TY 2023 Form 990

(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)
(1) JEFFREY THOMPSON MD...................................................................... OB / GYN	1.00 ................. 50.00	X	571,453	36,896
(2) JOSEPH CRAFT MD...................................................................... CARDIOLOGY SPECIALIST	1.00 ................. 55.00	X	673,730	36,896
(3) BRIAN PETERSON MD...................................................................... CARDOTHORACIC SURGEON	1.00 ................. 55.00	X	635,112	36,784
(4) VINCENT FERRARI...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0
(5) THE RT REV DEON JOHNSON...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0
(6) REV RYAN LANDINO...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0
(7) STEVEN GOSIK...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0
(8) STEVEN MANDEVILLE...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0
(9) CYNTHIA MARITZ...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0
(10) SHARON HARVEY DAVIS...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0
(11) SCOTT MONETTE...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0
(12) JOHN MORRIS...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0
(13) REV JOY MYERS...................................................................... DIRECTOR - THRU 12/31/23	1.00 ................. 1.00	X	0	0
(14) NORMAN L EAKER...................................................................... CHAIRMAN	3.00 ................. 2.00	X	0	0
(15) REV DR BRANDAN EDDY...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0
(16) MICHAEL DIMARCO...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0
(17) KIMBERLY R JOHNSON...................................................................... DIRECTOR	1.00 ................. 1.00	X	0	0

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) KATHERINE ARBUCKLE........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(19) JOHN EILERMANN........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(20) JEAN C DAVIS........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(21) JAMES M SNOWDEN JR........................................................................ SECRETARY	1.00 .......................1.00	X					0	0	0
(22) EDWARD L GLOTZBACH........................................................................ TREASURER	1.00 .......................1.00	X					0	0	0
(23) DIANE MODRELL........................................................................ DIRECTOR - THRU 12/31/23	1.00 .......................1.00	X					0	0	0
(24) DAVID R PRICE JR........................................................................ DIRECTOR - THRU 12/31/23	1.00 .......................1.00	X					0	0	0
(25) DANIEL K STEGMANN........................................................................ VICE CHAIRMAN	1.00 .......................1.00	X					0	0	0
(26) CHRISTOPHER J TERRY........................................................................ DIRECTOR - THRU 12/31/23	1.00 .......................1.00	X					0	0	0
(27) MARTHA FLEISCHMANN........................................................................ SENIOR VP & CFO - THRU 6/30/24	25.00 .......................35.00		X				539,905	0	38,961
(28) ANDREW BAGNALL........................................................................ PRESIDENT & CEO	42.00 .......................18.00		X				966,812	0	35,864
(29) MAGED HAIKAL MD........................................................................ CHIEF OF MEDICINE	40.00 .......................25.00			X			0	995,516	38,654
(30) RONALD LEIDENFROST MD........................................................................ CHAIRMAN HEART & VASCULAR INST.	30.00 .......................25.00			X			0	601,042	38,654
(31) SAMUEL FLANDERS MD........................................................................ EXEC VP QUALITY	50.00 .......................0.00			X			614,450	0	35,396
(32) DARREN HASKELL MD........................................................................ CHIEF MEDICAN OFFICER	20.00 .......................30.00			X			0	599,386	48,596
(33) MICHAEL KLEVENS MD........................................................................ NETWORK VP IMMEDIATE CARE SERV	50.00 .......................0.00			X			505,952	0	43,436
(34) NATHAN BIGLER........................................................................ CHIEF PEOPLE OFFICER	50.00 .......................0.00			X			419,480	0	27,095
(35) DIANE RAY........................................................................ SENIOR VP / NETWORK CNO / SLH - COO - THRU 6/30/24	50.00 .......................10.00			X			472,693	0	51,766
(36) SCOTT B JOHNSON........................................................................ CHIEF STRATEGY OFFICER	50.00 .......................0.00			X			342,942	0	18,503
(37) DON MILLER........................................................................ NETWORK VP FACILITIES	41.00 .......................9.00			X			382,084	0	36,866
(38) SCOTT HOLTSWORTH........................................................................ VP / NETWORK CIO	50.00 .......................0.00			X			370,291	0	43,817
(39) SHARON MERTZLUFFT........................................................................ VICE PRESIDENT& EXEC DIRECTOR	50.00 .......................0.00			X			344,981	0	30,379
(40) LAURA OVERTURF........................................................................ NETWORK VP REV CYCLE - THRU 1/26/24	50.00 .......................0.00			X			308,574	0	43,139
(41) JON BETTALE........................................................................ VICE PRESIDENT SURGICAL SVCS	50.00 .......................0.00			X			312,608	0	30,678
(42) JASON EDWARDS MD........................................................................ RADIATION ONCOLOGIST	55.00 .......................0.00				X		1,575,291	0	14,025
(43) ERIC JENKINS MD........................................................................ PHYSICIAN CVICU	50.00 .......................0.00				X		573,501	0	43,496
(44) LESLIE TERRELL MD........................................................................ CVICU	50.00 .......................0.00				X		508,226	0	33,536
(45) JAMIE HAAS MD........................................................................ SLEEP MEDICINE PHYSICIAN	50.00 .......................0.00				X		549,254	0	39,341
(46) VEDICA SHARMA MD........................................................................ CVICU	50.00 .......................0.00				X		508,670	0	10,725
(47) SHANE M CERONE........................................................................ FORMER PRESIDENT & CEO	0.00 .......................0.00					X	764,423	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
TRIMEDX LLC 5050 KINGSLY DR CINCINNATI,OH45227	EQUIPMENT MAINTENANCE	5,308,546
AYA HEALTHCARE INC PO BOX 674907 DALLAS,TX75267	TEMPORARY STAFFING	4,457,188
PARIC CORPORATION 77 WESTPORT PLAZA DR ST LOUIS,MO63146	CONSTRUCTION SERVICES	3,116,056
ICS CONSTRUCTION SERVICES 2930 MARKET STREET ST LOUIS,MO63103	CONSTRUCTION SERVICES	2,865,565
LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON,NC27216	LAB SERVICES	2,459,706
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 86

- TIN:

SCHEDULE A
(Form 990)

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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

ST LUKES EPISCOPAL-PRESBYTERIAN
HOSPITALS

Employer identification number

43-0652680

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2023

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 5 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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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 5 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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2023

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2023

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 0.015 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 0.035	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) 2023

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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

OMB No. 1545-0047

2023

Name of the organization

ST LUKES EPISCOPAL-PRESBYTERIAN
HOSPITALS

Employer identification number

43-0652680

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITALS

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITALS		Employer identification number 43-0652680

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITALS			Employer identification number 43-0652680
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. right arrow

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

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

OMB No. 1545-0047

2022

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 LUKES EPISCOPAL-PRESBYTERIAN
HOSPITALS

Employer identification number

43-0652680

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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|No

(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

64,203

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 ....................................................................................................

64,203

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
PART II-B, LINE 1:	APPROXIMATELY $64,203 OF THE DUES PAID TO VARIOUS TRADE ORGANIZATIONS FOR THE YEAR ENDED JUNE 30, 2024 ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES BY THE ORGANIZATION.

Schedule C (Form 990) 2022

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

ST LUKES EPISCOPAL-PRESBYTERIAN
HOSPITALS

Employer identification number

43-0652680

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 FASB 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 FASB 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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 ....	28,125,195	26,018,554	28,961,841	26,143,988	27,961,217
b	Contributions ...	465,179	3,534,048	732,916	357,924	940,177
c	Net investment earnings, gains, and losses	1,032,948	829,171	-2,800,529	3,126,918	-140,904
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	5,095,600	2,256,578	875,674	666,989	2,616,502
f	Administrative expenses ....
g	End of year balance ......	24,527,722	28,125,195	26,018,554	28,961,841	26,143,988

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

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

90.060 %

Term endowment right arrow

9.940 %

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 .....	17,267,851		17,267,851
b	Buildings ....	399,684,545	274,311,790	125,372,755
c	Leasehold improvements	31,091,851	19,168,560	11,923,291
d	Equipment ....	281,723,463	248,079,424	33,644,039
e	Other .....	5,576,211		5,576,211
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				193,784,147

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other 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

Investments - Program 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)DEFERRED COMPENSATION				2,692,000
(2)PENSION ASSET				3,565,466
(3)SPECIAL PURPOSE FUND				2,272,884
(4)RIGHT OF USE LEASE ASSETS				22,609,046
(5)INVESTMENTS				22,537,304
(6)INTERCOMPANY RECEIVABLE				65,103,652
(7)OTHER ASSETS				449,373
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				119,229,725

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
DEFERRED COMPENSATION	2,692,000
INSURANCE RESERVES & OTHERS	26,116,850
MEDICARE REIMBURSEMENT	5,198,715
OPERATING LEASE LIABILITY	23,274,040





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	57,281,605
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) 2022

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 IV, LINE 2B:	THE HOSPITAL OBTAINS ONE MONTH'S WORTH OF DEPOSITS IN ADVANCE FOR ROOM AND BOARD CHARGES FOR SKILLED NURSING FACILITY PRIVATE PAY RESIDENTS.
PART V, LINE 4:	ENDOWMENT FUNDS CONSIST OF NINE INDIVIDUAL FUNDS, OF WHICH THREE WERE ESTABLISHED FOR INDIGENT CARE. ALL REALIZED INVESTMENT RETURNS ARE RELEASED TO OPERATIONS IN ACCORDANCE WITH THE DONOR RESTRICTIONS.
PART X, LINE 2:	ST. LUKE'S EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED IN 2024 OR 2023.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

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

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
ST LUKES EPISCOPAL-PRESBYTERIAN
HOSPITALS

Employer identification number

43-0652680

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990) 2023

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 FRIENDS EVENT (event type)	(b) Event #2 (event type)	(c) Other events (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	35,571			35,571
2	Less: Contributions . . . .	20,923			20,923
3	Gross income (line 1 minus line 2) . . . . . .	14,648			14,648

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	7,040	7,040
7	Food and beverages . . .	6,906	6,906
8	Entertainment . . . .
9	Other direct expenses . . .	5,183	5,183
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		19,129
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		-4,481

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) 2023

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2023

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ST LUKES EPISCOPAL-PRESBYTERIAN
HOSPITALS

Employer identification number

43-0652680

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) . . .	24,364	5,740,738		5,740,738	0.940 %
b	Medicaid (from Worksheet 3, column a) . . . . .		13,609,470	10,745,842	2,863,628	0.470 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	24,364	19,350,208	10,745,842	8,604,366	1.410 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).		1,140,712		1,140,712	0.190 %
f	Health professions education (from Worksheet 5) . . .		7,451,718	4,750,285	2,701,433	0.440 %
g	Subsidized health services (from Worksheet 6) . . . .	4,297	1,556,592	406,702	1,149,890	0.190 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .		64,148		64,148	0.010 %
j	Total. Other Benefits . .	4,297	10,213,170	5,156,987	5,056,183	0.830 %
k	Total. Add lines 7d and 7j .	28,661	29,563,378	15,902,829	13,660,549	2.240 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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			218,986		218,986	0.040 %
4	Environmental improvements
5	Leadership development and training for community members			706		706	0 %
6	Coalition building			1,080		1,080	0 %
7	Community health improvement advocacy
8	Workforce development			200,083		200,083	0.030 %
9	Other
10	Total			420,855		420,855	0.070 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

1,344,568

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. ......

768,728

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).....

157,818,249

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

167,075,515

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

-9,257,266

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 %
11 ST LUKE'S CENTER FOR DIAGNOSTIC IMAGING	OUTPATIENT IMAGING SERVICES	31.000 %	0 %	18.000 %
22 ST LUKE'S SURGERY CENTER OF CHESTERFIELD	AMBULATORY SURGERY CENTER	78.790 %	0 %	21.210 %
33 CITY PLACE SURGERY CENTER	AMBULATORY SURGERY CENTER	66.890 %	0 %	33.110 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

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?2Name, 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)						Other (describe)
1	ST LUKE'S HOSPITAL 232 S WOODS MILL RD CHESTERFIELD,MO63017 WWW.STLUKES-STL.COM 274-49	X	X	X	X
2	ST LUKE'S REHABILITATION HOSPITAL 14709 OLIVE BLVD CHESTERFIELD,MO63017 WWW.STLUKES-STL.COM/SERVICES 560-4	X				REHABILITATION HOSPITAL

Schedule H (Form 990) 2023

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 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?........................

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...............

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 21

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. ............................

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): STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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 22

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

Yes

If "Yes" (list url): STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ST LUKE'S 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 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

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):

STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE

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

STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE

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) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	ST LUKE'S 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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2023

Page 7

Part VFacility Information (continued)

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

	ST LUKE'S 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) 2023

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 REHABILITATION 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?........................

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 21

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. ............................

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): STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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 22

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

Yes

If "Yes" (list url): STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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

10b

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ST LUKE'S REHABILITATION 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 %
and FPG family income limit for eligibility for discounted care of %

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

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):

STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE

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

STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
STLUKES-STL.COM/PAY/FINANCIAL-ASSISTANCE

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)

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) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	ST LUKE'S REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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) 2023

Page 7

Part VFacility Information (continued)

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

	ST LUKE'S REHABILITATION 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 prospective Medicare or Medicaid method

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) 2023

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, 20a, 20b, 20c, 20d, 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
ST. LUKE'S HOSPITAL	PART V, SECTION B, LINE 5: PART V, SECTION B, LINES 5 AND 6ATHE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS COLLECTED PRIMARY DATA THROUGH KEY STAKEHOLDER AND COMMUNITY MEMBER SURVEYS, COORDINATED THROUGH A COLLABORATIVE APPROACH BETWEEN ST. LOUIS AREA HOSPITALS AND HEALTH SYSTEMS INCLUDING BJC HEALTHCARE, MERCY, SSM HEALTH, ST. LUKE'S HOSPITAL, AND SHRINERS HOSPITALS FOR CHILDREN. APPENDIX B OF THE ST. LUKE'S HOSPITAL CHNA INCLUDES QUESTIONS AND RESPONSES FOR EACH SURVEY.THE STAKEHOLDER SURVEY SOLICITED INPUT FROM PARTNERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS WEB-BASED, EMAILED DIRECTLY TO IDENTIFIED PARTNERS, AND AVAILABLE DURING THE MONTH OF JUNE 2021. RESPONSES FROM 17 PARTNERS IN THE WEST AND CENTRAL ST. LOUIS COUNTY AREAS WERE INCLUDED IN THE ST. LUKE'S CHNA. COMMUNITY PARTNERS REPRESENTED PUBLIC HEALTH, COMMUNITY-BASED ORGANIZATIONS, LOCAL MUNICIPAL GOVERNMENT, EDUCATION, AND FIRE AND POLICE DEPARTMENTS. ORGANIZATIONS REPRESENTED IN STAKEHOLDER SURVEY RESPONSES INCLUDE THE FOLLOWING:CIRCLE OF CONCERNCITY OF DES PERESCREVE COEUR POLICE DEPARTMENTEUREKA POLICE DEPARTMENTEVENT EXHIBITS, INC.JEWISH COMMUNITY CENTERKIRKWOOD FIRE DEPARTMENTMARYVILLE UNIVERSITYMETROWEST ANESTHESIA GROUPMISSOURI BAPTIST UNIVERSITYPREVENTEDROCKWOOD SCHOOL DISTRICTST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTHST. LOUIS COUNTY POLICEST. LUKE'S DES PERES ADVISORY BOARDTOWN AND COUNTRY POLICE DEPARTMENTTHE COMMUNITY MEMBER SURVEY WAS WEB-BASED AND AVAILABLE TO ALL MEMBERS OF THE ST. LOUIS METROPOLITAN AREA BETWEEN MAY AND JUNE 2021. SURVEY PROMOTIONS INCLUDED A PRESS RELEASE TO LOCAL MEDIA OUTLETS, HOSPITAL NEWS STORIES, SOCIAL MEDIA PROMOTIONS, FLYER DISTRIBUTION THROUGHOUT THE COMMUNITY AT HOSPITAL-SPONSORED ACTIVITIES, AND THROUGH COMMUNITY-BASED PARTNER ORGANIZATIONS INCLUDING THOSE WITH INTERNET AVAILABILITY FOR INDIVIDUALS WITHOUT ACCESS TO INTERNET AT HOME. SURVEY RESPONSES WERE AGGREGATED AT THE ZIP CODE LEVEL TO ALIGN WITH THE UNIQUE CHNA COMMUNITIES OF EACH HOSPITAL. A TOTAL OF 465 RESPONSES WERE COLLECTED FROM THE ST. LUKE'S CHNA GEOGRAPHY.
ST. LUKE'S HOSPITAL	PART V, SECTION B, LINE 11: BASED ON ASSESSMENT OF LOCAL HEALTH, SOCIAL, AND DEMOGRAPHIC DATA; COMMUNITY AND STAKEHOLDER SURVEY INPUT; AND IN CONSIDERATION OF REGIONAL STRATEGIES AND HOSPITAL PRIORITIES, THE ST. LUKE'S HOSPITAL'S 2022 CHNA EXECUTIVE TEAM PRIORITIZED THE FOLLOWING NEEDS ON WHICH TO FOCUS INITIATIVES THROUGH STRATEGIES IDENTIFIED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) BETWEEN FY2023 AND FY2025:- OLDER ADULTS- WEIGHT MANAGEMENT- MENTAL HEALTHTHE FOLLOWING ACTIONS WERE IMPLEMENTED IN FY2024 TO ADDRESS THE PRIORITY NEEDS IDENTIFIED IN THE 2022 CHNA:OLDER ADULTS: THE GOAL OF THE OLDER ADULTS IMPLEMENTATION PLAN IS TO INCREASE THE NUMBER OF OLDER ADULTS ACTIVELY ENGAGED IN HEALTHY LIFESTYLES, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE OF HEALTHY BEHAVIORS AND DISEASE MANAGEMENT STRATEGIES, 2) INCREASE OPPORTUNITIES TO ENGAGE IN HEALTHY BEHAVIORS, 3) IMPROVE ACCESS TO INSURANCE COVERAGE AND SERVICES, AND 4) DECREASE THE NUMBER OF AVOIDABLE HOSPITALIZATIONS AMONG OLDER ADULTS. OLDER ADULT INITIATIVES IMPLEMENTED IN FY2024 TO ACHIEVE THESE OUTCOMES INCLUDE: - EXPANDED ST. LUKE'S SENIOR OUTREACH EDUCATION IN THE COMMUNITY WITH NEW FY2024 PARTNER SITES INCLUDING CHESTERFIELD AND MARYLAND HEIGHTS YMCA LOCATIONS - IMPLEMENTED MONTHLY "COFFEE AND CONVERSATIONS" COMMUNITY EDUCATION TO PROMOTE ONGOING ENGAGEMENT, SOCIALIZATION, AND HEALTH EDUCATION- DEVELOPED AND DISTRIBUTED ST. LUKE'S FAMILY & CAREGIVER RESOURCE GUIDE FOR CARE OF OLDER ADULTS- ESTABLISHED PARTNERSHIP WITH MISSOURI STATE HEALTH INSURANCE ASSISTANCE PROGRAM (SHIP) TO PROVIDE MEDICARE COUNSELING, EDUCATION, AND ENROLLMENT ASSISTANCE- EXPANDED READMISSIONS REDUCTION PROGRAM TO INCLUDE EXPANSION TO DES PERES HOSPITAL CAMPUS, TOTAL JOINT PATIENTS, AND AGE 80+ BLACK PATIENTS- CONTINUED INTENSIVE DIABETES MANAGEMENT PROGRAM IN ST. LUKE'S MEDICAL GROUP PRACTICES TO PROACTIVELY IDENTIFY AND CARE FOR DIABETIC PATIENTS AND IMPROVE PATIENT OUTCOMES- CONTINUED EMPLOYMENT OF SOCIAL WORKER IN ST. LUKE'S EMERGENCY DEPARTMENT TO ASSIST WITH FOLLOW-UP AND POST-ACUTE PLACEMENT OF PATIENTSWEIGHT MANAGEMENT: THE GOAL OF THE WEIGHT MANAGEMENT IMPLEMENTATION PLAN IS TO REDUCE THE PREVALENCE OF AT-RISK, OVERWEIGHT, AND OBESE INDIVIDUALS IN THE COMMUNITY, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE AVAILABILITY OF HEALTHY FOOD AND EXERCISE OPTIONS AND 2) IMPROVE KNOWLEDGE AND AWARENESS ABOUT HEALTHY HABITS, RESOURCES, AND ACCESS. WEIGHT MANAGEMENT INITIATIVES IMPLEMENTED IN FY2024 TO ACHIEVE THESE OUTCOMES INCLUDE: - ESTABLISHED MONTHLY COMMUNITY WALKING GROUP AT ST. LUKE'S WALKING TRAIL TO PROMOTE EXERCISE AND HEALTH EDUCATION- IMPLEMENTED QUARTERLY "LET'S COOK!" FOOD DEMONSTRATIONS ON EACH HOSPITAL CAMPUS AND IN THE COMMUNITY, IN COLLABORATION WITH COMMUNITY PARTNERS, TO ENCOURAGE AND EDUCATE ABOUT HEALTHY FOOD PREPARATION AND EATING - CONTINUED PARTNERSHIP WITH SCHNUCKS MARKETS TO OFFER DIETITIAN-GUIDED SUPERMARKET TOURS TO PROMOTE HEALTHY SHOPPING AND FOOD CHOICES, WITH PLANNED EXPANSION TO ADDITIONAL ZIP CODES IN FY2025MENTAL HEALTH: THE GOAL OF THE MENTAL HEALTH IMPLEMENTATION PLAN IS TO IMPROVE ACCESS TO AND KNOWLEDGE OF MENTAL HEALTH RESOURCES, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE THROUGH COMMUNITY EDUCATION ABOUT MENTAL HEALTH AWARENESS, REDUCED STIGMA, COPING STRATEGIES, AND RESOURCE CONNECTIONS, 2) IMPROVE PATIENT ACCESS TO MENTAL HEALTH SERVICES THROUGH COMMUNITY PARTNERSHIPS AND COORDINATION OF PATIENT CARE, AND 3) IMPROVE KNOWLEDGE AMONG HOSPITAL STAFF ABOUT MENTAL HEALTH RESOURCES AND HOW TO NAVIGATE AND ACCESS POINTS OF CARE. MENTAL HEALTH INITIATIVES IMPLEMENTED IN FY2024 TO ACHIEVE THESE OUTCOMES INCLUDE: - PILOTED A COMMUNITY BOOK CLUB, FOCUSED ON TOPICS TO PROMOTE POSITIVE MENTAL HEALTH AND FAMILY CONNECTIONS- DEVELOPED MENTAL HEALTH TOOLKIT OF RESOURCES AND EDUCATION FOR ST. LUKE'S STAFF TO USE WHEN REFERRING PATIENTS WITH MENTAL HEALTH NEEDS- CONTINUED EMPLOYMENT OF SOCIAL WORKER IN ST. LUKE'S EMERGENCY DEPARTMENT TO ASSIST WITH FOLLOW-UP AND POST-ACUTE PLACEMENT OF PATIENTS - CONTINUED USE OF EAP VIDEO TO PROMOTE EMPLOYEE AWARENESS OF NAVIGATING MENTAL HEALTH RESOURCES- CONTINUED USE OF "CODE LAVENDER CART" FOR USE BY ST. LUKE'S DEPARTMENTS WHOSE STAFF HAVE ENCOUNTERED CRISIS OR NEED MENTAL HEALTH RESOURCESADDITIONAL HEALTH NEEDS WERE IDENTIFIED THROUGH THE ST. LUKE'S CHNA PROCESS, HOWEVER LIMITED RESOURCES NECESSITATE SELECTION OF FOCUS AREAS FOR IMPLEMENTATION OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE FOLLOWING COMMUNITY NEEDS HAVE BEEN IDENTIFIED BUT WERE NOT PRIORITIZED AS TOP HEALTH NEEDS IN THE ST. LUKE'S 2022 CHNA.CANCER: ST. LUKE'S CENTER FOR CANCER CARE OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICES, EDUCATIONAL INFORMATION, AND EMOTIONAL SUPPORT FOR THE PREVENTION, DIAGNOSIS, AND TREATMENT OF CANCER. CANCER CARE IS A SERVICE LINE STRENGTH AT ST. LUKE'S, AND WE PLAN TO CONTINUE TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH PREVENTION AND EARLY DETECTION.ARTHRITIS/JOINT DISEASE: ST. LUKE'S ORTHOPEDICS AND PHYSICAL THERAPY SERVICE LINES OFFER COMPREHENSIVE TREATMENT AND THERAPY OPTIONS FOR INDIVIDUALS WHO SUFFER FROM PAIN, INJURY, AND OTHER MEDICAL PROBLEMS WITH THE GOAL OF RETURNING PATIENTS TO OPTIMAL LEVELS OF PHYSICAL FUNCTION. SINCE JOINT PAIN AND ARTHRITIS ARE HEALTH CONDITIONS OFTEN AFFECTING OLDER ADULTS, THE PRIORITY FOCUS OF THE OLDER ADULT POPULATION MAY ALSO INCLUDE INITIATIVES TO ADDRESS PAIN IN THE VULNERABLE POPULATION. SMOKING (VAPING + TOBACCO): WHILE SMOKING AND VAPING IMPACT A SIGNIFICANT NUMBER OF INDIVIDUALS IN THE COMMUNITY, INDICATORS PRESENT SMOKING AS LESS OF A PRIORITY HEALTH NEED THAN OTHER IDENTIFIED NEEDS. THE RATE OF SMOKING IN THE ST. LUKE'S CHNA IS LESS THAN THE COMPARISON BENCHMARK OF ST. LOUIS COUNTY, AND THE COMMUNITY SURVEY RANKED SMOKING AS A LOWER CONCERN THAN OTHER IDENTIFIED NEEDS. PLANNED COMMUNITY OUTREACH EFFORTS WILL HELP EDUCATE AND NAVIGATE CURRENT AND FORMER SMOKERS TO LOW DOSE CT SCAN SCREENING FOR LUNG CANCER AND SMOKING CESSATION RESOURCES.DRUG ABUSE: DRUG ABUSE WAS NOT SELECTED AS A FOCUSED HEALTH NEED, HOWEVER THE 2019 CHNA OPIOID MISUSE ACTION TEAM WILL CONTINUE ONGOING INITIATIVES AND WILL ADDRESS AND IMPLEMENT NEW INITIATIVES WITH COMMUNITY PARTNERS. IN ADDITION, OTHER SUBSTANCE ABUSE NEEDS WILL LIKELY BE ADDRESSED THROUGH IMPLEMENTATION OF INITIATIVES FOR MENTAL HEALTH. ALZHEIMER'S DISEASE: ST. LUKE'S CURRENTLY PARTNERS WITH THE ALZHEIMER'S ASSOCIATION TO OFFER COMMUNITY EDUCATION, RESOURCES, AND DEMENTIA CARE COORDINATION. THIS ONGOING PARTNERSHIP WILL CONTINUE AND WILL BE COMPLEMENTED WITH SIMILAR AND LIKELY RELATED INITIATIVES FOR THE PRIORITY OLDER ADULT POPULATION IN OUR COMMUNITY.HYPERTENSION, HEART DISEASE, DIABETES: HYPERTENSION, HEART DISEASE, AND DIABETES ARE RELATED CONDITIONS OFTEN RESULTING FROM BEING OVERWEIGHT OR OBESE. SELECTING WEIGHT MANAGEMENT AS A PRIORITY HEALTH NEED RECOGNIZES THAT RELATED HEALTH CONDITIONS WILL LIKELY BE ADDRESSED AND IMPACTED THROUGH INITIATIVES FOR OBESITY. OVERLAND, 63114: ST. LUKE'S HAS BEEN INVESTED IN THE OVERLAND COMMUNITY FOR MORE THAN 60 YEARS THROUGH ITS PEDIATRIC CARE CENTER AND IS COMMITTED TO CONTINUING TO OFFER PEDIATRIC HEALTH CARE SERVICES, EDUCATION AND PREVENTION TO AREA CHILDREN AND THEIR FAMILIES.
ST. LUKE'S REHABILITATION HOSPITAL	PART V, SECTION B, LINE 13H: ST. LUKE'S REHABILITATION HOSPITAL MEDICAID PENDING.
ST. LUKE'S REHABILITATION HOSPITAL	PART V, SECTION B, LINE 16J: ST. LUKE'S REHABILITATION HOSPITALST. LUKE'S REHABILITATION HOSPITAL (THE REHAB HOSPITAL) RECEIVES PATIENTS ON A REFERRAL-ONLY BASIS, MANY OF WHOM ARE REFERRED BY ST. LUKE'S HOSPITAL. THE REHAB HOSPITAL HONORS THE FINANCIAL ASSISTANCE DETERMINATIONS MADE BY ST. LUKE'S HOSPITAL UNDER ITS FINANCIAL ASSISTANCE POLICY, WHICH IS PUBLICIZED WITHIN THE COMMUNITY SERVED BY BOTH FACILITIES. ON THE ST. LUKE'S HOSPITAL WEBSITE, ST. LUKE'S REHABILITATION HOSPITAL IS LISTED UNDER THE "SERVICES AND "LOCATIONS" TAB OF THE HOSPITAL AND UNDER THE "PAYMENTS & FINANCIAL ASSISTANCE" TAB - "COMMITTED TO ASSISTING OUR PATIENTS IN FINDING THE INFORMATION THEY NEED REGARDING BILLING AND CHARGES FROM HEALTHCARE SERVICES OBTAINED AT ONE OF OUR FACILITIES".
PART V, SECTION C	ASIDE FROM THE ADDITIONAL DISCLOSURES FOR PART V, SECTION B, LINE 13H AND PART VI, SECTION B, LINES 16J AND 20E, THE SUPPLEMENTAL INFORMATION PROVIDED IN SCHEDULE H, PART V, SECTION C APPLIES TO BOTH ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS (ST. LUKE'S HOSPITAL) AND ST. LUKE'S REHABILITATION HOSPITAL (REHAB HOSPITAL). ADDITIONALLY, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COVERS ST. LUKE'S HOSPITAL AND THE REHAB HOSPITAL, AS IT IS INCLUDED IN ST. LUKE'S PROCESS AND STEERING COMMITTEE.

Schedule H (Form 990) 2023

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?4
Name and address		Type of Facility (describe)
1	1 - ST LUKE'S HOSP SK NURS FAC-SURREY PLACE 14701 OLIVE BLVD CHESTERFIELD,MO63017	SKILLED NURSING / RESIDENTIAL CARE FACILITY
2	2 - ST LUKE'S HOSPITAL HOME HEALTH AGENCY 111 S WOODS MILL RD CHESTERFIELD,MO63017	HOME HEALTH SERVICES
3	3 - ST LUKE'S HOSPITAL HOSPICE 111 S WOODS MILL RD CHESTERFIELD,MO63017	HOSPICE CARE
4	4 - GATEWAY ENDOSCOPY CENTER 12855 N 40 DR SUITE 150 ST LOUIS,MO63141	GASTROINTESTINAL ENDOSCOPY
5
6
7
8
9
10

Schedule H (Form 990) 2023

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
PART I, LINE 6A:	N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATIONPART I, LINE 7GN/A
PART I, LN 7 COL(F):	TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSELINE 7A: CHARITY CARE, 0.94%LINE 7B: UNREIMBURSED MEDICAID, 2.24 %LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 3.18 %LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.19 %LINE 7F: HEALTH PROFESSIONS EDUCATION, 1.23 %LINE 7G: SUBSIDIZED HEALTH SERVICES, 0.25 %LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.01 %LINE 7J: TOTAL OTHER BENEFITS, 1.68 %LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 4.86 %BAD DEBT EXPENSE SUBTRACTED FROM LINE 7, COLUMN (F): N/A-BAD DEBT IS AN IMPLICIT PRICE CONCESSION AND A REDUCTION OF PATIENT REVENUE.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIESST. LUKE'S EMPLOYEES ENGAGE IN A VARIETY OF COMMUNITY-BUILDING PARTNERSHIPS AND ACTIVITIES TO SUPPORT AND IMPROVE THE HEALTH AND SAFETY OF INDIVIDUALS LIVING IN OUR SURROUNDING COMMUNITY. ACTIVITIES REPORTED IN PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE: COMMUNITY SUPPORT: ST. LUKE'S LEADERSHIP AND STAFF ARE INVOLVED ON LOCAL NONPROFIT BOARDS AND COMMITTEES INTENDED TO ADVANCE COMMUNITY HEALTH, INCLUDING EPISCOPAL PRESBYTERIAN HEALTH TRUST, WHICH ALLOCATES FUNDS TO BENEFIT THE HEALTH OF VULNERABLE POPULATIONS IN THE CITY OF ST. LOUIS.WORKFORCE DEVELOPMENT: ST. LUKE'S HOSPITAL LEADERS PROVIDE CAREER PLANNING ADVICE, OPPORTUNITY, AND GUIDANCE TO ASSIST AND GUIDE STUDENTS ABOUT CAREERS IN THE HEALTHCARE INDUSTRY THROUGH JOB SHADOWING OPPORTUNITIES FOR HIGH SCHOOL AND COLLEGE STUDENTS, THE ST. LOUIS INTERNSHIP PROGRAM (SLIP), PARKWAY SPARK! EXPERIENTIAL LEARNING, AND ST. LUKE'S HEALTHCARE EXPLORERS POST.ADDITIONALLY, ST. LUKE'S COORDINATES VOCATIONAL SKILLS PROGRAMS TO SUPPORT DISABLED STUDENTS FROM THE COMMUNITY AND PROVIDE THEM WITH ON-THE-JOB TRAINING AND EXPERIENCE TO SUPPORT THEM ON THEIR PATH TO EMPLOYMENT.LEADERSHIP DEVELOPMENT AND TRAINING: ST. LUKE'S HOSPITAL SUPPORTS VISION ST. CHARLES LEADERSHIP DEVELOPMENT AND TRAINING THROUGH FINANCIAL SUPPORT AND STAFF INVOLVEMENT ON THE HEALTH SUBCOMMITTEE. COALITION BUILDING: ST. LUKE'S LEADERSHIP AND STAFF PARTICIPATE IN VARIOUS COLLABORATIVE EFFORTS WITH OTHER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS TO ADVANCE THE HEALTH AND SAFETY OF OUR COMMUNITY, INCLUDING CITY OF CHESTERFIELD COMMUNITY CENTER, ALLIANCE FOR HEALTHY COMMUNITIES, AND ST. LOUIS AREA MEDICATION SAFETY.DISASTER READINESS: ST. LUKE'S STAFF PARTICIPATE IN REGIONAL DISASTER PREPAREDNESS COLLABORATIVES AND ENGAGES BEYOND WHAT IS REQUIRED OF ALL ORGANIZATIONS, INCLUDING INVOLVEMENT WITH THE FEDERAL DISASTER MEDICAL ASSISTANCE TEAM, INTERSTATE DISASTER MEDICAL COLLABORATION, ST. LOUIS AREA REGIONAL RESPONSE SYSTEM, AND ST. LOUIS MEDICAL OPERATIONS CENTER.
PART III, LINE 2:	COST TO CHARGE RATIO
PART III, LINE 3:	BAD DEBTST. LUKE'S CONSIDERS THIS PORTION OF BAD DEBT EXPENSE A COMMUNITY BENEFIT AS IT IS THE ADDITIONAL COST OF PROVIDING FINANCIAL ASSISTANCE TO THE COMMUNITY.
PART III, LINE 4:	NOTE 3 - PATIENT SERVICE REVENUE AND OTHER OPERATING REVENUE (ST. LUKE'S HEALTH CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS) - "ST. LUKE'S DETERMINES THE TRANSACTION PRICE, WHICH INVOLVES SIGNIFICANT ESTIMATES AND JUDGMENT, BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY EXPLICIT AND IMPLICIT PRICE CONCESSIONS, INCLUDING CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS IN ACCORDANCE WITH ST. LUKE'S POLICY, AND IMPLICIT PRICE CONCESSIONS BASED ON THE HISTORICAL COLLECTION EXPERIENCE OF PATIENT ACCOUNTS. ST. LUKE'S DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE WITH MEDICARE, MEDICAID, MANAGED CARE PROGRAMS, AND OTHER THIRD-PARTY PAYORS BASED ON REIMBURSEMENT TERMS PER CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. PAYMENT ARRANGEMENTS WITH THOSE PAYORS INCLUDE PROSPECTIVELY DETERMINED RATES PER ADMISSION OR VISIT, REIMBURSED COSTS, DISCOUNTED CHARGES, PER DIEM RATES AND VALUE-BASED PAYMENTS. REPORTED COSTS AND/OR SERVICES PROVIDED UNDER CERTAIN OF THESE ARRANGEMENTS ARE SUBJECT TO RETROACTIVE AUDIT AND ADJUSTMENT. PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS) ARE RECORDED DURING THE PERIOD THE HEALTH CARE SERVICES ARE PROVIDED AND ARE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. ESTIMATES OF CONTRACTUAL ALLOWANCES UNDER MANAGED CARE HEALTH PLANS ARE BASED UPON THE SERVICES PROVIDED HISTORICAL PAYMENT RATES, AND THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUES RELATED TO UNINSURED PATIENTS HAVE DISCOUNTS APPLIED IN ACCORDANCE WITH ST. LUKE'S POLICY."
PART III, LINE 8:	PROVISION OF CARE TO MEDICARE BENEFICIARIES MEETS A NEED IN THE COMMUNITY AND ANY SHORTFALL IS CONSIDERED TO BE A COMMUNITY BENEFIT.COSTING METHODOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COSTS - COST TO CHARGE RATIOS/MEDICARE COST REPORT.
PART III, LINE 9B:	COLLECTION POLICY REGARDING PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE - ST. LUKE'S HOSPITAL HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM ST. LUKE'S HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT IMPOSE WAGE GARNISHMENTS OR FORCE A FORECLOSURE ON PRIMARY RESIDENCES, WILL NOT IMPOSE ACTIONS THAT FORCE BANKRUPTCY AND WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES. UNPAID BALANCES WILL NOT BE REPORTED TO THE CREDIT BUREAU UNTIL AT LEAST 6 MONTHS FROM PLACEMENT DATE AND ONLY IF PATIENTS ARE NOT COOPERATING WITH PAYING THEIR BALANCE.ST. LUKE'S HOSPITAL ADHERES TO THE LAWS OF THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND PATIENTS ARE TREATED WITH DIGNITY, RESPECT AND IN LINE WITH OUR MISSION AND VALUES.
PART VI, LINE 2:	NEEDS ASSESSMENTIN ADDITION TO CONDUCTING A FORMAL CHNA EVERY THREE YEARS, ST. LUKE'S CONTINUOUSLY MONITORS THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY THROUGH VARIOUS APPROACHES, MOST DIRECTLY THROUGH THE ST. LUKE'S COMMUNITY BENEFIT PROGRAM AND DEDICATED COMMUNITY BENEFIT STAFF. THE ST. LUKE'S COMMUNITY BENEFIT COORDINATOR PARTICIPATES IN COMMUNITY COLLABORATIONS AND COALITIONS INCLUDING ONGOING REGIONAL HOSPITAL COMMUNITY HEALTH COLLABORATION WITH OTHER LOCAL HOSPITAL SYSTEMS TO INTENTIONALLY ADDRESS OUTSTANDING REGIONAL NEEDS EFFICIENTLY AND EFFECTIVELY. ADDITIONAL COMMUNITY ASSESSMENT IS ACHIEVED THROUGH INVOLVEMENT IN THE LOCAL HEALTH DEPARTMENT HEALTH ASSESSMENT PROCESS; PARTICIPATION ON THE COMMISSION ON CANCER STEERING COMMITTEE AND ANNUAL DEVELOPMENT OF FOCUSED EFFORTS TO ADDRESS OUTSTANDING SCREENING AND PREVENTION NEEDS; ADVISING ON MISSOURI HOSPITAL ASSOCIATION COMMUNITY HEALTH INITIATIVES INTENDED TO BETTER ASSIST STATE HOSPITALS TO ADDRESS HEALTH EQUITY; COLLABORATION WITH PARTNERS THROUGH THE ALLIANCE FOR HEALTHY COMMUNITIES COALITION TO ADDRESS SUBSTANCE ABUSE AND MISUSE; AND ONGOING MARKET ASSESSMENT AND RESEARCH THROUGH LOCAL CURRENT EVENTS, COMPETITOR ACTIVITY, AND LITERATURE REVIEW. ADDITIONALLY, HOSPITAL LEADERSHIP AND MEMBERS OF THE MANAGEMENT TEAM SERVE ON COMMUNITY BOARDS AND PARTNER WITH COMMUNITY ORGANIZATIONS. COMMUNITY OUTREACH STAFF SERVE MEMBERS OF THE COMMUNITY THROUGH A VARIETY OF SCREENINGS, EDUCATION, AND HEALTH COACHING EVENTS, WHICH PROVIDE ADDITIONAL ASSESSMENT OF THE OUTSTANDING HEALTH NEEDS THAT ARE IMPORTANT TO OUR COMMUNITY. CARE MANAGEMENT STAFF INTERACTIONS WITH PATIENTS PROVIDE ONGOING MONITORING AND SERVE AS IMPORTANT INPUT FOR ADDRESSING PATIENT NEEDS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS ARE INFORMED ABOUT ST. LUKE'S FINANCIAL ASSISTANCE AND THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS IN A NUMBER OF WAYS:-FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO PATIENTS DURING THEIR STAY.-PATIENT FINANCIAL SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO PROVIDE PATIENTS WITH THEIR EXPECTED AMOUNTS DUE AND DISCUSS PAYMENT / DISCOUNT OPTIONS.-DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING TO PATIENTS ON THE PHONE ABOUT THEIR ACCOUNT BALANCES.-INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS LOCATED ON OUR WEBSITE, OUR BILLING STATEMENTS, AS WELL AS OUR REGISTRATION BOOKLETS/BROCHURES AND SIGNAGE IN ALL REGISTRATION AREAS.-APPLICATIONS ARE AVAILABLE FREE OF CHARGE BY MAIL OR PHONE AND CAN BE OBTAINED ON OUR WEBSITE.-FINANCIAL COUNSELORS SCREEN PATIENTS FOR MEDICAID ELIGIBILITY TO ASSIST WITH ENROLLMENT IN THE STATE MEDICAID PROGRAM.-CERTIFIED APPLICATION COUNSELORS ARE AVAILABLE TO PATIENTS AND MEMBERS OF THE COMMUNITY TO ASSIST THEM WITH ENROLLING IN AN INSURANCE PLAN ON THE MARKETPLACE.-PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 4:	COMMUNITY INFORMATIONTHE DEFINITION OF ST. LUKE'S CHNA COMMUNITY WAS DEVELOPED FROM ZIP CODE EVALUATION OF CONCENTRATED HOSPITAL INPATIENT VOLUME AND MARKET SHARE TO UNDERSTAND IN WHICH ZIP CODES THE MAJORITY OF PATIENTS RELY ON ST. LUKE'S FOR SERVICES. TO ENSURE INCLUSION OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHO LIVE IN OR NEAR THE GEOGRAPHIC AREA FROM WHICH ST. LUKE'S DRAWS PATIENTS, THE COMMUNITY EVALUATION INCLUDED ZIP-CODE LEVEL VULNERABILITIES IN ADDITION TO VOLUME AND MARKET-SHARE. TO ACCOMPLISH THIS, THE DIGNITY HEALTH COMMUNITY NEED INDEX (CNI) HIGHLIGHTED AREAS IN OUR COMMUNITY WITH GREATER NEEDS AND DISPARITIES THAT MAY LEAD TO POOR HEALTH OUTCOMES. THE AREAS OF HIGH NEED ON THE PERIPHERY OF THE GEOGRAPHIC AREA OF CONCENTRATED VOLUME AND MARKET SHARE WERE INCLUDED IN THE DEFINITION OF ST. LUKE'S COMMUNITY. THE RESULTING ST. LUKE'S CHNA COMMUNITY DEFINITION OF 13 ZIP CODES WAS APPROVED BY THE ST. LUKE'S HOSPITAL CHNA STEERING COMMITTEE. REFINING THE ST. LUKE'S CHNA GEOGRAPHIC AREA BASED ON ZIP CODE-LEVEL VOLUME, MARKET SHARE, AND COMMUNITY NEED ALLOWS FOR A MORE FOCUSED ASSESSMENT OF OUTSTANDING NEEDS AND FOR MORE OPPORTUNITY TO MAKE AN IMPACT IN AREAS MOST SIGNIFICANT TO OUR ORGANIZATION.AS A COMBINED GEOGRAPHY, THE ST. LUKE'S COMMUNITY REPRESENTS AN OLDER, WELL-EDUCATED POPULATION WITH HIGH INCOME. THE AGE 65+ AGE GROUP IS GROWING AT 1.24% ANNUALLY COMPARED TO 0.08% POPULATION GROWTH FOR THE ENTIRE POPULATION. THE CHESTERFIELD, MO (63017) ZIP CODE, WHERE ST. LUKE'S HOSPITAL IS LOCATED, HAS THE HIGHEST PROPORTION OF AGE GROUP 65+ AMONG ALL OTHER ZIP CODES IN THE ST. LUKE'S COMMUNITY. THE ST. LUKE'S COMMUNITY IS LESS RACIALLY DIVERSE THAN THE BENCHMARK SURROUNDING GEOGRAPHY OF ST. LOUIS COUNTY, WITH 13% MORE WHITES AND 19% FEWER BLACK PEOPLE, WITH ZIP CODE 63114 (OVERLAND, MO) BEING AN EXCEPTION.DESPITE THE OVERALL DEMOGRAPHIC COMPOSITION OF THE ST. LUKE'S COMMUNITY, POCKETS OF VULNERABLE POPULATIONS WITH GREATER HEALTH AND SOCIAL NEEDS EXIST IN ZIP CODES 63114, 63088, 63043, AND 63146.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHAS A COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL'S BOARD IS REPRESENTATIVE OF A MAJORITY OF VOLUNTEER COMMUNITY MEMBERS WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF ST. LUKE'S, BUT ARE COMMUNITY LEADERS WHOSE PRIMARY INTEREST IN BOARD INVOLVEMENT IS TO ENSURE THE HEALTH OF OUR REGION. ST. LUKE'S EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY BASED ON ORGANIZATIONAL AND COMMUNITY NEED. ALL SURPLUS FUNDS OF THE ORGANIZATION ARE REINVESTED IN THE FACILITIES TO IMPROVE PATIENT CARE THROUGH A SYSTEMATIC CAPITAL APPROVAL AND ALLOCATION PROCESS TO ENSURE COMMUNITY AND ORGANIZATION NEEDS ARE PRIORITIZED AND ADDRESSED.TO FURTHER PROMOTE THE HEALTH OF OUR COMMUNITY, ST. LUKE'S ENGAGES IN THE FOLLOWING ONGOING INITIATIVES TO INCREASE ACCESS TO HEALTH CARE SERVICES, IMPROVE THE HEALTH OF OUR COMMUNITY, AND TO EDUCATE COMMUNITY MEMBERS ON MEDICAL AND HEALTH TOPICS: - COMMUNITY EDUCATION FOCUSED ON PREVENTION AND HEALTH BEHAVIOR MODIFICATION THROUGH IN-PERSON AND VIRTUAL CLASSES, PRINT INFORMATION AND NEWSLETTERS, RADIO AND TV APPEARANCES, ONLINE APPLICATIONS AND RESOURCES, AND INDIVIDUAL HEALTH COACHING.- COMMUNITY-BASED CLINICAL SERVICES THAT DO NOT GENERATE A PATIENT BILL INCLUDING BLOOD DRIVES, VACCINATION CLINICS, BIOMETRIC SCREENINGS, COLORECTAL CANCER SCREENINGS, AND MAMMOGRAMS.- HEALTH CARE SUPPORT SERVICES TO EXTEND ACCESS AND CONNECT ANY COMMUNITY MEMBER WITH SERVICES INCLUDING FINANCIAL RESOURCES IN THE COMMUNITY, MEDICATION ASSISTANCE, TRANSPORTATION ASSISTANCE, GENETIC COUNSELING AND TESTING, AND FACILITATING CONNECTIONS WITH COMMUNITY-BASED ORGANIZATIONS AND RESOURCES.- HEALTH PROFESSIONS EDUCATION TO ADVANCE KNOWLEDGE OF MEDICAL PROFESSIONALS AND STUDENTS INCLUDING GRADUATE MEDICAL EDUCATION, CONTINUING MEDICAL EDUCATION, PASTORAL CARE, PHARMACY, RADIOLOGY, ULTRASOUND, NUCLEAR MEDICINE, THERAPY SERVICES, AND NURSING.- SUBSIDIZED HEALTH SERVICES PROVIDED DESPITE A FINANCIAL LOSS, INCLUDING ST. LUKE'S PEDIATRIC CARE CENTER, THE ALBERT PUJOLS WELLNESS CENTER FOR ADULTS WITH DOWN SYNDROME, AND THE HEALING GRACE CLINIC.- CASH DONATIONS TO NONPROFIT ORGANIZATIONS WITH COMMUNITY BENEFIT INTENT AND IN-KIND DONATIONS INCLUDING ONSITE USE OF MEETING SPACE FREE OF CHARGE TO LOCAL NONPROFITS. IN ADDITION, ST. LUKE'S EXTENDS ITS PASSPORT TO WELLNESS WORKSITE WELLNESS PROGRAM THROUGHOUT THE COMMUNITY TO PROACTIVELY ADDRESS HEALTH NEEDS AND PROMOTE HEALTHY LIVING THROUGH EDUCATION AND HEALTH SCREENINGS AMONG EMPLOYEES OF AREA ORGANIZATIONS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMN/A
PART VI, LINE 7:	STATE FILING OF COMMUNITY BENEFIT REPORTN/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA)

Schedule H (Form 990) 2023

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
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ST LUKES EPISCOPAL-PRESBYTERIAN
HOSPITALS

Employer identification number

43-0652680

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 on 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 .....

Yes

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 on Line 1a? ....

Yes

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? .............

Yes

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? ....................

Yes

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

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) 2023

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1JASON EDWARDS MD RADIATION ONCOLOGIST	(i) (ii)	1,575,291 ------------- 0	0 ------------- 0	0 ------------- 0	14,025 ------------- 0	0 ------------- 0	1,589,316 ------------- 0	0 ------------- 0
2MAGED HAIKAL MD CHIEF OF MEDICINE	(i) (ii)	0 ------------- 995,516	0 ------------- 0	0 ------------- 0	0 ------------- 30,525	0 ------------- 8,129	0 ------------- 1,034,170	0 ------------- 0
3ANDREW BAGNALL PRESIDENT & CEO	(i) (ii)	766,812 ------------- 0	200,000 ------------- 0	0 ------------- 0	10,725 ------------- 0	25,139 ------------- 0	1,002,676 ------------- 0	0 ------------- 0
4SHANE M CERONE FORMER PRESIDENT & CEO	(i) (ii)	0 ------------- 0	0 ------------- 0	764,423 ------------- 0	0 ------------- 0	0 ------------- 0	764,423 ------------- 0	0 ------------- 0
5JOSEPH CRAFT MD CARDIOLOGY SPECIALIST	(i) (ii)	0 ------------- 673,730	0 ------------- 0	0 ------------- 0	0 ------------- 14,025	0 ------------- 22,871	0 ------------- 710,626	0 ------------- 0
6BRIAN PETERSON MD CARDOTHORACIC SURGEON	(i) (ii)	0 ------------- 615,112	0 ------------- 20,000	0 ------------- 0	0 ------------- 12,375	0 ------------- 24,409	0 ------------- 671,896	0 ------------- 0
7SAMUEL FLANDERS MD EXEC VP QUALITY	(i) (ii)	614,450 ------------- 0	0 ------------- 0	0 ------------- 0	10,725 ------------- 0	24,671 ------------- 0	649,846 ------------- 0	0 ------------- 0
8DARREN HASKELL MD CHIEF MEDICAN OFFICER	(i) (ii)	0 ------------- 507,989	0 ------------- 91,397	0 ------------- 0	0 ------------- 23,925	0 ------------- 24,671	0 ------------- 647,982	0 ------------- 0
9RONALD LEIDENFROST MD CHAIRMAN HEART & VASCULAR INST.	(i) (ii)	0 ------------- 601,042	0 ------------- 0	0 ------------- 0	0 ------------- 30,525	0 ------------- 8,129	0 ------------- 639,696	0 ------------- 0
10ERIC JENKINS MD PHYSICIAN CVICU	(i) (ii)	573,501 ------------- 0	0 ------------- 0	0 ------------- 0	20,625 ------------- 0	22,871 ------------- 0	616,997 ------------- 0	0 ------------- 0
11JEFFREY THOMPSON MD OB / GYN	(i) (ii)	0 ------------- 571,453	0 ------------- 0	0 ------------- 0	0 ------------- 14,025	0 ------------- 22,871	0 ------------- 608,349	0 ------------- 0
12JAMIE HAAS MD SLEEP MEDICINE PHYSICIAN	(i) (ii)	549,254 ------------- 0	0 ------------- 0	0 ------------- 0	14,025 ------------- 0	25,316 ------------- 0	588,595 ------------- 0	0 ------------- 0
13MARTHA FLEISCHMANN SENIOR VP & CFO - THRU 6/30/24	(i) (ii)	463,346 ------------- 0	59,251 ------------- 0	17,308 ------------- 0	30,525 ------------- 0	8,436 ------------- 0	578,866 ------------- 0	0 ------------- 0
14MICHAEL KLEVENS MD NETWORK VP IMMEDIATE CARE SERV	(i) (ii)	428,136 ------------- 0	38,047 ------------- 0	39,769 ------------- 0	20,625 ------------- 0	22,811 ------------- 0	549,388 ------------- 0	0 ------------- 0
15LESLIE TERRELL MD CVICU	(i) (ii)	508,226 ------------- 0	0 ------------- 0	0 ------------- 0	10,725 ------------- 0	22,811 ------------- 0	541,762 ------------- 0	0 ------------- 0
16DIANE RAY SENIOR VP / NETWORK CNO / SLH - COO	(i) (ii)	421,244 ------------- 0	51,449 ------------- 0	0 ------------- 0	37,125 ------------- 0	14,641 ------------- 0	524,459 ------------- 0	0 ------------- 0
17VEDICA SHARMA MD CVICU	(i) (ii)	508,670 ------------- 0	0 ------------- 0	0 ------------- 0	10,725 ------------- 0	0 ------------- 0	519,395 ------------- 0	0 ------------- 0
18NATHAN BIGLER CHIEF PEOPLE OFFICER	(i) (ii)	396,537 ------------- 0	22,943 ------------- 0	0 ------------- 0	4,125 ------------- 0	22,970 ------------- 0	446,575 ------------- 0	0 ------------- 0
19DON MILLER NETWORK VP FACILITIES	(i) (ii)	321,227 ------------- 0	42,315 ------------- 0	18,542 ------------- 0	20,625 ------------- 0	16,241 ------------- 0	418,950 ------------- 0	0 ------------- 0
20SCOTT HOLTSWORTH VP / NETWORK CIO	(i) (ii)	310,805 ------------- 0	41,362 ------------- 0	18,124 ------------- 0	30,525 ------------- 0	13,292 ------------- 0	414,108 ------------- 0	0 ------------- 0
21SHARON MERTZLUFFT VICE PRESIDENT& EXEC DIRECTOR	(i) (ii)	292,217 ------------- 0	38,651 ------------- 0	14,113 ------------- 0	14,025 ------------- 0	16,354 ------------- 0	375,360 ------------- 0	0 ------------- 0
22SCOTT B JOHNSON CHIEF STRATEGY OFFICER	(i) (ii)	303,929 ------------- 0	39,013 ------------- 0	0 ------------- 0	0 ------------- 0	18,503 ------------- 0	361,445 ------------- 0	0 ------------- 0
23LAURA OVERTURF NETWORK VP REV CYCLE - THRU 1/26/24	(i) (ii)	275,096 ------------- 0	33,478 ------------- 0	0 ------------- 0	34,841 ------------- 0	8,298 ------------- 0	351,713 ------------- 0	0 ------------- 0
24JON BETTALE VICE PRESIDENT SURGICAL SVCS	(i) (ii)	269,866 ------------- 0	32,821 ------------- 0	9,921 ------------- 0	22,549 ------------- 0	8,129 ------------- 0	343,286 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

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
PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TWO INDIVIDUALS RECEIVED A GROSS-UP PAYMENT IN 2023. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES OR FEES THE ORGANIZATION PAYS SPECIFIC SOCIAL CLUB DUES OR FEES INCURRED FOR BUSINESS PURPOSES; SUPPORTING DOCUMENTATION IS REQUIRED PRIOR TO PAYMENT. EXPENSES INCURRED FOR PERSONAL USE OF THE SOCIAL CLUB ARE PAID BY THE EXECUTIVE. ONE LISTED INDIVIDUAL RECEIVED THIS BENEFIT DURING THE YEAR.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2023: SHANE CERONE, $764,423. CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. NO INDIVIDUALS LISTED IN PART VII RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2023.
PART I, LINE 5	THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATION. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD OBJECTIVE. THE INCENTIVE COMPENSATION PLAN IS DETERMINED BY A FIXED FORMULA BASED ON ACHIEVING CERTAIN GOALS AND OBJECTIVES EACH YEAR. THE OBJECTIVES ARE BUILT AROUND FOUR PERSPECTIVES, INCLUDING: 1. QUALITY & PATIENT SATISFACTION 2. FINANCIAL PERFORMANCE 3. EXECUTIVE INDIVIDUAL GOALS 4. EXECUTIVE'S INTERNAL BUSINESS (DIVISION) GOALS THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS AND DEPARTMENT DIRECTORS OF THE HOSPITAL.

Schedule J (Form 990) 2023

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
ST LUKES EPISCOPAL-PRESBYTERIAN
HOSPITALS

Employer identification number
43-0652680

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HEALTH & EDUCATIONAL FACILITIES - STATE OF MO	43-1178966	60637AKH4	11-12-2015	34,089,886	SEE PART VI		X		X		X
B	HEALTH & EDUCATIONAL FACILITIES - STATE OF MO	43-1178966	NONEAVAIL	12-20-2016	14,100,200	SEE PART VI		X		X		X
C	HEALTH & EDUCATIONAL FACILITIES - STATE OF MO	43-1178966	60637AQL9	06-20-2019	60,066,599	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................			10,118,361
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	34,460,816		14,354,602		60,361,294
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............			100,200		768,432
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	10,024,338		14,254,402		34,592,280
11 Other spent proceeds .............	24,436,478				25,000,000
12 Other unspent proceeds .............					582
13 Year of substantial completion .............	2016		2021		2023
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X	X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X			X	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X				X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X			X	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X				X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
PART I, SECTION A, COLUMN F	2015 (SERIES 2015B) BONDS ISSUED NOVEMBER 12, 2015 AT A FIXED RATE WITH PROCEEDS OF $34 MILLION USED IN PART TO REFUND A PORTION OF THE SERIES 2006 BONDS (ISSSUED JANUARY 9, 2007) AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS.
PART I, SECTION B, COLUMN F	2016 BONDS ISSUED DECEMBER 20, 2016 AT A FIXED RATE WITH PROCEEDS OF $14 MILLION USED TO FINANCE CAPITAL IMPROVEMENTS.
PART I, SECTION C, COLUMN F	2019 BONDS ISSUED JUNE 20, 2019 AT A FIXED RATE WITH PROCEEDS OF $60 MILLION USED TO USED IN PART TO REFUND A PRIOR TAXABLE LOAN AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS.
PART II, LINE 3, COLUMN A	THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND AND FUNDS TRANSFERRED FROM DEBT SERVICE FUND FOR THE REFUNDED BONDS.
PART II, LINE 3, COLUMN B	THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND.
PART II, LINE 3, COLUMN C	THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND.
PART II, LINE 11, COLUMN A	PROCEEDS ISSUED TO CURRENTLY REFUND PRIOR ISSUE.
PART III, LINE 2	ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS MAY HAVE LEASE ARRANGEMENTS IN BOND-FINANCED SPACE. THE HOSPITAL MONITORS ALL SUCH LEASES AND WORKS ROUTINELY WITH BOND COUNSEL TO REVIEW AND DETERMINE WHETHER AN EXCEPTION TO OR EXCLUSION FROM PRIVATE BUSINESS USE APPLIES, THAT THERE IS SUFFICIENT EQUITY TO OFFSET ANY PRIVATE BUSINESS USE OR, IF NECESSARY, TO CALCULATE THE AMOUNT OF PRIVATE BUSINESS USE AND ENSURE POST-ISSUANCE COMPLIANCE REQUIREMENTS ARE MET.

Schedule K (Form 990) 2023

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ST LUKES EPISCOPAL-PRESBYTERIAN
HOSPITALS

Employer identification number

43-0652680

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	7	163,449	FMV
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2023)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 32B:	THE ORGANIZATION USES AN OUTSIDE TRUST COMPANY TO SELL EQUITY SECURITIES CONTRIBUTED TO THE ORGANIZATION.
PART 1 COLUMN (B)	THE NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF INDIVIDUAL CONTRIBUTIONS RECEIVED.

Schedule M (Form 990) (2023)

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SCHEDULE O
(Form 990)

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

ST LUKES EPISCOPAL-PRESBYTERIAN
HOSPITALS

Employer identification number

43-0652680

Return Reference	Explanation
PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION	OUR MISSION WE ARE DEDICATED TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME. OUR VISION ST. LUKE'S WILL BE AN INTEGRATED, NATIONALLY RECOGNIZED, AWARD-WINNING HEALTH SYSTEM. LIVING OUR MISSION MISSION OUTREACH IS A FOUNDING PRINCIPLE OF ST. LUKE'S, WHICH CARED FOR ITS FIRST PATIENT ON FEBRUARY 28, 1866. WE CELEBRATE FOUNDERS' DAY TO REMEMBER OUR HERITAGE AND TO HONOR OUR FOUNDERS, WHOSE VISION WE CONTINUE TO LIVE OUT EACH DAY. WE ALSO REAFFIRM OUR MISSION, WHICH IS THE FOUNDATION SUPPORTING OUR SERVICE IN AND TO THE COMMUNITY. ST. LUKE'S LIVES ITS MINISTRY OF HEALING BY DEDICATING ITSELF TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT THROUGH THE WIDE ARRAY OF SERVICES IT MAKES AVAILABLE TO THE ST. LOUIS METROPOLITAN AREA. OUR MISSION COMMITMENT INCLUDES THE VITAL AREAS OF COMMUNITY OUTREACH, COMMUNITY HEALTH, COMMUNITY HEALTH INFORMATION/EDUCATION AND COMMUNITY SERVICES. ST. LUKE'S VISION AS AN INDEPENDENT HEALTHCARE SYSTEM IS TO BE AN INTEGRATED, NATIONALLY RECOGNIZED, AWARD-WINNING HEALTH SYSTEM THROUGH OUR COMMITMENT TO HIGH QUALITY, SAFE AND PERSONALIZED SERVICES. WE STRESS EDUCATION REGARDING LIFESTYLES, NUTRITION, IMMUNIZATION AND OTHER METHODS OF MAINTAINING THE HEALTH OF THE BODY AND THE SPIRIT. WE FIND NEW AND INNOVATIVE MEANS OF BRINGING THIS MESSAGE TO THE COMMUNITY, INCLUDING THE UNDERSERVED. ST. LUKE'S PROVIDES QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. AS WE CONTINUE TO PROVIDE QUALITY, SAFE AND COMPASSIONATE CARE TO HEAL THE ACUTELY ILL IN OUR HOSPITALS AND OTHER LOCATIONS IN A COST-EFFICIENT MANNER, WE HAVE ALSO INCREASED OUR EFFORTS TO ASSIST THOSE WHO ARE LIVING WITH CHRONIC DISEASE IN THEIR HOMES, TO RELIEVE THEIR SUFFERING AND IMPROVE THEIR QUALITY OF LIFE. ST. LUKE'S HOME HEALTH AND HOSPICE SERVICES ARE INTEGRAL TO THIS EFFORT. AS A NOT-FOR-PROFIT ORGANIZATION, ST. LUKE'S CONTINUES TO PROVIDE MUCH NEEDED CHARITABLE CARE TO PEOPLE THROUGHOUT THE ST. LOUIS AREA. WE ALSO SUPPORT A WIDE VARIETY OF COMMUNITY CAUSES AND OUTREACH EFFORTS, BOTH EXTERNALLY AND INTERNALLY, FROM SPONSORING FREE CLINICS AND SCREENINGS FOR THE UNDERSERVED TO MAKING AVAILABLE AN EMPLOYEE CRISIS FUND WHICH SERVES TEAM MEMBERS IN NEED. THESE IMPORTANT ENDEAVORS REFLECT OUR MISSION TO SERVE BY PROVIDING SERVICES FOR THOSE WHO MAY OTHERWISE GO WITHOUT. AS WE RECEIVE INPUT, WE MEASURE AND EVALUATE OUR EFFORTS TO BE SURE THAT WHAT WE DO BRINGS BENEFIT TO THE PEOPLE IN OUR COMMUNITY. WE CONTINUALLY REFINE OUR APPROACHES TO MAINTAIN AND IMPROVE COMMUNITY HEALTH AND WELLNESS.
PART III, LINE 4A	DESCRIPTION OF SERVICES PROVIDED MEDICALLY NECESSARY HEALTH SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. OUR INDEPENDENT HEALTH SYSTEM PROVIDES PERSONALIZED HEALTHCARE SERVICES AT OUR 493-BED HOSPITAL IN CHESTERFIELD, MISSOURI AND 143-BED ST. LUKE'S DES PERES HOSPITAL. ST. LUKE'S ALSO OFFERS ABOUT 30 OTHER LOCATIONS ACROSS THE GREATER ST. LOUIS AREA, INCLUDING AN OUTPATIENT CENTER, A SKILLED NURSING/RESIDENTIAL CARE FACILITY, EIGHT URGENT CARE CENTERS, A REHABILITATION HOSPITAL, DIAGNOSTIC IMAGING CENTERS, PHYSICIAN OFFICES, A VASCULAR ACCESS CENTER, HOME HEALTH SERVICES AND HOSPICE SERVICES. NATIONALLY RECOGNIZED FOR EXCELLENCE IN HEALTHCARE QUALITY, SAFETY AND PATIENT EXPERIENCE, ST. LUKE'S OFFERS CARE IN MORE THAN 60 SPECIALTY AREAS INCLUDING CARDIOLOGY AND CARDIOVASCULAR SURGERY, CANCER CARE, ORTHOPEDICS, BARIATRICS, NEUROSURGERY AND NEUROLOGY, WOMEN'S SERVICES (INCLUDING OBSTETRICS), PEDIATRICS, URGENT CARE, PULMONARY MEDICINE, SLEEP MEDICINE AND WELLNESS SERVICES FOR ADULTS WITH DOWN SYNDROME. ADDITIONALLY, ST. LUKE'S HOSPITAL IS THE EXCLUSIVE SPIRIT OF WOMEN HOSPITAL IN ST. LOUIS AND HAS BEEN RECOGNIZED AS A SPIRIT OF WOMEN PREMIER HOSPITAL FOR ITS FOCUS ON ELEVATING THE STANDARDS IN WOMEN'S HEALTH. THE NATIONAL DESIGNATION IS BASED ON A COMPREHENSIVE EVALUATION OF INNOVATION AND EXCELLENCE IN WOMEN'S HEALTHCARE AND COMMUNITY OUTREACH DEVELOPED IN CONSULTATION WITH THE OFFICE ON WOMEN'S HEALTH IN THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. TO FURTHER OUR MISSION OF PROVIDING CARE FOR THE MEDICALLY UNDERSERVED AND UNDERINSURED, ST. LUKE'S OPERATES A PEDIATRIC CARE CENTER WHICH PROVIDES HEALTHCARE TO CHILDREN IN A PRIVATE PRACTICE SETTING AS WELL AS EDUCATION AND SOCIAL SUPPORT SERVICES TO THEIR FAMILIES. ST. LUKE'S HAS A ROBUST VOLUNTEER PROGRAM. OUR VOLUNTEER SERVICES DEPARTMENT HAS ABOUT 212 VOLUNTEERS WHO SERVE IN MORE THAN 30 DEPARTMENTS/SITES ACROSS ST. LUKE'S HEALTH SYSTEM. VOLUNTEERS ASSIST BY TRANSPORTING PATIENTS AND VISITORS BY WHEELCHAIR, STOCKING SUPPLIES, GREETING AND DIRECTING ALL VISITORS TO OUR CAMPUS, AND SERVING IN CLERICAL AND RECEPTIONIST ROLES. VOLUNTEERS CONTRIBUTE AN AVERAGE OF 40,000 HOURS OF SERVICE A YEAR. ST. LUKE'S IS CONSISTENTLY RECOGNIZED WITH NATIONAL HONORS FOR EXCELLENCE IN HEALTHCARE QUALITY, SAFETY AND PATIENT EXPERIENCE. RECENT HONORS AND AWARDS INCLUDE: - ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES HOSPITAL RECOGNIZED AS BEST HOSPITALS BY U.S. NEWS & WORLD REPORT, 2024-2025 - THE CENTER FOR CANCER CARE AT ST. LUKE'S NAMED ONE OF NEWSWEEK'S "AMERICA'S BEST CANCER HOSPITALS 2024" - ST. LUKE'S HOSPITAL NAMED TO THE FORBES LIST OF AMERICA'S BEST EMPLOYERS FOR WOMEN 2024 - HEALTHGRADES 2024 OUTSTANDING PATIENT EXPERIENCE AWARD, 2011-2024 - ONE OF HEALTHGRADES AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY FOR 6 YEARS IN A ROW, 2019-2024 - ONE OF HEALTHGRADES AMERICA'S 50 BEST HOSPITALS FOR VASCULAR SURGERY, 2024 - RECIPIENT OF THE HEALTHGRADES CARDIAC SURGERY EXCELLENCE AWARD FOR 6 YEARS IN A ROW, 2019-2024 - WEBMD PATIENT CHOICE AWARD, 2024 - WEBMD PATIENT CHOICE CORONARY BYPASS MISSOURI 2023-2024 - WEBMD PATIENT CHOICE PACEMAKER OR DEFIBRILLATOR PLACEMENT MISSOURI 2023-2024 - WEBMD PATIENT CHOICE NEUROLOGY MISSOURI 2023-2024 - WEBMD PATIENT CHOICE NEUROLOGY ST. LOUIS 2023-2024 - CMS 5-STAR OVERALL QUALITY, 2021-2023 - ST. LUKE'S HOSPITAL NAMED ONE OF THE BEST HOSPITALS FOR MATERNITY BY U.S. NEWS & WORLD REPORT, 2022 - BEST NURSING HOMES FOR SHORT-STAY REHABILITATION, U.S. NEWS & WORLD REPORT, 2019-2022 - WOMEN'S CHOICE AWARD, WOMENCERTIFIED INC., 2015-2024 - "TOP DOCTORS, 2024," CASTLE CONNOLLY, ST. LOUIS MAGAZINE - OVERALL 5-STAR RATING, HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS), 2024
PART III, LINE 4B (CONTINUED)	RESOURCES INVESTED AND PROGRAM SERVICES TO SUPPORT MISSION IN SUPPORT OF OUR MISSION, ST. LUKE'S PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, WHICH INCLUDES THOSE WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. IN ADDITION, THE ORGANIZATION PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE LESS THAN THE RELATED COSTS FOR THE SERVICES PROVIDED TO THE RECIPIENTS. EACH YEAR, WE INVEST CONSIDERABLE RESOURCES TO IMPROVE THE HEALTH, WELLNESS AND QUALITY OF LIFE IN OUR COMMUNITY. IN RESPONSE TO IDENTIFIED NEEDS, ST. LUKE'S ALSO BENEFITS THE COMMUNITY IN THE FOLLOWING WAYS: - ST. LUKE'S SUPPORT FOR ITS MEDICAL RESIDENCY PROGRAMS IS AN INTEGRAL PART OF OUR SERVICE TO THE MEDICAL COMMUNITY BY PREPARING NEW PHYSICIANS FOR THEIR CAREERS. ST. LUKES HOSPITAL OFFERS A RESIDENCY IN INTERNAL MEDICINE PROGRAM, WHICH IS ACGME (ACCREDITATION FOR GRADUATE MEDICAL EDUCATION) ACCREDITED FOR 45 RESIDENTS. THIS PROGRAM PROVIDES A UNIQUE OPPORTUNITY FOR TRAINING IN PRIMARY CARE INTERNAL MEDICINE AT BOTH ST. LUKE'S AND PUBLIC HEALTH CLINICS SERVING THE NEEDS OF THE INDIGENT POPULATION IN THE ST. LOUIS AREA. ST. LUKE'S MEDICAL RESIDENTS ALSO PROVIDE COMMUNITY SERVICE BY SPEAKING AT SCHOOLS AND TO VARIOUS CIVIC ORGANIZATIONS. TRAINING OPPORTUNITIES FOR HEALTH PROFESSIONALS IN NURSING, PHARMACY AND OTHER HEALTH SPECIALTIES ARE ALSO AVAILABLE. A PROGRAM DIRECTOR, TWO ASSOCIATE PROGRAM DIRECTORS, A PROGRAM SECRETARY AND A PROGRAM COORDINATOR OVERSEE THE RESIDENCY PROGRAM. MORE THAN 100 PHYSICIANS CONTRIBUTE TO THE TEACHING MISSION AS FULL AND PART-TIME FACULTY. THE ST. LUKE'S DES PERES HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM IS ALSO AN ACGME ACCREDITED PROGRAM. IT PROVIDES GRADUATE MEDICAL TRAINING FOR 12 RESIDENTS WHO GAIN EXPERIENCE THROUGH A NUMBER OF DAILY, WEEKLY AND MONTHLY DIDACTIC EXPERIENCES INCLUDING JOURNAL CLUB, READING CLUB, GRAND ROUNDS, BOARD REVIEW, STFM CORE CURRICULUM, CONFERENCES AND RESEARCH METHODOLOGY. PROGRAM LEADERSHIP AND CORE FACULTY EDUCATION ARE PROVIDED BY ST. LUKE'S MEDICAL GROUP PHYSICIANS AT THE CEDAR HILL PRIMARY CARE PRACTICE, AND OTHER REQUIREMENTS ARE ADDRESSED THROUGH CLINICAL ROTATIONS WITH SPECIALISTS THROUGHOUT THE ST. LUKE'S HEALTH SYSTEM. - ST. LUKE'S OFFERS CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. THE PROGRAM IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION. - ST. LUKE'S MINISTRY OF HEALING CELEBRATES ALL FAITHS THROUGH SPIRITUAL CARE SERVICES THAT IMPROVE THE HEALTH OF THE COMMUNITY IN BODY, MIND AND SPIRIT. WORSHIP AND PRAYER SERVICES, SACRAMENTS AND SPIRITUAL SUPPORT ARE OFFERED AROUND THE CLOCK. WE MINISTER TO ALL IN NEED, HELP PATIENTS AND CAREGIVERS MAKE COMPLEX MEDICAL DECISIONS AND WALK BESIDE THOSE HAVING MEDICAL PROCEDURES OR NAVIGATING SERIOUS ILLNESSES. SOME OF THE CHAPLAINS SERVING AS PART OF OUR HEALTHCARE TEAM ARE PART OF OUR CHAPLAIN RESIDENCY PROGRAM. THEOLOGICALLY EDUCATED STUDENTS COME FROM ACROSS THE COUNTRY TO PARTICIPATE IN ST. LUKE'S ONE-YEAR CLINICAL PASTORAL EDUCATION (CPE) RESIDENCY, WHICH IS ACCREDITED BY THE ASSOCIATION OF CLINICAL PASTORAL EDUCATION. THESE GIFTED INDIVIDUALS BRING FRESH PERSPECTIVES AND COMPASSIONATE HEARTS TO CARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR TEAM MEMBERS. - ST. LUKE'S TEAM MEMBERS GENEROUSLY SUPPORT THE COMMUNITY ALL YEAR LONG. OUR MISSION OUTREACH COMMITTEE LEADS THESE EFFORTS IN OUR WORKPLACE AND CONDUCTS THREE COLLECTION DRIVES FOR DONATIONS OF FOOD, SCHOOL SUPPLIES, WARM CLOTHING AND TOYS TO ASSIST FAMILIES IN NEED. TEAM MEMBERS, PATIENTS AND PHYSICIANS GENEROUSLY SUPPORT THESE INITIATIVES TO ASSIST THE FAMILIES SERVED BY ST. LUKE'S PEDIATRIC CARE CENTER, ISAIAH 58 MINISTRIES, OPERATION FOOD SEARCH AND LITTLE PATRIOTS EMBRACED. - ST. LUKE'S HAS HAD A LONG-STANDING COMMITMENT TO PROVIDING PREVENTIVE HEALTHCARE AND TREATMENT TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN IN THE ST. LOUIS REGION. LOCATED IN NORTH ST. LOUIS COUNTY, ST. LUKE'S PEDIATRIC CARE CENTER IS A MISSION-BASED AGENCY OF ST. LUKE'S THAT PROVIDES QUALITY PRIMARY CARE TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN IN ST. LOUIS CITY AND COUNTY IN A PRIVATE PRACTICE SETTING. THE PRIMARY GOAL OF THE CENTER IS TO ESTABLISH AND MAINTAIN ACCESS TO HEALTHCARE FOR FAMILIES THROUGH A PRIMARY CARE PHYSICIAN, THEREBY HELPING THEM UNDERSTAND AND DEAL WITH POTENTIAL HEALTH ISSUES BEFORE THE ISSUES BECOME SERIOUS ENOUGH TO REQUIRE ACUTE CARE. THE STAFF CONSISTS OF TWO FULL-TIME BOARD-CERTIFIED PEDIATRICIANS AS WELL AS A SITE MANAGER, REGISTERED NURSE, SOCIAL WORKER AND OFFICE COORDINATOR, ALL OF WHOM ARE DEDICATED TO IMPROVING HEALTHCARE FOR CHILDREN AND FAMILIES. - ST. LUKE'S HELPS EDUCATE WOMEN ABOUT IMPORTANT TOPICS THAT IMPACT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. THROUGH A FREE MEMBERSHIP IN ST. LUKE'S SPIRIT OF WOMEN PROGRAM, WOMEN RECEIVE HEALTH INFORMATION FROM ST. LUKE'S VIA EMAILS, A WOMEN'S HEALTH MAGAZINE AND MORE. THROUGH A WEBSITE, WOMEN CAN ACCESS MONTHLY HEALTH TOPICS AS WELL AS EASY-TO-NAVIGATE PREVENTIVE HEALTH INFORMATION BY DECADE OF LIFE. THE COMMUNITY IS INVITED TO SPIRIT OF WOMEN PROGRAMMING AND EVENTS THROUGHOUT THE YEAR. - ST. LUKE'S HEALTHY WORKFORCE PROGRAM PARTNERS WITH MORE THAN 100 LOCAL EMPLOYERS FOR WORKSITE WELLNESS PROGRAMS, COLLABORATING WITH THEM TO IDENTIFY, ADDRESS AND ELIMINATE EMPLOYEE HEALTH RISKS BEFORE THEY RESULT IN COSTLY HEALTHCARE CLAIMS. OUR TEAM COLLECTS PERSONAL HEALTH PROFILES FROM THEIR EMPLOYEES. THEN, WE PROVIDE A GROUP HEALTH REPORT TO IDENTIFY THE SPECIFIC HEALTH RISKS PRESENT IN THEIR WORKFORCE AND WAYS TO ADDRESS THESE RISKS. ST. LUKE'S HEALTHCARE PROFESSIONALS COORDINATE AND PROVIDE ON-SITE LOW-COST HEALTH SCREENINGS (CHOLESTEROL, GLUCOSE, BLOOD PRESSURE, PERIPHERAL ARTERY DISEASE, WAIST MEASUREMENT), FLU VACCINE CLINICS, LUNCHTIME SEMINARS, HEALTH COACHING AND ASK THE EXPERT TABLING EVENTS. EDUCATIONAL MATERIALS ARE PROVIDED AT EACH OFFERING FOR THE EMPLOYEES AND/OR THEIR FAMILY MEMBERS. ST. LUKE'S ALSO PROVIDES EMPLOYERS WITH ACCESS TO AN INTERNET-BASED FINANCIAL ANALYSIS TOOL THAT ALLOWS THE EMPLOYER TO UNDERSTAND THE HEALTH RISKS FACED BY WORKERS, PROJECT HOW HEALTHCARE DOLLARS WILL BE SPENT AND IDENTIFY POTENTIAL SAVINGS THROUGH THE ATTAINMENT OF A HEALTHIER WORKFORCE. - ST. LUKE'S HEART AND VASCULAR INSTITUTE'S HEART FAILURE CLINIC OFFERS INDIVIDUALIZED TREATMENT OPTIONS FOR PATIENTS WITH HEART FAILURE TO RELIEVE SYMPTOMS, TREAT UNDERLYING CAUSES AND HELP SLOW PROGRESSION OF THE DISEASE. THE CLINIC'S MULTIDISCIPLINARY TEAM ASSESSES AND TREATS EACH ASPECT OF THE DISEASE PROCESS AND WORKS CLOSELY WITH PATIENTS TO HELP MANAGE THEIR CONDITION. IMPLEMENTATION OF A MULTIDISCIPLINARY HEART FAILURE CLINIC HAS BEEN SHOWN TO REDUCE HOSPITAL READMISSIONS AND MORTALITY FROM THE DISEASE. - THE GOAL OF THE HEALING GRACE CLINIC, FOUNDED BY A ST. LUKE'S MEDICAL GROUP PHYSICIAN, IS TO PROVIDE A CLINIC FOR THE UNINSURED IN WEST ST. LOUIS COUNTY. IT IS LOCATED ON THE GROUNDS OF AND OPERATED BY CENTRAL BAPTIST CHURCH IN EUREKA, MISSOURI AND IS PRIMARILY STAFFED BY VOLUNTEERS. ONGOING SUPPORT FROM ST. LUKE'S INCLUDES THE PROVISION OF A PART-TIME PHYSICIAN ASSISTANT AND MEDICAL ASSISTANT WHO SEE PATIENTS AT THE CLINIC, SOME MEDICAL SUPPLIES AND PHYSICIAN COVERAGE FOR THE PHYSICIAN ASSISTANT. THROUGH THE ST. LUKE'S CENTER FOR DIAGNOSTIC IMAGING, IMAGING SERVICES ARE PROVIDED FREE OR AT A REDUCED COST TO PATIENTS. CHRONIC CONDITIONS ARE MANAGED AND CARE IS COORDINATED THROUGH ARRANGEMENTS WITH OTHER ST. LUKE'S DEPARTMENTS AND MEMBERS OF ST. LUKE'S MEDICAL STAFFS, WITH FINANCIAL ASSISTANCE PROVIDED. - THE ALBERT PUJOLS WELLNESS CENTER FOR ADULTS WITH DOWN SYNDROME AT ST. LUKE'S HOSPITAL HELPS FILL A GROWING NEED FOR SERVICES IN OUR COMMUNITY. PATIENTS 17 YEARS OF AGE AND OLDER ARE REFERRED TO THE CENTER FOR SERVICES FOCUSED ON NUTRITION, EXERCISE, SAFETY AND SOCIAL/EMOTIONAL WELL-BEING. CLASSES AND PROGRAMS JUST FOR FUN, SUCH AS DANCING AND VARIOUS ARTS AND CRAFTS, ARE ALSO OFFERED. THE CENTER OFFERS PROGRAMMING ON VARIOUS TOPICS FOR CAREGIVERS AS WELL.
PART III, LINE 4B (CONTINUED)	- ST. LUKE'S COMMITMENT TO PROVIDE EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME IS FACILITATED THROUGH THE DEVELOPMENT OF COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLANS (CHIP). THE PROCESS TO DEVELOP THE CHNA AND CHIP HELPS US TO BETTER UNDERSTAND AND FOCUS ON THE IMPORTANT HEALTH AND HEALTH-RELATED ISSUES AFFECTING OUR COMMUNITIES AND TO DEVELOP STRATEGIES AND IMPLEMENTATION PLANS INTENDED TO DRIVE MEANINGFUL RESULTS. THE CURRENT 2022 CHNAS FOR ST. LUKE'S HOSPITAL FOCUS ON THE FOLLOWING PRIORITY NEEDS: WEIGHT MANAGEMENT, MENTAL HEALTH AND OLDER ADULTS. THE CURRENT 2022 CHNAS FOR ST. LUKE'S DES PERES HOSPITAL FOCUS ON THE FOLLOWING PRIORITY NEEDS: WEIGHT MANAGEMENT, SMOKING/RESPIRATORY HEALTH AND ACCESS IN PRIORITY AREAS. THE FULL REPORTS ARE AVAILABLE ON ST. LUKE'S WEBSITE AT STLUKES-STL.COM.
FORM 990, PART VI, SECTION A, LINE 6	ORGANIZATION MEMBERS OR STOCKHOLDERS: ST. LUKE'S HEALTH CORPORATION A 501(C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, A REGIONAL HEALTH CARE PROVIDER.
FORM 990, PART VI, SECTION A, LINE 7B	GOVERNANCE DECISIONS OF THE ORGANIZATION CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION, INCLUDING AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BY-LAWS AND CHANGES TO THE SIZE OF THE BOARD OF DIRECTORS, ARE SUBJECT TO APPROVAL BY THE DIOCESE OF MISSOURI OF THE PROTESTANT EPISCOPAL CHURCH IN THE UNITED STATES OF AMERICA AND BY THE PRESBYTERY OF GIDDINGS-LOVEJOY OF THE PRESBYTERIAN CHURCH (U.S.A.). SUCH DECISIONS ALSO REQUIRE APPROVAL BY ST. LUKE'S HEALTH CORPORATION, THE SOLE CORPORATE MEMBER OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS. THE DIOCESE OF MISSOURI OF THE PROTESTANT EPISCOPAL CHURCH IN THE UNITED STATES OF AMERICA AND THE PRESBYTERY OF GIDDINGS-LOVEJOY OF THE PRESBYTERIAN CHURCH (U.S.A.) ARE ALSO REPRESENTED ON THE BOARD OF DIRECTORS OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, HOLDING FOUR OF TWENTY POSITIONS WITH EACH POSITION HAVING ONE VOTE.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF THE 990 THE FORM 990 HAS BEEN REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICTS OF INTEREST POLICY THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY PROVIDING THE POLICY AND QUESTIONNAIRE TO EACH BOARD MEMBER AT THE TIME OF APPOINTMENT AND TO EACH NEW EMPLOYEE AT THE TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER. EACH BOARD MEMBER AND KEY EMPLOYEE IS REQUIRED TO SIGN A STATEMENT ACKNOWLEDGING HE/SHE HAS READ, UNDERSTANDS AND AGREES TO COMPLY WITH THE POLICY AS WELL AS SUBMIT THE COMPLETED QUESTIONNAIRE. ANY/ALL ACTUAL OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE FROM THE FORMS ARE DISCLOSED TO THE FINANCE, AUDIT AND RISK COMMITTEE. THE FINANCE, AUDIT AND RISK COMMITTEE ADDRESSES ANY POTENTIAL CONFLICT OF INTEREST AND TAKES APPROPRIATE ACTION TO RESOLVE. THE ORGANIZATION CONSIDERS THE POSSIBILITY THAT BOARD MEMBERS OR KEY EMPLOYEES MAY INADVERTENTLY FAIL TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND PERFORMS DUE DILIGENCE TO ADDRESS AND RESPOND IN ACCORDANCE WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION EXECUTIVE, KEY EMPLOYEE AND PHYSICIAN SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE ORGANIZATION ALSO ENGAGED CONSULTANTS FOR INDEPENDENT REVIEWS TO ENSURE COMPENSATION FOR CERTAIN OF THE ABOVE EMPLOYEES IS FAIR AND WITHIN MARKET PARAMETERS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS FOR EXECUTIVES AND KEY EMPLOYEES ARE PRESENTED TO THE COMPENSATION COMMITTEE TO APPROVE OR MODIFY. THE COMPENSATION COMMITTEE HAS REPRESENTATION FROM THE INDEPENDENT MEMBERS OF THE BOARD AND LEGAL COUNSEL. MINUTES ARE MAINTAINED OF THE DISCUSSIONS AND CONCLUSIONS OF THE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	PUBLIC ACCESS ANNUAL FINANCIAL STATEMENTS INCLUDING FORM 990 ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. ANY PROPRIETARY INTERNAL POLICIES OR GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE.
FORM 990, PART VIII, LINE 7C, COLUMN I:	GAINS AND LOSSES FROM INVESTMENTS THE ORGANIZATION PARTICIPATES IN A SYSTEM-WIDE POOLED INVESTMENT PROGRAM. THE INVESTMENTS ARE REPORTED ONLY AS REALIZED GAINS OR LOSSES TO EACH ORGANIZATION AND DO NOT REPORT THE ALLOCATION PORTION OF PROCEEDS AND COST BASIS RELATED TO THOSE REALIZED GAINS/LOSSES.
FORM 990, PART XI, LINE 9:	CHANGE IN PENSION OBLIGATION -268,620. TRANSFERS TO MEDICAL GROUP -42,904,998. CHANGE IN RESTRICTED ASSETS -4,318,614.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: WE ARE DEDICATED TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	22
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	4,498
6	Total number of volunteers (estimate if necessary) .............	6	212
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,494,947
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	8,995

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,781,058	14,471,358
9	Program service revenue (Part VIII, line 2g) .........	628,648,173	633,143,738
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	10,483,632	16,447,183
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	384,259	536,338
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	644,297,122	664,598,617
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	94,170	64,800
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)	282,095,232	288,061,433
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 858,811
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	299,775,644	319,700,466
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	581,965,046	607,826,699
19	Revenue less expenses. Subtract line 18 from line 12.......	62,332,076	56,771,918
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	832,684,526	859,504,157
21	Total liabilities (Part X, line 26).............	230,095,136	219,397,945
22	Net assets or fund balances. Subtract line 21 from line 20.....	602,589,390	640,106,212

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 566,870,626 including grants of $ 64,800 ) (Revenue $ 629,648,791 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	SEE SCHEDULE O.

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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses566,870,626

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	10,060,137	4,076,239	813,503

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	20,923
d	Related organizations		1d
e	Government grants (contributions)		1e	7,889,591

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,560,844

g	Noncash contributions included in lines 1a - 1f:$		1g	163,449

h Total. Add lines 1a-1f.......		14,471,358

		Business Code
2a	PATIENT SERVICE REV.	621300	590,203,185	590,203,185
b	RETAIL PHARMACIES	456110	17,427,843	16,295,033	1,132,810
c	PHYSICIAN OFFICES RENT	621110	12,947,649	12,947,649
d	CAFETERIA INCOME	622110	2,226,506	2,224,956	1,550
e	NONPATIENT LAB SERVICES	621500	2,148,815		2,148,815
f	All other program service revenue.		8,189,740	7,977,968	211,772
g	Total. Add lines 2a–2f .....		633,143,738

3 Investment income (including dividends, interest, and othersimilar amounts) ......			11,843,453			11,843,453
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	77,106,229	119,775
b	Less: cost or other basis and sales expenses	7b	72,507,862	114,412
c	Gain or (loss)	7c	4,598,367	5,363
d	Net gain or (loss).........			4,603,730			4,603,730
8a	Gross income from fundraising events (not including $ 20,923of contributions reported on line 1c). See Part IV, line 18 ....
			8a	14,648
b	Less: direct expenses ...		8b	19,129
c	Net income or (loss) from fundraising events..			-4,481			-4,481
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	MISC REVENUE		900099	540,819			540,819
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			540,819
12	Total revenue. See instructions.....			664,598,617	629,648,791	3,494,947	16,983,521

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	64,800	64,800
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	5,493,386		5,044,918	448,468
7	Other salaries and wages........	231,837,347	219,906,628	11,752,389	178,330
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,643,486	4,316,911	314,686	11,889
9	Other employee benefits .......	29,440,312	27,369,781	1,995,150	75,381
10	Payroll taxes ...........	16,646,902	15,476,129	1,128,149	42,624
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	763,489		763,489
c	Accounting ...........	270,842		270,842
d	Lobbying ...........	64,203		64,203
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	13,990,479	11,843,949	2,146,530
12	Advertising and promotion ....	950,822	19,311	931,511
13	Office expenses .......	6,941,345	5,073,271	1,832,284	35,790
14	Information technology ......	9,864,271	9,111,083	736,143	17,045
15	Royalties ..
16	Occupancy ...........	16,130,203	15,973,356	156,847
17	Travel ............	427,297	394,353	32,651	293
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	144,123	129,133	14,790	200
20	Interest ...........	1,898,916	1,898,916
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	27,454,448	27,454,448
23	Insurance ...	6,141,840		6,141,840
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	174,072,933	173,933,388	135,605	3,940
b	CONTRACT SERVICES	31,173,871	26,938,437	4,223,210	12,224
c	MEDICAID FRA EXPENSE	18,884,000	18,884,000
d	REPAIRS AND MAINTENANCE	5,452,867	5,439,647	13,220
e	All other expenses	5,074,517	2,643,085	2,398,805	32,627
25	Total functional expenses. Add lines 1 through 24e	607,826,699	566,870,626	40,097,262	858,811
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
2	Savings and temporary cash investments .........			44,374,498	2	39,771,875
3	Pledges and grants receivable, net ......			4,348,430	3	165,100
4	Accounts receivable, net .............			110,369,152	4	90,795,196
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6
7	Notes and loans receivable, net ...........			0	7
8	Inventories for sale or use ............			10,604,830	8	10,897,967
9	Prepaid expenses and deferred charges ......			8,837,119	9	9,788,018
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	735,343,921
b	Less: accumulated depreciation	10b	541,559,774	197,144,054	10c	193,784,147
11	Investments—publicly traded securities .			357,407,985	11	395,072,129
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............			0	14
15	Other assets. See Part IV, line 11 ...........			99,598,458	15	119,229,725
16	Total assets. Add lines 1 through 15 (must equal line 33)...			832,684,526	16	859,504,157

17	Accounts payable and accrued expenses .....	55,241,654	17	55,609,540
18	Grants payable ...	520,816	18	797,105
19	Deferred revenue .........	0	19
20	Tax-exempt bond liabilities .........	113,247,609	20	105,648,979
21	Escrow or custodial account liability. Complete Part IV of Schedule D	66,816	21	60,716
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	61,018,241	25	57,281,605
26	Total liabilities. Add lines 17 through 25..	230,095,136	26	219,397,945

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	574,464,195	27	615,578,490
28	Net assets with donor restrictions ...........	28,125,195	28	24,527,722
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	602,589,390	32	640,106,212
33	Total liabilities and net assets/fund balances ........	832,684,526	33	859,504,157

(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
(1) EMERGENCY PHYSICIANS OF ST LUKE'S LLC 232 S WOODS MILL ROAD CHESTERFIELD,MO63017 46-4529066	MEDICAL SERV.	MO	0	0	SL EP HOSP
(2) PHYSICIAN SPECIALISTS OF ST LUKE'S LLC 232 S WOODS MILL ROAD CHESTERFIELD,MO63017 20-5041902	MEDICAL SERV.	MO	0	0	SL EP HOSP
(3) SLEPHLLC (FKA SLHMNHLLC) 232 S WOODS MILL ROAD CHESTERFIELD,MO63017 84-1754684	MEDICAL SERV.	MO	936,057	6,372,443	SL EP HOSP
(4) MERIDIAN SURGICAL PARTNERS-MISSOURILLC 232 S WOODS MILL ROAD CHESTERFIELD,MO63017 27-3332368	MEDICAL SERV.	MO	-909,975	2,186,794	SL EP HOSP

(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 HEALTH CORPORATION 232 S WOODS MILL ROAD CHESTERFIELD,MO63017 43-1246752	SUPPORTING ORGANIZATION	MO	501 (C)(3)	12B	N/A		No
(2)ST LUKE'S DES PERES EPIS-PRESBY HOSP 232 S WOODS MILL ROAD CHESTERFIELD,MO63017 82-4314522	HEALTH CARE	MO	501 (C)(3)	LINE 3	SL E-P HOSP	Yes
(3)ST LUKE'S MEDICAL GROUP 232 S WOODS MILL ROAD CHESTERFIELD,MO63017 43-1349332	MEDICAL SERV.	MO	501 (C)(3)	12A	SL HLTH CORP		No

(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?		(k) Percentage ownership
(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	(k) Percentage ownership

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ST LUKE'S DES PERES EPISCOPAL-PRSBYTRN HOSP	P	8,754,828	FMV
(2) MERIDIAN SURGICAL PARTNERS-MISSOURILLC	C	40,134	SCHEDULE K-1

(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?		(k) Percentage ownership
(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	(k) Percentage ownership