St Luke'S Episcopal-Presbyterian Hospitals

“Part III, Line 1: Description of Mission Our Mission Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke's Hospital is dedicated to improving the health of the community. Using talents and resources responsibly, our medical staff, employees and volunteers provide care for the whole person 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 and education and community services. St. Luke's vision as a premier regional healthcare provider is a catalyst for building a healthy community. 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, sex, national origin, handicap, age or ability to pay. As we continue to provide quality and compassionate care to heal the acutely ill in our hospital and skilled nursing facility in a cost-efficient manner, we also increase 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. In addition to the regular services we provide, as a not-for-profit organization, St. Luke's continues to provide much needed charitable care to people throughout the St. Louis area. We 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 our co-workers in need. These important endeavors embrace a common thread congruent with our mission statement 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: 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 493-bed, not-for-profit hospital serves the region from more than 25 locations across the greater St. Louis area including St. Louis and St. Charles Counties. St. Luke's comprehensive approach to healthcare includes a hospital, an outpatient center, a skilled nursing/residential care facility, eight urgent care centers, convenient care center, a rehabilitation hospital, diagnostic imaging centers, a vascular access center, home health services and hospice services. Nationally-recognized for clinical excellence, St. Luke's offers care in more than 60 specialty areas including cancer care, orthopedics, neurosurgery and neurology, cardiology and cardiovascular surgery and interventions, 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 health care 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. Lukes Hospital has a robust volunteer program. Our Volunteer Services Department has 391 active volunteers who serve in approximately 70 departments and areas of the hospital. 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. More than 85,000 hours of service were contributed by our volunteers in calendar year 2016. St. Lukes Hospital received seven five-star ratings for 2018 in the areas of cardiac care, critical care, gastrointestinal care and surgery and pulmonary care from Healthgrades. According to the national hospital quality study published by Healthgrades, St. Lukes achieved five stars for its quality in valve surgery, coronary interventional procedures, heart attack treatment, pneumonia treatment, colorectal surgeries, bowel obstruction treatment and respiratory failure treatment. For the third straight year, St. Lukes Hospital has earned the Womens Choice Award as one of Americas Best Hospitals. The 2017 honor recognizes St. Lukes as one of Americas Best Hospitals for Heart Care, Cancer Care, Obstetrics and Orthopedics and as one of Americas Best Breast Centers. The Womens Choice Award identifies the nations best healthcare institutions based on clinical excellence, female patient satisfaction and what women say they want from a hospital experience. WomenCertified Inc., an advocate for female consumers, created the national Womens Choice Award program. In addition to clinical honors, St. Lukes has received honors based on employee feedback including Best Places to Work, from the St. Louis Business Journal, 2010-2016 and Top Workplaces, from the St. Louis Post-Dispatch, 2013-2016. The hospital was also named to the Healthiest Employer list of the St. Louis Business Journal from 2011 to 2014 and in 2016.”

“PART III, LINE 4A: PROGRAM SERVICES Resources invested and program services to support mission In support of our mission, St. Luke's Hospital provides care to patients regardless of their ability to pay, which includes those who lack financial resources and are deemed to be medically indigent. In addition, the organization provides services to other medically indigent patients under various state Medicaid programs. Such programs pay providers amounts that are less than the related costs for the services provided to the recipients. Each year, we invest considerable resources to improve the health, wellness and quality of life in our community. In response to identified needs, St. Luke's also benefits the community in the following ways: - St. Luke's support for the Residency in Internal Medicine program is an integral part of our service to the community by preparing new physicians. At any given time, there are about 40 medical residents in the program. This program provides a unique opportunity for training in primary care internal medicine at both St. Luke's Hospital 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 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 15 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. Lukes Hospital 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. Lukes Pastoral Care Department. St. Lukes Pastoral Care Department provides pastoral care to patients, their families and loved ones, visitors, staff, and physicians 24/7 in the Hospital and Surrey Place (St. Lukes skilled nursing facility). We also do so at St. Lukes Rehabilitation Hospital upon request. The Pastoral Care Department participates in St. Luke's ministry of healing by working with the health-care team to provide holistic care for patients, their families, visitors, physicians and employees 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. Lukes Mission Outreach Committee, comprised of employees across the organization, coordinates efforts throughout the year. Employees, 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. Lukes 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 throug”

“- St. Lukes 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. Lukes 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. Lukes 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. St. Lukes offers caregiver classes on a variety of topics. Classes and programs are also 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. - As part of the Patient Protection and Affordable Care Act, St. Lukes participated with other nonprofit hospitals in conducting a Community Health Needs Assessment in 2016 to evaluate the community needs and ensure we are offering services to meet these needs. With this information, St. Lukes 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 Obesity and Sedentary Lifestyle, Cancer Screenings and Support Services, and Management of Chronic Conditions. The full Community Health Needs Assessment Report is available on the St. Lukes website at stlukes-stl.com.”

“PART VI, SECTION A, LINE 2 THE FOLLOWING PERSONS HAVE A BUSINESS RELATIONSHIP: martha fleischmann Scott Johnson Don Miller”

“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.”

“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.”

“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.”

“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.”

“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.”

“Part VII, Section B, Line 1: Independent Contractors McCarthy Brothers Construction Construction Services $21,195,227 1341 NORTH ROCK HILL ROAD ST. LOUIS, MO 63124 ICS Construction Services LTD Construction Services $ 2,802,997 2930 MARKET STREET St. LOUIS, MO 63103 Quest Diagnostics Lab Services $ 1,321,716 3 giralda farms madison, nj 07940 Armstrong Teasdale Legal Services $ 1,313,566 7700 Forsyth Blvd., Suite 1800 St. Louis, Mo 63105 Faultless Linen Co. Linen Services $ 1,267,589 P.O. Box 795145 St. Louis, MO 63179”

“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.”

“PART XI, LINE 9: OTHER CHANGES IN NET ASSETS Change in pension obligation 13,014,790 Transfer to Medical Group (13,988,154) Change in restricted assets 3,173,151 -------------- 2,199,787”