4A (Expenses $ 508172303 including grants of $ 71550) (Revenue $ 579291652)
SEE SCHEDULE O.

4B (Expenses $ 0 including grants of $ 0) (Revenue $ 0)
SEE SCHEDULE O

ST. LUKE'S 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 HOSPITAL CHNA INCLUDES QUESTIONS AND RESPONSES FOR EACH SURVEY.THE STAKEHOLDER SURVEY SOLICITED INPUT FROM PARTNERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS WEB-BASED, EMAILED DIRECTLY TO IDENTIFIED PARTNERS, AND AVAILABLE DURING THE MONTH OF JUNE 2021. RESPONSES FROM 17 PARTNERS IN THE WEST AND CENTRAL ST. LOUIS COUNTY AREAS WERE INCLUDED IN THE ST. LUKE'S CHNA. COMMUNITY PARTNERS REPRESENTED PUBLIC HEALTH, COMMUNITY-BASED ORGANIZATIONS, LOCAL MUNICIPAL GOVERNMENT, EDUCATION, AND FIRE AND POLICE DEPARTMENTS. ORGANIZATIONS REPRESENTED IN STAKEHOLDER SURVEY RESPONSES INCLUDE THE FOLLOWING:CIRCLE OF CONCERNCITY OF DES PERESCREVE COEUR POLICE DEPARTMENTEUREKA POLICE DEPARTMENTEVENT EXHIBITS, INC.JEWISH COMMUNITY CENTERKIRKWOOD FIRE DEPARTMENTMARYVILLE UNIVERSITYMETROWEST ANESTHESIA GROUPMISSOURI BAPTIST UNIVERSITYPREVENTEDROCKWOOD SCHOOL DISTRICTST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTHST. LOUIS COUNTY POLICEST. LUKE'S DES PERES ADVISORY BOARDTOWN AND COUNTRY POLICE DEPARTMENTTHE COMMUNITY MEMBER SURVEY WAS WEB-BASED AND AVAILABLE TO ALL MEMBERS OF THE ST. LOUIS METROPOLITAN AREA BETWEEN MAY AND JUNE 2021. SURVEY PROMOTIONS INCLUDED A PRESS RELEASE TO LOCAL MEDIA OUTLETS, HOSPITAL NEWS STORIES, SOCIAL MEDIA PROMOTIONS, FLYER DISTRIBUTION THROUGHOUT THE COMMUNITY AT HOSPITAL-SPONSORED ACTIVITIES, AND THROUGH COMMUNITY-BASED PARTNER ORGANIZATIONS INCLUDING THOSE WITH INTERNET AVAILABILITY FOR INDIVIDUALS WITHOUT ACCESS TO INTERNET AT HOME. SURVEY RESPONSES WERE AGGREGATED AT THE ZIP CODE LEVEL TO ALIGN WITH THE UNIQUE CHNA COMMUNITIES OF EACH HOSPITAL. A TOTAL OF 465 RESPONSES WERE COLLECTED FROM THE ST. LUKE'S CHNA GEOGRAPHY.

ST. LUKE'S HOSPITAL
PART V, SECTION B, LINE 13H: ST. LUKE'S REHABILITATION HOSPITAL MEDICAID PENDING.

ST. LUKE'S HOSPITAL
"PART V, SECTION B, LINE 16J: ST. LUKE'S REHABILITATION HOSPITALST. LUKE'S REHABILITATION HOSPITAL (THE REHAB HOSPITAL) RECEIVES PATIENTS ON A REFERRAL-ONLY BASIS, MANY OF WHOM ARE REFERRED BY ST. LUKE'S HOSPITAL. THE REHAB HOSPITAL HONORS THE FINANCIAL ASSISTANCE DETERMINATIONS MADE BY ST. LUKE'S HOSPITAL UNDER ITS FINANCIAL ASSISTANCE POLICY, WHICH IS PUBLICIZED WITHIN THE COMMUNITY SERVED BY BOTH FACILITIES. ON THE ST. LUKE'S HOSPITAL WEBSITE, ST. LUKE'S REHABILITATION HOSPITAL IS LISTED UNDER THE ""SERVICES AND ""LOCATIONS"" TAB OF THE HOSPITAL AND UNDER THE ""PAYMENTS & FINANCIAL ASSISTANCE"" TAB - ""COMMITTED TO ASSISTING OUR PATIENTS IN FINDING THE INFORMATION THEY NEED REGARDING BILLING AND CHARGES FROM HEALTHCARE SERVICES OBTAINED AT ONE OF OUR FACILITIES""."

PART V, SECTION C
ASIDE FROM THE ADDITIONAL DISCLOSURES FOR PART V, SECTION B, LINE 13H AND PART VI, SECTION B, LINES 16J AND 20E, THE SUPPLEMENTAL INFORMATION PROVIDED IN SCHEDULE H, PART V, SECTION C APPLIES TO BOTH ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS (ST. LUKE'S HOSPITAL) AND ST. LUKE'S REHABILITATION HOSPITAL (REHAB HOSPITAL). ADDITIONALLY, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COVERS ST. LUKE'S HOSPITAL AND THE REHAB HOSPITAL, AS IT IS INCLUDED IN ST. LUKE'S PROCESS AND STEERING COMMITTEE.

SCHEDULE H, SECTION B, PART V, LINE 11:
BASED ON ASSESSMENT OF LOCAL HEALTH, SOCIAL, AND DEMOGRAPHIC DATA; COMMUNITY AND STAKEHOLDER SURVEY INPUT; AND IN CONSIDERATION OF REGIONAL STRATEGIES AND HOSPITAL PRIORITIES, THE ST. LUKE'S HOSPITAL'S 2022 CHNA EXECUTIVE TEAM PRIORITIZED THE FOLLOWING NEEDS ON WHICH TO FOCUS INITIATIVES THROUGH STRATEGIES IDENTIFIED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) BETWEEN FY2023 AND FY2025:- OLDER ADULTS- OBESITY- MENTAL HEALTHTHE GOAL OF THE OLDER ADULTS IMPLEMENTATION PLAN IS TO INCREASE THE NUMBER OF OLDER ADULTS ACTIVELY ENGAGED IN HEALTHY LIFESTYLES, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE OF HEALTHY BEHAVIORS AND DISEASE MANAGEMENT STRATEGIES, 2) INCREASE OPPORTUNITIES TO ENGAGE IN HEALTHY BEHAVIORS, 3) IMPROVE ACCESS TO INSURANCE COVERAGE AND SERVICES, AND 4) DECREASE THE NUMBER OF AVOIDABLE HOSPITALIZATIONS AMONG OLDER ADULTS.THE GOAL OF THE OBESITY IMPLEMENTATION PLAN IS TO REDUCE THE PREVALENCE OF AT-RISK, OVERWEIGHT, AND OBESE INDIVIDUALS IN THE COMMUNITY, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE AVAILABILITY OF HEALTHY FOOD AND EXERCISE OPTIONS AND 2) IMPROVE KNOWLEDGE AND AWARENESS ABOUT HEALTHY HABITS, RESOURCES, AND ACCESS.THE GOAL OF THE MENTAL HEALTH IMPLEMENTATION PLAN IS TO IMPROVE ACCESS TO AND KNOWLEDGE OF MENTAL HEALTH RESOURCES, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE THROUGH COMMUNITY EDUCATION ABOUT MENTAL HEALTH AWARENESS, REDUCED STIGMA, COPING STRATEGIES, AND RESOURCE CONNECTIONS, 2) IMPROVE PATIENT ACCESS TO MENTAL HEALTH SERVICES THROUGH COMMUNITY PARTNERSHIPS AND COORDINATION OF PATIENT CARE, AND 3) IMPROVE KNOWLEDGE AMONG HOSPITAL STAFF ABOUT MENTAL HEALTH RESOURCES AND HOW TO NAVIGATE AND ACCESS POINTS OF CARE.ADDITIONAL HEALTH NEEDS WERE IDENTIFIED THROUGH THE ST. LUKE'S CHNA PROCESS, HOWEVER LIMITED RESOURCES NECESSITATE SELECTION OF FOCUS AREAS FOR IMPLEMENTATION OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE FOLLOWING COMMUNITY NEEDS HAVE BEEN IDENTIFIED BUT WERE NOT PRIORITIZED AS TOP HEALTH NEEDS IN THE ST. LUKE'S 2022 CHNA.CANCER: ST. LUKE'S CENTER FOR CANCER CARE OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICES, EDUCATIONAL INFORMATION, AND EMOTIONAL SUPPORT FOR THE PREVENTION, DIAGNOSIS, AND TREATMENT OF CANCER. CANCER CARE IS A SERVICE LINE STRENGTH AT ST. LUKE'S AND WE PLAN TO CONTINUE TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH PREVENTION AND EARLY DETECTION.ARTHRITIS/JOINT DISEASE: ST. LUKE'S ORTHOPEDICS AND PHYSICAL THERAPY SERVICE LINES OFFER COMPREHENSIVE TREATMENT AND THERAPY OPTIONS FOR INDIVIDUALS WHO SUFFER FROM PAIN, INJURY, AND OTHER MEDICAL PROBLEMS WITH THE GOAL OF RETURNING PATIENTS TO OPTIMAL LEVELS OF PHYSICAL FUNCTION. SINCE JOINT PAIN AND ARTHRITIS ARE HEALTH CONDITIONS OFTEN AFFECTING OLDER ADULTS, THE PRIORITY FOCUS OF THE OLDER ADULT POPULATION MAY ALSO INCLUDE INITIATIVES TO ADDRESS PAIN IN THE VULNERABLE POPULATION. SMOKING (VAPING + TOBACCO): WHILE SMOKING AND VAPING IMPACT A SIGNIFICANT NUMBER OF INDIVIDUALS IN THE COMMUNITY, INDICATORS PRESENT SMOKING AS LESS OF A PRIORITY HEALTH NEED THAN OTHER IDENTIFIED NEEDS. THE RATE OF SMOKING IN THE ST. LUKE'S CHNA IS LESS THAN THE COMPARISON BENCHMARK OF ST. LOUIS COUNTY, AND THE COMMUNITY SURVEY RANKED SMOKING AS A LOWER CONCERN THAN OTHER IDENTIFIED NEEDS. PLANNED COMMUNITY OUTREACH EFFORTS WILL HELP EDUCATE AND NAVIGATE CURRENT AND FORMER SMOKERS TO LOW DOSE CT SCAN SCREENING FOR LUNG CANCER AND SMOKING CESSATION RESOURCES.DRUG ABUSE: DRUG ABUSE WAS NOT SELECTED AS A FOCUSED HEALTH NEED, HOWEVER THE 2019 CHNA OPIOID MISUSE ACTION TEAM WILL CONTINUE ONGOING INITIATIVES AND WILL ADDRESS AND IMPLEMENT NEW INITIATIVES WITH COMMUNITY PARTNERS. IN ADDITION, OTHER SUBSTANCE ABUSE NEEDS WILL LIKELY BE ADDRESSED THROUGH IMPLEMENTATION OF INITIATIVES FOR MENTAL HEALTH. ALZHEIMER'S DISEASE: ST. LUKE'S CURRENTLY PARTNERS WITH THE ALZHEIMER'S ASSOCIATION TO OFFER COMMUNITY EDUCATION, RESOURCES, AND DEMENTIA CARE COORDINATION. THIS ONGOING PARTNERSHIP WILL CONTINUE AND WILL BE COMPLEMENTED WITH SIMILAR AND LIKELY RELATED INITIATIVES FOR THE PRIORITY OLDER ADULT POPULATION IN OUR COMMUNITY.HYPERTENSION, HEART DISEASE, DIABETES: HYPERTENSION, HEART DISEASE, AND DIABETES ARE RELATED CONDITIONS OFTEN RESULTING FROM BEING OVERWEIGHT OR OBESE. SELECTING OBESITY AS A PRIORITY HEALTH NEED RECOGNIZES THAT RELATED HEALTH CONDITIONS WILL LIKELY BE ADDRESSED AND IMPACTED THROUGH INITIATIVES FOR OBESITY. OVERLAND, 63114: ST. LUKE'S HAS BEEN INVESTED IN THE OVERLAND COMMUNITY FOR MORE THAN 60 YEARS THROUGH ITS PEDIATRIC CARE CENTER AND IS COMMITTED TO CONTINUING TO OFFER PEDIATRIC HEALTH CARE SERVICES, EDUCATION AND PREVENTION TO AREA CHILDREN AND THEIR FAMILIES.

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

PART I, LINE 7G
N/APART I, LINE 7 COLUMN (F)TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSELINE 7A: CHARITY CARE, 1.16%LINE 7B: UNREIMBURSED MEDICAID, 2.74%LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 3.90%LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.25%LINE 7F: HEALTH PROFESSIONS EDUCATION, 1.29%LINE 7G: SUBSIDIZED HEALTH SERVICES, 0.25%LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.00%LINE 7J: TOTAL OTHER BENEFITS, 1.79%LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 5.69%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 EMPLOYEES ENGAGE IN A VARIETY OF COMMUNITY-BUILDING PARTNERSHIPS AND ACTIVITIES TO SUPPORT AND IMPROVE THE HEALTH AND SAFETY OF INDIVIDUALS LIVING IN OUR SURROUNDING COMMUNITY. ACTIVITIES REPORTED IN PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE: COMMUNITY SUPPORT: ST. LUKE'S LEADERSHIP AND STAFF ARE INVOLVED ON LOCAL NONPROFIT BOARDS AND COMMITTEES INTENDED TO ADVANCE COMMUNITY HEALTH, INCLUDING EPISCOPAL PRESBYTERIAN HEALTH TRUST, WHICH ALLOCATES FUNDS TO BENEFIT THE HEALTH OF VULNERABLE POPULATIONS IN THE CITY OF ST. LOUIS AND VARIOUS REGIONAL AND NATIONAL DISASTER RESPONSE COLLABORATIONS AND PLANNING GROUPS.ST. LUKE'S HOSPITAL LEADERS PROVIDE CAREER PLANNING ADVICE, OPPORTUNITY, AND GUIDANCE TO ASSIST AND GUIDE STUDENTS ABOUT CAREERS IN THE HEALTHCARE INDUSTRY THROUGH THE ST. LOUIS INTERNSHIP PROGRAM (SLIP) AND THE ST. CHARLES COUNTY CENTER FOR ADVANCED PROFESSIONAL STUDIES (CAPS).ADDITIONALLY, ST. LUKE'S COORDINATES VOCATIONAL SKILLS PROGRAMS TO SUPPORT DISABLED STUDENTS FROM THE COMMUNITY AND PROVIDE THEM WITH ON-THE-JOB TRAINING AND EXPERIENCE TO SUPPORT THEM ON THEIR PATH TO EMPLOYMENT.LEADERSHIP DEVELOPMENT AND TRAINING: ST. LUKE'S HOSPITAL SUPPORTS VISION ST. CHARLES LEADERSHIP DEVELOPMENT AND TRAINING THROUGH FINANCIAL SUPPORT AND STAFF INVOLVEMENT ON THE HEALTH SUBCOMMITTEE. COALITION BUILDING: ST. LUKE'S LEADERSHIP AND STAFF PARTICIPATE IN VARIOUS COLLABORATIVE EFFORTS WITH OTHER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS TO ADVANCE THE HEALTH AND SAFETY OF OUR COMMUNITY, INCLUDING: CITY OF CHESTERFIELD COMMUNITY CENTER, ALLIANCE FOR HEALTHY COMMUNITIES, AND ST. LOUIS AREA MEDICATION SAFETY (SLAMS).

PART III, LINE 2:
COST TO CHARGE RATIO

PART III, LINE 3:
ST. LUKE'S CONSIDERS THIS PORTION OF BAD DEBT EXPENSE A COMMUNITY BENEFIT AS IT IS THE ADDITIONAL COST OF PROVIDING FINANCIAL ASSISTANCE TO THE COMMUNITY.

PART III, LINE 4:
"NOTE 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 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 HOSPITAL HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM ST. LUKE'S HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT IMPOSE WAGE GARNISHMENTS OR FORCE A FORECLOSURE ON PRIMARY RESIDENCES, WILL NOT IMPOSE ACTIONS THAT FORCE BANKRUPTCY AND WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES. ST. LUKE'S HOSPITAL ADHERES TO THE LAWS OF THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY. 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 CONTINUOUSLY MONITORS THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY THROUGH VARIOUS APPROACHES, MOST DIRECTLY THROUGH THE ST. LUKE'S COMMUNITY BENEFIT PROGRAM AND DEDICATED COMMUNITY BENEFIT STAFF. THE ST. LUKE'S COMMUNITY BENEFIT COORDINATOR PARTICIPATES IN COMMUNITY COLLABORATIONS AND COALITIONS INCLUDING ONGOING REGIONAL HOSPITAL COMMUNITY HEALTH COLLABORATION WITH OTHER LOCAL HOSPITAL SYSTEMS TO INTENTIONALLY ADDRESS OUTSTANDING REGIONAL NEEDS EFFICIENTLY AND EFFECTIVELY. ADDITIONAL COMMUNITY ASSESSMENT IS ACHIEVED THROUGH INVOLVEMENT IN THE LOCAL HEALTH DEPARTMENT HEALTH ASSESSMENT PROCESS; PARTICIPATION ON THE COMMISSION ON CANCER STEERING COMMITTEE AND ANNUAL DEVELOPMENT OF FOCUSED EFFORTS TO ADDRESS OUTSTANDING SCREENING AND PREVENTION NEEDS; ADVISING ON MISSOURI HOSPITAL ASSOCIATION COMMUNITY HEALTH INITIATIVES INTENDED TO BETTER ASSIST STATE HOSPITALS TO ADDRESS HEALTH EQUITY; COLLABORATION WITH PARTNERS THROUGH THE ALLIANCE FOR HEALTHY COMMUNITIES COALITION TO ADDRESS SUBSTANCE ABUSE AND MISUSE; AND ONGOING MARKET ASSESSMENT AND RESEARCH THROUGH LOCAL CURRENT EVENTS, COMPETITOR ACTIVITY, AND LITERATURE REVIEW. ADDITIONALLY, HOSPITAL LEADERSHIP AND MEMBERS OF THE MANAGEMENT TEAM SERVE ON COMMUNITY BOARDS AND PARTNER WITH COMMUNITY ORGANIZATIONS. COMMUNITY OUTREACH STAFF SERVE MEMBERS OF THE COMMUNITY THROUGH A VARIETY OF SCREENINGS, EDUCATION, AND HEALTH COACHING EVENTS, WHICH PROVIDE ADDITIONAL ASSESSMENT OF THE OUTSTANDING HEALTH NEEDS THAT ARE IMPORTANT TO OUR COMMUNITY. CARE MANAGEMENT STAFF INTERACTIONS WITH PATIENTS PROVIDE ONGOING MONITORING AND SERVE AS IMPORTANT INPUT FOR ADDRESSING PATIENT NEEDS.

PART VI, LINE 3:
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS ARE INFORMED ABOUT ST. LUKE'S FINANCIAL ASSISTANCE AND THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS IN A NUMBER OF WAYS:-FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO PATIENTS DURING THEIR STAY.-PATIENT FINANCIAL SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO PROVIDE PATIENTS WITH THEIR EXPECTED AMOUNTS DUE AND DISCUSS PAYMENT / DISCOUNT OPTIONS.-DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING TO PATIENTS ON THE PHONE ABOUT THEIR ACCOUNT BALANCES.-INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS LOCATED ON OUR WEBSITE, OUR BILLING STATEMENTS, AS WELL AS OUR REGISTRATION BOOKLETS/BROCHURES AND SIGNAGE IN ALL REGISTRATION AREAS.-APPLICATIONS ARE AVAILABLE FREE OF CHARGE BY MAIL OR PHONE AND CAN BE OBTAINED ON OUR WEBSITE.-FINANCIAL COUNSELORS SCREEN PATIENTS FOR MEDICAID ELIGIBILITY TO ASSIST WITH ENROLLMENT IN THE STATE MEDICAID PROGRAM.-CERTIFIED APPLICATION COUNSELORS ARE AVAILABLE TO PATIENTS AND MEMBERS OF THE COMMUNITY TO ASSIST THEM WITH ENROLLING IN AN INSURANCE PLAN ON THE MARKETPLACE.-PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY.

PART VI, LINE 4:
COMMUNITY INFORMATIONTHE DEFINITION OF ST. LUKE'S CHNA COMMUNITY WAS DEVELOPED FROM ZIP CODE EVALUATION OF CONCENTRATED HOSPITAL INPATIENT VOLUME AND MARKET SHARE TO UNDERSTAND IN WHICH ZIP CODES THE MAJORITY OF PATIENTS RELY ON ST. LUKE'S FOR SERVICES. TO ENSURE INCLUSION OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHO LIVE IN OR NEAR THE GEOGRAPHIC AREA FROM WHICH ST. LUKE'S DRAWS PATIENTS, THE COMMUNITY EVALUATION INCLUDED ZIP-CODE LEVEL VULNERABILITIES IN ADDITION TO VOLUME AND MARKET-SHARE. TO ACCOMPLISH THIS, THE DIGNITY HEALTH COMMUNITY NEED INDEX (CNI) HIGHLIGHTED AREAS IN OUR COMMUNITY WITH GREATER NEEDS AND DISPARITIES THAT MAY LEAD TO POOR HEALTH OUTCOMES. THE AREAS OF HIGH NEED ON THE PERIPHERY OF THE GEOGRAPHIC AREA OF CONCENTRATED VOLUME AND MARKET SHARE WERE INCLUDED IN THE DEFINITION OF ST. LUKE'S COMMUNITY. THE RESULTING ST. LUKE'S CHNA COMMUNITY DEFINITION OF 13 ZIP CODES WAS APPROVED BY THE ST. LUKE'S HOSPITAL CHNA STEERING COMMITTEE. REFINING THE ST. LUKE'S CHNA GEOGRAPHIC AREA BASED ON ZIP CODE-LEVEL VOLUME, MARKET SHARE, AND COMMUNITY NEED ALLOWS FOR A MORE FOCUSED ASSESSMENT OF OUTSTANDING NEEDS AND FOR MORE OPPORTUNITY TO MAKE AN IMPACT IN AREAS MOST SIGNIFICANT TO OUR ORGANIZATION.AS A COMBINED GEOGRAPHY, THE ST. LUKE'S COMMUNITY REPRESENTS AN OLDER, WELL-EDUCATED POPULATION WITH HIGH INCOME. THE AGE 65+ AGE GROUP IS GROWING AT 1.24% ANNUALLY COMPARED TO 0.08% POPULATION GROWTH FOR THE ENTIRE POPULATION. THE CHESTERFIELD, MO (63017) ZIP CODE, WHERE ST. LUKE'S HOSPITAL IS LOCATED, HAS THE HIGHEST PROPORTION OF AGE GROUP 65+ AMONG ALL OTHER ZIP CODES IN THE ST. LUKE'S COMMUNITY. THE ST. LUKE'S COMMUNITY IS LESS RACIALLY DIVERSE THAN THE BENCHMARK SURROUNDING GEOGRAPHY OF ST. LOUIS COUNTY, WITH 13% MORE WHITES AND 19% FEWER BLACKS, WITH ZIP CODE 63114 (OVERLAND, MO) BEING AN EXCEPTION.DESPITE THE OVERALL DEMOGRAPHIC COMPOSITION OF THE ST. LUKE'S COMMUNITY, POCKETS OF VULNERABLE POPULATIONS WITH GREATER HEALTH AND SOCIAL NEEDS EXIST IN ZIP CODES 63114, 63088, 63043, AND 63146.

PART VI, LINE 5
PROMOTION OF COMMUNITY HEALTHAS A COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL'S BOARD IS REPRESENTATIVE OF A MAJORITY OF VOLUNTEER COMMUNITY MEMBERS WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF ST. LUKE'S, BUT ARE COMMUNITY LEADERS WHOSE PRIMARY INTEREST IN BOARD INVOLVEMENT IS TO ENSURE THE HEALTH OF OUR REGION. ST. LUKE'S EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY BASED ON ORGANIZATIONAL AND COMMUNITY NEED. ALL SURPLUS FUNDS OF THE ORGANIZATION ARE REINVESTED IN THE FACILITIES TO IMPROVE PATIENT CARE THROUGH A SYSTEMATIC CAPITAL APPROVAL AND ALLOCATION PROCESS TO ENSURE COMMUNITY AND ORGANIZATION NEEDS ARE PRIORITIZED AND ADDRESSED.TO FURTHER PROMOTE THE HEALTH OF OUR COMMUNITY, ST. LUKE'S ENGAGES IN THE FOLLOWING ONGOING INITIATIVES TO INCREASE ACCESS TO HEALTH CARE SERVICES, IMPROVE THE HEALTH OF OUR COMMUNITY, AND TO EDUCATE COMMUNITY MEMBERS ON MEDICAL AND HEALTH TOPICS: - COMMUNITY EDUCATION FOCUSED ON PREVENTION AND HEALTH BEHAVIOR MODIFICATION THROUGH IN-PERSON AND VIRTUAL CLASSES, PRINT INFORMATION AND NEWSLETTERS, RADIO AND TV APPEARANCES, ONLINE APPLICATIONS AND RESOURCES, AND INDIVIDUAL HEALTH COACHING.- COMMUNITY-BASED CLINICAL SERVICES THAT DO NOT GENERATE A PATIENT BILL INCLUDING BLOOD DRIVES, VACCINATION CLINICS, BIOMETRIC SCREENINGS, COLORECTAL CANCER SCREENINGS, AND MAMMOGRAMS.- HEALTH CARE SUPPORT SERVICES TO EXTEND ACCESS AND CONNECT ANY COMMUNITY MEMBER WITH SERVICES INCLUDING FINANCIAL RESOURCES IN THE COMMUNITY, MEDICATION ASSISTANCE, TRANSPORTATION ASSISTANCE, GENETIC COUNSELING AND TESTING, AND FACILITATING CONNECTIONS WITH COMMUNITY-BASED ORGANIZATIONS AND RESOURCES.- HEALTH PROFESSIONS EDUCATION TO ADVANCE KNOWLEDGE OF MEDICAL PROFESSIONALS AND STUDENTS INCLUDING GRADUATE MEDICAL EDUCATION, CONTINUING MEDICAL EDUCATION, PASTORAL CARE, PHARMACY, RADIOLOGY, ULTRASOUND, NUCLEAR MEDICINE, THERAPY SERVICES, AND NURSING.- SUBSIDIZED HEALTH SERVICES PROVIDED DESPITE A FINANCIAL LOSS, INCLUDING ST. LUKE'S PEDIATRIC CARE CENTER, THE ALBERT PUJOLS WELLNESS CENTER FOR ADULTS WITH DOWN SYNDROME AND THE HEALING GRACE CLINIC.- CASH DONATIONS TO NONPROFIT ORGANIZATIONS WITH COMMUNITY BENEFIT INTENT AND IN-KIND DONATIONS INCLUDING ONSITE USE OF MEETING SPACE FREE OF CHARGE TO LOCAL NONPROFITS. IN ADDITION, ST. LUKE'S EXTENDS ITS PASSPORT TO WELLNESS WORKSITE WELLNESS PROGRAM THROUGHOUT THE COMMUNITY TO PROACTIVELY ADDRESS HEALTH NEEDS AND PROMOTE HEALTHY LIVING THROUGH EDUCATION AND HEALTH SCREENINGS AMONG EMPLOYEES OF AREA ORGANIZATIONS.