4A (Expenses $ 91685893 including grants of $ 487) (Revenue $ 78964936)
SEE SCHEDULE O.

ST. LUKE'S DES PERES HOSPITAL
PART V, SECTION B, LINE 5: PART V, SECTION B, LINES 5, 6A, AND 6BTHE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS COLLECTED PRIMARY DATA THROUGH KEY STAKEHOLDER AND COMMUNITY MEMBER SURVEYS, COORDINATED THROUGH A COLLABORATIVE APPROACH BETWEEN ST. LOUIS AREA HOSPITALS AND HEALTH SYSTEMS INCLUDING BJC HEALTHCARE, MERCY, SSM HEALTH, ST. LUKE'S HOSPITAL, AND SHRINERS HOSPITALS FOR CHILDREN. APPENDIX B OF THE ST. LUKE'S DES PERES HOSPITAL CHNA INCLUDES QUESTIONS AND RESPONSES FOR EACH SURVEY.THE STAKEHOLDER SURVEY SOLICITED INPUT FROM PARTNERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS WEB-BASED, EMAILED DIRECTLY TO IDENTIFIED PARTNERS, AND AVAILABLE DURING THE MONTH OF JUNE 2021. RESPONSES FROM 48 PARTNERS IN WEST AND SOUTH ST. LOUIS COUNTY, AND JEFFERSON COUNTY WERE INCLUDED IN THE ST. LUKE'S DES PERES CHNA. COMMUNITY PARTNERS REPRESENTED PUBLIC HEALTH, COMMUNITY-BASED ORGANIZATIONS, LOCAL MUNICIPAL GOVERNMENT, EDUCATION, AND FIRE AND POLICE DEPARTMENTS. ORGANIZATIONS REPRESENTED IN STAKEHOLDER SURVEY RESPONSES INCLUDE THE FOLLOWING:AGING AHEADCIRCLE OF CONCERNCITY OF DES PERESCOMTREACREVE COEUR POLICE DEPARTMENTST. LUKE'S DES PERES ADVISORY BOARDEUREKA FIRE PROTECTION DISTRICTEUREKA POLICE DEPARTMENTHANCOCK PLACE SCHOOL DISTRICTJEWISH COMMUNITY CENTERKIRKWOOD FIRE DEPARTMENTLEMAY CHILD AND FAMILY CENTERLINDBERGH SCHOOL DISTRICTMARYVILLE UNIVERSITYNORTHWEST SCHOOL DISTRICTPREVENTEDROCKWOOD SCHOOL DISTRICTSAINT LOUIS COUNSELINGST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTHST. LOUIS COUNTY POLICEST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATIONTHE LINDBERGH SCHOOLS FOUNDATIONTOWN AND COUNTRY POLICE DEPARTMENTTHE COMMUNITY MEMBER SURVEY WAS WEB-BASED AND AVAILABLE TO ALL MEMBERS OF THE ST. LOUIS METROPOLITAN AREA BETWEEN MAY AND JUNE 2021. SURVEY PROMOTIONS INCLUDED A PRESS RELEASE TO LOCAL MEDIA OUTLETS, HOSPITAL NEWS STORIES, SOCIAL MEDIA PROMOTIONS, FLYER DISTRIBUTION THROUGHOUT THE COMMUNITY AT HOSPITAL-SPONSORED ACTIVITIES, AND THROUGH COMMUNITY-BASED PARTNER ORGANIZATIONS INCLUDING THOSE WITH INTERNET AVAILABILITY FOR INDIVIDUALS WITHOUT ACCESS TO INTERNET AT HOME. SURVEY RESPONSES WERE AGGREGATED AT THE ZIP CODE LEVEL TO ALIGN WITH THE UNIQUE CHNA COMMUNITIES OF EACH HOSPITAL. A TOTAL OF 574 RESPONSES WERE COLLECTED FROM THE ST. LUKE'S DES PERES CHNA GEOGRAPHY.

ST. LUKE'S DES PERES HOSPITAL
PART V, SECTION B, LINE 11: BASED ON ASSESSMENT OF LOCAL HEALTH, SOCIAL, AND DEMOGRAPHIC DATA; COMMUNITY AND STAKEHOLDER SURVEY INPUT; AND IN CONSIDERATION OF REGIONAL STRATEGIES AND HOSPITAL PRIORITIES, THE ST. LUKE'S DES PERES HOSPITAL'S 2022 CHNA EXECUTIVE TEAM PRIORITIZED THE FOLLOWING NEEDS ON WHICH TO FOCUS INITIATIVES THROUGH STRATEGIES IDENTIFIED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) BETWEEN FY2023 AND FY2025:- OBESITY- ACCESS IN PRIORITY AREAS- SMOKING/RESPIRATORYTHE GOAL OF THE OBESITY IMPLEMENTATION PLAN IS TO INCREASE OPPORTUNITIES FOR INDIVIDUALS TO BE EDUCATED ABOUT AND ACCESS HEALTHY FOOD AND EXERCISE, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE ACCESS AND FACILITATION OF REFERRALS TO ST. LUKE'S MEDICAL GROUP AND FQHC PROVIDERS FOR PATIENTS WITHOUT A MEDICAL HOME, 2) IMPROVE KNOWLEDGE AND AWARENESS OF HEALTHY FOOD OPTIONS AND RESOURCES, AND 3) IMPROVE KNOWLEDGE AND AWARENESS OF EXERCISE OPTIONS AND RESOURCES.THE GOAL OF THE ACCESS IN PRIORITY AREAS IMPLEMENTATION PLAN IS TO IMPROVE ACCESS TO HEALTH SERVICES AND RESOURCES IN EACH PRIORITY AREA, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE OF HEALTH RESOURCES AND NAVIGATION TO ACCESS POINTS OF CARE, 2) IMPROVE COMMUNITY PARTNERSHIPS FOR CONTINUITY AND COORDINATED PATIENT CARE, 3) INCREASE APPROPRIATE SERVICES EXTENDED FROM DES PERES CAMPUS TO PROVIDERS IN EACH PRIORITY AREA, 4) INCREASE INSURANCE ENROLLMENT, AND 5) INCREASE EMPLOYMENT.THE GOAL OF THE SMOKING/RESPIRATORY IMPLEMENTATION PLAN IS TO REDUCE SMOKING DIAGNOSES PER 1,000 IN EACH OF THE ST. LUKE'S DES PERES HOSPITAL COMMUNITY'S ZIP CODES THAT EXCEED THE ST. LOUIS COUNTY BENCHMARK RATE OF 226.76 PER 1,000 POPULATION, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) INCREASE THE NUMBER OF REFERRALS TO COMMUNITY PARTNER CESSATION RESOURCES, 2) IDENTIFY AND REFER ELIGIBLE PATIENTS TO LOW-DOSE CT LUNG SCREENINGS, AND 3) INCREASE OUTREACH IN THE COMMUNITY FOR IMPROVED ACCESS TO EDUCATION AND CONNECTION TO RESOURCES.ADDITIONAL HEALTH NEEDS WERE IDENTIFIED THROUGH THE ST. LUKE'S DES PERES CHNA PROCESS, HOWEVER LIMITED RESOURCES NECESSITATE SELECTION OF FOCUS AREAS FOR IMPLEMENTATION OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE FOLLOWING COMMUNITY NEEDS HAVE BEEN IDENTIFIED BUT WERE NOT PRIORITIZED AS TOP HEALTH NEEDS IN THE ST. LUKE'S DES PERES 2022 CHNA.CANCER: SMOKING CAUSES ABOUT 20% OF ALL CANCERS AND ABOUT 30% OF ALL CANCER DEATHS IN THE UNITED STATES. ABOUT 80% OF LUNG CANCERS, AS WELL AS ABOUT 80% OF ALL LUNG CANCER DEATHS, ARE DUE TO SMOKING. LUNG CANCER IS THE LEADING CAUSE OF CANCER DEATH IN BOTH MEN AND WOMEN. ST. LUKE'S DES PERES' FOCUSED PRIORITY ON SMOKING WILL ADDRESS ONE OF THE MAJOR RISK FACTORS FOR CANCER DISEASE AND DEATH. IN ADDITION, ST. LUKE'S DES PERES IS PART OF THE ST. LUKE'S NETWORK OF CARE. ST. LUKE'S HOSPITAL IN CHESTERFIELD, MO OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICES, EDUCATIONAL INFORMATION, AND EMOTIONAL SUPPORT FOR THE PREVENTION, DIAGNOSIS, AND TREATMENT OF CANCER. AS PART OF ST. LUKE'S COMMISSION ON CANCER (COC) ACCREDITATION, ST. LUKE'S COMMUNITY OUTREACH CONDUCTS ANNUAL EDUCATION AND SCREENING EVENTS IN THE COMMUNITY TO ADDRESS BARRIERS LIMITING ACCESS WITH THE GOAL OF PREVENTION AND EARLIER DETECTION. PLANNED COC COMMUNITY OUTREACH EFFORTS FOR 2022 WILL HELP EDUCATE AND NAVIGATE CURRENT AND FORMER SMOKERS TO LOW DOSE CT SCAN SCREENING FOR LUNG CANCER AND SMOKING CESSATION RESOURCES.HYPERTENSION, HEART DISEASE, DIABETES: HYPERTENSION, HEART DISEASE, AND DIABETES ARE RELATED CONDITIONS OFTEN RESULTING FROM BEING OVERWEIGHT OR OBESE. SELECTING OBESITY AS A PRIORITY HEALTH NEED RECOGNIZES THAT RELATED HEALTH CONDITIONS WILL LIKELY BE ADDRESSED AND IMPACTED THROUGH INITIATIVES FOR OBESITY. ST. LUKE'S DES PERES' FOCUSED PRIORITY ON SMOKING WILL ALSO ADDRESS HYPERTENSION, HEART DISEASE, AND DIABETES SINCE SMOKING TOBACCO DAMAGES THE CARDIOVASCULAR SYSTEM AND INCREASES RISK OF MANY RELATED DISEASES. ARTHRITIS/JOINT DISEASE: ST. LUKE'S DES PERES ORTHOPEDICS AND PHYSICAL THERAPY SERVICE LINES INCLUDE COMPREHENSIVE TREATMENT AND THERAPY OPTIONS FOR INDIVIDUALS WHO SUFFER FROM PAIN, INJURY, AND OTHER MEDICAL PROBLEMS WITH THE GOAL OF RETURNING PATIENTS TO OPTIMAL LEVELS OF PHYSICAL FUNCTION. ORTHOPEDIC CARE AND THERAPY SERVICES ARE SERVICE LINE STRENGTHS AT ST. LUKE'S DES PERES, AND WE PLAN TO CONTINUE TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH CONTINUED GROWTH AND COMMITMENT TO EXCELLENT OUTCOMES.MENTAL HEALTH/SUBSTANCE ABUSE/LIVER DISEASE: MENTAL HEALTH AND SUBSTANCE ABUSE WERE NOT SELECTED AS PRIORITY NEEDS OF FOCUS FOR THE ST. LUKE'S DES PERES CHNA, HOWEVER, CURRENT EFFORTS AND PARTNERSHIPS TO ADDRESS THE ISSUES WILL CONTINUE. ST. LUKE'S DES PERES HOSPITAL PARTNERS WITH METROPOLITAN PUBLIC AND NONPROFIT COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES IN THE COMMUNITY AND WORKS CLOSELY WITH FQHCS WHOSE PROGRAMS MANAGING MENTAL HEALTH DIAGNOSIS AND SUBSTANCE ABUSE ARE VITAL IN ASSISTING ST. LUKE'S DES PERES' UNINSURED AND UNDERINSURED PATIENTS. MEMBERS OF ST. LUKE'S DES PERES STAFF SERVE IN LEADERSHIP ROLES ON LOCAL BOARDS TO ADVISE AND COLLABORATE TO ENSURE VITAL RESOURCES CONTINUE TO BE AVAILABLE FOR OUR PATIENTS AND THE COMMUNITIES WE SERVE. RESOURCE PACKETS ARE PROVIDED TO PATIENTS TO HELP CONNECT THEM WITH COMMUNITY MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES, AND CONSENTING PATIENTS ARE MET AT BEDSIDE AND HELPED BY REPRESENTATIVES WHO HELP TO ARRANGE SERVICES POST DISCHARGE. CONTINUATION OF COLLABORATIVE RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS WHO PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES IS VITAL FOR ST. LUKE'S DES PERES HOSPITAL TO MEET THE MENTAL HEALTH NEEDS OF ITS PATIENTS. BECAUSE LIVER DISEASE IS COMMONLY ALCOHOL-INDUCED, ADDRESSING SUBSTANCE ABUSE EFFORTS AS EXPLAINED SHOULD HELP TO IMPACT LIVER DISEASE IN THE COMMUNITY.

PART I, LINE 6A:
N/A ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATION

PART I, LINE 7G:
N/A

PART I, LN 7 COL(F):
TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSELINE 7A: CHARITY CARE, 1.85%LINE 7B: UNREIMBURSED MEDICAID, 1.81%LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 3.66%LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.28%LINE 7F: HEALTH PROFESSIONS EDUCATION, 1.68%LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.04%LINE 7J: TOTAL OTHER BENEFITS, 2.00%LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 5.66%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: ECONOMIC DEVELOPMENT: ST. LUKE'S DES PERES LEADERSHIP ARE INVOLVED IN THE KIRKWOOD DES PERES CHAMBER OF COMMERCE TO SUPPORT THE ECONOMIC DEVELOPMENT OF OUR COMMUNITY.COMMUNITY SUPPORT: ST. LUKE'S LEADERSHIP AND STAFF ARE INVOLVED ON LOCAL NONPROFIT BOARDS AND COMMITTEES INTENDED TO ADVANCE COMMUNITY HEALTH, INCLUDING EPISCOPAL PRESBYTERIAN HEALTH TRUST, WHICH ALLOCATES FUNDS TO BENEFIT THE HEALTH OF VULNERABLE POPULATIONS IN THE CITY OF ST. LOUIS; ST. LOUIS COMMUNITY COLLEGE RADIOLOGY TECHNOLOGY ADVISORY COUNCIL; AND VARIOUS REGIONAL AND NATIONAL DISASTER RESPONSE COLLABORATIONS AND PLANNING GROUPS.ADDITIONALLY, ST. LUKE'S DES PERES 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.COALITION BUILDING: ST. LUKE'S LEADERSHIP AND STAFF PARTICIPATE IN VARIOUS COLLABORATIVE EFFORTS WITH OTHER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS TO ADVANCE THE HEALTH AND SAFETY OF OUR COMMUNITY, INCLUDING CITY OF CHESTERFIELD COMMUNITY CENTER AND ALLIANCE FOR HEALTHY COMMUNITIES.

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 4-PATIENT SERVICE REVENUE AND OTHER OPERATING REVENUE (ST. LUKE'S HEALTH CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS) - ""ST. LUKE'S DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY 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 PROVIDED TO UNINSURED PATIENTS. ST. LUKE'S DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. ST. LUKE'S DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS."""

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 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)

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 DEFINITION OF ST. LUKE'S DES PERES' CHNA COMMUNITY WAS DEVELOPED FROM ZIP CODE EVALUATION OF CONCENTRATED HOSPITAL INPATIENT VOLUME AND MARKET SHARE TO UNDERSTAND IN WHICH ZIP CODES THE MAJORITY OF PATIENTS RELY ON ST. LUKE'S DES PERES FOR SERVICES. TO ENSURE INCLUSION OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHO LIVE IN OR NEAR THE GEOGRAPHIC AREA FROM WHICH ST. LUKE'S DES PERES DRAWS PATIENTS, THE COMMUNITY EVALUATION INCLUDED ZIP-CODE LEVEL VULNERABILITIES IN ADDITION TO VOLUME AND MARKET-SHARE. TO ACCOMPLISH THIS, THE DIGNITY HEALTH COMMUNITY NEED INDEX (CNI) HIGHLIGHTED AREAS IN OUR COMMUNITY WITH GREATER NEEDS AND DISPARITIES THAT MAY LEAD TO POOR HEALTH OUTCOMES. THE AREAS OF HIGH NEED ON THE PERIPHERY OF THE GEOGRAPHIC AREA OF CONCENTRATED VOLUME AND MARKET SHARE WERE INCLUDED IN THE DEFINITION OF ST. LUKE'S DES PERES COMMUNITY. THE RESULTING ST. LUKE'S CHNA COMMUNITY DEFINITION OF 16 ZIP CODES WAS APPROVED BY THE ST. LUKE'S DES PERES HOSPITAL CHNA STEERING COMMITTEE. REFINING THE ST. LUKE'S DES PERES CHNA GEOGRAPHIC AREA BASED ON ZIP CODE-LEVEL VOLUME, MARKET SHARE, AND COMMUNITY NEED ALLOWS FOR A MORE FOCUSED ASSESSMENT OF OUTSTANDING NEEDS AND FOR MORE OPPORTUNITY TO MAKE AN IMPACT IN AREAS MOST SIGNIFICANT TO OUR ORGANIZATION.AS A COMBINED GEOGRAPHY, THE ST. LUKE'S DES PERES COMMUNITY REPRESENTS AN OLDER, WELL-EDUCATED POPULATION WITH HIGHER INCOME IN ZIP CODES CLOSER TO ST. LOUIS COUNTY, BUT A YOUNGER, LESS-EDUCATED POPULATION WITH LOWER INCOME IN ZIP CODES CLOSER TO JEFFERSON COUNTY. THE AGE 65+ AGE GROUP IS GROWING AT 1.34% ANNUALLY COMPARED TO 0.08% POPULATION GROWTH FOR THE ENTIRE POPULATION. THE ST. LUKE'S DES PERES COMMUNITY IS MUCH LESS RACIALLY DIVERSE THAN THE BENCHMARK SURROUNDING GEOGRAPHY OF ST. LOUIS COUNTY, WITH 30% MORE WHITES AND 20% FEWER BLACKS.GREAT VARIANCE OF DEMOGRAPHIC, SOCIAL, AND HEALTH INDICATORS BETWEEN ZIP CODES IN THE ST. LUKE'S DES PERES COMMUNITY INDICATES A DISPARATE REGION WITH MUCH OPPORTUNITY FOR IMPROVEMENT.

PART VI, LINE 5:
PROMOTION OF COMMUNITY HEALTHADDITIONAL COMMUNITY SUPPORT INCLUDES:ST. LUKE'S DES PERES HOSPITAL IS GOVERNED BY THE ST. LUKE'S HOSPITAL BOARD OF DIRECTORS, WHICH 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. IN ADDITION, ST. LUKE'S DES PERES HOSPITAL ENGAGES A VOLUNTEER GROUP OF ADVISORY BOARD MEMBERS TO ADVISE FURTHER ON DEVELOPMENT OF COMMUNITY-FOCUSED INITIATIVES. ST. LUKE'S EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY BASED ON ORGANIZATIONAL AND COMMUNITY NEED. ALL SURPLUS FUNDS OF THE ORGANIZATION ARE REINVESTED IN THE FACILITIES TO IMPROVE PATIENT CARE THROUGH A SYSTEMATIC CAPITAL APPROVAL AND ALLOCATION PROCESS TO ENSURE COMMUNITY AND ORGANIZATION NEEDS ARE PRIORITIZED AND ADDRESSED.TO FURTHER PROMOTE THE HEALTH OF OUR COMMUNITY, ST. LUKE'S DES PERES HOSPITAL 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, 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 EXTENDS ITS PASSPORT TO WELLNESS WORKSITE WELLNESS PROGRAM THROUGHOUT THE COMMUNITY TO PROACTIVELY ADDRESS HEALTH NEEDS AND PROMOTE HEALTHY LIVING THROUGH EDUCATION AND HEALTH SCREENINGS AMONG EMPLOYEES OF AREA ORGANIZATIONS.