2020-05-15T15:42:44-05:00 2019-06-30 KPMG LLP 4200 WELLS FARGO CTR90 S 7TH ST MINNEAPOLIS MN 55402 990 2018-07-01 430652680 ST LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS % SCOTT JOHNSON STLU 3144341500 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 SCOTT JOHNSON EXECUTIVE VP/CFO 3144341500 2020-05-11 true Monroe J Gierl P01413237 6123055000 2020-05-11 199.206.0.5 43023420201365000000 2020-05-15 P AC54748FFC50D967AA2BBEAEB8F4489B300F6EE8 D62D24C6D336028470863B0825818D0C3237C4FC 2018 2020-11-19 02:30:22Z SCOTT JOHNSON 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 521345527 false X WWW.STLUKES-STL.COM X 1866 MO ST. LUKE'S IS DEDICATED TO IMPROVE THE HEALTH OF THE COMMUNITY AND TO PROVIDE CARE FOR THE WHOLE PERSON WITH COMPASSION, PROFESSIONAL EXCELLENCE AND RESPECT. 16 16 4191 391 2843160 3313247 3879402 479326338 504150595 8463558 12332641 321713 391713 491424856 520754351 127995 62925 0 0 222738606 237542336 30000 30000 1080912 233002644 243960184 455899245 481595445 35525611 39158906 695937255 695787048 218176171 212814256 477761084 482972792 X SEE SCHEDULE O, GENERAL STATEMENT 1 false false 448657456 62925 501307435 SEE SCHEDULE O, GENERAL STATEMENT 2 448657456 true true false true false false false false true true true false false true true true false true false false false false false true true false true true true false true true false false false false false false false false false false true false false false false true true true false false true 230 0 true 4191 true true true false false false false true true false false false false false false X 16 16 true false false false true false false true true false false false true true true true true true true true true X SCOTT JOHNSON 3144341500 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 X Eugene M Toombs Director 1.0 1.0 X 0 0 0 David B Price Jr Vice Chairman 1.0 1.0 X 0 0 0 Norman L Eaker Treasurer 1.0 1.0 X 0 0 0 Daniel K Stegmann CHAIRMAN 3.0 2.0 X 0 0 0 Oscar C Berryman Director THRU 09/18 1.0 1.0 X 0 0 0 Philip B Cady Jr DIRECTOR THRU 09/18 1.0 1.0 X 0 0 0 Edward L Glotzbach SECRETARY 1.0 1.0 X 0 0 0 Ned O Lemkemeier Director 1.0 1.0 X 0 0 0 Robert W Reeg Director 1.0 1.0 X 0 0 0 Hugh Scott III Director 1.0 1.0 X 0 0 0 The Rt Rev G Wayne Smith Director 1.0 1.0 X 0 0 0 Ann M Sullins Director THRU 09/18 1.0 1.0 X 0 0 0 Daniel G Wagner MD Director 1.0 1.0 X 0 0 0 Rev Dr Craig M Howard Director 1.0 1.0 X 0 0 0 Cynthia A Maritz Director 1.0 1.0 X 0 0 0 Susan B Schneider MD Director 1.0 1.0 X 0 0 0 Joseph A Sheehan Director 1.0 1.0 X 0 0 0 James M Snowden Jr Director 1.0 1.0 X 0 0 0 Tariq Tanoli Md DIRECTOR THRU 12/18 1.0 1.0 X 0 0 0 Jeffrey Thompson MD Director 1.0 1.0 X 0 0 0 Christine M Candio President & CEO SL HEALTH CORP 42.0 18.0 X 1219849 0 25162 Scott Johnson EXECUTIVE VP/CFO SL HLTH CORP 25.0 35.0 X 642571 0 25631 Maged Haikal MD Chief of Medicine 40.0 25.0 X 0 803800 32108 Ronald Leidenfrost MD Chairman Heart Institute 40.0 25.0 X 0 1745783 34787 Jan Hess NETWORK VP -INT/PROF ADMIN SVC 50.0 0.0 X 307324 0 42349 William Meyer VP/Network CIO THRU 12/18 50.0 0.0 X 370106 0 35304 Don Miller NETWORK VP FACIL & SPT SVCS 41.0 9.0 X 350788 0 32126 Diane Ray SR VP/NETWORK CNO/SLH COO 40.0 10.0 X 334460 0 43115 Janette Taaffe NETWORK VP Human Resources 50.0 0.0 X 290056 0 40836 Jon Bettale VP Surgical Services 50.0 0.0 X 264640 0 21191 Michael Boland MD Chief of Surgery 40.0 20.0 X 0 864747 33129 Martha Fleischmann Network VP Finance 44.0 16.0 X 307651 0 28243 Scott Holtswarth VP/Network CIO 50.0 0.0 X 259749 0 31503 Sharon Mertzlufft VP/Exec. Dir Netwk Development 50.0 0.0 X 269116 0 19720 Hope Cranston D'Amato MD Medical Director ICU 60.0 0.0 X 570187 0 29287 Abdul Moheet MD Emergency Department 55.0 0.0 X 428572 0 42067 Michael Klevens MD Emergency Department 55.0 0.0 X 443564 0 36379 Eric Jenkins MD CVICU 55.0 0.0 X 440301 0 36567 Talat Nawas MD Hospitalist 60.0 0.0 X 615281 0 34787 7114215 3414330 624291 252 false true false McCarthy BUILDING COMPANY 1341 NORTH ROCK HILL ROAD ST LOUIS MO 63124 Construction Service 2598059 ICS Construction Services LTD 2930 Market Street ST LOUIS MO 63103 Construction Service 1567476 Quest Diagnostics PO BOX 772976 CHICAGO IL 60677 Lab Services 1414079 Faultless Linen Co PO Box 795145 St Louis MO 63179 Linen Services 1336580 ARMSTRONG TEASDALE 7700 FORSYTH BLVD SUITE 1800 ST LOUIS MO 63105 LEGAL SERVICES 2371766 62 X 421729 3457673 627540 3879402 PATIENT SERVICE REVENUE 621300 477404729 477404729 PHYSICIAN OFFICES RENTAL INCOME 621110 11160076 11160076 RETAIL PHARMACIES 446110 7254314 6596785 657529 CAFETERIA INCOME 622110 2138715 2110768 27947 NONPATIENT LAB SERVICES 621500 1999350 1999350 4193411 4035077 158334 504150595 8209153 8209153 0 0 0 0 0 4420988 2500 300000 4420988 -297500 4123488 4123488 99206 421729 291176 -191970 -191970 0 0 0 0 0 0 MISC. REVENUE 900099 583683 583683 583683 520754351 501307435 2843160 12724354 62925 62925 0 0 0 4610080 4210483 399597 0 190678862 182307065 8035079 336718 3735578 3230577 476358 28643 25282220 23601704 1585199 95317 13235596 12355822 829874 49900 0 752651 752651 167188 167188 39537 39537 30000 30000 0 7871284 6928974 942310 1145523 31122 1114401 5976002 4578474 1334651 62877 5345004 5280426 64578 0 13616398 13526193 90205 397959 360102 36826 1031 0 111405 104448 5491 1466 2861831 2861831 0 25603936 25603936 8217302 8217302 MEDICAL SUPPLIES 115024168 114709653 307151 7364 MEDICAID FRA EXPENSE 22805000 22805000 Contract Services 17196189 15497943 1681787 16459 Repair & Maintenance 7955825 7935478 20347 8872982 6875783 1945659 51540 481595445 448657456 31857077 1080912 0 0 47766017 35902709 6350209 5556616 42488460 56015541 0 0 0 0 0 0 6755983 7568054 7471369 6262125 664698545 444688146 221329900 220010399 311503708 295851158 0 0 0 0 0 0 52271609 68620446 695937255 695787048 38939732 43261107 532821 570856 0 0 89272105 141933749 263985 271028 0 0 0 0 0 0 89167528 26777516 218176171 212814256 X 449798758 455011575 8495653 7937978 19466673 20023239 477761084 482972792 695937255 695787048 X 39158906 9012715 -42959913 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 39537 false false false 39537 false SUPPLEMENTAL INFORMATION 1 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. false true X 27962326 1658630 556066 2215805 27961217 29333577 1172965 484381 3028597 27962326 23630136 7590253 781010 2667822 29333577 22919310 2244191 -63398 1469967 23630136 17400487 7290848 247388 2019413 22919310 0.00000 0.71610 0.28390 false false 17267851 17267851 362718872 214817988 147900884 24103063 14655573 9447490 255660818 215214585 40446233 4947941 4947941 220010399 OTHER ASSETS 68620446 68620446 0 DEFERRED COMPENSATION 7315000 INSURANCE RESERVES & OTHER 13702771 PENSION LIABILITY 2006870 MEDICARE REIMBURSEMENT/SETTLEMENT 3752875 26777516 X 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 X X X X true WILKINSON GROUP 4516 Pershing Place St Louis MO 63108 CONSULTING false 30000 -30000 30000 -30000 MO Gala 389547 341122 48425 138126 69624 16630 Bike Tour 71223 44258 26965 11112 32834 2 60165 36349 23816 350 17961 4539 520935 421729 99206 350 156087 80736 54003 291176 -191970 true true X true X true X true true true false true true 13935 6363588 6363588 0.01320 7088510 4291359 2797151 0.00580 13935 13452098 4291359 9160739 0.01900 1859233 171906 1687327 0.00350 6543481 3460574 3082907 0.00640 4647 1404546 348257 1056289 0.00220 452319 452319 0.00090 4647 10259579 3980737 6278842 0.01300 18582 23711677 8272096 15439581 0.03200 true 1284347 15174 137336893 151046357 -13709464 X true true 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 2 1 ST LUKE'S HOSPITAL 232 S WOODS MILL RD CHESTERFIELD MO 63017 WWW.STLUKES-STL.COM 274-44 X X X X 2 ST LUKE'S REHABILITATION HOSPITAL 14709 OLIVE BLVD CHESTERFIELD MO 63017 www.stlukes-stl.com/services/rehab 510-11 X REHABILITATION HOSP ST LUKE'S HOSPITAL 1 false false true X X X X X X X X X 18 true true true true X SEE SUPPLEMENTAL INFORMATION 2 X true 19 true SEE SUPPLEMENTAL INFORMATION 3 false true X 200. 400. X X true true X X X true X WWW.STLUKES-STL.COM/PAY X WWW.STLUKES-STL.COM/PAY X SEE SUPPL INFO 6 X X X X X X true X false X X X X true X false false ST LUKE'S REHABILITATION HOSPITAL 2 false false true X X X X X X X X X 18 true true true true X SEE SUPPLEMENTAL INFORMATION 2 X true 19 true SEE SUPPLEMENTAL INFORMATION 3 false true X X X true true X X true X WWW.STLUKES-STL.COM/PAY X WWW.STLUKES-STL.COM/PAY X SEE SUPP INFO 6 X true X false X false X X false false PART V, SECTION C ASIDE FROM SUPPLEMENTAL INFORMATIONS 5 AND 7, THE SUPPLEMENTAL INFORMATION PROVIDED IN SCHEDULE H, PART V, SECTION C APPLIES TO BOTH ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS (ST. LUKE'S HOSPITAL) AND ST. LUKE'S REHABILITATION HOSPITAL (REHAB HOSPITAL). ADDITIONALLY, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COVERS ST. LUKE'S HOSPITAL AND THE REHAB HOSPITAL AS IT IS INCLUDED IN ST. LUKE'S PROCESS AND STEERING COMMITTEE. SUPPLEMENTAL INFORMATION 1 PART V, SECTION B, LINES 5, 6A, AND 6B 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." 4 ST LUKE'S HOSP SK NURS FAC-SURREY PLACE 14701 OLIVE BLVD CHESTERFIELD MO 63017 SKILLED NURSING/RESIDENTIAL CARE FACILITY ST LUKE'S HOSPITAL HOME HEALTH AGENCY 111 S WOODS MILL RD CHESTERFIELD MO 63017 HOME HEALTH SERVICES ST LUKE'S HOSPITAL HOSPICE 111 S WOODS MILL RD CHESTERFIELD MO 63017 HOSPICE CARE GATEWAY ENDOSCOPY CTR 12855 N 40 DR SUITE 150 ST LOUIS MO 63141 GASTROINTESTINAL ENDOSCOPY SUPPLEMENTAL INFORMATION 1 PART I, LINE 6A N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATION SUPPLEMENTAL INFORMATION 2 PART I, LINE 7G N/A SUPPLEMENTAL INFORMATION 3 PART I, LINE 7 COLUMN (F) TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSE LINE 7A: CHARITY CARE, 1.32% 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) true GIRL SCOUTS OF EASTERN MISSOURI INC 2300 BALL DRIVE ST LOUIS MO 63146 430662471 501(C)(3) 15625 GENERAL SUPPORT CASA DE SALUD 3200 CHOUTEAU AVE ST LOUIS MO 63103 270732049 501(C)(3) 15000 GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT MO STATE MEDICAL ASSOC PHYSICIANS HEALTH FND PO BOX 1028 JEFFERSON CITY MO 65102 431572458 501(C)(3) 10500 GENERAL SUPPORT ST ANDREW'S CHARITABLE FOUNDATION 1001 CRAIG RD STE 200 ST LOUIS MO 63146 260568165 501(C)(3) 6800 GENERAL SUPPORT CHESTERFIELD HOCKEY ASSOCIATION 406 INDIAN WARPATH DR PACIFIC MO 63069 431703988 510(C)(3) 15000 GENERAL SUPPORT 5 0 PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. X true true X X X X X X false true false true false false false false false Christine M Candio President & CEO SL HEALTH CORP 786480 0 400000 0 33369 0 10313 0 14849 0 1245011 0 0 0 Scott Johnson EXECUTIVE VP/CFO SL HLTH CORP 502571 0 140000 0 0 0 11688 0 13943 0 668202 0 0 0 Maged Haikal MD Chief of Medicine 0 803800 0 0 0 0 0 19938 0 12170 0 835908 0 0 Ronald Leidenfrost MD Chairman Heart Institute 0 753217 0 0 0 992566 0 19938 0 14849 0 1780570 0 992566 Jan Hess NETWORK VP -INT/PROF ADMIN SVC 257124 0 50200 0 0 0 27500 0 14849 0 349673 0 0 0 William Meyer VP/Network CIO THRU 12/18 315446 0 54660 0 0 0 27500 0 7804 0 405410 0 0 0 Don Miller NETWORK VP FACIL & SPT SVCS 297426 0 53362 0 0 0 11000 0 21126 0 382914 0 0 0 Diane Ray SR VP/NETWORK CNO/SLH COO 284860 0 49600 0 0 0 28266 0 14849 0 377575 0 0 0 Janette Taaffe NETWORK VP Human Resources 245056 0 45000 0 0 0 19938 0 20898 0 330892 0 0 0 Hope Cranston D'Amato MD Medical Director ICU 570187 0 0 0 0 0 14438 0 14849 0 599474 0 0 0 Abdul Moheet MD Emergency Department 428572 0 0 0 0 0 19938 0 22129 0 470639 0 0 0 Michael Klevens MD Emergency Department 443564 0 0 0 0 0 14438 0 21941 0 479943 0 0 0 Eric Jenkins MD CVICU 440301 0 0 0 0 0 14438 0 22129 0 476868 0 0 0 Jon Bettale VP Surgical Services 239306 0 25334 0 0 0 14235 0 6956 0 285831 0 0 0 Michael Boland MD Chief of Surgery 0 864747 0 0 0 0 0 11000 0 22129 0 897876 0 0 Martha Fleischmann Network VP Finance 259298 0 48353 0 0 0 19938 0 8305 0 335894 0 0 0 Scott Holtswarth VP/Network CIO 234632 0 16000 0 9117 0 19333 0 12170 0 291252 0 0 0 Sharon Mertzlufft VP/Exec. Dir Netwk Development 233116 0 36000 0 0 0 10133 0 9587 0 288836 0 0 0 Talat Nawas MD Hospitalist 615281 0 0 0 0 0 19938 0 14849 0 650068 0 0 0 Supplemental Information 1 PART I, LINE 1A- HEALTH OR SOCIAL CLUB DUES OR FEES THE ORGANIZATION PAYS SPECIFIC SOCIAL CLUB DUES OR FEES INCURRED FOR BUSINESS PURPOSES; SUPPORTING DOCUMENTATION IS REQUIRED PRIOR TO PAYMENT. EXPENSES INCURRED FOR PERSONAL USE OF THE SOCIAL CLUB ARE PAID BY THE EXECUTIVE. ONE LISTED INDIVIDUAL RECEIVED THIS BENEFIT DURING THE YEAR. SUPPLEMENTAL INFORMATION 2 PART I, LINE 4B CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. THE PERSON RECEIVING SUCH A DISTRIBUTION IN CALENDAR YEAR 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. A HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 60637ABJ0 2011-09-08 45299701 SEE PART IV false false false B HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 60637AKH4 2015-11-12 34089886 SEE PART VI false false false C HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 000000000 2016-09-02 25000000 SEE PART VI false false false D HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 000000000 2016-12-20 14100200 SEE PART VI false false false A 21405000 0 45299701 0 0 0 551581 0 0 0 44748120 0 2011 true false true true B 0 0 34460816 0 0 0 0 0 0 10024338 24436478 0 2016 true false true true C 9685000 0 25000000 0 0 0 184750 0 0 0 24815250 0 true false true true D 2743786 0 14331300 0 0 0 100200 0 0 11687520 0 2543580 false false false true A false false true false false 0 false false false true B false false true false false 0 false false false true C false false true false false 0 false false false true D false false true false false 0 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true PART I, SECTION A, COLUMN F 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. A HEALTH & EDUC FACILITIES - STATE OF MO 431178966 60637AQL9 2019-06-20 60066599 SEE PART VI false false false A 0 0 60066599 0 0 0 768432 0 0 10503780 25000000 23794387 false false false true A false false true false false 0 false false false true A false true false false 0 false 0 false true A true PART I, SECTION A, COLUMN F 2019 bonds issued june 20, 2019 at a fixed rate with proceeds of $60 million used in part to refund a prior taxable loan and to partially finance capital improvements. X 24 627540 FMV false true true PART I, COLUMN (B) THE NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF INDIVIDUAL CONTRIBUTIONS RECEIVED. PART I, LINE 32B ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS USES AN OUTSIDE TRUST COMPANY TO SELL EQUITY Securities CONTRIBUTED TO THE ORGANIZATION. GENERAL STATEMENT 1 PART III, LINE 1: DESCRIPTION OF MISSION Our Mission Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. 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) ST LUKE'S HEALTH CORPORATION 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 431246752 SOLE MEMBER MO 501(C)(3) 12B NA false ST LUKE'S MEDICAL GROUP 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 431349332 MEDICAL SERV. MO 501(C)(3) 12A SL HLTH CORP false ST LUKE'S DES PERES EPIS-PRESBY HOP 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 824314522 HEALTH CARE MO 501(C)(3) LINE 3 SL E-P HOSP true ST LUKE'S DEVELOPMENT CORPORATION 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 431238961 OTHER MISC. MO SL HEALTH CORP C Corp 1.00000 true false false false false false false false false false false false false false false false true false true false ST LUKE'S MEDICAL GROUP P 31303773 FMV ST LUKE'S MEDICAL GROUP R 3999996 FMV