ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL (EIN 43-0652680)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-15
IRS object ID: 202041369349303549
Schema version: 2018v3.3
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 K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-05-15T15:42:44-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4200 WELLS FARGO CTR90 S 7TH ST	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	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 LUKE'S EPISCOPAL-PRESBYTERIAN	BusinessNameLine1Txt
Business Name Line2	HOSPITALS	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% SCOTT JOHNSON	InCareOfNm
Business Name Control	STLU	BusinessNameControlTxt
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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SCOTT JOHNSON	PersonNm
Person Title	EXECUTIVE VP/CFO	PersonTitleTxt
Phone	3144341500	PhoneNum
Signature	2020-05-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Monroe J Gierl	PreparerPersonNm
PTIN	P01413237	PTIN
Phone	6123055000	PhoneNum
Preparation	2020-05-11	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	199.206.0.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	43023420201365000000	FederalOriginalSubmissionId
Federal Original Submission Id	2020-05-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	AC54748FFC50D967AA2BBEAEB8F4489B300F6EE8	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D62D24C6D336028470863B0825818D0C3237C4FC	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-19 02:30:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SCOTT JOHNSON	PrincipalOfficerNm

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)
Gross Receipts	$521,345,527	GrossReceiptsAmt
Group Return For Affiliates	false	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	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.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	4191	TotalEmployeeCnt
Total Volunteers	391	TotalVolunteersCnt
Total Gross UBI	$2,843,160	TotalGrossUBIAmt
PY Contributions Grants	$3,313,247	PYContributionsGrantsAmt
CY Contributions Grants	$3,879,402	CYContributionsGrantsAmt
PY Program Service Revenue	$479,326,338	PYProgramServiceRevenueAmt
CY Program Service Revenue	$504,150,595	CYProgramServiceRevenueAmt
PY Investment Income	$8,463,558	PYInvestmentIncomeAmt
CY Investment Income	$12,332,641	CYInvestmentIncomeAmt
PY Other Revenue	$321,713	PYOtherRevenueAmt
CY Other Revenue	$391,713	CYOtherRevenueAmt
PY Total Revenue	$491,424,856	PYTotalRevenueAmt
CY Total Revenue	$520,754,351	CYTotalRevenueAmt
PY Grants And Similar Paid	$127,995	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$62,925	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$222,738,606	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$237,542,336	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$30,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$30,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,080,912	CYTotalFundraisingExpenseAmt
PY Other Expenses	$233,002,644	PYOtherExpensesAmt
CY Other Expenses	$243,960,184	CYOtherExpensesAmt
PY Total Expenses	$455,899,245	PYTotalExpensesAmt
CY Total Expenses	$481,595,445	CYTotalExpensesAmt
PY Revenues Less Expenses	$35,525,611	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$39,158,906	CYRevenuesLessExpensesAmt
Total Assets BOY	$695,937,255	TotalAssetsBOYAmt
Total Assets EOY	$695,787,048	TotalAssetsEOYAmt
Total Liabilities BOY	$218,176,171	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$212,814,256	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$477,761,084	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$482,972,792	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O, GENERAL STATEMENT 1	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$448,657,456	ExpenseAmt
Grant	$62,925	GrantAmt
Revenue	$501,307,435	RevenueAmt
Desc	SEE SCHEDULE O, GENERAL STATEMENT 2	Desc
Total Program Service Expenses	$448,657,456	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	230	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4191	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SCOTT JOHNSON	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 (39 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
Eugene M Toombs
Director	1.0	1.0	Yes (X)	$0	$0	$0
David B Price Jr
Vice Chairman	1.0	1.0	Yes (X)	$0	$0	$0
Norman L Eaker
Treasurer	1.0	1.0	Yes (X)	$0	$0	$0
Daniel K Stegmann
CHAIRMAN	3.0	2.0	Yes (X)	$0	$0	$0
Oscar C Berryman
Director THRU 09/18	1.0	1.0	Yes (X)	$0	$0	$0
Philip B Cady Jr
DIRECTOR THRU 09/18	1.0	1.0	Yes (X)	$0	$0	$0
Edward L Glotzbach
SECRETARY	1.0	1.0	Yes (X)	$0	$0	$0
Ned O Lemkemeier
Director	1.0	1.0	Yes (X)	$0	$0	$0
Robert W Reeg
Director	1.0	1.0	Yes (X)	$0	$0	$0
Hugh Scott III
Director	1.0	1.0	Yes (X)	$0	$0	$0
The Rt Rev G Wayne Smith
Director	1.0	1.0	Yes (X)	$0	$0	$0
Ann M Sullins
Director THRU 09/18	1.0	1.0	Yes (X)	$0	$0	$0
Daniel G Wagner MD
Director	1.0	1.0	Yes (X)	$0	$0	$0
Rev Dr Craig M Howard
Director	1.0	1.0	Yes (X)	$0	$0	$0
Cynthia A Maritz
Director	1.0	1.0	Yes (X)	$0	$0	$0
Susan B Schneider MD
Director	1.0	1.0	Yes (X)	$0	$0	$0
Joseph A Sheehan
Director	1.0	1.0	Yes (X)	$0	$0	$0
James M Snowden Jr
Director	1.0	1.0	Yes (X)	$0	$0	$0
Tariq Tanoli Md
DIRECTOR THRU 12/18	1.0	1.0	Yes (X)	$0	$0	$0
Jeffrey Thompson MD
Director	1.0	1.0	Yes (X)	$0	$0	$0
Christine M Candio
President & CEO SL HEALTH CORP	42.0	18.0		$1,219,849	$0	$25,162	Yes (X)
Scott Johnson
EXECUTIVE VP/CFO SL HLTH CORP	25.0	35.0		$642,571	$0	$25,631	Yes (X)
Maged Haikal MD
Chief of Medicine	40.0	25.0		$0	$803,800	$32,108		Yes (X)
Ronald Leidenfrost MD
Chairman Heart Institute	40.0	25.0		$0	$1,745,783	$34,787		Yes (X)
Jan Hess
NETWORK VP -INT/PROF ADMIN SVC	50.0	0.0		$307,324	$0	$42,349		Yes (X)
William Meyer
VP/Network CIO THRU 12/18	50.0	0.0		$370,106	$0	$35,304		Yes (X)
Don Miller
NETWORK VP FACIL & SPT SVCS	41.0	9.0		$350,788	$0	$32,126		Yes (X)
Diane Ray
SR VP/NETWORK CNO/SLH COO	40.0	10.0		$334,460	$0	$43,115		Yes (X)
Janette Taaffe
NETWORK VP Human Resources	50.0	0.0		$290,056	$0	$40,836		Yes (X)
Jon Bettale
VP Surgical Services	50.0	0.0		$264,640	$0	$21,191		Yes (X)
Michael Boland MD
Chief of Surgery	40.0	20.0		$0	$864,747	$33,129		Yes (X)
Martha Fleischmann
Network VP Finance	44.0	16.0		$307,651	$0	$28,243		Yes (X)
Scott Holtswarth
VP/Network CIO	50.0	0.0		$259,749	$0	$31,503		Yes (X)
Sharon Mertzlufft
VP/Exec. Dir Netwk Development	50.0	0.0		$269,116	$0	$19,720		Yes (X)
Hope Cranston D'Amato MD
Medical Director ICU	60.0	0.0		$570,187	$0	$29,287			Yes (X)
Abdul Moheet MD
Emergency Department	55.0	0.0		$428,572	$0	$42,067			Yes (X)
Michael Klevens MD
Emergency Department	55.0	0.0		$443,564	$0	$36,379			Yes (X)
Eric Jenkins MD
CVICU	55.0	0.0		$440,301	$0	$36,567			Yes (X)
Talat Nawas MD
Hospitalist	60.0	0.0		$615,281	$0	$34,787			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,114,215	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,414,330	TotReportableCompRltdOrgAmt
Total Other Compensation	$624,291	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	252	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
McCarthy BUILDING COMPANY
1341 NORTH ROCK HILL ROAD	ST LOUIS	MO	63124	Construction Service	$2,598,059
ICS Construction Services LTD
2930 Market Street	ST LOUIS	MO	63103	Construction Service	$1,567,476
Quest Diagnostics
PO BOX 772976	CHICAGO	IL	60677	Lab Services	$1,414,079
Faultless Linen Co
PO Box 795145	St Louis	MO	63179	Linen Services	$1,336,580
ARMSTRONG TEASDALE
7700 FORSYTH BLVD SUITE 1800	ST LOUIS	MO	63105	LEGAL SERVICES	$2,371,766

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	62	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$421,729	FundraisingAmt
All Other Contributions	$3,457,673	AllOtherContributionsAmt
Noncash Contributions	$627,540	NoncashContributionsAmt
Total Contributions	$3,879,402	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621300	$477,404,729	$477,404,729
PHYSICIAN OFFICES RENTAL INCOME	621110	$11,160,076	$11,160,076
RETAIL PHARMACIES	446110	$7,254,314	$6,596,785	$657,529
CAFETERIA INCOME	622110	$2,138,715	$2,110,768	$27,947
NONPATIENT LAB SERVICES	621500	$1,999,350		$1,999,350

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,193,411	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,035,077	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$158,334	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$504,150,595	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,209,153	TotalRevenueColumnAmt
Exclusion	$8,209,153	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,420,988	SecuritiesAmt
Other	$2,500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$300,000	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,420,988	SecuritiesAmt
Other	-$297,500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,123,488	TotalRevenueColumnAmt
Exclusion	$4,123,488	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$99,206	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$421,729	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$291,176	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$191,970	TotalRevenueColumnAmt
Exclusion	-$191,970	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISC. REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$583,683	TotalRevenueColumnAmt
Exclusion	$583,683	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$583,683	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$520,754,351	TotalRevenueColumnAmt
Related Or Exempt Func Income	$501,307,435	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,843,160	UnrelatedBusinessRevenueAmt
Exclusion	$12,724,354	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$62,925	TotalAmt
Program Services	$62,925	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,610,080	TotalAmt
Management And General	$4,210,483	ManagementAndGeneralAmt
Fundraising	$399,597	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$190,678,862	TotalAmt
Program Services	$182,307,065	ProgramServicesAmt
Management And General	$8,035,079	ManagementAndGeneralAmt
Fundraising	$336,718	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,735,578	TotalAmt
Program Services	$3,230,577	ProgramServicesAmt
Management And General	$476,358	ManagementAndGeneralAmt
Fundraising	$28,643	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,282,220	TotalAmt
Program Services	$23,601,704	ProgramServicesAmt
Management And General	$1,585,199	ManagementAndGeneralAmt
Fundraising	$95,317	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,235,596	TotalAmt
Program Services	$12,355,822	ProgramServicesAmt
Management And General	$829,874	ManagementAndGeneralAmt
Fundraising	$49,900	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$752,651	TotalAmt
Management And General	$752,651	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$167,188	TotalAmt
Management And General	$167,188	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$39,537	TotalAmt
Management And General	$39,537	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$30,000	TotalAmt
Fundraising	$30,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,871,284	TotalAmt
Program Services	$6,928,974	ProgramServicesAmt
Management And General	$942,310	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,145,523	TotalAmt
Program Services	$31,122	ProgramServicesAmt
Management And General	$1,114,401	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,976,002	TotalAmt
Program Services	$4,578,474	ProgramServicesAmt
Management And General	$1,334,651	ManagementAndGeneralAmt
Fundraising	$62,877	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,345,004	TotalAmt
Program Services	$5,280,426	ProgramServicesAmt
Management And General	$64,578	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,616,398	TotalAmt
Program Services	$13,526,193	ProgramServicesAmt
Management And General	$90,205	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$397,959	TotalAmt
Program Services	$360,102	ProgramServicesAmt
Management And General	$36,826	ManagementAndGeneralAmt
Fundraising	$1,031	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$111,405	TotalAmt
Program Services	$104,448	ProgramServicesAmt
Management And General	$5,491	ManagementAndGeneralAmt
Fundraising	$1,466	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,861,831	TotalAmt
Program Services	$2,861,831	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,603,936	TotalAmt
Program Services	$25,603,936	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,217,302	TotalAmt
Management And General	$8,217,302	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$115,024,168	$114,709,653	$307,151	$7,364
MEDICAID FRA EXPENSE	$22,805,000	$22,805,000
Contract Services	$17,196,189	$15,497,943	$1,681,787	$16,459
Repair & Maintenance	$7,955,825	$7,935,478	$20,347

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,872,982	TotalAmt
Program Services	$6,875,783	ProgramServicesAmt
Management And General	$1,945,659	ManagementAndGeneralAmt
Fundraising	$51,540	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$481,595,445	TotalAmt
Program Services	$448,657,456	ProgramServicesAmt
Management And General	$31,857,077	ManagementAndGeneralAmt
Fundraising	$1,080,912	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$47,766,017	BOYAmt
EOY	$35,902,709	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,350,209	BOYAmt
EOY	$5,556,616	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$42,488,460	BOYAmt
EOY	$56,015,541	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,755,983	BOYAmt
EOY	$7,568,054	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,471,369	BOYAmt
EOY	$6,262,125	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$664,698,545	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$444,688,146	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$221,329,900	BOYAmt
EOY	$220,010,399	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$311,503,708	BOYAmt
EOY	$295,851,158	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$52,271,609	BOYAmt
EOY	$68,620,446	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$695,937,255	BOYAmt
EOY	$695,787,048	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$38,939,732	BOYAmt
EOY	$43,261,107	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$532,821	BOYAmt
EOY	$570,856	EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$89,272,105	BOYAmt
EOY	$141,933,749	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$263,985	BOYAmt
EOY	$271,028	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$89,167,528	BOYAmt
EOY	$26,777,516	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$218,176,171	BOYAmt
EOY	$212,814,256	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$449,798,758	BOYAmt
EOY	$455,011,575	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,495,653	BOYAmt
EOY	$7,937,978	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,466,673	BOYAmt
EOY	$20,023,239	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$477,761,084	BOYAmt
EOY	$482,972,792	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$695,937,255	BOYAmt
EOY	$695,787,048	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$39,158,906	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,012,715	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$42,959,913	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$39,537	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$39,537	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL INFORMATION 1	FormAndLineReferenceDesc
Explanation	PART II-B, LINE 1F Approximately $39,537 of the dues paid to various trade organizations for the year ended in June 30, 2019 are attributable to lobbying activities by the organizations.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,962,326	BeginningYearBalanceAmt
Contributions	$1,658,630	ContributionsAmt
Investment Earnings Or Losses	$556,066	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,215,805	OtherExpendituresAmt
End Year Balance	$27,961,217	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,333,577	BeginningYearBalanceAmt
Contributions	$1,172,965	ContributionsAmt
Investment Earnings Or Losses	$484,381	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,028,597	OtherExpendituresAmt
End Year Balance	$27,962,326	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,630,136	BeginningYearBalanceAmt
Contributions	$7,590,253	ContributionsAmt
Investment Earnings Or Losses	$781,010	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,667,822	OtherExpendituresAmt
End Year Balance	$29,333,577	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,919,310	BeginningYearBalanceAmt
Contributions	$2,244,191	ContributionsAmt
Investment Earnings Or Losses	-$63,398	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,469,967	OtherExpendituresAmt
End Year Balance	$23,630,136	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,400,487	BeginningYearBalanceAmt
Contributions	$7,290,848	ContributionsAmt
Investment Earnings Or Losses	$247,388	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,019,413	OtherExpendituresAmt
End Year Balance	$22,919,310	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.71610	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.28390	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,267,851	OtherCostOrOtherBasisAmt
Book Value	$17,267,851	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$362,718,872	OtherCostOrOtherBasisAmt
Depreciation	$214,817,988	DepreciationAmt
Book Value	$147,900,884	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,103,063	OtherCostOrOtherBasisAmt
Depreciation	$14,655,573	DepreciationAmt
Book Value	$9,447,490	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$255,660,818	OtherCostOrOtherBasisAmt
Depreciation	$215,214,585	DepreciationAmt
Book Value	$40,446,233	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,947,941	OtherCostOrOtherBasisAmt
Book Value	$4,947,941	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$220,010,399	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	OTHER ASSETS	Desc
Book Value	$68,620,446	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$68,620,446	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$7,315,000
INSURANCE RESERVES & OTHER	$13,702,771
PENSION LIABILITY	$2,006,870
MEDICARE REIMBURSEMENT/SETTLEMENT	$3,752,875

Field	Value	IRS element (for citing)
Total Liability	$26,777,516	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B: ESCROW AND CUSTODIAL ARRANGEMENTS	THE HOSPITAL OBTAINS ONE MONTH'S WORTH OF DEPOSITS IN ADVANCE FOR ROOM AND BOARD CHARGES FOR SKILLED NURSING FACILITY PRIVATE PAY RESIDENTS.
PART V, LINE 4: INTENDED USE OF ENDOWMENT FUNDS	ENDOWMENT FUNDS CONSIST OF APPROXIMATELY ELEVEN 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 2019 OR 2018.
Part IX: OTHER ASSETS	Deferred Compensation 7,315,000 Organization Costs 2,040 Special Purpose Fund 2,381,362 Escrow Deposits 2,573,375 Investments 16,217,837 Financing Costs 35,964 Series 2019 Project Funds 23,794,387 Intercompany Receivable 14,897,855 Due to Medicare 69,000 Due to ACO -373,000 Des Peres Goodwill 1,706,626 ---------- Total 68,620,446

Schedule G IRS990ScheduleG

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

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	WILKINSON GROUP	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4516 Pershing Place	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63108	ZIPCd

Field	Value	IRS element (for citing)
Activity	CONSULTING	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Retained By Contractor	$30,000	RetainedByContractorAmt
Net To Organization	-$30,000	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$30,000	TotalRetainedByContractorsAmt
Total Net To Organization	-$30,000	TotalNetToOrganizationAmt
Licensed States	MO	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Gala	Event1Nm
Gross Receipts Event1	$389,547	GrossReceiptsEvent1Amt
Charitable Contri Event1	$341,122	CharitableContriEvent1Amt
Gross Revenue Event1	$48,425	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$138,126	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$69,624	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$16,630	OtherDirectExpensesEvent1Amt
Event2	Bike Tour	Event2Nm
Gross Receipts Event2	$71,223	GrossReceiptsEvent2Amt
Charitable Contri Event2	$44,258	CharitableContriEvent2Amt
Gross Revenue Event2	$26,965	GrossRevenueEvent2Amt
Food And Beverage Event2	$11,112	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$32,834	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$60,165	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$36,349	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$23,816	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$350	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$17,961	RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events	$4,539	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$520,935	GrossReceiptsTotalAmt
Charitable Contributions Tot	$421,729	CharitableContributionsTotAmt
Gross Revenue Total Events	$99,206	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$350	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$156,087	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$80,736	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$54,003	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$291,176	DirectExpenseSummaryEventsAmt
Net Income Summary	-$191,970	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	13935	PersonsServedCnt
Total Community Benefit Expns	$6,363,588	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,363,588	NetCommunityBenefitExpnsAmt
Total Expense	0.01320	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,088,510	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,291,359	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,797,151	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	13935	PersonsServedCnt
Total Community Benefit Expns	$13,452,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,291,359	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,160,739	NetCommunityBenefitExpnsAmt
Total Expense	0.01900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,859,233	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$171,906	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,687,327	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,543,481	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,460,574	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,082,907	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	4647	PersonsServedCnt
Total Community Benefit Expns	$1,404,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$348,257	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,056,289	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$452,319	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$452,319	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	4647	PersonsServedCnt
Total Community Benefit Expns	$10,259,579	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,980,737	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,278,842	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	18582	PersonsServedCnt
Total Community Benefit Expns	$23,711,677	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,272,096	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,439,581	NetCommunityBenefitExpnsAmt
Total Expense	0.03200	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,284,347	BadDebtExpenseAmt
Bad Debt Expense Attributable	$15,174	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$137,336,893	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$151,046,357	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,709,464	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
ST LUKE'S CTR FOR
OUTPATIENT IMAGING MGMT SERV	0.31	0.18
DIAGNOSTIC IMAGING

ST LUKE'S HOSPITAL
ORTHOPEDIC/MGMT SERVICES	0.625	0.375
ORTHOPEDIC SERVICE

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	274-44	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/rehab	510-11	Yes (X)				REHABILITATION HOSP

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	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE SUPPLEMENTAL INFORMATION 2	Yes (X)	Yes (true)	19	Yes (true)	SEE SUPPLEMENTAL INFORMATION 3	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.STLUKES-STL.COM/PAY	Yes (X)	WWW.STLUKES-STL.COM/PAY	Yes (X)	SEE SUPPL INFO 6	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
ST LUKE'S REHABILITATION HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE SUPPLEMENTAL INFORMATION 2	Yes (X)	Yes (true)	19	Yes (true)	SEE SUPPLEMENTAL INFORMATION 3	false	Yes (true)						Yes (true)	Yes (true)	Yes (X)	Yes (X)		Yes (true)	Yes (X)	WWW.STLUKES-STL.COM/PAY	Yes (X)	WWW.STLUKES-STL.COM/PAY	Yes (X)	SEE SUPP INFO 6							Yes (true)	Yes (X)	false					false	Yes (X)	false	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 ST. LUKE'S HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2019 REPORT IS ATTACHED. 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. LUKES 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 B 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 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. LUKES 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. SINCE THE 2012-2013 CHNA, ST. LUKE'S HAS LARGELY FOCUSED ITS ATTENTION ON THREE PRIORITY AREAS: OBESITY AND SEDENTARY LIFESTYLE, CANCER SCREENINGS AND SUPPORT SERVICES, AND MANAGEMENT OF CHRONIC CONDITIONS. WHILE WE RECOGNIZE THAT THESE AREAS ARE STILL PREVALENT NEEDS IN THE COMMUNITY, ST. LUKE'S HOSPITAL HAS ESTABLISHED THE FOLLOWING PRIORITIES ON WHICH TO DEVELOP ACTIONABLE OBJECTIVES FOR 2019-2022: -DIABETES PREVENTION AND SELF-MANAGEMENT -OPIOID USE DISORDER -HEALTH LITERACY AND CULTURAL COMPETENCY -ACCESS TO CARE FOR OLDER ADULTS THESE SPECIFIC AREAS WERE IDENTIFIED BASED ON CURRENT HEALTH DATA, COMMUNITY INPUT THROUGH FOCUS GROUPS AND SURVEYS. IN JULY 2017, ST. LUKE'S HIRED A PRN EDUCATIONAL ANALYST WITH A BACKGROUND IN PUBLIC HEALTH TO REVIEW AND REVISE THE 2016 CHNA REPORT AND IMPLEMENTATION PLAN. THROUGH THIS PROCESS, PROCESS MEASURES AND OUTCOME MEASURES FOR EACH PRIORITY AREA WERE CLARIFIED TO ADDRESS PROGRAM PROCESSES AND FIDELITY, AND TO BETTER ASSESS PROGRAM OUTCOMES AND IMPACT. THEN IN 2018, ST. LUKES HIRED A DEDICATED COMMUNITY BENEFIT COORDINATOR WHO IS ACCOUNTABLE FOR ENSURING THAT COMMUNITY BENEFIT ACTIVITIES MEET MISSION, COMPLIANCE AND IRS GUIDELINES.
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 ST. LUKE'S HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT 2016 REPORT IS ATTACHED. ST. LUKE'S HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES IN FY2019 WERE GUIDED BY THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON THE FOLLOWING HEALTH PRIORITIES: - OBESITY & SEDENTARY LIFESTYLE - CANCER SCREENINGS & RESOURCES - MANAGEMENT OF CHRONIC CONDITIONS AFTER EVALUATING THESE HEALTH PRIORITIES, THE HOSPITAL ESTABLISHED TWO GOALS, DRIVEN BY SPECIFIC METRICS, WHICH COULD ADDRESS ALL THREE PRIORITIES: - AWARENESS OF LIFESTYLE RISK FACTORS TO PREVENT HEART DISEASE: BY 2019, INCREASE BY 2% THE NUMBER OF ADULTS IN OUR DEFINED COMMUNITY SCREENED AND COUNSELED FOR BMI, BLOOD PRESSURE, CHOLESTEROL OR GLUCOSE LEVELS THROUGH COMMUNITY EDUCATION PROGRAMS AND SCREENINGS TO PREVENT RISK OF HEART DISEASE. - AWARENESS OF PREVENTIVE CANCER SCREENINGS AND RESOURCES: BY 2019, INCREASE BY 2% THE NUMBER OF ADULTS IN WEST ST. LOUIS COUNTY REPORTED HAVING HAD A SCREENING FOR BREAST CANCER (WOMEN 40+), COLON CANCER (50+) OR LUNG CANCER (THOSE AT HIGH RISK). THE STRATEGIES TO APPROACH PREVENTING HEART DISEASE INCLUDED: - EDUCATING ADULTS IN OUR COMMUNITY ON THE RISK FACTORS OF PRE-DIABETES, HYPERTENSION AND HYPERLIPIDEMIA - OFFERING FREE OR LOW-COST WEIGHT MANAGEMENT RESOURCES -PROMOTING PHYSICAL ACTIVITY THROUGH SPONSORSHIP OF COMMUNITY EVENTS - PROVIDING SCREENINGS FOR ADULTS IN OUR COMMUNITY TO IDENTIFY THOSE WITH ABNORMAL GLUCOSE, BLOOD PRESSURE OR CHOLESTEROL LEVELS ACTIONS - PROVIDING EDUCATION AND FREE OR LOW-COST SCREENINGS FOR BLOOD PRESSURE, CHOLESTEROL OR GLUCOSE AT COMMUNITY EVENTS (HEALTH FAIRS, SPEAKERS BUREAU, WORKSITE WELLNESS SCREENINGS AND SPECIAL EVENTS, SUCH AS THE ANNUAL SPIRIT OF WOMEN DAY OF DANCE) - UTILIZING ST. LUKE'S WEBSITE TO PROVIDE EDUCATION AND RESOURCE MATERIALS RELATED TO PREVENTION OF HEART DISEASE - EVALUATING OPPORTUNITIES TO PARTICIPATE IN COMMUNITY PARTNERSHIPS IN FY2019, ST. LUKE'S CONDUCTED SIGNIFICANT ACTIVITY IN PROGRESS TOWARDS THIS GOAL: - 17,614 COMMUNITY MEMBERS RECEIVED BLOOD PRESSURE SCREENINGS, BETWEEN COMMUNITY SCREENINGS AT HEALTH FAIRS AND AT LOCAL EMPLOYERS, AND ON THE HOSPITAL CAMPUS THROUGH THE AUTOMATIC BLOOD PRESSURE MACHINE. - 281 COMMUNITY MEMBERS RECEIVED ONE-ON-ONE BLOOD CHOLESTEROL AND GLUCOSE SCREENINGS AND HEALTH COUNSELING IN THE COMMUNITY BY A COMMUNITY HEALTH NURSE. PATIENTS REQUIRING FOLLOW UP CARE WERE CONNECTED TO PHYSICIAN OFFICES AND COMMUNITY CLASSES. - 236 COMMUNITY MEMBERS RECEIVED DIABETES EDUCATION, THROUGH GROCERY STORE TOURS, PRE-DIABETES AND DIABETES MANAGEMENT CLASSES, AND COOKING CLASSES WITH A REGISTERED DIETICIAN AND DIABETES EDUCATOR, AND 148 INDIVIDUALS RECEIVED DIABETES SCREENINGS, EITHER WITH A BLOOD GLUCOSE TEST OR AN A1C SCREENING, IF QUALIFIED. - ST. LUKE'S COMMUNITY OUTREACH STAFF REACHED 335 COMMUNITY MEMBERS THROUGH HEALTH FAIRS, WHICH PROVIDED HEALTH INFORMATION, PHYSICIAN REFERRALS, AND OFTEN WELLNESS SCREENINGS. - 37 COMMUNITY MEMBERS RECEIVED NUTRITION AND WEIGHT MANAGEMENT SUPPORT THROUGH COOKING AND NUTRITION CLASSES, MINDFUL EATING SUPPORT AND WELLNESS CONSULTATIONS. - THROUGH ST. LUKE'S HOSPITAL'S PASSPORT TO WELLNESS PROGRAM, 1,734 COMMUNITY MEMBERS EMPLOYED BY ONE OF ST. LUKE'S LOCAL BUSINESS PARTNERS RECEIVED HEALTH EDUCATION AND SUPPORT THROUGH INDIVIDUALIZED HEALTH COACHING, AND 3,051 RECEIVED WORKSITE WELLNESS HEALTH SCREENINGS, INCLUDING BLOOD GLUCOSE AND CHOLESTEROL, BLOOD PRESSURE AND BMI SCREENINGS. - 57 WOMEN IN THE COMMUNITY PARTICIPATED IN FREE SUPPORT GROUPS FOR HEART DISEASE, AND 388 COMMUNITY MEMBERS RECEIVED ACCESSIBLE PHYSICAL ACTIVITY THROUGH ST. LUKE'S LOW COST COMMUNITY FITNESS CLASSES, HOSTED ON ST. LUKE'S CAMPUS. ALTHOUGH NO CURRENT REGIONAL DATA ON HEART DISEASE DEATHS IS AVAILABLE, IN 2015, THE AGE-ADJUSTED DEATH RATES DUE TO HEART ATTACKS AND HEART DISEASE WAS TRENDING DOWN IN THE ST. LOUIS COUNTY COMMUNITY, AND SINCE 2016, ST. LUKE'S HAS SEEN A SUBSTANTIAL INCREASE IN INDIVIDUALS REACHED BY OUTREACH THROUGH SCREENING AND EDUCATION FOR BMI, BLOOD PRESSURE, CHOLESTEROL OR GLUCOSE LEVELS. THESE SCREENING AND EDUCATION EFFORTS HAVE REACHED 16,292 MORE PEOPLE THAN IN 2016. THE STRATEGIES TO APPROACH CANCER SCREENINGS AND RESOURCES INCLUDED: - EDUCATING THE ADULTS IN OUR COMMUNITY ON THE RECOMMENDED SCREENINGS FOR BREAST, COLON AND LUNG CANCER AND ABOUT RESOURCES AVAILABLE IN THE COMMUNITY - OFFERING ACCESS TO MAMMOGRAPHY, COLONOSCOPY AND LUNG CANCER SCREENINGS - PROVIDING A LUNG CANCER COORDINATOR TO IDENTIFY THOSE AT RISK FOR LUNG CANCER - DISTRIBUTING EDUCATION MATERIALS TO INCREASE AWARENESS OF SCREENING GUIDELINES FOR BREAST, COLON AND LUNG CANCER - UTILIZING MOBILE MAMMOGRAPHY VAN TO PROVIDE EASIER ACCESS TO SCREENING MAMMOGRAMS - EDUCATING THE COMMUNITY AND RECOMMENDING TO PATIENTS AGE/RISK APPROPRIATE CANCER SCREENINGS - PROVIDING EDUCATION AND RESOURCES AT COMMUNITY AND WORKSITE WELLNESS PROGRAMS - CONDUCTING REGULAR EMAIL DATABASE CAMPAIGNS TO INCREASE AWARENESS OF RISK AND WHEN TO GET APPROPRIATE SCREENINGS IN FY2019, ST. LUKE'S CONDUCTED SIGNIFICANT ACTIVITY IN PROGRESS TOWARDS THIS GOAL: - 77 COMMUNITY MEMBERS RECEIVED FREE SKIN CANCER SCREENINGS AND FOLLOW UP FROM ST. LUKE'S MEDICAL STAFF. 529 COMMUNITY MEMBERS WERE ASSESSED USING THE SKIN ANALYZER. - 927 COMMUNITY MEMBERS RECEIVED CANCER EDUCATION THROUGH ST. LUKE'S HOSPITAL WOMEN'S CENTER, AT HEALTH FAIRS, WORKSITE WELLNESS EVENTS, AND COMMUNITY CLASSES. THE ST. LUKE'S MOBILE MAMMOGRAPHY VAN PROVIDED MAMMOGRAMS AT 196 COMMUNITY SITES, IN 58 ZIP CODES IN THE REGION. THIS RESULTED IN 3,534 WOMEN RECEIVING SCREENING MAMMOGRAPHY IN THE COMMUNITY. ST. LUKE'S HAS GIVEN CANCER SCREENING RECOMMENDATIONS TO OVER 1,000 WOMEN, IN ADDITION TO THOSE WHO HAVE ALREADY RECEIVED RECOMMENDATIONS OR DO SO ON A CONTINUAL BASIS. IN ADDITION, ST. LUKE'S HOSPITAL HAS GREATLY EXPANDED WORKSITE WELLNESS PROGRAMS IN THE COMMUNITY THROUGH ITS PASSPORT TO WELLNESS PROGRAM. IN FY2019, 1,734 COMMUNITY MEMBERS EMPLOYED BY ONE OF ST. LUKE'S LOCAL BUSINESS PARTNERS RECEIVED HEALTH EDUCATION AND SUPPORT THROUGH INDIVIDUALIZED HEALTH COACHING, AND 3,096 RECEIVED WORKSITE WELLNESS HEALTH SCREENINGS. THE HEALTH SCREENINGS INCLUDE COUNSELING ON AGE-APPROPRIATE CANCER SCREENING RECOMMENDATIONS AND DISCUSSION OF HEALTH RISK. IN THE "OTHER IDENTIFIED NEEDS" SECTION OF THE CHNA REPORT (ATTACHED), 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. TRANSPORTATION IS MADE ACCESSIBLE TO PATIENTS THROUGH ST. LUKE'S HOSPITAL'S ARRANGEMENT WITH OLDER ADULTS TRANSPORTATION SERVICES (OATS) TRANSIT. ST. LUKE'S OVER 30 LOCATIONS ACROSS ST. LOUIS A
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."

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
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 CTR
12855 N 40 DR SUITE 150	ST LOUIS	MO	63141	GASTROINTESTINAL ENDOSCOPY

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, 1.32% LINE 7B: UNREIMBURSED MEDICAID, 1.47% LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 2.79% LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.39% LINE 7F: HEALTH PROFESSIONS EDUCATION, 1.36% LINE 7G: SUBSIDIZED HEALTH SERVICES, 0.29% LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.09% LINE 7J: TOTAL OTHER BENEFITS, 2.13% LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 4.92% 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) ANNUAL FOUNDER'S DAY CELEBRATION AT ST. LUKE'S ATTENDED BY HOSPITAL PHYSICIANS, EMPLOYEES, VOLUNTEERS AND CLERGY LEADERS FROM THROUGHOUT THE AREA TO CELEBRATE THE RENEWAL OF ST. LUKE'S MISSION AND COMMUNICATE HOW IT IS LIVED OUT IN THE DAILY SERVICES PROVIDED TO THE COMMUNITY; 4) RAISING AWARENESS ABOUT THE ST. LUKE'S PASTORAL CARE DEPARTMENT AND CLINICAL PASTORAL EDUCATION PROGRAM; AND, 5) IDENTIFYING OPPORTUNITIES TO PROVIDE HEALTH EDUCATION ARTICLES AND INFORMATION ABOUT UPCOMING HEALTHY LIVING EVENTS TO THE PRESBYTERY/DIOCESE.
SUPPLEMENTAL INFORMATION 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. LUKES 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. LUKES POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. ST. LUKES DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. ST. LUKES 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 ALSO, SEE ST. LUKE'S HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2016 ATTACHED. 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, WE HAVE AN ACTIVE COMMUNITY OUTREACH OFFERING THAT PROVIDES NEARLY 1,000 EDUCATIONAL AND PREVENTIVE HEALTH OPPORTUNITIES EACH YEAR TO OUR COMMUNITY, IMPACTING NEARLY 40,000 PEOPLE. ADDITIONALLY, WE WORK WITH EMPLOYERS ACROSS THE AREA TO BRING HEALTH EDUCATION AND SCREENINGS TO THEIR WORKSITES. AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, ALL NON-PROFIT HOSPITALS ARE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS TO EVALUATE THE COMMUNITY NEEDS AND ENSURE WE ARE OFFERING PROGRAMMING AND SERVICES TO MEET THOSE NEEDS. BASED ON OUR ANALYSIS FROM SURVEY DATA AND FEEDBACK FROM HEALTH EXPERTS AND THE COMMUNITY AND BUILDING ON THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT, THE PRIMARY AREAS OF FOCUS FOR OUR IMPLEMENTATION PLAN INCLUDE: -OBESITY AND SEDENTARY LIFESTYLE -CANCER SCREENINGS AND SUPPORT SERVICES -MANAGEMENT OF CHRONIC CONDITIONS ST. LUKE'S COMMUNITY HEALTH NEEDS ASSESSMENT AND REPORT IS THE PRODUCT OF 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 2016) 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. AS A PART OF ST. LUKE'S COMMITMENT TO THE CHNA PROCESS, ST. LUKE'S HIRED A FULL-TIME COMMUNITY BENEFIT COORDINATOR ("COORDINATOR") TO OVERSEE PROGRAM IMPLEMENTATION, DATA COLLECTION AND ANALYSIS FOR THE CHNA PROCESS. THE COORDINATOR IS ALSO RESPONSIBLE FOR REPRESENTING ST. LUKE'S HOSPITAL ON A NUMBER OF COMMUNITY COALITIONS AND PARTNERSHIPS, INCLUDING THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY AND ITS REGIONAL LEADERSHIP AND PLANNING GROUP. WITH THE ADDITION OF THE COORDINATOR, REVISIONS WERE MADE TO THE UPDATED IMPLEMENTATION PLAN: -HEALTH PRIORITY: OBESITY AND SEDENTARY LIFESTYLE GOAL: OFFER TOOLS TO HELP COMBAT RISING RATES OF ADULTS WHO ARE OBESE OR OVERWEIGHT; ENCOURAGE ACTIVE LIFESTYLES. -HEALTH PRIORITY: CANCER SCREENINGS AND SUPPORT SERVICES GOAL: PROVIDE EDUCATION AND SCREENINGS TO HELP IDENTIFY CANCERS EARLIER. OFFER COMPREHENSIVE EDUCATION AND SUPPORT SERVICES TO CANCER PATIENTS. -HEALTH PRIORITY: MANAGEMENT OF CHRONIC CONDITIONS GOAL: DECREASE RISK OF HEART DISEASE BY TARGETING HYPERTENSION AND TYPE 2 DIABETES. AFTER EVALUATING THESE HEALTH PRIORITIES, WE ESTABLISHED AN IMPLEMENTATION PLAN THAT INCORPORATED THESE INTO TWO HEALTH ISSUE GOALS: 1) AWARENESS OF LIFESTYLE RISK FACTORS TO PREVENT HEART DISEASE: THREE YEAR GOAL FOR IMPROVEMENT: BY 2019, DECREASE THE NUMBER OF DEATHS FROM HEART DISEASE TO 186 DEATHS/100,000 POPULATION. (CURRENT WEST ST. LOUIS COUNTY RATE IS 188 DEATHS/100,000.) O STRATEGIES -EDUCATE ADULTS IN OUR COMMUNITY ON THE RISK FACTORS OF PRE-DIABETES, HYPERTENSION, AND HYPERLIPIDEMIA -OFFER FREE OR LOW-COST WEIGHT MANAGEMENT RESOURCES -PROMOTE PHYSICAL ACTIVITY THROUGH SPONSORSHIP OF COMMUNITY EVENTS -PROVIDE SCREENINGS FOR ADULTS IN OUR COMMUNITY TO IDENTIFY THOSE WITH ABNORMAL GLUCOSE, BLOOD PRESSURE OR CHOLESTEROL LEVELS O ACTIONS -HOLD PRE-DIABETES AND MANAGEMENT OF DIABETES EDUCATION CLASSES FOR AT-RISK INDIVIDUALS -PROVIDE EDUCATIONAL RESOURCES AT COMMUNITY EVENTS (HEALTH FAIRS, SPEAKERS BUREAU, WORKSITE WELLNESS SCREENINGS, AND SPECIAL EVENTS SUCH AS THE ANNUAL SPIRIT OF WOMEN DAY OF DANCE) -HAVE EDUCATION AND RESOURCE MATERIALS RELATED TO PREVENTION OF HEART DISEASE WIDELY AVAILABLE THROUGH ST. LUKE'S WEBSITE -IMPLEMENT FREE OR LOW-COST COOKING CLASSES TO SUPPORT HEALTHY NUTRITION FOR THE COMMUNITY -PROVIDE FREE BIOMETRIC AND BMI SCREENINGS FOR THE COMMUNITY -ORGANIZE ANNUAL TOUR DE WELLNESS COMMUNITY CYCLING EVENT -ORGANIZE ANNUAL DAY OF DANCE EVENT -SPONSOR COMMUNITY FUN RUNS AND 5KS -PROVIDE FREE OR LOW-COST SCREENINGS FOR BLOOD PRESSURE, CHOLESTEROL OR GLUCOSE AT COMMUNITY EVENTS O PROCESS AND OUTCOME MEASURES -INCREASE BY 2% THE NUMBER OF ADULTS ATTENDING PRE-DIABETES AND/OR MANAGEMENT OF DIABETES EDUCATION CLASSES -THROUGH A POST-CLASS EVALUATION, >95% OF ATTENDEES AT DIABETES PROGRAMS REPORT A GREATER UNDERSTANDING OF RISK PREVENTION AND/OR DIABETES -INCREASE THE NUMBER OF DIABETES EVENTS HELD AND THE NUMBER OF INDIVIDUALS REACHED -TRACK WEBSITE DOWNLOADS AND REACH OF EDUCATIONAL MATERIALS -REPORT REDUCTION IN DIABETES, HYPERTENSION AND HEART DISEASE RATES FROM COUNTY DATA -TRACK THE NUMBER OF COOKING CLASSES HELD, NUMBER OF POINTS OF CONTACT WITH INDIVIDUALS, AND THE NUMBER OF REFERRALS TO EACH CLASS TO DETERMINE IF OUTREACH IS WORKING AS INTENDED -UTILIZE COUNTY OBESITY DATA TO TRACK IMPROVEMENT IN OUTCOMES RELATED TO OBESITY, DIABETES, HYPERTENSION AND HEART DISEASE -TRACK THE NUMBER OF COMMUNITY EVENTS SPONSORED OR ORGANIZED AND THE NUMBER OF PARTICIPANTS FOR EACH EVENT -UTILIZE COUNTY OBESITY DATA TO TRACK IMPROVEMENT IN OUTCOMES RELATED TO PHYSICAL ACTIVITY AND WEIGHT LOSS -INCREASE BY 2% THE NUMBER OF ADULTS SCREENED FOR BLOOD PRESSURE, CHOLESTEROL OR GLUCOSE -100% OF THOSE SCREENED FOR BLOOD PRESSURE, CHOLESTEROL OR GLUCOSE RECEIVE CONSULTATION BY A HEALTH PROFESSIONAL ON HOW TO REDUCE THEIR LIFESTYLE RISK FACTORS -ASSESS COUNTY DATA FOR INTERMEDIATE OUTCOMES RELATED TO DIABETES, HYPERTENSION AND HEART DISEASE, AS WELL AS DISEASE-SPECIFIC MORTALITY THIS WILL EVENTUALLY LEAD TO BETTER HEALTH OUTCOMES RELATED TO MORBIDITY, MORTALITY, LIFE EXPECTANCY, HEALTHCARE EXPENDITURES, HEALTH STATUS AND FUNCTIONAL LIMITATIONS. 2) AWARENESS OF PREVENTIVE CANCER SCREENINGS AND RESOURCES: THREE YEAR GOAL FOR IMPROVEMENT: BY 2019, DECREASE THE NUMBER OF DEATHS FROM CANCER TO 172 DEATHS/100,000. (CURRENT WEST COUNTY RATE IS: 174 DEATHS/100,000 POPULATION) O STRATEGIES -EDUCATE THE ADULTS IN OUR COMMUNITY ON THE RECOMMENDED SCREENINGS FOR BREAST, COLON AND LUNG CANCER AND ABOUT RESOURCES AVAILABLE IN THE COMMUNITY -INCREASE ACCESS TO MAMMOGRAPHY SCREENINGS AND IDENTIFY WOMEN WHO ARE AT HIGH RISK FOR BREAST AND OVARIAN CANCER -INCREASE THE NUMBER OF HIGH-RISK ADULTS SCREENED FOR LUNG CANCER O ACTIONS -USE SPIRIT OF WOMEN EDUCATION MATERIALS TO INCREASE AWARENESS OF SCREENING GUIDELINES FOR BREAST, COLON AND LUNG CANCER -ST. LUKE'S MEDICAL GROUP PHYSICIANS WILL INFORM/ORDER AGE/RISK APPROPRIATE SCREENINGS FOR THEIR PATIENTS -PROVIDE EDUCATION AND RESOURCES AT COMMUNITY AND WORKSITE WELLNESS PROGRAMS -CONDUCT REGULAR EMAIL DATABASE CAMPAIGNS TO INCREASE AWARENESS OF AGE/RISK APPROPRIATE SCREENINGS -PROVIDE MULTIPLE OPTIONS TO FACILITATE ACCESS TO SCREENING MAMMOGRAPHY, INCLUDING MOBILE MAMMOGRAPHY VAN, THE WOMEN'S CENTER, AND ST. LUKE'S HOSPITAL CAMPUS, AND IDENTIFY HIGH-RISK WOMEN THROUGH ELECTRONIC QUESTIONAIRE -PROVIDE A LUNG CANCER COORDINATOR TO IDENTIFY THOSE AT RISK FOR LUNG CANCER O PROCESS AND OUTCOME MEASURES -INCREASE BY 2% THE NUMBER OF SPIRIT OF WOMEN MEMBERS RECEIVING PANEL CARD ON PREVENTIVE/RISK APPROPRIATE SCREENINGS FOR BREAST, COLON AND LUNG CANCER -ST. LUKE'S MEDICAL GROUP PHYSICIANS WILL INCREASE QUALITY PERFORMANCE SCORES RELATED TO RECOMMENDED AGE/RISK APPROPRIATE COLON CANCER SCREENINGS BY 15% -INCREASE THE NUMBER OF WORKSITE WELLNESS PROGRAMS RUN AND THE NUMBER OF INDIVIDUALS REACHED -TRACK THE NUMBER OF EMAIL CAMPAIGNS CONDUCTED, INCLUDING OPEN AND CLICK THROUGH RATES -BY 2019, INCREASE BY 2% THE NUMBER OF ADULTS IN WEST ST. LOUIS COUNTY REPORTED HAVING HAD A SCREENING FOR BREAST CANCER (WOMEN 40+), COLON CANCER (50+) OR LUNG CANCER (THOSE AT HIGH-RISK) -INCREASE MOBILE MAMMOGRAPHY VAN SITES BY FIVE SITES -INCREASE THE NUMBER OF INDIVIDUALS SCREENED ACROSS SITES BY 5% OVERALL -INCREASE THE REFERRAL RATE TO THE HIGH-RISK BREAST CLINIC BY 2% -TRACK THE NUMBER OF MALIGNANCIES DETECTED BY SCREENING AND NUMBER OF WOMEN WHO RECEIVE COUNSELING AT THE HIGH-RISK BREAST CLINIC -INCREASE BY 2% THE NUMBER OF HIGH-RISK ADULTS SCREENED FOR LUNG CANCER -TRACK THE INCIDENCE OF ABNORMAL RATINGS (L2-L3-L4) DETECTED IN PATIENTS WHO RECEIVE SCREENINGS AND THE NUMBER OF REFERRALS MADE
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 500,000 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. - ST. LUKE'S PARTICIPATES ON THE GOVERNANCE BOARD OF FAMILY FORWARD, GIRL SCOUTS OF EASTERN MISSOURI BOARD OF DIRECTORS AND OTHER VARIOUS LOCAL BOARDS. - 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 HAS PARTICIPATED IN THE ST. LOUIS INTERNSHIP PROGRAM FOR NEARLY 15 YEARS. THIS PROGRAM IS DESIGNED TO INVEST IN OUR COMMUNITY BY OFFERING SUPPORT IN LIFE SKILLS AND INSPIRATION TO UNDERSERVED HIGH SCHOOL STUDENTS. AS A CORPORATE PARTNER, ST. LUKE'S HELPS THESE STUDENTS REALIZE THEIR POTENTIAL BY EXPOSING THEM TO HEALTHCARE JOB OPPORTUNITIES AND PROVIDING THEM WITH MEANINGFUL WORK DURING AN 8 WEEK SUMMER INTERNSHIP. EACH SUMMER, ST. LUKE'S SPONSORS 4-8 HIGH SCHOOL INTERNS. ST. LUKE'S HAS BEEN RECOGNIZED BY THE BOARD OF THE ST. LOUIS INTERNSHIP PROGRAM FOR THE HOSPITAL'S CONSISTENT DEDICATION TO THESE YOUTH AND FOR THE HIGH MARKS THE INTERNS GIVE THE HOSPITAL FOR THEIR PROFESSIONAL WORK EXPERIENCE. APPROXIMATELY 95 PERCENT OF THE INTERNS GRADUATE FROM HIGH SCHOOL AND GO ON TO POST-SECONDARY EDUCATION OR TRAINING. ST. LUKE'S IS A PROUD PARTICIPANT IN THE PROGRAM, BELIEVING THAT THE ENTIRE COMMUNITY BENEFITS BECAUSE THE PROGRAM INCREASES THE SKILLED TALENT IN THE WORKFORCE AND CULTIVATES FUTURE ST. LOUIS LEADERS. - ST. LUKE'S ALSO PARTNERS WITH ACADEMIC FACILITIES THROUGHOUT THE REGION BY PROVIDING SUPERVISED INTERNSHIPS FOR COLLEGE AND GRADUATE STUDENTS IN VARIOUS HEALTHCARE FIELDS (NURSING, PHYSICAL THERAPY, HOSPITAL ADMINISTRATION, HEALTH INFORMATION SERVICES, SOCIAL SERVICES, ETC.). THESE INTERNSHIPS PROVIDE NEW GRADUATES WITH THE REAL LIFE PROFESSIONAL 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. - MEN'S CENTER - PROVIDES IN-DEPTH INFORMATION ON THE PREVENTION, DIAGNOSIS, TREATMENT, AND CARE OF CONDITIONS THAT AFFECT MEN OF ALL AGES. - MULTIMEDIA ENCYCLOPEDIA - TAKE CHARGE OF YOUR HEALTH AND GAIN KNOWLEDGE BY WATCHING INFORMATIVE MULTIMEDIA PRESENTATIONS. - SYMPTOM NAVIGATOR - "WHERE DOES IT HURT?" - MY CHECKUPS - KNOW WHEN TO SCHEDULE IMPORTANT EXAMS. - IN-DEPTH REPORTS - 100 TOPICS FOR ADVANCED STUDY. - PREGNANCY HEALTH CENTER - IMPORTANT INFORMATION DESIGNED TO GUIDE YOU THROUGH YOUR PREGNANCY - YOU WILL SEE HOW YOUR BABY DEVELOPS EACH WEEK, FIND HELPFUL PLANNING TIPS, AND LEARN WHAT TO EXPECT FROM LABOR AND DELIVERY. - SURGERY AND PROCEDURES - INCLUDES DESCRIPTIONS, VISUAL ILLUSTRATIONS AND INDICATORS FOR SPECIFIC SURGERIES. - HEALTH CARE GUIDES - EDUCATIONAL MATERIALS FOR SPECIFIC CONDITIONS INCLUDING: HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, ALLERGIES AND TYPE I DIABETES. - WELLNESS TOOLS - HEALTH CALCULATORS INCLUDING: BODY MASS INDEX, CALORIE BURNER COUNTER, TARGET HEART RATE, IDEAL BODY WEIGHT, NUTRITIONAL NEEDS AND WAIST TO HIP CALCULATORS. - DRUG INTERACTION CENTER - MEDICATION INFORMATION INCLUDING DESCRIPTION OF THE MEDICINES, POSSIBLE INTERACTIONS AND REASONS FOR TAKING PRESCRIBED MEDICATIONS. - DRUG NOTES - MEDICATIONS IN ALPHABETICAL ORDER. - BODY GUIDE - INTERACTIVE GUIDE TO ALL 12 BODY SYSTEMS. - ANIMATION PLAYER - VISUALLY-RICH, MULTIMEDIA PRESENTATION. - HEART AWARE RISK ASSESSMENT - THIS ASSESSMENT HELPS PATIENTS ASSESS AND IDENTIFY POTENTIAL RISK OF HEART DISEASE AND OTHER HEALTH CONCERNS. ST. LUKE'S HOSPITAL EARLY DETECTION CENTER CONTACTS AT RISK PATIENTS TO SCHEDULE A FREE FOLLOW-UP EVALUATION WITH A REGISTERED HEART CARE PROFESSIONAL. THIS 45-MINUTE APPOINTMENT INCLUDES A FREE CHOLESTEROL/GLUCOSE SCREENING, A BLOOD PRESSURE CHECK AND PERSONAL CONSULTATION ON SCREENING RESULTS. - OTHER HEALTH AWARE RISK ASSESSMENTS - THESE ONLINE ASSESSMENTS FOR STROKE, SPINE ISSUES AND SLEEP HEALTH, DIABETES AND LUNG HEALTH PROVIDE THE COMMUNITY WITH ESTIMATED RISK FOR VARIOUS CONDITIONS. MEDICAL STAFF: ST. LUKE'S HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR PRIMARY CARE SERVICES (I.E. INTERNAL MEDICINE AND PEDIATRICS). OF THE 703 PHYSICIANS ON THE MEDICAL STAFF AT JUNE 30, 2019, 95% 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)

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GIRL SCOUTS OF EASTERN MISSOURI INC
2300 BALL DRIVE	ST LOUIS	MO	63146	430662471	501(C)(3)	$15,625	GENERAL SUPPORT
CASA DE SALUD
3200 CHOUTEAU AVE	ST LOUIS	MO	63103	270732049	501(C)(3)	$15,000	GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT
MO STATE MEDICAL ASSOC PHYSICIANS HEALTH FND
PO BOX 1028	JEFFERSON CITY	MO	65102	431572458	501(C)(3)	$10,500	GENERAL SUPPORT
ST ANDREW'S CHARITABLE FOUNDATION
1001 CRAIG RD STE 200	ST LOUIS	MO	63146	260568165	501(C)(3)	$6,800	GENERAL SUPPORT
CHESTERFIELD HOCKEY ASSOCIATION
406 INDIAN WARPATH DR	PACIFIC	MO	63069	431703988	510(C)(3)	$15,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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.	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 (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	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	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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
Christine M Candio
President & CEO SL HEALTH CORP	$786,480	$0	$400,000	$0	$33,369	$0	$10,313	$0	$14,849	$0	$1,245,011	$0	$0	$0
Scott Johnson
EXECUTIVE VP/CFO SL HLTH CORP	$502,571	$0	$140,000	$0	$0	$0	$11,688	$0	$13,943	$0	$668,202	$0	$0	$0
Maged Haikal MD
Chief of Medicine	$0	$803,800	$0	$0	$0	$0	$0	$19,938	$0	$12,170	$0	$835,908	$0	$0
Ronald Leidenfrost MD
Chairman Heart Institute	$0	$753,217	$0	$0	$0	$992,566	$0	$19,938	$0	$14,849	$0	$1,780,570	$0	$992,566
Jan Hess
NETWORK VP -INT/PROF ADMIN SVC	$257,124	$0	$50,200	$0	$0	$0	$27,500	$0	$14,849	$0	$349,673	$0	$0	$0
William Meyer
VP/Network CIO THRU 12/18	$315,446	$0	$54,660	$0	$0	$0	$27,500	$0	$7,804	$0	$405,410	$0	$0	$0
Don Miller
NETWORK VP FACIL & SPT SVCS	$297,426	$0	$53,362	$0	$0	$0	$11,000	$0	$21,126	$0	$382,914	$0	$0	$0
Diane Ray
SR VP/NETWORK CNO/SLH COO	$284,860	$0	$49,600	$0	$0	$0	$28,266	$0	$14,849	$0	$377,575	$0	$0	$0
Janette Taaffe
NETWORK VP Human Resources	$245,056	$0	$45,000	$0	$0	$0	$19,938	$0	$20,898	$0	$330,892	$0	$0	$0
Hope Cranston D'Amato MD
Medical Director ICU	$570,187	$0	$0	$0	$0	$0	$14,438	$0	$14,849	$0	$599,474	$0	$0	$0
Abdul Moheet MD
Emergency Department	$428,572	$0	$0	$0	$0	$0	$19,938	$0	$22,129	$0	$470,639	$0	$0	$0
Michael Klevens MD
Emergency Department	$443,564	$0	$0	$0	$0	$0	$14,438	$0	$21,941	$0	$479,943	$0	$0	$0
Eric Jenkins MD
CVICU	$440,301	$0	$0	$0	$0	$0	$14,438	$0	$22,129	$0	$476,868	$0	$0	$0
Jon Bettale
VP Surgical Services	$239,306	$0	$25,334	$0	$0	$0	$14,235	$0	$6,956	$0	$285,831	$0	$0	$0
Michael Boland MD
Chief of Surgery	$0	$864,747	$0	$0	$0	$0	$0	$11,000	$0	$22,129	$0	$897,876	$0	$0
Martha Fleischmann
Network VP Finance	$259,298	$0	$48,353	$0	$0	$0	$19,938	$0	$8,305	$0	$335,894	$0	$0	$0
Scott Holtswarth
VP/Network CIO	$234,632	$0	$16,000	$0	$9,117	$0	$19,333	$0	$12,170	$0	$291,252	$0	$0	$0
Sharon Mertzlufft
VP/Exec. Dir Netwk Development	$233,116	$0	$36,000	$0	$0	$0	$10,133	$0	$9,587	$0	$288,836	$0	$0	$0
Talat Nawas MD
Hospitalist	$615,281	$0	$0	$0	$0	$0	$19,938	$0	$14,849	$0	$650,068	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Supplemental Information 1	FormAndLineReferenceDesc
Explanation	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 2018 IS AS FOLLOWS: RONALD LEIDENFROST, MD $992,566 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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 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	60637ABJ0	2011-09-08	$45,299,701	SEE PART IV	false	false	false
HEALTH & EDUCATIONAL FACILITIES - STATE OF MO
B	431178966	60637AKH4	2015-11-12	$34,089,886	SEE PART VI	false	false	false
HEALTH & EDUCATIONAL FACILITIES - STATE OF MO
C	431178966	000000000	2016-09-02	$25,000,000	SEE PART VI	false	false	false
HEALTH & EDUCATIONAL FACILITIES - STATE OF MO
D	431178966	000000000	2016-12-20	$14,100,200	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$21,405,000	$0	$45,299,701	$0	$0	$0	$551,581	$0	$0	$0	$44,748,120	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$34,460,816	$0	$0	$0	$0	$0	$0	$10,024,338	$24,436,478	$0	2016	Yes (true)	false	Yes (true)	Yes (true)
C	$9,685,000	$0	$25,000,000	$0	$0	$0	$184,750	$0	$0	$0	$24,815,250	$0		Yes (true)	false	Yes (true)	Yes (true)
D	$2,743,786	$0	$14,331,300	$0	$0	$0	$100,200	$0	$0	$11,687,520	$0	$2,543,580		false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	false	false	false	Yes (true)
C	false	false	Yes (true)	false	false	false	false	false	Yes (true)
D	false	false	Yes (true)	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false		false	false	false	0	false	Yes (true)	Yes (true)
0
C	false		false	false	false	0	false	Yes (true)	Yes (true)
0
D	false		false	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, SECTION A, COLUMN F	2011 Bonds issued September 8, 2011 at a fixed rate with proceeds of $46 million used to refund remaining portion of Series 2001 Bonds(issued June 14, 2001).
PART I, SECTION B, 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 C, 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 D, COLUMN F	2016 BONDS ISSUED DECEMBER 20, 2016 AT A FIXED RATE WITH PROCEEDS OF $14 MILLION USED TO FINANCE CAPITAL IMPROVEMENTS.
PART II, LINE 3, COLUMN B	The difference between 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 D	THE DIFFERENCE BETWEEN TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND.
PART II, LINE 11, COLUMNS A, B, AND C	Proceeds used to currently refund prior issue.
PART IV, LINE 2C, COLUMN A	Rebate Calculation performed SEPTEMBER 2016, with no rebate payment or yield reduction payment required.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH & EDUC FACILITIES - STATE OF MO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	431178966	BondIssuerEIN
CUSIP	60637AQL9	CUSIPNum
Bond Issued	2019-06-20	BondIssuedDt
Issue Price	$60,066,599	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$60,066,599	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$768,432	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$10,503,780	CapitalExpendituresAmt
Other Spent Proceeds	$25,000,000	OtherSpentProceedsAmt
Unspent	$23,794,387	UnspentAmt
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	false	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, SECTION A, COLUMN F	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	24	ContributionCnt
Noncash Contributions Rpt F990	$627,540	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GENERAL STATEMENT 1	PART III, LINE 1: DESCRIPTION OF MISSION Our Mission Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Lukes 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. Lukes 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 convenient care center, 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 391 active 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 contributed 82,000 hours of service in calendar year 2018. 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, Cleveland Clinic's Heart & Vascular 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 fifth straight year, St. Luke's network of care has earned the Women's Choice Award as one of America's Best Hospitals. The 2019 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 2019 OUTSTANDING PATIENT EXPERIENCE AWARD. THIS DISTINCTION PLACES ST. LUKE'S HOSPITAL AMONT THE TOP 5 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 2019. St. Luke's Des Peres Hospital is a recipient of the 2019 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. Part III, Q. 4(b) Resources invested and program services to support mission In support of our mission, St. Luke's Hospital provides care to patients regardless of their ability to pay, which includes those who lack financial resources and are deemed to be medically indigent. In addition, the organization provides services to other medically indigent patients under various state Medicaid programs. Such programs pay providers amounts that are less than the related costs for the services provided to the recipients.
PART III, Q. 4(b) continued	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 drives, health screenings, food drives and school supply drives to assist the families of the St. Luke's Pediatric Care Center, Isaiah 58 Ministries and Operation Food Search. - St. Luke's Pediatric Care Center is a mission-based agency of St. Luke's Hospital that has been providing care for medically underserved and underinsured children in the St. Louis region for more than 60 years. The Center, located in North St. Louis County, offers care for children from birth to age 18 in a private practice setting rather than in a clinic setting. The primary goal of the Center is to establish and maintain access to healthcare for families through a primary care physician, thereby helping them understand and deal with potential health issues before the issues become serious enough to require acute care. The staff consists of two full-time board certified pediatricians, as well as a site manager, registered nurse, social worker and office coordinator, all of whom are dedicated to improving healthcare for children and families. - We participate in the Meals on Wheels program, which provides meals to community residents who are not able to prepare meals for themselves due to their medical conditions. - 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 150 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 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 more than 50 employers, which are designed to educate employees on pertinent health issues and provide details regarding available health promotion activities. - St. Luke's Heart Failure Disease Management Program is a referral-based outpatient program designed to provide heart failure patients with effective, state-of-the-art disease management. This comprehensive, integrated program is designed specifically for patients living with heart failure. Patients work with their physicians and the 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. Lukes Health Corporation, A 501 (C)(3) Organization, is the sole corporate member of St. Lukes Episcopal-Presbyterian Hospitals, a Regional Health Care Provider.
GENERAL STATEMENT 5	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. Lukes Health Corporations executive and finance committee of the Board of Directors prior to filing for review and input. All questions raised were addressed in advance of submission.
GENERAL STATEMENT 6	PART VI, SECTION B, LINE 12C: CONFLICT 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 7	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 8	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 9	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 10	PART XI, LINE 9: OTHER CHANGES IN NET ASSETS Change in pension obligation (10,567,870) Transfer to Medical Group (31,303,467) Change in restricted assets (1,088,576) -------------- Fund Balance at End of Year (42,959,913)

Schedule R IRS990ScheduleR

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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	Yes (true)

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 Corp	EntityTypeTxt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST LUKE'S MEDICAL GROUP
P	$31,303,773	FMV
ST LUKE'S MEDICAL GROUP
R	$3,999,996	FMV