TY 2024 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
SODEXO INC AND AFFILIATES PO BOX 360170 PITTSBURGH,PA15251	DIETARY SERVICES	1,737,272
TRIMEDXLLC 5050 KINGSLY DR CINCINNATI,OH45227	EQUIPMENT MAINTENANCE	979,608
METROWEST ANESTHESIA GROUP 400 SOUTH WOODS MILL ROAD CHESTERFIELD,MO63017	ANESTHESIA SERVICES	925,000
BENTLEY KENNETH W 345 S MASON RD ST LOUIS,MO63141	PHYSICIAN SERVICES	358,569
CONNON DEBORAH K 2834 TALL OAK ST LOUIS,MO63129	PHYSICIAN SERVICES	333,722
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 14

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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

2024

Open to Public
Inspection

Name of the organization

ST LUKE'S DES PERES EPISCOPAL-
PRESBYTERIAN HOSPITAL

Employer identification number

82-4314522

Part I

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

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

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

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

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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

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) 2024

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) 2024

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) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

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

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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

2024

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

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

Name of the organization

ST LUKE'S DES PERES EPISCOPAL-
PRESBYTERIAN HOSPITAL

Employer identification number

82-4314522

Part I-A

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

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

Political campaign activity expenditures. See instructions .................................................................... 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) 2024

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

Yes

15,503

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

15,503

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 $15,503 OF THE DUES PAID TO VARIOUS TRADE ORGANIZATIONS FOR THE YEAR ENDED JUNE 30, 2025 ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES BY THE ORGANIZATION.

Schedule C (Form 990) 2024

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

Open to Public Inspection

Name of the organization

ST LUKE'S DES PERES EPISCOPAL-
PRESBYTERIAN HOSPITAL

Employer identification number

82-4314522

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 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) (Rev. 1-2025)

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

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

Yes No

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

Part V

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

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

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

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....	8,335,668	4,808,335	3,527,333
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				3,527,333

Schedule D (Form 990) (Rev. 1-2025)

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)ASSETS HELD FOR SALE				6,000,000
(2)OTHER ASSETS				56,085
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				6,056,085

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
OTHER CURRENT LIABILITIES	4,073,681
ASSET RETIREMENT OBLIGATION	1,122,628
OTHER LIABILITIES	1,110
DUE TO RELATED ORGANIZATION	52,759,916





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	57,957,335
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) (Rev. 1-2025)

Page 4

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

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

Part XIII

Supplemental Information

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

Return Reference	Explanation
PART X, LINE 2:	FOOTNOTE FOR UNCERTAIN TAX POSITIONS ST. LUKE'S EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE ARE NO UNCERTAIN POSITIONS RECORDED IN 2025 OR 2024.

Schedule D (Form 990) (Rev. 1-2025)

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

2024

Open to Public Inspection

Name of the organization

ST LUKE'S DES PERES EPISCOPAL-
PRESBYTERIAN HOSPITAL

Employer identification number

82-4314522

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	4,001	1,239,856		1,239,856	1.410 %
b	Medicaid (from Worksheet 3, column a) . . . . .		2,931,680	80,515	2,851,165	3.240 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	4,001	4,171,536	80,515	4,091,021	4.650 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).		220,664		220,664	0.250 %
f	Health professions education (from Worksheet 5) . . .		1,774,880	1,199,739	575,141	0.650 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .		28,288		28,288	0.030 %
j	Total. Other Benefits . .		2,023,832	1,199,739	824,093	0.930 %
k	Total. Add lines 7d and 7j .	4,001	6,195,368	1,280,254	4,915,114	5.580 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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			158,019		158,019	0.180 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building			442		442	0 %
7	Community health improvement advocacy
8	Workforce development			7,200		7,200	0.010 %
9	Other
10	Total			165,661		165,661	0.190 %

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. ......

916,980

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. ......

201,822

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).....

14,314,196

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

17,958,076

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

-3,643,880

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

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

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ST LUKE'S DES PERES HOSPITAL 2345 DOUGHERTY FERRY ROAD ST LOUIS,MO63122 WWW.STLUKES-STL.COM/DESPERES 522-7	X	X	X	X

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

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

Yes

Community Health Needs Assessment

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

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 24

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 25

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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
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) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

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

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (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) 2024

Page 7

Part VFacility Information (continued)

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

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

Yes

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

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

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 DES PERES HOSPITAL	PART V, SECTION B, LINE 5: ST. LUKE'S CONTINUES TO COLLABORATE WITH OTHER REGIONAL HEALTH SYSTEMS IN THE CHNA PROCESS WITH THE GOAL OF ASSESSING AND POTENTIALLY ADDRESSING COMMUNITY HEALTH NEEDS TOGETHER. BECAUSE ALL LOCAL HEALTH SYSTEMS SERVE THE SAME POPULATIONS, PARTNER WITH THE SAME COMMUNITY ORGANIZATIONS, AND STRIVE TO ADDRESS THE MOST PREVALENT NEEDS IN THE AREA, IT IS APPROPRIATE TO COLLABORATE IN THE ASSESSMENT PROCESS WHEN COMMUNITY MEMBERS ARE ENGAGED. THE ST. LOUIS REGIONAL HOSPITAL CHNA COLLABORATIVE IS COMPRISED OF COMMUNITY HEALTH LEADERS FROM ST. LUKE'S, MERCY, SSM HEALTH, BJC HEALTHCARE, AND SHRINERS HOSPITALS FOR CHILDREN.THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS COLLECTED PRIMARY DATA THROUGH A ST. LOUIS REGIONAL COMMUNITY SURVEY AND A STAKEHOLDER FOCUS GROUP. BETWEEN MARCH AND JUNE 2024, THE ST. LOUIS REGIONAL HOSPITAL CHNA COLLABORATIVE DISSEMINATED A WEB-BASED COMMUNITY SURVEY THROUGHOUT THE ST. LOUIS AREA. THE SURVEY WAS AVAILABLE TO ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN AREA. AFTER SURVEY DATA WERE SUMMARIZED, THE REGIONAL HOSPITAL CHNA COLLABORATIVE HOSTED SIX REGIONAL STAKEHOLDER CONVERSATIONS (FOCUS GROUPS) WITH COMMUNITY PARTNERS FROM A WIDE VARIETY OF COMMUNITY- FACING ORGANIZATIONS WHO REPRESENT BROAD INTERESTS OF THE COMMUNITY. THE GOAL OF HOSTING STAKEHOLDER CONVERSATIONS WAS TO PRESENT THE SURVEY OUTCOMES AND GATHER ADDITIONAL DETAIL ABOUT THE DATA FROM EXPERTS IN THE FIELD, IN ADDITION TO DISCUSSING HOW WE MIGHT COLLABORATIVELY BUILD ON THE RESULTS SO THAT WE CAN ADDRESS THE MOST PRESSING NEEDS.ORGANIZATIONS REPRESENTED IN THE WEST/MID ST. LOUIS COUNTY STAKEHOLDER CONVERSATIONS INCLUDE THE FOLLOWING:AGING AHEADBJC BEHAVIORAL HEALTHCHIEF - EUREKA FIRE DISTRICTCIRCLE OF CONCERNDEACONESS FOUNDATIONNATIONAL ALLIANCE ON MENTAL ILLNESSOPERATION FOOD SEARCHPREVENTEDUNITED WAY OF GREATER ST. LOUISST. LUKE'SMERCY HOSPITAL ST. LOUISMISSOURI BAPTIST MEDICAL CENTER, BJC HEALTHCARE
ST. LUKE'S DES PERES HOSPITAL	PART V, SECTION B, LINE 11: THE ST. LUKE'S DES PERES HOSPITAL CHNA STEERING COMMITTEE REVIEWED RESULTS OF THE DATA ANALYSIS AND THE SIGNIFICANT HEALTH AND SOCIAL NEEDS THAT EMERGED, PRIORITIZING EACH CONSIDERING ST. LUKE'S ORGANIZATIONAL STRENGTHS AND PRIORITIES, INTERNAL AND PARTNER RESOURCES AVAILABLE, AND ST. LUKE'S ABILITY TO IMPACT AND SUPPORT THE ISSUE. AFTER REVIEWING AND DISCUSSING THE PRIORITY RANKINGS AND AVAILABLE RESOURCES, THE ST. LUKE'S DES PERES HOSPITAL CHNA STEERING COMMITTEE RECOMMENDED FOCUSING FY2026-FY2028 COMMUNITY HEALTH IMPROVEMENT STRATEGIES AND RESOURCES TO IMPACT THE FOLLOWING PRIORITY HEALTH NEEDS:- OLDER ADULTS AND AGE-RELATED ILLNESSES- WEIGHT MANAGEMENT AND HEART HEALTH- CANCERTHE GOAL OF THE OLDER ADULTS AND AGE-RELATED ILLNESSES IMPLEMENTATION PLAN IS TO IMPROVE ACCESS, COLLABORATION, AND CONTINUITY OF CARE TO PROMOTE SAFE AND HEALTHY LIVING FOR OLDER ADULTS, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) INCREASE AWARENESS AND KNOWLEDGE TO PREVENT AND ADDRESS HEALTH ISSUES, 2) INCREASE ACCESS AND CONNECTIONS TO COMMUNITY SUPPORT SERVICES, AND 3) IMPROVE CONTINUITY OF CARE DURING AND AFTER HOSPITALIZATION TO ENSURE SAFE AND HEALTHY LIVING.THE GOAL OF THE WEIGHT MANAGEMENT AND HEART HEALTH IMPLEMENTATION PLAN IS TO IMPROVE HEALTHY WEIGHT STATUS THROUGH EDUCATION AND INCREASE OPPORTUNITIES TO EAT HEALTHY AND INCORPORATE PHYSICAL ACTIVITY, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE AND AWARENESS OF HEALTHY FOOD AND EXERCISE OPTIONS AND RESOURCES, AND 2) PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE AVAILABILITY OF HEALTHY FOOD AND EXERCISE OPTIONS.THE GOAL OF THE CANCER IMPLEMENTATION PLAN IS TO INCREASE OPPORTUNITIES FOR SCREENING AND EDUCATION, AND IMPROVE SUPPORT SERVICES AND RESOURCES TO REDUCE THE BURDEN OF CANCER IN OUR COMMUNITY, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) INCREASE CANCER SCREENING RATES, 2) IMPROVE AWARENESS OF CANCER CARE RESOURCES AND SERVICES, AND 3) STRENGTHEN CONNECTIONS AND REFERRALS TO COMMUNITY SUPPORT.THE ST. LUKE'S DES PERES HOSPITAL CHNA PROCESS IDENTIFIED ADDITIONAL SIGNIFICANT HEALTH NEEDS, HOWEVER LIMITED RESOURCES REQUIRE THAT FOCUSED CHNA-RELATED INITIATIVES ALIGN WITH ST. LUKE'S ABILITY TO MAKE AN IMPACT. THE FOLLOWING COMMUNITY NEEDS WERE IDENTIFIED IN THE CHNA PROCESS, HOWEVER, WERE NOT SELECTED AS FOCUS AREAS IN ST. LUKE'S DES PERES HOSPITAL'S 2025 CHNA.MENTAL HEALTH & SUBSTANCE ABUSE: WHILE COMMUNITY SURVEY RESPONDENTS AND STAKEHOLDER PARTNERS RANKED MENTAL HEALTH AS AN UNDER-RESOURCED AND ELEVATED CONCERN FOR OUR LOCAL COMMUNITY, ST. LUKE'S WILL NEED TO RELY ON PARTNERS TO PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO EFFECTIVELY ADDRESS THE PREVALENT NEEDS. ST. LUKE'S WILL CONTINUE TO PARTNER WITH COMMUNITY-BASED ORGANIZATIONS AND MENTAL HEALTH PROVIDERS BETTER SUITED TO ADDRESS THE MENTAL AND BEHAVIORAL HEALTH NEEDS OF OUR COMMUNITY FOR THE MOST EFFICIENT AND APPROPRIATE TRANSFER OF PATIENTS IN NEED.GEOGRAPHIC VULNERABILITIES - MEHLVILLE, ARNOLD, MAPLEWOOD: AS AN EXISTING SERVICE PROVIDER, ST. LUKE'S IS COMMITTED TO CONTINUING TO OFFER HEALTH CARE SERVICES TO RESIDENTS OF MEHLVILLE, ARNOLD, AND MAPLEWOOD. THESE GEOGRAPHIC AREAS WITH PREVALENT VULNERABILITIES WILL BE CONSIDERED FOR TARGETED INTERVENTIONS WHILE PLANNING FOR AND IMPLEMENTING INITIATIVES FOR THE SELECTED PRIORITY NEED.COMMUNITY WALKABILITY: COMMUNITY WALKABILITY IS AN AREA-WIDE ISSUE THAT WOULD REQUIRE CHANGES IN INFRASTRUCTURE AND POLICY. AT THIS TIME, ST. LUKE'S LACKS RESOURCES TO ENGAGE AT THE LEVEL OF COLLABORATION THAT WOULD RESULT IN CHANGES TO LOCAL INFRASTRUCTURE TO MAKE MEANINGFUL IMPROVEMENTS. COMMUNITY WALKABILITY WAS NOT SELECTED AS A PRIORITY NEED FOR CHNA FOCUSED INITIATIVES, HOWEVER, DEVELOPMENT OF INITIATIVES TO IMPACT WEIGHT MANAGEMENT WILL LIKELY INCLUDE OPPORTUNITIES FOR INCREASED PHYSICAL ACTIVITY.PUBLIC TRANSPORTATION: ST. LUKE'S LACKS THE EXPERTISE AND COMPETENCIES TO EFFECTIVELY ADDRESS IMPROVEMENTS TO PUBLIC TRANSPORTATION IN THE COMMUNITY. HOWEVER, CONSIDERATION WILL BE GRANTED DURING DEVELOPMENT OF COMMUNITY HEALTH INITIATIVES TO UNDERSTAND WHETHER THE TRANSPORTATION NEEDS OF RELATED POPULATIONS ARE SUBSTANTIAL ENOUGH TO EVALUATE OPTIONS TO IMPROVE ACCESS. RESPIRATORY DISEASES: ST. LUKE'S OFFERS A WIDE RANGE OF PULMONARY SERVICES TO DIAGNOSE AND TREAT PATIENTS WITH LUNG DISEASE AND WILL CONTINUE TO FOCUS ON ACCESS AND PROMOTION OF THESE SERVICES IN THE COMMUNITIES WE SERVE.FOOD INSECURITY: ST. LUKE'S WILL PARTNER WITH COMMUNITY-BASED ORGANIZATIONS, INCLUDING FOOD PANTRIES, WHOSE PRIMARY GOALS ARE TO MEET THE NEEDS OF VULNERABLE POPULATIONS WITH LIMITED ACCESS TO HEALTHY FOODS. THROUGH EXISTING PARTNERSHIPS, ST. LUKE'S PROVIDES AND WILL CONTINUE TO OFFER HEALTH SCREENINGS AND HEALTH EDUCATION TO FOOD PANTRY PATRONS.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

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

Schedule H (Form 990) 2024

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, 1.41%LINE 7B: UNREIMBURSED MEDICAID, 3.33 %LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 4.73 %LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.25 %LINE 7F: HEALTH PROFESSIONS EDUCATION, 2.01 %LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.03 %LINE 7J: TOTAL OTHER BENEFITS, 2.30 %LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 7.03 %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:	ST. LUKE'S DES PERES HOSPITAL EMPLOYEES ENGAGE IN A VARIETY OF COMMUNITY-BUILDING PARTNERSHIPS AND ACTIVITIES TO SUPPORT AND IMPROVE THE HEALTH AND SAFETY OF INDIVIDUALS LIVING IN OUR SURROUNDING COMMUNITY. ACTIVITIES REPORTED IN PART II, COMMUNITY BUILDING ACTIVITIES INCLUDE: COMMUNITY SUPPORT: ST. LUKE'S LEADERSHIP AND STAFF ARE INVOLVED ON LOCAL NONPROFIT BOARDS AND COMMITTEES INTENDED TO ADVANCE COMMUNITY HEALTH, SUCH AS THE GATEWAY FAMILY YMCA BOARD.WORKFORCE DEVELOPMENT: ST. LUKE'S DES PERES HOSPITAL LEADERS PROVIDE CAREER PLANNING ADVICE, OPPORTUNITY, AND GUIDANCE TO ASSIST AND GUIDE STUDENTS ABOUT CAREERS IN THE HEALTHCARE INDUSTRY THROUGH JOB SHADOWING OPPORTUNITIES IN RESPIRATORY THERAPY.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.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:	COSTING METHODOLOGYCOST TO CHARGE RATIO
PART III, LINE 3:	BAD DEBT EXPENSEST. LUKE'S DES PERES CONSIDERS THIS PORTION OF BAD DEBT EXPENSE A COMMUNITY BENEFIT AS IT IS THE ADDITIONAL COST OF PROVIDING FINANCIAL ASSISTANCE TO THE COMMUNITY.
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 DES PERES HOSPITAL HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM ST. LUKE'S DES PERES HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S DES PERES HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S DES PERES HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT IMPOSE WAGE GARNISHMENTS OR FORCE A FORECLOSURE ON PRIMARY RESIDENCES, WILL NOT IMPOSE ACTIONS THAT FORCE BANKRUPTCY AND WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES. 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 DES PERES HOSPITAL ADHERES TO THE LAWS OF THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND PATIENTS ARE TREATED WITH DIGNITY, RESPECT AND IN LINE WITH OUR MISSION AND VALUES.
PART VI, LINE 2:	NEEDS ASSESSMENTIN ADDITION TO CONDUCTING A FORMAL CHNA EVERY THREE YEARS, ST. LUKE'S DES PERES 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 DES PERES FINANCIAL ASSISTANCE AND THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS IN A NUMBER OF WAYS:-FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO PATIENTS DURING THEIR STAY.-PATIENT FINANCIAL SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO PROVIDE PATIENTS WITH THEIR EXPECTED AMOUNTS DUE AND DISCUSS PAYMENT / 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 ST. LUKE'S DES PERES HOSPITAL CHNA DEFINES ITS COMMUNITY SERVED BASED ON A GEOGRAPHIC AREA OF ZIP CODES WHERE PATIENTS WHO RELY ON ST. LUKE'S DES PERES HOSPITAL FOR CARE RESIDE, INCLUDING POPULATIONS WITH GREATER NEEDS AND DISPARITIES THAT MAY LEAD TO POOR HEALTH OUTCOMES. REVIEW OF ST. LUKE'S DES PERES HOSPITAL INPATIENT VOLUME BY ZIP CODE IDENTIFIED THE ZIP CODES FROM WHICH THE GREATEST VOLUME OF PATIENTS RELIES ON ST. LUKE'S DES PERES HOSPITAL FOR CARE. TO ENSURE THAT ST. LUKE'S DOES NOT EXCLUDE FROM THE ASSESSMENT THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS, AN ASSESSMENT OF SOCIOECONOMIC STATUS BY ZIP CODE WAS ALSO INCLUDED IN THE PROCESS TO DEFINE COMMUNITY SERVED. THE SOCIOECONOMIC STATUS RANK, PROVIDED THROUGH EXPLOREMOHEALTH, HIGHLIGHTS NEARBY POPULATIONS WHO ARE MORE LIKELY TO EXPERIENCE HEALTH DISPARITIES AND MAY NOT RECEIVE MEDICAL CARE DUE TO INSURANCE STATUS, GEOGRAPHIC, LANGUAGE, OR FINANCIAL BARRIERS. DEFINING THE ST. LUKE'S DES PERES HOSPITAL CHNA GEOGRAPHIC AREA BASED ON ZIP CODE-LEVEL VOLUME AND SOCIOECONOMIC STATUS ALLOWS FOR A FOCUSED ASSESSMENT TO IMPACT AREAS MOST SIGNIFICANT TO OUR ORGANIZATION. BASED ON REVIEW OF ALL DATA ELEMENTS RELATED TO THE ST. LUKE'S DES PERES HOSPITAL CHNA COMMUNITY, THE ST. LUKE'S CHNA STEERING COMMITTEE APPROVED A CHNA GEOGRAPHY COMPRISED OF 14 ZIP CODES.COMPARED TO ITS ST. LOUIS COUNTY BENCHMARK, THE ST. LUKE'S DES PERES HOSPITAL CHNA POPULATION HAS GROWN MORE RAPIDLY, INCLUDES A SLIGHTLY HIGHER PROPORTION OF OLDER ADULTS, AND IS MUCH LESS RACIALLY DIVERSE.THE ST. LUKE'S DES PERES HOSPITAL CHNA POPULATION INCREASED BETWEEN 2010 AND 2020 BY 2.5% COMPARED TO 0.52% GROWTH IN ST. LOUIS COUNTY DURING THE SAME PERIOD. THE POPULATION CHANGE WAS GREATEST IN SUNSET HILLS (63127) AT 14.23% AND WAS ALSO WELL ABOVE BENCHMARK IN DES PERES (63131) AT 8.8%, AND KIRKWOOD (63122) AT 7.3%.RESIDENTS AGED 65+ YEARS REPRESENT THE LARGEST AGE GROUP IN THE ST. LUKE'S DES PERES HOSPITAL CHNA POPULATION; COMPARATIVELY, THE 18-44 AGE GROUP REPRESENTS THE LARGEST AGE GROUP IN ST. LOUIS COUNTY IN AGGREGATE. THE 0-17 AGE GROUP IS ALSO PROPORTIONATELY HIGHER THAN THE ST. LOUIS COUNTY BENCHMARK.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHAS A COMMUNITY HOSPITAL, ST. LUKE'S DES PERES 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 DES PERES 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 DES PERES 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. - 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 DES PERES EXTENDS ITS HEALTH WORKFORCE WORKSITE WELLNESS PROGRAM THROUGHOUT THE COMMUNITY TO PROACTIVELY ADDRESS HEALTH NEEDS AND PROMOTE HEALTHY LIVING THROUGH EDUCATION AND HEALTH SCREENINGS AMONG EMPLOYEES OF AREA ORGANIZATIONS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMN/A
PART VI, LINE 7:	STATE FILING OF COMMUNITY BENEFIT REPORTN/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA).

Schedule H (Form 990) 2024

Additional Data

Software ID:
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- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

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.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ST LUKE'S DES PERES EPISCOPAL-
PRESBYTERIAN HOSPITAL

Employer identification number

82-4314522

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes 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 .....

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? ....

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

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

Yes

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

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)
1ANDREW BAGNALL PRESIDENT & CEO	(i) (ii)	0 ------------- 860,894	0 ------------- 175,000	0 ------------- 0	0 ------------- 11,213	0 ------------- 26,207	0 ------------- 1,073,314	0 ------------- 0
2MARTHA FLEISCHMANN FORMER OFFICER	(i) (ii)	0 ------------- 377,710	0 ------------- 31,250	0 ------------- 259,615	0 ------------- 31,913	0 ------------- 4,581	0 ------------- 705,069	0 ------------- 0
3JONATHAN VITIELLO SENIOR VICE PRESIDENT & CFO	(i) (ii)	0 ------------- 377,290	0 ------------- 33,047	0 ------------- 0	0 ------------- 0	0 ------------- 19,248	0 ------------- 429,585	0 ------------- 0
4DIANE RAY FORMER DIRECTOR	(i) (ii)	0 ------------- 284,411	0 ------------- 26,250	0 ------------- 0	0 ------------- 32,097	0 ------------- 4,934	0 ------------- 347,692	0 ------------- 0
5GUY FELDER HOUSE PHYSICIAN ER	(i) (ii)	262,158 ------------- 0	2,500 ------------- 0	0 ------------- 0	8,099 ------------- 0	5,526 ------------- 0	278,283 ------------- 0	0 ------------- 0
6ROBERT HIBBARD HOUSE PHYSICIAN ER	(i) (ii)	253,958 ------------- 0	2,500 ------------- 0	0 ------------- 0	10,899 ------------- 0	0 ------------- 0	267,357 ------------- 0	0 ------------- 0
7MARY ANN HAMPTON CHIEF NURSING OFFICER	(i) (ii)	231,859 ------------- 0	5,775 ------------- 0	0 ------------- 0	10,189 ------------- 0	8,458 ------------- 0	256,281 ------------- 0	0 ------------- 0
8RAGHU KANUMURI HOUSE PHYSICIAN ER	(i) (ii)	211,158 ------------- 0	5,000 ------------- 0	0 ------------- 0	9,537 ------------- 0	24,996 ------------- 0	250,691 ------------- 0	0 ------------- 0
9KATHALEEN CLUTTS FORMER HCE	(i) (ii)	0 ------------- 183,472	0 ------------- 6,215	0 ------------- 10,809	0 ------------- 9,019	0 ------------- 26,384	0 ------------- 235,899	0 ------------- 0
10ANNA MERTZ RN	(i) (ii)	180,848 ------------- 0	9,612 ------------- 0	5,152 ------------- 0	8,554 ------------- 0	13,818 ------------- 0	217,984 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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, LINES 4A-B

THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2024: MARTHA FLEISCHMANN $230,769. CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. NO INDIVIDUALS LISTED IN PART VII RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2024.

PART I, LINE 5

THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATION. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD OBJECTIVE. THE INCENTIVE COMPENSATION PLAN IS DETERMINED BY A FIXED FORMULA BASED ON ACHIEVING CERTAIN GOALS AND OBJECTIVES EACH YEAR. THE OBJECTIVES ARE BUILT AROUND FOUR PERSPECTIVES, INCLUDING: 1. QUALITY & PATIENT SATISFACTION 2. FINANCIAL PERFORMANCE 3. EXECUTIVE INDIVIDUAL GOALS 4. EXECUTIVE'S INTERNAL BUSINESS (DIVISION) GOALS THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS AND DEPARTMENT DIRECTORS OF THE HOSPITAL.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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 instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

ST LUKE'S DES PERES EPISCOPAL-
PRESBYTERIAN HOSPITAL

Employer identification number

82-4314522

Return Reference	Explanation
FORM 990, 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 ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S) ORGANIZED ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S DES PERES) IN ORDER TO BETTER ADDRESS THE MEDICAL NEEDS OF THE GENERAL PUBLIC IN THE GREATER ST. LOUIS METROPOLITAN AREA AND ITS SURROUNDING REGIONS. IN SUPPORT OF OUR MISSION, ST. LUKE'S DES PERES HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, WHICH INCLUDES THOSE WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. IN ADDITION, THE ORGANIZATION PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE LESS THAN THE RELATED COSTS FOR THE SERVICES PROVIDED TO THE RECIPIENTS. ST. LUKE'S DES PERES HOSPITAL SUPPORTS MISSION OUTREACH ACTIVITIES THROUGH ST. LUKE'S MISSION OUTREACH COMMITTEE. ST. LUKE'S MISSION OUTREACH COMMITTEE, COMPRISED OF TEAM MEMBERS ACROSS THE ORGANIZATION, COORDINATES OUTREACH EFFORTS THROUGHOUT THE YEAR. TEAM MEMBERS, PATIENTS AND PHYSICIANS GENEROUSLY SUPPORT INITIATIVES SUCH AS WINTER CLOTHING DRIVES, HEALTH SCREENINGS, FOOD DRIVES, TOY DRIVES, AND SCHOOL SUPPLY DRIVES TO ASSIST THE FAMILIES OF THE ST. LUKE'S PEDIATRIC CARE CENTER, ISAIAH 58 MINISTRIES, LITTLE PATRIOTS EMBRACED, AND OPERATION FOOD SEARCH.
FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:	AT ST. LUKE'S DES PERES HOSPITAL, WE'RE DEDICATED TO ONE THING: OUR PATIENTS LIVING A HEALTHY, HAPPY LIFE. SINCE 1974 AND NOW AS PART OF THE ST. LUKE'S HEALTH SYSTEM, WE ARE PROUD TO SERVE OUR COMMUNITY'S HEALTH CARE NEEDS WITH COMPASSION AND A PERSONALIZED APPROACH. MEDICALLY NECESSARY HEALTH SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER, REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. WE PROVIDE CARING TREATMENT IN A 143-BED ACUTE CARE HOSPITAL WITH HEALTH SYSTEM ACCESS TO HIGHER LEVEL SERVICES IF NEEDED. FROM PRIMARY CARE TO EMERGENCY CARE, WITH GENERAL MEDICAL AND SPECIALTY SURGICAL SERVICES, SPECIALIZING IN BARIATRIC, ORTHOPEDICS AND HEART CARE. OTHER SERVICES INCLUDE RADIOLOGY, ENDOSCOPY, LABORATORY, GASTROENTEROLOGY, ENT/OTOLARYNGOLOGY, FOOT CARE, NUTRITION COUNSELING, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, UROLOGY, AND VASCULAR CARE. AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, ST. LUKE'S DES PERES PARTICIPATED WITH OTHER NONPROFIT HOSPITALS IN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2024-2025 TO EVALUATE THE COMMUNITY NEEDS AND ENSURE THAT WE ARE OFFERING SERVICES TO MEET THESE NEEDS. WITH THIS INFORMATION, ST. LUKE'S DES PERES DEVELOPED AN IMPLEMENTATION PLAN WITH WAYS TO ENHANCE OUR EDUCATION AND PARTNER WITH COMMUNITY ORGANIZATIONS TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITY, SPECIFICALLY IN THE AREAS OF OLDER ADULTS AND AGE-RELATED ILLNESSES, WEIGHT MANAGEMENT AND HEART HEALTH, AND CANCER. THE FULL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ON THE ST. LUKE'S WEBSITE AT HTTPS://WWW.STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. ST. LUKE'S DES PERES HOSPITAL PROVIDES SPIRITUAL CARE SERVICES AROUND THE CLOCK, SEVEN DAYS A WEEK THROUGH THE ST. LUKE'S SPIRITUAL CARE DEPARTMENT. CHAPLAINS ARE AVAILABLE TO PROVIDE SPIRITUAL CARE TO PATIENTS, FAMILIES, VISITORS, AND TEAM MEMBERS OF ALL FAITHS. ST. LUKES' CHAPLAINS APPROACH EVERYONE WITH SPIRITUAL AND CULTURAL HUMILITY. THEY ARE ALSO ACQUAINTED WITH VARIOUS RELIGIOUS RESOURCES IN THE COMMUNITY TO MEET ANY SPECIFIC NEEDS A PERSON MIGHT HAVE. THE DEPARTMENT ALSO HOLDS REGULAR WORSHIP SERVICES, INCLUDING EPISCOPAL AND PRESBYTERIAN EUCHARIST SERVICES, ROMAN CATHOLIC MASS, ECUMENICAL WORSHIP SERVICES, MORNING AND EVENING PRAYER SERVICES AND OTHER LITURGICAL SERVICES ON SPECIAL FEAST DAYS. ST. LUKE'S DES PERES HOSPITAL HAS A PROUD HERITAGE OF GRADUATE MEDICAL EDUCATION. SINCE 1954 WE HAVE PROVIDED SERVICE TO THE COMMUNITY BY PREPARING NEW PHYSICIANS WITH QUALITY OSTEOPATHIC MEDICAL EDUCATION. OUR FAMILY MEDICINE RESIDENCY PROGRAM HAS BEEN ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION SINCE 2019. 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 PRIMARY CARE OF CEDAR HILL PRACTICE, AND OTHER REQUIREMENTS ARE ADDRESSED THROUGH CLINICAL ROTATIONS WITH SPECIALISTS THROUGHOUT THE ST. LUKE'S HEALTH SYSTEM. ST. LUKE'S DES PERES HOSPITAL SERVES THE COMMUNITY BY HOSTING MULTIPLE BLOOD DRIVES THROUGHOUT THE YEAR. WORKING WITH ST. LUKE'S COMMUNITY OUTREACH, ST. LUKE'S DES PERES HOSPITAL PROVIDES COMMUNITY HEALTH SCREENINGS, PROGRAMS AND CLASSES DESIGNED TO EDUCATE THE COMMUNITY ON HEALTHCARE TOPICS. ST. LUKE'S DES PERES HOSPITAL EARNED THE 2023 WOMEN'S CHOICE AWARD AS ONE OF AMERICA'S BEST HOSPITALS FOR BARIATRIC SURGERY AND ORTHOPEDICS. IN 2024, IT EARNED THE WOMEN'S CHOICE AWARD AS ONE OF AMERICA'S BEST HOSPITALS FOR EMERGENCY CARE AND ORTHOPEDICS. WOMENCERTIFIED INC., AN ADVOCATE FOR FEMALE CONSUMERS, CREATED THE NATIONAL WOMEN'S CHOICE AWARD PROGRAM. IN 2025, IT WAS NATIONALLY RECOGNIZED WITH MULTIPLE WOMEN'S CHOICE AWARD HONORS. THESE ACHIEVEMENTS ARE A TESTAMENT TO THE DEDICATION OF ST. LUKE'S DES PERES' PHYSICIANS AND TEAM MEMBERS WHO PROVIDE QUALITY, COMPASSIONATE CARE TO OUR PATIENTS EVERY DAY. THE MYNEWSELF SURGICAL WEIGHT LOSS PROGRAM OFFERS SEVERAL PROCEDURE OPTIONS, PRE-SURGERY EDUCATION, POST-SURGERY CLASSES AND SUPPORT GROUPS AND PERSONAL NUTRITION AND LIFESTYLE COUNSELING AND SUPPORT. OUR BOARD-CERTIFIED PHYSICIANS WILL TAILOR A SOLUTION TO HELP EACH PATIENT REACH A HEALTHIER WEIGHT AND OUR TEAM OF NURSES, DIETITIANS AND COUNSELORS WILL TEACH LIFESTYLE CHANGES TO SUPPORT A LONGER, HEALTHIER AND MORE ACTIVE LIFE. THE MYNEWSELF SURGICAL WEIGHT LOSS PROGRAM RECEIVED RENEWED ACCREDITATION THROUGH 2025 FROM THE AMERICAN COLLEGE OF SURGEONS AND IS DESIGNATED AS A COMPREHENSIVE CENTER UNDER THE ORGANIZATION'S METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP). ST. LUKE'S DES PERES HOSPITAL HAS RECEIVED SEVERAL DESIGNATIONS FOR CLINICAL QUALITY FOR BARIATRIC SURGERY INCLUDING AETNA INSTITUTE OF QUALITY, BLUE CROSS BLUE SHIELD BLUE DISTINCTION, AND OPTUM CENTER OF EXCELLENCE. ST. LUKE'S DES PERES HOSPITAL RECOGNIZED AS A BEST HOSPITAL BY U.S. NEWS & WORLD REPORT, 2022-2024. THE HOSPITAL WAS RECOGNIZED AGAIN AS BEST HOSPITALS FOR 2023-2024 RECEIVING "HIGH PERFORMING" RATINGS IN IN THE SPECIALTY AREAS OF KNEE REPLACEMENT AND PNEUMONIA. THE ANNUAL BEST HOSPITALS RANKINGS AND RATINGS, NOW IN THEIR 34TH YEAR, ARE DESIGNED TO ASSIST PATIENTS AND THEIR DOCTORS IN MAKING INFORMED DECISIONS ABOUT WHERE TO RECEIVE QUALITY CARE FOR CHALLENGING HEALTH CONDITIONS AND ELECTIVE PROCEDURES. ST. LUKE'S DES PERES HOSPITAL IS THE RECIPIENT OF THE HEALTHGRADES 2023 AND 2024 OUTSTANDING PATIENT EXPERIENCE AWARD. THIS DISTINCTION PLACE ST. LUKE'S DES PERES HOSPITAL AMONG THE TOP 5 PERCENT OF HOSPITALS NATIONWIDE BASED ON AN ANALYSIS OF PATIENT EXPERIENCE DATA. THE HOSPITAL ALSO WAS THE RECIPIENT OF THE HEALTHGRADES CORONARY INTERVENTION EXCELLENCE AWARD 2024. IN 2025, IT WAS THE RECIPIENT OF A SPECIALTY EXCELLENCE AWARD IN CORONARY INTERVENTION, PLACING IT IN THE NATION'S TOP 10% FOR CORONARY INTERVENTIONAL PROCEDURES. IT IS ALSO A FIVE-STAR RECIPIENT FOR CORONARY INTERVENTIONAL PROCEDURES.
FORM 990, PART VI, SECTION A, LINE 6	ORGANIZATION MEMBERS OR STOCKHOLDERS ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, A 501 (C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	POWER TO ELECT OR APPOINT ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, IS AUTHORIZED UNDER THE ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL'S ARTICLES OF INCORPORATION TO APPOINT THREE MEMBERS TO THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL. THE ADDITIONAL MEMBER IS DEFINED PER THE ARTICLES OF INCORPORATION AS THE CURRENT CHAIRMAN OF THE BOARD OF DIRECTORS OF THE MEMBER, ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS.
FORM 990, PART VI, SECTION A, LINE 7B	GOVERNANCE DECISIONS ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, HAS RESERVED POWERS INCLUDING THE ELECTION AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL AND THE APPROVAL OF PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL.
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	CONFLICT OF INTEREST POLICY THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY PROVIDING THE POLICY AND QUESTIONNAIRE TO EACH BOARD MEMBER AT THE TIME OF APPOINTMENT AND TO EACH NEW EMPLOYEE AT THE TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER. EACH BOARD MEMBER AND KEY EMPLOYEE IS REQUIRED TO SIGN A STATEMENT ACKNOWLEDGING HE/SHE HAS READ, UNDERSTANDS AND AGREES TO COMPLY WITH THE POLICY AS WELL AS SUBMIT THE COMPLETED QUESTIONNAIRE. ANY/ALL ACTUAL OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE FROM THE FORMS ARE DISCLOSED TO THE 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 XI, LINE 9:	IMPAIRMENT -45,342,509. FUND BALANCE TO MEDICAL GROUP -3,194,981. EMPLOYEE TERMINATION BENEFITS -2,859,907. PHYSICIAN TERMINATION BENEFITS -595,000. ROUNDING -4,168.
FORM 990, PART XII, LINE 2C	FINANCIAL STATEMENTS AND REPORTING ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ST. LUKE'S HEALTH CORPORATION. ST. LUKE'S HEALTH CORPORATION'S BOARD OF DIRECTORS HAS A COMMITTEE IN PLACE THAT OVERSEES THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.
FORM 990, SCHEDULE D PART VI	HOSPITAL CLOSURE: ST LUKE'S HEALTH CORPORATION ANNOUNCED THE CLOSURE OF ST. LUKE'S DES PERES HOSPITAL EFFECTIVE JULY 31, 2025. CERTAIN ASSETS WERE RECORDED USING A FAIR VALUE MARKET APPROACH, A VALUE LOWER THAN THE CARRYING COST. IN ADDITION, ST. LUKE'S DES PERES HOSPITAL RECOGNIZED AN IMPAIRMENT LOSS OF $45,342,509. THE IMPAIRMENT LOSS IS REFLECTED IN THE CHANGES IN NET ASSETS SECTION, PART XI, LINE 9, OF THE FORM 990.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ST LUKE'S DES PERES EPISCOPAL-
PRESBYTERIAN HOSPITAL

Employer identification number

82-4314522

Part I

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

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

Part II

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

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

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(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

Part IV

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

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

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

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

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

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

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

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

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

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(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

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

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	3
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	1
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	486
6	Total number of volunteers (estimate if necessary) .............	6	5
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	17,501
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	86,717,207	69,404,423
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	833,900	235,108
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	123,246	124,815
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	87,674,353	69,764,346
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	37,223,167	34,772,560
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	53,218,220	53,356,811
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	90,441,387	88,129,371
19	Revenue less expenses. Subtract line 18 from line 12.......	-2,767,034	-18,365,025
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	96,181,272	26,618,738
21	Total liabilities (Part X, line 26).............	65,300,419	66,099,475
22	Net assets or fund balances. Subtract line 21 from line 20.....	30,880,853	-39,480,737

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 84,120,937 including grants of $ 0 ) (Revenue $ 69,512,680 )
	SEE SCHEDULE O.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses84,120,937

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) ANDREW BAGNALL...................................................................... PRESIDENT & CEO	5.00 ................. 55.00	X	X			0	1,035,894	37,420
(2) JONATHAN VITIELLO...................................................................... SENIOR VICE PRESIDENT & CFO	14.00 ................. 45.00	X	X			0	410,337	19,248
(3) NORMAN L EAKER...................................................................... CHAIRMAN	1.00 ................. 4.00	X				0	0	0
(4) GUY FELDER...................................................................... HOUSE PHYSICIAN ER	50.00 ................. 0.00			X		264,658	0	13,625
(5) ROBERT HIBBARD...................................................................... HOUSE PHYSICIAN ER	50.00 ................. 0.00			X		256,458	0	10,899
(6) MARY ANN HAMPTON...................................................................... CHIEF NURSING OFFICER	50.00 ................. 0.00			X		237,634	0	18,647
(7) RAGHU KANUMURI...................................................................... HOUSE PHYSICIAN ER	50.00 ................. 0.00			X		216,158	0	34,533
(8) ANNA MERTZ...................................................................... RN	50.00 ................. 0.00			X		195,612	0	22,372
(9) DIANE RAY...................................................................... FORMER DIRECTOR	0.00 ................. 0.00				X	0	310,661	37,031
(10) MARTHA FLEISCHMANN...................................................................... FORMER OFFICER	0.00 ................. 0.00				X	0	668,575	36,494
(11) KATHALEEN CLUTTS...................................................................... FORMER HCE	10.00 ................. 40.00				X	0	200,496	35,403

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,170,520	2,625,963	265,672

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

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

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

h Total. Add lines 1a-1f.......

		Business Code
2a	PATIENT SERVICE REV	621300	68,557,440	68,557,440
b	RENTAL REVENUE	621110	588,901	588,901
c	RESIDENT REVENUE	621300	238,506	238,506
d	NONPATIENT LABS	621500	17,501		17,501
e	BARIATRIC MEAL REPLACEMENT REV	624210	2,018	2,018
f	All other program service revenue.		57	57
g	Total. Add lines 2a–2f .....		69,404,423

3 Investment income (including dividends, interest, and othersimilar amounts) ......			234,165			234,165
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	66,541
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	66,541
d	Net rental income or (loss).......			66,541	66,541
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		943
b	Less: cost or other basis and sales expenses	7b		0
c	Gain or (loss)	7c		943
d	Net gain or (loss).........			943	943
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
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	GROUND LEASE REVENUE		900099	51,843	51,843
b	CASH DISCOUNTS		900099	3,886	3,886
c	MISC. REVENUE		900099	2,545	2,545
d	All other revenue ....
e	Total. Add lines 11a–11d ......			58,274
12	Total revenue. See instructions.....			69,764,346	69,512,680	17,501	234,165

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
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) .........
7	Other salaries and wages........	27,988,618	26,414,737	1,573,881
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	681,402	643,085	38,317
9	Other employee benefits .......	4,320,140	4,068,684	251,456
10	Payroll taxes ...........	1,782,400	1,682,170	100,230
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	38,837		38,837
c	Accounting ...........
d	Lobbying ...........	15,503		15,503
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)	5,007,876	5,007,876
12	Advertising and promotion ....	432,001	379	431,622
13	Office expenses .......	977,579	717,058	260,521
14	Information technology ......	2,582,159	2,581,583	576
15	Royalties ..
16	Occupancy ...........	2,084,103	2,084,103
17	Travel ............	1,921	1,921
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	26,325	26,325
20	Interest ...........	1,670,523	1,670,523
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	5,717,323	5,717,323
23	Insurance ...	989,066		989,066
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	23,841,791	23,836,811	4,980
b	CONTRACT SERVICES	3,269,733	3,044,550	225,183
c	MEDICAID FRA	3,258,000	3,258,000
d	REPAIRS AND MAINTENANCE	1,513,277	1,511,438	1,839
e	All other expenses	1,930,794	1,854,371	76,423
25	Total functional expenses. Add lines 1 through 24e	88,129,371	84,120,937	4,008,434	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			17,586,454	2	8,450,535
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			13,342,576	4	7,070,408
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 .......
					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) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			1,941,977	8	1,204,687
9	Prepaid expenses and deferred charges ......			287,389	9	309,690
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	8,335,668
b	Less: accumulated depreciation	10b	4,808,335	53,342,398	10c	3,527,333
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			7,092,664	14
15	Other assets. See Part IV, line 11 ...........			2,587,814	15	6,056,085
16	Total assets. Add lines 1 through 15 (must equal line 33)...			96,181,272	16	26,618,738

17	Accounts payable and accrued expenses .....	5,282,532	17	8,142,140
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
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	60,017,887	25	57,957,335
26	Total liabilities. Add lines 17 through 25..	65,300,419	26	66,099,475

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	30,880,853	27	-39,480,737
28	Net assets with donor restrictions ...........		28
	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 ...........	30,880,853	32	-39,480,737
33	Total liabilities and net assets/fund balances ........	96,181,272	33	26,618,738