luke's Episcopal-Presbyterian Hospitals % GARY OLSON STLU 3144341500 232 SOUTH WOODS MILL ROAD Suite CHESTERFIELD MO 63017 Scott Johnson 3144341500 2014-05-05 true 4052396411 2012 2015-11-30 17:44:51Z GARY OLSON PRESIDENT CEO SAME AS ABOVE CHESTERFIELD MO 63017 415831756 false X WWW.STLUKES-STL.COM X 1866 MO St. Luke's is dedicated to improve the health of the community and to provide care for the whole person with compassion, professional excellence and respect for each other and those we serve. 19 18 3654 429 4225831 -280 2711747 2669934 382961997 409785008 1209338 1233854 5925820 2119154 392808902 415807950 0 0 0 0 189286648 194753673 30000 30000 832044 188082949 195807750 377399597 390591423 15409305 25216527 481840757 505273285 170417201 158555484 311423556 346717801 X See Sch. O false false 368630383 0 409785008 See Schedule O 368630383 true true false true false false false false true true true false false false true false false true false false false false false true true false true true false false true true false false false false false false false false false true true false false false false true true true false false true 109 0 true 3654 true true true false false false false true true false false false false X 19 18 false false false false true false false true true false false false true true true true true true true true true X GARY OLSON 3144341500 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 X ANNIE C SCHLAFLY 4.0 1.0 X 0 0 0 DAVID B PRICE JR 4.0 1.0 X 0 0 0 JOHN A O'ROURKE 1.0 1.0 X 0 0 0 DANIEL K STEGMANN 1.0 1.0 X 0 0 0 WILLIAM W BENEDICT MD 1.0 1.0 X 0 0 0 OSCAR C BERRYMAN 1.0 1.0 X 0 0 0 PHILIP B CADY JR 1.0 1.0 X 0 0 0 WILLIAM E CORNELIUS 1.0 1.0 X 0 0 0 JOHN F EILERMANN JR 1.0 1.0 X 0 0 0 THE REV TERRY L EPLING 1.0 1.0 X 0 0 0 LAURNA C GODWIN 1.0 1.0 X 0 0 0 NED O LEMKEMEIER 1.0 1.0 X 0 0 0 JEFFERSON L MILLER JR 1.0 1.0 X 0 0 0 JEROME G PIONTEK MD 1.0 1.0 X 0 0 0 HUGH SCOTT III 1.0 1.0 X 0 0 0 JOSEPH A SHEEHAN 1.0 1.0 X 0 0 0 THE RT REV G WAYNE SMITH 1.0 1.0 X 0 0 0 ANN M SULLINS 1.0 1.0 X 0 0 0 EUGENE H TOOMBS 1.0 1.0 X 0 0 0 DANIEL G WAGNER MD 1.0 1.0 X 0 0 0 JEFFREY ZOHNOR MD 1.0 1.0 X 0 0 0 GARY OLSON 48.0 13.0 X 1297032 0 36616 SCOTT JOHNSON 42.0 19.0 X 403113 0 24531 BRIAN SPILLERS 18.0 6.0 X 145549 0 24568 DAVID KRAJCOVIC MD 60.0 0.0 X 328522 0 24524 PAUL MENNES MD 65.0 0.0 X 356135 0 23024 CARLTON PEARSE MD 25.0 0.0 X 145959 0 19855 SUE ADAMS 50.0 0.0 X 156045 0 23298 JAN HESS 50.0 0.0 X 206314 0 32051 BRENDA KELLY 50.0 0.0 X 209210 0 33218 WILLIAM MEYER 50.0 0.0 X 254334 0 36877 DON MILLER 40.0 10.0 X 245860 0 26171 DIANE RAY 50.0 0.0 X 175794 0 34142 JANETTE TAAFFE 50.0 0.0 X 195513 0 27056 HOPE CRANSTON D'AMATO MD 60.0 0.0 X 464999 0 21098 TALAT M NAWAS MD 60.0 0.0 X 419827 0 30531 ABDUL MOHEET MD 55.0 0.0 X 409054 0 32531 ERIC JENKINS MD 55.0 0.0 X 356582 0 23160 MICHAEL J KLEVENS MD 55.0 0.0 X 332609 0 25731 6102451 0 498982 147 false true false SEE SCHEDULE O 9610457 39 X 28534 2641400 193660 2669934 PATIENT SERVICE REVENUE 621110 389036388 389036388 0 0 PHYSICIAN OFFICES RENTAL INCOME 621110 8257403 8257403 0 0 RETAIL PHARMACIES 446110 4731838 3078843 1652995 0 EHR PAYMENTS 621110 3361552 3361552 0 0 NONPATIENT LAB SERVICES 621110 2199690 0 2199690 0 2198137 1841526 356611 0 409785008 960931 960931 0 0 0 0 0 246854 38600 0 12531 246854 26069 272923 272923 10296 28534 11275 -979 -979 0 0 CAFETERIA REVENUE 621110 2079217 16535 2062682 MISC. REVENUE 621110 40916 40916 2120133 415807950 405575712 4225831 3336473 0 0 0 0 3753362 0 3528160 225202 0 152640162 146962544 5414958 262660 5947480 5588830 340097 18553 21731205 20420750 1242665 67790 10681464 10037341 610803 33320 0 754639 754639 150000 150000 35747 35747 30000 30000 0 5871032 5668425 202607 1212988 22962 1190026 6288079 5273535 967928 46616 3469203 3452335 16868 0 0 11955801 11879366 64365 12070 430712 405101 19467 6144 0 122822 96956 23983 1883 4055964 4055964 0 24710494 24710494 3761037 12299 3748738 MEDICAL SUPPLIES 82192346 81965061 217716 9569 MEDICAID FRA EXPENSE 22061000 22061000 0 0 CONTRACT SERVICES 10900524 10143867 741358 15299 REPAIR AND MAINTENANCE 5550516 5521729 25976 2811 12284846 10351824 1832895 100127 390591423 368630383 21128996 832044 0 0 168793565 165137086 3992519 4231959 43551758 44031849 600000 0 0 0 0 0 6046757 6183616 4943749 4662568 509898604 313465124 198857016 196433480 33957782 63302857 0 0 0 0 0 0 21097611 21289870 481840757 505273285 30466197 32526852 117395 408469 0 0 93975594 93810534 440015 391426 0 0 0 0 0 0 45418000 31418203 170417201 158555484 X 301566846 335868300 5447781 5762161 4408929 5087340 311423556 346717801 481840757 505273285 X 25216527 2462196 7615522 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 35747 false false false 35747 false SUPPLEMENTAL INFORMATION 1 PART II-B, LINE 1F Approximately $35,747 of the dues paid to various trade organizations for the year ended in June 30, 2013 is attributable to lobbying activities by the organizations. false true 9856410 1645604 653884 1306397 10849501 4281015 6252 121662 4408929 3141369 8000 1131646 4281015 2702625 5252 433492 3141369 3888899 4776 -1191050 2702625 0.46890 0.53110 false false 15769085 15769085 283861267 149353759 134507508 18711739 9884008 8827731 187096652 154227357 32869295 4459861 4459861 196433480 0 DEFERRED COMPENSATION 10208000 INSURANCE RESERVES & OTHER 9461759 PENSION LIABILITY 7920816 MEDICARE REIMBURSEMENT SETTLEMENTS 3427012 OTHER CURRENT LIABILITIES 400616 31418203 Supplemental Information 1 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. Supplemental Information 2 Part V, Line 4: Intended use of endowment funds ENDOWMENT FUNDS CONSIST OF APPROXIMATELY EIGHT INDIVIDUAL FUNDS, OF WHICH THREE WERE ESTABLISHED FOR INDIGENT CARE. ALL REALIZED INVESTMENT RETURNS ARE RELEASED TO OPERATIONS IN ACCORDANCE WITH THE DONOR RESTRICTIONS. X X X X true Wilkinson Group Inc 4516 Pershing Pl St Louis MO 63108 Consulting false 0 30000 -30000 0 30000 -30000 MO Golf Tournament 38830 28534 10296 5877 3738 1660 0 38830 28534 10296 5877 3738 1660 11275 -979 true true true X true X true true true false true true 15774 5825261 5825261 0.01490 7692 7841632 4457438 3384194 0.00870 23466 13666893 4457438 9209455 0.02360 1011290 48199 963091 0.00250 6266228 3048761 3217467 0.00820 5542 1141002 451104 689898 0.00180 620242 620242 0.00160 5542 9038762 3548064 5490698 0.01410 29008 22705655 8005502 14700153 0.03770 true 360998 270370 125023136 129248571 -4225435 X true true St Luke's Center Outpatient Imaging Mgmt Serv 0.31000 0.00000 0.18000 for Diagnostic Imaging LLC St Luke's Hospital Orthopedic/Mgmt Services 0.50000 0.12500 0.37500 Orthopedic Services LLC 1 1 St Luke's Hospital

232 S Woods mill Rd Chesterfield MO 63017

www.stlukes-stl.com X X X X St Luke's Hospital 1 true X X X X X X X X X 12 true true true X X X X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X X true false X X X X true X false false 3 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 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 1.49% Line 7b: Unreimbursed Medicaid 2.01% Line 7d: Total Charity Care and govt. programs 3.5% Line 7e: Community Health improvement services .26% Line 7f: Health professions education 1.60% Line 7g: Subsidized Health Services .29% Line 7i: Cash and in-kind contributions .16% Line 7j: Total Other Benefits 2.31% Line 7k: Total Financial Assistance and Other Community Benefits 5.81% 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 Hospital promotes the health of the community it serves with several initiatives. - 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 3: Costing Methology Cost to charge ratio SUPPLEMENTAL INFORMATION 7 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, the period the services are provided and based on historical experience." SUPPLEMENTAL INFORMATION 8 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 9 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 10 PART V, SECTION B. LINE 3 and LINE 4 St. Luke's Hospital Community Health Needs Asssessment 2013 can be found online at www.stlukes-stl.com. 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 2013 Community Health Needs Assessment (CHNA). As outlined in the Data Collection section of the St. Luke's Hospital Community Health Needs Assessment 2013, the Primary Research Methodology, included collaboration with Barnes-Jewish West County Hospital, Missouri Baptist Medical Center, 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. Eighteen individuals representing various St. Louis County organizations participated in a two-step focus group process. The Community Stakeholder Focus Group members (as outlined in Appendix A of the CHNA report) represented the following organizations: -American Cancer Society -American Heart Association -Catholic Representative/Catholic Family Services -Chesterfield YMCA -City of Glendale -Jewish Community Center -Manchester United Methodist Church -EMS, Fire Protection District -Mid East Area on Aging -National Council on Alcohol and Drug Abuse -South County Health Center -St. Louis County Health Dept. -St. Louis Suburban School Nurses -St. Louis County Council 3rd Dist. - Town & Country -United Way -Volunteers in Medicine (FQHC) An initial focus group was conducted to solicit feedback from these individuals on the needs of the St. Louis county population. Each individual was sent a worksheet to complete prior to the meeting, to identify their perceptions of the greatest healthcare needs in St. Louis County, their knowledge of available resources to address those needs, and the greatest gap that exists between need and available resources (see worksheet in Appendix B of CHNA report). Based on feedback from the focus group worksheet, the most frequently mentioned needs in St. Louis County were ranked and compared to the biggest concerns identified by St. Louis County residents in the 2011 consumer needs assessment. The same group of community leaders was invited to a second meeting, where the healthcare needs compiled from the previous meeting were presented, along with available secondary data that aimed to quantify the size of the need. At the conclusion of the meeting, community leaders were asked to re-evaluate the identified health care needs in terms of their priority in the community, as well as the ability for community resources to collaborate around them. The final results of the perceived priority health needs of St. Louis County were ranked based on level of need and ability to collaborate (see Appendix C of CHNA report). To further validate the prioritized needs determined by the focus group, St. Luke's Hospital surveyed 1) more than 9,000 women currently enrolled in the St. Luke's Spirit of Women, asking them to rank the top eight health care needs previously identified in order of perceived importance. (See these results in Appendix D of CHNA report); 2) Day of Dance participants (free wellness event) completed a health status survey, and results and key findings from the 689 completed surveys were compiled into a group health profile (see Appendix E of CHNA report). In addition, St. Luke's Hospital utilized the health profile of the St. Luke's employees participating in the Passport to Wellness program. This program is available to all St. Luke's employees designed to encourage all employees to improve their health and quality of life through access to free biometric screenings, as well as health-related educational and activity-based events (see Appendix F of CHNA report). Externally, St. Luke's partners with over 195 employer groups representing over 127,000 employees to be proactive in identifying, addressing and reducing employee health risks. The community health profile of this group is found in Appendix G of the CHNA report. In addition to the Primary Research, St. Luke's utilized the following major Secondary Data Sources: -2011 St. Louis County community Health Needs Assessment -Health Communities Institute -Healthy People 2020 St. Luke's CHNA Advisory Task Force (Appendix H of CHNA report) reviewed and evaluated all primary and secondary data and three major healthcare needs emerged: obesity and sedentary lifestyles, cancer screening and support services, and management of chronic conditions. SUPPLEMENTAL INFORMATION 11 PART V, SECTION B. LINE 7 St. Luke's Hospital Community Health Report can be found online at www.stlukes-stl.com. In the "Other Identified Needs" section of the CHNA report 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- for the under and uninsured in the St. Louis County Area- Financial assistance is provided 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 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. 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, and 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. Senior Solutions is a partnership between St. Luke's Hospital and St. Andrew's Resources for Seniors System, providing customized support for seniors living in their own homes, retirement living communities, assisted living facilities and skilled nursing facilities. 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-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 receive timely and effective healthcare services. 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 available throughout the year. SUPPLEMENTAL INFORMATION 12 PART V, SECTION B, LINE 12H AND 20D The Hospital facility used an average of its negotiated commercial insurance rates and reviewed the reasonableness of this approach and continues to monitor and adjust accordingly. SUPPLEMENTAL INFORMATION 13 Part VI, Line 2: NEEDS ASSESSMENT Also, see St. Luke's Hospital Community Health Needs Assessment 2013 at www.stlukes-stl.com. St. Luke's Hospital has a strong commitment to the health of our community. Through the hospital and more than 20 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 thousands of educational and preventive health opportunities each year to our community. 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, 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 an 18-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 have also developed an implementation plan with ways to enhance our education and partner with community organizations to improve the quality of life in our community. SUPPLEMENTAL INFORMATION 14 PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Patients are informed about St. Luke's Financial Assistance process in a number of ways: - Financial counselors and Social workers are available to patients during their stay. - Patient financial Services attempts to contact scheduled patients prior to services to provide patients with their expected amounts due and discuss payment/discount options. - Discussions about financial assistance occur when speaking to patients on the phone about their account balances. - Information regarding the Financial Assistance Policy is located via the: - Website - Billing statements - Registration booklets/brochures SUPPLEMENTAL INFORMATION 15 PART VI, LINE 4: COMMUNITY INFORMATION St. Luke's serves the region from more than 20 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 16 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. 8,700 women 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. - 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 20 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 persons 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 newborn, 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 calculator, calorie burner counter, target heart rate calculator, ideal body weight, nutritional needs and waist to hip calculator. - 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 836 physicians on the Medical staff greater than 95% are board certified. Governing Body: St. Luke's Hospital has 19 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 17 PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM N/A SUPPLEMENTAL INFORMATION 18 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 SUPPLEMENTAL INFORMATION 19 PART VI, LINE 8: FACILITY REPORTING GROUPS N/A X true true X X X X X X false true false false false false false false false GARY OLSON 607032 0 90000 0 600000 0 27717 0 8899 0 1333648 0 SCOTT JOHNSON 350613 0 52500 0 0 0 8125 0 16406 0 427644 0 BRIAN SPILLERS 145549 0 0 0 0 0 16429 0 8139 0 170117 0 DAVID KRAJCOVIC MD 328522 0 0 0 0 0 15625 0 8899 0 353046 0 PAUL MENNES MD 356135 0 0 0 0 0 13125 0 9899 0 379159 0 CARLTON PEARSE MD 145959 0 0 0 0 0 6001 0 13854 0 165814 0 SUE ADAMS 151073 0 4972 0 0 0 6892 0 16406 0 179343 0 JAN HESS 195725 0 10589 0 0 0 23152 0 8899 0 238365 0 BRENDA KELLY 196080 0 13130 0 0 0 23319 0 9899 0 242428 0 WILLIAM MEYER 237211 0 17123 0 0 0 27978 0 8899 0 291211 0 DON MILLER 229151 0 16709 0 0 0 10386 0 15785 0 272031 0 DIANE RAY 166790 0 9004 0 0 0 20236 0 13906 0 209936 0 JANETTE TAAFFE 185330 0 10183 0 0 0 12419 0 14637 0 222569 0 HOPE CRANSTON D'AMATO MD 464999 0 0 0 0 0 7500 0 13598 0 486097 0 TALAT M NAWAS MD 419827 0 0 0 0 0 15625 0 14906 0 450358 0 ABDUL MOHEET MD 409054 0 0 0 0 0 15625 0 16906 0 441585 0 ERIC JENKINS MD 356582 0 0 0 0 0 9375 0 13785 0 379742 0 MICHAEL J KLEVENS MD 332609 0 0 0 0 0 10625 0 15106 0 358340 0 SUPPLEMENTAL INFORMATION 1 Part I, Line 4b Certain employees participate in a supplemental nonqualified deferred compensation arrangement. No persons listed in Part VII received a distribution under this plan in calendar 2012. 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 BALANCE 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. PATIENT/PHYSICIAN/COMMUNITY 2. EMPLOYEE 3. INTERNAL BUSINESS 4. FINANCIAL THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS AND DEPARTMENT DIRECTORS OF THE HOSPITAL. SUPPLEMENTAL INFORMATION 3 PART II, LINE 1, COLUMN B(iii) Compensation for Gary Olson includes $600,000 earned over the last seven years. The amounts were disclosed in Schedule L of previously filed Forms 990. A HEALTH & EDUCATIONAL FACILITIES - STATE of MO 431178966 60635RY68 2007-01-09 56215363 SEE PART VI false false false B HEALTH & EDUCATIONAL FACILITIES - STATE of MO 431178966 60637ABJ0 2011-09-08 45299701 TO REFUND SERIES 2001 BONDS ISSUED false false false A 0 0 57062584 0 0 0 549996 0 0 31129830 25311196 0 2008 true false true true B 0 0 45299701 0 0 0 551581 0 0 0 44748120 0 2011 true false true true A false false false false 0.00000 0.00000 0.00000 false false false true B 0.00000 0.00000 0.00000 0.00000 A false false false true false false 0 false 0 false true B false true false false 0 false 0 false true A true B true SUPPLEMENTAL INFORMATION 1 PART I, SECTION A, COLUMN F 2006 BONDS ISSUED JANUARY 9, 2007 AT A FIXED RATE WITH PROCEEDS OF $56 MILLION USED IN PART TO REFUND A PORTION OF SERIES 2001 BONDS (ISSUED JUNE 14, 2001) AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS. SUPPLEMENTAL INFORMATION 2 PART II, LINE 3, COLUMN A The difference between proceeds and issue price is interest earned on the project fund. SUPPLEMENTAL INFORMATION 3 PART II, LINE 11, COLUMN A & B PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE. SUPPLEMENTAL INFORMATION 4 PART IV, LINE 2C REBATE CALCULATION PERFORMED JANUARY, 2012 WITH NO REBATE PAYMENT OR YIELD REDUCTION PAYMENT REQUIRED. 0 St Luke's Ortho Services LLC See Part V Below 300000 Management Services false Supplemental Information 1 Part IV, Line 1 The interested person is more than 5% owned by Dr. Jerome Piontek, current director. X 4 193660 FAIR MARKET VALUE 0 false true true SUPPLEMENTAL INFORMATION 1 Part I, LINE 32B ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS USES AN OUTSIDE TRUST COMPANY TO SELL EQUITY Securities CONTRIBUTED TO THE ORGANIZATION. 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. Luke's 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 those 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 20 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, seven urgent care centers, convenient care center, a rehabilitation hospital, diagnostic imaging centers, a vascular access center, senior solutions (a service providing assistance to seniors within the St. Louis Metropolitan area currently living in their home, retirement communities, assisted living and nursing facilities), 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, 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. Luke's is the only St. Louis hospital recognized as one of America's 50 Best Hospitals by HealthGrades (2007-2013). As one of America's 50 Best Hospitals, St. Luke's ranks among the top one percent of hospitals in the nation for clinical excellence based on survival and complication rates. According to HealthGrades, an independent healthcare ratings company, patients admitted to an America's 50 Best Hospital are more likely to have successful treatment without major complications. According to the American Hospital Quality Outcomes 2014: Healthgrades Report to the Nation, St. Luke's has achieved top rankings in: Cardiac Services: Excellence Award for 2 Years in a Row (2013-2014) Pulmonary Services: Excellence Award for 12 Years in a Row (2003-2014) Neurosurgery: Excellence Award for 3 Years in a Row (2012-2014) GI Medical Treatment: Excellence Award (2010-2014) Critical Care: Excellence Award for 5 Years in a Row (2010-2014) St. Luke's Hospital is a recipient of the Healthgrades Outstanding Patient Experience Award. This distinction ranks St. Luke's among the top five percent of hospitals nationwide based on an analysis of patient satisfaction data. To determine its 2013 Outstanding Patient Experience Award recipients, Healthgrades analyzed HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data obtained from the Centers for Medicare and Medicaid Services (CMS) for April 2011 to March 2012. Hospitals had to meet survey response size and clinical quality thresholds in order to be eligible for the award. St. Luke's Hospital received the Women's Health Excellence Award in 2009 through 2013 from Healthgrades. The recognition distinguishes St. Luke's as a top-performing hospital in women's health, which includes care provided to women for common conditions treated and procedures performed in the hospital such as heart care, vascular surgery, stroke care, respiratory services, orthopedic surgery and spine surgery. In addition to clinical honors, St. Luke's has received honors based on employee feedback including Best Places to Work, from the St. Louis Business Journal, 2010-2013 and Top Workplaces, from the St. Louis Post-Dispatch, 2013. The hospital was also named to the Healthiest Employer list from the St. Louis Business Journal in 2012 and 2013. 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. Luke's 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. Luke's Pastoral Care Department. St. Luke's 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. Luke's skilled nursing facility). We also do so at St. Luke's 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. Luke's Mission Outreach Committee, comprised of employees across the organization, coordinates efforts throughout the year which employees, patients and physicians generously support initiatives such as winter clothing drives, health screenings, food drives and school supply drives to support the families of the St. Luke's 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 HealthAware resource provides free online, confidential risk assessments and personal follow-up for those found at risk for heart disease, stroke, sleep apnea, diabetes and back pain. These assessments provide valuable information to help individuals and families determine if they are at risk for these 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. More than 10,000 area women have joined this free membership program to receive health information from St. Luke's via emails and mailed newsletters. Through our website, we offer Spirit of Women monthly health topics and provide women and men with 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 1,000 women each year to dance for their health and take advantage of free health screenings. - St. Luke's Passport to Wellness program provides more than 175 local employers with worksite wellness programs. The objective of this program is to collaborate with employers 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 fee-based screenings, lunchtime seminars and educational materials targeted to the specific needs of each employer. 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) Part III, Line 4a: Program Services - St. Luke's 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. Luke's 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. Luke's health care partners such as Centers for Diagnostic Imaging (CDI). Over the past three years, 752 new patients were treated at this clinic. - The Albert Pujols Wellness Center for Adults with Down Syndrome at St. Luke's 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, safety and social/emotional well-being plus those just for fun such as dancing and various arts and crafts. - St. Luke's was the first hospital in Missouri to join the National Hospital Health Food Initiative, part of the Partnership for a Healthy America. With a goal to end childhood obesity epidemic within a generation, St. Luke's is committed to enhancing on-site food offerings. The multi-phase plan entails offering more nutritious food options for staff, patients and visitors, including lower priced wellness meals, better nutrition labeling and phasing out fried foods over the next few years. - As part of the Patient Protection and Affordable Care Act, St. Luke's participated with other nonprofit hospitals in conducting a Community Health Needs Assessment to evaluate the community needs and ensure we are offering services to meet these needs. With this information, St. Luke's is developing 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. Luke's website at stlukes-stl.com. General Statement 3 Part VI, Section A, Line 6: Organization members or stockholders ST. LUKE'S HEALTH CORPORATION, A 501(C)(3} ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, A REGIONAL HEALTH CARE PROVIDER. General Statement 4 PART VI, SECTION B, LINE 11: Review of 990 THE FORM 990 HAS BEEN DISCUSSED AND PRESENTED TO THE BOARD AND ITS COMMITTEES. THE ORGANIZATION PROVIDED A COPY OF THE FORM 990 TO ST. LUKE'S HEALTH CORPORATION'S EXECUTIVE AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING FOR REVIEW AND INPUT. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION. General Statement 5 Part VI, Section B, Line 12C 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 ANY SUCH CONFLICT. 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 ITS POLICY. General Statement 6 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 7 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 8 Part VII, Section B, Line 1: Independent Contractors McCarthy Brothers Construction Construction Services 4,946,632 1341 North Rock Hill Road St. Louis, MO 63124 Quest Diagnostics Laboratory Services 1,255,590 3 Giralda Farms Madison, NJ 07940 Nuance Communications Transcription Services 1,206,015 P.O. Box 2561 Carol Stream, IL 60132 Faultless Linen Co. Linen Services 1,136,801 2030 S. Broadway St. Louis, MO 63104 ICS Construction Services LTD Construction Services 1,065,418 2930 Market Street St. Louis, MO 63103 General Statement 9 Part VIII, Line 7(c): 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 does not report the allocation portion of proceeds and cost basis related to those realized gains/losses. General Statement 10 PART XI, LINE 9: OTHER CHANGES IN NET ASSETS Change in pension obligation 11,668,143 Fund balance transfer (4,391,528) Change in restricted assets 338,907 -------------- 7,615,522 St Luke's Health Corporation 224 S Woods Mill Road Chesterfield MO 63017 431246752 Sole Member MO 501(C)(3) 11B NA true St Luke's Medical Group 224 S Woods Mill Road Chesterfield MO 63017 431349332 Medical Serv. MO 501(C)(3) 11A SL HLTH CORP true St Luke's Development Corporation 225 S Woods Mill Road Chesterfield MO 63018 431238961 Other Misc. MO SL HEALTH CORP C Corp true true false false false false false false false true false true false true true true true true true ST LUKE'S MEDICAL GROUP-SEE PART VII R 8391525 FMV SUPPLEMENTAL INFORMATION 1 PART V, LINE 2 ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS REIMBURSES VARIOUS EXPENSES TO ITS RELATED ORGANIZATION, ST. LUKE'S MEDICAL GROUP, AS PART OF ST. LUKE'S MEDICAL GROUP'S MISSION TO SUPPORT THE OPERATIONS OF THE HOSPITAL. SUCH EXPENSES INCLUDE LEASE OF SPACE AND FACILITIES, SALARIES/BENEFITS, OTHER ADMINSTRATIVE SUPPORT COSTS. THE APPLICABLE BOXES HAVE BEEN MARKED "YES" IN SCHEDULE R, PART V, LINE 1.