2021-05-13T09:00:36-05:00 2020-06-30 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH ST Minneapolis MN 55402 990 2019-07-01 430652680 ST LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS % SCOTT JOHNSON STLU 3144341500 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 SCOTT JOHNSON EXECUTIVE VP/CFO 3144341500 2021-05-12 true MONROE J GIERL P01413237 6123055000 2021-05-04 2019 2022-09-23 18:48:47Z SCOTT JOHNSONEXECUTIVE VPCFO 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 526246096 false X WWW.STLUKES-STL.COM X 1866 MO ST. LUKE'S IS DEDICATED TO IMPROVE THE HEALTH OF THE COMMUNITY AND TO PROVIDE CARE FOR THE WHOLE PERSON WITH COMPASSION, PROFESSIONAL EXCELLENCE AND RESPECT. 16 16 4342 290 4015437 0 3879402 17239845 504150595 497749905 12332641 10909217 391713 332900 520754351 526231867 62925 83650 0 0 237542336 243992595 30000 0 995208 243960184 246728960 481595445 490805205 39158906 35426662 695787048 750295111 212814256 272754177 482972792 477540934 X SEE SCHEDULE O, GENERAL STATEMENT 1 false false 454193606 83650 493734468 SEE SCHEDULE O, GENERAL STATEMENT 2 454193606 true true false true false false false false true true true false false true true true false true false false false false false false true false true true true false true true false false false false false false false false false false true false false false false true true true false false true 272 0 true 4342 true true true false false false false true true false false false false true false X 16 16 true false false false true false true true true false false false true true true true true true true true true X SCOTT JOHNSON 3144341500 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 Ronald Leidenfrost MD Chairman Heart & Vascular Inst 40.0 25.0 X 0 1561962 35031 Christine Candio Pres & CEO thru 4/20 42.0 18.0 X 1092293 0 25231 Michael Boland MD Chief of Surgery 40.0 20.0 X 0 886175 38705 Maged Haikal MD Chief of Medicine 40.0 25.0 X 0 798258 33090 Talat Nawas MD Hospitalist 60.0 0.0 X 618047 0 35031 Scott Johnson Executive VP & CFO 25.0 35.0 X 623166 0 26631 Hope Cranston D'Amato MD Medical Director ICU 60.0 0.0 X 604230 0 29431 Michael Klevens MD Emergency Department 55.0 0.0 X 492793 0 38603 Eric Jenkins MD CVICU 55.0 0.0 X 433831 0 38546 Abdul Moheet MD Emergency Department 55.0 0.0 X 419236 0 44305 Diane Ray SR VP/Network CNO/SLH COO 50.0 10.0 X 352599 0 46231 Don Miller VP Network Facilities 41.0 9.0 X 334176 0 36606 Jan Hess VP Network Admin thru 5/20 50.0 0.0 X 298847 0 46231 Scott Holtswarth VP Network CIO 50.0 0.0 X 301039 0 32903 Martha Fleischmann VP Network Finance 44.0 16.0 X 295465 0 27681 Janette Taaffe VP Network HR 50.0 0.0 X 274638 0 34905 Jon Bettale VP Surgical Services 50.0 0.0 X 272115 0 23980 Sharon Mertzlufft Vice President & Exec Director 50.0 0.0 X 265647 0 19661 Gregory Hudson NetworK CHIEF STRATEGY OFFICER 50.0 0.0 X 204631 0 30895 William Meyer VP Network CIO thru 1/19 10.0 0.0 X 118874 0 103 Daniel K Stegmann Chairman 3.0 2.0 X X 0 0 0 David B Price Jr Vice Chairman 1.0 1.0 X X 0 0 0 Norman L Eaker Secretary 1.0 1.0 X X 0 0 0 Edward L Glotzbach Treasurer 1.0 1.0 X X 0 0 0 Eugene M Toombs Director THRU 9/19 1.0 1.0 X 0 0 0 The Rev Dr Craig M Howard Director 1.0 1.0 X 0 0 0 Ned O Lemkemeier Director 1.0 1.0 X 0 0 0 Cynthia A Maritz Director 1.0 1.0 X 0 0 0 Robert W Reeg Director 1.0 1.0 X 0 0 0 Susan B Schneider MD Director 1.0 1.0 X 0 0 0 Hugh Scott III Director 1.0 1.0 X 0 0 0 Joseph A Sheehan Director 1.0 1.0 X 0 0 0 The Rt Rev G Wayne Smith Director 1.0 1.0 X 0 0 0 James M Snowden Jr Director 1.0 1.0 X 0 0 0 Sharon Harvey Davis Director 1.0 1.0 X 0 0 0 Kendall Itoku MD Director 1.0 1.0 X 0 0 0 Jeffrey Thompson MD Director 1.0 1.0 X 0 0 0 Daniel Wagner MD Director thru 9/19 1.0 1.0 X 0 0 0 Gary Olson Int Pres & CEO start 4/20 42.0 18.0 X 0 0 0 7001627 3246395 643800 275 true true false Deloitte Consulting LLP PO BOX 844717 Dallas TX 75284 Consulting 5801878 McCarthy Building Companies Inc 1341 North Rock Hill Road ST LOUIS MO 63124 Construction Service 4243073 ICS Construction Services LTD 2930 Market Street ST LOUIS MO 63103 Construction Service 3544563 Rock Hill Mechanical Corp 524 Clark Avenue ST LOUIS MO 63122 Construction Service 2123182 Fusion Medical Staffing LLC PO BOX 82674 Lincoln NE 68501 Temporary Staffing 2044812 60 X 21204 11314356 5904285 379865 17239845 Patient SERVICE REVENUE 621300 469989065 469989065 PHYSICIAN OFFICES RENTAL INCOME 621110 11557468 11557468 RETAIL PHARMACIES 446110 7839920 6144860 1695060 NONPATIENT LAB SERVICES 621500 2087915 2087915 CAFETERIA INCOME 621300 2004114 1984223 19891 4271423 4058852 212571 497749905 8115576 8115576 0 0 0 0 0 2791736 2200 295 2791736 1905 2793641 2793641 17293 21204 13934 3359 3359 0 0 0 0 0 0 MISC. 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PART V, LINE 4: INTENDED USE OF ENDOWMENT FUNDS 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: FOOTNOTE FOR UNCERTAIN TAX POSITIONS ST. LUKE'S EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED IN 2020 OR 2019. 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X X true true X X X true X WWW.STLUKES-STL.COM/PAY X WWW.STLUKES-STL.COM/PAY X SEE SUPPL INFO 6 X X X X X X true X false X X X X true X false false ST LUKE'S REHABILITATION HOSPITAL 2 false false true X X X X X X X X X 18 true true true true X SEE SUPPLEMENTAL INFORMATION 2 X true 19 true SEE SUPPLEMENTAL INFORMATION 3 false true X X X true true X X true X WWW.STLUKES-STL.COM/PAY X WWW.STLUKES-STL.COM/PAY X SEE SUPP INFO 6 X true X false X false X X false false PART V, SECTION C ASIDE FROM SUPPLEMENTAL INFORMATIONS 5 AND 7, THE SUPPLEMENTAL INFORMATION PROVIDED IN SCHEDULE H, PART V, SECTION C APPLIES TO BOTH ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS (ST. LUKE'S HOSPITAL) AND ST. LUKE'S REHABILITATION HOSPITAL (REHAB HOSPITAL). ADDITIONALLY, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COVERS ST. LUKE'S HOSPITAL AND THE REHAB HOSPITAL, AS IT IS INCLUDED IN ST. LUKE'S PROCESS AND STEERING COMMITTEE. SUPPLEMENTAL INFORMATION 1 PART V, SECTION B, LINES 5, 6A, AND 6B THE HOSPITAL FACILITY SOLICITED INPUT FROM AREA HEALTH EXPERTS AND COMMUNITY LEADERS, AND SELECTED PRIMARY AND SECONDARY SURVEY SOURCES OF INPUT TO IDENTIFY TARGET AREAS FOR IMPROVEMENT WHEN CONDUCTING THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AS OUTLINED IN THE COMMUNITY INPUT FOCUS GROUPS SECTION OF THE ST. LUKE'S HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2019, THE PRIMARY RESEARCH METHODOLOGY INCLUDED COLLABORATION WITH ST. LUKE'S DES PERES HOSPITAL, BJC HEALTHCARE, MISSOURI BAPTIST MEDICAL CENTER, BARNES JEWISH WEST COUNTY, MERCY HOSPITAL ST. LOUIS, AND MERCY HOSPITAL SOUTH IN SOLICITING INPUT FROM HEALTH EXPERTS AND INDIVIDUALS WITH SPECIAL INTEREST IN POPULATIONS SERVED BY THESE HOSPITALS, SPECIFICALLY IN THE WEST AND SOUTH ST. LOUIS COUNTY AREAS. NINETEEN (19) INDIVIDUALS REPRESENTING VARIOUS ST. LOUIS COUNTY ORGANIZATIONS PARTICIPATED IN A FOCUS GROUP PROCESS. THE COMMUNITY STAKEHOLDER FOCUS GROUP MEMBERS (AS OUTLINED IN APPENDIX E OF THE CHNA REPORT) REPRESENTED THE FOLLOWING ORGANIZATIONS: -ALIVE -AMERICAN CANCER SOCIETY -AMERICAN DIABETES ASSOCIATION -AMERICAN HEART ASSOCIATION -BEHAVIORAL HEALTH NETWORK -CITY OF OLIVETTE -GATEWAY REGION YMCA -INTEGRATED HEALTH NETWORK -INTERNATIONAL INSTITUTE OF ST. LOUIS -JEWISH FEDERATION OF ST. LOUIS -KIRKWOOD FIRE DEPARTMENT -LIUNA -NATIONAL COUNCIL ON ALCOHOLISM AND DRUG ABUSE -PEOPLE'S HEALTH CENTERS/HOPEWELL COMMUNITY MENTAL HEALTH CENTER -ST. LOUIS COUNTY PUBLIC HEALTH DEPT. -ST. LOUIS COUNSELING -ST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATION -UNITED WAY A FOCUS GROUP WAS CONDUCTED IN AUGUST 2018 TO SOLICIT FEEDBACK FROM THESE INDIVIDUALS ON THE NEEDS OF THE ST. LOUIS COUNTY POPULATION. PARTICIPANTS WERE GIVEN THE LIST OF THE NEEDS IDENTIFIED IN THE 2016 ASSESSMENT AND ASKED TO EVALUATE AND RE-RANK THEM ON A SCALE OF 1 (LOW) TO 5 (HIGH), BASED ON THEIR PERCEIVED LEVEL OF COMMUNITY CONCERN AND THE ABILITY OF COMMUNITY ORGANIZATIONS TO COLLABORATE AROUND THEM (SEE CHART ON PAGE 20 OF THE CHNA REPORT). TO FURTHER VALIDATE THE PRIORITIZED NEEDS DETERMINED BY THE FOCUS GROUP, ST. LUKE'S HOSPITAL SURVEYED DAY OF DANCE PARTICIPANTS (FREE WELLNESS EVENT), COMPLETED A HEALTH STATUS SURVEY, AND COMPILED RESULTS AND KEY FINDINGS FROM THE COMPLETED SURVEYS INTO A GROUP HEALTH PROFILE AND COMPARED TO THE 2018 DATA. (SEE RESULTS ON PAGE 22 OF THE CHNA.) IN ADDITION, ST. LUKE'S PROVIDES A WORKSITE WELLNESS PROGRAM CALLED PASSPORT TO WELLNESS TO MORE THAN 200 LOCAL EMPLOYERS (INCLUDING ST. LUKE'S EMPLOYEES). THROUGH A HEALTH RISK ASSESSMENT, WE COLLECT AND AGGREGATE DATA. THE DATA WAS COLLECTED USING A GROUP HEALTH REPORT FROM 2016 COMPARED WITH THE SAME CONSUMERS IN 2018 (SEE PAGE 22 AND APPENDIX H OF THE CHNA REPORT FOR THE COMPARISON). IN ADDITION TO THE PRIMARY RESEARCH, ST. LUKE'S UTILIZED THE FOLLOWING MAJOR SECONDARY DATA SOURCES: -ST. LOUIS REGION COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN, PUBLISHED AUGUST 2018 (SEE PAGE 13 OF THE CHNA REPORT AND APPENDIX C) -ST. LOUIS COUNTY DEPT. OF PUBLIC HEALTH "LEADING CAUSES OF DEATH" REPORT, PUBLISHED FEBRUARY 2018 (SEE PAGES 13 - 15 OF THE CHNA REPORT AND APPENDIX D) -2019 ST. LOUIS COUNTY HEALTH RANKINGS AND ROADMAPS REPORT (SEE PAGE 13 OF THE CHNA REPORT AND APPENDIX B) IN 2017, THE NETWORK OF HOSPITALS AND HEALTHCARE PROVIDERS WHO COLLABORATE TO GATHER FEEDBACK FROM THE COMMUNITY FOR ASSESSMENT STRENGTHENED ITS COMMITMENT, AND ST. LUKE'S HOSPITAL JOINED THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC). THROUGHOUT THEIR HEALTH ASSESSMENT PROCESS, THE STLPHC WAS FOCUSED ON A SYSTEMS LEVEL CHANGE, WITH COMMUNITY ENGAGEMENT AND INCLUSION SERVING AS CORE GUIDING PRINCIPLES. THROUGH LISTENING SESSIONS, SURVEYS AND FOCUS GROUPS, THE STLPHC WORKED TO IDENTIFY THEMES ON WHAT A HEALTHY COMMUNITY SHOULD LOOK LIKE FOR ST. LOUIS AREA RESIDENTS, AND IDENTIFIED BOTH BARRIERS AND FACILITATORS FOR HEALTH IN THE REGION. SUPPLEMENTAL INFORMATION 2 PART V, SECTION B, LINE 7A WEBSITE URL: HTTPS://STLUKES-STL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/INDEX.HTML SUPPLEMENTAL INFORMATION 3 PART V, SECTION B, LINE 10A WEBSITE URL: HTTPS://STLUKES-STL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/INDEX.HTML SUPPLEMENTAL INFORMATION 4 PART V, SECTION B, LINE 11 BASED ON CURRENT HEALTH DATA, COMMUNITY INPUT THROUGH FOCUS GROUPS AND SURVEYS, AND IN CONSIDERATION OF REGIONAL STRATEGIES, ST. LUKE'S HOSPITAL'S 2019 CHNA IMPLEMENTATION PLAN IDENTIFIES FOUR PRIORITY NEED AREAS ON WHICH TO FOCUS TO IMPLEMENT ACTIONABLE INITIATIVES BETWEEN FISCAL YEARS 2020 - 2022, INCLUDING: . DIABETES PREVENTION AND SELF-MANAGEMENT . OPIOID USE DISORDER . HEALTH LITERACY AND CULTURAL COMPETENCY . ACCESS TO CARE FOR OLDER ADULTS WHILE THE NATURE OF COVID-19 DURING FISCAL YEAR 2020 PRESENTED A CHALLENGE FOR IMPLEMENTATION OF MANY PLANNED ACTIONS TO PROGRESS TOWARD ACHIEVING STRATEGIES, THE FOLLOWING ACTIONS WERE TAKEN TO ADDRESS THE PRIORITY NEEDS IDENTIFIED IN THE 2019 CHNA: 1) DIABETES PREVENTION AND SELF-MANAGEMENT: A. INCREASED HEALTHY LIFESTYLE AND DIABETES CARE EDUCATION OF PATIENTS THROUGH I) IMPLEMENTATION OF DIABETES UPDATE (ANNUAL EVENT TO RAISE AWARENESS ABOUT DIABETES AND ITS BURDEN IN THE COMMUNITY) VIRTUALLY WITH 30 PEOPLE ATTENDING, II) OFFERED 19 DIABETES PREVENTION AND MANAGEMENT CLASSES WITH 302 ATTENDEES; B. PROVIDED DIABETES EDUCATION FOR PHYSICIANS THROUGH I) GRAND ROUNDS IN NOVEMBER 2019 TO DISCUSS PERSONALIZED MEDICINE, TO ANALYZE THE CONTRIBUTION OF CARDIOVASCULAR OUTCOME TRIALS IN BENEFITING PATIENTS WITH TYPE 2 DIABETES, AND TO DISCUSS THE POSSIBILITY OF PREVENTING TYPE 2 DIABETES. 2) OPIOID USE DISORDER: A. EDUCATED PHYSICIANS THROUGH I) GRAND ROUNDS IN NOVEMBER 2019 TO DESCRIBE THE FACTORS CONTRIBUTING TO THE NEED FOR FAST-ACTING ANTIDEPRESSANTS AND ANALYZE THE ROLE OF KETAMINE AND NEUROSTEROIDS TO TREAT DEPRESSION IN THE PLACE OF OPIOIDS OR OTHER ILLEGAL SUBSTANCES, II) PLANNED FOR FY21 THREE-PART OPIOID SERIES IN PARTNERSHIP WITH PREVENTED TO EDUCATE THE COMMUNITY OF THE OPIOID CRISIS; ITS IMPACT ON HOSPITALS; SIGNS, SYMPTOMS, AND TREATMENT; ITS IMPACT ON THE INDIVIDUAL; AND HOW TO TALK WITH CHILDREN ABOUT OPIOIDS. 3) HEALTH LITERACY AND CULTURAL COMPETENCY: A. IMPROVED PATIENT MATERIALS AND EDUCATION THROUGH I) DEVELOPING COVID-19 VACCINATION MATERIALS TO EXPAND GENDER CHOICES BEYOND BINARY OPTIONS, INCLUSIVE OF TRANSGENDER AND OTHER, II) ADDING THE ABILITY TO TRANSLATE ONLINE WELLNESS SURVEYS IN REAL-TIME. 4) ACCESS TO CARE FOR OLDER ADULTS: A. EDUCATED OLDER ADULTS IN THE COMMUNITY OF MYSTLUKES PATIENT PORTAL THROUGH I) ADDITION OF AN INTRODUCTORY SUMMARY VIDEO ON THE PATIENT PORTAL WEBSITE IN APRIL 2020, WITH 334 UNIQUE VIEWS BETWEEN APRIL AND JUNE. IN THE "OTHER IDENTIFIED NEEDS" SECTION OF THE CHNA REPORT, THE FOLLOWING HEALTH ISSUES WERE ALSO IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND EXISTING RESOURCES TO MEET THESE NEEDS IN THE COMMUNITY ARE ADDRESSED. ACCESS ACCESS TO SERVICES DESCRIBES THE CAPACITY FOR INDIVIDUALS TO AFFORD AND ACCESS ACCEPTABLE, QUALITY HEALTH CARE IN A TIMELY AND CULTURALLY COMPETENT MANNER. BARRIERS TO ACCESS INCLUDE HIGH COST OF CARE, LACK OF INSURANCE OR UNDERINSURANCE, LOW INCOME, LACK OF SAFE AND RELIABLE TRANSPORTATION, HEALTH LITERACY OR LINGUISTIC SERVICES, LOCATION AND INCONVENIENT HOURS OF OPERATION. WHILE ST. LOUIS COUNTY HAS A STRONG RATIO OF THE POPULATION TO PRIMARY CARE PHYSICIANS (830:1) COMPARED TO THE STATE (1,420:1), ACCESS TO SERVICES WAS LISTED AS A TOP CONCERN BY FOCUS GROUPS IN THE COMMUNITY, RANKING 4TH BELOW BEHAVIORAL/MENTAL HEALTH, ALCOHOL/SUBSTANCE ABUSE, AND MATERNAL/CHILD HEALTH IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT. (ACCESS TO COVERAGE RANKED 7TH.) AS A SUBPOPULATION OF ST. LOUIS COUNTY, ST. LUKE'S POPULATION IN WEST ST. LOUIS COUNTY FARES BETTER IN TERMS OF ACCESS TO CARE. ONLY 11% OF INDIVIDUALS REPORTED NOT HAVING A REGULAR SOURCE OF CARE, COMPARED TO 16% IN ST. LOUIS COUNTY AS A WHOLE AND 17% IN THE STATE OF MISSOURI (ST. LOUIS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, 2012). 91% NAMED A DOCTOR'S OFFICE AS A USUAL SOURCE OF CARE, AND LESS THAN 19% REPORTED NOT HAVING A CHECKUP WITHIN THE LAST TWO YEARS (ST. LOUIS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, 2012). BECAUSE ACCESS DOES NOT PRESENT AN URGENT NEED IN OUR AREA, IT WAS NOT ADDRESSED AS A PART OF OUR IMPLEMENTATION STRATEGY. HOWEVER, IN ORDER TO PROVIDE ACCESS IN THE COMMUNITY, ST. LUKE'S HOSPITAL PROVIDES FINANCIAL ASSISTANCE TO ALL PATIENTS WITH AN IDENTIFIED NEED. ST. LUKE'S HOSPITAL REACHES OUT TO SELF-PAY AND UNDERINSURED PATIENTS IN A NUMBER OF WAYS, INCLUDING RAISING AWARENESS OF MEDICAID HEALTH INSURANCE AND THE HOSPITAL'S SELF-PAY PLAN FOR PATIENTS. FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR PATIENTS DEPENDING ON INCOME, FAMILY SIZE AND MEDICAL NEEDS. ELIGIBILITY IS BASED ON FEDERAL POVERTY GUIDELINES. ASSISTANCE MAY BE AVAILABLE IN THE FORM OF FREE SERVICES OR REDUCED RATES. ST. LUKE'S OVER 30 LOCATIONS ACROSS ST. LOUIS AND ST. CHARLES COUNTIES AND THE METRO EAST, INCLUDING 9 URGENT AND CONVENIENT CARE CENTERS, FACILITATE ACCESS TO CARE ACROSS THE REGION. EACH FACILITY PROVIDES FREE PARKING AND ADA ACCESSIBILITY. URGENT CARE CENTERS ARE OPEN 8AM TO 8PM, SEVEN DAYS A WEEK. ST. LUKE'S PEDIATRIC CARE CENTER IS A MISSION-BASED AGENCY OF ST. LUKE'S HOSPITAL THAT HAS BEEN PROVIDING PRIMARY AND PREVENTIVE CARE TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN FROM BIRTH TO AGE 18 IN NORTH ST. LOUIS CITY AND COUNTY FOR MORE THAN 60 YEARS. ST. LUKE'S FUNDS THIS COMMUNITY PROJECT, WITH ANNUAL OPERATING COSTS OF APPROXIMATELY $1 MILLION DOLLARS. HEALING GRACE WAS FORMED IN 2007 BY A ST. LUKE'S MEDICAL GROUP PHYSICIAN, WITH THE GOAL OF PROVIDING A CLINIC FOR THE UNINSURED IN WEST ST. LOUIS COUNTY BY USING PRIMARILY VOLUNTEER HELP AND LOW COST GENERIC MEDICATIONS. ST. LUKE'S HOSPITAL HAS PROVIDED MEDICAL SUPPLIES AND EQUIPMENT FOR THE CLINIC. THROUGH THE ST. LUKE'S CENTER FOR DIAGNOSTIC IMAGING, IMAGING SERVICES ARE PROVIDED FREE OR AT A REDUCED COST TO PATIENTS. CHRONIC CONDITIONS ARE MANAGED AND CARE IS COORDINATED THROUGH ARRANGEMENTS WITH OTHER HOSPITAL DEPARTMENTS AND MEMBERS OF ST. LUKE'S MEDICAL STAFF, WITH FINANCIAL ASSISTANCE PROVIDED. VOLUNTEERS IN MEDICINE IS A NATIONAL NONPROFIT DEDICATED TO BUILDING A NETWORK OF SUSTAINABLE FREE PRIMARY HEALTH CARE CLINICS FOR THE UNINSURED IN LOCAL COMMUNITIES. OUR LOCAL WEST COUNTY CHAPTER SERVES ADULTS BETWEEN THE AGES OF 18-24 IN SEVERAL WEST COUNTY MUNICIPALITIES. SEVERAL OTHER ST. LOUIS COUNTY RESOURCES ARE ALSO LISTED IN THE CHNA REPORT TO ADDRESS ACCESS. SUBSTANCE ABUSE FOUR MAJOR CONCERNS REGARDING DRUG AND ALCOHOL ABUSE WERE IDENTIFIED BY FOCUS GROUP RESPONDENTS: (1) PRESCRIPTION MEDICATION ABUSE, (2) ILLEGAL DRUGS, (3) BINGE DRINKING IN FEMALES OVER THE AGE OF 65, AND (4) THE USE OF MULTIPLE MEDICATIONS AT THE SAME TIME. WHILE ST. LUKE'S HAS PRIORITIZED ACTION ITEMS TO ADDRESS PRESCRIPTION MEDICATION ABUSE THROUGH THE OPIOID USE DISORDER ACTION TEAM, SEVERAL OTHER RESOURCES IN ST. LOUIS COUNTY EXIST WITH A FOCUS ON PROVIDING INTERVENTION AND TREATMENT FOR THESE ISSUES: -ALCOHOLICS ANONYMOUS ST. LOUIS CHAPTER -BARNES-JEWISH HOSPITAL CHEMICAL DEPENDENCY PROGRAM -CENTERPOINTE OUTPATIENT CENTER -HYLAND BEHAVIORAL HEALTH -MERCY BEHAVIORAL HEALTH -NATIONAL COUNCIL ON ALCOHOLISM AND DRUG ABUSE (NCADA) - ST. LOUIS AREA -PROVIDENCE COUNSELING MENTAL HEALTH THE STAKEHOLDER FOCUS GROUPS IDENTIFIED TWO MAJOR NEEDS FOR MENTAL HEALTH WITHIN THE WEST COUNTY AREA: 1) A NEED FOR OUTPATIENT MENTAL HEALTH FOR ADULTS AND 2) A NEED FOR ADOLESCENT DAY CARE FOR CHILDREN DISCHARGED FROM HOSPITALS NEEDING EXTRA SUPPORT. ST. LOUIS COUNTY HAS A VERY ROBUST OFFERING OF BEHAVIORAL HEALTH SERVICES TO ADEQUATELY ADDRESS THIS HEALTH ISSUE: -BARNES-JEWISH HOSPITAL -MERCY HOSPITAL ST. LOUIS -MERCY HOSPITAL SOUTH -SSM DEPAUL HEALTH CENTER -SSM ST. MARY'S HEALTH CENTER -ST. LOUIS CHILDREN'S HOSPITAL -GRACE HILL CLINIC -KIDS FIRST IN ST. LOUIS COUNTY THE ST. LOUIS COUNTY HEALTH AND WELLNESS PROGRAM OFFERS A FAMILY MENTAL HEALTH COLLABORATIVE, WHICH FOCUSES ON MEETING THE MENTAL HEALTH NEEDS OF ST. LOUIS COUNTY. THE SERVICES ARE PROVIDED ON A SLIDING SCALE BASED ON THE FAMILY'S INCOME AND INSURANCE PLAN. INFANT MORTALITY RATE FOCUS GROUPS IDENTIFIED INFANT MORTALITY RATES ARE A CONCERN FOR THE REGION. THE LEADING CAUSES OF DEATH AMONG INFANTS ARE BIRTH DEFECTS, PRE-TERM DELIVERY, LOW BIRTH WEIGHT, SUDDEN INFANT DEATH SYNDROME (SIDS), AND MATERNAL COMPLICATIONS DURING PREGNANCY. THE MATERNAL, CHILD AND FAMILY HEALTH COALITION PROVIDES PROGRAMS AND COLLABORATES WITH ORGANIZATIONS ACROSS THE REGION TO IMPROVE BIRTH OUTCOMES, PROMOTE HEALTHY FAMILIES, AND BUILD HEALTHY COMMUNITIES BY UNITING AND MOBILIZING THE ST. LOUIS REGION. SUPPLEMENTAL INFORMATION 5 PART V, SECTION B, LINE 13H ST. LUKE'S REHABILITATION HOSPITAL MEDICAID PENDING. SUPPLEMENTAL INFORMATION 6 PART V, SECTION B, LINE 16C: WWW.STLUKES-STL.COM/PAY SUPPLEMENTAL INFORMATION 7 PART V, SECTION B, LINE 16J AND 20E: ST. LUKE'S REHABILITATION HOSPITAL ST. LUKE'S REHABILITATION HOSPITAL (THE REHAB HOSPITAL) RECEIVES PATIENTS ON A REFERRAL-ONLY BASIS, MANY OF WHOM ARE REFERRED BY ST. LUKE'S HOSPITAL. THE REHAB HOSPITAL HONORS THE FINANCIAL ASSISTANCE DETERMINATIONS MADE BY ST. LUKE'S HOSPITAL UNDER ITS FINANCIAL ASSISTANCE POLICY, WHICH IS PUBLICIZED WITHIN THE COMMUNITY SERVED BY BOTH FACILITIES. ON THE ST. LUKE'S HOSPITAL WEBSITE, ST. LUKE'S REHABILITATION HOSPITAL IS LISTED UNDER THE "SERVICES"LOCATIONS" TAB OF THE HOSPITAL AND UNDER THE "PAYMENTS & FINANCIAL ASSISTANCE" TAB - "COMMITTED TO ASSISTING OUR PATIENTS IN FINDING THE INFORMATION THEY NEED REGARDING BILLING AND CHARGES FROM HEALTHCARE SERVICES OBTAINED AT ONE OF OUR FACILITIES." 4 ST LUKE'S HOSP SK NURS FAC-SURREY PLACE 14701 OLIVE BLVD CHESTERFIELD MO 63017 SKILLED NURSING/RESIDENTIAL CARE FACILITY ST LUKE'S HOSPITAL HOME HEALTH AGENCY 111 S WOODS MILL RD CHESTERFIELD MO 63017 HOME HEALTH SERVICES ST LUKE'S HOSPITAL HOSPICE 111 S WOODS MILL RD CHESTERFIELD MO 63017 HOSPICE CARE GATEWAY ENDOSCOPY Center 12855 N 40 DR SUITE 150 ST LOUIS MO 63141 GASTROINTESTINAL ENDOSCOPY SUPPLEMENTAL INFORMATION 1 PART I, LINE 6A N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATION SUPPLEMENTAL INFORMATION 2 PART I, LINE 7G N/A SUPPLEMENTAL INFORMATION 3 PART I, LINE 7 COLUMN (F) TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSE LINE 7A: CHARITY CARE, 1.95% LINE 7B: UNREIMBURSED MEDICAID, 1.54% LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 3.49% LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.41% LINE 7F: HEALTH PROFESSIONS EDUCATION, 1.37% LINE 7G: SUBSIDIZED HEALTH SERVICES, 0.28% LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.02% LINE 7J: TOTAL OTHER BENEFITS, 2.08% LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 5.57% BAD DEBT EXPENSE SUBTRACTED FROM LINE 7, COLUMN (F): N/A - BAD DEBT IS AN IMPLICIT PRICE CONCESSION AND A REDUCTION OF PATIENT REVENUE. SUPPLEMENTAL INFORMATION 4 PART II: COMMUNITY BUILDING ACTIVITIES ST. LUKE'S WORKS WITH ITS DENOMINATIONAL SPONSORS, THE EPISCOPAL AND PRESBYTERIAN USA CHURCHES (THE CHURCHES), TO IMPROVE THE HEALTH OF THE GREATER ST. LOUIS COMMUNITY IN BODY, MIND AND SPIRIT. THROUGH VARIOUS COMMUNICATIONS AND OUTREACH EFFORTS, ST. LUKE'S WORKS TO CREATE A STRONGER CONNECTION WITH THE CHURCHES AND COMMUNITY TO SHOW HOW ST. LUKE'S LIVES OUT ITS MISSION AND MINISTRY OF HEALING. KEY INITIATIVES INCLUDE: 1) ANNUAL REPRESENTATION AT A MEETING OF THE PRESBYTERY OF GIDDINGS-LOVEJOY/EPISCOPAL DIOCESE OF MISSOURI BY THE PASTORAL CARE DIRECTOR TO PROVIDE AN OVERVIEW OF ANNUAL MISSION ACTIVITIES; 2) ANNUAL MISSION BROCHURE TO DESCRIBE HOSPITAL SERVICES, COMMUNITY OUTREACH, EDUCATION, PROVISION OF CHARITY CARE TO THE UNINSURED AND UNDERINSURED WITHIN THE COMMUNITY, AND INFORMATION ABOUT OTHER RESOURCES PROVIDED BY THE HOSPITAL, SUCH AS MEALS ON WHEELS AND THE PEDIATRIC CARE CENTER; 3) RAISING AWARENESS ABOUT THE ST. LUKE'S PASTORAL CARE DEPARTMENT AND CLINICAL PASTORAL EDUCATION PROGRAM; AND, 4) IDENTIFYING OPPORTUNITIES TO PROVIDE HEALTH EDUCATION ARTICLES AND INFORMATION ABOUT UPCOMING HEALTHY LIVING EVENTS TO THE PRESBYTERY/DIOCESE. SUPPLEMENTAL INFORMATION 5 PART III, LINE 2 AND LINE 3: COSTING METHODOLOGY COST TO CHARGE RATIO SUPPLEMENTAL INFORMATION 6 PART III, LINE 3: BAD DEBT EXPENSE ST. LUKE'S CONSIDERS THIS PORTION OF BAD DEBT EXPENSE A COMMUNITY BENEFIT AS IT IS THE ADDITIONAL COST OF PROVIDING FINANCIAL ASSISTANCE TO THE COMMUNITY. SUPPLEMENTAL INFORMATION 7 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 BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS IN ACCORDANCE WITH ST. LUKE'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. ST. LUKE'S DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. ST. LUKE'S DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS." SUPPLEMENTAL INFORMATION 8 PART III, LINE 8 PROVISION OF CARE TO MEDICARE BENEFICIARIES MEETS A NEED IN THE COMMUNITY AND ANY SHORTFALL IS CONSIDERED TO BE A COMMUNITY BENEFIT. COSTING METHODOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COSTS - COST TO CHARGE RATIOS/MEDICARE COST REPORT. SUPPLEMENTAL INFORMATION 9 PART III, LINE 9B COLLECTION POLICY REGARDING PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE - ST. LUKE'S HOSPITAL HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM ST. LUKE'S HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT IMPOSE WAGE GARNISHMENTS OR FORCE A FORECLOSURE ON PRIMARY RESIDENCES, WILL NOT IMPOSE ACTIONS THAT FORCE BANKRUPTCY AND WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES. ST. LUKE'S HOSPITAL ADHERES TO THE LAWS OF THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY. PATIENTS ARE TREATED WITH DIGNITY, RESPECT AND IN LINE WITH OUR MISSION AND VALUES. SUPPLEMENTAL INFORMATION 10 PART VI, LINE 2: NEEDS ASSESSMENT ST. LUKE'S HOSPITAL HAS A STRONG COMMITMENT TO THE HEALTH OF OUR COMMUNITY. THROUGH THE HOSPITAL AND MORE THAN 30 AFFILIATED FACILITIES, WE IMPACT THE HEALTH OF PATIENTS EVERY DAY. BEYOND DELIVERING INPATIENT AND OUTPATIENT CARE AND AS A LEADER IN CLINICAL AND COMMUNITY EDUCATION, WE HAVE AN ACTIVE COMMUNITY OUTREACH OFFERING THAT PROVIDES A WIDE RANGE OF HEALTH AND WELLNESS EDUCATION OPPORTUNITIES EACH YEAR TO OUR COMMUNITY, WITH MANY FREE AND LOW-COST PROGRAMS AVAILABLE. ADDITIONALLY, WE WORK WITH EMPLOYERS ACROSS THE AREA TO BRING HEALTH EDUCATION AND SCREENINGS TO THEIR WORKSITES. IN 2017, THE NETWORK OF HOSPITALS AND HEALTHCARE PROVIDERS WHO COLLABORATE TO GATHER FEEDBACK FROM THE COMMUNITY FOR ASSESSMENT STRENGTHENED ITS COMMITMENT, AND ST. LUKE'S HOSPITAL JOINED THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC). THROUGHOUT THEIR HEALTH ASSESSMENT PROCESS, THE STLPHC WAS FOCUSED ON A SYSTEMS LEVEL CHANGE, WITH COMMUNITY ENGAGEMENT AND INCLUSION SERVING AS CORE GUIDING PRINCIPLES. THROUGH LISTENING SESSIONS, SURVEYS AND FOCUS GROUPS, THE STLPHC WORKED TO IDENTIFY THEMES ON WHAT A HEALTHY COMMUNITY SHOULD LOOK LIKE FOR ST. LOUIS AREA RESIDENTS, AND IDENTIFIED BOTH BARRIERS AND FACILITATORS FOR HEALTH IN THE REGION. THE INTERESTS OF THE ST. LUKE'S COMMUNITY ARE REPRESENTED BY A COMMUNITY BENEFIT COORDINATOR INVOLVED WITH SEVERAL COMMUNITY ORGANIZATIONS AND COALITIONS, INCLUDING THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY AND ITS REGIONAL LEADERSHIP AND PLANNING GROUP, AND THE ST. LOUIS COUNTY HOSPITAL COLLABORATIVE. PROMOTING HEALTH AND WELLNESS IN OUR COMMUNITY HAS ALWAYS BEEN CENTRAL TO ST. LUKE'S MISSION. IN ORDER TO BETTER UNDERSTAND WHERE THE COMMUNITY STANDS ON IMPORTANT MEASURES OF HEALTH, AND TO ENGAGE COMMUNITY MEMBERS DIRECTLY IN PROVIDING FEEDBACK ON OUR PRIORITIES, ST. LUKE'S CONDUCTS A FORMAL AND COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. BASED ON THOSE FINDINGS, OUR TEAM CAN BETTER UNDERSTAND TRENDS IN HEALTH STATUS AND CAN FORMULATE SYSTEMATIC STRATEGIES TO ADDRESS THE MOST PRESSING NEEDS. OUR IMPLEMENTATION PLAN WITH MEASURABLE GOALS ADDRESSES THESE SPECIFIC PRIORITIES, WHILE HOSPITAL EFFORTS CONTINUE TO ADDRESS A WIDE VARIETY OF COMMUNITY HEALTH NEEDS AND TO COLLABORATE WITH OTHER COMMUNITY RESOURCES. ST. LUKE'S COMMUNITY HEALTH NEEDS ASSESSMENT AND REPORT IS THE PRODUCT OF A 12-MONTH PROCESS TO IDENTIFY AND ASSESS THE FULL SCOPE OF NEEDS OF THE WEST ST. LOUIS COUNTY POPULATION THROUGH INPUT SOLICITED FROM AREA HEALTH EXPERTS AND COMMUNITY LEADERS, AND SELECTED PRIMARY AND SECONDARY SURVEY SOURCES OF INPUT TO IDENTIFY TARGET AREAS FOR IMPROVEMENT. THE NEEDS ASSESSMENT DOCUMENT PROVIDES DETAILS ABOUT THE DATA COLLECTION, COMMUNITY INPUT AND THE ANALYSIS OF EXISTING PROGRAMS AND RESOURCES TO MEET IDENTIFIED COMMUNITY NEEDS. WE ALSO PREPARED AN UPDATED IMPLEMENTATION PLAN (NOVEMBER OF 2019) WITH WAYS TO ENHANCE OUR EDUCATIONAL PROGRAMS AND PARTNER WITH COMMUNITY ORGANIZATIONS TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITY. IMPLEMENTATION PLAN HIGHLIGHTS ARE LOCATED ON THE HOSPITAL WEBSITE HTTPS://WWW.STLUKES-STL.COM. BASED ON CURRENT HEALTH DATA, COMMUNITY INPUT THROUGH FOCUS GROUPS AND SURVEYS, AND IN CONSIDERATION OF REGIONAL STRATEGIES, ST. LUKE'S HOSPITAL'S 2019 CHNA IMPLEMENTATION PLAN IDENTIFIES FOUR PRIORITY NEED AREAS ON WHICH TO FOCUS TO IMPLEMENT ACTIONABLE INITIATIVES BETWEEN FISCAL YEARS 2020 - 2022, INCLUDING: . DIABETES PREVENTION AND SELF-MANAGEMENT . OPIOID USE DISORDER . HEALTH LITERACY AND CULTURAL COMPETENCY . ACCESS TO CARE FOR OLDER ADULTS HEALTH PRIORITY: DIABETES PREVENTION AND SELF-MANAGEMENT GOAL: IMPROVE HEALTH OUTCOMES FOR INDIVIDUALS WITH DIABETES AND DECREASING DIABETES INCIDENCE ACTION PLAN: -MARKET LOCAL HEALTH SERVICES RELATED TO DIABETES PREVENTION AND MANAGEMENT -INCREASE PHYSICIAN REFERRALS TO IN-HOUSE DPP OR DIABETES SELF-MANAGEMENT PROGRAMS -PROVIDE DIABETES PREVENTION AND/OR MANAGEMENT COMMUNITY CLASSES AND EXERCISE PROGRAMS -FACILITATE LOCAL FARM TO HOSPITAL INITIATIVES AT ST. LUKE'S HOSPITAL -PROVIDE COMMUNITY GROCERY STORE TOURS -HOST ANNUAL DIABETES UPDATE EVENT OUTCOME MEASUREMENTS: -COMMUNITY EDUCATION CLASSES AND EXERCISE PROGRAMS: -EVALUATE SUCCESS OF PROGRAM THROUGH PRE/POST TESTS -SOLICIT PARTICIPANT FEEDBACK TO IMPROVE CLASS OFFERINGS AND CONTENT -RECORD NUMBER OF READMISSIONS DUE TO DIABETES-RELATED COMPLICATIONS -RECORD NUMBER OF HEMOGLOBIN A1C TESTS PROVIDED TO PATIENTS -TRACK OUTCOMES OF DIABETES PREVENTION PROGRAMS, INCLUDING WEIGHT LOST -TRACK REFERRALS TO COMMUNITY SUPPORT PROGRAMS AND RESOURCES HEALTH PRIORITY: OPIOID USE DISORDER GOAL: REDUCE THE NUMBER OF OPIOID-RELATED DEATHS ACTION PLAN: -STREAMLINE PDMP ENROLLMENT WITH NEW PHYSICIAN ON-BOARDING AND MEDICAL RESIDENCY PROGRAMS -CONDUCT ONGOING TRAINING/EDUCATION FOR PHYSICIANS AND PRACTICES ON PDMP UTILIZATION -ENACT AND MONITOR PAIN MANAGEMENT PROTOCOLS FOR THE PRESCRIPTION OF OPIOID MEDICATIONS -PATIENT EDUCATION ON NALOXONE WITH PRESCRIPTION OPIOID MEDICATIONS -PROMOTE DISTRIBUTION OF OPIOID ADDICTION RESOURCE GUIDE -SUPPORT MEDICATION TAKE-BACK AT LOCAL INDEPENDENT LIVING FACILITIES -EXPLORE PROCURING ADDITIONAL SUPPORT STAFF FOR HOSPITALISTS, EMERGENCY ROOM AND PHYSICIAN PRACTICES (EX: RECOVERY COACHES OR PAIN MANAGEMENT COORDINATORS) OUTCOME MEASUREMENTS: -TRACK PATIENT SEARCHES/PRESCRIPTIONS DISPENSED THROUGH ST. LOUIS COUNTY DRIVEN PDMP -MONITOR ENFORCEMENT OF INTERNAL DRUG PRESCRIPTION PROTOCOLS, INCLUDING NUMBER OF NALOXONE PRESCRIPTIONS RECOMMENDED AND FILLED -REPORT NONFATAL OVERDOSES AND TRACK PATIENT REFERRALS FOR FOLLOW UP TREATMENT -RECORD POUNDS OF PRESCRIPTION MEDICATION DISPOSED OF THROUGH PRESCRIPTION DRUG TAKE BACK DAYS HEALTH PRIORITY: HEALTH LITERACY AND CULTURAL COMPETENCY GOAL: REDUCE HEALTH AND RACIAL DISPARITIES AND IMPROVE HEALTH OUTCOMES AND QUALITY OF LIFE OF THE COMMUNITY MEMBERS ACTION PLAN: -COORDINATE WITH CLINICAL EDUCATION, COMMUNITY OUTREACH, CME, AND MARKETING TO REVIEW CURRENT EDUCATION MATERIALS FOR READABILITY AND MAKE APPROPRIATE EDITS HOSPITAL WIDE -WORK WITH POPULATION HEALTH, COMMUNITY OUTREACH, AND MARKETING TO DETERMINE THE LANGUAGE NEEDS OF COMMUNITY -COORDINATE WITH CLINICAL EDUCATION, MARKETING, AND EXTERNAL PARTNER HEALTH LITERACY MEDIA TO PROVIDE TRAINING TO THE APPROPRIATE STLH STAFF -WORK WITH POPULATION HEALTH AND COMMUNITY OUTREACH TO REVIEW INCLUSIVITY AND APPROPRIATENESS OF PATIENT FORMS FOR THE LGBTQ COMMUNITY OUTCOME MEASUREMENTS: -RECORD PERCENTAGE OF STLH WEBSITE THAT IS AT THE APPROPRIATE READING LEVEL FOR THE COMMUNITY -RECORD NUMBER OF HEALTH LITERACY TRAININGS AND NUMBER OF PARTICIPANTS HEALTH PRIORITY: ACCESS TO CARE FOR OLDER ADULTS GOAL: INCREASE PATIENT OUTCOMES AND QUALITY OF LIFE FOR OLDER ADULTS ACTION PLAN: -OFFER COMMUNITY CLASSES/SUPPORT FOR MYSTLUKES PATIENT PORTAL -EXPAND COMMUNITY EDUCATION CLASSES GEARED FOR OLDER ADULTS (E.G. PRESCRIPTION ADHERENCE) -IMPLEMENT A "SENIOR HUB" PROGRAM AT ST. LUKE'S CAMPUSES TO CONNECT SENIORS WITH EDUCATION, RESOURCES AND HELP THEM NAVIGATE ELECTRONIC MEDICAL RECORD PORTAL -EXPLORE POSSIBILITY OF CREATING GERIATRIC SPECIALTY UNITS WITHIN APPROPRIATE DEPARTMENTS OF THE HOSPITAL OUTCOME MEASUREMENTS: -COMMUNITY EDUCATION CLASSES: - EVALUATE SUCCESS OF PROGRAM THROUGH PRE/POST TESTS - RECORD NUMBER OF EDUCATION CLASSES GEARED TOWARDS OLDER ADULTS AND NUMBER OF PARTICIPANTS -TRACK UTILIZATION OF MYSTLUKES PORTAL -MONITOR REACH OF SENIOR HUBS SUPPLEMENTAL INFORMATION 11 PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS ARE INFORMED ABOUT ST. LUKE'S FINANCIAL ASSISTANCE AND THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS IN A NUMBER OF WAYS: -FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO PATIENTS DURING THEIR STAY. -PATIENT FINANCIAL SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO PROVIDE PATIENTS WITH THEIR EXPECTED AMOUNTS DUE AND DISCUSS PAYMENT OPTIONS AND FINANCIAL ASSISTANCE. -DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING WITH PATIENTS ON THE PHONE PRIOR TO AND/OR AFTER THEIR SERVICE. -INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS LOCATED VIA THE: -WEBSITE -BILLING STATEMENTS -REGISTRATION BOOKLETS/BROCHURES -CASHIER'S OFFICE -REGISTRATION AREAS -BILLING OFFICE -SOCIAL SERVICES/CARE MANAGEMENT -FINANCIAL COUNSELORS SCREEN PATIENTS FOR MEDICAID ELIGIBILITY TO ASSIST WITH ENROLLMENT IN THE STATE MEDICAID PROGRAM. -CERTIFIED APPLICATION COUNSELORS ARE AVAILABLE TO PATIENTS AND MEMBERS OF THE COMMUNITY TO ASSIST THEM WITH ENROLLING IN AN INSURANCE PLAN ON THE MARKETPLACE. -PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUPPLEMENTAL INFORMATION 12 PART VI, LINE 4: COMMUNITY INFORMATION ST. LUKE'S SERVES THE REGION FROM MORE THAN 30 LOCATIONS ACROSS ST. LOUIS AND ST. CHARLES COUNTIES AND THE METRO EAST, WITH ITS SECONDARY SERVICE AREA INCLUDING PORTIONS OF THE CITY OF ST. LOUIS, FRANKLIN COUNTY AND JEFFERSON COUNTY. THE GEOGRAPHIC AREA POPULATION IS GREATER THAN 1.4 MILLION, WITH OVER 550,000 HOUSEHOLDS. IN ADDITION, PATIENTS FROM ST. CLAIR AND MADISON COUNTIES IN ILLINOIS UTILIZE ST. LUKE'S HOSPITAL. SUPPLEMENTAL INFORMATION 13 PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH ADDITIONAL COMMUNITY SUPPORT INCLUDES: -ST. LUKE'S OFFERS A FREE MEMBERSHIP PROGRAM TO COMMUNITY WOMEN CALLED SPIRIT OF WOMEN. THIS NATIONAL PROGRAM FOCUSES ON ADVANCING WOMEN'S HEALTHCARE AND INSPIRING WOMEN TO TAKE ACTION FOR THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. 13,000 WOMEN HAVE JOINED THE PROGRAM TO DATE TO RECEIVE ONGOING HEALTH INFORMATION ABOUT KEY HEALTH TOPICS AND INFORMATION ON MANY FREE HEALTH EDUCATION PROGRAMS OFFERED BY ST. LUKE'S. -ST. LUKE'S SUPPORTS THE LEADERSHIP CHESTERFIELD PROGRAM BY PROVIDING SPEAKERS AND MEETING ROOMS FOR THIS GROUP. THIS PROGRAM IS STRUCTURED TO CHALLENGE BUSINESS PROFESSIONALS AND COMMUNITY MEMBERS BY ADDRESSING TOPICS SUCH AS GOVERNMENT AND PUBLIC SERVICE, HISTORY, ARTS AND CULTURE, EDUCATION AND TRAINING, HEALTH CARE AND QUALITY OF LIFE, AND COMMUNITY GROWTH AND DEVELOPMENT. -ST. LUKE'S PARTICIPATES ON THE CHESTERFIELD CHAMBER OF COMMERCE BOARD OF DIRECTORS AND IS AN ACTIVE PARTICIPANT IN VARIOUS AREA CHAMBERS OF COMMERCE WITHIN ITS SERVICE AREA. -A ST. LUKE'S LEADERSHIP TEAM MEMBER PARTICIPATES IN AN ACTIVE ROLE ON THE HEALTH SUBCOMMITTEE FOR PARTNERS FOR PROGRESS OF ST. CHARLES COUNTY, WHICH IS AFFILIATED WITH THE ECONOMIC DEVELOPMENT CENTER. THIS COMMITTEE MEETS TO DISCUSS ENVIRONMENT AND INFRASTRUCTURE, EDUCATION, HEALTH AND PUBLIC POLICY. -A ST. LUKE'S SENIOR STAFF MEMBER PARTICIPATES ON THE EPISCOPAL-PRESBYTERIAN TRUST FUND BOARD, WHICH DONATES SIGNIFICANT MONIES TO HELP THE POOR IN THE CITY OF ST. LOUIS. -A ST. LUKE'S SENIOR STAFF MEMBER PARTICIPATES ON THE CHESTERFIELD DEVELOPMENT ADVISORY BOARD. THIS GROUP PROVIDES A SOUNDING BOARD FOR THE MAYOR AND STAFF, AS WELL AS AN OPPORTUNITY TO SEEK THE OPINION OF LOCAL BUSINESS LEADERS. -ST. LUKE'S COMMUNITY OUTREACH DEPARTMENT STRONGLY SUPPORTS THE AREA'S SCHOOL NURSES, PROVIDING MEETING ROOMS AND MISSOURI NURSING ASSOCIATION (MONA) CREDIT HOURS FOR THEIR EDUCATIONAL MONTHLY MEETINGS AND AN ANNUAL "CONCEPTS IN SCHOOL NURSING" WORKSHOP. FOCUS IS ON THE KEY "HOT TOPICS" SCHOOL NURSES MUST ADDRESS TO KEEP STUDENTS HEALTHY AND SAFE IN THE SCHOOL ENVIRONMENT. -ST. LUKE'S ALSO PARTNERS WITH ACADEMIC FACILITIES THROUGHOUT THE REGION BY PROVIDING SUPERVISED INTERNSHIPS FOR COLLEGE AND GRADUATE STUDENTS IN VARIOUS HEALTHCARE FIELDS (NURSING, PHYSICAL THERAPY, HOSPITAL ADMINISTRATION, HEALTH INFORMATION SERVICES, SOCIAL SERVICES, ETC.). THESE INTERNSHIPS PROVIDE NEW GRADUATES WITH THE REAL LIFE PROFESSIONAL EXPERIENCE THEY NEED PRIOR TO ENTERING THE WORKFORCE AS A HEALTHCARE PROFESSIONAL. -ST. LUKE'S OFFERS USE OF ITS INSTITUTE FOR HEALTH EDUCATION AUDITORIUM AND MEETING SPACE FREE OF CHARGE TO AREA NON-PROFITS FOR HEALTH EDUCATION AND SUPPORT GROUPS. -ST. LUKE'S PHYSICIANS AND HEALTH EDUCATORS AUTHOR TWO HEALTH COLUMNS IN THE ST. LOUIS POST-DISPATCH NEWSPAPER EACH MONTH TO RAISE AWARENESS ABOUT KEY HEALTH TOPICS. THE PHYSICIANS AND HEALTH EDUCATORS ALSO CONDUCT MEDIA INTERVIEWS FOR PRINT AND TELEVISION ON KEY HEALTH TOPICS TO HELP EDUCATE THE PUBLIC ON DIAGNOSIS AND TREATMENTS FOR VARIOUS MEDICAL CONDITIONS. -ST. LUKE'S WORKS WITH AREA PUBLIC AND PRIVATE HIGH SCHOOLS AND COLLEGES TO PROVIDE "SHADOWING" EXPERIENCES FOR STUDENTS INTERESTED IN THE MEDICAL PROFESSION. THIS ENABLES STUDENTS TO GAIN ADDITIONAL KNOWLEDGE TO HELP GUIDE THEM IN THEIR CHOICE OF PROFESSIONAL CAREERS. OTHER SERVICES PROVIDED: ST. LUKE'S HOSPITAL IS A REGIONAL HEALTH CARE PROVIDER COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR PATIENTS AND THE COMMUNITY. ST. LUKE'S OFFERS SERVICES FROM MORE THAN 30 LOCATIONS WITH SERVICES IN 60 SPECIALTY AREAS INCLUDING CARDIOVASCULAR CARE AND SURGERY, CANCER CARE, NEUROSURGERY AND NEUROLOGY, ORTHOPEDICS, MATERNITY AND OTHER WOMEN'S HEALTH, GENERAL MEDICINE, OUTPATIENT SERVICES, PEDIATRICS AND COMPREHENSIVE SURGICAL SERVICES. GIVEN THE DRAMATIC GROWTH IN THE NUMBER OF PEOPLE USING THE INTERNET TO OBTAIN INFORMATION ON HEALTHCARE, ST. LUKE'S UTILIZES TECHNOLOGY RESOURCES TO IMPROVE THE HEALTH OF THE COMMUNITY AND EDUCATE PATIENTS AND THE PUBLIC BY OFFERING THE FOLLOWING HEALTH INFORMATION: -WOMEN'S CENTER - PROVIDES IN-DEPTH INFORMATION ON THE PREVENTION, DIAGNOSIS, TREATMENT, AND CARE OF CONDITIONS THAT AFFECT WOMEN OF ALL AGES. -PEDIATRIC CENTER - PROVIDES IN-DEPTH INFORMATION ON THE PREVENTION, DIAGNOSIS, TREATMENT, AND CARE OF CONDITIONS THAT AFFECT NEWBORNS, CHILDREN, AND ADOLESCENTS. -SENIOR CENTER - PROVIDES IN-DEPTH INFORMATION ON THE PREVENTION, DIAGNOSIS, TREATMENT, AND CARE OF CONDITIONS THAT BECOME MORE COMMON AS PEOPLE AGE. -MULTIMEDIA ENCYCLOPEDIA - TAKE CHARGE OF YOUR HEALTH AND GAIN KNOWLEDGE BY WATCHING INFORMATIVE MULTIMEDIA PRESENTATIONS. -SYMPTOM NAVIGATOR - "WHERE DOES IT HURT?" -MY CHECKUPS - KNOW WHEN TO SCHEDULE IMPORTANT EXAMS. -IN-DEPTH REPORTS - 100 TOPICS FOR ADVANCED STUDY. -WELLNESS TOOLS - HEALTH CALCULATORS INCLUDING: BODY MASS INDEX, CALORIE BURNER COUNTER, TARGET HEART RATE, IDEAL BODY WEIGHT, NUTRITIONAL NEEDS AND WAIST TO HIP CALCULATORS. -HEALTH RISK ASSESSMENTS - THESE ONLINE ASSESSMENTS FOR LIFESTYLE AND CONDITIONS PROVIDE THE COMMUNITY WITH A PERSONALIZED ASSESSMENT OF HEALTH STATUS AND RISK OF DEVELOPING DISEASES IN THE FUTURE. MEDICAL STAFF: ST. LUKE'S HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR PRIMARY CARE SERVICES (I.E. INTERNAL MEDICINE AND PEDIATRICS). OF THE 650 PHYSICIANS ON THE MEDICAL STAFF AT JUNE 30, 2020, 94% ARE BOARD CERTIFIED. GOVERNING BODY: ST. LUKE'S HOSPITAL HAS 16 VOTING MEMBERS ON ITS BOARD OF DIRECTORS. THEY INCLUDE COMMUNITY AND CORPORATE LEADERS, AS WELL AS PHYSICIANS AND REPRESENTATIVES OF BOTH THE EPISCOPAL AND PRESBYTERIAN CHURCHES. ALLOCATION OF SURPLUS FUNDS: POSITIVE FINANCIAL RESULTS SUPPORT: 1) INVESTMENT IN STRATEGIC CAPITAL EXPENDITURES AND NEW TECHNOLOGY, 2) GROWTH AND EXPANSION OF SERVICES TO MEET IDENTIFIED COMMUNITY NEEDS, AND 3) RECRUITMENT AND RETENTION OF QUALITY HEALTHCARE PROFESSIONALS THROUGH A COMPREHENSIVE MARKET-BASED COMPENSATION AND BENEFITS PROGRAM. SUPPLEMENTAL INFORMATION 14 PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM N/A SUPPLEMENTAL INFORMATION 15 PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT N/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA) true CASA DE SALUD 3200 CHOUTEAU AVENUE ST LOUIS MO 63103 270732049 501(C)(3) 15000 GENERAL SUPPORT MISSOURI PHYSICIANS HEALTH PROGRAM 680 CRAIG ROAD STE 308 ST LOUIS MO 63141 431572458 501(C)(3) 10000 GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GIRL SCOUTS OF EASTERN MO INC 2300 BALL DRIVE ST LOUIS MO 63146 430662471 501(C)(3) 7500 GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT FAMILYFORWARD 1167 CORPORATE LAKE DR ST LOUIS MO 63132 430652622 501(C)(3) 7500 GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT CHESTFIELD CHAMBER OF COMMERCE 101 CHESTERFIELD BUS PKWY CHESTERFIELD MO 63005 431096294 501(C)(6) 6200 GENERAL SUPPORT 4 1 PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. X true true X X X X X X false true false true false false false false false Christine Candio Pres & CEO thru 4/20 821524 0 240000 0 30769 0 10500 0 14731 0 1117524 0 0 0 Scott Johnson Executive VP & CFO 525166 0 78000 0 20000 0 11900 0 14731 0 649797 0 0 0 Michael Boland MD Chief of Surgery 0 886175 0 0 0 0 0 14700 0 24005 0 924880 0 0 Maged Haikal MD Chief of Medicine 0 798258 0 0 0 0 0 20300 0 12790 0 831348 0 0 Ronald Leidenfrost MD Chairman Heart & Vascular Inst 0 753864 0 0 0 808098 0 20300 0 14731 0 1596993 0 808098 Jon Bettale VP Surgical Services 240683 0 22264 0 9168 0 16966 0 7014 0 296095 0 0 0 Martha Fleischmann VP Network Finance 257506 0 28125 0 9834 0 20300 0 7381 0 323146 0 0 0 Jan Hess VP Network Admin thru 5/20 269367 0 29480 0 0 0 31500 0 14731 0 345078 0 0 0 Sharon Mertzlufft Vice President & Exec Director 239247 0 26400 0 0 0 10052 0 9609 0 285308 0 0 0 Scott Holtswarth VP Network CIO 270486 0 19976 0 10577 0 20300 0 12603 0 333942 0 0 0 Don Miller VP Network Facilities 294538 0 28215 0 11423 0 17500 0 19106 0 370782 0 0 0 Diane Ray SR VP/Network CNO/SLH COO 320658 0 31941 0 0 0 31500 0 14731 0 398830 0 0 0 Janette Taaffe VP Network HR 247138 0 27500 0 0 0 20244 0 14661 0 309543 0 0 0 Gregory Hudson NetworK CHIEF STRATEGY OFFICER 187257 0 17374 0 0 0 6890 0 24005 0 235526 0 0 0 Talat Nawas MD Hospitalist 618047 0 0 0 0 0 20300 0 14731 0 653078 0 0 0 Hope Cranston D'Amato MD Medical Director ICU 604230 0 0 0 0 0 14700 0 14731 0 633661 0 0 0 Michael Klevens MD Emergency Department 492793 0 0 0 0 0 14700 0 23903 0 531396 0 0 0 Eric Jenkins MD CVICU 433831 0 0 0 0 0 14700 0 23846 0 472377 0 0 0 Abdul Moheet MD Emergency Department 419236 0 0 0 0 0 20300 0 24005 0 463541 0 0 0 William Meyer VP Network CIO thru 1/19 41100 0 0 0 77774 0 0 0 103 0 118977 0 0 0 SUPPLEMENT INFORMATION 1 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. SUPPLEMENTAL INFORMATION 2 PART I, LINE 4B CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. THE PERSON RECEIVING SUCH A DISTRIBUTION IN CALENDAR YEAR 2019 IS AS FOLLOWS: RONALD LEIDENFROST, MD $808,098 SUPPLEMENTAL INFORMATION 3 Part I, Line 5a THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATION. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD OBJECTIVES. THE INCENTIVE COMPENSATION PLAN IS DETERMINED BY A FIXED FORMULA BASED ON ACHIEVING CERTAIN GOALS AND OBJECTIVES EACH YEAR. THE OBJECTIVES ARE BUILT AROUND FOUR PERSPECTIVES INCLUDING: 1. QUALITY & PATIENT SATISFACTION 2. FINANCIAL PERFORMANCE 3. EXECUTIVE INDIVIDUAL GOALS 4. EXECUTIVE'S INTERNAL BUSINESS (DIVISION) GOALS THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS AND DEPARTMENT DIRECTORS OF THE HOSPITAL. A HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 60637AKH4 2015-11-12 34089886 SEE PART VI false false false B HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 000000000 2016-09-02 25000000 SEE PART VI false false false C HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 000000000 2016-12-20 14100200 SEE PART VI false false false D HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 60637AQL9 2019-06-20 60066599 SEE PART VI false false false A 0 0 34460816 0 0 0 0 0 0 10024338 24436478 0 2016 true false true true B 14680000 0 25000000 0 0 0 184750 0 0 0 24815250 0 true false true true C 4158620 0 14354534 0 0 0 100200 0 0 14117591 0 136743 false false false true D 0 0 60332287 0 0 0 768432 0 0 20267926 25000000 14295929 false false false true A false false true false false 0 false false false true B false false true false false 0 false false false true C false false true false false 0 false false false true D false false true false false 0 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true 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 (ISSUED JANUARY 9, 2007) AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS. PART I, SECTION B, COLUMN F 2016 (SERIES 2015a) BONDS ISSUED SEPTEMBER 2, 2016 AT A FIXED RATE WITH PROCEEDS OF $25 MILLION USED TO REFUND A PORTION OF THE SERIES 2006 BONDS (ISSUED JANUARY 9, 2007). PART I, SECTION C, 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 D, COLUMN F 2019 BONDS ISSUED JUNE 20, 2019 AT A FIXED RATE WITH PROCEEDS OF $60 MILLION 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 C THE DIFFERENCE BETWEEN TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND. PART II, LINE 3, COLUMN D THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND. PART II, LINE 11, COLUMNS A & B Proceeds used to currently refund prior issue. X 10 379865 FMV false true true Part I, Column (B) THE NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF INDIVIDUAL CONTRIBUTIONS RECEIVED. Part I, Line 32B ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS USES AN OUTSIDE TRUST COMPANY TO SELL EQUITY SECURITIES CONTRIBUTED TO THE ORGANIZATION. General Statement 1 Part III, Line 1: Description of Mission Our Mission Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke's is dedicated to improving the health of the communities we serve. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence and respect for each other and those we serve. Living Our Mission Mission outreach is a founding principle of St. Luke's Hospital, which had its beginnings February 28, 1866. We celebrate Founders' Day to remember our heritage and to honor our founders, whose vision we continue to live out each day. We remember and reaffirm our mission, which is the foundation supporting our service in and to the community. St. Luke's lives out its ministry of healing by dedicating itself to improving the health of the community through the wide array of services it makes available to the St. Louis metropolitan area. Our mission commitment includes the vital areas of community outreach, community health, community health information/education and community services. St. Luke's vision as an independent healthcare network is to create healthy communities in the region 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. General Statement 2 Part III, Line 4A: Program Services Description of Services Provided Medically-necessary health services are provided to all individuals in a non-discriminatory manner regardless of race, color, national origin, religion or ability to pay. Our independent network of care provides personalized healthcare services at our 493-bed hospital in Chesterfield, Missouri and 143-bed St. Luke's Des Peres Hospital. St. Luke's also offers more than 30 other locations across the greater St. Louis area, including an outpatient center, a skilled nursing/residential care facility, eight urgent care centers, a rehabilitation hospital, diagnostic imaging centers, physician offices, a vascular access center, home health services and hospice services. Nationally-recognized for clinical excellence and patient satisfaction, St. Luke's offers care in more than 60 specialty areas including cardiology and cardiovascular surgery, cancer care, orthopedics, bariatrics, neurosurgery and neurology, women's services (including obstetrics), pediatrics, urgent care, pulmonary medicine, sleep medicine and wellness services for adults with Down syndrome. Additionally, St. Luke's Hospital is the exclusive Spirit of Women Hospital in St. Louis and has been recognized as a Spirit of Women Premier Hospital for its focus on elevating the standards in women's health. The national designation is based on a comprehensive evaluation of innovation and excellence in women's healthcare and community outreach developed in consultation with the Office on Women's Health in the U.S. Department of Health and Human Services. To further our mission of providing care for the medically underserved and underinsured, St. Luke's Hospital operates a pediatric care center which provides healthcare to children in a private practice setting and education and social support services to their families. St. Luke's Hospital has a robust volunteer program. Our Volunteer Services Department has approximately 290 volunteers who serve in more than 20 departments/sites across St. Luke's network. Volunteers assist by transporting patients and visitors by wheelchair, stocking supplies, greeting and directing all visitors to our campus, and serving in clerical and receptionist roles. Volunteers contribute an average of 80,000 hours of service a year. For the second year in a row, St. Luke's Hospital in Chesterfield has been named one of America's 50 Best Hospitals for Cardiac Surgery, one of America's 100 Best Hospitals for General Surgery and one of America's 100 Best Hospitals for Prostate Surgery by Healthgrades. St. Luke's is the only hospital in Missouri to achieve all three designations two years in a row (2019-2020). The cardiac surgery honor places St. Luke's among the top 50 U.S. hospitals for superior results in coronary artery bypass grafting procedures and heart valve surgery. St. Luke's Hospital is also the exclusive alliance provider in St. Louis for the nation's No. 1 heart hospital, the Cleveland Clinic Heart, Vascular and Thoracic Institute. The general and prostate surgery designations also recognize St. Luke's for having superior outcomes. The general surgery rating includes bowel obstruction, colorectal, esophageal/stomach, gallbladder removal and small intestine surgeries. Also, for the sixth straight year, St. Luke's network of care has earned the Women's Choice Award as one of America's Best Hospitals. The 2020 honor recognizes St. Luke's as one of America's Best Hospitals for Bariatrics, Heart Care, Cancer Care, Obstetrics, Orthopedics and Patient Safety and as one of America's Best Breast Centers and Stroke Centers. WomenCertified Inc., an advocate for female consumers, created the national Women's Choice Award program. In addition, St. Luke's Hospital is a recipient of the Healthgrades 2020 Outstanding Patient Experience Award. This distinction places St. Luke's Hospital among the top 10 percent of hospitals nationwide based on an analysis of patient experience data. St. Luke's Hospital has also been named one of the Best Places to Work in St. Louis multiple times by the St. Louis Business Journal, most recently in 2020. St. Luke's Des Peres Hospital is a recipient of the 2020 Get With The Guidelines-Heart Failure Gold Plus Quality Achievement Award. The award recognizes the hospital's commitment to ensuring heart failure patients receive the most appropriate treatment according to nationally recognized, research-based guidelines founded in the latest scientific evidence. The goal is speeding recovery and reducing hospital readmissions for heart failure patients. St. Luke's Surrey Place has been named a Best Nursing Home for Short-Stay Rehabilitation by U.S. News and World Report. This is the second straight year St. Luke's Surrey Place has received the designation. To compile the ratings, U.S. News evaluated more than 15,000 facilities using data from the Centers for Medicare & Medicaid Services' Nursing Home Compare. The short-stay rehabilitation rating is based on the quality of care that patients received at the skilled nursing facility while recovering from a hospital stay for 100 days or less. Resources invested and program services to support mission In support of our mission, St. Luke's Hospital provides care to patients regardless of their ability to pay, which includes those who lack financial resources and are deemed to be medically indigent. In addition, the organization provides services to other medically indigent patients under various state Medicaid programs. Such programs pay providers amounts that are less than the related costs for the services provided to the recipients. Each year, we invest considerable resources to improve the health, wellness and quality of life in our community. In response to identified needs, St. Luke's also benefits the community in the following ways: - St. Luke's support for the Residency in Internal Medicine program is an integral part of our service to the community by preparing new physicians. At any given time, there are about 40 medical residents in the program. This program provides a unique opportunity for training in primary care internal medicine at both St. Luke's and public health clinics serving the needs of the indigent population in the St. Louis area. St. Luke's medical residents also provide community service by speaking at schools and to various civic organizations. Training opportunities for health professionals in nursing, pharmacy and other health specialties are also available. - St. Luke's offers continuing medical education (CME) for physicians. The program recently earned a six-year accreditation with commendation by the Accreditation Council for Continuing Medical Education (ACCME), ranking among the top 25 percent of CME providers in the United States, including some of the nation's most prestigious medical schools. The program continues its proud tradition and service. - St. Luke's provides pastoral care services around the clock seven days a week as well as a fully accredited ACPE Clinical Pastoral Education (CPE) Program. Both of these services are provided through St. Luke's Pastoral Care Department. St. Luke's Pastoral Care Department provides pastoral care to patients, their families and loved ones, visitors, team members and physicians at both hospitals and Surrey Place (St. Luke's skilled nursing facility) and also at St. Luke's Rehabilitation Hospital upon request. The Pastoral Care Department participates in St. Luke's ministry of healing by working with the healthcare team to provide holistic care for patients, their families, visitors, physicians and team members of all faiths. The department holds regular worship services, including Episcopal and Presbyterian Eucharist Services, Roman Catholic Mass, ecumenical worship services, morning and evening prayer services and other liturgical services on special feast days. Clinical Pastoral Education (CPE) at St. Luke's Hospital, accredited by the Association of Clinical Pastoral Education, Inc., is theological and professional education for ministry. Chaplains of various faith traditions minister to persons in crisis situations, reflecting on their ministry encounters to develop their pastoral practice. - St. Luke's Mission Outreach Committee, comprised of team members across the organization, coordinates outreach efforts throughout the year. Team members, patients and physicians generously support initiatives such as winter clothing and toy drives, health screenings, food drives and school supply drives to assist the families of St. Luke's Pediatric Care Center, Isaiah 58 Ministries and Operation Food Search. GENERAL STATEMENT 2 (CONTINUED) - St. Luke's Pediatric Care Center is a mission-based agency of St. Luke's Hospital that has been providing care for medically underserved and underinsured children in the St. Louis region for more than 60 years. The Center, located in North St. Louis County, offers care for children from birth to age 18 in a private practice setting rather than in a clinic setting. The primary goal of the Center is to establish and maintain access to healthcare for families through a primary care physician, thereby helping them understand and deal with potential health issues before the issues become serious enough to require acute care. The staff consists of two full-time board certified pediatricians, as well as a site manager, registered nurse, social worker and office coordinator, all of whom are dedicated to improving healthcare for children and families. - We participate in the Meals on Wheels program, which provides meals to community residents who are not able to prepare meals for themselves due to their medical conditions. - Women's Health - St. Luke's helps educate women about important topics that impact their health and the health of their families. About 16,000 area women have joined this free membership program to receive health information from St. Luke's via emails, mailed class calendars and a women's health magazine. Through a website, women can access monthly health topics as well as easy-to-navigate preventive health information by decade of life. The community is invited to Spirit of Women programming and events throughout the year, ranging from smaller ask the physician format discussions to large interactive events such as St. Luke's Day of Dance. This event attracts more than 1,200 women each year who dance for their health and take advantage of free health screenings. - St. Luke's Passport to Wellness program partners with more than 200 local employers for worksite wellness programs, working with them to identify, address and eliminate employee health risks before they result in costly healthcare claims. Our team visits employers free of charge and collects personal health profiles from their employees. Then, we provide a group health report to identify the specific health risks present in their workforce and ways to address these risks. St. Luke's healthcare professionals coordinate and provide on-site low-cost health screenings (cholesterol, glucose, blood pressure, waist measurement), flu clinics, bone density screenings, lunchtime seminars, health coaching and ask the expert tabling events. Educational materials are provided at each offering for the employees and/or their family members. St. Luke's also provides employers with access to an Internet-based financial analysis tool that allows the employer to understand the health risks faced by workers, project how healthcare dollars will be spent and identify potential savings through the attainment of a healthier workforce. St. Luke's provides Health Information Centers (wall-mounted displays) at many employers, which are designed to educate employees on pertinent health issues and provide details regarding available health promotion activities. - St. Luke's Heart Failure Disease Management Program is a referral-based outpatient program designed to provide heart failure patients with effective, state-of-the-art disease management. This comprehensive, integrated program is designed specifically for patients living with heart failure. Patients work with their physicians and the program's multidisciplinary team to develop an individualized plan of care that includes cardiac diagnostic testing, management of medication, laboratory monitoring, education, counseling and follow-up. Patients and physicians may access the heart failure disease manager 24 hours a day. - St. Luke's Medical Group provides a nurse practitioner and medical assistant each Saturday morning to support the Healing Grace Clinic, housed on the grounds of the Central Baptist Church in Eureka, Missouri. This clinic provides medical care including office visits, testing and medications for people who are uninsured. St. Luke's Hospital has also provided equipment and supplies to the clinic at no cost. Additional services, such as imaging, are provided at no cost through arrangements with St. Luke's health care partners such as Centers for Diagnostic Imaging (CDI). - The Albert Pujols Wellness Center for Adults with Down Syndrome is solely devoted to providing services to adults, 17 years and older. Classes and programs are offered for adults with Down syndrome, covering topics focused on life skills including nutrition, exercise, money management, safety and social/emotional well-being plus those just for fun such as dancing and various arts and crafts. St. Luke's also offers caregiver classes on a variety of topics. - As part of the Patient Protection and Affordable Care Act, St. Luke's participated with other nonprofit hospitals in conducting a Community Health Needs Assessment in 2018-2019 to evaluate the community needs and ensure we are offering services to meet these needs. With this information, St. Luke's developed an implementation plan with ways to enhance our education and partner with community organizations to improve the quality of life in our community, specifically in the areas of diabetes prevention and self-management; opioid use disorder; health literacy and cultural competency; and access to care for older adults. The full Community Health Needs Assessment Report is available on the St. Luke's website at stlukes-stl.com. GENERAL STATEMENT 3 PART VI, SECTION A, LINE 2 THE FOLLOWING PERSONS HAVE A BUSINESS RELATIONSHIP: -SCOTT JOHNSON -DON MILLER GENERAL STATEMENT 4 PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS OR STOCKHOLDERS ST. LUKE'S HEALTH CORPORATION, A 501 (C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, A REGIONAL HEALTH CARE PROVIDER. GENERAL STATEMENT 5 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 ESPISCOPAL-PRESBYTERIAN HOSPITAL. 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. GENERAL STATEMENT 6 PART VI, SECTION B, LINE 11: REVIEW OF THE 990 THE FORM 990 HAS BEEN DISCUSSED AND PRESENTED TO THE BOARD AND ITS COMMITTEES. THE ORGANIZATION PROVIDED A COPY OF THE FORM 990 TO ST. LUKE'S HEALTH CORPORATION'S FINANCE, AUDIT AND RISK COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING FOR REVIEW AND INPUT. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION. GENERAL STATEMENT 7 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 AUDIT COMMITTEE. THE AUDIT COMMITTEE ADDRESSES ANY POTENTIAL CONFLICT OF INTEREST AND TAKES APPROPRIATE ACTION TO RESOLVE. THE ORGANIZATION CONSIDERS THE POSSIBILITY THAT BOARD MEMBERS OR KEY EMPLOYEES MAY INADVERTENTLY FAIL TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND PERFORMS DUE DILIGENCE TO ADDRESS AND RESPOND IN ACCORDANCE WITH THE POLICY. GENERAL STATEMENT 8 PART VI, SECTION B, LINE 15: COMPENSATION EXECUTIVE, KEY EMPLOYEE AND PHYSICIAN SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE ORGANIZATION ALSO ENGAGED CONSULTANTS FOR INDEPENDENT REVIEWS TO ENSURE COMPENSATION FOR CERTAIN OF THE ABOVE EMPLOYEES IS FAIR AND WITHIN MARKET PARAMETERS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS FOR EXECUTIVES AND KEY EMPLOYEES ARE PRESENTED TO THE COMPENSATION COMMITTEE TO APPROVE OR MODIFY. THE COMPENSATION COMMITTEE HAS REPRESENTATION FROM THE INDEPENDENT MEMBERS OF THE BOARD AND LEGAL COUNSEL. MINUTES ARE MAINTAINED OF THE DISCUSSIONS AND CONCLUSIONS OF THE COMMITTEE. GENERAL STATEMENT 9 PART VI, SECTION C, LINE 19: PUBLIC ACCESS ANNUAL FINANCIAL STATEMENTS INCLUDING FORM 990 ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. ANY PROPRIETARY INTERNAL POLICIES OR GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. GENERAL STATEMENT 10 PART VIII, LINE 7C, COLUMN I: GAINS AND LOSSES FROM INVESTMENTS THE ORGANIZATION PARTICIPATES IN A SYSTEM-WIDE POOLED INVESTMENT PROGRAM. THE INVESTMENTS ARE REPORTED ONLY AS REALIZED GAINS OR LOSSES TO EACH ORGANIZATION AND DO NOT REPORT THE ALLOCATION PORTION OF PROCEEDS AND COST BASIS RELATED TO THOSE REALIZED GAINS/LOSSES. GENERAL STATEMENT 11 PRT XI, LINE 9: OTHER CHANGES IN NET ASSETS Change in Pension Obligation ($ 6,859,689) Transfer to Medical Group ($ 34,073,427) Des Peres Project Fund Reimbursement ($ 1,209,721) Change in Restricted Assets ($ 1,102,431) --------------- Fund Balance at the end of the Year ($ 43,245,268) ST LUKE'S HEALTH CORPORATION 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 431246752 SOLE MEMBER MO 501(C)(3) 12B NA false ST LUKE'S MEDICAL GROUP 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 431349332 MEDICAL SERV. MO 501(C)(3) 12A SL HLTH CORP false ST LUKE'S DES PERES EPIS-PRESBY HOP 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 824314522 HEALTH CARE MO 501(C)(3) LINE 3 SL E-P HOSP true ST LUKE'S DEVELOPMENT CORPORATION 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 431238961 OTHER MISC. MO SL HEALTH CORP C Corp 1.00000 true false false false false false false false false false false false false false false false true false true false ST LUKE'S MEDICAL GROUP p 34073427 FMV ST LUKE'S MEDICAL GROUP R 3999996 FMV ST LUKE'S DES PERES EPISCOPAL-PRSBYTRN HOSP R 1209721 FMV