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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-669017</TotalRevenueColumnAmt>
        <ExclusionAmt>-669017</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISC. REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>33876</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Cash Discounts</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6066</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6066</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Ground Lease Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>49418</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>49418</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>89360</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>98028939</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>98566288</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-537349</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>337496</TotalAmt>
        <ManagementAndGeneralAmt>337496</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>29423361</TotalAmt>
        <ProgramServicesAmt>27369683</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2053678</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>257463</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>3938651</ProgramServicesAmt>
        <ManagementAndGeneralAmt>555037</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2156911</TotalAmt>
        <ProgramServicesAmt>2156911</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>18019</TotalAmt>
        <ManagementAndGeneralAmt>18019</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3789901</TotalAmt>
        <ProgramServicesAmt>3775808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14093</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>465141</TotalAmt>
        <ProgramServicesAmt>6241</ProgramServicesAmt>
        <ManagementAndGeneralAmt>458900</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1203237</TotalAmt>
        <ProgramServicesAmt>1018424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>184813</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>3445026</TotalAmt>
        <ProgramServicesAmt>3440612</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4414</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>2477283</TotalAmt>
        <ProgramServicesAmt>2477283</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>31108</TotalAmt>
        <ProgramServicesAmt>25254</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5854</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1500</TotalAmt>
        <ProgramServicesAmt>1500</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1595415</TotalAmt>
        <ProgramServicesAmt>1595415</ProgramServicesAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>5253694</TotalAmt>
        <ProgramServicesAmt>5253694</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>860905</TotalAmt>
        <ManagementAndGeneralAmt>860905</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>26732477</TotalAmt>
        <ProgramServicesAmt>26632624</ProgramServicesAmt>
        <ManagementAndGeneralAmt>99853</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAID FRA EXPENSE</Desc>
        <TotalAmt>6270000</TotalAmt>
        <ProgramServicesAmt>6270000</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <TotalAmt>2358163</TotalAmt>
        <ProgramServicesAmt>2282187</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75976</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>2829075</TotalAmt>
        <ProgramServicesAmt>2795731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33344</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2070137</TotalAmt>
        <ProgramServicesAmt>1657797</ProgramServicesAmt>
        <ManagementAndGeneralAmt>412340</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>96070000</TotalAmt>
        <ProgramServicesAmt>90955278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5114722</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3076841</BOYAmt>
        <EOYAmt>1918303</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>14705471</BOYAmt>
        <EOYAmt>15269408</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>2551747</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>615524</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>0</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <UnsecuredNotesLoansPayableGrp>
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      <OtherLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <PermanentlyRstrNetAssetsGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>1958939</ReconcilationRevenueExpnssAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>18019</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>18019</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Part II-B, Line 1F Approximately $18,019 of the dues paid to various trade organizations for the year ended June 30, 2019 are attributable to lobbying activities by the organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
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        <BookValueAmt>13690000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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      </BuildingsGrp>
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      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
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      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INTANGIBLE ASSETS</Desc>
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      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6803454</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ORGANIZATION</Desc>
        <Amt>12857719</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASSET RETIREMENT OBLIGATION</Desc>
        <Amt>340276</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY SETTLEMENTS</Desc>
        <Amt>622822</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>141784</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>13962601</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2: Footnote for uncertain tax positions</FormAndLineReferenceDesc>
        <ExplanationTxt>st. luke's evaluates its uncertain tax positions on an annual basis. there are no uncertain tax positions recorded in 2019 or 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <PersonsServedCnt>2046</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1378579</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1378579</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01430</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>3329968</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1633084</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1696884</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01770</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
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        <DirectOffsettingRevenueAmt>1633084</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3075463</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03200</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
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        <NetCommunityBenefitExpnsAmt>56319</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
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        <NetCommunityBenefitExpnsAmt>1497204</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01560</TotalExpensePct>
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        <TotalExpensePct>0.00010</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
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        <NetCommunityBenefitExpnsAmt>4642001</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04830</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
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      <BadDebtExpenseAttributableAmt>183</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>22583393</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>31377530</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-8794137</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>ST LUKE'S DES PERES HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>2345 DOUGHERTY FERRY ROAD</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63122</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.STLUKES-STL.COM/DESPERES</WebsiteAddressTxt>
        <StateLicenseNum>522-1</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>1</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>St Luke's Des Peres Hospital</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>true</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>true</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>18</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>see suppl info 3</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>see suppl info 4</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>www.stlukes-stl.com/pay</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>www.stlukes-stl.com/pay</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>see suppl info 6</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Supplemental Information 1</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINES 2 AND 3 ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S) ORGANIZED ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S DES PERES) IN ORDER TO BETTER ADDRESS THE MEDICAL NEEDS OF THE GENERAL PUBLIC IN THE GREATER ST. LOUIS METROPOLITAN AREA AND ITS SURROUNDING REGIONS. TO ACCOMPLISH THIS, ST. LUKE'S DES PERES ACQUIRED THE ASSETS OF DES PERES HOSPITAL FROM TENET HEALTHCARE CORPORATION ON MAY 1, 2018. TREAS. REGS. SECTION 1.501(R)-3(D)(2) PROVIDES THAT A HOSPITAL ORGANIZATION THAT BECOMES NEWLY SUBJECT TO 501(R) BECAUSE IT IS RECOGNIZED AS DESCRIBED IN IRC SECTION 501(C)(3) MUST MEET THE CHNA REQUIREMENTS OF 501(R)(3) WITH RESPECT TO ANY OF ITS LICENSED HOSPITAL FACILITIES BY THE END OF ITS SECOND TAXABLE YEAR BEGINNING AFTER THE DATE THE TAX EXEMPT HOSPITAL FACILITY WAS LICENSED. ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL WAS INCORPORATED ON 1/30/2018, AND SUBMITTED ITS FORM 1023 APPLICATION FOR RECOGNITION OF EXEMPTION TO THE IRS IN APRIL 2018. A FAVORABLE DETERMINATION WAS RECEIVED IN FEBRUARY 2019 AND IS RETROACTIVE TO THE DATE OF ITS INCORPORATION ON 1/30/2018. IN ADDITION, IT WAS LICENSED AS A HOSPITAL BY THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES, WHO ISSUED A LICENSE TO ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL ON MAY 1, 2018. UPON ACQUISITION, ST. LUKE'S DES PERES HOSPITAL BECAME INTEGRATED INTO ONGOING REGIONAL COMMUNITY BENEFIT EFFORTS BEING IMPLEMENTED ACROSS THE ST. LUKE'S NETWORK OF CARE. PRIOR TO BECOMING A NOT-FOR-PROFIT HOSPITAL, ST. LUKE'S DES PERES WAS ALREADY ACTIVELY ENGAGED IN MEETING THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, PARTICULARLY THROUGH THE PROVISION OF SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION. IN JUNE 2019, ST. LUKE'S DES PERES PUBLISHED ITS INAUGURAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AS A NEW NOT-FOR-PROFIT HOSPITAL, THIS REPORT PROVIDES A FOUNDATION FOR ST. LUKE'S DES PERES TO MEET PRESSING COMMUNITY NEEDS THROUGH HEALTH IMPROVEMENT AND COMMUNITY BUILDING ACTIVITIES. THE IMPLEMENTATION PLAN WAS PUBLISHED IN NOVEMBER 2019. THE INTERESTS OF THE ST. LUKE'S DES PERES COMMUNITY ARE REPRESENTED BY A COMMUNITY BENEFIT COORDINATOR INVOLVED WITH SEVERAL COMMUNITY ORGANIZATIONS AND COALITIONS, INCLUDING THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY AND ITS REGIONAL LEADERSHIP AND PLANNING GROUP, AND THE ST. LOUIS COUNTY HOSPITAL COLLABORATIVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Supplemental Information 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINES 5, 6A, AND 6B ST. LUKES DES PERES HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2019 REPORT IS ATTACHED. THE HOSPITAL FACILITY SOLICITED INPUT FROM AREA HEALTH EXPERTS AND COMMUNITY LEADERS, AND SELECTED PRIMARY AND SECONDARY SURVEY SOURCES OF INPUT TO IDENTIFY TARGET AREAS FOR IMPROVEMENT WHEN CONDUCTING THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AS OUTLINED IN THE COMMUNITY INPUT FOCUS GROUPS SECTION OF THE ST. LUKE'S DES PERES HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2019, THE PRIMARY RESEARCH METHODOLOGY INCLUDED COLLABORATION WITH ST. LUKES HOSPITAL, BJC HEALTHCARE, MISSOURI BAPTIST MEDICAL CENTER, BARNES JEWISH WEST COUNTY, MERCY HOSPITAL ST. LOUIS, AND MERCY HOSPITAL SOUTH IN SOLICITING INPUT FROM HEALTH EXPERTS AND INDIVIDUALS WITH SPECIAL INTEREST IN POPULATIONS SERVED BY THESE HOSPITALS, SPECIFICALLY IN THE WEST AND SOUTH ST. LOUIS COUNTY AREAS. NINETEEN (19) INDIVIDUALS REPRESENTING VARIOUS ST. LOUIS COUNTY ORGANIZATIONS PARTICIPATED IN A FOCUS GROUP PROCESS. THE COMMUNITY STAKEHOLDER FOCUS GROUP MEMBERS (AS OUTLINED IN APPENDIX B OF THE CHNA REPORT) REPRESENTED THE FOLLOWING ORGANIZATIONS: -AMERICAN CANCER SOCIETY -AMERICAN DIABETES ASSOCIATION -AMERICAN HEART ASSOCIATION -CITY OF OLIVETTE -GATEWAY REGION YMCA -INTEGRATED HEALTH NETWORK -INTERNATIONAL INSTITUTE OF ST. LOUIS -JEWISH FEDERATION OF ST. LOUIS -KIRKWOOD FIRE DEPARTMENT -LiUNA -NATIONAL COUNCIL ON ALCOHOLISM AND DRUG ABUSE -BEHAVIORAL HEALTH NETWORK -ST. LOUIS COUNTY PUBLIC HEALTH DEPT. -ST. LOUIS COUNSELING -ST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATION -UNITED WAY -ALIVE -PEOPLE'S HEALTH CENTERS/HOPEWELL COMMUNITY MENTAL HEALTH CENTER A FOCUS GROUP WAS CONDUCTED IN AUGUST 2018 TO SOLICIT FEEDBACK FROM THESE INDIVIDUALS ON THE NEEDS OF THE ST. LOUIS COUNTY POPULATION. PARTICIPANTS WERE GIVEN THE LIST OF THE NEEDS IDENTIFIED IN THE 2016 ASSESSMENT AND ASKED TO RE-RANK THEM ON A SCALE OF 1(LOW) TO 5(HIGH), BASED ON THEIR PERCEIVED LEVEL OF COMMUNITY CONCERN AND THE ABILITY OF COMMUNITY ORGANIZATIONS TO COLLABORATE AROUND THEM (SEE CHART ON PAGE 20 OF THE CHNA REPORT). TO FURTHER VALIDATE THE PRIORITIZED NEEDS DETERMINED BY THE FOCUS GROUP, ST. LUKE'S HOSPITAL SURVEYED DAY OF DANCE PARTICIPANTS (FREE WELLNESS EVENT), COMPLETED A HEALTH STATUS SURVEY, AND COMPILED RESULTS AND KEY FINDINGS FROM THE COMPLETED SURVEYS INTO A GROUP HEALTH PROFILE AND COMPARED TO THE 2018 DATA. (SEE RESULTS ON PAGE 22 OF THE CHNA). IN ADDITION, ST. LUKE'S PROVIDES A WORKSITE WELLNESS PROGRAM CALLED PASSPORT TO WELLNESS TO MORE THAN 200 LOCAL EMPLOYERS (INCLUDING ST. LUKE'S DES PERES EMPLOYEES). THROUGH A HEALTH RISK ASSESSMENT, DATA IS COLLECTED AND AGGREGATED. THE DATA WAS COLLECTED USING A GROUP HEALTH REPORT FROM 2016 COMPARED WITH THE SAME CONSUMERS IN 2018 (SEE PAGE 22 AND APPENDIX H OF THE CHNA REPORT FOR THE COMPARISON). IN ADDITION TO THE PRIMARY RESEARCH, ST. LUKE'S DES PERES UTILIZED THE FOLLOWING MAJOR SECONDARY DATA SOURCES: -ST. LOUIS REGION COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN, PUBLISHED AUGUST 2018 (SEE PAGE 13 OF THE CHNA REPORT AND APPENDIX C). -ST. LOUIS COUNTY DEPT. OF PUBLIC HEALTH "LEADING CAUSES OF DEATH" REPORT, PUBLISHED FEBRUARY 2018 (SEE PAGES 13 15 OF THE CHNA REPORT AND APPENDIX D) -2019 ST. LOUIS COUNTY HEALTH RANKINGS AND ROADMAPS REPORT (SEE PAGE 13 OF THE CHNA REPORT AND APPENDIX B) IN 2017, THE NETWORK OF HOSPITALS AND HEALTHCARE PROVIDERS WHO COLLABORATE TO GATHER FEEDBACK FROM THE COMMUNITY FOR ASSESSMENT STRENGTHENED ITS COMMITMENT, AND ST. LUKES HOSPITAL JOINED THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC). UPON JOINING ST. LUKES NETWORK OF CARE IN 2018, ST. LUKES DES PERES HOSPITAL WAS INTEGRATED INTO THESE COLLABORATIVE EFFORTS. THROUGHOUT THEIR HEALTH ASSESSMENT PROCESS, THE STLPHC WAS FOCUSED ON A SYSTEMS LEVEL CHANGE, WITH COMMUNITY ENGAGEMENT AND INCLUSION SERVING AS CORE GUIDING PRINCIPLES. THROUGH LISTENING SESSIONS, SURVEYS AND FOCUS GROUPS, THE STLPHC WORKED TO IDENTIFY THEMES ON WHAT A HEALTHY COMMUNITY SHOULD LOOK LIKE FOR ST. LOUIS AREA RESIDENTS, AND IDENTIFIED BOTH BARRIERS AND FACILITATORS FOR HEALTH IN THE REGION. BASED ON CURRENT HEALTH DATA, COMMUNITY INPUT THROUGH FOCUS GROUPS AND SURVEYS, AND IN CONSIDERATION OF REGIONAL STRATEGIES, ST. LUKE'S DES PERES HOSPITAL HAS ESTABLISHED THE FOLLOWING PRIORITIES ON WHICH TO DEVELOP ACTIONABLE OBJECTIVES FOR 2019-2022: - ACCESS TO CARE - NUTRITION AND WEIGHT STATUS IN JULY 2017, ST. LUKE'S HIRED A PRN EDUCATIONAL ANALYST WITH A BACKGROUND IN PUBLIC HEALTH TO REVIEW AND REVISE THE 2016 CHNA REPORT AND IMPLEMENTATION PLAN. THROUGH THIS PROCESS, PROCESS MEASURES AND OUTCOME MEASURES FOR EACH PRIORITY AREA WERE CLARIFIED TO ADDRESS PROGRAM PROCESSES AND FIDELITY, AND TO BETTER ASSESS PROGRAM OUTCOMES AND IMPACT. THEN IN 2018, ST. LUKES HIRED A DEDICATED COMMUNITY BENEFIT COORDINATOR WHO IS ACCOUNTABLE FOR ENSURING THAT COMMUNITY BENEFIT ACTIVITIES MEET MISSION, COMPLIANCE AND IRS GUIDELINES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Supplemental Information 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7A WEBSITE URL: https://www.stlukes-stl.com/community-health-needs-assessment/index.html</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Supplemental Information 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 10A WEBSITE URL: https://www.stlukes-stl.com/community-health-needs-assessment/index.html</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Supplemental Information 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11 TREAS. REGS. SECTION 1.501(R)-3(D)(2) PROVIDES THAT A HOSPITAL ORGANIZATION THAT BECOMES NEWLY SUBJECT TO 501(R) BECAUSE IT IS RECOGNIZED AS DESCRIBED IN IRC SECTION 501(C)(3) MUST MEET THE CHNA REQUIREMENTS OF 501(R)(3) WITH RESPECT TO ANY OF ITS LICENSED HOSPITAL FACILITIES BY THE END OF ITS SECOND TAXABLE YEAR BEGINNING AFTER THE DATE THE TAX EXEMPT HOSPITAL FACILITY WAS LICENSED. ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL WAS INCORPORATED ON 1/30/2018, AND SUBMITTED ITS FORM 1023 APPLICATION FOR RECOGNITION OF EXEMPTION TO THE IRS IN APRIL 2018. A FAVORABLE DETERMINATION WAS RECEIVED IN FEBRUARY 2019, RETROACTIVE TO THE DATE OF ITS INCORPORATION ON 1/30/2018. IN ADDITION, IT WAS LICENSED AS A HOSPITAL BY THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES, WHO ISSUED A LICENSE TO ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL ON MAY 1, 2018. ST. LUKE'S DES PERES HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2019 REPORT IS ATTACHED. THE IMPLEMENTATION PLAN WAS ADOPTED NOVEMBER 2019. AS THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IS THE FIRST ONE PREPARED AND ADOPTED BY ST. LUKES DES PERES HOSPITAL, WORK TO IMPLEMENT THE ACTION PLANS WILL BEGIN IN FISCAL 2020. ST. LUKE'S DES PERES HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES IN FISCAL 2020 WILL BE GUIDED BY THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON THE FOLLOWING HEALTH PRIORITIES: - ACCESS TO CARE - NUTRITION AND WEIGHT STATUS UPON ACQUISITION, ST. LUKE'S DES PERES HOSPITAL BECAME INTEGRATED INTO ONGOING REGIONAL COMMUNITY BENEFIT EFFORTS BEING IMPLEMENTED ACROSS THE ST. LUKE'S NETWORK OF CARE. PRIOR TO BECOMING A NOT-FOR-PROFIT HOSPITAL, ST. LUKE'S DES PERES WAS ALREADY ACTIVELY ENGAGED IN MEETING THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, PARTICULARLY THROUGH THE PROVISION OF SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION. SINCE 2012, ST. LUKE'S HOSPITAL HAS COLLABORATED WITH OTHER HOSPITALS AND HEALTHCARE PROVIDERS TO GATHER FEEDBACK DIRECTLY FROM THE COMMUNITY THROUGH COLLECTIVE FOCUS GROUPS. IN 2017, THE NETWORK STRENGTHENED ITS COMMITMENT TO REGIONAL HEALTH ALLIANCES BY CONTINUING ITS WORK WITH THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC) AND BY JOINING THE PARTNERSHIP'S REGIONAL LEADERSHIP AND PLANNING GROUP. UPON JOINING ST. LUKE'S NETWORK OF CARE IN 2018, ST. LUKE'S DES PERES HOSPITAL WAS INTEGRATED INTO THESE COLLABORATIVE EFFORTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Supplemental Information 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16C: WWW.STLUKES-STL.COM/PAY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 1</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 6A N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 7G N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 7 COLUMN (F) TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSE LINE 7A: CHARITY CARE, 1.43% LINE 7B: UNREIMBURSED MEDICAID, 3.47% LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 4.90% LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.06% LINE 7F: HEALTH PROFESSIONS EDUCATION, 2.96% LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.01% LINE 7J: TOTAL OTHER BENEFITS, 3.03% LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 7.93% BAD DEBT EXPENSE SUBTRACTED FROM LINE 7, COLUMN (F): N/A-BAD DEBT IS AN IMPLICIT PRICE CONCESSION AND A REDUCTION OF PATIENT REVENUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PART II: COMMUNITY BUILDING ACTIVITIES ST. LUKE'S (INCLUDING BOTH ST. LUKES HOSPITAL AND ST. LUKES DES PERES HOSPITAL) WORKS WITH ITS DENOMINATIONAL SPONSORS, THE EPISCOPAL AND PRESBYTERIAN USA CHURCHES (THE CHURCHES), TO IMPROVE THE HEALTH OF THE GREATER ST. LOUIS COMMUNITY IN BODY, MIND AND SPIRIT. THROUGH VARIOUS COMMUNICATIONS AND OUTREACH EFFORTS, ST. LUKE'S WORKS TO CREATE A STRONGER CONNECTION WITH THE CHURCHES AND COMMUNITY TO SHOW HOW ST. LUKE'S LIVES OUT ITS MISSION AND MINISTRY OF HEALING. KEY INITIATIVES INCLUDE: 1) ANNUAL REPRESENTATION AT A MEETING OF THE PRESBYTERY OF GIDDINGS-LOVEJOY/EPISCOPAL DIOCESE OF MISSOURI BY THE PASTORAL CARE DIRECTOR TO PROVIDE AN OVERVIEW OF ANNUAL MISSION ACTIVITIES; 2) ANNUAL MISSION BROCHURE TO DESCRIBE HOSPITAL SERVICES, COMMUNITY OUTREACH, EDUCATION, PROVISION OF CHARITY CARE TO THE UNINSURED AND UNDERINSURED WITHIN THE COMMUNITY, AND INFORMATION ABOUT OTHER RESOURCES PROVIDED BY THE HOSPITALS, SUCH AS MEALS ON WHEELS AND THE PEDIATRIC CARE CENTER; 3) ANNUAL FOUNDER'S DAY CELEBRATION ATTENDED BY HOSPITAL PHYSICIANS, EMPLOYEES, VOLUNTEERS AND CLERGY LEADERS FROM THROUGHOUT THE AREA TO CELEBRATE THE RENEWAL OF ST. LUKE'S MISSION AND COMMUNICATE HOW IT IS LIVED OUT IN THE DAILY SERVICES PROVIDED TO THE COMMUNITY; 4) RAISING AWARENESS ABOUT THE ST. LUKE'S PASTORAL CARE DEPARTMENT AND CLINICAL PASTORAL EDUCATION PROGRAM; AND 5) IDENTIFYING OPPORTUNITIES TO PROVIDE HEALTH EDUCATION ARTICLES AND INFORMATION ABOUT UPCOMING HEALTHY LIVING EVENTS TO THE PRESBYTERY/DIOCESE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 2 AND LINE 3: COSTING METHODOLOGY COST TO CHARGE RATIO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 3: BAD DEBT EXPENSE ST. LUKE'S DES PERES CONSIDERS THIS PORTION OF BAD DEBT EXPENSE A COMMUNITY BENEFIT AS IT IS THE ADDITIONAL COST OF PROVIDING FINANCIAL ASSISTANCE TO THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 4 NOTE 3 - PATIENT SERVICE REVENUE AND OTHER OPERATING REVENUE (ST. LUKE'S HEALTH CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS) - " ST. LUKES DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS IN ACCORDANCE WITH ST. LUKES POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. ST. LUKES DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. ST. LUKES DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 8</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 9B COLLECTION POLICY REGARDING PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE - ST. LUKE'S DES PERES HOSPITAL HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM ST. LUKE'S DES PERES HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S DES PERES HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S DES PERES HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT IMPOSE WAGE GARNISHMENTS OR FORCE A FORECLOSURE ON PRIMARY RESIDENCES, WILL NOT IMPOSE ACTIONS THAT FORCE BANKRUPTCY AND WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES. ST. LUKE'S DES PERES HOSPITAL ADHERES TO THE LAWS OF THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND PATIENTS ARE TREATED WITH DIGNITY, RESPECT AND IN LINE WITH OUR MISSION AND VALUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 10</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 2: NEEDS ASSESSMENT ST. LUKE'S DES PERES HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2019 REPORT IS ATTACHED. UPON ACQUISITION, ST. LUKE'S DES PERES HOSPITAL BECAME INTEGRATED INTO ONGOING REGIONAL COMMUNITY BENEFIT EFFORTS BEING IMPLEMENTED ACROSS THE ST. LUKE'S NETWORK OF CARE. PRIOR TO BECOMING A NOT-FOR-PROFIT HOSPITAL, ST. LUKE'S DES PERES WAS ALREADY ACTIVELY ENGAGED IN MEETING THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, PARTICULARLY THROUGH THE PROVISION OF SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION. THE INTERESTS OF THE ST. LUKE'S DES PERES COMMUNITY ARE REPRESENTED BY A COMMUNITY BENEFIT COORDINATOR INVOLVED WITH SEVERAL COMMUNITY ORGANIZATIONS AND COALITIONS, INCLUDING THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY AND ITS REGIONAL LEADERSHIP AND PLANNING GROUP, AND THE ST. LOUIS COUNTY HOSPITAL COLLABORATIVE. IN 2017, THE NETWORK OF HOSPITALS AND HEALTHCARE PROVIDERS WHO COLLABORATE TO GATHER FEEDBACK FROM THE COMMUNITY FOR ASSESSMENT STRENGTHENED ITS COMMITMENT, AND ST. LUKES HOSPITAL JOINED THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC). UPON JOINING ST. LUKES NETWORK OF CARE IN 2018, ST. LUKES DES PERES HOSPITAL WAS INTEGRATED INTO THESE COLLABORATIVE EFFORTS. THROUGHOUT THEIR HEALTH ASSESSMENT PROCESS, THE STLPHC WAS FOCUSED ON A SYSTEMS LEVEL CHANGE, WITH COMMUNITY ENGAGEMENT AND INCLUSION SERVING AS CORE GUIDING PRINCIPLES. THROUGH LISTENING SESSIONS, SURVEYS AND FOCUS GROUPS, THE STLPHC WORKED TO IDENTIFY THEMES ON WHAT A HEALTHY COMMUNITY SHOULD LOOK LIKE FOR ST. LOUIS AREA RESIDENTS, AND IDENTIFIED BOTH BARRIERS AND FACILITATORS FOR HEALTH IN THE REGION. IN JUNE 2019, ST. LUKE'S DES PERES PUBLISHED ITS INAUGURAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AS A NEW NOT-FOR-PROFIT HOSPITAL, THIS REPORT PROVIDES A FOUNDATION FOR ST. LUKE'S DES PERES TO MEET PRESSING COMMUNITY NEEDS THROUGH HEALTH IMPROVEMENT AND COMMUNITY BUILDING ACTIVITIES. THE IMPLEMENTATION PLAN WAS ADOPTED NOVEMBER 2019. AS THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IS THE FIRST ONE PREPARED AND ADOPTED BY ST. LUKES DES PERES HOSPITAL, WORK TO IMPLEMENT THE ACTION PLANS WILL BEGIN IN FISCAL 2020. BASED ON CURRENT HEALTH DATA, COMMUNITY INPUT THROUGH FOCUS GROUPS AND SURVEYS, AND IN CONSIDERATION OF REGIONAL STRATEGIES, ST. LUKE'S DES PERES HOSPITAL HAS ESTABLISHED THE FOLLOWING PRIORITIES ON WHICH TO DEVELOP ACTIONABLE OBJECTIVES FOR 2019-2022: - ACCESS TO CARE - NUTRITION AND WEIGHT STATUS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 11</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS ARE INFORMED ABOUT ST. LUKE'S DES PERES FINANCIAL ASSISTANCE AND THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS IN A NUMBER OF WAYS: - FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO PATIENTS DURING THEIR STAY. - PATIENT FINANCIAL SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO PROVIDE PATIENTS WITH THEIR EXPECTED AMOUNTS DUE AND DISCUSS PAYMENT OPTIONS AND FINANCIAL ASSISTANCE. - DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING WITH ANY PATIENTS ON THE PHONE PRIOR TO AND/OR AFTER THEIR SERVICE. - INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS LOCATED VIA THE: - WEBSITE - BILLING STATEMENTS - REGISTRATION BOOKLETS/BROCHURES - CASHIER'S OFFICE - REGISTRATION AREAS - BILLING OFFICE - SOCIAL SERVICES/CARE MANAGEMENT - FINANCIAL COUNSELORS SCREEN PATIENTS FOR MEDICAID ELIGIBILITY TO ASSIST WITH ENROLLMENT IN THE STATE MEDICAID PROGRAM. - CERTIFIED APPLICATION COUNSELORS ARE AVAILABLE TO PATIENTS AND MEMBERS OF THE COMMUNITY TO ASSIST THEM WITH ENROLLING IN AN INSURANCE PLAN ON THE MARKETPLACE. -PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 12</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 4: COMMUNITY INFORMATION ST. LUKE'S DES PERES SERVES THE ST. LOUIS METRO REGION, WITH ITS SERVICE AREA INCLUDING ST. LOUIS COUNTY, ST. FRANCOIS COUNTY AND JEFFERSON COUNTY. THE GEOGRAPHIC AREA POPULATION IS GREATER THAN 1.4 MILLION, WITH OVER 500,000 HOUSEHOLDS. IN ADDITION, PATIENTS FROM ILLINOIS UTILIZE ST. LUKE'S DES PERES HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 13</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH ADDITIONAL COMMUNITY SUPPORT INCLUDES: - ST. LUKE'S DES PERES OFFERS USE OF ITS MEETING SPACE FREE OF CHARGE TO AREA NON-PROFITS FOR HEALTH EDUCATION AND SUPPORT GROUPS. - ST. LUKE'S DES PERES ORGANIZES PERIODIC BLOOD DRIVES, IN CONJUNCTION WITH AND IN SUPPORT OF THE MISSISSIPPI VALLEY REGIONAL BLOOD CENTER. -ST. LUKES DES PERES CONDUCTS FREE HEALTH TALKS AS PART OF THE CONVERSATIONS WITH WOMEN SERIES. OTHER SERVICES PROVIDED: ST. LUKE'S DES PERES HOSPITAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR PATIENTS AND THE COMMUNITY. ST. LUKE'S DES PERES OFFERS SERVICES INCLUDING PRIMARY CARE, EMERGENCY CARE, GENERAL SURGICAL SERVICES, ORTHOPEDICS, VASCULAR CARE, THERAPY (PHYSICAL, OCCUPATIONAL, SPEECH, RESPIRATORY), ENDOSCOPY, GASTROENTEROLOGY, ENT, AND MY NEW SELF BARIATRICS. MEDICAL STAFF: ST. LUKE'S DES PERES HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR PRIMARY CARE SERVICES (I.E. INTERNAL MEDICINE). OF THE 377 PHYSICIANS ON THE MEDICAL STAFF AT JUNE 30, 2019, 90% ARE BOARD CERTIFIED. GOVERNING BODY: ST. LUKE'S DES PERES HOSPITAL HAS THREE VOTING MEMBERS ON ITS BOARD OF DIRECTORS. ALLOCATION OF SURPLUS FUNDS: POSITIVE FINANCIAL RESULTS SUPPORT 1) INVESTMENT IN STRATEGIC CAPITAL EXPENDITURES AND NEW TECHNOLOGY, 2) GROWTH AND EXPANSION OF SERVICES TO MEET IDENTIFIED COMMUNITY NEEDS, AND 3) RECRUITMENT AND RETENTION OF QUALITY HEALTHCARE PROFESSIONALS THROUGH A COMPREHENSIVE MARKET-BASED COMPENSATION AND BENEFITS PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 14</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT N/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <PersonNm>Christine M Candio</PersonNm>
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        <PersonNm>Scott Johnson</PersonNm>
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        <PersonNm>David Loving</PersonNm>
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        <PersonNm>Diane Ray</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Part I, Line 4b Certain employees participate in a supplemental nonqualified deferred compensation arrangment. No individuals listed in Part VII received a distribution in calendar year 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Part I, Line 5b The filing organization is a member of a regional healthcare system controlled by st. luke's health corporation. the executive incentive compensation plan recognizes and reinforces the hospital's strategic balanced scorecard objectives. the incentive compensation plan is determined by a fixed formula based on achieving certain goals and objectives each year. the objectives are built around four perspectives including: 1. Quality &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General Statement 1</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 1: DESCRIPTION OF MISSION OUR MISSION FAITHFUL TO OUR EPISCOPAL-PRESBYTERIAN HERITAGE AND ITS MINISTRY OF HEALING, ST. LUKE'S DES PERES HOSPITAL IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITY. USING TALENTS AND RESOURCES RESPONSIBLY, OUR MEDICAL STAFF, EMPLOYEES AND VOLUNTEERS PROVIDE CARE FOR THE WHOLE PERSON WITH COMPASSION,PROFESSIONAL EXCELLENCE AND RESPECT FOR EACH OTHER AND THOSE WE SERVE. ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S) ORGANIZED ST.LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S DES PERES)IN ORDER TO BETTER ADDRESS THE MEDICAL NEEDS OF THE GENERAL PUBLIC IN THE GREATER ST. LOUIS METROPOLITAN AREA AND ITS SURROUNDING REGIONS. GENERAL STATEMENT 2 PART III, LINE 4A: PROGRAM SERVICES DESCRIPTION OF SERVICES PROVIDED AT ST. LUKE'S DES PERES HOSPITAL, WE'RE DEDICATED TO ONE THING: OUR PATIENTS, LIVING A HEALTHY, HAPPY LIFE. SINCE 1974 AND NOW AS PART OF THE ST. LUKE'S NETWORK OF CARE, WE ARE PROUD TO SERVE HEALTH CARE NEEDS WITH COMPASSION AND A PERSONALIZED APPROACH. MEDICALLY NECESSARY HEALTH SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER,REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, AGE, GENDER, RELIGION OR ABILITY TO PAY. FROM PRIMARY CARE TO EMERGENCY CARE, WITH GENERAL MEDICAL AND SPECIALTY SURGICAL SERVICES, SPECIALIZING IN BARIATRIC, ORTHOPEDICS AND HEART CARE. OTHER SERVICES INCLUDE RADIOLOGY, ENDOSCOPY, LABORATORY, GASTROENTEROLOGY, ENT/OTOLARYNGOLOGY, FOOT CARE, NUTRITION COUNSELING, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, UROLOGY, UROGYNECOLOGY AND VASCULAR CARE. WE PROVIDE CARING TREATMENT IN A 143-BED ACUTE CARE HOSPITAL WITH NETWORK ACCESS TO HIGHER LEVEL SERVICES IF NEEDED. IN SUPPORT OF OUR MISSION, ST. LUKE'S DES PERES HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, WHICH INCLUDES THOSE WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. IN ADDITION, THE ORGANIZATION PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE LESS THAN THE RELATED COSTS FOR THE SERVICES PROVIDED TO THE RECIPIENTS. As part of the Patient Protection and Affordable Care Act, St. Luke's Des Peres PARTICIPATED WITH OTHER NONPROFIT HOSPITALS IN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT in 2018-2019 to evaluate the community needs and ensure that we are offering services to meet these needs. With this information, St. Luke's Des Peres developed an implementation plan with ways to enhance our education and partner with community organizations to improve the quality of life in our community, specifically in the areas of access to care and nutrition and weight status. The full community health needs assessment report is available on the St. Luke's Des Peres website at https://www.stlukes-stl.com/community-health-needsassessment/index.html. St. Luke's Des Peres Hospital provides pastoral care services around the CLOCK, SEVEN DAYS A WEEK THROUGH THE ST. LUKE'S PASTORAL CARE DEPARTMENT. ST. LUKE'S PASTORAL CARE PROVIDES PASTORAL CARE TO PATIENTS, THEIR FAMILIES AND LOVED ONES, visitors, staff, and physicians at both St. Luke's Hospital and St. Luke's Des Peres Hospital. The pastoral care department participates in St. Luke's Des Peres' ministry of healing by working with the health care team to provide holistic care for patients, their families, visitors, physicians and employees of all faiths. The DEPARTMENT HOLDS REGULAR WORSHIP SERVICES, INCLUDING EPISCOPAL AND PRESBYTERIAN EUCHARIST SERVICES, ROMAN Catholic mass, ecumenical worship SERVICES, MORNING AND EVENING PRAYER SERVICES AND OTHER LITURGICAL SERVICES ON SPECIAL FEAST DAYS. St. Luke's Des Peres Hospital supports mission outreach activities THROUGH ST. LUKE'S MISSION OUTREACH COMMITTEE. ST. LUKE'S MISSION OUTREACH COMMITTEE, COMPRISED OF EMPLOYEES ACROSS THE ORGANIZATION, COORDINATES OUTREACH EFFORTS THROUGHOUT THE YEAR. EMPLOYEES, PATIENTS AND PHYSICIANS GENEROUSLY SUPPORT INITIATIVES SUCH AS WINTER CLOTHING DRIVES, HEALTH SCREENINGS, FOOD DRIVES, TOY DRIVES, AND SCHOOL SUPPLY DRIVES TO ASSIST THE FAMILIES OF THE ST. LUKE'S PEDIATRIC CARE CENER, ISAIAH 58 MINISTRIES, LITTLE PATRIOTS, AND OPERATION FOOD SEARCH. ST. LUKE'S DES PERES HOSPITAL HAS A PROUD HERITAGE OF GRADUATE MEDICAL EDUCATION. SINCE 1954 WE HAVE PROVIDED QUALITY OSTEOPATHIC MEDICAL EDUCATION. WE HAVE FIVE OSTEOPATHIC RESIDENCY PROGRAMS ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION (AOA) IN: INTERNAL MEDICINE, GENERAL SURGERY, ANESTHESIOLOGY, OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY AND ORTHOPEDIC SURGERY. OUR FAMILY MEDICINE RESIDENCY PROGRAM, FORMERLY ACCREDITED BY THE AOA, ACHIEVED ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION IN JANUARY 2019. WE OFFER HANDS ON CLINICAL EXPERIENCE THROUGH HOSPITAL ROTATIONS. PARTICIPATION ON OUR CLINICAL ROTATION PROGRAMS PROVIDES MEDICAL STUDENTS AN OPPORTUNITY TO BEGIN THEIR GROWING KNOWLEDGE IN A TRUE HEALTHCARE ENVIRONMENT. ST. LUKE'S DES PERES HOSPITAL IS A CORE TRAINING SITE FOR THE KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE, AND KANSAS CITY UNIVERSITY OF MEDICINE AND BIOSCIENCESE. WE ALSO SCHEDULE MEDICAL STUDENTS FROM ALL OTHER OSTEOPATHIC MEDICAL SCHOOLS FOR SINGLE/MULTIPLE ROTATIONS. ST. LUKE'S DES PERES HOSPITAL HAS BEEN RECOGNIZED AS ONE OF AMERICA'S BEST HOSPITALS FOR BARIATRICS, ORTHOPEDICS AND PATIENT SAFETY BY THE NATIONAL WOMEN'S CHOICE AWARD PROGRAM. THESE ACHIEVEMENTS ARE A TESTAMENT TO THE DEDICATION OF ST. LUKE'S PHYSICIANS, STAFF AND VOLUNTEERS WHO PROVIDE QUALITY, COMPASSIONATE CARE TO OUR PATIENTS EVERY DAY. THE MYNEWSELF SURGICAL WEIGHT LOSS PROGRAM OFFERS SEVERAL PROCEDURE OPTIONS, PRE-SURGERY EDUCATION, POST-SURGERY CLASSES AND SUPPORT GROUPS AND PERSONAL NUTRITION AND LIFESTYLE COUNSELING AND SUPPORT. OUR BOARD-CERTIFIED PHYSICIANS WILL TAILOR A SOLUTION TO HELP EACH PATIENT REACH A HEALTHIER WEIGHT AND OUR TEAM OF NURSES, DIETITIANS AND COUNSELORS WILL TEACH LIFESTYLE CHANGES TO SUPPORT A LONGER, HEALTHIER AND MORE ACTIVE LIFE. THE MYNEWSELF SURGICAL WEIGHT LOSS PROGRAM HAS BEEN ACCREDITED AS A COMPREHENSIVE CENTER UNDER THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS) AND THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). ST. LUKE'S DES PERES HOSPITAL HAS ALSO BEEN RECOGNIZED AS ONE OF AMERICA'S BEST HOSPITALS FOR BARIATRICS BY THE NATIONAL WOMEN'S CHOICE AWARD PROGRAM. ST. LUKE'S DES PERES HOSPITAL ACHIEVED AN 'A' RATING IN THE LEAPFROG GROUP'S SPRING HOSPITAL SAFETY GRADE. THE DESIGNATION RECOGNIZES THE HOSPITAL'S EFFORTS IN PROTECTING PATIENTS FROM HARM AND PROVIDING SAFER HEALTHCARE. THE LEAPFROG GROUP IS A NATIONAL NONPROFIT ORGANIZATION THAT WORKS TO IMPROVE HEALTHCARE QUALITY AND SAFETY FOR CONSUMERS AND PURCHASERS. THE SAFETY GRADE ASSIGNS AN 'A', 'B', 'C', 'D', OR 'F' GRADE TO HOSPITALS ACROSS THE COUNTRY BASED ON THEIR PERFORMANCE IN PREVENTING MEDICAL ERRORS, INJURIES, ACCIDENTS, INFECTIONS, AND OTHER HARM TO PATIENTS IN THEIR CARE. ST. LUKE'S DES PERES HOSPITAL IS A RECIPIENT OF THE 2019 GET WITH THE GUIDELINES-HEART FAILURE GOLD PLUS QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES THE HOSPITAL'S COMMITMENT TO ENSURING HEART FAILURE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES FOUNDED IN THE LATEST SCIENTIFIC EVIDENCE. THE GOAL IS SPEEDING RECOVERY AND REDUCING HOSPITAL READMISSIONS FOR HEART FAILURE PATIENTS. THIS MARKS THE TENTH YEAR THAT ST. LUKE'S DES PERES HOSPITAL HAS BEEN RECOGNIZED WITH A QUALITY ACHIEVEMENT AWARD FOR HEART FAILURE AND THE EIGHTH YEAR AS A GOLD PLUS PROVIDER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>GENERAL STATEMENT 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION A, LINE 6: ORGANIZATION MEMBERS OR STOCKHOLDERS ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, A 501 (C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL- PRESBYTERIAN HOSPITAL. GENERAL STATEMENT 4 PART VI, SECTION A, LINE 7A: POWER TO ELECT OR APPOINT ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, IS AUTHORIZED UNDER THE ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL'S ARTICLES OF INCORPORATION TO APPOINT TWO MEMBERS TO THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL. THE ADDITIONAL MEMBER IS DEFINED PER THE ARTICLES OF INCORPORATION AS THE CURRENT CHAIRMAN OF THE BOARD OF DIRECTORS OF THE MEMBER, ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS. GENERAL STATEMENT 5 PART VI, SECTION A, LINE 7B: GOVERNANCE DECISIONS ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST.LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, HAS RESERVED POWERS INCLUDING THE ELECTION AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL AND THE APPROVAL OF PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF ST.LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL. GENERAL STATEMENT 6 PART VI, SECTION B, LINE 11: REVIEW OF THE 990 THE FORM 990 HAS BEEN DISCUSSED AND PRESENTED TO THE BOARD AND ITS COMMITTEES. THE ORGANIZATION PROVIDED A COPY OF THE FORM 990 TO ST.LUKE'S HEALTH CORPORATION'S EXECUTIVE AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING FOR REVIEW AND INPUT. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION. GENERAL STATEMENT 7 PART VI, SECTION B, LINE 12C: CONFLICT OF INTEREST POLICY THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY PROVIDING THE POLICY AND QUESTIONNAIRE TO EACH BOARD MEMBER AT THE TIME OF APPOINTMENT AND TO EACH NEW EMPLOYEE AT THE TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER. EACH BOARD MEMBER AND KEY EMPLOYEE IS REQUIRED TO SIGN A STATEMENT ACKNOWLEDGING HE/SHE HAS READ, UNDERSTANDS AND AGREES TO COMPLY WITH THE POLICY AS WELL AS SUBMIT THE COMPLETED QUESTIONNAIRE. ANY/ALL ACTUAL OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE FROM THE FORMS ARE DISCLOSED TO THE AUDIT COMMITTEE. THE AUDIT COMMITTEE ADDRESSES ANY POTENTIAL CONFLICT OF INTEREST AND TAKES APPROPRIATE ACTION TO RESOLVE. THE ORGANIZATION CONSIDERS THE POSSIBILITY THAT BOARD MEMBERS OR KEY EMPLOYEES MAY INADVERTENTLY FAIL TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND PERFORMS DUE DILIGENCE TO ADDRESS AND RESPOND IN ACCORDANCE WITH THE POLICY. GENERAL STATEMENT 8 PART VI, SECTION B, LINE 15: COMPENSATION EXECUTIVE, KEY EMPLOYEE AND PHYSICIAN SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE ORGANIZATION ALSO ENGAGED CONSULTANTS FOR INDEPENDENT REVIEWS TO ENSURE COMPENSATION FOR CERTAIN OF THE ABOVE EMPLOYEES IS FAIR AND WITHIN MARKET PARAMETERS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS FOR EXECUTIVES AND KEY EMPLOYEES ARE PRESENTED TO THE COMPENSATION COMMITTEE TO APPROVE OR MODIFY. THE COMPENSATION COMMITTEE HAS REPRESENTATION FROM THE INDEPENDENT MEMBERS OF THE BOARD AND LEGAL COUNSEL. MINUTES ARE MAINTAINED OF THE DISCUSSIONS AND CONCLUSIONS OF THE COMMITTEE. GENERAL STATEMENT 9 PART VI, SECTION C, LINE 19: PUBLIC ACCESS ANNUAL FINANCIAL STATEMENTS INCLUDING FORM 990 ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. ANY PROPRIETARY INTERNAL POLICIES OR GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. GENERAL STATEMENT 10 PART XII, LINE 2C: FINANCIAL STATEMENTS AND REPORTING ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ST. LUKE'S HEALTH CORPORATION. ST. LUKE'S HEALTH CORPORATION'S BOARD OF DIRECTORS HAS A COMMITTEE IN PLACE THAT OVERSEES THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST LUKE'S EPISCOPAL-PRESBY HOSPITALS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>232 S WOODS MILL RD</AddressLine1Txt>
          <CityNm>CHESTERFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63017</ZIPCd>
        </USAddress>
        <EIN>430652680</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SL HLTH CORP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST LUKE'S HEALTH CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>232 S WOODS MILL RD</AddressLine1Txt>
          <CityNm>CHESTERFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63017</ZIPCd>
        </USAddress>
        <EIN>431246752</EIN>
        <PrimaryActivitiesTxt>SOLE MEMBER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST LUKE'S MEDICAL GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>232 S WOODS MILL RD</AddressLine1Txt>
          <CityNm>CHESTERFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63017</ZIPCd>
        </USAddress>
        <EIN>431349332</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SL HLTH CORP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>St Luke's Development Corporation</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>232 S WOODS MILL ROAD</AddressLine1Txt>
          <CityNm>CHESTERFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63017</ZIPCd>
        </USAddress>
        <EIN>431238961</EIN>
        <PrimaryActivitiesTxt>OTHER MISC.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SL HEALTH CORP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>