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      <OtherExpensesNotIncludedAmt>1300785</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1300785</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>41180601</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO MAINTAIN HEALTHCARE EXCELLENCE BY BRIDGING THE FINANCIAL GAP BETWEEN THE INCREASING COST OF PROVIDING SERVICES AND THE SHRINKING LEVEL OF REIMBURSEMENT FROM MEDICARE, MEDICAID AND PRIVATE INSURANCE; PURCHASE NEW EQUIPMENT AND MAKE OTHER NON-REIMBURSABLE CAPITAL INVESTMENTS THAT ALLOW ST. LUKE TO PROVIDE PATIENTS WITH THE LATEST AND MOST TECHNOLOGICALLY ADVANCED CARE; ENGAGE IN VALUABLE, NON-REIMBURSABLE MEDICAL ACTIVITIES, SUCH AS PHYSICIAN/STAFF TRAINING AND PATIENT/COMMUNITY EDUCATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE TAXES ON RELATED INCOME PURSUANT TO SIMILAR STATE OF MONTANA TAX LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE COMMUNITY HEALTHCARE FOUNDATION REVENUE 358,786. OTHER EXPENSES NETTED ON FINANCIAL STATEMENTS -1,234,122.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ELIMINATED REVENUE 66,663.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE COMMUNITY HEALTHCARE FOUNDATION EXPENSES 87,190.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER EXPENSES NETTED ON FINANCIAL STATEMENTS 1,234,122. ELIMINATED EXPENSES 66,663.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. LUKE COMMUNITY HEALTHCARE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: ST. LUKE CONSULTED WITH EMILY COLOMEDA, DIRECTOR - LAKE COUNTY PUBLIC HEALTH, NIKI GRAHAM, DIRECTOR - SALISH KOOTENAI COLLEGE, DUANE LUTKE, DIRECTOR - WESTERN MONTANA AREA VI AGENCY ON AGING, AND JOHN SCHNASE - BOYS AND GIRLS CLUB.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. LUKE COMMUNITY HEALTHCARE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: LISTED BELOW ARE THE MOST SIGNIFICANT NEEDS IDENTIFIED IN THE HOSPITAL'S MOST RECENTLY CONDUCTED CHNA AND HOW THE HOSPITAL IS ADDRESSING THOSE NEEDS: 1. IMPROVE ACCESS TO MENTAL HEALTH SERVICES - ST. LUKE IS 1) INTEGRATING BEHAVIORAL HEALTH INTO CLINIC PRACTICE AND 2) INCREASING EFFORTS RELATED TO SUICIDE AWARENESS AND PREVENTION FOR STAFF AND COMMUNITY MEMBERS. 2. STRENGTHEN AND ENHANCE COMMUNITY OUTREACH RELATED TO ALCOHOL AND SUBSTANCE ABUSE - ST. LUKE IS 1) CONTINUING TO OFFER ALCOHOL AND SUBSTANCE ABUSE PROGRAMS AND SERVICES AND EXPLORING OPPORTUNITIES TO EXPAND THOSE PROGRAMS AND SERVICES AND 2) ENHANCING AWARENESS OF LOCAL DRUG AND ALCOHOL RELATED PROGRAMS AND RESOURCES. 3. IMPROVE ACCESS TO HEALTHCARE SERVICES - ST. LUKE IS 1) IMPROVING ACCESS TO SPECIALTY CARE SERVICES AVAILABLE AT THE HOSPITAL, 2) IMPROVING ACCESS TO EXISTING SERVICES OFFERED AT THE HOSPITAL, 3) IMPROVING PATIENT ENGAGEMENT AND UNDERSTANDING OF HEALTH INFORMATION, AND 4) CONTINUING TO DEVELOP A HEALTHCARE WORKFORCE PIPELINE. 4. ENHANCE ST. LUKE'S EFFORTS IN POPULATION HEALTH IN THE ST. LUKE SERVICE AREA - ST. LUKE IS 1) FURTHER DEVELOPING AND IMPLEMENTING THE CHRONIC CARE MANAGEMENT (CCM) PROGRAM, 2) DEVELOPING AND EXPANDING INTEGRATED CARE TEAM, AND 3) CONTINUING TO ENHANCE COMMUNITY HEALTH EDUCATION AND OUTREACH EFFORTS. LISTED BELOW ARE THE NEEDS IDENTIFIED IN THE HOSPITAL'S MOST RECENTLY CONDUCTED CHNA THAT THE HOSPITAL HAS BEEN UNABLE TO ADDRESS AND THE REASONS WHY THEY ARE NOT BEING ADDRESSED: 1. ASSISTED LIVING CENTER - ST. LUKE HAS LIMITED FINANCIAL RESOURCES BUT IS SEEKING POTENTIAL PARTNERS TO HELP ADDRESS THIS NEED. 2. PATIENTS DID NOT RECEIVE OR HAD TO DELAY GETTING NEEDED MEDICAL SERVICES DUE TO COST - ST. LUKE PROVIDES PATIENT FINANCIAL ASSISTANCE, PAYMENT PLANS, AND PATIENT ACCOUNT REPRESENTATIVES TO ASSIST PATIENTS IN MEETING FINANCIAL OBLIGATIONS. 3. ADDRESS THE NUMBER OF PEOPLE LIVING IN POVERTY - ST. LUKE IS LOOKING FOR WAYS TO SUPPORT THIS POPULATION BUT HAS LIMITED RESOURCES TO ADDRESS SUCH A DIFFICULT ISSUE. 4. PROVIDE DIALYSIS SERVICES - ST. LUKE DOES NOT PROVIDE DIALYSIS SERVICES BECAUSE THIS SERVICE IS OFFERED AT TWO LOCATIONS IN THE FLATHEAD VALLEY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. LUKE COMMUNITY HEALTHCARE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 24: THE HOSPITAL CHARGES ALL OF ITS PATIENTS AN AMOUNT EQUAL TO THE GROSS CHARGE FOR ANY SERVICE. THE BILLED AMOUNT AND THE CHARGED AMOUNT ARE THE SAME FOR EVERYONE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>1. PHYSICAL IMPROVEMENTS AND HOUSING:ST. LUKE COMMUNITY HOSPITAL CONTRIBUTES TO PHYSICAL IMPROVEMENTS AND HOUSING IN THE FOLLOWING WAYS:- PROVIDES INSURANCE OVER CITY STREETS AND SIDEWALKS- PROVIDES PERPETUAL EASEMENT ON A PORTION OF OUR PROPERTY TO ALLOW THE CITY OF RONAN TO EXPAND ITS ROAD INFRASTRUCTURE FOR AN ADDITIONAL EAST/WEST CORRIDOR THROUGH TOWN- PAYS ANNUAL ELECTRIC COSTS TO LIGHT CITY STREETS- SUPPORTS AND PROVIDES THE CITY OF RONAN WITH SNOW REMOVAL ON CITY STREETS SURROUNDING AND ADJACENT TO THE FACILITY- PROVIDES FUNDING TO THE CITY FOR THE ACQUISITION OF STREET CLEANING EQUIPMENT2. ECONOMIC DEVELOPMENT:ST. LUKE COMMUNITY HOSPITAL PROVIDES SUPPORT FUNDING FOR THE LAKE COUNTY COMMUNITY DEVELOPMENT CORPORATION AND IS AN ACTIVE PARTICIPANT IN THE RONAN AND POLSON CHAMBER OF COMMERCE.3. COMMUNITY SUPPORT:ST. LUKE COMMUNITY HOSPITAL PROVIDES THE FOLLOWING:- FUNDING TO SUPPORT THE EFFORTS OF THE BOYS AND GIRLS CLUB OF THE FLATHEAD INDIAN RESERVATION- MEETING ROOMS AND ACCOMMODATIONS FOR AA AND ALANON MEETINGS- FINANCIAL ASSISTANCE TO THE RONAN POLICE DEPARTMENT4. ENVIRONMENTAL IMPROVEMENTS:ST. LUKE COMMUNITY HOSPITAL PROVIDES THE CITY OF RONAN USE OF A LARGE PORTION OF ITS PROPERTY AS A STORM WATER RETENTION POND FOR CITY STREETS. ST. LUKE ALSO PURCHASED AND INSTALLED THREE GRINDER PUMPS FOR THE CITY OF RONAN'S SEWER SYSTEM. ST. LUKE ALSO PROVIDES SUPPORT FOR ADOPT A HIGHWAY - CLEAN UP.5. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS:ST. LUKE COMMUNITY HOSPITAL SPONSORS LAKE COUNTY JOB SERVICE TRAINING FOR COMMUNITY MEMBERS AND REASONABLE SUSPICION TRAINING FOR AREA BUSINESSES.6. COALITION BUILDING:ST. LUKE COMMUNITY HOSPITAL PROVIDES FINANCIAL ASSISTANCE TO THE LAKE COUNTY COUNCIL ON AGING TO ENSURE ACCESS TO TRAVEL FOR ERRANDS BY THE SENIOR POPULATION. ST. LUKE ALSO PARTICIPATES WITH OTHER HEALTH CARE ENTITIES, LAKE COUNTY, POLICE AND FIRE DEPARTMENTS, FOR DISASTER PLANNING. ST. LUKE DONATES ANNUALLY TO THE SCHOOL DISTRICTS FOR SPORTS PHYSICIALS.7. COMMUNITY HEALTH IMPROVEMENT ADVOCACY:ST. LUKE COMMUNITY HOSPITAL ADVOCATES FOR COMMUNITY HEALTH IMPROVEMENT IN THE FOLLOWING WAYS:- PROVIDES SUBSIDIES FOR LAKE COUNTY COMMUNITY HEALTH DEPARTMENT TO PAY FOR MEDICAL DIRECTOR AND DIETICIAN- PROVIDES A PHYSICIAN TO BE THE COUNTY HEALTH OFFICER- SPONSORS AND SUPPORTS THE RELAY FOR LIFE CANCER RESEARCH FUNDRAISING- WORKS WITH LAKE COUNTY HEALTH DEPARTMENT ON VARIOUS CAMPAIGNS AND PROGRAMS SUCH AS FETAL, INFANT, CHILD MORTALITY REVIEW, GREAT AMERICAN SMOKEOUT, AND OTHER PROGRAMS- PROVIDES FINANCIAL SUBSIDY TO ENSURE COMMUNITY ACCESS TO MENTAL HEALTH - PROVIDES CHILDBIRTH EDUCATION TO COMMUNITY MEMBERS- PROVIDES STAFF AND FINANCIAL ASSISTANCE AT PUBLIC EVENTS SUCH AS 3 ON 3 BASKETBALL TOURNAMENT, HEALTH FAIR TRADE SHOW, WOMEN FOR WELLNESS, CRUISING BY THE BAY CAR SHOW, BUFFALO RUN, LIVE LOCALLY FUN RUN, WATER DAYZ, AND OTHER PUBLIC EVENTS- PROVIDES HEALTHCARE CERTIFICATES TO NOT-FOR-PROFIT ENTITIES TO SUPPORT THEIR FUNDRAISING EFFORTS8. WORKFORCE DEVELOPMENT:ST. LUKE COMMUNITY HOSPITAL PROVIDES CLINICAL SPACE AND INSTRUCTION AS WELL AS HOUSING FOR MEDICAL STUDENTS, MEDICAL RESIDENTS, NURSING STUDENTS, PA STUDENTS, KICKING HORSE JOB CORPS STUDENTS, RADIOLOGY STUDENTS AND OTHERS. ST. LUKE ALSO PROVIDES SCHOLARSHIP ASSISTANCE TO AREA YOUTH FOR EDUCATION EFFORTS AND PARTICIPATES IN AREA JOB FAIRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BAD DEBT EXPENSE IS THE ACTUAL AMOUNT TURNED OVER TO THE COLLECTION COMPANIES ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>HISTORICALLY, ONE-THIRD OF ALL BAD DEBTS ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IS DESCRIBED IN FOOTNOTE 1 ON PAGE 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO PORTION OF THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. ADJUSTED PATIENT CARE COST WAS DIVIDED BY THE ADJUSTED PATIENT CARE CHARGES TO DETERMINE THE COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF ST. LUKE COMMUNITY HEALTH CARE NETWORK IS TO PROVIDE CARE AT ALL TIMES TO THOSE WHO ARE IN NEED. THE CHARITY POLICY MAY BE EXTENDED TO THOSE PATIENTS WHO HAVE DEMONSTRATED THE INABILITY TO PAY ALL OR PART OF THEIR NETWORK BILL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE CONDUCTS THE FOLLOWING ACTIVITIES IN ORDER TO ASSESS THE HEALTHCARE NEEDS OF OUR COMMUNITIES: - CONDUCTS PERIODIC NEEDS ASSESSMENT SURVEYS TO THE COMMUNITY VIA FOCUS GROUPS;- SERVICE LINE SPECIFIC PATIENT SATISFACTION SURVEYS ARE GIVEN TO PATIENTS WITH OPPORTUNITY TO PROVIDE INPUT AND SUGGESTIONS FOR ADDITIONAL SERVICES;- BOARD MEMBERS AND MEDICAL STAFF MEMBERS ARE ENCOURAGED TO COMMUNICATE WITH COMMUNITY MEMBERS AND PROVIDE INPUT INTO THE STRATEGIC PLANNING PROCESS;- ADMINISTRATIVE INVOLVEMENT IN COMMUNITY CIVIC ORGANIZATIONS WITH SPECIFIC EFFORTS TO SOLICIT FEEDBACK ON SERVICE IMPROVEMENT OPPORTUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE POSTS SIGNS AT ALL ACCESS AREAS, GIVING INFORMATION ABOUT OUR PATIENT FINANCIAL ASSISTANCE POLICY. ALL PATIENTS MAY MEET WITH A PATIENT ACCOUNTS REPRESENTATIVE TO DISCUSS PROGRAMS AVAILABLE TO THEM AND FORMS OF PAYMENT. THE PATIENT FINANCIAL ASSISTANCE POLICY IS POSTED ON THE WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE MONTANA ASSOCIATION OF HOSPITALS CONDUCTS AN INDEPENDENT SURVEY AND COMPARISON OF FACILITIES ACROSS MONTANA AND COMPARES DATA ACROSS SEVERAL OTHER STATES. THE EXECUTIVE COMMITTEE OF THE BOARD OF ST. LUKE COMMUNITY HEALTHCARE USES SALARY DATA FROM THIS SURVEY TO DETERMINE COMPENSATION.</ExplanationTxt>
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