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0.00 X 310661 0 37031 9821212 5107560 918775 500 1 1 0 TRIMEDX LLC 5050 KINGSLY DR CINCINNATI OH 45227 EQUIPMENT MAINTENANCE 6366870 PARIC CORPORATION 77 WESTPORT PLAZA DR ST LOUIS MO 63146 CONSTRUCTION SERVICES 5214455 COMPREHENSIVE ANESTHESIA CARE 13209 CORPORATE EXCHANGE DR BRIDGETON MO 63044 PHYSICIAN CONTRACT SERVICES 4934171 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 4002746 IMAGEFIRST 900 E EIGHTH AVE SUITE 200 KING OF PRUSSIA PA 19406 LINEN SERVICES 1817231 88 X 396285 7778955 8044845 174907 16220085 PATIENT SERVICE REV. 621300 619416862 619416862 RETAIL PHARMACIES 456110 20100803 18115138 1985665 PHYSICIAN OFFICES RENT 621110 9401973 9401973 CAFETERIA INCOME 622110 2121329 2119448 1881 NONPATIENT LAB SERVICES 621500 1662063 1662063 3089682 2842303 247379 655792712 10433119 10433119 62755073 448912 60198520 62452 2556553 386460 2943013 2943013 51600 396285 236139 -184539 -184539 MISC REVENUE 900099 280354 280354 280354 685484744 651895724 3896988 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615578490 636273803 24527722 25991303 640106212 662265106 859504157 882850692 X 49241842 33769323 -60852271 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 95014 0 0 0 95014 0 PART II-B, LINE 1: APPROXIMATELY $95,014 OF THE DUES PAID TO VARIOUS TRADE ORGANIZATIONS FOR THE YEAR ENDED JUNE 30, 2025 ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES BY THE ORGANIZATION. 0 1 X 24527722 5725788 1345536 5607743 25991303 28125195 465179 1032948 5095600 24527722 26018554 3534048 829171 2256578 28125195 28961841 732916 -2800529 875674 26018554 26143988 357924 3126918 666989 28961841 0.90180 0.09820 0 0 15716070 15716070 414403311 287407221 126996090 33101413 20964562 12136851 291233732 257109620 34124112 2641016 2641016 191614139 DEFERRED COMPENSATION 2045000 PENSION ASSET 2581772 SPECIAL PURPOSE FUND 2388429 RIGHT OF USE LEASE ASSETS 20676858 INVESTMENTS 19675690 INTERCOMPANY RECEIVABLE 60257877 OTHER ASSETS 263317 107888943 DEFERRED COMPENSATION 2045000 INSURANCE RESERVES & OTHERS 26048673 MEDICARE REIMBURSEMENT 6675280 OPERATING LEASE LIABILITY 21394781 56163734 X PART IV, LINE 2B: THE HOSPITAL OBTAINS ONE MONTH'S WORTH OF DEPOSITS IN ADVANCE FOR ROOM AND BOARD CHARGES FOR SKILLED NURSING FACILITY PRIVATE PAY RESIDENTS. PART V, LINE 4: ENDOWMENT FUNDS CONSIST OF NINE INDIVIDUAL FUNDS, OF WHICH THREE WERE ESTABLISHED FOR INDIGENT CARE. ALL REALIZED INVESTMENT RETURNS ARE RELEASED TO OPERATIONS IN ACCORDANCE WITH THE DONOR RESTRICTIONS. PART X, LINE 2: ST. LUKE'S EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED IN 2025 OR 2024. X X X X X X 1 CCS FUNDRAISING 7733 FORSYTH BLVD 11TH FLOOR CLAYTON MO 63105 PROVIDES CAPITAL CAMPAIGN SERVICES 0 0 130900 -130900 130900 -130900 MO GALA EVENT 447885 396285 51600 62521 173618 447885 396285 51600 62521 173618 236139 -184539 1 1 X 1 X 1 X 1 1 0 1 1 39381 4854008 4774000 80008 0.00010 16026964 14182822 1844142 0.00290 39381 20880972 18956822 1924150 0.00300 1107218 1107218 0.00170 6984217 4596892 2387325 0.00380 4215 1591431 402864 1188567 0.00190 61669 61669 0.00010 4215 9744535 4999756 4744779 0.00750 43596 30625507 23956578 6668929 0.01050 1055 1055 0.00000 206202 206202 0.00030 1231 1231 0.00000 442 442 0.00000 143345 143345 0.00020 352275 352275 0.00050 1 4817985 1624847 155064013 165591214 -10527201 X 1 1 1 ST LUKE'S CENTER FOR DIAGNOSTIC IMAGING OUTPATIENT IMAGING SERVICES 0.31000 0.00000 0.18000 2 ST LUKE'S SURGERY CENTER OF CHESTERFIELD AMBULATORY SURGERY CENTER 0.78790 0.00000 0.21210 3 CITY PLACE SURGERY CENTER AMBULATORY SURGERY CENTER 0.66890 0.00000 0.33110 2 1 ST LUKE'S HOSPITAL 232 S WOODS MILL RD CHESTERFIELD MO 63017 WWW.STLUKES-STL.COM 274-50 X X X X 2 ST LUKE'S REHABILITATION HOSPITAL 14709 OLIVE BLVD CHESTERFIELD MO 63017 WWW.STLUKES-STL.COM/SERVICES 560-5 X REHABILITATION HOSPITAL ST LUKE'S HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 1 0 1 X STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 25 1 STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X 1 X STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE X STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE X STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ST LUKE'S REHABILITATION HOSPITAL 2 0 0 1 X X X X X X X X X 24 1 1 0 1 X STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 25 1 STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X X X 1 1 X X 1 X STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE X STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE X STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE X 1 X 0 X 0 X X 0 0 ST. LUKE'S HOSPITAL PART V, SECTION B, LINE 5: PART V, SECTION B, LINES 5 AND 6AST. LUKE'S CONTINUES TO COLLABORATE WITH OTHER REGIONAL HEALTH SYSTEMS IN THE CHNA PROCESS WITH THE GOAL OF ASSESSING AND POTENTIALLY ADDRESSING COMMUNITY HEALTH NEEDS TOGETHER. BECAUSE ALL LOCAL HEALTH SYSTEMS SERVE THE SAME POPULATIONS, PARTNER WITH THE SAME COMMUNITY ORGANIZATIONS, AND STRIVE TO ADDRESS THE MOST PREVALENT NEEDS IN THE AREA, IT IS APPROPRIATE TO COLLABORATE IN THE ASSESSMENT PROCESS WHEN COMMUNITY MEMBERS ARE ENGAGED. THE ST. LOUIS REGIONAL HOSPITAL CHNA COLLABORATIVE IS COMPRISED OF COMMUNITY HEALTH LEADERS FROM ST. LUKE'S, MERCY, SSM HEALTH, BJC HEALTHCARE, AND SHRINERS HOSPITALS FOR CHILDREN.THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS COLLECTED PRIMARY DATA THROUGH A ST. LOUIS REGIONAL COMMUNITY SURVEY AND A STAKEHOLDER FOCUS GROUP. BETWEEN MARCH AND JUNE 2024, THE ST. LOUIS REGIONAL HOSPITAL CHNA COLLABORATIVE DISSEMINATED A WEB-BASED COMMUNITY SURVEY THROUGHOUT THE ST. LOUIS AREA. THE SURVEY WAS AVAILABLE TO ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN AREA. AFTER SURVEY DATA WERE SUMMARIZED, THE REGIONAL HOSPITAL CHNA COLLABORATIVE HOSTED SIX REGIONAL STAKEHOLDER CONVERSATIONS (FOCUS GROUPS) WITH COMMUNITY PARTNERS FROM A WIDE VARIETY OF COMMUNITY- FACING ORGANIZATIONS WHO REPRESENT BROAD INTERESTS OF THE COMMUNITY. THE GOAL OF HOSTING STAKEHOLDER CONVERSATIONS WAS TO PRESENT THE SURVEY OUTCOMES AND GATHER ADDITIONAL DETAIL ABOUT THE DATA FROM EXPERTS IN THE FIELD, IN ADDITION TO DISCUSSING HOW WE MIGHT COLLABORATIVELY BUILD ON THE RESULTS SO THAT WE CAN ADDRESS THE MOST PRESSING NEEDS.ORGANIZATIONS REPRESENTED IN THE WEST/MID ST. LOUIS COUNTY STAKEHOLDER CONVERSATIONS INCLUDE THE FOLLOWING:AGING AHEADBJC BEHAVIORAL HEALTHCHIEF - EUREKA FIRE DISTRICTCIRCLE OF CONCERNDEACONESS FOUNDATIONNATIONAL ALLIANCE ON MENTAL ILLNESSOPERATION FOOD SEARCHPREVENTEDUNITED WAY OF GREATER ST. LOUISST. LUKE'SMERCY HOSPITAL ST. LOUISMISSOURI BAPTIST MEDICAL CENTER, BJC HEALTHCARE ST. LUKE'S HOSPITAL PART V, SECTION B, LINE 11: THE ST. LUKE'S HOSPITAL CHNA STEERING COMMITTEE REVIEWED RESULTS OF THE DATA ANALYSIS AND THE SIGNIFICANT HEALTH AND SOCIAL NEEDS THAT EMERGED, PRIORITIZING EACH CONSIDERING ST. LUKE'S ORGANIZATIONAL STRENGTHS AND PRIORITIES, INTERNAL AND PARTNER RESOURCES AVAILABLE, AND ST. LUKE'S ABILITY TO IMPACT AND SUPPORT THE ISSUE. AFTER REVIEWING AND DISCUSSING THE PRIORITY RANKINGS AND AVAILABLE RESOURCES, THE ST. LUKE'S HOSPITAL CHNA STEERING COMMITTEE RECOMMENDED FOCUSING FY2026-FY2028 COMMUNITY HEALTH IMPROVEMENT STRATEGIES AND RESOURCES TO IMPACT THE FOLLOWING PRIORITY HEALTH NEEDS: - OLDER ADULTS AND AGE-RELATED ILLNESSES - WEIGHT MANAGEMENT AND HEART HEALTH - CANCERTHE GOAL OF THE OLDER ADULTS AND AGE-RELATED ILLNESSES IMPLEMENTATION PLAN IS TO IMPROVE ACCESS, COLLABORATION, AND CONTINUITY OF CARE TO PROMOTE SAFE AND HEALTHY LIVING FOR OLDER ADULTS, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) INCREASE AWARENESS AND KNOWLEDGE TO PREVENT AND ADDRESS HEALTH ISSUES, 2) INCREASE ACCESS AND CONNECTIONS TO COMMUNITY SUPPORT SERVICES, AND 3) IMPROVE CONTINUITY OF CARE DURING AND AFTER HOSPITALIZATION TO ENSURE SAFE AND HEALTHY LIVING.THE GOAL OF THE WEIGHT MANAGEMENT AND HEART HEALTH IMPLEMENTATION PLAN IS TO IMPROVE HEALTHY WEIGHT STATUS THROUGH EDUCATION AND INCREASE OPPORTUNITIES TO EAT HEALTHY AND INCORPORATE PHYSICAL ACTIVITY, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE AND AWARENESS OF HEALTHY FOOD AND EXERCISE OPTIONS AND RESOURCES, AND 2) PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE AVAILABILITY OF HEALTHY FOOD AND EXERCISE OPTIONS.THE GOAL OF THE CANCER IMPLEMENTATION PLAN IS TO INCREASE OPPORTUNITIES FOR SCREENING AND EDUCATION, AND IMPROVE SUPPORT SERVICES AND RESOURCES TO REDUCE THE BURDEN OF CANCER IN OUR COMMUNITY, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) INCREASE CANCER SCREENING RATES, 2) IMPROVE AWARENESS OF CANCER CARE RESOURCES AND SERVICES, AND 3) STRENGTHEN CONNECTIONS AND REFERRALS TO COMMUNITY SUPPORT.THE ST. LUKE'S HOSPITAL CHNA PROCESS IDENTIFIED ADDITIONAL SIGNIFICANT HEALTH NEEDS, HOWEVER LIMITED RESOURCES REQUIRE THAT FOCUSED CHNA-RELATED INITIATIVES ALIGN WITH ST. LUKE'S ABILITY TO MAKE AN IMPACT. THE FOLLOWING COMMUNITY NEEDS WERE IDENTIFIED IN THE CHNA PROCESS, HOWEVER, WERE NOT SELECTED AS FOCUS AREAS IN ST. LUKE'S HOSPITAL'S 2025 CHNA.FOREIGN-BORN POPULATION: ST. LUKE'S IS COMMITTED TO PROVIDING ALL PATIENTS WITH QUALITY HEALTH CARE SERVICES, DELIVERED WITH DIGNITY AND CONCERN. TO ENSURE EFFECTIVE COMMUNICATION WITH PATIENTS AND FAMILY MEMBERS, ST. LUKE'S PROVIDES LANGUAGE TRANSLATION SERVICES THROUGH INTERPRETERS. DEVELOPMENT OF CHNA INITIATIVES TO ASSIST THE GROWING FOREIGN-BORN POPULATION WAS NOT SELECTED AS A SPECIFIC FOCUS, HOWEVER THE NEEDS OF THIS POPULATION WILL BE CONSIDERED WHEN DEVELOPING INITIATIVES FOCUSED ON THE SELECTED PRIORITY NEEDS.MENTAL HEALTH & SUBSTANCE ABUSE: WHILE COMMUNITY SURVEY RESPONDENTS AND STAKEHOLDER PARTNERS RANKED MENTAL HEALTH AS AN UNDER-RESOURCED AND ELEVATED CONCERN FOR OUR LOCAL COMMUNITY, ST. LUKE'S WILL NEED TO RELY ON PARTNERS TO PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO EFFECTIVELY ADDRESS THE PREVALENT NEEDS. ST. LUKE'S WILL CONTINUE TO PARTNER WITH COMMUNITY-BASED ORGANIZATIONS AND MENTAL HEALTH PROVIDERS BETTER SUITED TO ADDRESS THE MENTAL AND BEHAVIORAL HEALTH NEEDS OF OUR COMMUNITY FOR THE MOST EFFICIENT AND APPROPRIATE TRANSFER OF PATIENTS IN NEED.GEOGRAPHIC VULNERABILITIES - VALLEY PARK: AS AN EXISTING SERVICE PROVIDER, ST. LUKE'S IS COMMITTED TO CONTINUING TO OFFER HEALTH CARE SERVICES TO RESIDENTS OF VALLEY PARK. BEING A GEOGRAPHIC AREA WITH THE MOST VULNERABILITIES IN THE ST. LUKE'S HOSPITAL CHNA COMMUNITY, THE VALLEY PARK AREA WILL BE CONSIDERED FOR TARGETED INTERVENTIONS WHILE PLANNING FOR AND IMPLEMENTING INITIATIVES FOR THE SELECTED PRIORITY NEEDS.COMMUNITY WALKABILITY: COMMUNITY WALKABILITY IS AN AREA-WIDE ISSUE THAT WOULD REQUIRE CHANGES IN INFRASTRUCTURE AND POLICY. AT THIS TIME, ST. LUKE'S LACKS RESOURCES TO ENGAGE AT THE LEVEL OF COLLABORATION THAT WOULD RESULT IN CHANGES TO LOCAL INFRASTRUCTURE TO MAKE MEANINGFUL IMPROVEMENTS. COMMUNITY WALKABILITY WAS NOT SELECTED AS A PRIORITY NEED FOR CHNA FOCUSED INITIATIVES, HOWEVER ST. LUKE'S HOSPITAL'S SEASONAL WALKING GROUP ESTABLISHED THROUGH IMPLEMENTATION OF THE 2022 CHNA WILL CONTINUE TO BE OFFERED AND PROMOTED THROUGHOUT THE COMMUNITY GOING FORWARD. IN ADDITION, DEVELOPMENT OF INITIATIVES TO IMPACT WEIGHT MANAGEMENT WILL LIKELY INCLUDE OPPORTUNITIES FOR INCREASED PHYSICAL ACTIVITY. PUBLIC TRANSPORTATION: ST. LUKE'S LACKS THE EXPERTISE AND COMPETENCIES TO EFFECTIVELY ADDRESS IMPROVEMENTS TO PUBLIC TRANSPORTATION IN THE COMMUNITY. HOWEVER, CONSIDERATION WILL BE GRANTED DURING DEVELOPMENT OF COMMUNITY HEALTH INITIATIVES TO UNDERSTAND WHETHER THE TRANSPORTATION NEEDS OF RELATED POPULATIONS ARE SUBSTANTIAL ENOUGH TO EVALUATE OPTIONS TO IMPROVE ACCESS. AFFORDABLE HOUSING: ST. LUKE'S LACKS THE EXPERTISE AND COMPETENCIES TO EFFECTIVELY ADDRESS IMPROVEMENTS TO AFFORDABLE HOUSING IN THE ST. LUKE'S HOSPITAL CHNA COMMUNITY.ACCESS TO MEDICAID PROVIDERS: RESOURCE CONSTRAINTS LIMIT ST. LUKE'S ABILITY TO FOCUS INITIATIVES TO IMPROVE ACCESS TO MEDICAID PROVIDERS. ST. LUKE'S REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H: ST. LUKE'S REHABILITATION HOSPITAL MEDICAID PENDING. ST. LUKE'S REHABILITATION HOSPITAL PART V, SECTION B, LINE 16J: ST. LUKE'S REHABILITATION HOSPITALST. LUKE'S REHABILITATION HOSPITAL (THE REHAB HOSPITAL) RECEIVES PATIENTS ON A REFERRAL-ONLY BASIS, MANY OF WHOM ARE REFERRED BY ST. LUKE'S HOSPITAL. THE REHAB HOSPITAL HONORS THE FINANCIAL ASSISTANCE DETERMINATIONS MADE BY ST. LUKE'S HOSPITAL UNDER ITS FINANCIAL ASSISTANCE POLICY, WHICH IS PUBLICIZED WITHIN THE COMMUNITY SERVED BY BOTH FACILITIES. ON THE ST. LUKE'S HOSPITAL WEBSITE, ST. LUKE'S REHABILITATION HOSPITAL IS LISTED UNDER THE "SERVICES AND "LOCATIONS" TAB OF THE HOSPITAL "COMMITTED TO ASSISTING OUR PATIENTS IN FINDING THE INFORMATION THEY NEED REGARDING BILLING AND CHARGES FROM HEALTHCARE SERVICES OBTAINED AT ONE OF OUR FACILITIES". PART V, SECTION C ASIDE FROM THE ADDITIONAL DISCLOSURES FOR PART V, SECTION B, LINE 13H AND PART VI, SECTION B, LINES 16J AND 20E, THE SUPPLEMENTAL INFORMATION PROVIDED IN SCHEDULE H, PART V, SECTION C APPLIES TO BOTH ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS (ST. LUKE'S HOSPITAL) AND ST. LUKE'S REHABILITATION HOSPITAL (REHAB HOSPITAL). ADDITIONALLY, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COVERS ST. LUKE'S HOSPITAL AND THE REHAB HOSPITAL, AS IT IS INCLUDED IN ST. LUKE'S PROCESS AND STEERING COMMITTEE. 4 1 - ST LUKE'S HOSP SK NURS FAC-SURREY PLACE 14701 OLIVE BLVD CHESTERFIELD MO 63017 SKILLED NURSING / RESIDENTIAL CARE FACILITY 2 - ST LUKE'S HOSPITAL HOME HEALTH AGENCY 111 S WOODS MILL RD CHESTERFIELD MO 63017 HOME HEALTH SERVICES 3 - ST LUKE'S HOSPITAL HOSPICE 111 S WOODS MILL RD CHESTERFIELD MO 63017 HOSPICE CARE 4 - GATEWAY ENDOSCOPY CENTER 12855 N 40 DR SUITE 150 ST LOUIS MO 63141 GASTROINTESTINAL ENDOSCOPY PART I, LINE 6A: N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATIONPART I, LINE 7DURING FISCAL 2025, ST. LUKE'S RECEIVED A SUBSTANTIAL BEQUEST FROM THE ESTATE OF A LONGSTANDING DONOR. THE $4,774,000 CONTRIBUTION WAS APPLIED TO OFFSET CHARITY CARE PROVIDED TO PATIENTS DURING THE YEAR AND HAD A MATERIAL IMPACT ON ST. LUKE'S REPORTED COMMUNITY BENEFIT EXPENSE. AS A DIRECT RESULT OF THIS ONE-TIME DONATION, NET COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE AT COST (PART I, LINE 7A, COLUMN (E)) AND TOTAL NET COMMUNITY BENEFIT EXPENSE (PART I, LINE 7K, COLUMN (E)) ARE REPORTED SIGNIFICANTLY BELOW OUR HISTORICAL TREND. ABSENT THE DONATION, NET COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE AT COST WOULD HAVE BEEN $4,854,008, OR 0.8% OF TOTAL EXPENSE, AND TOTAL NET COMMUNITY BENEFIT EXPENSE WOULD HAVE BEEN $11,442,929, OR 1.8% OF TOTAL EXPENSE - UNDERSCORING THAT THE BEQUEST, RATHER THAN ANY REDUCTION IN ST. LUKE'S UNDERLYING COMMITMENT TO CHARITY CARE, ACCOUNTS FOR THE YEAR-OVER-YEAR DECLINE. PART I, LINE 7GN/A PART I, LN 7 COL(F): TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSELINE 7A: CHARITY CARE, 0.76%LINE 7B: UNREIMBURSED MEDICAID, 2.52 %LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 3.28 %LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.17 %LINE 7F: HEALTH PROFESSIONS EDUCATION, 1.10 %LINE 7G: SUBSIDIZED HEALTH SERVICES, 0.25 %LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.01 %LINE 7J: TOTAL OTHER BENEFITS, 1.53 %LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 4.81 %BAD DEBT EXPENSE SUBTRACTED FROM LINE 7, COLUMN (F): N/A-BAD DEBT IS AN IMPLICIT PRICE CONCESSION AND A REDUCTION OF PATIENT REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIESST. LUKE'S EMPLOYEES ENGAGE IN A VARIETY OF COMMUNITY-BUILDING PARTNERSHIPS AND ACTIVITIES TO SUPPORT AND IMPROVE THE HEALTH AND SAFETY OF INDIVIDUALS LIVING IN OUR SURROUNDING COMMUNITY. ACTIVITIES REPORTED IN PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE: COMMUNITY SUPPORT: ST. LUKE'S LEADERSHIP AND STAFF ARE INVOLVED ON LOCAL NONPROFIT BOARDS AND COMMITTEES INTENDED TO ADVANCE COMMUNITY HEALTH, SUCH AS THE GATEWAY FAMILY YMCA BOARD.WORKFORCE DEVELOPMENT: ST. LUKE'S HOSPITAL LEADERS PROVIDE CAREER PLANNING ADVICE, OPPORTUNITY, AND GUIDANCE TO ASSIST AND GUIDE STUDENTS ABOUT CAREERS IN THE HEALTHCARE INDUSTRY THROUGH JOB SHADOWING OPPORTUNITIES FOR HIGH SCHOOL AND COLLEGE STUDENTS, THE ST. LOUIS INTERNSHIP PROGRAM (SLIP), PARKWAY SPARK! EXPERIENTIAL LEARNING, AND ST. LUKE'S HEALTHCARE EXPLORERS POST.ADDITIONALLY, ST. LUKE'S COORDINATES VOCATIONAL SKILLS PROGRAMS TO SUPPORT DISABLED STUDENTS FROM THE COMMUNITY AND PROVIDE THEM WITH ON-THE-JOB TRAINING AND EXPERIENCE TO SUPPORT THEM ON THEIR PATH TO EMPLOYMENT.LEADERSHIP DEVELOPMENT AND TRAINING: ST. LUKE'S HOSPITAL SUPPORTS VISION ST. CHARLES LEADERSHIP DEVELOPMENT AND TRAINING THROUGH FINANCIAL SUPPORT AND STAFF INVOLVEMENT ON THE HEALTH SUBCOMMITTEE. COALITION BUILDING: ST. LUKE'S LEADERSHIP AND STAFF PARTICIPATE IN VARIOUS COLLABORATIVE EFFORTS WITH OTHER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS TO ADVANCE THE HEALTH AND SAFETY OF OUR COMMUNITY, INCLUDING A STRONG PARTNERSHIP WITH HEALING GRACE, PROVIDING HEALTH CARE TO THE UNINSURED. DISASTER READINESS: ST. LUKE'S STAFF PARTICIPATE IN REGIONAL DISASTER PREPAREDNESS COLLABORATIVES AND ENGAGES BEYOND WHAT IS REQUIRED OF ALL ORGANIZATIONS, INCLUDING INVOLVEMENT WITH THE FEDERAL DISASTER MEDICAL ASSISTANCE TEAM, INTERSTATE DISASTER MEDICAL COLLABORATION, ST. LOUIS AREA REGIONAL RESPONSE SYSTEM, AND ST. LOUIS MEDICAL OPERATIONS CENTER. PART III, LINE 2: COST TO CHARGE RATIO PART III, LINE 3: BAD DEBTST. LUKE'S CONSIDERS THIS PORTION OF BAD DEBT EXPENSE A COMMUNITY BENEFIT AS IT IS THE ADDITIONAL COST OF PROVIDING FINANCIAL ASSISTANCE TO THE COMMUNITY. PART III, LINE 4: NOTE 3 - PATIENT SERVICE REVENUE AND OTHER OPERATING REVENUE (ST. LUKE'S HEALTH CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS) - "ST. LUKE'S DETERMINES THE TRANSACTION PRICE, WHICH INVOLVES SIGNIFICANT ESTIMATES AND JUDGMENT, BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY EXPLICIT AND IMPLICIT PRICE CONCESSIONS, INCLUDING CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS IN ACCORDANCE WITH ST. LUKE'S POLICY, AND IMPLICIT PRICE CONCESSIONS BASED ON THE HISTORICAL COLLECTION EXPERIENCE OF PATIENT ACCOUNTS. ST. LUKE'S DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE WITH MEDICARE, MEDICAID, MANAGED CARE PROGRAMS, AND OTHER THIRD-PARTY PAYORS BASED ON REIMBURSEMENT TERMS PER CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. PAYMENT ARRANGEMENTS WITH THOSE PAYORS INCLUDE PROSPECTIVELY DETERMINED RATES PER ADMISSION OR VISIT, REIMBURSED COSTS, DISCOUNTED CHARGES, PER DIEM RATES AND VALUE-BASED PAYMENTS. REPORTED COSTS AND/OR SERVICES PROVIDED UNDER CERTAIN OF THESE ARRANGEMENTS ARE SUBJECT TO RETROACTIVE AUDIT AND ADJUSTMENT. PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS) ARE RECORDED DURING THE PERIOD THE HEALTH CARE SERVICES ARE PROVIDED AND ARE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. ESTIMATES OF CONTRACTUAL ALLOWANCES UNDER MANAGED CARE HEALTH PLANS ARE BASED UPON THE SERVICES PROVIDED HISTORICAL PAYMENT RATES, AND THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUES RELATED TO UNINSURED PATIENTS HAVE DISCOUNTS APPLIED IN ACCORDANCE WITH ST. LUKE'S POLICY." PART III, LINE 8: PROVISION OF CARE TO MEDICARE BENEFICIARIES MEETS A NEED IN THE COMMUNITY AND ANY SHORTFALL IS CONSIDERED TO BE A COMMUNITY BENEFIT.COSTING METHODOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COSTS - COST TO CHARGE RATIOS/MEDICARE COST REPORT. PART III, LINE 9B: COLLECTION POLICY REGARDING PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE - ST. LUKE'S HOSPITAL HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM ST. LUKE'S HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT IMPOSE WAGE GARNISHMENTS OR FORCE A FORECLOSURE ON PRIMARY RESIDENCES, WILL NOT IMPOSE ACTIONS THAT FORCE BANKRUPTCY AND WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES. UNPAID BALANCES WILL NOT BE REPORTED TO THE CREDIT BUREAU UNTIL AT LEAST 6 MONTHS FROM PLACEMENT DATE AND ONLY IF PATIENTS ARE NOT COOPERATING WITH PAYING THEIR BALANCE.ST. LUKE'S HOSPITAL ADHERES TO THE LAWS OF THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND PATIENTS ARE TREATED WITH DIGNITY, RESPECT AND IN LINE WITH OUR MISSION AND VALUES. PART VI, LINE 2: NEEDS ASSESSMENTIN ADDITION TO CONDUCTING A FORMAL CHNA EVERY THREE YEARS, ST. LUKE'S CONTINUOUSLY MONITORS THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY THROUGH VARIOUS APPROACHES, MOST DIRECTLY THROUGH THE ST. LUKE'S COMMUNITY BENEFIT PROGRAM AND DEDICATED COMMUNITY BENEFIT STAFF. THE ST. LUKE'S COMMUNITY BENEFIT COORDINATOR PARTICIPATES IN COMMUNITY COLLABORATIONS AND COALITIONS INCLUDING ONGOING REGIONAL HOSPITAL COMMUNITY HEALTH COLLABORATION WITH OTHER LOCAL HOSPITAL SYSTEMS TO INTENTIONALLY ADDRESS OUTSTANDING REGIONAL NEEDS EFFICIENTLY AND EFFECTIVELY. ADDITIONAL COMMUNITY ASSESSMENT IS ACHIEVED THROUGH INVOLVEMENT IN THE LOCAL HEALTH DEPARTMENT HEALTH ASSESSMENT PROCESS; PARTICIPATION ON THE COMMISSION ON CANCER STEERING COMMITTEE AND ANNUAL DEVELOPMENT OF FOCUSED EFFORTS TO ADDRESS OUTSTANDING SCREENING AND PREVENTION NEEDS; ADVISING ON MISSOURI HOSPITAL ASSOCIATION COMMUNITY HEALTH INITIATIVES INTENDED TO BETTER ASSIST STATE HOSPITALS TO ADDRESS HEALTH EQUITY; COLLABORATION WITH PARTNERS THROUGH THE ALLIANCE FOR HEALTHY COMMUNITIES COALITION TO ADDRESS SUBSTANCE ABUSE AND MISUSE; AND ONGOING MARKET ASSESSMENT AND RESEARCH THROUGH LOCAL CURRENT EVENTS, COMPETITOR ACTIVITY, AND LITERATURE REVIEW. ADDITIONALLY, HOSPITAL LEADERSHIP AND MEMBERS OF THE MANAGEMENT TEAM SERVE ON COMMUNITY BOARDS AND PARTNER WITH COMMUNITY ORGANIZATIONS. COMMUNITY OUTREACH STAFF SERVE MEMBERS OF THE COMMUNITY THROUGH A VARIETY OF SCREENINGS, EDUCATION, AND HEALTH COACHING EVENTS, WHICH PROVIDE ADDITIONAL ASSESSMENT OF THE OUTSTANDING HEALTH NEEDS THAT ARE IMPORTANT TO OUR COMMUNITY. CARE MANAGEMENT STAFF INTERACTIONS WITH PATIENTS PROVIDE ONGOING MONITORING AND SERVE AS IMPORTANT INPUT FOR ADDRESSING PATIENT NEEDS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS ARE INFORMED ABOUT ST. LUKE'S FINANCIAL ASSISTANCE AND THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS IN A NUMBER OF WAYS:-FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO PATIENTS DURING THEIR STAY.-PATIENT FINANCIAL SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO PROVIDE PATIENTS WITH THEIR EXPECTED AMOUNTS DUE AND DISCUSS PAYMENT / DISCOUNT OPTIONS.-DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING TO PATIENTS ON THE PHONE ABOUT THEIR ACCOUNT BALANCES.-INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS LOCATED ON OUR WEBSITE, OUR BILLING STATEMENTS, AS WELL AS OUR REGISTRATION BOOKLETS/BROCHURES AND SIGNAGE IN ALL REGISTRATION AREAS.-APPLICATIONS ARE AVAILABLE FREE OF CHARGE BY MAIL OR PHONE AND CAN BE OBTAINED ON OUR WEBSITE.-FINANCIAL COUNSELORS SCREEN PATIENTS FOR MEDICAID ELIGIBILITY TO ASSIST WITH ENROLLMENT IN THE STATE MEDICAID PROGRAM.-CERTIFIED APPLICATION COUNSELORS ARE AVAILABLE TO PATIENTS AND MEMBERS OF THE COMMUNITY TO ASSIST THEM WITH ENROLLING IN AN INSURANCE PLAN ON THE MARKETPLACE.-PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. PART VI, LINE 4: COMMUNITY INFORMATIONST. LUKE'S HOSPITAL DEFINES ITS COMMUNITY SERVED BASED ON A GEOGRAPHIC AREA OF ZIP CODES WHERE MOST PATIENTS WHO RELY ON ST. LUKE'S HOSPITAL FOR CARE RESIDE, INCLUDING POPULATIONS WITH GREATER NEEDS AND DISPARITIES THAT MAY LEAD TO POOR HEALTH OUTCOMES. REVIEW OF ST. LUKE'S HOSPITAL INPATIENT VOLUME AND MARKET SHARE BY ZIP CODE IDENTIFIED THE ZIP CODES FROM WHICH MOST PATIENTS RELY ON ST. LUKE'S HOSPITAL FOR CARE.TO ENSURE THAT ST. LUKE'S DOES NOT EXCLUDE FROM THE ASSESSMENT THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS, AN ASSESSMENT OF SOCIOECONOMIC STATUS BY ZIP CODE WAS ALSO INCLUDED IN THE PROCESS TO DEFINE COMMUNITY SERVED. THE SOCIOECONOMIC STATUS RANK, PROVIDED THROUGH EXPLOREMOHEALTH, HIGHLIGHTS NEARBY POPULATIONS WHO ARE MORE LIKELY TO EXPERIENCE HEALTH DISPARITIES AND MAY NOT RECEIVE MEDICAL CARE DUE TO INSURANCE STATUS, GEOGRAPHIC, LANGUAGE, OR FINANCIAL BARRIERS. DEFINING THE ST. LUKE'S HOSPITAL CHNA GEOGRAPHIC AREA BASED ON ZIP CODE-LEVEL VOLUME, MARKET SHARE, AND SOCIOECONOMIC STATUS ALLOWS FOR A FOCUSED ASSESSMENT TO IMPACT AREAS MOST SIGNIFICANT TO OUR ORGANIZATION. BASED ON REVIEW OF ALL DATA ELEMENTS RELATED TO THE ST. LUKE'S HOSPITAL CHNA COMMUNITY, THE ST. LUKE'S HOSPITAL CHNA STEERING COMMITTEE APPROVED A CHNA GEOGRAPHY COMPRISED OF 11 ZIP CODES.COMPARED TO ITS ST. LOUIS COUNTY BENCHMARK, THE ST. LUKE'S HOSPITAL CHNA POPULATION HAS GROWN MORE RAPIDLY, INCLUDES A HIGHER PROPORTION OF OLDER ADULTS, IS LESS RACIALLY DIVERSE, AND INCLUDES A HIGHER PROPORTION OF FOREIGN-BORN RESIDENTS AND PEOPLE OF ETHNIC DESCENT.THE ST. LUKE'S HOSPITAL CHNA POPULATION INCREASED BETWEEN 2010 AND 2020 BY 4.5% COMPARED TO 0.52% GROWTH IN ST. LOUIS COUNTY DURING THE SAME PERIOD. THE POPULATION CHANGE WAS GREATEST IN DES PERES (63131) WITH 8.8% GROWTH AND WAS ALSO WELL ABOVE BENCHMARK IN CHESTERFIELD (63005) AT 8.4%, ST. LOUIS (63146) AT 7.5%, AND KIRKWOOD (63122) AT 7.3%. RESIDENTS AGED 45-64 YEARS REPRESENT THE LARGEST AGE GROUP IN THE ST. LUKE'S HOSPITAL CHNA POPULATION; COMPARATIVELY, THE 18-44 AGE GROUP REPRESENTS THE LARGEST AGE GROUP IN ST. LOUIS COUNTY IN AGGREGATE. THE 65+ AGE GROUP IS PROPORTIONATELY HIGHER THAN THE ST. LOUIS COUNTY BENCHMARK. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHAS A COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL'S BOARD IS REPRESENTATIVE OF A MAJORITY OF VOLUNTEER COMMUNITY MEMBERS WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF ST. LUKE'S, BUT ARE COMMUNITY LEADERS WHOSE PRIMARY INTEREST IN BOARD INVOLVEMENT IS TO ENSURE THE HEALTH OF OUR REGION. ST. LUKE'S EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY BASED ON ORGANIZATIONAL AND COMMUNITY NEED. ALL SURPLUS FUNDS OF THE ORGANIZATION ARE REINVESTED IN THE FACILITIES TO IMPROVE PATIENT CARE THROUGH A SYSTEMATIC CAPITAL APPROVAL AND ALLOCATION PROCESS TO ENSURE COMMUNITY AND ORGANIZATION NEEDS ARE PRIORITIZED AND ADDRESSED.TO FURTHER PROMOTE THE HEALTH OF OUR COMMUNITY, ST. LUKE'S ENGAGES IN THE FOLLOWING ONGOING INITIATIVES TO INCREASE ACCESS TO HEALTH CARE SERVICES, IMPROVE THE HEALTH OF OUR COMMUNITY, AND TO EDUCATE COMMUNITY MEMBERS ON MEDICAL AND HEALTH TOPICS: - COMMUNITY EDUCATION FOCUSED ON PREVENTION AND HEALTH BEHAVIOR MODIFICATION THROUGH IN-PERSON AND VIRTUAL CLASSES, PRINT INFORMATION AND NEWSLETTERS, RADIO AND TV APPEARANCES, ONLINE APPLICATIONS AND RESOURCES, AND INDIVIDUAL HEALTH COACHING. - COMMUNITY-BASED CLINICAL SERVICES THAT DO NOT GENERATE A PATIENT BILL INCLUDING BLOOD DRIVES, VACCINATION CLINICS, BIOMETRIC SCREENINGS, COLORECTAL CANCER SCREENINGS, AND MAMMOGRAMS. - HEALTH CARE SUPPORT SERVICES TO EXTEND ACCESS AND CONNECT ANY COMMUNITY MEMBER WITH SERVICES INCLUDING FINANCIAL RESOURCES IN THE COMMUNITY, MEDICATION ASSISTANCE, TRANSPORTATION ASSISTANCE, GENETIC COUNSELING AND TESTING, AND FACILITATING CONNECTIONS WITH COMMUNITY-BASED ORGANIZATIONS AND RESOURCES. - HEALTH PROFESSIONS EDUCATION TO ADVANCE KNOWLEDGE OF MEDICAL PROFESSIONALS AND STUDENTS INCLUDING GRADUATE MEDICAL EDUCATION, CONTINUING MEDICAL EDUCATION, PASTORAL CARE, PHARMACY, RADIOLOGY, ULTRASOUND, NUCLEAR MEDICINE, THERAPY SERVICES, AND NURSING. - SUBSIDIZED HEALTH SERVICES PROVIDED DESPITE A FINANCIAL LOSS, INCLUDING ST. LUKE'S PEDIATRIC CARE CENTER, THE ALBERT PUJOLS WELLNESS CENTER FOR ADULTS WITH DOWN SYNDROME, AND THE HEALING GRACE CLINIC. - CASH DONATIONS TO NONPROFIT ORGANIZATIONS WITH COMMUNITY BENEFIT INTENT AND IN-KIND DONATIONS INCLUDING ONSITE USE OF MEETING SPACE FREE OF CHARGE TO LOCAL NONPROFITS. IN ADDITION, ST. LUKE'S EXTENDS ITS HEALTHY WORKFORCE WORKSITE WELLNESS PROGRAM THROUGHOUT THE COMMUNITY TO PROACTIVELY ADDRESS HEALTH NEEDS AND PROMOTE HEALTHY LIVING THROUGH EDUCATION AND HEALTH SCREENINGS AMONG EMPLOYEES OF AREA ORGANIZATIONS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMN/A PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORTN/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA) 1 ALZHEIMERS ASSOCIATION 9370 OLIVE BLVD ST LOUIS MO 63132 431237069 501C3 7500 0 GENERAL SUPPORT CHESTERFIELD REGIONAL CHAMBER 101 CHESTERFIELD BUSINESS PARKWAY CHESTERFIELD MO 63005 431096294 501C6 6000 0 GENERAL SUPPORT 1 1 PART I, LINE 2: THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE, ALTHOUGH THERE IS NO FORMAL MONITORING OR REVIEW PROCESS. ST. LUKE'S PROVIDES SUPPORT TO ORGANIZATIONS WITH POSITIVE COMMUNITY PERCEPTION WHO PROVIDE COMMUNITY SUPPORT IN LINE WITH ST. LUKE'S MISSION. X 1 1 X X X X X X 1 1 0 1 0 0 0 0 0 JASON EDWARDS MD RADIATION ONCOLOGIST 1519696 0 0 0 0 0 14663 0 0 0 1534359 0 0 0 JOSEPH SOKHN MD ONCOLOGIST 0 1186180 0 0 0 0 0 14663 0 25579 0 1226422 0 0 ANDREW BAGNALL PRESIDENT & CEO 860894 0 175000 0 0 0 11213 0 26207 0 1073314 0 0 0 MAGED HAIKAL MD CHIEF OF MEDICINE 0 929171 0 0 0 0 0 31912 0 8458 0 969541 0 0 JOSEPH CRAFT MD CARDIOLOGIST 0 699554 0 0 0 0 0 14663 0 23863 0 738080 0 0 ERIC JENKINS MD PHYSICIAN CVICU 674007 0 1775 0 0 0 21563 0 25663 0 723008 0 0 0 MARTHA FLEISCHMANN FORMER OFFICER 377710 0 31250 0 259615 0 31913 0 4581 0 705069 0 0 0 BRIAN PETERSON MD CARDIOTHORACIC SURGEON-THRU 12/31/24 0 641520 0 0 0 0 0 12938 0 25402 0 679860 0 0 SAMUEL FLANDERS MD EXECUTIVE VP QUALITY-THRU 4/18/25 615962 0 0 0 0 0 12938 0 25663 0 654563 0 0 0 RONALD LEIDENFROST MD CHAIRMAN HEART & VASCULAR INST 0 604220 0 0 0 0 0 31912 0 8458 0 644590 0 0 JAMIE HAAS MD SLEEP MEDICINE PHYSICIAN 578330 0 0 0 0 0 14663 0 26384 0 619377 0 0 0 DARREN HASKELL MD CHIEF MEDICAL OFFICER 0 466515 0 66185 0 0 0 25013 0 25663 0 583376 0 0 JINGJUAN MIN MD HOSPITALIST 524048 0 0 0 0 0 21563 0 12357 0 557968 0 0 0 JEFFREY THOMPSON MD OB/GYN 0 501710 0 0 0 12505 0 14663 0 25663 0 554541 0 0 MUNEEB AHMAD PHYSICIAN ICU/CVICU 449512 0 0 0 0 0 12938 0 8660 0 471110 0 0 0 RYAN MILLER CHIEF OPERATING OFFICER 405064 0 18984 0 0 0 11213 0 26384 0 461645 0 0 0 MICHAEL KLEVENS MD NTWRK VP IMMED CARE SERV-THRU 05/25 403311 0 8898 0 0 0 21563 0 25603 0 459375 0 0 0 JONATHAN VITIELLO SVP & CFO 377290 0 33047 0 0 0 0 0 19248 0 429585 0 0 0 DON MILLER NETWORK VP FACILITIES 341224 0 15724 0 19098 0 25013 0 16984 0 418043 0 0 0 SCOTT B JOHNSON CHIEF STRATEGY OFFICER 360603 0 22806 0 0 0 6900 0 25663 0 415972 0 0 0 NATHAN BIGLER CHIEF PEOPLE OFFICER 348235 0 21781 0 0 0 11212 0 26126 0 407354 0 0 0 SCOTT HOLTSWARTH VP/NETWORK CIO-THRU 3/31/25 321214 0 12134 0 12445 0 31913 0 13818 0 391524 0 0 0 DIANE RAY FORMER KEY EMPLOYEE 284411 0 26250 0 0 0 32097 0 4934 0 347692 0 0 0 JON BETTALE VICE PRESIDENT SURGICAL SVCS 279562 0 12589 0 0 0 21062 0 8458 0 321671 0 0 0 SHARON MERTZLUFFT N VP & EXEC DIRECTOR-THRU 8/19/24 261731 0 0 0 11629 0 11727 0 11335 0 296422 0 0 0 SHAWN HARRIS NETWORK VP OF FINANCE 145383 0 10000 0 0 0 0 0 7703 0 163086 0 0 0 PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES OR FEES THE ORGANIZATION PAYS SPECIFIC SOCIAL CLUB DUES OR FEES INCURRED FOR BUSINESS PURPOSES; SUPPORTING DOCUMENTATION IS REQUIRED PRIOR TO PAYMENT. EXPENSES INCURRED FOR PERSONAL USE OF THE SOCIAL CLUB ARE PAID BY THE EXECUTIVE. ONE LISTED INDIVIDUAL RECEIVED THIS BENEFIT DURING THE YEAR. PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2024: MARTHA FLEISCHMANN, $230,769. CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. NO INDIVIDUALS LISTED IN PART VII RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2024. PART I, LINE 5 THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATION. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD OBJECTIVE. THE INCENTIVE COMPENSATION PLAN IS DETERMINED BY A FIXED FORMULA BASED ON ACHIEVING CERTAIN GOALS AND OBJECTIVES EACH YEAR. THE OBJECTIVES ARE BUILT AROUND FOUR PERSPECTIVES, INCLUDING: 1. QUALITY & PATIENT SATISFACTION 2. FINANCIAL PERFORMANCE 3. EXECUTIVE INDIVIDUAL GOALS 4. EXECUTIVE'S INTERNAL BUSINESS (DIVISION) GOALS THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS AND DEPARTMENT DIRECTORS OF THE HOSPITAL. A HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 60637AKH4 2015-11-12 34089886 SEE PART VI 0 0 0 B HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 NONEAVAIL 2016-12-20 14100200 SEE PART VI 0 0 0 C HEALTH & EDUCATIONAL FACILITIES - STATE OF MO 431178966 60637AQL9 2019-06-20 60066599 SEE PART VI 0 0 0 A 34460816 10024338 24436478 2016 1 0 1 1 B 11686553 14354602 100200 14254402 2021 0 0 1 1 C 60361294 768432 34592280 25000000 609 2023 0 0 1 1 A 0 1 1 0 1 0 0 0 1 B 0 0 0 0 0 0 1 C 0 1 1 0 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: HEALTH & EDUCATIONAL FACILITIES - STATE OF MO DATE THE REBATE COMPUTATION WAS PERFORMED: 06/10/2024 PART I, SECTION A, COLUMN F 2015 (SERIES 2015B) BONDS ISSUED NOVEMBER 12, 2015 AT A FIXED RATE WITH PROCEEDS OF $34 MILLION USED IN PART TO REFUND A PORTION OF THE SERIES 2006 BONDS (ISSSUED JANUARY 9, 2007) AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS. PART I, SECTION B, COLUMN F 2016 BONDS ISSUED DECEMBER 20, 2016 AT A FIXED RATE WITH PROCEEDS OF $14 MILLION USED TO FINANCE CAPITAL IMPROVEMENTS. PART I, SECTION C, COLUMN F 2019 BONDS ISSUED JUNE 20, 2019 AT A FIXED RATE WITH PROCEEDS OF $60 MILLION USED TO USED IN PART TO REFUND A PRIOR TAXABLE LOAN AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS. PART II, LINE 3, COLUMN A THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND AND FUNDS TRANSFERRED FROM DEBT SERVICE FUND FOR THE REFUNDED BONDS. PART II, LINE 3, COLUMN B THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND. PART II, LINE 3, COLUMN C THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND. PART II, LINE 11, COLUMN A PROCEEDS ISSUED TO CURRENTLY REFUND PRIOR ISSUE. PART III, LINE 2 ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS MAY HAVE LEASE ARRANGEMENTS IN BOND-FINANCED SPACE. THE HOSPITAL MONITORS ALL SUCH LEASES AND WORKS ROUTINELY WITH BOND COUNSEL TO REVIEW AND DETERMINE WHETHER AN EXCEPTION TO OR EXCLUSION FROM PRIVATE BUSINESS USE APPLIES, THAT THERE IS SUFFICIENT EQUITY TO OFFSET ANY PRIVATE BUSINESS USE OR, IF NECESSARY, TO CALCULATE THE AMOUNT OF PRIVATE BUSINESS USE AND ENSURE POST-ISSUANCE COMPLIANCE REQUIREMENTS ARE MET. X 10 174907 FMV 0 0 1 1 PART I, LINE 32B: THE ORGANIZATION USES AN OUTSIDE TRUST COMPANY TO SELL EQUITY SECURITIES CONTRIBUTED TO THE ORGANIZATION. PART 1 COLUMN (B) THE NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF INDIVIDUAL CONTRIBUTIONS RECEIVED. PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION OUR MISSION WE ARE DEDICATED TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME. OUR VISION ST. LUKE'S WILL BE AN INTEGRATED, NATIONALLY RECOGNIZED, AWARD-WINNING HEALTH SYSTEM. LIVING OUR MISSION MISSION OUTREACH IS A FOUNDING PRINCIPLE OF ST. LUKE'S, WHICH CARED FOR ITS FIRST PATIENT ON FEBRUARY 28, 1866. WE CELEBRATE FOUNDERS' DAY TO REMEMBER OUR HERITAGE AND TO HONOR OUR FOUNDERS, WHOSE VISION WE CONTINUE TO LIVE OUT EACH DAY. WE ALSO REAFFIRM OUR MISSION, WHICH IS THE FOUNDATION SUPPORTING OUR SERVICE IN AND TO THE COMMUNITY. ST. LUKE'S LIVES ITS MINISTRY OF HEALING BY DEDICATING ITSELF TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT THROUGH THE WIDE ARRAY OF SERVICES IT MAKES AVAILABLE TO THE ST. LOUIS METROPOLITAN AREA. OUR MISSION COMMITMENT INCLUDES THE VITAL AREAS OF COMMUNITY OUTREACH, COMMUNITY HEALTH, COMMUNITY HEALTH INFORMATION/EDUCATION AND COMMUNITY SERVICES. ST. LUKE'S VISION AS AN INDEPENDENT HEALTHCARE SYSTEM IS TO BE AN INTEGRATED, NATIONALLY RECOGNIZED, AWARD-WINNING HEALTH SYSTEM THROUGH OUR COMMITMENT TO HIGH QUALITY, SAFE AND PERSONALIZED SERVICES. WE STRESS EDUCATION REGARDING LIFESTYLES, NUTRITION, IMMUNIZATION AND OTHER METHODS OF MAINTAINING THE HEALTH OF THE BODY AND THE SPIRIT. WE FIND NEW AND INNOVATIVE MEANS OF BRINGING THIS MESSAGE TO THE COMMUNITY, INCLUDING THE UNDERSERVED. ST. LUKE'S PROVIDES QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. AS WE CONTINUE TO PROVIDE QUALITY, SAFE AND COMPASSIONATE CARE TO HEAL THE ACUTELY ILL IN OUR HOSPITALS AND OTHER LOCATIONS IN A COST-EFFICIENT MANNER, WE HAVE ALSO INCREASED OUR EFFORTS TO ASSIST THOSE WHO ARE LIVING WITH CHRONIC DISEASE IN THEIR HOMES, TO RELIEVE THEIR SUFFERING AND IMPROVE THEIR QUALITY OF LIFE. ST. LUKE'S HOME HEALTH AND HOSPICE SERVICES ARE INTEGRAL TO THIS EFFORT. AS A NOT-FOR-PROFIT ORGANIZATION, ST. LUKE'S CONTINUES TO PROVIDE MUCH NEEDED CHARITABLE CARE TO PEOPLE THROUGHOUT THE ST. LOUIS AREA. WE ALSO SUPPORT A WIDE VARIETY OF COMMUNITY CAUSES AND OUTREACH EFFORTS, BOTH EXTERNALLY AND INTERNALLY, FROM SPONSORING FREE CLINICS AND SCREENINGS FOR THE UNDERSERVED TO MAKING AVAILABLE AN EMPLOYEE CRISIS FUND WHICH SERVES TEAM MEMBERS IN NEED. THESE IMPORTANT ENDEAVORS REFLECT OUR MISSION TO SERVE BY PROVIDING SERVICES FOR THOSE WHO MAY OTHERWISE GO WITHOUT. AS WE RECEIVE INPUT, WE MEASURE AND EVALUATE OUR EFFORTS TO BE SURE THAT WHAT WE DO BRINGS BENEFIT TO THE PEOPLE IN OUR COMMUNITY. WE CONTINUALLY REFINE OUR APPROACHES TO MAINTAIN AND IMPROVE COMMUNITY HEALTH AND WELLNESS. PART III, LINE 4A DESCRIPTION OF SERVICES PROVIDED MEDICALLY NECESSARY HEALTH SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. OUR INDEPENDENT HEALTH SYSTEM PROVIDES PERSONALIZED HEALTHCARE SERVICES AT OUR 493-BED HOSPITAL IN CHESTERFIELD, MISSOURI AND ABOUT 30 OTHER LOCATIONS ACROSS THE GREATER ST. LOUIS AREA, INCLUDING AN OUTPATIENT CENTER, A SKILLED NURSING/RESIDENTIAL CARE FACILITY, SEVEN URGENT CARE CENTERS, TWO WALK-IN CLINICS, A REHABILITATION HOSPITAL, DIAGNOSTIC IMAGING CENTERS, PHYSICIAN OFFICES, HOME HEALTH SERVICES AND HOSPICE SERVICES. NATIONALLY RECOGNIZED FOR EXCELLENCE IN HEALTHCARE QUALITY, SAFETY AND PATIENT EXPERIENCE, ST. LUKE'S OFFERS CARE IN MORE THAN 60 SPECIALTY AREAS INCLUDING CARDIOLOGY AND CARDIOVASCULAR SURGERY, CANCER CARE, ORTHOPEDICS, NEUROSURGERY AND NEUROLOGY, WOMEN'S SERVICES (INCLUDING OBSTETRICS), URGENT CARE, PULMONARY MEDICINE, SLEEP MEDICINE AND WELLNESS SERVICES FOR ADULTS WITH DOWN SYNDROME. TO FURTHER OUR MISSION OF PROVIDING CARE FOR THE MEDICALLY UNDERSERVED AND UNDERINSURED, ST. LUKE'S OPERATES A PEDIATRIC CARE CENTER WHICH PROVIDES HEALTHCARE TO CHILDREN IN A PRIVATE PRACTICE SETTING AS WELL AS EDUCATION AND SOCIAL SUPPORT SERVICES TO THEIR FAMILIES. ST. LUKE'S HAS A ROBUST VOLUNTEER PROGRAM. OUR VOLUNTEER SERVICES DEPARTMENT HAS ABOUT 176 VOLUNTEERS WHO SERVE IN MORE THAN 30 DEPARTMENTS/SITES ACROSS ST. LUKE'S HEALTH SYSTEM. VOLUNTEERS ASSIST BY TRANSPORTING PATIENTS AND VISITORS BY WHEELCHAIR, STOCKING SUPPLIES, GREETING AND DIRECTING VISITORS TO OUR CAMPUS, AND SERVING IN CLERICAL AND RECEPTIONIST ROLES. VOLUNTEERS CONTRIBUTE AN AVERAGE OF 35,000 HOURS OF SERVICE A YEAR. ST. LUKE'S IS CONSISTENTLY RECOGNIZED WITH NATIONAL HONORS FOR EXCELLENCE IN HEALTHCARE QUALITY, SAFETY AND PATIENT EXPERIENCE. RECENT HONORS AND AWARDS INCLUDE: - ST. LUKE'S RECOGNIZED AS ONE OF THE BEST HOSPITALS BY U.S. NEWS & WORLD REPORT, 2025-2026 - HEALTHGRADES 2025 OUTSTANDING PATIENT EXPERIENCE AWARD, 2011-2025 - ONE OF HEALTHGRADES AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY FOR 8 YEARS IN A ROW, 2019-2026 - FIVE-STAR RATINGS FROM HEALTHGRADES FOR CORONARY BYPASS SURGERY, CORONARY INTERVENTIONAL PROCEDURES, TREATMENT OF HEART ATTACK, VALVE SURGERY, REPAIR OF ABDOMINAL AORTA, COLORECTAL SURGERIES AND OUTPATIENT PROSTATE CARE, 2026. - ST. LUKE'S HOSPITAL NAMED ONE OF THE BEST HOSPITALS FOR MATERNITY BY U.S. NEWS & WORLD REPORT, 2025 - ST. LUKE'S SURREY PLACE NAMED A BEST NURSING HOME FOR SHORT-TERM REHABILITATION, U.S. NEWS & WORLD REPORT, 2026 - ST. LUKE'S SURREY PLACE NAMED TO NEWSWEEK "AMERICA'S BEST NURSING HOMES 2025" - WOMEN'S CHOICE AWARD, WOMENCERTIFIED INC., 2015-2025 - "TOP DOCTORS, 2025," CASTLE CONNOLLY, ST. LOUIS MAGAZINE PART III, LINE 4B (CONTINUED) RESOURCES INVESTED AND PROGRAM SERVICES TO SUPPORT MISSION IN SUPPORT OF OUR MISSION, ST. LUKE'S PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, WHICH INCLUDES THOSE WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. IN ADDITION, THE ORGANIZATION PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE LESS THAN THE RELATED COSTS FOR THE SERVICES PROVIDED TO THE RECIPIENTS. EACH YEAR, WE INVEST CONSIDERABLE RESOURCES TO IMPROVE THE HEALTH, WELLNESS AND QUALITY OF LIFE IN OUR COMMUNITY. IN RESPONSE TO IDENTIFIED NEEDS, ST. LUKE'S ALSO BENEFITS THE COMMUNITY IN THE FOLLOWING WAYS: - ST. LUKE'S SUPPORT FOR ITS MEDICAL RESIDENCY PROGRAMS IS AN INTEGRAL PART OF OUR SERVICE TO THE MEDICAL COMMUNITY BY PREPARING NEW PHYSICIANS FOR THEIR CAREERS. ST. LUKE'S HOSPITAL OFFERS A RESIDENCY IN INTERNAL MEDICINE PROGRAM, WHICH IS ACGME (ACCREDITATION FOR GRADUATE MEDICAL EDUCATION) ACCREDITED FOR 45 RESIDENTS. THIS PROGRAM PROVIDES A UNIQUE OPPORTUNITY FOR TRAINING IN PRIMARY CARE INTERNAL MEDICINE AT BOTH ST. LUKE'S AND PUBLIC HEALTH CLINICS SERVING THE NEEDS OF THE INDIGENT POPULATION IN THE ST. LOUIS AREA. ST. LUKE'S MEDICAL RESIDENTS ALSO PROVIDE COMMUNITY SERVICE BY SPEAKING AT SCHOOLS AND TO VARIOUS CIVIC ORGANIZATIONS. THE PROGRAM UTILIZES OVER 100 PHYSICIANS WHO CONTRIBUTE TO THE TEACHING MISSION AS FULL AND PART-TIME FACULTY. ST. LUKE'S DES PERES HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM IS ALSO AN ACGME ACCREDITED PROGRAM. IT PROVIDES GRADUATE MEDICAL TRAINING FOR 14 RESIDENTS WHO GAIN EXPERIENCE THROUGH A NUMBER OF DAILY, WEEKLY AND MONTHLY DIDACTIC EXPERIENCES INCLUDING JOURNAL CLUB, READING CLUB, GRAND ROUNDS, BOARD REVIEW, STFM CORE CURRICULUM, CONFERENCES AND RESEARCH METHODOLOGY. PROGRAM LEADERSHIP AND CORE FACULTY EDUCATION ARE PROVIDED BY ST. LUKE'S MEDICAL GROUP PHYSICIANS AT THE CEDAR HILL PRIMARY CARE PRACTICE, AND OTHER REQUIREMENTS ARE ADDRESSED THROUGH CLINICAL ROTATIONS WITH SPECIALISTS THROUGHOUT THE ST. LUKE'S HEALTH SYSTEM. TRAINING OPPORTUNITIES FOR HEALTH PROFESSIONALS IN NURSING, PHARMACY AND OTHER HEALTH SPECIALTIES ARE ALSO AVAILABLE. - ST. LUKE'S OFFERS CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. THE PROGRAM IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION. - ST. LUKE'S MINISTRY OF HEALING CELEBRATES ALL FAITHS THROUGH SPIRITUAL CARE SERVICES THAT IMPROVE THE HEALTH OF THE COMMUNITY IN BODY, MIND AND SPIRIT. WORSHIP AND PRAYER SERVICES, SACRAMENTS AND SPIRITUAL SUPPORT ARE OFFERED AROUND THE CLOCK. WE MINISTER TO ALL IN NEED, HELP PATIENTS AND CAREGIVERS MAKE COMPLEX MEDICAL DECISIONS AND WALK BESIDE THOSE HAVING MEDICAL PROCEDURES OR NAVIGATING SERIOUS ILLNESSES. SOME OF THE CHAPLAINS SERVING AS PART OF OUR HEALTHCARE TEAM ARE PART OF OUR CHAPLAIN RESIDENCY PROGRAM. THEOLOGICALLY EDUCATED STUDENTS COME FROM ACROSS THE COUNTRY TO PARTICIPATE IN ST. LUKE'S CLINICAL PASTORAL EDUCATION (CPE) RESIDENCY. THESE GIFTED INDIVIDUALS BRING FRESH PERSPECTIVES AND COMPASSIONATE HEARTS TO CARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR TEAM MEMBERS. - ST. LUKE'S TEAM MEMBERS GENEROUSLY SUPPORT THE COMMUNITY ALL YEAR LONG. OUR MISSION OUTREACH COMMITTEE LEADS THESE EFFORTS IN OUR WORKPLACE AND CONDUCTS THREE COLLECTION DRIVES FOR DONATIONS OF FOOD, SCHOOL SUPPLIES, WARM CLOTHING AND TOYS TO ASSIST FAMILIES IN NEED. TEAM MEMBERS, PATIENTS AND PHYSICIANS GENEROUSLY SUPPORT THESE INITIATIVES TO ASSIST THE FAMILIES SERVED BY ST. LUKE'S PEDIATRIC CARE CENTER, ISAIAH 58 MINISTRIES, OPERATION FOOD SEARCH AND LITTLE PATRIOTS EMBRACED. - ST. LUKE'S HAS HAD A LONG-STANDING COMMITMENT TO PROVIDING PREVENTIVE HEALTHCARE AND TREATMENT TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN IN THE ST. LOUIS REGION. LOCATED IN NORTH ST. LOUIS COUNTY, ST. LUKE'S PEDIATRIC CARE CENTER IS A MISSION-BASED AGENCY OF ST. LUKE'S THAT PROVIDES QUALITY PRIMARY CARE TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN IN ST. LOUIS CITY AND COUNTY IN A PRIVATE PRACTICE SETTING. THE PRIMARY GOAL OF THE CENTER IS TO ESTABLISH AND MAINTAIN ACCESS TO HEALTHCARE FOR FAMILIES THROUGH A PRIMARY CARE PHYSICIAN, THEREBY HELPING THEM UNDERSTAND AND DEAL WITH POTENTIAL HEALTH ISSUES BEFORE THE ISSUES BECOME SERIOUS ENOUGH TO REQUIRE ACUTE CARE. - ST. LUKE'S HEART AND VASCULAR INSTITUTE'S HEART FAILURE CLINIC OFFERS INDIVIDUALIZED TREATMENT OPTIONS FOR PATIENTS WITH HEART FAILURE TO RELIEVE SYMPTOMS, TREAT UNDERLYING CAUSES AND HELP SLOW PROGRESSION OF THE DISEASE. THE CLINIC'S MULTIDISCIPLINARY TEAM ASSESSES AND TREATS EACH ASPECT OF THE DISEASE PROCESS AND WORKS CLOSELY WITH PATIENTS TO HELP MANAGE THEIR CONDITION. IMPLEMENTATION OF A MULTIDISCIPLINARY HEART FAILURE CLINIC HAS BEEN SHOWN TO REDUCE HOSPITAL READMISSIONS AND MORTALITY FROM THE DISEASE. - THE GOAL OF THE HEALING GRACE CLINIC, FOUNDED BY A ST. LUKE'S MEDICAL GROUP PHYSICIAN, IS TO PROVIDE A CLINIC FOR THE UNINSURED IN WEST ST. LOUIS COUNTY. IT IS LOCATED ON THE GROUNDS OF AND OPERATED BY CENTRAL BAPTIST CHURCH IN EUREKA, MISSOURI AND IS PRIMARILY STAFFED BY VOLUNTEERS. SUPPORT FROM ST. LUKE'S HAS INCLUDED THE PROVISION OF A PART-TIME PHYSICIAN ASSISTANT AND MEDICAL ASSISTANT WHO SEE PATIENTS AT THE CLINIC, SOME MEDICAL SUPPLIES AND IMAGING SERVICES, AND PHYSICIAN COVERAGE FOR THE PHYSICIAN ASSISTANT. CHRONIC CONDITIONS ARE MANAGED AND CARE IS COORDINATED THROUGH ARRANGEMENTS WITH OTHER ST. LUKE'S DEPARTMENTS AND MEMBERS OF ST. LUKE'S MEDICAL STAFF, WITH FINANCIAL ASSISTANCE PROVIDED. - THE ALBERT PUJOLS WELLNESS CENTER FOR ADULTS WITH DOWN SYNDROME AT ST. LUKE'S HELPS FILL A GROWING NEED FOR SERVICES IN OUR COMMUNITY. PATIENTS 17 YEARS OF AGE AND OLDER ARE REFERRED TO THE CENTER FOR SERVICES FOCUSED ON NUTRITION, EXERCISE, SAFETY AND SOCIAL/EMOTIONAL WELL-BEING. CLASSES AND PROGRAMS JUST FOR FUN, SUCH AS DANCING AND VARIOUS ARTS AND CRAFTS, ARE ALSO OFFERED. THE CENTER OFFERS PROGRAMMING ON VARIOUS TOPICS FOR CAREGIVERS AS WELL. - ST. LUKE'S COMMITMENT TO PROVIDE EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME IS FACILITATED THROUGH THE DEVELOPMENT OF COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLANS (CHIP). THE PROCESS TO DEVELOP THE CHNA AND CHIP HELPS US TO BETTER UNDERSTAND AND FOCUS ON THE IMPORTANT HEALTH AND HEALTH-RELATED ISSUES AFFECTING OUR COMMUNITIES AND TO DEVELOP STRATEGIES AND IMPLEMENTATION PLANS INTENDED TO DRIVE MEANINGFUL RESULTS. THE CURRENT 2025 CHNA FOR ST. LUKE'S HOSPITAL FOCUSES ON THE FOLLOWING PRIORITY NEEDS: OLDER ADULTS AND AGE-RELATED ILLNESSES, WEIGHT MANAGEMENT AND HEART HEALTH, AND CANCER. THE FULL REPORT IS AVAILABLE ON ST. LUKE'S WEBSITE AT STLUKES-STL.COM. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS OR STOCKHOLDERS: ST. LUKE'S HEALTH CORPORATION A 501(C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, A REGIONAL HEALTH CARE PROVIDER. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS OF THE ORGANIZATION CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION, INCLUDING AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BY-LAWS AND CHANGES TO THE SIZE OF THE BOARD OF DIRECTORS, ARE SUBJECT TO APPROVAL BY THE DIOCESE OF MISSOURI OF THE PROTESTANT EPISCOPAL CHURCH IN THE UNITED STATES OF AMERICA AND BY THE PRESBYTERY OF GIDDINGS-LOVEJOY OF THE PRESBYTERIAN CHURCH (U.S.A.). SUCH DECISIONS ALSO REQUIRE APPROVAL BY ST. LUKE'S HEALTH CORPORATION, THE SOLE CORPORATE MEMBER OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS. THE DIOCESE OF MISSOURI OF THE PROTESTANT EPISCOPAL CHURCH IN THE UNITED STATES OF AMERICA AND THE PRESBYTERY OF GIDDINGS-LOVEJOY OF THE PRESBYTERIAN CHURCH (U.S.A.) ARE ALSO REPRESENTED ON THE BOARD OF DIRECTORS OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, HOLDING FOUR OF TWENTY POSITIONS WITH EACH POSITION HAVING ONE VOTE. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE 990 THE FORM 990 HAS BEEN REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST POLICY THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY PROVIDING THE POLICY AND QUESTIONNAIRE TO EACH BOARD MEMBER AT THE TIME OF APPOINTMENT AND TO EACH NEW EMPLOYEE AT THE TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER. EACH BOARD MEMBER AND KEY EMPLOYEE IS REQUIRED TO SIGN A STATEMENT ACKNOWLEDGING HE/SHE HAS READ, UNDERSTANDS AND AGREES TO COMPLY WITH THE POLICY AS WELL AS SUBMIT THE COMPLETED QUESTIONNAIRE. ANY/ALL ACTUAL OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE FROM THE FORMS ARE DISCLOSED TO THE FINANCE, AUDIT AND RISK COMMITTEE. THE FINANCE, AUDIT AND RISK COMMITTEE ADDRESSES ANY POTENTIAL CONFLICT OF INTEREST AND TAKES APPROPRIATE ACTION TO RESOLVE. THE ORGANIZATION CONSIDERS THE POSSIBILITY THAT BOARD MEMBERS OR KEY EMPLOYEES MAY INADVERTENTLY FAIL TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND PERFORMS DUE DILIGENCE TO ADDRESS AND RESPOND IN ACCORDANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION EXECUTIVE, KEY EMPLOYEE AND PHYSICIAN SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE ORGANIZATION ALSO ENGAGED CONSULTANTS FOR INDEPENDENT REVIEWS TO ENSURE COMPENSATION FOR CERTAIN OF THE ABOVE EMPLOYEES IS FAIR AND WITHIN MARKET PARAMETERS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS FOR EXECUTIVES AND KEY EMPLOYEES ARE PRESENTED TO THE COMPENSATION COMMITTEE TO APPROVE OR MODIFY. THE COMPENSATION COMMITTEE HAS REPRESENTATION FROM THE INDEPENDENT MEMBERS OF THE BOARD AND LEGAL COUNSEL. MINUTES ARE MAINTAINED OF THE DISCUSSIONS AND CONCLUSIONS OF THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC ACCESS ANNUAL FINANCIAL STATEMENTS INCLUDING FORM 990 ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. ANY PROPRIETARY INTERNAL POLICIES OR GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. FORM 990, PART VII, SECTION B IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR PARIC CORPORATION WERE RELATED TO MATERIALS IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE. FORM 990, PART VIII, LINE 7C, COLUMN I: GAINS AND LOSSES FROM INVESTMENTS THE ORGANIZATION PARTICIPATES IN A SYSTEM-WIDE POOLED INVESTMENT PROGRAM. THE INVESTMENTS ARE REPORTED ONLY AS REALIZED GAINS OR LOSSES TO EACH ORGANIZATION AND DO NOT REPORT THE ALLOCATION PORTION OF PROCEEDS AND COST BASIS RELATED TO THOSE REALIZED GAINS/LOSSES. FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION -938,721. TRANSFERS TO MEDICAL GROUP -59,642,752. CHANGE IN RESTRICTED ASSETS -270,798. SCHEDULE H, PART I, LINE 7 DURING FISCAL 2025, ST. LUKE'S RECEIVED A SUBSTANTIAL BEQUEST FROM THE ESTATE OF A LONGSTANDING DONOR. THE $4,774,000 CONTRIBUTION WAS APPLIED TO OFFSET CHARITY CARE PROVIDED TO PATIENTS DURING THE YEAR AND HAD A MATERIAL IMPACT ON ST. LUKE'S REPORTED COMMUNITY BENEFIT EXPENSE. AS A DIRECT RESULT OF THIS ONE-TIME DONATION, NET COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE AT COST (PART I, LINE 7A, COLUMN (E)) AND TOTAL NET COMMUNITY BENEFIT EXPENSE (PART I, LINE 7K, COLUMN (E)) ARE REPORTED SIGNIFICANTLY BELOW OUR HISTORICAL TREND. THE BEQUEST, RATHER THAN ANY REDUCTION IN ST. LUKE'S UNDERLYING COMMITMENT TO CHARITY CARE, ACCOUNTS FOR THE YEAR-OVER-YEAR DECLINE. SEE SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION FOR FURTHER DETAILS. EMERGENCY PHYSICIANS OF ST LUKE'S LLC 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 464529066 MEDICAL SERV. MO 0 0 SL EP HOSP PHYSICIAN SPECIALISTS OF ST LUKE'S LLC 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 205041902 MEDICAL SERV. MO 0 0 SL EP HOSP SLEPHLLC (FKA SLHMNHLLC) 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 841754684 MEDICAL SERV. MO 3919011 8376173 SL EP HOSP MERIDIAN SURGICAL PARTNERS-MISSOURILLC 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 273332368 MEDICAL SERV. 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