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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 CONSULTING false 0 55008 0 0 55008 0 GALA 327250 272081 55169 19400 45460 52800 28140 GOLF TOURNAMENT 61460 43550 17910 1200 7002 4056 0 388710 315631 73079 1200 26402 49516 52800 28140 158058 -84979 true true true X true X true true true false true true 15256 3588324 3588324 0.01060 8156 5282092 4451270 830822 0.00250 23412 8870416 4451270 4419146 0.01300 199357 20870 178487 0.00050 5579314 3124383 2454931 0.00720 6029 981161 502560 478601 0.00140 672671 672671 0.00200 6029 7432503 3647813 3784690 0.01110 16302919 8099083 8203836 0.00000 true 1112616 262333 111498808 115379086 -3880278 X true true ST LUKE'S CENTER FOR DIAGNOSTIC OUTPATIENT IMAGING MANAGEMENT IMAGING LLC SERVICES 0.31000 0.00000 0.18000 ST LUKE'S HOSPITAL

232 S WOODSMILL RD CHESTERFIELD MO 63017

X X X X N/A N/A - Issued through Missouri Hospital Association Bad debt expense subtracted from amount reported on line 7f- N/A N/A Line 7.a. Charity Care 1.06% Line 7.b. Unreimbursed Medicaid 1.56% Line 7.d. Total Charity Care and govt. programs 2.62% Line 7.e. Community Health improvement services .06% Line 7.f. Health professions education 1.65% Line 7.g. Subsidized Health Services .29% Line 7.i. Cash and in-kind contributions .20% Line 7.j. Total Other Benefits 2.19% 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. 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. 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. St. Luke's through its day to day operations and outreach efforts identifies and assesses the unmet needs of its community. 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 served 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. 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 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. - St. Luke's has established a Community Benefits Task Force to increase awareness of how St. Luke's Hospital partners 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. The goal of this subcommittee of the Mission & Community Affairs Committee of the board is to create a stronger identity for St. Luke's within the Churches and community by conveying through various communication and program initiatives how St. Luke's lives out daily its mission and ministry of healing. Key task force 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. - 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 Sr. staff 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 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. 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 in 70 specialty areas from 22 locations 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 personal healthcare needs, St. Luke's utilizes technology resources to improve the health of the community and educate patients on 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. - H1N1 Flu Update - Health tips, symptom information and other helpful links. - 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 nurse health educator. This 30-minute appointment includes a free cholesterol screening, a blood pressure check and other heart-health checks. 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 978 physicians on the Medical staff greater than 95% are board certified. Governing Body: St. Luke's Hospital has 20 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. N/A MO X true true X X X X X X false true false false false false false false false Gary Olson 516777 106200 0 23800 36676 683453 0 Brian Spillers 395975 56000 0 26000 39076 517051 0 David Krajcovic MD 394792 0 0 0 21976 416768 0 Paul Mennes MD 393637 0 0 12000 22976 428613 0 Gail Wagner 227141 31043 0 0 22863 281047 0 Sue Adams 137785 19949 0 0 21918 179652 0 Jan Hess 174883 23513 0 0 31459 229855 0 Brenda Kelly 173875 17790 0 0 31665 223330 0 William Meyer 182586 10194 0 0 30835 223615 0 Don Miller 199824 28177 0 0 26666 254667 0 Janette Taaffe 150462 20573 0 0 23751 194786 0 Talat Nawas 423949 0 0 0 27049 450998 0 Hope Cranston D'Amato MD 402618 0 0 0 21301 423919 0 Abdul Moheet MD 362407 0 0 0 27049 389456 0 Sergio Garcia MD 355641 0 0 0 16463 372104 0 Barry Hendrickson MD 293628 0 0 0 29539 323167 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 SCHEDULE O false false 57062584 549996 31129830 2008 true false true true false false false false true 0.00000 0.00000 0.00000 true false false false false false false GARY OLSON - RETENTION X 450000 450000 false true true 450000 X 17 1354711 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 Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke's Hospital (St. Luke's) is dedicated to improving the health of the community. Using talents and resources responsibly; our medical staff, employees and volunteers, provide care for the whole person with compassion, professional excellence, and respect for each other and those we serve. St. 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 & 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 life styles, 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, especially to the underserved and underprivileged. 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 with chronic disease in their homes, to relieve their suffering and improve their quality of life. We receive input while measuring and evaluating our efforts to be sure that what we do brings benefit to the people of the community. We continually refine our approaches to maintain and improve community health and wellness. St. Luke's provides quality medical care to patients regardless of race, creed, sex, national origin, handicap, age or ability to pay. FORM 990, PART III, Q. 4(a) 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. St. Luke's Hospital offers a comprehensive approach to healthcare from 22 locations across the St. Louis metropolitan area (including St. Charles County), including a hospital, skilled nursing/residential care facility and six urgent care centers, Home Health services and Hospice services. Nationally recognized for clinical excellence, St. Luke's offers services in 70 specialty areas including: Brain and Spine, Cancer Care, Family Practice, Heart Care, Orthopedic, Pulmonary, Osteoporosis, Sleep Medicine, Urgent Care, Vascular Access, Wellness Center for Adults with Down Syndrome, Women's Health (including Obstetrics), Home Health and Hospice. The Brain and Spine Center is the first of its kind in the region, committed to a multidisciplinary approach offering the most advanced treatments available. The Heart Institute offers a collaborative approach to manage and treat heart disease. Women's Health includes a comprehensive range of clinical services, educational opportunities and wellness. St. Luke's Hospital is the exclusive Spirit of Women Hospital in Missouri and named a Spirit of Women premier Hospital focused 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 & community outreach developed in consultation with the U.S. Department of Health & Human Services. St. Luke's Home Health Services provided care to more than 1,000 people in the comfort of their homes. By providing a full range of nursing, therapy, social work and aid services, Home Health helps more individuals recover and stay safe and healthy in their homes. The Wellness Center for adults with Down Syndrome is the first of its kind in the area. Through the Wellness Center, patients can get a comprehensive physical with one of the center's designated physicians and also receive a thorough assessment with a social worker. The center also offers caregiver classes. To further its 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 to their families. FORM 990, PART III, Q. 4(b) In support of its 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 through: - A graduate medical education program for interns and residents in internal medicine. This program provides a unique opportunity of training in primary care internal medicine at both a modern hospital located in St. Louis County and public health clinics serving the needs of the indigent population of the St. Louis area. Currently, there are a total of 42 medical residents in the program. - Training opportunities for health professionals in nursing, pharmacy and other health specialties. - An accredited continuing medical education (CME) program for physicians. - Pastoral Care ministry and a fully accredited chaplaincy program is provided twenty four hours per 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. Currently there are 10 students in the CPE program. - The institute for health education, with an extremely active Community Outreach program that provides more than 1,000 health education opportunities, prevention programs, health screenings, special events, support groups and classes to area schools, companies and the broader community. - A pediatric care center, which provides primary and preventative care to medically underserved and underinsured children in North St. Louis City and County. - Meals on wheels, which provides meals to community residents who are not able to prepare meals for themselves due to their medical condition. - HealthAware provides free online confidential risk assessments and personal follow-up for those found at risk for heart disease, stroke, sleep apnea, diabetes, and spine 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 6,500 area women have joined this free membership program to receive health information from St. Luke's Hospital via emails and mailed newsletters. Through the St. Luke's 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 Day of Dance. This event draws hundreds of women to dance for their health each year and offers free health screenings. - Passport to Wellness program provides more than 150 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. Free of charge, our team visits employers and collects personal health profiles from their employees, then provides a group health report to identify the specific health risks present in their workforce and address these risks. St. Luke's healthcare professionals coordinate and provide on-site screenings, lunchtime seminars and education materials targeted to the specific needs of the 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 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 the patient's medication, laboratory monitoring, education and counseling and systematic telephone follow-up. Patients and physicians may access the heart failure disease manager (on call 24 hours per day). The disease manager assists in the treatment of the acute and chronic phases of this disease. FORM 990, PART IV Q. 12A & PART XI 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 XI 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 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 A, Q. 11 & 11A - 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. 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. FORM 990, PART IV, QUESTION 12 & SCHEDULE D, PART XII RECONCILIATION OF REVENUE REVENUE, PER AUDITED FINANCIALS : 363,641,241 SPECIAL PURPOSE FUNDS RELEASED FOR CAPITAL : 1,737,896 REVENUE, PER FORM 990 : 365,379,137 SEE SCH. 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