2024-05-13T08:33:37-05:00 2023-06-30 135565207 KPMG LLP 90 S 7TH ST STE 4200 MINNEAPOLIS MN 55402 990 2022-07-01 431349332 ST LUKE'S MEDICAL GROUP STLU 3144341500 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 JONATHAN R VITIELLO SENIOR VP & CFO 3144341500 2024-05-07 1 JONATHAN VITIELLO 999009999 1 HOLLY K MOEN P01800653 6123055000 2024-05-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JONATHAN R VITIELLO 232 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 89428696 0 X WWW.STLUKES-STL.COM X 2004 MO TO FURTHER THE CHARITABLE PURPOSE OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS BY TRAINING AND EMPLOYING PROFESSIONALS TO PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY. 3 0 834 0 0 0 772015 0 82564318 89163614 -462 26868 241122 238214 83576993 89428696 0 0 0 0 98451686 105831164 0 0 0 23102428 26585325 121554114 132416489 -37977121 -42987793 18651488 20106902 18045975 19037827 605513 1069075 X TO FURTHER THE CHARITABLE AND HEALTH PURPOSES OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AND TO RECRUIT, TRAIN AND EMPLOY QUALIFIED HEALTH CARE PROFESSIONALS TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY. ST. LUKE'S MEDICAL GROUP PROVIDES QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 0 0 128178629 0 89401828 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. 128178629 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 28 0 1 834 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 0 X JONATHAN R VITIELLO 3144341500 232 SOUTH WOODS MILL RD CHESTERFIELD MO 63017 MARTHA FLEISCHMANN SENIOR VICE PRESIDENT & CFO 20.00 40.00 X X 0 447129 37036 ANDREW BAGNALL PRESIDENT & CEO (START 8/22) 12.00 48.00 X X 0 390162 8115 DON MILLER NTWK VP FACILITIES & SUPPORT 9.00 41.00 X 0 339657 34509 GARY OLSON INTERIM PRES & CEO (THRU 8/22) 12.00 48.00 X X 0 373923 0 DARREN HASKELL MD CHIEF MEDICAL OFFICER 30.00 20.00 X 543522 0 45305 JAMES SNIDER VP PHYSICIAN NETWORK 50.00 0.00 X 0 294541 29385 JEREMY LEIDENFROST MD CARDIOTHORACIC SURGEON 55.00 0.00 X 1681585 0 35798 JASON EDWARDS MD RADIATION ONCOLOGIST 55.00 1.00 X 1467836 0 12963 MICHAEL REIDY MD CARDIOTHORACIC SURGEON 55.00 0.00 X 1422390 0 25667 MICHAEL OGAWA MD ONCOLOGIST 55.00 0.00 X 1237039 0 24604 CHRISTIAN SIKORSKI MD NEUROSURGEON 55.00 0.00 X 1194749 0 34521 SHANE M CERONE FORMER PRESIDENT AND CEO 0.00 0.00 X 0 966340 0 7547121 2811752 287903 178 1 1 0 PRECIDION PRACTICE MANAGEMENT 218 WEST MAIN BELLEVILLE IL 62220 BILLING SERVICES 1497837 ACTALENT SCIENTIFIC LLC 3689 COLLECTION CTR DR CHICAGO IL 60693 TEMPORARY AGENCY 423344 DIAGNOSTIC IMAGING ASSOC 13209 CORPORATE EXCHANGE DR BRIDGETON MO 63044 RADIOLOGY SERVICES 249534 ORTHOPEDIC SPECIALISTS 2325 DOUGHERTY FERRY STE 100 ST LOUIS MO 63122 PHYSICIAN SERVICES 213164 DIAMOND HEALTHCARE COMMUNICATIONS PO BOX 1000 SOUTHEASTERN PA 19398 BILLING SERVICES 161330 9 PATIENT SERVICE REV. 621111 82136023 82136023 ADMINISTRATIVE SUPPORT 621111 4099996 4099996 FEES FOR MED. 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LUKE'S MEDICAL GROUP FURTHERS THE CHARITABLE AND HEALTH PURPOSES OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS BY RECRUITING, TRAINING AND EMPLOYING QUALIFIED HEALTH CARE PROFESSIONALS TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY. ST. LUKE'S MEDICAL GROUP PROVIDES QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. PART-IV LINE-SECTION B LINE 1 ST. LUKE'S MEDICAL GROUP'S BOARD OF DIRECTORS CONSISTS OF THREE DIRECTORS. TWO DIRECTORS SERVE THEIR POSITION AS DIRECTORS OF THE MEDICAL GROUP BY VIRTUE OF THEIR APPOINTMENT AS OFFICERS OF ST. LUKE'S MEDICAL GROUP, INC. THESE OFFICERS, THE PRESIDENT/CEO AND SENIOR VICE PRESIDENT AND CFO OF ST. LUKE'S MEDICAL GROUP, WERE APPOINTED BY ST. LUKE'S HEALTH CORPORATION'S BOARD. THE REMAINING DIRECTOR IS APPOINTED BY ST. LUKE'S HEALTH CORPORATION, THE SOLE MEMBER OF ST. LUKE'S MEDICAL GROUP AND ALSO A SUPPORTING ORGANIZATION TO ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS. 681101 657677 23424 7945187 5330274 2614913 2638337 OTHER ASSETS 1609549 RIGHT OF USE LEASE ASSETS 2671155 4280704 OPERATING LEASE LIABILITY 1558701 1558701 X 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 2023 OR 2022. 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CERONE, $346,154. CERTAIN EMPLOYEES PARTICIPATE IN A SUPPMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION DURING CALENDAR 2022: SHANE M. CERONE, $138,050 PART I, LINE 5 THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATION. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD 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. PATIENT/PHYSICIAN/COMMUNITY 2. EMPLOYEE 3. INTERNAL BUSINESS 4. FINANCIAL THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS, AND DEPARTMENT DIRECTORS OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS OR STOCKHOLDERS ST. LUKE'S HEALTH CORPORATION, A 501(C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S MEDICAL GROUP. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT ST. LUKE'S HEALTH CORPORATION MAY APPOINT AN ELECTED DIRECTOR TO THE BOARD OF DIRECTORS. THE ADDITIONAL TWO EX-OFFICIO DIRECTORS INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE SENIOR VICE PRESIDENT AND CFO OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, THE SUPPORTED ORGANIZATION OF ST. LUKE'S MEDICAL GROUP. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS ST. LUKE'S HEALTH CORPORATION APPROVES THE DECISIONS OF ST. LUKE'S MEDICAL GROUP'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS THE FORM 990 HAS BEEN DISCUSSED AND PRESENTED TO THE BOARD AND ITS COMMITTEES. THE ORGANIZATION PROVIDED A COPY OF THE FORM 990 TO ST. LUKE'S HEALTH CORPORATION'S EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING FOR REVIEW AND INPUT. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY PROVIDING THE POLICY AND QUESTIONNAIRE TO EACH BOARD MEMBER AT THE TIME OF APPOINTMENT AND TO EACH NEW EMPLOYEE AT THE TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER. EACH BOARD MEMBER AND KEY EMPLOYEE IS REQUIRED TO SIGN A STATEMENT ACKNOWLEDGING HE/SHE HAS READ, UNDERSTANDS, AND AGREES TO COMPLY WITH THE POLICY AS WELL AS SUBMIT THE COMPLETED QUESTIONNAIRE. ANY/ALL ACTUAL OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE FROM THE FORMS ARE DISCLOSED TO THE FINANCE, AUDIT & RISK COMMITTEE. THE FINANCE, AUDIT & RISK COMMITTEE ADDRESSES ANY POTENTIAL CONFLICT OF INTEREST AND TAKES APPROPRIATE ACTION TO RESOLVE ANY SUCH CONFLICT. THE ORGANIZATION CONSIDERS THE POSSIBILITY THAT BOARD MEMBERS OR KEY EMPLOYEES MAY INADVERTENTLY FAIL TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND PERFORMS DUE DILIGENCE TO ADDRESS AND RESPOND IN ACCORDANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION EXECUTIVE, KEY EMPLOYEE AND PHYSICIAN SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE ORGANIZATION ALSO ENGAGED CONSULTANTS FOR INDEPENDENT REVIEWS TO ENSURE COMPENSATION FOR CERTAIN OF THE ABOVE EMPLOYEES IS FAIR AND WITHIN MARKET PARAMETERS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS FOR EXECUTIVES AND KEY EMPLOYEES ARE PRESENTED TO THE COMPENSATION COMMITTEE TO APPROVE OR MODIFY. THE COMPENSATION COMMITTEE HAS REPRESENTATION FROM THE MEMBERS OF THE BOARD AND LEGAL COUNSEL. MINUTES ARE MAINTAINED OF THE DISCUSSIONS AND CONCLUSIONS OF THE COMMITTEE. 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