ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL (EIN 43-0652680)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-13
IRS object ID: 202601339349305540
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-13T13:37:41-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	562632458	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLEUS AND COMPANY LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2200 WEST PORT PLAZA DR STE 203	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63146	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430652680	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKES EPISCOPAL-PRESBYTERIAN	BusinessNameLine1Txt
Business Name Line2	HOSPITALS	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	STLU	BusinessNameControlTxt
Phone	3144341500	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JONATHAN VITIELLO	PersonNm
Person Title	SENIOR VP/CFO	PersonTitleTxt
Phone	3144341500	PhoneNum
Signature	2026-05-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
PTIN	P00013488	PTIN
Phone	3143178900	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JONATHAN R VITIELLO	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$745,981,855	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STLUKES-STL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1866	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	WE ARE DEDICATED TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	4535	TotalEmployeeCnt
Total Volunteers	176	TotalVolunteersCnt
Total Gross UBI	$3,896,988	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$48,004	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,471,358	PYContributionsGrantsAmt
CY Contributions Grants	$16,220,085	CYContributionsGrantsAmt
PY Program Service Revenue	$633,143,738	PYProgramServiceRevenueAmt
CY Program Service Revenue	$655,792,712	CYProgramServiceRevenueAmt
PY Investment Income	$16,447,183	PYInvestmentIncomeAmt
CY Investment Income	$13,376,132	CYInvestmentIncomeAmt
PY Other Revenue	$536,338	PYOtherRevenueAmt
CY Other Revenue	$95,815	CYOtherRevenueAmt
PY Total Revenue	$664,598,617	PYTotalRevenueAmt
CY Total Revenue	$685,484,744	CYTotalRevenueAmt
PY Grants And Similar Paid	$64,800	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$77,500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$288,061,433	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$289,756,519	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$130,900	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$884,759	CYTotalFundraisingExpenseAmt
PY Other Expenses	$319,700,466	PYOtherExpensesAmt
CY Other Expenses	$346,277,983	CYOtherExpensesAmt
PY Total Expenses	$607,826,699	PYTotalExpensesAmt
CY Total Expenses	$636,242,902	CYTotalExpensesAmt
PY Revenues Less Expenses	$56,771,918	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$49,241,842	CYRevenuesLessExpensesAmt
Total Assets BOY	$859,504,157	TotalAssetsBOYAmt
Total Assets EOY	$882,850,692	TotalAssetsEOYAmt
Total Liabilities BOY	$219,397,945	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$220,585,586	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$640,106,212	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$662,265,106	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$590,316,953	ExpenseAmt
Grant	$77,500	GrantAmt
Revenue	$651,895,724	RevenueAmt
Desc	SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	SEE SCHEDULE O.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$590,316,953	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	169	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4535	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	20	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JONATHAN R VITIELLO	PersonNm
Phone	3144341500	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOSEPH SOKHN MD
ONCOLOGIST	1.00	55.00	Yes (X)	$0	$1,186,180	$40,242
JOSEPH CRAFT MD
CARDIOLOGIST	1.00	55.00	Yes (X)	$0	$699,554	$38,526
BRIAN PETERSON MD
CARDIOTHORACIC SURGEON-THRU 12/31/24	1.00	55.00	Yes (X)	$0	$641,520	$38,340
JEFFREY THOMPSON MD
OB/GYN	1.00	50.00	Yes (X)	$0	$514,215	$40,326
NORMAN L EAKER
CHAIRMAN	3.00	2.00	Yes (X)	$0	$0	$0
VINCENT FERRARI
VICE CHAIRMAN	1.00	1.00	Yes (X)	$0	$0	$0
KATHERINE ARBUCKLE
SECRETARY	1.00	1.00	Yes (X)	$0	$0	$0
EDWARD L GLOTZBACH
TREASURER	1.00	1.00	Yes (X)	$0	$0	$0
JEAN C DAVIS
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
SHARON HARVEY DAVIS
DIRECTOR-THRU 8/12/24	1.00	1.00	Yes (X)	$0	$0	$0
MICHAEL DIMARCO
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
REV DR BRANDAN EDDY
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
JOHN EILERMANN
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
STEVEN L GOSIK
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
BRIAN HOGAN
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
KIMBERLY R JOHNSON
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
THE RT REV DEON JOHNSON
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
REV RYAN LANDINO
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
MARK LOMBARDI
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
STEVEN H MANDEVILLE
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
CYNTHIA MARITZ
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
SCOTT MONETTE
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
JOHN MORRIS
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
PAUL SCHWETZ
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
JAMES M SNOWDEN JR
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
DANIEL K STEGMANN
DIRECTOR-THRU 12/31/24	1.00	1.00	Yes (X)	$0	$0	$0
ANDREW BAGNALL
PRESIDENT & CEO	42.00	18.00		$1,035,894	$0	$37,420	Yes (X)
JONATHAN VITIELLO
SVP & CFO	25.00	35.00		$410,337	$0	$19,248	Yes (X)
MAGED HAIKAL MD
CHIEF OF MEDICINE	40.00	25.00		$0	$929,171	$40,370		Yes (X)
SAMUEL FLANDERS MD
EXECUTIVE VP QUALITY-THRU 4/18/25	50.00	0.00		$615,962	$0	$38,601		Yes (X)
RONALD LEIDENFROST MD
CHAIRMAN HEART & VASCULAR INST	30.00	25.00		$0	$604,220	$40,370		Yes (X)
DARREN HASKELL MD
CHIEF MEDICAL OFFICER	20.00	30.00		$0	$532,700	$50,676		Yes (X)
RYAN MILLER
CHIEF OPERATING OFFICER	50.00	0.00		$424,048	$0	$37,597		Yes (X)
MICHAEL KLEVENS MD
NTWRK VP IMMED CARE SERV-THRU 05/25	50.00	0.00		$412,209	$0	$47,166		Yes (X)
DON MILLER
NETWORK VP FACILITIES	50.00	0.00		$376,046	$0	$41,997		Yes (X)
SCOTT B JOHNSON
CHIEF STRATEGY OFFICER	50.00	0.00		$383,409	$0	$32,563		Yes (X)
NATHAN BIGLER
CHIEF PEOPLE OFFICER	50.00	0.00		$370,016	$0	$37,338		Yes (X)
SCOTT HOLTSWARTH
VP/NETWORK CIO-THRU 3/31/25	50.00	0.00		$345,793	$0	$45,731		Yes (X)
JON BETTALE
VICE PRESIDENT SURGICAL SVCS	50.00	0.00		$292,151	$0	$29,520		Yes (X)
SHARON MERTZLUFFT
N VP & EXEC DIRECTOR-THRU 8/19/24	50.00	0.00		$273,360	$0	$23,062		Yes (X)
SHAWN HARRIS
NETWORK VP OF FINANCE	50.00	0.00		$155,383	$0	$7,703		Yes (X)
JASON EDWARDS MD
RADIATION ONCOLOGIST	55.00	0.00		$1,519,696	$0	$14,663			Yes (X)
ERIC JENKINS MD
PHYSICIAN CVICU	50.00	0.00		$675,782	$0	$47,226			Yes (X)
JAMIE HAAS MD
SLEEP MEDICINE PHYSICIAN	50.00	0.00		$578,330	$0	$41,047			Yes (X)
JINGJUAN MIN MD
HOSPITALIST	50.00	0.00		$524,048	$0	$33,920			Yes (X)
MUNEEB AHMAD
PHYSICIAN ICU/CVICU	50.00	0.00		$449,512	$0	$21,598			Yes (X)
MARTHA FLEISCHMANN
FORMER OFFICER	0.00	0.00		$668,575	$0	$36,494				Yes (X)
DIANE RAY
FORMER KEY EMPLOYEE	0.00	0.00		$310,661	$0	$37,031				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,821,212	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,107,560	TotReportableCompRltdOrgAmt
Total Other Compensation	$918,775	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	500	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TRIMEDX LLC
5050 KINGSLY DR	CINCINNATI	OH	45227	EQUIPMENT MAINTENANCE	$6,366,870
PARIC CORPORATION
77 WESTPORT PLAZA DR	ST LOUIS	MO	63146	CONSTRUCTION SERVICES	$5,214,455
COMPREHENSIVE ANESTHESIA CARE
13209 CORPORATE EXCHANGE DR	BRIDGETON	MO	63044	PHYSICIAN CONTRACT SERVICES	$4,934,171
LABORATORY CORP OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	LAB SERVICES	$4,002,746
IMAGEFIRST
900 E EIGHTH AVE SUITE 200	KING OF PRUSSIA	PA	19406	LINEN SERVICES	$1,817,231

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	88	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$396,285	FundraisingAmt
Government Grants	$7,778,955	GovernmentGrantsAmt
All Other Contributions	$8,044,845	AllOtherContributionsAmt
Noncash Contributions	$174,907	NoncashContributionsAmt
Total Contributions	$16,220,085	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REV.	621300	$619,416,862	$619,416,862
RETAIL PHARMACIES	456110	$20,100,803	$18,115,138	$1,985,665
PHYSICIAN OFFICES RENT	621110	$9,401,973	$9,401,973
CAFETERIA INCOME	622110	$2,121,329	$2,119,448	$1,881
NONPATIENT LAB SERVICES	621500	$1,662,063		$1,662,063

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,089,682	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,842,303	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$247,379	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$655,792,712	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,433,119	TotalRevenueColumnAmt
Exclusion	$10,433,119	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$62,755,073	SecuritiesAmt
Other	$448,912	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$60,198,520	SecuritiesAmt
Other	$62,452	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,556,553	SecuritiesAmt
Other	$386,460	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,943,013	TotalRevenueColumnAmt
Exclusion	$2,943,013	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$51,600	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$396,285	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$236,139	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$184,539	TotalRevenueColumnAmt
Exclusion	-$184,539	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISC REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$280,354	TotalRevenueColumnAmt
Exclusion	$280,354	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$280,354	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$685,484,744	TotalRevenueColumnAmt
Related Or Exempt Func Income	$651,895,724	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,896,988	UnrelatedBusinessRevenueAmt
Exclusion	$13,471,947	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$77,500	TotalAmt
Program Services	$77,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,208,133	TotalAmt
Management And General	$4,988,625	ManagementAndGeneralAmt
Fundraising	$219,508	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$235,881,715	TotalAmt
Program Services	$222,508,204	ProgramServicesAmt
Management And General	$13,054,241	ManagementAndGeneralAmt
Fundraising	$319,270	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,357,174	TotalAmt
Program Services	$5,893,150	ProgramServicesAmt
Management And General	$450,319	ManagementAndGeneralAmt
Fundraising	$13,705	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,339,640	TotalAmt
Program Services	$23,348,807	ProgramServicesAmt
Management And General	$1,932,034	ManagementAndGeneralAmt
Fundraising	$58,799	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,969,857	TotalAmt
Program Services	$15,731,190	ProgramServicesAmt
Management And General	$1,202,083	ManagementAndGeneralAmt
Fundraising	$36,584	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$739,022	TotalAmt
Management And General	$739,022	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$453,753	TotalAmt
Management And General	$453,753	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$95,014	TotalAmt
Management And General	$95,014	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$130,900	TotalAmt
Fundraising	$130,900	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,827,025	TotalAmt
Program Services	$13,042,127	ProgramServicesAmt
Management And General	$2,784,898	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,424,310	TotalAmt
Program Services	$26,375	ProgramServicesAmt
Management And General	$1,397,935	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,533,632	TotalAmt
Program Services	$5,111,429	ProgramServicesAmt
Management And General	$2,394,813	ManagementAndGeneralAmt
Fundraising	$27,390	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,893,779	TotalAmt
Program Services	$9,023,218	ProgramServicesAmt
Management And General	$852,184	ManagementAndGeneralAmt
Fundraising	$18,377	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,466,517	TotalAmt
Program Services	$13,462,317	ProgramServicesAmt
Management And General	$4,200	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$483,864	TotalAmt
Program Services	$432,096	ProgramServicesAmt
Management And General	$51,589	ManagementAndGeneralAmt
Fundraising	$179	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$109,925	TotalAmt
Program Services	$93,881	ProgramServicesAmt
Management And General	$13,448	ManagementAndGeneralAmt
Fundraising	$2,596	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,750,183	TotalAmt
Program Services	$1,750,183	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,808,383	TotalAmt
Program Services	$28,808,383	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,350,305	TotalAmt
Management And General	$7,350,305	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$192,563,400	$192,289,822	$266,145	$7,433
CONTRACT SERVICES	$33,161,608	$28,714,013	$4,434,722	$12,873
MEDICAID FRA EXPENSE	$20,845,000	$20,845,000
REPAIRS AND MAINTENANCE	$6,155,294	$6,143,515	$11,779

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,616,969	TotalAmt
Program Services	$3,015,743	ProgramServicesAmt
Management And General	$2,564,081	ManagementAndGeneralAmt
Fundraising	$37,145	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$636,242,902	TotalAmt
Program Services	$590,316,953	ProgramServicesAmt
Management And General	$45,041,190	ManagementAndGeneralAmt
Fundraising	$884,759	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$39,771,875	BOYAmt
EOY	$50,237,351	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$165,100	BOYAmt
EOY	$165,100	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$90,795,196	BOYAmt
EOY	$73,117,009	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,897,967	BOYAmt
EOY	$12,407,308	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,788,018	BOYAmt
EOY	$9,600,014	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$757,095,542	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$565,481,403	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$193,784,147	BOYAmt
EOY	$191,614,139	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$395,072,129	BOYAmt
EOY	$437,820,828	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$119,229,725	BOYAmt
EOY	$107,888,943	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$859,504,157	BOYAmt
EOY	$882,850,692	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$55,609,540	BOYAmt
EOY	$65,119,497	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$797,105	BOYAmt
EOY	$1,314,067	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$105,648,979	BOYAmt
EOY	$97,927,572	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$60,716	BOYAmt
EOY	$60,716	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$57,281,605	BOYAmt
EOY	$56,163,734	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$219,397,945	BOYAmt
EOY	$220,585,586	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$615,578,490	BOYAmt
EOY	$636,273,803	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,527,722	BOYAmt
EOY	$25,991,303	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$640,106,212	BOYAmt
EOY	$662,265,106	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$859,504,157	BOYAmt
EOY	$882,850,692	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$49,241,842	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$33,769,323	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$60,852,271	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$95,014	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$95,014	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	APPROXIMATELY $95,014 OF THE DUES PAID TO VARIOUS TRADE ORGANIZATIONS FOR THE YEAR ENDED JUNE 30, 2025 ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES BY THE ORGANIZATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,527,722	BeginningYearBalanceAmt
Contributions	$5,725,788	ContributionsAmt
Investment Earnings Or Losses	$1,345,536	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,607,743	OtherExpendituresAmt
End Year Balance	$25,991,303	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,125,195	BeginningYearBalanceAmt
Contributions	$465,179	ContributionsAmt
Investment Earnings Or Losses	$1,032,948	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,095,600	OtherExpendituresAmt
End Year Balance	$24,527,722	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,018,554	BeginningYearBalanceAmt
Contributions	$3,534,048	ContributionsAmt
Investment Earnings Or Losses	$829,171	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,256,578	OtherExpendituresAmt
End Year Balance	$28,125,195	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,961,841	BeginningYearBalanceAmt
Contributions	$732,916	ContributionsAmt
Investment Earnings Or Losses	-$2,800,529	InvestmentEarningsOrLossesAmt
Other Expenditures	$875,674	OtherExpendituresAmt
End Year Balance	$26,018,554	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,143,988	BeginningYearBalanceAmt
Contributions	$357,924	ContributionsAmt
Investment Earnings Or Losses	$3,126,918	InvestmentEarningsOrLossesAmt
Other Expenditures	$666,989	OtherExpendituresAmt
End Year Balance	$28,961,841	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.90180	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.09820	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,716,070	OtherCostOrOtherBasisAmt
Book Value	$15,716,070	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$414,403,311	OtherCostOrOtherBasisAmt
Depreciation	$287,407,221	DepreciationAmt
Book Value	$126,996,090	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,101,413	OtherCostOrOtherBasisAmt
Depreciation	$20,964,562	DepreciationAmt
Book Value	$12,136,851	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$291,233,732	OtherCostOrOtherBasisAmt
Depreciation	$257,109,620	DepreciationAmt
Book Value	$34,124,112	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,641,016	OtherCostOrOtherBasisAmt
Book Value	$2,641,016	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$191,614,139	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED COMPENSATION	$2,045,000
PENSION ASSET	$2,581,772
SPECIAL PURPOSE FUND	$2,388,429
RIGHT OF USE LEASE ASSETS	$20,676,858
INVESTMENTS	$19,675,690
INTERCOMPANY RECEIVABLE	$60,257,877
OTHER ASSETS	$263,317

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$107,888,943	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$2,045,000
INSURANCE RESERVES & OTHERS	$26,048,673
MEDICARE REIMBURSEMENT	$6,675,280
OPERATING LEASE LIABILITY	$21,394,781

Field	Value	IRS element (for citing)
Total Liability	$56,163,734	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B:	THE HOSPITAL OBTAINS ONE MONTH'S WORTH OF DEPOSITS IN ADVANCE FOR ROOM AND BOARD CHARGES FOR SKILLED NURSING FACILITY PRIVATE PAY RESIDENTS.
PART V, LINE 4:	ENDOWMENT FUNDS CONSIST OF NINE INDIVIDUAL FUNDS, OF WHICH THREE WERE ESTABLISHED FOR INDIGENT CARE. ALL REALIZED INVESTMENT RETURNS ARE RELEASED TO OPERATIONS IN ACCORDANCE WITH THE DONOR RESTRICTIONS.
PART X, LINE 2:	ST. LUKE'S EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED IN 2025 OR 2024.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CCS FUNDRAISING	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7733 FORSYTH BLVD 11TH FLOOR	AddressLine1Txt
City	CLAYTON	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63105	ZIPCd

Field	Value	IRS element (for citing)
Activity	PROVIDES CAPITAL CAMPAIGN SERVICES	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$0	GrossReceiptsAmt
Retained By Contractor	$130,900	RetainedByContractorAmt
Net To Organization	-$130,900	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$130,900	TotalRetainedByContractorsAmt
Total Net To Organization	-$130,900	TotalNetToOrganizationAmt
Licensed States	MO	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA EVENT	Event1Nm
Gross Receipts Event1	$447,885	GrossReceiptsEvent1Amt
Charitable Contri Event1	$396,285	CharitableContriEvent1Amt
Gross Revenue Event1	$51,600	GrossRevenueEvent1Amt
Food And Beverage Event1	$62,521	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$173,618	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$447,885	GrossReceiptsTotalAmt
Charitable Contributions Tot	$396,285	CharitableContributionsTotAmt
Gross Revenue Total Events	$51,600	GrossRevenueTotalEventsAmt
Food And Beverage Total Events	$62,521	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$173,618	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$236,139	DirectExpenseSummaryEventsAmt
Net Income Summary	-$184,539	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	39381	PersonsServedCnt
Total Community Benefit Expns	$4,854,008	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,774,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,008	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,026,964	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,182,822	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,844,142	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	39381	PersonsServedCnt
Total Community Benefit Expns	$20,880,972	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,956,822	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,924,150	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,107,218	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,107,218	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,984,217	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,596,892	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,387,325	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	4215	PersonsServedCnt
Total Community Benefit Expns	$1,591,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$402,864	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,188,567	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,669	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$61,669	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	4215	PersonsServedCnt
Total Community Benefit Expns	$9,744,535	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,999,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,744,779	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	43596	PersonsServedCnt
Total Community Benefit Expns	$30,625,507	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,956,578	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,668,929	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,055	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,055	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$206,202	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$206,202	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,231	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,231	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$442	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$442	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,345	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$143,345	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$352,275	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$352,275	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,817,985	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,624,847	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$155,064,013	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$165,591,214	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,527,201	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 ST LUKE'S CENTER FOR DIAGNOSTIC IMAGING
OUTPATIENT IMAGING SERVICES	0.31000	0.00000	0.18000
2 ST LUKE'S SURGERY CENTER OF CHESTERFIELD
AMBULATORY SURGERY CENTER	0.78790	0.00000	0.21210
3 CITY PLACE SURGERY CENTER
AMBULATORY SURGERY CENTER	0.66890	0.00000	0.33110

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
ST LUKE'S HOSPITAL
1	232 S WOODS MILL RD	CHESTERFIELD	MO	63017	WWW.STLUKES-STL.COM	274-50	Yes (X)	Yes (X)	Yes (X)	Yes (X)
ST LUKE'S REHABILITATION HOSPITAL
2	14709 OLIVE BLVD	CHESTERFIELD	MO	63017	WWW.STLUKES-STL.COM/SERVICES	560-5	Yes (X)				REHABILITATION HOSPITAL

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Asset Level CriteriaAssetLevelCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Other CriteriaOtherCriteriaInd	Other PublicityOtherPublicityInd	Other Actions TakenOtherActionsTakenInd	No Emergency CareNoEmergencyCareInd
ST LUKE'S HOSPITAL
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	24	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	Yes (X)	Yes (1)	25	Yes (1)	STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE	Yes (X)	STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE	Yes (X)	STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
ST LUKE'S REHABILITATION HOSPITAL
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	24	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	Yes (X)	Yes (1)	25	Yes (1)	STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	0	Yes (1)						Yes (1)	Yes (1)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE	Yes (X)	STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE	Yes (X)	STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE							Yes (1)	Yes (X)	0					0	Yes (X)	0	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST. LUKE'S HOSPITAL	PART V, SECTION B, LINE 5: PART V, SECTION B, LINES 5 AND 6AST. LUKE'S CONTINUES TO COLLABORATE WITH OTHER REGIONAL HEALTH SYSTEMS IN THE CHNA PROCESS WITH THE GOAL OF ASSESSING AND POTENTIALLY ADDRESSING COMMUNITY HEALTH NEEDS TOGETHER. BECAUSE ALL LOCAL HEALTH SYSTEMS SERVE THE SAME POPULATIONS, PARTNER WITH THE SAME COMMUNITY ORGANIZATIONS, AND STRIVE TO ADDRESS THE MOST PREVALENT NEEDS IN THE AREA, IT IS APPROPRIATE TO COLLABORATE IN THE ASSESSMENT PROCESS WHEN COMMUNITY MEMBERS ARE ENGAGED. THE ST. LOUIS REGIONAL HOSPITAL CHNA COLLABORATIVE IS COMPRISED OF COMMUNITY HEALTH LEADERS FROM ST. LUKE'S, MERCY, SSM HEALTH, BJC HEALTHCARE, AND SHRINERS HOSPITALS FOR CHILDREN.THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS COLLECTED PRIMARY DATA THROUGH A ST. LOUIS REGIONAL COMMUNITY SURVEY AND A STAKEHOLDER FOCUS GROUP. BETWEEN MARCH AND JUNE 2024, THE ST. LOUIS REGIONAL HOSPITAL CHNA COLLABORATIVE DISSEMINATED A WEB-BASED COMMUNITY SURVEY THROUGHOUT THE ST. LOUIS AREA. THE SURVEY WAS AVAILABLE TO ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN AREA. AFTER SURVEY DATA WERE SUMMARIZED, THE REGIONAL HOSPITAL CHNA COLLABORATIVE HOSTED SIX REGIONAL STAKEHOLDER CONVERSATIONS (FOCUS GROUPS) WITH COMMUNITY PARTNERS FROM A WIDE VARIETY OF COMMUNITY- FACING ORGANIZATIONS WHO REPRESENT BROAD INTERESTS OF THE COMMUNITY. THE GOAL OF HOSTING STAKEHOLDER CONVERSATIONS WAS TO PRESENT THE SURVEY OUTCOMES AND GATHER ADDITIONAL DETAIL ABOUT THE DATA FROM EXPERTS IN THE FIELD, IN ADDITION TO DISCUSSING HOW WE MIGHT COLLABORATIVELY BUILD ON THE RESULTS SO THAT WE CAN ADDRESS THE MOST PRESSING NEEDS.ORGANIZATIONS REPRESENTED IN THE WEST/MID ST. LOUIS COUNTY STAKEHOLDER CONVERSATIONS INCLUDE THE FOLLOWING:AGING AHEADBJC BEHAVIORAL HEALTHCHIEF - EUREKA FIRE DISTRICTCIRCLE OF CONCERNDEACONESS FOUNDATIONNATIONAL ALLIANCE ON MENTAL ILLNESSOPERATION FOOD SEARCHPREVENTEDUNITED WAY OF GREATER ST. LOUISST. LUKE'SMERCY HOSPITAL ST. LOUISMISSOURI BAPTIST MEDICAL CENTER, BJC HEALTHCARE
ST. LUKE'S HOSPITAL	PART V, SECTION B, LINE 11: THE ST. LUKE'S HOSPITAL CHNA STEERING COMMITTEE REVIEWED RESULTS OF THE DATA ANALYSIS AND THE SIGNIFICANT HEALTH AND SOCIAL NEEDS THAT EMERGED, PRIORITIZING EACH CONSIDERING ST. LUKE'S ORGANIZATIONAL STRENGTHS AND PRIORITIES, INTERNAL AND PARTNER RESOURCES AVAILABLE, AND ST. LUKE'S ABILITY TO IMPACT AND SUPPORT THE ISSUE. AFTER REVIEWING AND DISCUSSING THE PRIORITY RANKINGS AND AVAILABLE RESOURCES, THE ST. LUKE'S HOSPITAL CHNA STEERING COMMITTEE RECOMMENDED FOCUSING FY2026-FY2028 COMMUNITY HEALTH IMPROVEMENT STRATEGIES AND RESOURCES TO IMPACT THE FOLLOWING PRIORITY HEALTH NEEDS: - OLDER ADULTS AND AGE-RELATED ILLNESSES - WEIGHT MANAGEMENT AND HEART HEALTH - CANCERTHE GOAL OF THE OLDER ADULTS AND AGE-RELATED ILLNESSES IMPLEMENTATION PLAN IS TO IMPROVE ACCESS, COLLABORATION, AND CONTINUITY OF CARE TO PROMOTE SAFE AND HEALTHY LIVING FOR OLDER ADULTS, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) INCREASE AWARENESS AND KNOWLEDGE TO PREVENT AND ADDRESS HEALTH ISSUES, 2) INCREASE ACCESS AND CONNECTIONS TO COMMUNITY SUPPORT SERVICES, AND 3) IMPROVE CONTINUITY OF CARE DURING AND AFTER HOSPITALIZATION TO ENSURE SAFE AND HEALTHY LIVING.THE GOAL OF THE WEIGHT MANAGEMENT AND HEART HEALTH IMPLEMENTATION PLAN IS TO IMPROVE HEALTHY WEIGHT STATUS THROUGH EDUCATION AND INCREASE OPPORTUNITIES TO EAT HEALTHY AND INCORPORATE PHYSICAL ACTIVITY, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE AND AWARENESS OF HEALTHY FOOD AND EXERCISE OPTIONS AND RESOURCES, AND 2) PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE AVAILABILITY OF HEALTHY FOOD AND EXERCISE OPTIONS.THE GOAL OF THE CANCER IMPLEMENTATION PLAN IS TO INCREASE OPPORTUNITIES FOR SCREENING AND EDUCATION, AND IMPROVE SUPPORT SERVICES AND RESOURCES TO REDUCE THE BURDEN OF CANCER IN OUR COMMUNITY, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) INCREASE CANCER SCREENING RATES, 2) IMPROVE AWARENESS OF CANCER CARE RESOURCES AND SERVICES, AND 3) STRENGTHEN CONNECTIONS AND REFERRALS TO COMMUNITY SUPPORT.THE ST. LUKE'S HOSPITAL CHNA PROCESS IDENTIFIED ADDITIONAL SIGNIFICANT HEALTH NEEDS, HOWEVER LIMITED RESOURCES REQUIRE THAT FOCUSED CHNA-RELATED INITIATIVES ALIGN WITH ST. LUKE'S ABILITY TO MAKE AN IMPACT. THE FOLLOWING COMMUNITY NEEDS WERE IDENTIFIED IN THE CHNA PROCESS, HOWEVER, WERE NOT SELECTED AS FOCUS AREAS IN ST. LUKE'S HOSPITAL'S 2025 CHNA.FOREIGN-BORN POPULATION: ST. LUKE'S IS COMMITTED TO PROVIDING ALL PATIENTS WITH QUALITY HEALTH CARE SERVICES, DELIVERED WITH DIGNITY AND CONCERN. TO ENSURE EFFECTIVE COMMUNICATION WITH PATIENTS AND FAMILY MEMBERS, ST. LUKE'S PROVIDES LANGUAGE TRANSLATION SERVICES THROUGH INTERPRETERS. DEVELOPMENT OF CHNA INITIATIVES TO ASSIST THE GROWING FOREIGN-BORN POPULATION WAS NOT SELECTED AS A SPECIFIC FOCUS, HOWEVER THE NEEDS OF THIS POPULATION WILL BE CONSIDERED WHEN DEVELOPING INITIATIVES FOCUSED ON THE SELECTED PRIORITY NEEDS.MENTAL HEALTH & SUBSTANCE ABUSE: WHILE COMMUNITY SURVEY RESPONDENTS AND STAKEHOLDER PARTNERS RANKED MENTAL HEALTH AS AN UNDER-RESOURCED AND ELEVATED CONCERN FOR OUR LOCAL COMMUNITY, ST. LUKE'S WILL NEED TO RELY ON PARTNERS TO PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO EFFECTIVELY ADDRESS THE PREVALENT NEEDS. ST. LUKE'S WILL CONTINUE TO PARTNER WITH COMMUNITY-BASED ORGANIZATIONS AND MENTAL HEALTH PROVIDERS BETTER SUITED TO ADDRESS THE MENTAL AND BEHAVIORAL HEALTH NEEDS OF OUR COMMUNITY FOR THE MOST EFFICIENT AND APPROPRIATE TRANSFER OF PATIENTS IN NEED.GEOGRAPHIC VULNERABILITIES - VALLEY PARK: AS AN EXISTING SERVICE PROVIDER, ST. LUKE'S IS COMMITTED TO CONTINUING TO OFFER HEALTH CARE SERVICES TO RESIDENTS OF VALLEY PARK. BEING A GEOGRAPHIC AREA WITH THE MOST VULNERABILITIES IN THE ST. LUKE'S HOSPITAL CHNA COMMUNITY, THE VALLEY PARK AREA WILL BE CONSIDERED FOR TARGETED INTERVENTIONS WHILE PLANNING FOR AND IMPLEMENTING INITIATIVES FOR THE SELECTED PRIORITY NEEDS.COMMUNITY WALKABILITY: COMMUNITY WALKABILITY IS AN AREA-WIDE ISSUE THAT WOULD REQUIRE CHANGES IN INFRASTRUCTURE AND POLICY. AT THIS TIME, ST. LUKE'S LACKS RESOURCES TO ENGAGE AT THE LEVEL OF COLLABORATION THAT WOULD RESULT IN CHANGES TO LOCAL INFRASTRUCTURE TO MAKE MEANINGFUL IMPROVEMENTS. COMMUNITY WALKABILITY WAS NOT SELECTED AS A PRIORITY NEED FOR CHNA FOCUSED INITIATIVES, HOWEVER ST. LUKE'S HOSPITAL'S SEASONAL WALKING GROUP ESTABLISHED THROUGH IMPLEMENTATION OF THE 2022 CHNA WILL CONTINUE TO BE OFFERED AND PROMOTED THROUGHOUT THE COMMUNITY GOING FORWARD. IN ADDITION, DEVELOPMENT OF INITIATIVES TO IMPACT WEIGHT MANAGEMENT WILL LIKELY INCLUDE OPPORTUNITIES FOR INCREASED PHYSICAL ACTIVITY. PUBLIC TRANSPORTATION: ST. LUKE'S LACKS THE EXPERTISE AND COMPETENCIES TO EFFECTIVELY ADDRESS IMPROVEMENTS TO PUBLIC TRANSPORTATION IN THE COMMUNITY. HOWEVER, CONSIDERATION WILL BE GRANTED DURING DEVELOPMENT OF COMMUNITY HEALTH INITIATIVES TO UNDERSTAND WHETHER THE TRANSPORTATION NEEDS OF RELATED POPULATIONS ARE SUBSTANTIAL ENOUGH TO EVALUATE OPTIONS TO IMPROVE ACCESS. AFFORDABLE HOUSING: ST. LUKE'S LACKS THE EXPERTISE AND COMPETENCIES TO EFFECTIVELY ADDRESS IMPROVEMENTS TO AFFORDABLE HOUSING IN THE ST. LUKE'S HOSPITAL CHNA COMMUNITY.ACCESS TO MEDICAID PROVIDERS: RESOURCE CONSTRAINTS LIMIT ST. LUKE'S ABILITY TO FOCUS INITIATIVES TO IMPROVE ACCESS TO MEDICAID PROVIDERS.
ST. LUKE'S REHABILITATION HOSPITAL	PART V, SECTION B, LINE 13H: ST. LUKE'S REHABILITATION HOSPITAL MEDICAID PENDING.
ST. LUKE'S REHABILITATION HOSPITAL	PART V, SECTION B, LINE 16J: ST. LUKE'S REHABILITATION HOSPITALST. LUKE'S REHABILITATION HOSPITAL (THE REHAB HOSPITAL) RECEIVES PATIENTS ON A REFERRAL-ONLY BASIS, MANY OF WHOM ARE REFERRED BY ST. LUKE'S HOSPITAL. THE REHAB HOSPITAL HONORS THE FINANCIAL ASSISTANCE DETERMINATIONS MADE BY ST. LUKE'S HOSPITAL UNDER ITS FINANCIAL ASSISTANCE POLICY, WHICH IS PUBLICIZED WITHIN THE COMMUNITY SERVED BY BOTH FACILITIES. ON THE ST. LUKE'S HOSPITAL WEBSITE, ST. LUKE'S REHABILITATION HOSPITAL IS LISTED UNDER THE "SERVICES AND "LOCATIONS" TAB OF THE HOSPITAL "COMMITTED TO ASSISTING OUR PATIENTS IN FINDING THE INFORMATION THEY NEED REGARDING BILLING AND CHARGES FROM HEALTHCARE SERVICES OBTAINED AT ONE OF OUR FACILITIES".
PART V, SECTION C	ASIDE FROM THE ADDITIONAL DISCLOSURES FOR PART V, SECTION B, LINE 13H AND PART VI, SECTION B, LINES 16J AND 20E, THE SUPPLEMENTAL INFORMATION PROVIDED IN SCHEDULE H, PART V, SECTION C APPLIES TO BOTH ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS (ST. LUKE'S HOSPITAL) AND ST. LUKE'S REHABILITATION HOSPITAL (REHAB HOSPITAL). ADDITIONALLY, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COVERS ST. LUKE'S HOSPITAL AND THE REHAB HOSPITAL, AS IT IS INCLUDED IN ST. LUKE'S PROCESS AND STEERING COMMITTEE.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATIONPART I, LINE 7DURING FISCAL 2025, ST. LUKE'S RECEIVED A SUBSTANTIAL BEQUEST FROM THE ESTATE OF A LONGSTANDING DONOR. THE $4,774,000 CONTRIBUTION WAS APPLIED TO OFFSET CHARITY CARE PROVIDED TO PATIENTS DURING THE YEAR AND HAD A MATERIAL IMPACT ON ST. LUKE'S REPORTED COMMUNITY BENEFIT EXPENSE. AS A DIRECT RESULT OF THIS ONE-TIME DONATION, NET COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE AT COST (PART I, LINE 7A, COLUMN (E)) AND TOTAL NET COMMUNITY BENEFIT EXPENSE (PART I, LINE 7K, COLUMN (E)) ARE REPORTED SIGNIFICANTLY BELOW OUR HISTORICAL TREND. ABSENT THE DONATION, NET COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE AT COST WOULD HAVE BEEN $4,854,008, OR 0.8% OF TOTAL EXPENSE, AND TOTAL NET COMMUNITY BENEFIT EXPENSE WOULD HAVE BEEN $11,442,929, OR 1.8% OF TOTAL EXPENSE - UNDERSCORING THAT THE BEQUEST, RATHER THAN ANY REDUCTION IN ST. LUKE'S UNDERLYING COMMITMENT TO CHARITY CARE, ACCOUNTS FOR THE YEAR-OVER-YEAR DECLINE. PART I, LINE 7GN/A
PART I, LN 7 COL(F):	TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSELINE 7A: CHARITY CARE, 0.76%LINE 7B: UNREIMBURSED MEDICAID, 2.52 %LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 3.28 %LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.17 %LINE 7F: HEALTH PROFESSIONS EDUCATION, 1.10 %LINE 7G: SUBSIDIZED HEALTH SERVICES, 0.25 %LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.01 %LINE 7J: TOTAL OTHER BENEFITS, 1.53 %LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 4.81 %BAD DEBT EXPENSE SUBTRACTED FROM LINE 7, COLUMN (F): N/A-BAD DEBT IS AN IMPLICIT PRICE CONCESSION AND A REDUCTION OF PATIENT REVENUE.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIESST. LUKE'S EMPLOYEES ENGAGE IN A VARIETY OF COMMUNITY-BUILDING PARTNERSHIPS AND ACTIVITIES TO SUPPORT AND IMPROVE THE HEALTH AND SAFETY OF INDIVIDUALS LIVING IN OUR SURROUNDING COMMUNITY. ACTIVITIES REPORTED IN PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE: COMMUNITY SUPPORT: ST. LUKE'S LEADERSHIP AND STAFF ARE INVOLVED ON LOCAL NONPROFIT BOARDS AND COMMITTEES INTENDED TO ADVANCE COMMUNITY HEALTH, SUCH AS THE GATEWAY FAMILY YMCA BOARD.WORKFORCE DEVELOPMENT: ST. LUKE'S HOSPITAL LEADERS PROVIDE CAREER PLANNING ADVICE, OPPORTUNITY, AND GUIDANCE TO ASSIST AND GUIDE STUDENTS ABOUT CAREERS IN THE HEALTHCARE INDUSTRY THROUGH JOB SHADOWING OPPORTUNITIES FOR HIGH SCHOOL AND COLLEGE STUDENTS, THE ST. LOUIS INTERNSHIP PROGRAM (SLIP), PARKWAY SPARK! EXPERIENTIAL LEARNING, AND ST. LUKE'S HEALTHCARE EXPLORERS POST.ADDITIONALLY, ST. LUKE'S COORDINATES VOCATIONAL SKILLS PROGRAMS TO SUPPORT DISABLED STUDENTS FROM THE COMMUNITY AND PROVIDE THEM WITH ON-THE-JOB TRAINING AND EXPERIENCE TO SUPPORT THEM ON THEIR PATH TO EMPLOYMENT.LEADERSHIP DEVELOPMENT AND TRAINING: ST. LUKE'S HOSPITAL SUPPORTS VISION ST. CHARLES LEADERSHIP DEVELOPMENT AND TRAINING THROUGH FINANCIAL SUPPORT AND STAFF INVOLVEMENT ON THE HEALTH SUBCOMMITTEE. COALITION BUILDING: ST. LUKE'S LEADERSHIP AND STAFF PARTICIPATE IN VARIOUS COLLABORATIVE EFFORTS WITH OTHER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS TO ADVANCE THE HEALTH AND SAFETY OF OUR COMMUNITY, INCLUDING A STRONG PARTNERSHIP WITH HEALING GRACE, PROVIDING HEALTH CARE TO THE UNINSURED. DISASTER READINESS: ST. LUKE'S STAFF PARTICIPATE IN REGIONAL DISASTER PREPAREDNESS COLLABORATIVES AND ENGAGES BEYOND WHAT IS REQUIRED OF ALL ORGANIZATIONS, INCLUDING INVOLVEMENT WITH THE FEDERAL DISASTER MEDICAL ASSISTANCE TEAM, INTERSTATE DISASTER MEDICAL COLLABORATION, ST. LOUIS AREA REGIONAL RESPONSE SYSTEM, AND ST. LOUIS MEDICAL OPERATIONS CENTER.
PART III, LINE 2:	COST TO CHARGE RATIO
PART III, LINE 3:	BAD DEBTST. LUKE'S CONSIDERS THIS PORTION OF BAD DEBT EXPENSE A COMMUNITY BENEFIT AS IT IS THE ADDITIONAL COST OF PROVIDING FINANCIAL ASSISTANCE TO THE COMMUNITY.
PART III, LINE 4:	NOTE 3 - PATIENT SERVICE REVENUE AND OTHER OPERATING REVENUE (ST. LUKE'S HEALTH CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS) - "ST. LUKE'S DETERMINES THE TRANSACTION PRICE, WHICH INVOLVES SIGNIFICANT ESTIMATES AND JUDGMENT, BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY EXPLICIT AND IMPLICIT PRICE CONCESSIONS, INCLUDING CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS IN ACCORDANCE WITH ST. LUKE'S POLICY, AND IMPLICIT PRICE CONCESSIONS BASED ON THE HISTORICAL COLLECTION EXPERIENCE OF PATIENT ACCOUNTS. ST. LUKE'S DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE WITH MEDICARE, MEDICAID, MANAGED CARE PROGRAMS, AND OTHER THIRD-PARTY PAYORS BASED ON REIMBURSEMENT TERMS PER CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. PAYMENT ARRANGEMENTS WITH THOSE PAYORS INCLUDE PROSPECTIVELY DETERMINED RATES PER ADMISSION OR VISIT, REIMBURSED COSTS, DISCOUNTED CHARGES, PER DIEM RATES AND VALUE-BASED PAYMENTS. REPORTED COSTS AND/OR SERVICES PROVIDED UNDER CERTAIN OF THESE ARRANGEMENTS ARE SUBJECT TO RETROACTIVE AUDIT AND ADJUSTMENT. PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS) ARE RECORDED DURING THE PERIOD THE HEALTH CARE SERVICES ARE PROVIDED AND ARE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. ESTIMATES OF CONTRACTUAL ALLOWANCES UNDER MANAGED CARE HEALTH PLANS ARE BASED UPON THE SERVICES PROVIDED HISTORICAL PAYMENT RATES, AND THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUES RELATED TO UNINSURED PATIENTS HAVE DISCOUNTS APPLIED IN ACCORDANCE WITH ST. LUKE'S POLICY."
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. UNPAID BALANCES WILL NOT BE REPORTED TO THE CREDIT BUREAU UNTIL AT LEAST 6 MONTHS FROM PLACEMENT DATE AND ONLY IF PATIENTS ARE NOT COOPERATING WITH PAYING THEIR BALANCE.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.
PART VI, LINE 2:	NEEDS ASSESSMENTIN ADDITION TO CONDUCTING A FORMAL CHNA EVERY THREE YEARS, ST. LUKE'S CONTINUOUSLY MONITORS THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY THROUGH VARIOUS APPROACHES, MOST DIRECTLY THROUGH THE ST. LUKE'S COMMUNITY BENEFIT PROGRAM AND DEDICATED COMMUNITY BENEFIT STAFF. THE ST. LUKE'S COMMUNITY BENEFIT COORDINATOR PARTICIPATES IN COMMUNITY COLLABORATIONS AND COALITIONS INCLUDING ONGOING REGIONAL HOSPITAL COMMUNITY HEALTH COLLABORATION WITH OTHER LOCAL HOSPITAL SYSTEMS TO INTENTIONALLY ADDRESS OUTSTANDING REGIONAL NEEDS EFFICIENTLY AND EFFECTIVELY. ADDITIONAL COMMUNITY ASSESSMENT IS ACHIEVED THROUGH INVOLVEMENT IN THE LOCAL HEALTH DEPARTMENT HEALTH ASSESSMENT PROCESS; PARTICIPATION ON THE COMMISSION ON CANCER STEERING COMMITTEE AND ANNUAL DEVELOPMENT OF FOCUSED EFFORTS TO ADDRESS OUTSTANDING SCREENING AND PREVENTION NEEDS; ADVISING ON MISSOURI HOSPITAL ASSOCIATION COMMUNITY HEALTH INITIATIVES INTENDED TO BETTER ASSIST STATE HOSPITALS TO ADDRESS HEALTH EQUITY; COLLABORATION WITH PARTNERS THROUGH THE ALLIANCE FOR HEALTHY COMMUNITIES COALITION TO ADDRESS SUBSTANCE ABUSE AND MISUSE; AND ONGOING MARKET ASSESSMENT AND RESEARCH THROUGH LOCAL CURRENT EVENTS, COMPETITOR ACTIVITY, AND LITERATURE REVIEW. ADDITIONALLY, HOSPITAL LEADERSHIP AND MEMBERS OF THE MANAGEMENT TEAM SERVE ON COMMUNITY BOARDS AND PARTNER WITH COMMUNITY ORGANIZATIONS. COMMUNITY OUTREACH STAFF SERVE MEMBERS OF THE COMMUNITY THROUGH A VARIETY OF SCREENINGS, EDUCATION, AND HEALTH COACHING EVENTS, WHICH PROVIDE ADDITIONAL ASSESSMENT OF THE OUTSTANDING HEALTH NEEDS THAT ARE IMPORTANT TO OUR COMMUNITY. CARE MANAGEMENT STAFF INTERACTIONS WITH PATIENTS PROVIDE ONGOING MONITORING AND SERVE AS IMPORTANT INPUT FOR ADDRESSING PATIENT NEEDS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS ARE INFORMED ABOUT ST. LUKE'S FINANCIAL ASSISTANCE AND THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS IN A NUMBER OF WAYS:-FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO PATIENTS DURING THEIR STAY.-PATIENT FINANCIAL SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO PROVIDE PATIENTS WITH THEIR EXPECTED AMOUNTS DUE AND DISCUSS PAYMENT / 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 ON OUR WEBSITE, OUR BILLING STATEMENTS, AS WELL AS OUR REGISTRATION BOOKLETS/BROCHURES AND SIGNAGE IN ALL REGISTRATION AREAS.-APPLICATIONS ARE AVAILABLE FREE OF CHARGE BY MAIL OR PHONE AND CAN BE OBTAINED ON OUR WEBSITE.-FINANCIAL COUNSELORS SCREEN PATIENTS FOR MEDICAID ELIGIBILITY TO ASSIST WITH ENROLLMENT IN THE STATE MEDICAID PROGRAM.-CERTIFIED APPLICATION COUNSELORS ARE AVAILABLE TO PATIENTS AND MEMBERS OF THE COMMUNITY TO ASSIST THEM WITH ENROLLING IN AN INSURANCE PLAN ON THE MARKETPLACE.-PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 4:	COMMUNITY INFORMATIONST. LUKE'S HOSPITAL DEFINES ITS COMMUNITY SERVED BASED ON A GEOGRAPHIC AREA OF ZIP CODES WHERE MOST PATIENTS WHO RELY ON ST. LUKE'S HOSPITAL FOR CARE RESIDE, INCLUDING POPULATIONS WITH GREATER NEEDS AND DISPARITIES THAT MAY LEAD TO POOR HEALTH OUTCOMES. REVIEW OF ST. LUKE'S HOSPITAL INPATIENT VOLUME AND MARKET SHARE BY ZIP CODE IDENTIFIED THE ZIP CODES FROM WHICH MOST PATIENTS RELY ON ST. LUKE'S HOSPITAL FOR CARE.TO ENSURE THAT ST. LUKE'S DOES NOT EXCLUDE FROM THE ASSESSMENT THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS, AN ASSESSMENT OF SOCIOECONOMIC STATUS BY ZIP CODE WAS ALSO INCLUDED IN THE PROCESS TO DEFINE COMMUNITY SERVED. THE SOCIOECONOMIC STATUS RANK, PROVIDED THROUGH EXPLOREMOHEALTH, HIGHLIGHTS NEARBY POPULATIONS WHO ARE MORE LIKELY TO EXPERIENCE HEALTH DISPARITIES AND MAY NOT RECEIVE MEDICAL CARE DUE TO INSURANCE STATUS, GEOGRAPHIC, LANGUAGE, OR FINANCIAL BARRIERS. DEFINING THE ST. LUKE'S HOSPITAL CHNA GEOGRAPHIC AREA BASED ON ZIP CODE-LEVEL VOLUME, MARKET SHARE, AND SOCIOECONOMIC STATUS ALLOWS FOR A FOCUSED ASSESSMENT TO IMPACT AREAS MOST SIGNIFICANT TO OUR ORGANIZATION. BASED ON REVIEW OF ALL DATA ELEMENTS RELATED TO THE ST. LUKE'S HOSPITAL CHNA COMMUNITY, THE ST. LUKE'S HOSPITAL CHNA STEERING COMMITTEE APPROVED A CHNA GEOGRAPHY COMPRISED OF 11 ZIP CODES.COMPARED TO ITS ST. LOUIS COUNTY BENCHMARK, THE ST. LUKE'S HOSPITAL CHNA POPULATION HAS GROWN MORE RAPIDLY, INCLUDES A HIGHER PROPORTION OF OLDER ADULTS, IS LESS RACIALLY DIVERSE, AND INCLUDES A HIGHER PROPORTION OF FOREIGN-BORN RESIDENTS AND PEOPLE OF ETHNIC DESCENT.THE ST. LUKE'S HOSPITAL CHNA POPULATION INCREASED BETWEEN 2010 AND 2020 BY 4.5% COMPARED TO 0.52% GROWTH IN ST. LOUIS COUNTY DURING THE SAME PERIOD. THE POPULATION CHANGE WAS GREATEST IN DES PERES (63131) WITH 8.8% GROWTH AND WAS ALSO WELL ABOVE BENCHMARK IN CHESTERFIELD (63005) AT 8.4%, ST. LOUIS (63146) AT 7.5%, AND KIRKWOOD (63122) AT 7.3%. RESIDENTS AGED 45-64 YEARS REPRESENT THE LARGEST AGE GROUP IN THE ST. LUKE'S HOSPITAL CHNA POPULATION; COMPARATIVELY, THE 18-44 AGE GROUP REPRESENTS THE LARGEST AGE GROUP IN ST. LOUIS COUNTY IN AGGREGATE. THE 65+ AGE GROUP IS PROPORTIONATELY HIGHER THAN THE ST. LOUIS COUNTY BENCHMARK.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHAS A COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL'S BOARD IS REPRESENTATIVE OF A MAJORITY OF VOLUNTEER COMMUNITY MEMBERS WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF ST. LUKE'S, BUT ARE COMMUNITY LEADERS WHOSE PRIMARY INTEREST IN BOARD INVOLVEMENT IS TO ENSURE THE HEALTH OF OUR REGION. ST. LUKE'S EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY BASED ON ORGANIZATIONAL AND COMMUNITY NEED. ALL SURPLUS FUNDS OF THE ORGANIZATION ARE REINVESTED IN THE FACILITIES TO IMPROVE PATIENT CARE THROUGH A SYSTEMATIC CAPITAL APPROVAL AND ALLOCATION PROCESS TO ENSURE COMMUNITY AND ORGANIZATION NEEDS ARE PRIORITIZED AND ADDRESSED.TO FURTHER PROMOTE THE HEALTH OF OUR COMMUNITY, ST. LUKE'S ENGAGES IN THE FOLLOWING ONGOING INITIATIVES TO INCREASE ACCESS TO HEALTH CARE SERVICES, IMPROVE THE HEALTH OF OUR COMMUNITY, AND TO EDUCATE COMMUNITY MEMBERS ON MEDICAL AND HEALTH TOPICS: - COMMUNITY EDUCATION FOCUSED ON PREVENTION AND HEALTH BEHAVIOR MODIFICATION THROUGH IN-PERSON AND VIRTUAL CLASSES, PRINT INFORMATION AND NEWSLETTERS, RADIO AND TV APPEARANCES, ONLINE APPLICATIONS AND RESOURCES, AND INDIVIDUAL HEALTH COACHING. - COMMUNITY-BASED CLINICAL SERVICES THAT DO NOT GENERATE A PATIENT BILL INCLUDING BLOOD DRIVES, VACCINATION CLINICS, BIOMETRIC SCREENINGS, COLORECTAL CANCER SCREENINGS, AND MAMMOGRAMS. - HEALTH CARE SUPPORT SERVICES TO EXTEND ACCESS AND CONNECT ANY COMMUNITY MEMBER WITH SERVICES INCLUDING FINANCIAL RESOURCES IN THE COMMUNITY, MEDICATION ASSISTANCE, TRANSPORTATION ASSISTANCE, GENETIC COUNSELING AND TESTING, AND FACILITATING CONNECTIONS WITH COMMUNITY-BASED ORGANIZATIONS AND RESOURCES. - HEALTH PROFESSIONS EDUCATION TO ADVANCE KNOWLEDGE OF MEDICAL PROFESSIONALS AND STUDENTS INCLUDING GRADUATE MEDICAL EDUCATION, CONTINUING MEDICAL EDUCATION, PASTORAL CARE, PHARMACY, RADIOLOGY, ULTRASOUND, NUCLEAR MEDICINE, THERAPY SERVICES, AND NURSING. - SUBSIDIZED HEALTH SERVICES PROVIDED DESPITE A FINANCIAL LOSS, INCLUDING ST. LUKE'S PEDIATRIC CARE CENTER, THE ALBERT PUJOLS WELLNESS CENTER FOR ADULTS WITH DOWN SYNDROME, AND THE HEALING GRACE CLINIC. - CASH DONATIONS TO NONPROFIT ORGANIZATIONS WITH COMMUNITY BENEFIT INTENT AND IN-KIND DONATIONS INCLUDING ONSITE USE OF MEETING SPACE FREE OF CHARGE TO LOCAL NONPROFITS. IN ADDITION, ST. LUKE'S EXTENDS ITS HEALTHY WORKFORCE WORKSITE WELLNESS PROGRAM THROUGHOUT THE COMMUNITY TO PROACTIVELY ADDRESS HEALTH NEEDS AND PROMOTE HEALTHY LIVING THROUGH EDUCATION AND HEALTH SCREENINGS AMONG EMPLOYEES OF AREA ORGANIZATIONS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMN/A
PART VI, LINE 7:	STATE FILING OF COMMUNITY BENEFIT REPORTN/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA)

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
ALZHEIMERS ASSOCIATION
9370 OLIVE BLVD	ST LOUIS	MO	63132	431237069	501C3	$7,500	$0	GENERAL SUPPORT
CHESTERFIELD REGIONAL CHAMBER
101 CHESTERFIELD BUSINESS PARKWAY	CHESTERFIELD	MO	63005	431096294	501C6	$6,000	$0	GENERAL SUPPORT

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE, ALTHOUGH THERE IS NO FORMAL MONITORING OR REVIEW PROCESS. ST. LUKE'S PROVIDES SUPPORT TO ORGANIZATIONS WITH POSITIVE COMMUNITY PERCEPTION WHO PROVIDE COMMUNITY SUPPORT IN LINE WITH ST. LUKE'S MISSION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JASON EDWARDS MD
RADIATION ONCOLOGIST	$1,519,696	$0	$0	$0	$0	$0	$14,663	$0	$0	$0	$1,534,359	$0	$0	$0
JOSEPH SOKHN MD
ONCOLOGIST	$0	$1,186,180	$0	$0	$0	$0	$0	$14,663	$0	$25,579	$0	$1,226,422	$0	$0
ANDREW BAGNALL
PRESIDENT & CEO	$860,894	$0	$175,000	$0	$0	$0	$11,213	$0	$26,207	$0	$1,073,314	$0	$0	$0
MAGED HAIKAL MD
CHIEF OF MEDICINE	$0	$929,171	$0	$0	$0	$0	$0	$31,912	$0	$8,458	$0	$969,541	$0	$0
JOSEPH CRAFT MD
CARDIOLOGIST	$0	$699,554	$0	$0	$0	$0	$0	$14,663	$0	$23,863	$0	$738,080	$0	$0
ERIC JENKINS MD
PHYSICIAN CVICU	$674,007	$0	$1,775	$0	$0	$0	$21,563	$0	$25,663	$0	$723,008	$0	$0	$0
MARTHA FLEISCHMANN
FORMER OFFICER	$377,710	$0	$31,250	$0	$259,615	$0	$31,913	$0	$4,581	$0	$705,069	$0	$0	$0
BRIAN PETERSON MD
CARDIOTHORACIC SURGEON-THRU 12/31/24	$0	$641,520	$0	$0	$0	$0	$0	$12,938	$0	$25,402	$0	$679,860	$0	$0
SAMUEL FLANDERS MD
EXECUTIVE VP QUALITY-THRU 4/18/25	$615,962	$0	$0	$0	$0	$0	$12,938	$0	$25,663	$0	$654,563	$0	$0	$0
RONALD LEIDENFROST MD
CHAIRMAN HEART & VASCULAR INST	$0	$604,220	$0	$0	$0	$0	$0	$31,912	$0	$8,458	$0	$644,590	$0	$0
JAMIE HAAS MD
SLEEP MEDICINE PHYSICIAN	$578,330	$0	$0	$0	$0	$0	$14,663	$0	$26,384	$0	$619,377	$0	$0	$0
DARREN HASKELL MD
CHIEF MEDICAL OFFICER	$0	$466,515	$0	$66,185	$0	$0	$0	$25,013	$0	$25,663	$0	$583,376	$0	$0
JINGJUAN MIN MD
HOSPITALIST	$524,048	$0	$0	$0	$0	$0	$21,563	$0	$12,357	$0	$557,968	$0	$0	$0
JEFFREY THOMPSON MD
OB/GYN	$0	$501,710	$0	$0	$0	$12,505	$0	$14,663	$0	$25,663	$0	$554,541	$0	$0
MUNEEB AHMAD
PHYSICIAN ICU/CVICU	$449,512	$0	$0	$0	$0	$0	$12,938	$0	$8,660	$0	$471,110	$0	$0	$0
RYAN MILLER
CHIEF OPERATING OFFICER	$405,064	$0	$18,984	$0	$0	$0	$11,213	$0	$26,384	$0	$461,645	$0	$0	$0
MICHAEL KLEVENS MD
NTWRK VP IMMED CARE SERV-THRU 05/25	$403,311	$0	$8,898	$0	$0	$0	$21,563	$0	$25,603	$0	$459,375	$0	$0	$0
JONATHAN VITIELLO
SVP & CFO	$377,290	$0	$33,047	$0	$0	$0	$0	$0	$19,248	$0	$429,585	$0	$0	$0
DON MILLER
NETWORK VP FACILITIES	$341,224	$0	$15,724	$0	$19,098	$0	$25,013	$0	$16,984	$0	$418,043	$0	$0	$0
SCOTT B JOHNSON
CHIEF STRATEGY OFFICER	$360,603	$0	$22,806	$0	$0	$0	$6,900	$0	$25,663	$0	$415,972	$0	$0	$0
NATHAN BIGLER
CHIEF PEOPLE OFFICER	$348,235	$0	$21,781	$0	$0	$0	$11,212	$0	$26,126	$0	$407,354	$0	$0	$0
SCOTT HOLTSWARTH
VP/NETWORK CIO-THRU 3/31/25	$321,214	$0	$12,134	$0	$12,445	$0	$31,913	$0	$13,818	$0	$391,524	$0	$0	$0
DIANE RAY
FORMER KEY EMPLOYEE	$284,411	$0	$26,250	$0	$0	$0	$32,097	$0	$4,934	$0	$347,692	$0	$0	$0
JON BETTALE
VICE PRESIDENT SURGICAL SVCS	$279,562	$0	$12,589	$0	$0	$0	$21,062	$0	$8,458	$0	$321,671	$0	$0	$0
SHARON MERTZLUFFT
N VP & EXEC DIRECTOR-THRU 8/19/24	$261,731	$0	$0	$0	$11,629	$0	$11,727	$0	$11,335	$0	$296,422	$0	$0	$0
SHAWN HARRIS
NETWORK VP OF FINANCE	$145,383	$0	$10,000	$0	$0	$0	$0	$0	$7,703	$0	$163,086	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	HEALTH OR SOCIAL CLUB DUES OR FEES THE ORGANIZATION PAYS SPECIFIC SOCIAL CLUB DUES OR FEES INCURRED FOR BUSINESS PURPOSES; SUPPORTING DOCUMENTATION IS REQUIRED PRIOR TO PAYMENT. EXPENSES INCURRED FOR PERSONAL USE OF THE SOCIAL CLUB ARE PAID BY THE EXECUTIVE. ONE LISTED INDIVIDUAL RECEIVED THIS BENEFIT DURING THE YEAR.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2024: MARTHA FLEISCHMANN, $230,769. CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. NO INDIVIDUALS LISTED IN PART VII RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2024.
PART I, LINE 5	THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATION. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD OBJECTIVE. THE INCENTIVE COMPENSATION PLAN IS DETERMINED BY A FIXED FORMULA BASED ON ACHIEVING CERTAIN GOALS AND OBJECTIVES EACH YEAR. THE OBJECTIVES ARE BUILT AROUND FOUR PERSPECTIVES, INCLUDING: 1. QUALITY & PATIENT SATISFACTION 2. FINANCIAL PERFORMANCE 3. EXECUTIVE INDIVIDUAL GOALS 4. EXECUTIVE'S INTERNAL BUSINESS (DIVISION) GOALS THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS AND DEPARTMENT DIRECTORS OF THE HOSPITAL.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HEALTH & EDUCATIONAL FACILITIES - STATE OF MO
A	431178966	60637AKH4	2015-11-12	$34,089,886	SEE PART VI	0	0	0
HEALTH & EDUCATIONAL FACILITIES - STATE OF MO
B	431178966	NONEAVAIL	2016-12-20	$14,100,200	SEE PART VI	0	0	0
HEALTH & EDUCATIONAL FACILITIES - STATE OF MO
C	431178966	60637AQL9	2019-06-20	$60,066,599	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	UnspentUnspentAmt
A	$34,460,816	$10,024,338	$24,436,478	2016	Yes (1)	Yes (1)	Yes (1)
B	$14,354,602	$14,254,402		2021	0	Yes (1)	Yes (1)	$11,686,553	$100,200
C	$60,361,294	$34,592,280	$25,000,000	2023	0	Yes (1)	Yes (1)		$768,432	$609

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	0	Yes (1)	0	Yes (1)
B	0	0		0		Yes (1)
C	Yes (1)	Yes (1)	0	Yes (1)	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	Yes (1)
B	Yes (1)	0	Yes (1)
C	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: HEALTH & EDUCATIONAL FACILITIES - STATE OF MO DATE THE REBATE COMPUTATION WAS PERFORMED: 06/10/2024
PART I, SECTION A, COLUMN F	2015 (SERIES 2015B) BONDS ISSUED NOVEMBER 12, 2015 AT A FIXED RATE WITH PROCEEDS OF $34 MILLION USED IN PART TO REFUND A PORTION OF THE SERIES 2006 BONDS (ISSSUED JANUARY 9, 2007) AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS.
PART I, SECTION B, COLUMN F	2016 BONDS ISSUED DECEMBER 20, 2016 AT A FIXED RATE WITH PROCEEDS OF $14 MILLION USED TO FINANCE CAPITAL IMPROVEMENTS.
PART I, SECTION C, COLUMN F	2019 BONDS ISSUED JUNE 20, 2019 AT A FIXED RATE WITH PROCEEDS OF $60 MILLION USED TO USED IN PART TO REFUND A PRIOR TAXABLE LOAN AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS.
PART II, LINE 3, COLUMN A	THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND AND FUNDS TRANSFERRED FROM DEBT SERVICE FUND FOR THE REFUNDED BONDS.
PART II, LINE 3, COLUMN B	THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND.
PART II, LINE 3, COLUMN C	THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND.
PART II, LINE 11, COLUMN A	PROCEEDS ISSUED TO CURRENTLY REFUND PRIOR ISSUE.
PART III, LINE 2	ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS MAY HAVE LEASE ARRANGEMENTS IN BOND-FINANCED SPACE. THE HOSPITAL MONITORS ALL SUCH LEASES AND WORKS ROUTINELY WITH BOND COUNSEL TO REVIEW AND DETERMINE WHETHER AN EXCEPTION TO OR EXCLUSION FROM PRIVATE BUSINESS USE APPLIES, THAT THERE IS SUFFICIENT EQUITY TO OFFSET ANY PRIVATE BUSINESS USE OR, IF NECESSARY, TO CALCULATE THE AMOUNT OF PRIVATE BUSINESS USE AND ENSURE POST-ISSUANCE COMPLIANCE REQUIREMENTS ARE MET.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	10	ContributionCnt
Noncash Contributions Rpt F990	$174,907	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 32B:	THE ORGANIZATION USES AN OUTSIDE TRUST COMPANY TO SELL EQUITY SECURITIES CONTRIBUTED TO THE ORGANIZATION.
PART 1 COLUMN (B)	THE NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF INDIVIDUAL CONTRIBUTIONS RECEIVED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION	OUR MISSION WE ARE DEDICATED TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME. OUR VISION ST. LUKE'S WILL BE AN INTEGRATED, NATIONALLY RECOGNIZED, AWARD-WINNING HEALTH SYSTEM. LIVING OUR MISSION MISSION OUTREACH IS A FOUNDING PRINCIPLE OF ST. LUKE'S, WHICH CARED FOR ITS FIRST PATIENT ON 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 ALSO REAFFIRM OUR MISSION, WHICH IS THE FOUNDATION SUPPORTING OUR SERVICE IN AND TO THE COMMUNITY. ST. LUKE'S LIVES ITS MINISTRY OF HEALING BY DEDICATING ITSELF TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT 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 AN INDEPENDENT HEALTHCARE SYSTEM IS TO BE AN INTEGRATED, NATIONALLY RECOGNIZED, AWARD-WINNING HEALTH SYSTEM THROUGH OUR COMMITMENT TO HIGH QUALITY, SAFE AND PERSONALIZED SERVICES. 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, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. AS WE CONTINUE TO PROVIDE QUALITY, SAFE AND COMPASSIONATE CARE TO HEAL THE ACUTELY ILL IN OUR HOSPITALS AND OTHER LOCATIONS IN A COST-EFFICIENT MANNER, WE HAVE ALSO INCREASED 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. AS A NOT-FOR-PROFIT ORGANIZATION, ST. LUKE'S CONTINUES TO PROVIDE MUCH NEEDED CHARITABLE CARE TO PEOPLE THROUGHOUT THE ST. LOUIS AREA. WE ALSO 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 TEAM MEMBERS IN NEED. THESE IMPORTANT ENDEAVORS REFLECT OUR MISSION TO SERVE 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.
PART III, LINE 4A	DESCRIPTION OF SERVICES PROVIDED MEDICALLY NECESSARY HEALTH SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. OUR INDEPENDENT HEALTH SYSTEM PROVIDES PERSONALIZED HEALTHCARE SERVICES AT OUR 493-BED HOSPITAL IN CHESTERFIELD, MISSOURI AND ABOUT 30 OTHER LOCATIONS ACROSS THE GREATER ST. LOUIS AREA, INCLUDING AN OUTPATIENT CENTER, A SKILLED NURSING/RESIDENTIAL CARE FACILITY, SEVEN URGENT CARE CENTERS, TWO WALK-IN CLINICS, A REHABILITATION HOSPITAL, DIAGNOSTIC IMAGING CENTERS, PHYSICIAN OFFICES, HOME HEALTH SERVICES AND HOSPICE SERVICES. NATIONALLY RECOGNIZED FOR EXCELLENCE IN HEALTHCARE QUALITY, SAFETY AND PATIENT EXPERIENCE, ST. LUKE'S OFFERS CARE IN MORE THAN 60 SPECIALTY AREAS INCLUDING CARDIOLOGY AND CARDIOVASCULAR SURGERY, CANCER CARE, ORTHOPEDICS, NEUROSURGERY AND NEUROLOGY, WOMEN'S SERVICES (INCLUDING OBSTETRICS), URGENT CARE, PULMONARY MEDICINE, SLEEP MEDICINE AND WELLNESS SERVICES FOR ADULTS WITH DOWN SYNDROME. TO FURTHER OUR MISSION OF PROVIDING CARE FOR THE MEDICALLY UNDERSERVED AND UNDERINSURED, ST. LUKE'S OPERATES A PEDIATRIC CARE CENTER WHICH PROVIDES HEALTHCARE TO CHILDREN IN A PRIVATE PRACTICE SETTING AS WELL AS EDUCATION AND SOCIAL SUPPORT SERVICES TO THEIR FAMILIES. ST. LUKE'S HAS A ROBUST VOLUNTEER PROGRAM. OUR VOLUNTEER SERVICES DEPARTMENT HAS ABOUT 176 VOLUNTEERS WHO SERVE IN MORE THAN 30 DEPARTMENTS/SITES ACROSS ST. LUKE'S HEALTH SYSTEM. VOLUNTEERS ASSIST BY TRANSPORTING PATIENTS AND VISITORS BY WHEELCHAIR, STOCKING SUPPLIES, GREETING AND DIRECTING VISITORS TO OUR CAMPUS, AND SERVING IN CLERICAL AND RECEPTIONIST ROLES. VOLUNTEERS CONTRIBUTE AN AVERAGE OF 35,000 HOURS OF SERVICE A YEAR. ST. LUKE'S IS CONSISTENTLY RECOGNIZED WITH NATIONAL HONORS FOR EXCELLENCE IN HEALTHCARE QUALITY, SAFETY AND PATIENT EXPERIENCE. RECENT HONORS AND AWARDS INCLUDE: - ST. LUKE'S RECOGNIZED AS ONE OF THE BEST HOSPITALS BY U.S. NEWS & WORLD REPORT, 2025-2026 - HEALTHGRADES 2025 OUTSTANDING PATIENT EXPERIENCE AWARD, 2011-2025 - ONE OF HEALTHGRADES AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY FOR 8 YEARS IN A ROW, 2019-2026 - FIVE-STAR RATINGS FROM HEALTHGRADES FOR CORONARY BYPASS SURGERY, CORONARY INTERVENTIONAL PROCEDURES, TREATMENT OF HEART ATTACK, VALVE SURGERY, REPAIR OF ABDOMINAL AORTA, COLORECTAL SURGERIES AND OUTPATIENT PROSTATE CARE, 2026. - ST. LUKE'S HOSPITAL NAMED ONE OF THE BEST HOSPITALS FOR MATERNITY BY U.S. NEWS & WORLD REPORT, 2025 - ST. LUKE'S SURREY PLACE NAMED A BEST NURSING HOME FOR SHORT-TERM REHABILITATION, U.S. NEWS & WORLD REPORT, 2026 - ST. LUKE'S SURREY PLACE NAMED TO NEWSWEEK "AMERICA'S BEST NURSING HOMES 2025" - WOMEN'S CHOICE AWARD, WOMENCERTIFIED INC., 2015-2025 - "TOP DOCTORS, 2025," CASTLE CONNOLLY, ST. LOUIS MAGAZINE
PART III, LINE 4B (CONTINUED)	RESOURCES INVESTED AND PROGRAM SERVICES TO SUPPORT MISSION IN SUPPORT OF OUR MISSION, ST. LUKE'S 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 ITS MEDICAL RESIDENCY PROGRAMS IS AN INTEGRAL PART OF OUR SERVICE TO THE MEDICAL COMMUNITY BY PREPARING NEW PHYSICIANS FOR THEIR CAREERS. ST. LUKE'S HOSPITAL OFFERS A RESIDENCY IN INTERNAL MEDICINE PROGRAM, WHICH IS ACGME (ACCREDITATION FOR GRADUATE MEDICAL EDUCATION) ACCREDITED FOR 45 RESIDENTS. THIS PROGRAM PROVIDES A UNIQUE OPPORTUNITY FOR TRAINING IN PRIMARY CARE INTERNAL MEDICINE AT BOTH ST. LUKE'S 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. THE PROGRAM UTILIZES OVER 100 PHYSICIANS WHO CONTRIBUTE TO THE TEACHING MISSION AS FULL AND PART-TIME FACULTY. ST. LUKE'S DES PERES HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM IS ALSO AN ACGME ACCREDITED PROGRAM. IT PROVIDES GRADUATE MEDICAL TRAINING FOR 14 RESIDENTS WHO GAIN EXPERIENCE THROUGH A NUMBER OF DAILY, WEEKLY AND MONTHLY DIDACTIC EXPERIENCES INCLUDING JOURNAL CLUB, READING CLUB, GRAND ROUNDS, BOARD REVIEW, STFM CORE CURRICULUM, CONFERENCES AND RESEARCH METHODOLOGY. PROGRAM LEADERSHIP AND CORE FACULTY EDUCATION ARE PROVIDED BY ST. LUKE'S MEDICAL GROUP PHYSICIANS AT THE CEDAR HILL PRIMARY CARE PRACTICE, AND OTHER REQUIREMENTS ARE ADDRESSED THROUGH CLINICAL ROTATIONS WITH SPECIALISTS THROUGHOUT THE ST. LUKE'S HEALTH SYSTEM. TRAINING OPPORTUNITIES FOR HEALTH PROFESSIONALS IN NURSING, PHARMACY AND OTHER HEALTH SPECIALTIES ARE ALSO AVAILABLE. - ST. LUKE'S OFFERS CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. THE PROGRAM IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION. - ST. LUKE'S MINISTRY OF HEALING CELEBRATES ALL FAITHS THROUGH SPIRITUAL CARE SERVICES THAT IMPROVE THE HEALTH OF THE COMMUNITY IN BODY, MIND AND SPIRIT. WORSHIP AND PRAYER SERVICES, SACRAMENTS AND SPIRITUAL SUPPORT ARE OFFERED AROUND THE CLOCK. WE MINISTER TO ALL IN NEED, HELP PATIENTS AND CAREGIVERS MAKE COMPLEX MEDICAL DECISIONS AND WALK BESIDE THOSE HAVING MEDICAL PROCEDURES OR NAVIGATING SERIOUS ILLNESSES. SOME OF THE CHAPLAINS SERVING AS PART OF OUR HEALTHCARE TEAM ARE PART OF OUR CHAPLAIN RESIDENCY PROGRAM. THEOLOGICALLY EDUCATED STUDENTS COME FROM ACROSS THE COUNTRY TO PARTICIPATE IN ST. LUKE'S CLINICAL PASTORAL EDUCATION (CPE) RESIDENCY. THESE GIFTED INDIVIDUALS BRING FRESH PERSPECTIVES AND COMPASSIONATE HEARTS TO CARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR TEAM MEMBERS. - ST. LUKE'S TEAM MEMBERS GENEROUSLY SUPPORT THE COMMUNITY ALL YEAR LONG. OUR MISSION OUTREACH COMMITTEE LEADS THESE EFFORTS IN OUR WORKPLACE AND CONDUCTS THREE COLLECTION DRIVES FOR DONATIONS OF FOOD, SCHOOL SUPPLIES, WARM CLOTHING AND TOYS TO ASSIST FAMILIES IN NEED. TEAM MEMBERS, PATIENTS AND PHYSICIANS GENEROUSLY SUPPORT THESE INITIATIVES TO ASSIST THE FAMILIES SERVED BY ST. LUKE'S PEDIATRIC CARE CENTER, ISAIAH 58 MINISTRIES, OPERATION FOOD SEARCH AND LITTLE PATRIOTS EMBRACED. - ST. LUKE'S HAS HAD A LONG-STANDING COMMITMENT TO PROVIDING PREVENTIVE HEALTHCARE AND TREATMENT TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN IN THE ST. LOUIS REGION. LOCATED IN NORTH ST. LOUIS COUNTY, ST. LUKE'S PEDIATRIC CARE CENTER IS A MISSION-BASED AGENCY OF ST. LUKE'S THAT PROVIDES QUALITY PRIMARY CARE TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN IN ST. LOUIS CITY AND COUNTY IN A PRIVATE PRACTICE 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. - ST. LUKE'S HEART AND VASCULAR INSTITUTE'S HEART FAILURE CLINIC OFFERS INDIVIDUALIZED TREATMENT OPTIONS FOR PATIENTS WITH HEART FAILURE TO RELIEVE SYMPTOMS, TREAT UNDERLYING CAUSES AND HELP SLOW PROGRESSION OF THE DISEASE. THE CLINIC'S MULTIDISCIPLINARY TEAM ASSESSES AND TREATS EACH ASPECT OF THE DISEASE PROCESS AND WORKS CLOSELY WITH PATIENTS TO HELP MANAGE THEIR CONDITION. IMPLEMENTATION OF A MULTIDISCIPLINARY HEART FAILURE CLINIC HAS BEEN SHOWN TO REDUCE HOSPITAL READMISSIONS AND MORTALITY FROM THE DISEASE. - THE GOAL OF THE HEALING GRACE CLINIC, FOUNDED BY A ST. LUKE'S MEDICAL GROUP PHYSICIAN, IS TO PROVIDE A CLINIC FOR THE UNINSURED IN WEST ST. LOUIS COUNTY. IT IS LOCATED ON THE GROUNDS OF AND OPERATED BY CENTRAL BAPTIST CHURCH IN EUREKA, MISSOURI AND IS PRIMARILY STAFFED BY VOLUNTEERS. SUPPORT FROM ST. LUKE'S HAS INCLUDED THE PROVISION OF A PART-TIME PHYSICIAN ASSISTANT AND MEDICAL ASSISTANT WHO SEE PATIENTS AT THE CLINIC, SOME MEDICAL SUPPLIES AND IMAGING SERVICES, AND PHYSICIAN COVERAGE FOR THE PHYSICIAN ASSISTANT. CHRONIC CONDITIONS ARE MANAGED AND CARE IS COORDINATED THROUGH ARRANGEMENTS WITH OTHER ST. LUKE'S DEPARTMENTS AND MEMBERS OF ST. LUKE'S MEDICAL STAFF, WITH FINANCIAL ASSISTANCE PROVIDED. - THE ALBERT PUJOLS WELLNESS CENTER FOR ADULTS WITH DOWN SYNDROME AT ST. LUKE'S HELPS FILL A GROWING NEED FOR SERVICES IN OUR COMMUNITY. PATIENTS 17 YEARS OF AGE AND OLDER ARE REFERRED TO THE CENTER FOR SERVICES FOCUSED ON NUTRITION, EXERCISE, SAFETY AND SOCIAL/EMOTIONAL WELL-BEING. CLASSES AND PROGRAMS JUST FOR FUN, SUCH AS DANCING AND VARIOUS ARTS AND CRAFTS, ARE ALSO OFFERED. THE CENTER OFFERS PROGRAMMING ON VARIOUS TOPICS FOR CAREGIVERS AS WELL. - ST. LUKE'S COMMITMENT TO PROVIDE EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME IS FACILITATED THROUGH THE DEVELOPMENT OF COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLANS (CHIP). THE PROCESS TO DEVELOP THE CHNA AND CHIP HELPS US TO BETTER UNDERSTAND AND FOCUS ON THE IMPORTANT HEALTH AND HEALTH-RELATED ISSUES AFFECTING OUR COMMUNITIES AND TO DEVELOP STRATEGIES AND IMPLEMENTATION PLANS INTENDED TO DRIVE MEANINGFUL RESULTS. THE CURRENT 2025 CHNA FOR ST. LUKE'S HOSPITAL FOCUSES ON THE FOLLOWING PRIORITY NEEDS: OLDER ADULTS AND AGE-RELATED ILLNESSES, WEIGHT MANAGEMENT AND HEART HEALTH, AND CANCER. THE FULL REPORT IS AVAILABLE ON ST. LUKE'S WEBSITE AT STLUKES-STL.COM.
FORM 990, 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.
FORM 990, PART VI, SECTION A, LINE 7B	GOVERNANCE DECISIONS OF THE ORGANIZATION CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION, INCLUDING AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BY-LAWS AND CHANGES TO THE SIZE OF THE BOARD OF DIRECTORS, ARE SUBJECT TO APPROVAL BY THE DIOCESE OF MISSOURI OF THE PROTESTANT EPISCOPAL CHURCH IN THE UNITED STATES OF AMERICA AND BY THE PRESBYTERY OF GIDDINGS-LOVEJOY OF THE PRESBYTERIAN CHURCH (U.S.A.). SUCH DECISIONS ALSO REQUIRE APPROVAL BY ST. LUKE'S HEALTH CORPORATION, THE SOLE CORPORATE MEMBER OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS. THE DIOCESE OF MISSOURI OF THE PROTESTANT EPISCOPAL CHURCH IN THE UNITED STATES OF AMERICA AND THE PRESBYTERY OF GIDDINGS-LOVEJOY OF THE PRESBYTERIAN CHURCH (U.S.A.) ARE ALSO REPRESENTED ON THE BOARD OF DIRECTORS OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, HOLDING FOUR OF TWENTY POSITIONS WITH EACH POSITION HAVING ONE VOTE.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF THE 990 THE FORM 990 HAS BEEN REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICTS OF INTEREST POLICY THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY PROVIDING THE POLICY AND QUESTIONNAIRE TO EACH BOARD MEMBER AT THE TIME OF APPOINTMENT AND TO EACH NEW EMPLOYEE AT THE TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER. EACH BOARD MEMBER AND KEY EMPLOYEE IS REQUIRED TO SIGN A STATEMENT ACKNOWLEDGING HE/SHE HAS READ, UNDERSTANDS AND AGREES TO COMPLY WITH THE POLICY AS WELL AS SUBMIT THE COMPLETED QUESTIONNAIRE. ANY/ALL ACTUAL OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE FROM THE FORMS ARE DISCLOSED TO THE FINANCE, AUDIT AND RISK COMMITTEE. THE FINANCE, AUDIT AND RISK 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, 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.
FORM 990, 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.
FORM 990, PART VII, SECTION B	IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR PARIC CORPORATION WERE RELATED TO MATERIALS IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE.
FORM 990, PART VIII, LINE 7C, COLUMN I:	GAINS AND LOSSES FROM INVESTMENTS THE ORGANIZATION PARTICIPATES IN A SYSTEM-WIDE POOLED INVESTMENT PROGRAM. THE INVESTMENTS ARE REPORTED ONLY AS REALIZED GAINS OR LOSSES TO EACH ORGANIZATION AND DO NOT REPORT THE ALLOCATION PORTION OF PROCEEDS AND COST BASIS RELATED TO THOSE REALIZED GAINS/LOSSES.
FORM 990, PART XI, LINE 9:	CHANGE IN PENSION OBLIGATION -938,721. TRANSFERS TO MEDICAL GROUP -59,642,752. CHANGE IN RESTRICTED ASSETS -270,798.
SCHEDULE H, PART I, LINE 7	DURING FISCAL 2025, ST. LUKE'S RECEIVED A SUBSTANTIAL BEQUEST FROM THE ESTATE OF A LONGSTANDING DONOR. THE $4,774,000 CONTRIBUTION WAS APPLIED TO OFFSET CHARITY CARE PROVIDED TO PATIENTS DURING THE YEAR AND HAD A MATERIAL IMPACT ON ST. LUKE'S REPORTED COMMUNITY BENEFIT EXPENSE. AS A DIRECT RESULT OF THIS ONE-TIME DONATION, NET COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE AT COST (PART I, LINE 7A, COLUMN (E)) AND TOTAL NET COMMUNITY BENEFIT EXPENSE (PART I, LINE 7K, COLUMN (E)) ARE REPORTED SIGNIFICANTLY BELOW OUR HISTORICAL TREND. THE BEQUEST, RATHER THAN ANY REDUCTION IN ST. LUKE'S UNDERLYING COMMITMENT TO CHARITY CARE, ACCOUNTS FOR THE YEAR-OVER-YEAR DECLINE. SEE SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION FOR FURTHER DETAILS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EMERGENCY PHYSICIANS OF ST LUKE'S LLC
232 S WOODS MILL ROAD	CHESTERFIELD	MO	63017	464529066	MEDICAL SERV.	MO	$0	$0	SL EP HOSP
PHYSICIAN SPECIALISTS OF ST LUKE'S LLC
232 S WOODS MILL ROAD	CHESTERFIELD	MO	63017	205041902	MEDICAL SERV.	MO	$0	$0	SL EP HOSP
SLEPHLLC (FKA SLHMNHLLC)
232 S WOODS MILL ROAD	CHESTERFIELD	MO	63017	841754684	MEDICAL SERV.	MO	$3,919,011	$8,376,173	SL EP HOSP
MERIDIAN SURGICAL PARTNERS-MISSOURILLC
232 S WOODS MILL ROAD	CHESTERFIELD	MO	63017	273332368	MEDICAL SERV.	MO	$150,350	$0	SL EP HOSP

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST LUKE'S HEALTH CORPORATION
232 S WOODS MILL ROAD	CHESTERFIELD	MO	63017	431246752	SUPPORTING ORGANIZATION	MO	501 (C)(3)	12B	N/A	0
ST LUKE'S DES PERES EPIS-PRESBY HOSP
232 S WOODS MILL ROAD	CHESTERFIELD	MO	63017	824314522	HEALTH CARE	MO	501 (C)(3)	LINE 3		Yes (1)	SL E-P HOSP
ST LUKE'S MEDICAL GROUP
232 S WOODS MILL ROAD	CHESTERFIELD	MO	63017	431349332	MEDICAL SERV.	MO	501 (C)(3)	12A		0	SL HLTH CORP

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST LUKE'S DES PERES EPISCOPAL-PRSBYTRN HOSP
P	$9,017,472	FMV
MERIDIAN SURGICAL PARTNERS-MISSOURILLC
C	$741,352	SCHEDULE K-1