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        <BusinessName>
          <BusinessNameLine1Txt>MAURICE WATSON</BusinessNameLine1Txt>
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        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>RENE GILLESPIE</BusinessNameLine1Txt>
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        <TitleTxt>VP TAXATION RETIRED 12/2018</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>ROBERT BONNEY</BusinessNameLine1Txt>
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        <TitleTxt>ASST SECR &amp; SENIOR VP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MARGARET DONNELLY</BusinessNameLine1Txt>
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        <TitleTxt>VP POST ACUTE CARE SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DON SIPES</BusinessNameLine1Txt>
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        <TitleTxt>VP REGIONAL SERVICES RETIRED 1/2018</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>LAEL HOLLOWAY</BusinessNameLine1Txt>
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        <TitleTxt>VP INTERNAL AUDIT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>TAYLOR WARWICK</BusinessNameLine1Txt>
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        <TitleTxt>VP AMBULATORY SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DENISE MOGG</BusinessNameLine1Txt>
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        <TitleTxt>VP CAPACITY MGMT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>BONNIE JOHNSON</BusinessNameLine1Txt>
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        <TitleTxt>VP RISK &amp; CLAIMS MGMT RETIRED 12/2018</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>ELIZABETH DAVIS</BusinessNameLine1Txt>
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        <TitleTxt>VP MISSION &amp; COMMUNITY SERVICE RETIRED 12/2018</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>REAGAN SIMPSON</BusinessNameLine1Txt>
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        <TitleTxt>VP REHABILITATION SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SALLY THIEMAN</BusinessNameLine1Txt>
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        <TitleTxt>VP ETHICS &amp; COMPLIANCE RETIRED 12/2018</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DIANE TRIMBLE</BusinessNameLine1Txt>
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        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DIANE WATKINS</BusinessNameLine1Txt>
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        <TitleTxt>VP REVENUE CYCLE RETIRED 12/2018</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>RANDAL MEYER</BusinessNameLine1Txt>
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        <TitleTxt>VP MGD CARE CONTRACTING</TitleTxt>
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          <BusinessNameLine1Txt>LAVEDA PAUL</BusinessNameLine1Txt>
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        <TitleTxt>VP QUALITY</TitleTxt>
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        <BusinessName>
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        <TitleTxt>VP SUPPLY CHAIN</TitleTxt>
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        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CYNTHIA CHRISTENSEN</BusinessNameLine1Txt>
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        <TitleTxt>VP CONTROLLER</TitleTxt>
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        <BusinessName>
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        <TitleTxt>VP CLINICAL SERVICE LINES</TitleTxt>
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        <BusinessName>
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        <BusinessName>
          <BusinessNameLine1Txt>TIMOTHY VANZANDT</BusinessNameLine1Txt>
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        <TitleTxt>VP PUBLIC AFFAIRS</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>REBECCA SESLER</BusinessNameLine1Txt>
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        <TitleTxt>CHIEF MARKETING OFFICER</TitleTxt>
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          <BusinessNameLine1Txt>RANDALL HOUSE</BusinessNameLine1Txt>
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        <TitleTxt>VP ENTERPRISE ANALYTICS RETIRED 12/2018</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DAWN MURPHY</BusinessNameLine1Txt>
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        <TitleTxt>SENIOR VP HUMAN RESOURCES</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>CHARLES V ROBB</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>JULIE QUIRIN</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>LEONARDO LOZADA MD</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>J CHRIS PERRYMAN MD</BusinessNameLine1Txt>
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        <TitleTxt>SENIOR VP CHIEF MEDICAL OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>TAMMY LESLIE</BusinessNameLine1Txt>
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        <TitleTxt>DIRECTOR TOTAL REWARDS STRATEGY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>COLLINS IZIMBA</BusinessNameLine1Txt>
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        <TitleTxt>RN</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>DAVID WISEMAN</BusinessNameLine1Txt>
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        <TitleTxt>CHIEF INFO SECURITY OFFICER</TitleTxt>
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      <SupportedOrgInformationGrp>
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          <BusinessNameLine1Txt>WINDSOR CARE INC</BusinessNameLine1Txt>
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      <SupportedOrganizationsTotalCnt>15</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>206324000</SupportSumAmt>
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        <SupportedOrgSectionC456Ind>false</SupportedOrgSectionC456Ind>
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        <OrganizationChangeSuprtOrgInd>true</OrganizationChangeSuprtOrgInd>
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        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
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        <SupportedOrgVoiceInvestmentInd>true</SupportedOrgVoiceInvestmentInd>
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        <AppointElectMajorityOfficerInd>true</AppointElectMajorityOfficerInd>
        <ExerciseDirectionPoliciesInd>true</ExerciseDirectionPoliciesInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part I, Line 12g SUPPORTED ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT LUKE'S HEALTH SYSTEM, INC. (SLHS) IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTH CARE SYSTEM. SLHS' SUPPORTED ORGANIZATIONS INCLUDE ALL SECTION 509(A)(1) AND 509(A)(2) AFFILIATES OF SLHS. SLHS IS FUNCTIONALLY INTEGRATED WITH ITS SUPPORTED ORGANIZATIONS AND PROVIDED MANAGEMENT AND COORDINATION, INFORMATION TECHNOLOGY, HUMAN RESOURCES, LEGAL, REAL ESTATE, FINANCIAL, ADVISORY AND OTHER CORPORATE SERVICES TO ITS SUPPORTED ORGANIZATIONS.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org.</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A PARENT ENTITY OF AN INTEGRATED HEALTH CARE SYSTEM. IN ADDITION TO THE SUPPORTED ORGANIZATIONS SPECIFICALLY NAMED, THE ARTICLES OF INCORPORATION ALLOW FOR SAINT LUKE'S HEALTH SYSTEM TO BE THE SUPPORTING ORGANIZATION FOR "OTHER ORGANIZATIONS THAT BECOME PART OF THE SAINT LUKE'S HEALTH SYSTEM INTEGRATED HEALTH CARE DELIVERY SYSTEM". THE ARTICLES WERE AMENDED IN 2018 TO SPECIFICALLY NAME ROCKHILL ORHTOPAEDIC SPECIALISTS (EIN 45-3851008), BISHOP SPENCER PLACE (EIN 43-1139083) AND WINDSOR CARE (EIN 20-5284328). THE AMENDED ARTICLES ALSO REMOVED SAINT LUKE'S COLLEGE OF HEALTH SCIENCES (EIN 27-2716128) AS A SUPPORTED ORGANIZATION.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S ACTIVITIES AND PURCHASE MANY CENTRALIZED SERVICES FROM THE SUPPORTING ORGANIZATION. THE OFFICERS AND DIRECTORS OF THE SUPPORTING ORGANIZATION AND THE SUPPORTED ORGANIZATIONS MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP. THE SUPPORTING ORGANIZATION SERVES AS THE PARENT ENTITY FOR A CONTROLLED GROUP OF ENTITIES THAT OPERATE AS AN INTEGRATED HEALTH CARE SYSTEM. IT HAS THE POWER TO APPOINT THE BOARDS OF THE SUPPORTED ORGANIZATIONS AND HAS RESERVE POWERS OVER SPECIFIED DECISIONS. MEMBERS OF THE SUPPORTING BOARD ALSO SERVE ON THE GOVERNING BODY OF 9 OF THE SUPPORTED ORGANIZATIONS. THE FILING ORGANIZATION SUPPORTS THE OTHER ORGANIZATIONS BY PROVIDING EXTENSIVE MANAGEMENT AND COORDINATION SERVICES TO THE SUPPORTED ORGANIZATIONS.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT LUKE'S HEALTH SYSTEM (SLHS) IS DIRECT PARENT AND SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS OTHER THAN FOR WINDSOR CARE WHICH IT IS THE INDIRECT PARENT. THE GOVERNING BODY OF EACH SUPPORTED ORGANIZATION IS ELECTED BY ITS SOLE MEMBER. BISHOP SPENCER PLACE SERVES AS THE SOLE MEMBER OF WINDSOR CARE. SLHS IS THE SOLE MEMBER OF BISHOP SPENCER PLACE.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, APPOINTMENT AND REMOVAL OF DIRECTORS, DEBT, BUDGETS, CAPITAL EXPENDITURES, POLICIES APPLICABLE TO THE SUPPORTED ORGANIZATION, STRATEGIC OPERATING DECISIONS AND INVESTMENT IN THIRD PARTY DEBT OR EQUITY SECURITIES.</ExplanationTxt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
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      <GrantsOtherOrganizationsAmt>32957</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>235390</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>268347</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
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        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE F - PORTION OF DUES PAID TO ASSOCIATIONS AND CHAMBERS USED TOWARD LOBBYING ACTIVITIES LINE G - DIRECT CONTACT WITH GOVERNMENT REPRESENTATIVES TO COMMUNICATE HEALTH SYSTEM'S POSITION ON MAJOR HEALTHCARE ISSUES AND TO COMMUNICATE COMPLEXITIES OF HEALTHCARE POLICIES. COSTS INCLUDE PUBLIC AFFAIRS DEPARTMENT EXPENSES AND PAYMENTS TO CONSULTANTS.</ExplanationTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>SAINT LUKE'S COMMUNITY HOSPITAL (JOINT VENTURE LICENSED HOSPITAL)</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>13200 STATE LINE ROAD</AddressLine1Txt>
          <CityNm>LEAWOOD</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66209</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>NA</WebsiteAddressTxt>
        <StateLicenseNum>H-046-022</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>SAINT LUKE'S COMMUNITY HOSPITAL (JOINT VENTURE LICENSED HOSPITAL)</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>true</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>true</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>133.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.0</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE</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>Schedule H, Part V, Section B, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS NOT A LICENSED HOSPITAL BUT OWNS 51% OF A JOINT VENTURE THAT OPERATES A LICENSED HOSPITAL . THE JV HOSPITAL OPERATIONS BEGAN AND WAS FIRST LICENSED AS A HOSPITAL IN 2018. SCHEDULE H IS BEING FILED TO REPORT THE FILING ORGANIZATION'S SHARE OF THE JV LICENSED HOSPITAL ACTIVITIES. IN FEBRUARY 2019, SAINT LUKE'S HEALTH SYSTEM, INC (THE FILING ORGANIZATION) PURCHASED THE REMAINING 49% OF THE JV HOSPITAL. AS SUCH, THE FORMER JV HOSPITAL BECAME A DISREGARDED SINGLE-MEMBER LLC LICENSED HOSPITAL WHOLLY OWNED BY SAINT LUKE'S HEALTH SYSTEM, INC. SUBSEQUENTLY, THE SINGLE MEMBER LLC LICENSED HOSPITAL WAS TRANSFERRED TO AND MERGED WITH A RELATED ORGANIZATION, SAINT LUKE'S HOSPITAL INC IN JUNE 2019. THE SINGLE-MEMBER LLC WAS DISSOLVED UPON MERGER. ALL HOSPITAL LOCATIONS OF THE FORMER JV HOSPITAL BECAME LICENSED UNDER SAINT LUKE'S SOUTH HOSPITAL, INC'S HOSPITAL LICENSE. BECAUSE OF THE TIMING OF INITIAL OPERATIONS (2018) AND SUBSEQUENT DISSOLUTION AND MERGER INTO SAINT LUKE'S SOUTH HOSPITAL, INC IN 2019, A CHNA WILL NOT BE FILED SEPARATELY FOR THIS JV HOSPITAL. RATHER, THE HOSPITAL LOCATIONS FOR THE JV HOSPITAL WILL BE INCLUDED IN SAINT LUKE'S SOUTH HOSPITAL'S CHNA AND WILL BE COMPLETED NO LATER THAN DECEMBER 31, 2020.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>0</FacilityNum>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 FAP, FAP APPLICATION, &amp; PLAIN SUMMARY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE WE HAVE REPORTED THE CURRENT LOCATION OF THE POLICIES FOR THE JV HOSPITALS.THE WEBSITE EFFECTIVE IN 2018 IS NO LONGER ACTIVE. SEE EXPLANATION FOR PART V, SECTION B, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>NA- NO COMMUNITY BENEFIT EXPENSES ARE REPORTABLE FROM THE PARTNERSHIP LICENSED HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>NO COMMUNITY BUILDING EXPENSES WERE REPORTED FOR THE JOINT VENTURE LICENSED HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A PARTNER IN A JOINT VENTURE, THP-SAINT LUKE'S VENTURES, LLC THAT IS A LICENSED HOSPITAL. THE ORGANIZATION DOES NOT DIRECTLY OPERATE A LICENSED HOSPITAL. BAD DEBT REPORTED IS THE ORG'S SHARE OF BAD DEBT DIRECTLY FROM THE PARTNERSHIP'S FINANCIAL STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>NA. SEE EXPLANATION FOR PART III, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>NONE REPORTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A PARTNER IN A JOINT VENTURE, THP-SAINT LUKE'S VENTURES, LLC THAT IS A LICENSED HOSPITAL. THE DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF THE PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. FOR ANY REMAINING BALANCES DUE, THE SAME COLLECTION POLICY AND PROCEDURES ARE APPLIED EQUALLY TO ALL PATIENT TYPES. THE JV HOSPITAL MAY PLACE CERTAIN ACCOUNTS FOR COLLECTION. SUCH COLLECTION AGENCY MUST FOLLOW THE FAIR DEBT COLLECTION PRACTICES ACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SAINT LUKE'S COMMUNITY HOSPITAL (JOINT VENTURE LICENSED HOSPITAL): Line 16a URL: WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SAINT LUKE'S COMMUNITY HOSPITAL (JOINT VENTURE LICENSED HOSPITAL): Line 16b URL: WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SAINT LUKE'S COMMUNITY HOSPITAL (JOINT VENTURE LICENSED HOSPITAL): Line 16c URL: WWW.SAINTLUKESKC.ORG/FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>AN EFFORT TO UNDERSTAND AND CREATE A HEALTHIER COMMUNITY REQUIRES COLLABORATION. AS PART OF SAINT LUKE'S HEALTH SYSTEM, THE JV HOSPITAL SERVES THE SAME POPULATION AS IT'S RELATED ENTITY, SAINT LUKE'S SOUTH HOSPITAL. THIS SHARED DATA ENABLES THE JV HOSPITAL TO ASSESS COMMUNITY NEEDS FROM ITS COMPREHENSIVE, DATA DRIVEN, PLANNING PROCESS. FEEDBACK FROM THE COMMUNITY IS COMMUNICATED TO HOSPITAL MANAGEMENT AND CONSIDERED WHEN DETERMINING NEEDS OF THE SAME POPULATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Information about the availability of financial assistance appears on patient statements and is posted on signs in hospital registration areas. The financial assistance policy and plain language summary is available on the Hospital's website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>THE JV HOSPITAL LOCATIONS MAINLY SERVE THE SUBURBAN JOHNSON COUNTY, KS AREA WHICH IS PART OF THE LARGER KANSAS CITY METROPOLITAN AREA. THIS SERVICE AREA HAS HISTORICALLY BEEN HIGHLY POPULATED WITH COLLEGE EDUCATED,INSURED INDIVIDUALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE JV HOSPITAL EXTENDS THE SERVICES PROVIDED BY SAINT LUKE'S HEALTH BY PROVIDING GREATER ACCESS TO EMERGENCY CARE AND INPATIENT SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>THE JV HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM (SLHS), WHICH CONSISTS OF 16 AREA HOSPITAL LOCATIONS AND SEVERAL PRIMARY AND SPECIALTY CARE PRACTICES. SLHS PROVIDES A RANGE OF INPATIENT, OUTPATIENT, AND HOME CARE SERVICES. FOUNDED AS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION, OUR MISSION INCLUDES A COMMITMENT TO THE HIGHEST LEVELS OF EXCELLENCE IN HEALTH CARE AND THE ADVANCEMENT OF MEDICAL RESEARCH AND EDUCATION. THE HEALTH SYSTEM IS AN ALIGNED ORGANIZATION IN WHICH THE PHYSICIANS AND HOSPITALS ASSUME RESPONSIBILITY FOR ENHANCING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF PEOPLE IN THE METROPOLITAN KANSASCITY AREA AND THE SURROUNDING REGION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="18007697" softwareVersionNum="2018v3.1">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>AIDS SERVICE FOUNDATION OF GREATER KANSAS CITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 32192</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64171</ZIPCd>
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        <RecipientEIN>431613911</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR HEALTH CARE NEEDS AND RESEARCH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN CANCER SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1100 PENNSYLVANIA AVE</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64105</ZIPCd>
        </USAddress>
        <RecipientEIN>431788491</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HEART ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6800 WEST 93RD STREET</AddressLine1Txt>
          <CityNm>OVERLAND PARK</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66212</ZIPCd>
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        <RecipientEIN>135613797</RecipientEIN>
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        <PurposeOfGrantTxt>SUPPORT FOR HEALTH CARE NEEDS AND RESEARCH</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BLUE SPRINGS CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 MAIN STREET</AddressLine1Txt>
          <CityNm>BLUE SPRINGS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64015</ZIPCd>
        </USAddress>
        <RecipientEIN>440653385</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>8200</CashGrantAmt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOYS &amp; GIRLS CLUBS OF GREATER KANSAS CITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4001 BLUE PARKWAY</AddressLine1Txt>
          <AddressLine2Txt>SUITE 102</AddressLine2Txt>
          <CityNm>KANSAS CITY</CityNm>
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          <ZIPCd>64130</ZIPCd>
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        <RecipientEIN>436072065</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTER FOR PRACTICAL BIOETHICS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1111 MAIN</AddressLine1Txt>
          <AddressLine2Txt>SUITE 500</AddressLine2Txt>
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        <RecipientEIN>480985815</RecipientEIN>
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        <CashGrantAmt>35000</CashGrantAmt>
        <PurposeOfGrantTxt>PROMOTION OF HEALTH</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHAMBER OF COMMERCE OF GREATER KANSAS CITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>300 W PERSHING ROAD</AddressLine1Txt>
          <AddressLine2Txt>SUITE 301</AddressLine2Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64108</ZIPCd>
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        <RecipientEIN>440196840</RecipientEIN>
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          <AddressLine1Txt>13 SE THIRD STREET</AddressLine1Txt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>GILDAS CLUB OF KANSAS CITY</BusinessNameLine1Txt>
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          <AddressLine1Txt>21 WEST 43RD ST</AddressLine1Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64111</ZIPCd>
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      <RecipientTable>
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          <BusinessNameLine1Txt>JEWISH COMMUNITY CENTER OF KANSAS CITY</BusinessNameLine1Txt>
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      <RecipientTable>
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      </RecipientTable>
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          <BusinessNameLine1Txt>KC CARE HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <ZIPCd>64111</ZIPCd>
        </USAddress>
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        <PurposeOfGrantTxt>SUPPORT FOR HEALTH CARE NEEDS AND RESEARCH</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LEES SUMMIT PARKS AND RECREATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>220 SE GREEN STREET</AddressLine1Txt>
          <CityNm>LEES SUMMIT</CityNm>
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          <ZIPCd>64063</ZIPCd>
        </USAddress>
        <RecipientEIN>446000208</RecipientEIN>
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        <PurposeOfGrantTxt>COMMUNITY SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARCH OF DIMES FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4400 COLLEGE BLVD</AddressLine1Txt>
          <AddressLine2Txt>SUITE 180</AddressLine2Txt>
          <CityNm>OVERLAND PARK</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66211</ZIPCd>
        </USAddress>
        <RecipientEIN>131846366</RecipientEIN>
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        <CashGrantAmt>20500</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR HEALTH CARE NEEDS AND RESEARCH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>MIDWEST CENTER FOR HOLOCAUST EDUCATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5801 W 115TH</AddressLine1Txt>
          <AddressLine2Txt>SUITE 106</AddressLine2Txt>
          <CityNm>OVERLAND PARK</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66211</ZIPCd>
        </USAddress>
        <RecipientEIN>481127376</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNITY SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MISSOURI COALITION OF CHILDREN'S AGENCIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>213 E CAPITOL AVE</AddressLine1Txt>
          <AddressLine2Txt>SUITE 101</AddressLine2Txt>
          <CityNm>JEFFERSON CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65101</ZIPCd>
        </USAddress>
        <RecipientEIN>431074552</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR HEALTH CARE NEEDS AND RESEARCH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHLAND HEALTHCARE ACCESS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 14414</AddressLine1Txt>
          <CityNm>PARKVILLE</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64152</ZIPCd>
        </USAddress>
        <RecipientEIN>431578121</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR HEALTH CARE NEEDS AND RESEARCH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NOURISHKC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11 EAST 40TH</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64111</ZIPCd>
        </USAddress>
        <RecipientEIN>431525298</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNITY SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF GREATER KANSAS CITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>801 WEST 47TH STREET</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64112</ZIPCd>
        </USAddress>
        <RecipientEIN>440545812</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNITY SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAINT LUKES HOSPITAL OF GARNETT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>421 S MAPLE</AddressLine1Txt>
          <CityNm>GARNETT</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66032</ZIPCd>
        </USAddress>
        <RecipientEIN>742849611</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5114950</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR COMMUNITY HEALTH CARE NEEDS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>901 E 104TH STREET</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64131</ZIPCd>
        </USAddress>
        <RecipientEIN>431127200</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>400000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR COMMUNITY HEALTH CARE NEEDS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>20</Total501c3OrgCnt>
      <TotalOtherOrgCnt>3</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE PROVIDED TO QUALIFIED CHARITIES FOR GENERAL OPERATIONS AND TO BE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE CHARITABLE ORGANIZATION. SUCH GRANTS FURTHER OR SUPPORT A CHARITABLE PURPOSE OF SAINT LUKE'S HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <FirstClassOrCharterTravelInd>X</FirstClassOrCharterTravelInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MELINDA ESTES MD</BusinessNameLine1Txt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>DIRECTOR &amp; PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>FORMER VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>381151</CompensationBasedOnRltdOrgsAmt>
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        <TitleTxt>VP TAXATION RETIRED 12/2018</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>VP INTERNAL AUDIT</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>VP RISK &amp; CLAIMS MGMT RETIRED 12/2018</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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          <BusinessNameLine1Txt>CHARLES V ROBB</BusinessNameLine1Txt>
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        <BusinessName>
          <BusinessNameLine1Txt>JULIE QUIRIN</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>SENIOR VP HOSPITAL OPERATIONS</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>LEONARDO LOZADA MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CHIEF PHYSICIAN EXEC Term Ended 4/2018</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>J CHRIS PERRYMAN MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>SENIOR VP CHIEF MEDICAL OFFICER</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>557221</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>TAMMY LESLIE</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>DIRECTOR TOTAL REWARDS STRATEGY</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>COLLINS IZIMBA</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>232623</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BusinessName>
          <BusinessNameLine1Txt>DAVID WISEMAN</BusinessNameLine1Txt>
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        <TitleTxt>CHIEF INFO SECURITY OFFICER</TitleTxt>
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          <BusinessNameLine1Txt>ROGER ZAREMBA</BusinessNameLine1Txt>
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        <TitleTxt>CHIEF TECHNOLOGY OFFICER</TitleTxt>
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          <BusinessNameLine1Txt>JAMIE ALLEN</BusinessNameLine1Txt>
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        <TitleTxt>SENIOR COUNSEL</TitleTxt>
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        <ExplanationTxt>ROBERT OLM-SHIPMAN RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. MARIE GRIFFIN, MD AND GINA LAWSON, DO DID NOT RECEIVE COMPENSATION FOR DUTIES AS DIRECTORS OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. DON SIPES RECEIVED COMPENSATION FROM THE FILING ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND TO RELATED ORGANIZATIONS. J. CHRIS PERRYMAN, MD RECEIVED COMPENSATION FROM A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND THE RELATED ORGANIZATION. Michael VanDerhoef is compensated by the organization for services provided to both the reporting organization and Saint Luke's Foundation. Saint Luke's Foundation, a tax-exempt 501c3 organization, is not a related organization for tax purposes. AVERAGE HOURS REPORTED FOR THE RELATED ORGANIZATION ARE THE AVERAGE HOURS DURING THE TIME EMPLOYED BY THE RELATED ORGANIZATION OR IN A SEPARATE ROLE FOR THE RELATED ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a First-class or charter travel</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CHARTERED A PLANE FOR 2 BUSINESS TRIPS DURING 2018 FOR 6 OFFICERS OF THE ORGANIZATION. THE BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION BECAUSE TRAVEL WAS EXCLUSIVELY FOR BUSINESS PURPOSES. CHARTER TRAVEL WAS USED AS THE MOST APPROPRIATE MEANS BASED ON THE TIMING AND LOCATION OF THE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENT INCLUDED IN SCH J, PART II, B(III) OTHER REPORTABLE COMPENSATION: LEONARDO LOZADA - $577,245</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>457(F) PLAN PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: CHARLES ROBB - $161,543 DAWN MURPHY - $170,776 JULIE QUIRIN - $49,068 ROBERT BONNEY - 0 MELINDA ESTES - 0 457(F) PAYMENT INCLUDED IN COLUMN B(III): MELINDA ESTES - $1,641,280 FOR THE VARIOUS 457(F) PLANS, A PARTICIPANT'S BENEFIT IS PAID AT VESTING. VESTING GENERALLY OCCURS AT RETIREMENT AGE AND MAY BE SUBJECT TO CERTAIN RESTRICTIVE COVENANTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED A MANAGEMENT INCENTIVE COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR AND MIDDLE MANAGEMENT TO PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES. THE INCENTIVES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY CONTINGENT ON ACHIEVING QUALITY, PATIENT SATISFACTION, EMPLOYEE ENGAGEMENT, FINANCIAL AND OTHER OPERATIONAL PERFORMANCE TARGETS ESTABLISHED BY THE BOARD'S COMPENSATION COMMITTEE ON AN ANNUAL BASIS. INCENTIVE AWARDS ARE PAID AT THE DISCRETION OF THE BOARD OF DIRECTORS AND DO NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER FINANCIAL RESULTS HAVE BEEN DETERMINED FOR THE CALENDAR YEAR. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS. SENIOR SYSTEM MANAGEMENT IS ALSO ELIGIBLE FOR INCENTIVE COMPENSATION FOR ACHIEVING LONG-TERM GOALS THAT PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES IN MEETING COMMUNITY NEEDS. THESE INCENTIVES ARE TIED TO 3 YEAR PERFORMANCE CYCLES AND ARE CALCULATED AS A PERCENTAGE OF BASE SALARY AT THE TIME OF PAYMENT. THE BOARD OF DIRECTORS OVERSEES THIS PLAN AND EVALUATES THE COMPENSATION FOR REASONABLENESS. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS.</ExplanationTxt>
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        <IssuanceCostsFromProceedsAmt>2442228</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>301052773</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0019</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0019</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0025</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0025</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I SCHEDULE K</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MASTER TRUST INDENTURE PROVIDES THAT THE TAX-EXEMPT REVENUE BONDS ARE THE JOINT AND SEVERAL OBLIGATIONS OF EACH OF THE MEMBERS OF THE OBLIGATED GROUP. IN 2018, THE OBLIGATED GROUP INCLUDES SAINT LUKE'S HEALTH SYSTEM, SAINT LUKE'S HOSPITAL OF KANSAS CITY, SAINT LUKE'S NORTH HOSPITAL, SAINT LUKE'S SOUTH HOSPITAL AND SAINT LUKE'S EAST HOSPITAL. ONLY A PORTION OF THE BONDS WAS USED FOR THE FILING ORGANIZATION'S PROJECTS. THE BONDS ARE REPORTED AS LIABILITIES ON THE BALANCE SHEETS OF THE OBLIGATED GROUP ENTITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I PART I AND II</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: HEALTH&amp;EDUC FACILITIES AUTHORITY OF THE STATE OF MO: SERIES 2010A THE TOTAL AMOUNT OF PROCEEDS OF THE BOND ISSUE IS NOT IDENTICAL TO THE ISSUANCE PRICE LISTED IN PART I DUE TO INVESTMENT EARNINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I PART I AND II</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: HEALTH&amp;EDUC FACILITIES AUTHORITY OF THE STATE OF MO: SERIES 2018A THE TOTAL AMOUNT OF PROCEEDS OF THE BOND ISSUE IS NOT IDENTICAL TO THE ISSUANCE PRICE LISTED IN PART I DUE TO INVESTMENT EARNINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: HEALTH&amp;EDUC FACILITIES AUTHORITY OF THE STATE OF MO: SERIES 2010A The calculation for computing no rebate due was performed on 08/31/2015</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN C</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: HEALTH&amp;EDUC FACILITIES AUTHORITY OF THE STATE OF MO: SERIES 2012C The calculation for computing no rebate due was performed on 06/29/2018</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK2" softwareId="18007697" softwareVersionNum="2018v3.1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HEALTH&amp;EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2016B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>431178966</BondIssuerEIN>
        <BondIssuedDt>2016-07-01</BondIssuedDt>
        <IssuePriceAmt>90000000</IssuePriceAmt>
        <PurposeDesc>REFUND SERIES 2012A AND REMAINING 2012B BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HEALTH&amp;EDUC FACILITIES AUTHORITY OF THE STATE OF MO 2016C</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>431178966</BondIssuerEIN>
        <BondIssuedDt>2016-12-21</BondIssuedDt>
        <IssuePriceAmt>23280000</IssuePriceAmt>
        <PurposeDesc>REFUND BISHOP SPENCER PLACE SERIES 2004 BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Health and Educational Facilities Authority of the State of Missouri Health</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>Facilities Revenue Bonds (Saint Luke's Health System Inc) Series 2018A</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>431178966</BondIssuerEIN>
        <CUSIPNum>60637AMW9</CUSIPNum>
        <BondIssuedDt>2018-05-23</BondIssuedDt>
        <IssuePriceAmt>100000872</IssuePriceAmt>
        <PurposeDesc>Partial Series 2012C refund; facility expansions and equipment at SLH, SLEH, SLNH AND SLSH</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <TotalProceedsAmt>90000000</TotalProceedsAmt>
        <OtherSpentProceedsAmt>90000000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>940000</RetiredAmt>
        <TotalProceedsAmt>23280000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>51000</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>23229000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <TotalProceedsAmt>100373679</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>1224102</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>44208363</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>20244472</OtherSpentProceedsAmt>
        <UnspentAmt>34696742</UnspentAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>UBS</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>19.2</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="18007697" softwareVersionNum="2018v3.1">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>AUDREY HILL</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF THOMAS BROWN, DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>105041</TransactionAmt>
        <TransactionDesc>AUDREY HILL IS EMPLOYED BY SAINT LUKE'S HEALTH SYSTEM</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>BRIAN GASH</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF DEBORAH GASH, OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>91783</TransactionAmt>
        <TransactionDesc>BRIAN GASH IS EMPLOYED BY SAINT LUKE'S HEALTH SYSTEM</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CHRISTOPHER CHRISTENSEN</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF CINDY CHRISTENSEN, OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>162986</TransactionAmt>
        <TransactionDesc>CHRISTOPHER CHRISTENSEN IS EMPLOYED BY SAINT LUKE'S HEALTH SYSTEM</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="18007697" softwareVersionNum="2018v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 16b JOINT VENTURES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PROCEDURES INCLUDE OVERSIGHT AND REVIEW OF ANY JOINT VENTURES TO ENSURE EXEMPT STATUS IS PROTECTED. THE ORGANIZATION HAS MAJORITY CONTROL AND OPERATING AGREEMENT REQUIREMENTS FOR THE VENTURE TO OPERATE IN A MANNER CONSISTENT WITH THE ORGANIZATION'S EXEMPT MISSION AND FOR THE VENTURE TO NOT ENGAGE IN POLITICAL CANDIDATE CAMPAIGN ACTIVITY OR OTHER ACTIVITIES THAT WOULD JEOPARDIZE THE ORGANIZATION'S EXEMPTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION AMENDED ITS ARTICLES OF INCORPORATION TO UPDATE ITS NAMED SUPPORTED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND THE ENTITY'S CFO OR CEO BEFORE FILING. A SUMMARY OF KEY 990 INFORMATION WAS PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND THE 990 DRAFT WAS MADE AVAILABLE TO THE COMMITTEE FOR REVIEW. THE 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT LUKE'S HEALTH SYSTEM AND ITS AFFILIATES HAVE COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICIES APPLICABLE TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. ANY ACTUAL, POSSIBLE OR PERCEIVED CONFLICT OF INTEREST IS EXPECTED TO BE HANDLED THROUGH FULL AND TIMELY DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSENCE OF PERSUASION IN ANY DISCUSSION AND IN ANY VOTE WHEREIN THE INTEREST IS INVOLVED. DISCLOSURE IS TO BE MADE WHEN THE INTEREST ARISES, AT ANY TIME THE INTEREST BECOMES A MATTER OF GOVERNING BOARD ACTION, AND THEN ANNUALLY THROUGH COMPLETION OF A CONFLICT OF INTEREST QUESTIONNAIRE. THE SYSTEM VICE PRESIDENT OF INTERNAL AUDIT REVIEWS COMPLETED QUESTIONNAIRES AND FURTHER INVESTIGATES POSSIBLE CONFLICTS OF INTEREST. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND ANY IDENTIFIED CONFLICT OF INTEREST IS REPORTED TO THE APPLICABLE ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND OTHER HIGHLY COMPENSATED OFFICERS. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE THROUGH THE KS SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC AVAILABLE THROUGH EMMA. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a, Column (B) RELATED ORGANIZATION COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>ROBERT OLM-SHIPMAN RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. MARIE GRIFFIN, MD AND GINA LAWSON, DO DID NOT RECEIVE COMPENSATION FOR DUTIES AS DIRECTORS OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. DON SIPES RECEIVED COMPENSATION FROM THE FILING ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND TO RELATED ORGANIZATIONS. J. CHRIS PERRYMAN MD RECEIVED COMPENSATION FROM A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND THE RELATED ORGANIZATION. Michael VanDerhoef is compensated by the organization for services provided to both the reporting organization and Saint Luke's Foundation. Saint Luke's Foundation, a tax-exempt 501c3 organization, is not a related organization for tax purposes. AVERAGE HOURS REPORTED FOR THE RELATED ORGANIZATION ARE THE AVERAGE HOURS DURING THE TIME EMPLOYED BY THE RELATED ORGANIZATION OR IN A SEPARATE ROLE FOR THE RELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 11 INVESTMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT LUKE'S HEALTH SYSTEM IS THE OWNER OF VARIOUS INVESTMENTS WHICH ARE ALLOCATED TO AFFILIATED HOSPITALS AND REPORTED ON SUCH HOSPITALS' BALANCE SHEETS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONAL PENSION OBLIGATION - -14582886; SAINT LUKES CARE ADJUSTMENT - -2031; RRG SUBSCRIBER DIVIDEND - -605; ROUNDING - -1;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>MEDICAL PLAZA PARTNERS LP</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Saint Luke's Hospital</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Saint Luke's Physician Group</BusinessNameLine1Txt>
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        <InvolvedAmt>318562</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Medical Plaza Partners</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>91737</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Medical Plaza Partners</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>51138</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Home Care and Hospice</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>400000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Home Care and Hospice</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>79224</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Home Care and Hospice</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>2558827</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Home Care and Hospice</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>254479</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Home Care and Hospice</BusinessNameLine1Txt>
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        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>196747</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's North Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>5000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's North Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>19501831</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's North Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>82670</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's North Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>143088</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's North Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>5746906</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's North Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1848281</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's North Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>4467407</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's North Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>86386</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's South Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>G</TransactionTypeTxt>
        <InvolvedAmt>1288150</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's South Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>87220</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's South Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>19276099</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's South Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>83539</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's South Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>130850</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's South Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>5187710</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's South Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>2538261</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's South Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>281960</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's College of Health Sciences</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>252908</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's College of Health Sciences</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>56461</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's College of Health Sciences</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>291939</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Rockhill Orthopaedic Specialists Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>110446</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Rockhill Orthopaedic Specialists Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>150000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Hospital of Trenton</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>3178206</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Hospital of Trenton</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>62500</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Hospital of Trenton</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>273657</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Hospital of Trenton</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>986849</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Hospital of Trenton</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>65437</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Medical Plaza Management Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>62458</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Medical Plaza Management Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>108213</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Health System Risk Retention Group</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>77112</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Health System Risk Retention Group</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1967427</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Health System Risk Retention Group</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>104801</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Health System Insurance Ltd</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>244199</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Health System Insurance Ltd</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>12441343</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Luke's Health System Insurance Ltd</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>11979816</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part V, Line 1 PART V, LINE 1, TRANSACTIONS WITH RELATED ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>