2012-05-14T15:15:52-05:00 2011-06-30 CBIZ MHM LLC One CityPlace Dr Ste 570 St Louis MO 63141 990 2010-07-01 430652680 St Luke's Episcopal-Presbyterian Hospitals STLU 3144341500 232 South Woods Mill Road Chesterfield MO 63017 Scott Johnson 2012-05-11 Kevin Boeving 3146922249 2010 2016-02-24 21:20:13Z GARY OLSON PRESIDENT CEO SAME AS ABOVE CHESTERFIELD MO 63017 391438082 false X www.stlukes-stl.com X 1866 MO SEE SCHEDULE O 19 18 3723 394 4659645 5554 5806836 6601081 350469202 374022485 1348032 1479537 7755067 9312827 365379137 391415930 0 0 0 0 178893911 186923596 55008 46672 814536 163056151 177414540 342005070 364384808 23374067 27031122 465408012 489673732 188776327 173727214 276631685 315946518 X SEE SCHEDULE O false false 344894213 369362840 SEE SCHEDULE O SEE SCHEDULE O 344894213 true true false true false false false true true true false false true true false false true false false false false false true true false true true false false true true false false false false false true 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X 518264 0 23069 Carlton Pearse MD 25.0 X 146577 0 20004 Gail Wagner 50.0 X 293773 0 27858 Sue Adams 50.0 X 173688 0 24829 Jan Hess 50.0 X 227864 0 34868 Brenda Kelly 50.0 X 226081 0 35625 William Meyer 50.0 X 249409 0 36649 Don Miller 49.0 X 254761 0 25898 Janette Taaffe 50.0 X 200519 0 25582 Talat Nawas MD 50.0 X 469059 0 28719 Hope Cranston D'Amato MD 60.0 X 410756 0 21499 Abdul Moheet MD 55.0 X 383670 0 30099 Sergio Garcia MD 55.0 X 372781 0 16437 Vijayakumari Reddy MD 40.0 X 324455 0 9188 6156784 0 504313 137 false true false MCCARTHY BROTHERS CONSTRUCTION CONSTRUCTION 6098304 QUEST DIAGNOSTICS LAB SERVICES 1222297 FAULTLESS LINEN CO LINEN SERVICES 1097997 ICS CONSTRUCTION SERVICES LTD CONSTRUCTION 1014720 NUANCE COMMUNICATIONS TRANSCRIPTION 993795 40 36040 6565041 321775 6601081 INPATIENT / OUTPATIENT REVENUE (NET) 623990 366928943 366928943 NONPATIENT LABS 621110 2348749 2348749 RETAIL PHARMACIES 446110 4210528 2433897 1776631 ALL OTHER PROGRAM SERVICE REVENUE 623990 534265 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136327595 33211193 0 7741261 7741261 202087314 DEFERRED COMPENSATION 9968659 HELD BY BOND TRUSTEE 8987405 INVESTMENT IN REHAB HOSPITAL 4778745 INTERCOMPANY RECEIVABLES 2561858 UNAMORTIZED BOND ISSUE COSTS 2325638 SPECIAL PURPOSE FUND 1821719 MISCELLANEOUS ASSETS 861905 INVEST IN WOMEN'S HEALTH CARE 608072 INVESTMENT IN HOSPICE 552600 INV. IN OUTPATIENT IMAGING 421544 32888145 0 PENSION LIABILITY 12508937 DEFERRED COMPENSATION 9968659 INSURANCE RESERVES 8098494 MEDICARE REIMBURSEMENT SETTLEMENTS 2978223 CURRENT MATURITY OF DEBT 3250000 OTHER CURRENT LIABILITIES 238699 37043012 SCHEDULE D, PART V, LINE 4 - USES 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. SCHEDULE D, PART IV, LINE 2b - ESCROW FUNDS SURREY PLACE SKILLED NURSING FACILITY THE HOSPITAL OBTAINS ONE MONTH'S WORTH OF DEPOSITS IN ADVANCE FOR ROOM AND BOARD CHARGES FOR SKILLED NURSING FACILITY PRIVATE PAY RESIDENTS. SEE SCHEDULE 0 FOR ADDITIONAL INFORMATION ON CORE FORM PART IV, QUESTION 12 AND SCHEDULE D, PARTS XI, XII & XIII SCHEDULE D, PART X - FIN48 AUDIT DISCLOSURE IS N/A X X X X true WILKINSON GROUP INC 4516 Persing 4516 Persing Place St Louis MO 63108 CONSULTING false 0 46672 0 0 46672 0 Golf Tournament 33575 22995 10580 7002 4055 3447 Walk 13045 13045 165 1623 0 46620 36040 10580 7167 4055 5070 16292 -5712 true true true X true X true true true false true true 11388 4948686 4948686 0.01370 7995 5714805 4332349 1382456 0.00380 19383 10663491 4332349 6331142 0.01750 592146 41418 550728 0.00150 6697815 3840904 2856911 0.00790 5936 1022288 427064 595224 0.00160 673016 673016 0.00190 5936 8985265 4309386 4675879 0.01290 19648756 8641735 11007021 0.00000 true 920298 272166 122789426 127685108 -4895682 X true true ST LUKE'S CENTER OUTPATIENT IMAGING MANAGEMENT 0.31000 0.00000 0.18000 FOR DIAGNOSTIC SERVICES IMAGING LLC 1 1 ST LUKE'S HOSPITAL

232 S WOODSMILL RD CHESTERFIELD MO 63017

X X X X ST LUKE'S HOSPITAL 1 3 St Luke's Hospital Skilled Nursing

Facility - Surrey Place Olive Chesterfi MO 63017

Skilled Nursing/Residential Care Facility St Luke's Hospital Home Health Agency

111 S Woodsmill Road Chesterfield MO 63017

Home Health Services St Luke's Hospital Hospice

111 S Woodsmill Road Chesterfield MO 63017

Hospice Care PART I, LINE 3C N/A PART I, LINE 6A N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATION PART I, LINE 7G N/A PART I, LINE 7, COLUMN (f) - Total Community Benefit Expense as a Percent of Total Expense Line 7.a. Charity Care 1.37% Line 7.b. Unreimbursed Medicaid 1.58% Line 7.d. Total Charity Care and govt. programs 2.95% Line 7.e. Community Health improvement services .16% Line 7.f. Health professions education 1.85% Line 7.g. Subsidized Health Services .28% Line 7.i. Cash and in-kind contributions .19% Line 7.j. Total Other Benefits 2.48% PART I, LINE 7 BAD DEBT EXPENSE SUBTRACTED FROM AMOUNT REPORTED ON LIKE 7F - N/A PART III, LINE 4 a) No footnote regarding bad debt expense in the organization's financial statements. b) Costing methodology used in determining the amounts reported on lines 2 and 3 - cost to charge ratio. PART III, LINE 8 Provision of care to Medicare beneficiaries meets a need in the community and any shortfall is considered to be a community benefit. Costing methodology used to determine Medicare allowable costs -cost to charge ratios/Medicare cost report. PART III, LINE 9B Collection policy regarding patients who are known to qualify for charity care or financial assistance - St. Luke's Hospital has developed policies and procedures for internal and external collection practices that take into account the extent to which the patient qualifies for charity, a patient's good faith effort to apply for a governmental program or for charity from St. Luke's Hospital, and a patient's good faith effort to comply with his or her payment agreements with St. Luke's Hospital. For patients who qualify for financial assistance and who are cooperating in good faith to resolve their hospital bills, St. Luke's Hospital may offer extended payment plans, will not impose wage garnishments or force a foreclosure on primary residences, will not impose actions that force bankruptcy and will not send unpaid bills to outside collection agencies. St. Luke's Hospital adheres to the laws of the Fair Debt Collection Practices Act and the Association of Credit and Collection Professional's Code of Ethics and Professional Responsibility and patients are treated with dignity, respect and in line with our mission and values. NEEDS ASSESSMENT: St. Luke's identifies and assesses the unmet needs of its community during its daily operations and ongoing community outreach efforts. Many requests come from physicians on staff, leaders in the community, community focus groups, and strategic planning. Through reports from the Missouri Hospital Association, including the community health profile data for the St. Louis area, the health status and needs of the community are identified. Behaviors, medical risk factors, social determinants and outcomes over a multi-year period are reviewed. The organization then takes a systematic approach in defining the appropriate health care initiatives and the resources needed. 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 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. COMMUNITY BUILDING ACTIVITIES: - St. Luke's work's 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 Health Fair participation at Presbyterian and Episcopal leadership functions, including health care screenings and education for various topics (i.e. Women's Health, Men's Health, Children's Health); 3) 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; 4) 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; 5) Raising awareness about the St. Luke's Pastoral Care Department and Clinical Pastoral Education program; and 6) Identifying opportunities to provide health education articles and information about upcoming healthy living events to the Presbytery/Diocese. 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. 7,000 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 supported the Chesterfield Chamber's Junior Leadership Development and Training by providing a Program Leader who managed the program for Juniors of four area high schools. This program is designed to provide a forum of education and growth for the future leaders of the Chesterfield community. In addition, each "student team" is responsible for a community project that involves fellow students and benefits community organizations in our area. - 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 INFORMATION: 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 apnea 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 989 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. AFFILIATED HEALTH CARE SYSTEM: N/A X true true X X X X X X false true false false false false false false false Gary Olson 536455 0 106200 0 0 0 23800 0 36769 0 703224 0 0 0 Brian Spillers 417399 0 70000 0 257908 0 11000 0 39769 0 796076 0 0 0 David Krajcovic MD 434376 0 0 0 0 0 0 0 22069 0 456445 0 0 0 Paul Mennes MD 518264 0 0 0 0 0 0 0 23069 0 541333 0 0 0 Carlton Pearse MD 146577 0 0 0 0 0 0 0 20004 0 166581 0 0 0 Gail Wagner 237976 0 55797 0 0 0 0 0 27858 0 321631 0 0 0 Sue Adams 141951 0 31737 0 0 0 0 0 24829 0 198517 0 0 0 Jan Hess 183090 0 44774 0 0 0 0 0 34868 0 262732 0 0 0 Brenda Kelly 183691 0 42390 0 0 0 0 0 35625 0 261706 0 0 0 William Meyer 201841 0 47568 0 0 0 0 0 36649 0 286058 0 0 0 Don Miller 205610 0 49151 0 0 0 0 0 25898 0 280659 0 0 0 Janette Taaffe 161476 0 39043 0 0 0 0 0 25582 0 226101 0 0 0 Talat Nawas MD 469059 0 0 0 0 0 0 0 28719 0 497778 0 0 0 Hope Cranston D'Amato MD 410756 0 0 0 0 0 0 0 21499 0 432255 0 0 0 Abdul Moheet MD 383670 0 0 0 0 0 0 0 30099 0 413769 0 0 0 Sergio Garcia MD 372781 0 0 0 0 0 0 0 16437 0 389218 0 0 0 Vijayakumari Reddy MD 324455 0 0 0 0 0 0 0 9188 0 333643 0 0 0 Schedule J, Part I, Q6 The executive incentive compensation plan recognizes and reinforces the Hospital's strategic balance scorecard objectives which 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. HEALTH & EDUCATIONAL FACILITIES AUTH STATE OF MO 431178966 60635RY68 2007-01-09 56215363 SEE PART V false false false 57062584 549996 31129830 2008 true false true true false false false false true true false false false false false false PART I, LINE A, COLUMN F 2006 BONDS WERE 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. PART II, LINE 3 THE DIFFERENCE BETWEEN PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND. GARY OLSON - RETENTION X 525000 525000 false true true 525000 X 7 321775 FAIR MARKET VALUE false true true 32b ST. LUKE'S HOSPITAL USES AN OUTSIDE TRUST COMPANY TO SELL EQUITY SECURITIES CONTRIBUTED TO THE ORGANIZATION. FORM 990, PART I, Q1 & PART III, Q1 - ORGANIZATION'S 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. 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. FORM 990, PART III, Q. 4(a) - 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, six urgent care centers, 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 heart care, 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 and education and social support services to their families. St. Luke's is the only Missouri hospital recognized as one of America's 50 Best Hospitals by HealthGrades (2007-2012). 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. HealthGrades also ranked St. Luke's number one in Missouri for 2012 in the areas of cardiac services, neurosurgery, neurosciences (neurosurgery and stroke treatment combined), critical care and gastrointestinal medical treatment. St. Luke's is also the recipient of the HealthGrades Emergency Medicine Excellence Award (2011 and 2012), Pulmonary Care Excellence Award (2005-2012), Women's Health Excellence Award (2009-2011) and Outstanding Patient Experience Award (2011). FORM 990, PART III, Q. 4(b) - 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. - A pastoral care ministry and a fully-accredited chaplaincy program is provided 24 hours a day, seven days a week. 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 Institute for Health Education and our extremely active community outreach program provide more than 1,100 health education opportunities, prevention programs, health screenings, special events, support groups and classes to area schools, companies and the broader community. - 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 8,000 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 hundreds of 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. FORM 990, PART IV Q. 12A & PART XII Q. 2B The organization's financial statements were audited in accordance with GAAP as part of the consolidated audit of St. Luke's Health Corporation. The consolidated financial statements include the accounts of St. Luke's Health Corporation, St. Luke's Hospital and all of their controlled subsidiaries, including St. Luke's Medical Group and St. Luke's Development Corporation, a for-profit corporation. FORM 990, PART VI, SECTION A, Q. 6 St. Luke's Health Corporation, a 501(c)(3) organization, is the sole corporate member of St. Luke's Episcopal-Presbyterian Hospitals, a regional health care provider. FORM 990, PART VI, SECTION B, Q. 11a & 11b - 990 REVIEW PROCESS 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. FORM 990, PART VI, SECTION B, Q. 12c - COMPLIANCE / CONFLICT OF INTEREST 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. FORM 990, PART VI, SECTION B, Q. 15 - COMPENSATION PROCESS Executive, key employee and physician salary/compensation information is based on comparative data with like positions in the market. The organization also engaged consultants for independent reviews to ensure compensation for certain of the above employees is fair and within market parameters. The salary data and potential adjustments for executives and key employees are presented to the compensation committee to approve or modify. The compensation committee has representation from the independent members of the board and legal counsel. Minutes are maintained of the discussions and conclusions of the committee. FORM 990, PART VI, SECTION C, Q. 19 - ORGANIZATION'S GOVERNING DOCUMENTS Quarterly and annual financial statements including Form 990 and 990T are available to the public on the internet and upon request in the Administration Office. Any proprietary internal policies or governing documents are available upon request in the Administration Office. FORM 990, PART XII Q. 2C The organization's Audit Committee assumes responsibility to oversee and review the audit process, and the selection and approval of the independent auditors. FORM 990, PART XI. Q.5 RECONCILIATION OF NET ASSETS- Other Changes in Net Assets: Change in Pension Obligation, net $12,107,000 Change in net unrealized gains on investments 3,006,400 Fund Balance Transfer (4,826,000) Change in Restricted Assets 1,996,311 ------------ $12,283,711 SCHEDULE K, PART I, A(f) - DESCRIPTION OF PURPOSE Series 2006 bonds were 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. SCHEDULE R, PART II - MEDICAL GROUP To further the charitable and health purposes of St. Luke's Episcopal-Presbyterian Hospitals, and to recruit, train and employ qualified health care professionals to provide health care services to the community. 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