TY 2018 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
Tenet Healthcare Corporation, 1445 Ross Ave Suite 1400 Dallas,TX75202	IT Support Services	2,098,607
Sodexo Inc Affiliates, PO Box 360170 Pittsburgh,PA152516170	Dietary Services	1,280,838
Bentley Kenneth W, 345 S Mason Rd St Louis,MO63141	Physician Services	246,990
Petri Ronald W, 1160 Lay Rd St Louis,MO63124	Physician Services	200,841
Connon Deborah K, 2834 Tall Oak St Louis,MO63129	Physician Services	192,079
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 16

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

St Luke's Des Peres Episcopal-Pres

Employer identification number

82-4314522

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

St Luke's Des Peres Episcopal-Pres

Employer identification number

82-4314522

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

18,019

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

18,019

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Supplemental Information 1	Part II-B, Line 1F Approximately $18,019 of the dues paid to various trade organizations for the year ended June 30, 2019 are attributable to lobbying activities by the organizations.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

St Luke's Des Peres Episcopal-Pres

Employer identification number

82-4314522

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	13,690,000		13,690,000
b	Buildings ....	17,258,576	1,257,055	16,001,521
c	Leasehold improvements	1,251,000	271,542	979,458
d	Equipment ....	14,869,100	4,068,610	10,800,490
e	Other .....	4,626,411		4,626,411
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				46,097,880

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) OTHER RECEIVABLES				478,454
(2) INTANGIBLE ASSETS				6,325,000
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				6,803,454

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DUE TO RELATED ORGANIZATION	12,857,719
ASSET RETIREMENT OBLIGATION	340,276
THIRD PARTY SETTLEMENTS	622,822
OTHER LIABILITIES	141,784
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	13,962,601
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

St Luke's Des Peres Episcopal-Pres

Employer identification number

82-4314522

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	2,046	1,378,579		1,378,579	1.430 %
b	Medicaid (from Worksheet 3, column a) . . . . .		3,329,968	1,633,084	1,696,884	1.770 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	2,046	4,708,547	1,633,084	3,075,463	3.200 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).		56,319		56,319	0.060 %
f	Health professions education (from Worksheet 5) . . .		2,840,694	1,343,490	1,497,204	1.560 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .		13,015		13,015	0.010 %
j	Total. Other Benefits . .		2,910,028	1,343,490	1,566,538	1.630 %
k	Total. Add lines 7d and 7j .	2,046	7,618,575	2,976,574	4,642,001	4.830 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

757,726

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

183

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

22,583,393

Enter Medicare allowable costs of care relating to payments on line 5.....

31,377,530

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-8,794,137

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	ST LUKE'S DES PERES HOSPITAL 2345 DOUGHERTY FERRY ROAD ST LOUIS,MO63122 WWW.STLUKES-STL.COM/DESPERES 522-1	X	X	X	X	1

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	St Luke's Des Peres Hospital
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Yes

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

Yes

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): see suppl info 3

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): see suppl info 4

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	St Luke's Des Peres Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.stlukes-stl.com/pay

The FAP application form was widely available on a website (list url):

www.stlukes-stl.com/pay

A plain language summary of the FAP was widely available on a website (list url):
see suppl info 6

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	St Luke's Des Peres Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	St Luke's Des Peres Hospital
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Supplemental Information 1	PART V, SECTION B, LINES 2 AND 3 ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S) ORGANIZED ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S DES PERES) IN ORDER TO BETTER ADDRESS THE MEDICAL NEEDS OF THE GENERAL PUBLIC IN THE GREATER ST. LOUIS METROPOLITAN AREA AND ITS SURROUNDING REGIONS. TO ACCOMPLISH THIS, ST. LUKE'S DES PERES ACQUIRED THE ASSETS OF DES PERES HOSPITAL FROM TENET HEALTHCARE CORPORATION ON MAY 1, 2018. TREAS. REGS. SECTION 1.501(R)-3(D)(2) PROVIDES THAT A HOSPITAL ORGANIZATION THAT BECOMES NEWLY SUBJECT TO 501(R) BECAUSE IT IS RECOGNIZED AS DESCRIBED IN IRC SECTION 501(C)(3) MUST MEET THE CHNA REQUIREMENTS OF 501(R)(3) WITH RESPECT TO ANY OF ITS LICENSED HOSPITAL FACILITIES BY THE END OF ITS SECOND TAXABLE YEAR BEGINNING AFTER THE DATE THE TAX EXEMPT HOSPITAL FACILITY WAS LICENSED. ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL WAS INCORPORATED ON 1/30/2018, AND SUBMITTED ITS FORM 1023 APPLICATION FOR RECOGNITION OF EXEMPTION TO THE IRS IN APRIL 2018. A FAVORABLE DETERMINATION WAS RECEIVED IN FEBRUARY 2019 AND IS RETROACTIVE TO THE DATE OF ITS INCORPORATION ON 1/30/2018. IN ADDITION, IT WAS LICENSED AS A HOSPITAL BY THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES, WHO ISSUED A LICENSE TO ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL ON MAY 1, 2018. UPON ACQUISITION, ST. LUKE'S DES PERES HOSPITAL BECAME INTEGRATED INTO ONGOING REGIONAL COMMUNITY BENEFIT EFFORTS BEING IMPLEMENTED ACROSS THE ST. LUKE'S NETWORK OF CARE. PRIOR TO BECOMING A NOT-FOR-PROFIT HOSPITAL, ST. LUKE'S DES PERES WAS ALREADY ACTIVELY ENGAGED IN MEETING THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, PARTICULARLY THROUGH THE PROVISION OF SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION. IN JUNE 2019, ST. LUKE'S DES PERES PUBLISHED ITS INAUGURAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AS A NEW NOT-FOR-PROFIT HOSPITAL, THIS REPORT PROVIDES A FOUNDATION FOR ST. LUKE'S DES PERES TO MEET PRESSING COMMUNITY NEEDS THROUGH HEALTH IMPROVEMENT AND COMMUNITY BUILDING ACTIVITIES. THE IMPLEMENTATION PLAN WAS PUBLISHED IN NOVEMBER 2019. THE INTERESTS OF THE ST. LUKE'S DES PERES COMMUNITY ARE REPRESENTED BY A COMMUNITY BENEFIT COORDINATOR INVOLVED WITH SEVERAL COMMUNITY ORGANIZATIONS AND COALITIONS, INCLUDING THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY AND ITS REGIONAL LEADERSHIP AND PLANNING GROUP, AND THE ST. LOUIS COUNTY HOSPITAL COLLABORATIVE.
Supplemental Information 2	PART V, SECTION B, LINES 5, 6A, AND 6B ST. LUKES DES PERES 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 DES PERES HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2019, THE PRIMARY RESEARCH METHODOLOGY INCLUDED COLLABORATION WITH ST. LUKES 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: -AMERICAN CANCER SOCIETY -AMERICAN DIABETES ASSOCIATION -AMERICAN HEART ASSOCIATION -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 -BEHAVIORAL HEALTH NETWORK -ST. LOUIS COUNTY PUBLIC HEALTH DEPT. -ST. LOUIS COUNSELING -ST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATION -UNITED WAY -ALIVE -PEOPLE'S HEALTH CENTERS/HOPEWELL COMMUNITY MENTAL HEALTH CENTER 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 DES PERES EMPLOYEES). THROUGH A HEALTH RISK ASSESSMENT, DATA IS COLLECTED AND AGGREGATED. 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 DES PERES 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). UPON JOINING ST. LUKES NETWORK OF CARE IN 2018, ST. LUKES DES PERES HOSPITAL WAS INTEGRATED INTO THESE COLLABORATIVE EFFORTS. 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. BASED ON CURRENT HEALTH DATA, COMMUNITY INPUT THROUGH FOCUS GROUPS AND SURVEYS, AND IN CONSIDERATION OF REGIONAL STRATEGIES, ST. LUKE'S DES PERES HOSPITAL HAS ESTABLISHED THE FOLLOWING PRIORITIES ON WHICH TO DEVELOP ACTIONABLE OBJECTIVES FOR 2019-2022: - ACCESS TO CARE - NUTRITION AND WEIGHT STATUS 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 3	PART V, SECTION B, LINE 7A WEBSITE URL: https://www.stlukes-stl.com/community-health-needs-assessment/index.html
Supplemental Information 4	PART V, SECTION B, LINE 10A WEBSITE URL: https://www.stlukes-stl.com/community-health-needs-assessment/index.html
Supplemental Information 5	PART V, SECTION B, LINE 11 TREAS. REGS. SECTION 1.501(R)-3(D)(2) PROVIDES THAT A HOSPITAL ORGANIZATION THAT BECOMES NEWLY SUBJECT TO 501(R) BECAUSE IT IS RECOGNIZED AS DESCRIBED IN IRC SECTION 501(C)(3) MUST MEET THE CHNA REQUIREMENTS OF 501(R)(3) WITH RESPECT TO ANY OF ITS LICENSED HOSPITAL FACILITIES BY THE END OF ITS SECOND TAXABLE YEAR BEGINNING AFTER THE DATE THE TAX EXEMPT HOSPITAL FACILITY WAS LICENSED. ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL WAS INCORPORATED ON 1/30/2018, AND SUBMITTED ITS FORM 1023 APPLICATION FOR RECOGNITION OF EXEMPTION TO THE IRS IN APRIL 2018. A FAVORABLE DETERMINATION WAS RECEIVED IN FEBRUARY 2019, RETROACTIVE TO THE DATE OF ITS INCORPORATION ON 1/30/2018. IN ADDITION, IT WAS LICENSED AS A HOSPITAL BY THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES, WHO ISSUED A LICENSE TO ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL ON MAY 1, 2018. ST. LUKE'S DES PERES HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2019 REPORT IS ATTACHED. THE IMPLEMENTATION PLAN WAS ADOPTED NOVEMBER 2019. AS THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IS THE FIRST ONE PREPARED AND ADOPTED BY ST. LUKES DES PERES HOSPITAL, WORK TO IMPLEMENT THE ACTION PLANS WILL BEGIN IN FISCAL 2020. ST. LUKE'S DES PERES HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES IN FISCAL 2020 WILL BE GUIDED BY THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON THE FOLLOWING HEALTH PRIORITIES: - ACCESS TO CARE - NUTRITION AND WEIGHT STATUS UPON ACQUISITION, ST. LUKE'S DES PERES HOSPITAL BECAME INTEGRATED INTO ONGOING REGIONAL COMMUNITY BENEFIT EFFORTS BEING IMPLEMENTED ACROSS THE ST. LUKE'S NETWORK OF CARE. PRIOR TO BECOMING A NOT-FOR-PROFIT HOSPITAL, ST. LUKE'S DES PERES WAS ALREADY ACTIVELY ENGAGED IN MEETING THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, PARTICULARLY THROUGH THE PROVISION OF SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION. SINCE 2012, ST. LUKE'S HOSPITAL HAS COLLABORATED WITH OTHER HOSPITALS AND HEALTHCARE PROVIDERS TO GATHER FEEDBACK DIRECTLY FROM THE COMMUNITY THROUGH COLLECTIVE FOCUS GROUPS. IN 2017, THE NETWORK STRENGTHENED ITS COMMITMENT TO REGIONAL HEALTH ALLIANCES BY CONTINUING ITS WORK WITH THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC) AND BY JOINING THE PARTNERSHIP'S REGIONAL LEADERSHIP AND PLANNING GROUP. UPON JOINING ST. LUKE'S NETWORK OF CARE IN 2018, ST. LUKE'S DES PERES HOSPITAL WAS INTEGRATED INTO THESE COLLABORATIVE EFFORTS.
Supplemental Information 6	PART V, SECTION B, LINE 16C: WWW.STLUKES-STL.COM/PAY

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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, 1.43% LINE 7B: UNREIMBURSED MEDICAID, 3.47% LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 4.90% LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.06% LINE 7F: HEALTH PROFESSIONS EDUCATION, 2.96% LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.01% LINE 7J: TOTAL OTHER BENEFITS, 3.03% LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 7.93% 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 (INCLUDING BOTH ST. LUKES HOSPITAL AND ST. LUKES DES PERES HOSPITAL) 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 HOSPITALS, SUCH AS MEALS ON WHEELS AND THE PEDIATRIC CARE CENTER; 3) ANNUAL FOUNDER'S DAY CELEBRATION 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 DES PERES 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 DES PERES 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 DES PERES HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S DES PERES HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S DES PERES 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 DES PERES 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.
Supplemental Information 10	PART VI, LINE 2: NEEDS ASSESSMENT ST. LUKE'S DES PERES HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2019 REPORT IS ATTACHED. UPON ACQUISITION, ST. LUKE'S DES PERES HOSPITAL BECAME INTEGRATED INTO ONGOING REGIONAL COMMUNITY BENEFIT EFFORTS BEING IMPLEMENTED ACROSS THE ST. LUKE'S NETWORK OF CARE. PRIOR TO BECOMING A NOT-FOR-PROFIT HOSPITAL, ST. LUKE'S DES PERES WAS ALREADY ACTIVELY ENGAGED IN MEETING THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, PARTICULARLY THROUGH THE PROVISION OF SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION. THE INTERESTS OF THE ST. LUKE'S DES PERES COMMUNITY ARE REPRESENTED BY A COMMUNITY BENEFIT COORDINATOR INVOLVED WITH SEVERAL COMMUNITY ORGANIZATIONS AND COALITIONS, INCLUDING THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY AND ITS REGIONAL LEADERSHIP AND PLANNING GROUP, AND THE ST. LOUIS COUNTY HOSPITAL COLLABORATIVE. 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). UPON JOINING ST. LUKES NETWORK OF CARE IN 2018, ST. LUKES DES PERES HOSPITAL WAS INTEGRATED INTO THESE COLLABORATIVE EFFORTS. 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. IN JUNE 2019, ST. LUKE'S DES PERES PUBLISHED ITS INAUGURAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AS A NEW NOT-FOR-PROFIT HOSPITAL, THIS REPORT PROVIDES A FOUNDATION FOR ST. LUKE'S DES PERES TO MEET PRESSING COMMUNITY NEEDS THROUGH HEALTH IMPROVEMENT AND COMMUNITY BUILDING ACTIVITIES. THE IMPLEMENTATION PLAN WAS ADOPTED NOVEMBER 2019. AS THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IS THE FIRST ONE PREPARED AND ADOPTED BY ST. LUKES DES PERES HOSPITAL, WORK TO IMPLEMENT THE ACTION PLANS WILL BEGIN IN FISCAL 2020. BASED ON CURRENT HEALTH DATA, COMMUNITY INPUT THROUGH FOCUS GROUPS AND SURVEYS, AND IN CONSIDERATION OF REGIONAL STRATEGIES, ST. LUKE'S DES PERES HOSPITAL HAS ESTABLISHED THE FOLLOWING PRIORITIES ON WHICH TO DEVELOP ACTIONABLE OBJECTIVES FOR 2019-2022: - ACCESS TO CARE - NUTRITION AND WEIGHT STATUS
Supplemental Information 11	PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS ARE INFORMED ABOUT ST. LUKE'S DES PERES 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 ANY 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 DES PERES SERVES THE ST. LOUIS METRO REGION, WITH ITS SERVICE AREA INCLUDING ST. LOUIS COUNTY, ST. FRANCOIS COUNTY AND JEFFERSON COUNTY. THE GEOGRAPHIC AREA POPULATION IS GREATER THAN 1.4 MILLION, WITH OVER 500,000 HOUSEHOLDS. IN ADDITION, PATIENTS FROM ILLINOIS UTILIZE ST. LUKE'S DES PERES HOSPITAL.
Supplemental Information 13	PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH ADDITIONAL COMMUNITY SUPPORT INCLUDES: - ST. LUKE'S DES PERES OFFERS USE OF ITS MEETING SPACE FREE OF CHARGE TO AREA NON-PROFITS FOR HEALTH EDUCATION AND SUPPORT GROUPS. - ST. LUKE'S DES PERES ORGANIZES PERIODIC BLOOD DRIVES, IN CONJUNCTION WITH AND IN SUPPORT OF THE MISSISSIPPI VALLEY REGIONAL BLOOD CENTER. -ST. LUKES DES PERES CONDUCTS FREE HEALTH TALKS AS PART OF THE CONVERSATIONS WITH WOMEN SERIES. OTHER SERVICES PROVIDED: ST. LUKE'S DES PERES HOSPITAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR PATIENTS AND THE COMMUNITY. ST. LUKE'S DES PERES OFFERS SERVICES INCLUDING PRIMARY CARE, EMERGENCY CARE, GENERAL SURGICAL SERVICES, ORTHOPEDICS, VASCULAR CARE, THERAPY (PHYSICAL, OCCUPATIONAL, SPEECH, RESPIRATORY), ENDOSCOPY, GASTROENTEROLOGY, ENT, AND MY NEW SELF BARIATRICS. MEDICAL STAFF: ST. LUKE'S DES PERES HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR PRIMARY CARE SERVICES (I.E. INTERNAL MEDICINE). OF THE 377 PHYSICIANS ON THE MEDICAL STAFF AT JUNE 30, 2019, 90% ARE BOARD CERTIFIED. GOVERNING BODY: ST. LUKE'S DES PERES HOSPITAL HAS THREE VOTING MEMBERS ON ITS BOARD OF DIRECTORS. ALLOCATION OF SURPLUS FUNDS: POSITIVE FINANCIAL RESULTS SUPPORT 1) INVESTMENT IN STRATEGIC CAPITAL EXPENDITURES AND NEW TECHNOLOGY, 2) GROWTH AND EXPANSION OF SERVICES TO MEET IDENTIFIED COMMUNITY NEEDS, AND 3) RECRUITMENT AND RETENTION OF QUALITY HEALTHCARE PROFESSIONALS THROUGH A COMPREHENSIVE MARKET-BASED COMPENSATION AND BENEFITS PROGRAM.
Supplemental Information 14	PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM N/A
Supplemental Information 15	PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT N/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA)

Schedule H (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

St Luke's Des Peres Episcopal-Pres

Employer identification number

82-4314522

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

Yes

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Christine M Candio President & CEO Health Corp	(i) (ii)	0 ------------- 786,480	0 ------------- 400,000	0 ------------- 33,369	0 ------------- 10,313	0 ------------- 14,849	0 ------------- 1,245,011	0 ------------- 0
2Scott Johnson Executive VP & CFO Health Corp	(i) (ii)	0 ------------- 502,571	0 ------------- 140,000	0 ------------- 0	0 ------------- 11,688	0 ------------- 13,943	0 ------------- 668,202	0 ------------- 0
3David Loving President	(i) (ii)	0 ------------- 219,435	0 ------------- 0	0 ------------- 0	0 ------------- 7,751	0 ------------- 20,996	0 ------------- 248,182	0 ------------- 0
4Diane Ray Sr VP/NETWORK CNO/SLH COO	(i) (ii)	0 ------------- 284,860	0 ------------- 49,600	0 ------------- 0	0 ------------- 28,266	0 ------------- 14,849	0 ------------- 377,575	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

Supplemental Information 1

Part I, Line 4b Certain employees participate in a supplemental nonqualified deferred compensation arrangment. No individuals listed in Part VII received a distribution in calendar year 2018.

Supplemental Information 2

Part I, Line 5b 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.

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

St Luke's Des Peres Episcopal-Pres

Employer identification number

82-4314522

Return Reference

Explanation

General Statement 1

PART III, LINE 1: DESCRIPTION OF MISSION OUR MISSION FAITHFUL TO OUR EPISCOPAL-PRESBYTERIAN HERITAGE AND ITS MINISTRY OF HEALING, ST. LUKE'S DES PERES 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. ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S) ORGANIZED ST.LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S DES PERES)IN ORDER TO BETTER ADDRESS THE MEDICAL NEEDS OF THE GENERAL PUBLIC IN THE GREATER ST. LOUIS METROPOLITAN AREA AND ITS SURROUNDING REGIONS. GENERAL STATEMENT 2 PART III, LINE 4A: PROGRAM SERVICES DESCRIPTION OF SERVICES PROVIDED AT ST. LUKE'S DES PERES HOSPITAL, WE'RE DEDICATED TO ONE THING: OUR PATIENTS, LIVING A HEALTHY, HAPPY LIFE. SINCE 1974 AND NOW AS PART OF THE ST. LUKE'S NETWORK OF CARE, WE ARE PROUD TO SERVE HEALTH CARE NEEDS WITH COMPASSION AND A PERSONALIZED APPROACH. MEDICALLY NECESSARY HEALTH SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER,REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, AGE, GENDER, RELIGION OR ABILITY TO PAY. FROM PRIMARY CARE TO EMERGENCY CARE, WITH GENERAL MEDICAL AND SPECIALTY SURGICAL SERVICES, SPECIALIZING IN BARIATRIC, ORTHOPEDICS AND HEART CARE. OTHER SERVICES INCLUDE RADIOLOGY, ENDOSCOPY, LABORATORY, GASTROENTEROLOGY, ENT/OTOLARYNGOLOGY, FOOT CARE, NUTRITION COUNSELING, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, UROLOGY, UROGYNECOLOGY AND VASCULAR CARE. WE PROVIDE CARING TREATMENT IN A 143-BED ACUTE CARE HOSPITAL WITH NETWORK ACCESS TO HIGHER LEVEL SERVICES IF NEEDED. IN SUPPORT OF OUR MISSION, ST. LUKE'S DES PERES 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. As part of the Patient Protection and Affordable Care Act, St. Luke's Des Peres PARTICIPATED WITH OTHER NONPROFIT HOSPITALS IN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT in 2018-2019 to evaluate the community needs and ensure that we are offering services to meet these needs. With this information, St. Luke's Des Peres 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 access to care and nutrition and weight status. The full community health needs assessment report is available on the St. Luke's Des Peres website at https://www.stlukes-stl.com/community-health-needsassessment/index.html. St. Luke's Des Peres Hospital provides pastoral care services around the CLOCK, SEVEN DAYS A WEEK THROUGH THE ST. LUKE'S PASTORAL CARE DEPARTMENT. ST. LUKE'S PASTORAL CARE PROVIDES PASTORAL CARE TO PATIENTS, THEIR FAMILIES AND LOVED ONES, visitors, staff, and physicians at both St. Luke's Hospital and St. Luke's Des Peres Hospital. The pastoral care department participates in St. Luke's Des Peres' 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. St. Luke's Des Peres Hospital supports mission outreach activities THROUGH ST. LUKE'S MISSION OUTREACH COMMITTEE. ST. LUKE'S MISSION OUTREACH COMMITTEE, COMPRISED OF EMPLOYEES ACROSS THE ORGANIZATION, COORDINATES OUTREACH EFFORTS THROUGHOUT THE YEAR. EMPLOYEES, PATIENTS AND PHYSICIANS GENEROUSLY SUPPORT INITIATIVES SUCH AS WINTER CLOTHING DRIVES, HEALTH SCREENINGS, FOOD DRIVES, TOY DRIVES, AND SCHOOL SUPPLY DRIVES TO ASSIST THE FAMILIES OF THE ST. LUKE'S PEDIATRIC CARE CENER, ISAIAH 58 MINISTRIES, LITTLE PATRIOTS, AND OPERATION FOOD SEARCH. ST. LUKE'S DES PERES HOSPITAL HAS A PROUD HERITAGE OF GRADUATE MEDICAL EDUCATION. SINCE 1954 WE HAVE PROVIDED QUALITY OSTEOPATHIC MEDICAL EDUCATION. WE HAVE FIVE OSTEOPATHIC RESIDENCY PROGRAMS ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION (AOA) IN: INTERNAL MEDICINE, GENERAL SURGERY, ANESTHESIOLOGY, OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY AND ORTHOPEDIC SURGERY. OUR FAMILY MEDICINE RESIDENCY PROGRAM, FORMERLY ACCREDITED BY THE AOA, ACHIEVED ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION IN JANUARY 2019. WE OFFER HANDS ON CLINICAL EXPERIENCE THROUGH HOSPITAL ROTATIONS. PARTICIPATION ON OUR CLINICAL ROTATION PROGRAMS PROVIDES MEDICAL STUDENTS AN OPPORTUNITY TO BEGIN THEIR GROWING KNOWLEDGE IN A TRUE HEALTHCARE ENVIRONMENT. ST. LUKE'S DES PERES HOSPITAL IS A CORE TRAINING SITE FOR THE KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE, AND KANSAS CITY UNIVERSITY OF MEDICINE AND BIOSCIENCESE. WE ALSO SCHEDULE MEDICAL STUDENTS FROM ALL OTHER OSTEOPATHIC MEDICAL SCHOOLS FOR SINGLE/MULTIPLE ROTATIONS. ST. LUKE'S DES PERES HOSPITAL HAS BEEN RECOGNIZED AS ONE OF AMERICA'S BEST HOSPITALS FOR BARIATRICS, ORTHOPEDICS AND PATIENT SAFETY BY THE NATIONAL WOMEN'S CHOICE AWARD PROGRAM. THESE ACHIEVEMENTS ARE A TESTAMENT TO THE DEDICATION OF ST. LUKE'S PHYSICIANS, STAFF AND VOLUNTEERS WHO PROVIDE QUALITY, COMPASSIONATE CARE TO OUR PATIENTS EVERY DAY. THE MYNEWSELF SURGICAL WEIGHT LOSS PROGRAM OFFERS SEVERAL PROCEDURE OPTIONS, PRE-SURGERY EDUCATION, POST-SURGERY CLASSES AND SUPPORT GROUPS AND PERSONAL NUTRITION AND LIFESTYLE COUNSELING AND SUPPORT. OUR BOARD-CERTIFIED PHYSICIANS WILL TAILOR A SOLUTION TO HELP EACH PATIENT REACH A HEALTHIER WEIGHT AND OUR TEAM OF NURSES, DIETITIANS AND COUNSELORS WILL TEACH LIFESTYLE CHANGES TO SUPPORT A LONGER, HEALTHIER AND MORE ACTIVE LIFE. THE MYNEWSELF SURGICAL WEIGHT LOSS PROGRAM HAS BEEN ACCREDITED AS A COMPREHENSIVE CENTER UNDER THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS) AND THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). ST. LUKE'S DES PERES HOSPITAL HAS ALSO BEEN RECOGNIZED AS ONE OF AMERICA'S BEST HOSPITALS FOR BARIATRICS BY THE NATIONAL WOMEN'S CHOICE AWARD PROGRAM. ST. LUKE'S DES PERES HOSPITAL ACHIEVED AN 'A' RATING IN THE LEAPFROG GROUP'S SPRING HOSPITAL SAFETY GRADE. THE DESIGNATION RECOGNIZES THE HOSPITAL'S EFFORTS IN PROTECTING PATIENTS FROM HARM AND PROVIDING SAFER HEALTHCARE. THE LEAPFROG GROUP IS A NATIONAL NONPROFIT ORGANIZATION THAT WORKS TO IMPROVE HEALTHCARE QUALITY AND SAFETY FOR CONSUMERS AND PURCHASERS. THE SAFETY GRADE ASSIGNS AN 'A', 'B', 'C', 'D', OR 'F' GRADE TO HOSPITALS ACROSS THE COUNTRY BASED ON THEIR PERFORMANCE IN PREVENTING MEDICAL ERRORS, INJURIES, ACCIDENTS, INFECTIONS, AND OTHER HARM TO PATIENTS IN THEIR CARE. 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. THIS MARKS THE TENTH YEAR THAT ST. LUKE'S DES PERES HOSPITAL HAS BEEN RECOGNIZED WITH A QUALITY ACHIEVEMENT AWARD FOR HEART FAILURE AND THE EIGHTH YEAR AS A GOLD PLUS PROVIDER.

GENERAL STATEMENT 3

PART VI, SECTION A, LINE 6: ORGANIZATION MEMBERS OR STOCKHOLDERS ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, A 501 (C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL- PRESBYTERIAN HOSPITAL. GENERAL STATEMENT 4 PART VI, SECTION A, LINE 7A: POWER TO ELECT OR APPOINT ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, IS AUTHORIZED UNDER THE ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL'S ARTICLES OF INCORPORATION TO APPOINT TWO MEMBERS TO THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL. THE ADDITIONAL MEMBER IS DEFINED PER THE ARTICLES OF INCORPORATION AS THE CURRENT CHAIRMAN OF THE BOARD OF DIRECTORS OF THE MEMBER, ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS. GENERAL STATEMENT 5 PART VI, SECTION A, LINE 7B: GOVERNANCE DECISIONS ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST.LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, HAS RESERVED POWERS INCLUDING THE ELECTION AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL AND THE APPROVAL OF PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF ST.LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL. GENERAL STATEMENT 6 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.LUKE'S HEALTH CORPORATION'S 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 7 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 8 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 9 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 10 PART XII, LINE 2C: FINANCIAL STATEMENTS AND REPORTING ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ST. LUKE'S HEALTH CORPORATION. ST. LUKE'S HEALTH CORPORATION'S BOARD OF DIRECTORS HAS A COMMITTEE IN PLACE THAT OVERSEES THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

St Luke's Des Peres Episcopal-Pres

Employer identification number

82-4314522

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ST LUKE'S EPISCOPAL-PRESBY HOSPITALS 232 S WOODS MILL RD CHESTERFIELD,MO63017 43-0652680	HEALTH CARE	MO	501(C)(3)	LINE 3	SL HLTH CORP		No
(2)ST LUKE'S HEALTH CORPORATION 232 S WOODS MILL RD CHESTERFIELD,MO63017 43-1246752	SOLE MEMBER	MO	501(C)(3)	12B	NA		No
(3)ST LUKE'S MEDICAL GROUP 232 S WOODS MILL RD CHESTERFIELD,MO63017 43-1349332	HEALTH CARE	MO	501(C)(3)	12A	SL HLTH CORP		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) St Luke's Development Corporation 232 S WOODS MILL ROAD CHESTERFIELD,MO63017 43-1238961	OTHER MISC.	MO	SL HEALTH CORP	C CORP				No

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	3
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	1
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	600
6	Total number of volunteers (estimate if necessary) .............	6	13
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	15,252,056	98,476,928
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	-537,349
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	13,261	89,360
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	15,265,317	98,028,939
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	6,347,710	36,668,919
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	8,398,455	59,401,081
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	14,746,165	96,070,000
19	Revenue less expenses. Subtract line 18 from line 12.......	519,152	1,958,939
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	65,465,507	73,256,316
21	Total liabilities (Part X, line 26).............	13,798,184	19,630,054
22	Net assets or fund balances. Subtract line 21 from line 20.....	51,667,323	53,626,262

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 90,955,278 including grants of $ ) (Revenue $ 98,566,288 )
	SEE SCHEDULE O, GENERAL STATEMENT 2

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses90,955,278

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) Daniel K Stegman...................................................................... Director	1.0 ................. 4.0	X				0	0	0
(2) Christine M Candio...................................................................... President & CEO Health Corp	5.0 ................. 55.0	X	X			0	1,219,849	25,162
(3) Scott Johnson...................................................................... Executive VP & CFO Health Corp	10.0 ................. 50.0	X	X			0	642,571	25,631
(4) David Loving...................................................................... President	60.0 ................. 0.0		X			0	219,435	28,747
(5) Diane Ray...................................................................... Sr VP/NETWORK CNO/SLH COO	10.0 ................. 40.0			X		0	334,460	43,115
(6) Mary Ann Hampton...................................................................... Chief Nursing Officer	55.0 ................. 0.0				X	135,840	0	12,767
(7) Kathaleen Clutts...................................................................... Director Human Resources	55.0 ................. 0.0				X	115,030	0	26,225
(8) Steven Schoenekase...................................................................... Director Pharmacy	55.0 ................. 0.0				X	107,836	0	18,968

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	358,706	2,416,315	180,615

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		0

		Business Code
2a	PATIENT SERVICE REVENUE	621300	97,548,862	97,548,862
b	RENTAL REVENUE	621110	586,947	586,947
c	RESIDENT REVENUE	621300	313,787	313,787
d	HIM RECORDS REVENUE	621300	27,332	27,332
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		98,476,928

3 Investment income (including dividends, interest, and othersimilar amounts) ......			131,668		0	131,668
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	3,500
b	Less: cost or other basis and sales expenses	672,517
c	Gain or (loss)	-669,017
d	Net gain or (loss).....			-669,017			-669,017
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	MISC. REVENUE		900099	33,876	33,876
b	Cash Discounts		900099	6,066	6,066
c	Ground Lease Revenue		900099	49,418	49,418
d	All other revenue ....
e	Total. Add lines 11a–11d ......			89,360
12	Total revenue. See Instructions......			98,028,939	98,566,288	0	-537,349

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	337,496		337,496
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	29,423,361	27,369,683	2,053,678
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	257,463	257,463
9	Other employee benefits .......	4,493,688	3,938,651	555,037
10	Payroll taxes ...........	2,156,911	2,156,911
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	0
c	Accounting ...........	0
d	Lobbying ...........	18,019		18,019
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	3,789,901	3,775,808	14,093
12	Advertising and promotion ....	465,141	6,241	458,900
13	Office expenses .......	1,203,237	1,018,424	184,813
14	Information technology ......	3,445,026	3,440,612	4,414
15	Royalties ..	0
16	Occupancy ...........	2,477,283	2,477,283
17	Travel ............	31,108	25,254	5,854
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	1,500	1,500
20	Interest ...........	1,595,415	1,595,415
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	5,253,694	5,253,694
23	Insurance ...	860,905		860,905
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	26,732,477	26,632,624	99,853	0
b	MEDICAID FRA EXPENSE	6,270,000	6,270,000
c	CONTRACT SERVICES	2,358,163	2,282,187	75,976
d	REPAIRS AND MAINTENANCE	2,829,075	2,795,731	33,344
e	All other expenses	2,070,137	1,657,797	412,340
25	Total functional expenses. Add lines 1 through 24e	96,070,000	90,955,278	5,114,722	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			0	1	0
2	Savings and temporary cash investments .........			3,076,841	2	1,918,303
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			14,705,471	4	15,269,408
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			2,745,919	8	2,551,747
9	Prepaid expenses and deferred charges ......			643,035	9	615,524
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	51,695,087
b	Less: accumulated depreciation	10b	5,597,207	44,294,241	10c	46,097,880
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			0	15	6,803,454
16	Total assets. Add lines 1 through 15 (must equal line 34)...			65,465,507	16	73,256,316

17	Accounts payable and accrued expenses .....	6,248,192	17	5,667,453
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	7,549,992	25	13,962,601
26	Total liabilities. Add lines 17 through 25..	13,798,184	26	19,630,054

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	51,667,323	27	53,626,262
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	51,667,323	33	53,626,262
34	Total liabilities and net assets/fund balances ........	65,465,507	34	73,256,316