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          <BusinessNameLine1Txt>GUY TOWNSEND III</BusinessNameLine1Txt>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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      <OtherSecuritiesGrp>
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        <BookValueAmt>3416300</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Siguler Guff Distressed Opportunities</Desc>
        <BookValueAmt>1639521</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>Siguler Gulf Distressed Opportunities Fund IV</Desc>
        <BookValueAmt>2412612</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>1607 Capital International Equity Fund</Desc>
        <BookValueAmt>38745874</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>Prisma Spectrum Fund LTD</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Lsv Emerging Markets Equity Fund Limited Partnership</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <TotalBookValueSecuritiesAmt>314255445</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN AFFILIATES</Desc>
        <BookValueAmt>7346317</BookValueAmt>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER NONCURRENT LIABILITIES</Desc>
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        <Desc>PAYABLES TO AFFILIATES</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIM 3RD PARTY PAYOR SETTLEMENTS</Desc>
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      <TotalLiabilityAmt>36953047</TotalLiabilityAmt>
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      <SupplementalInformationDetail>
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      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>664000</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
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      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>true</ForeignPartnershipInd>
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        <FAPSummaryOnWebsiteURLTxt>WWW.SAINTLUKESKC.ORG</FAPSummaryOnWebsiteURLTxt>
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        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>false</NondisEmergencyCarePolicyInd>
        <NoEmergencyCareInd>X</NoEmergencyCareInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - ST LUKE'S HOSPITAL OF KANSAS CITY. INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS WERE INTERVIEWED IN ORDER TO IDENTIFY COMPREHENSIVE LOCAL COMMUNITY HEALTH NEEDS: HOSPITAL AND SAINT LUKE'S HEALTH SYSTEM LEADERSHIP KANSAS CITY MO HEALTH DEPT. JACKSON COUNTY HEALTH DEPT. JOHNSON COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENT CLAY COUNTY PUBLIC HEALTH CENTER PLATTE COUNTY PUBLIC HEALTH DEPARTMENT IN ADDITION, WE WORKED WITH MANY COMMUNITY PARTNERS. THE INTERVIEWED COMMUNITY EXPERTS ARE FROM PUBLIC HEALTH AGENCIES AND HEALTH CARE-RELATED NOT-FOR-PROFIT ORGANIZATIONS WHOSE SERVICE SCOPES EXTEND THROUGHOUT THE REPORTING HOSPITAL'S COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - ST LUKE'S HOSPITAL OF KANSAS CITY. THE HOSPITAL ANALYZED PUBLIC HEALTH DATA, INTERVIEWED A VARIETY OF HEALTH CARE PROFESSIONALS, AND SOUGHT INPUT FROM COMMUNITY LEADERS TO IDENTIFY THE FOLLOWING MAJOR HEALTH NEEDS: 1. ACCESS TO CARE THE HOSPITAL AND SAINT LUKE'S HEALTH SYSTEM WILL CONTINUE TO ACCEPT MISSOURI AND KANSAS MEDICAID AND CONTINUE TO ADVOCATE FOR THE COMMUNITY ON KEY HEALTH POLICY ISSUES AT THE STATE AND THE NATIONAL LEVEL, INCLUDING MEDICAID REFORM, ACCESS TO CARE, AND HEALTH CARE FINANCING FOR THE LOW-INCOME POPULATION. THE FOLLOWING PROGRAMS ARE IN PLACE TO ADDRESS AFFORDABILITY FOR UNINSURED OR UNDERINSURED PATIENTS IN THE COMMUNITY: - THE HOSPITAL'S MEDICATION ASSISTANCE PROGRAM ASSISTS ALL PATIENTS IN SECURING MEDICATIONS NEEDED AT DISCHARGE. - THE HOSPITAL WILL CONTINUE TO COLLABORATE WITH ARTISTS HELPING THE HOMELESS TO SECURE POST-DISCHARGE TRANSPORTATION AND HOUSING THROUGH THE HOUSING PROGRAM. HOMELESS PATIENTS OVER THE AGE OF 18 IN NEED OF A SAFE ENVIRONMENT TO CONTINUE HEALING AFTER DISCHARGE IS PROVIDED THROUGH THIS PROGRAM. IN ORDER TO ENSURE AVAILABILITY OF SERVICES THROUGHOUT THE COMMUNITY, THE HOSPITAL WILL CONTINUE TO MEET THE ACUTE CARE NEEDS OF THE COMMUNITY THROUGH THE AVAILABILITY OF HIGHLY SPECIALIZED SERVICES AT THESE CENTERS OF EXCELLENCE: SAINT LUKE'S MARION BLOCH NEUROSCIENCE INSTITUTE, SAINT LUKE'S MID AMERICA HEART INSTITUTE, SAINT LUKE'S CANCER INSTITUTE, AND SAINT LUKE'S MURIEL I. KAUFFMAN WOMEN'S HEART CENTER. THE FOLLOWING OUTLINES THE HOSPITAL'S ADDITIONAL EFFORTS TO ADDRESS AVAILABILITY OF SERVICES FOR PATIENTS IN THE COMMUNITY: - THE HOSPITAL'S COLLABORATION WITH KANSAS CITY CARE CLINIC (KC CARE) TRAINS AND PROVIDES COMMUNITY HEALTH WORKERS TO ADDRESS GAPS IN CARE COORDINATION AND HELPS PATIENTS UNDERSTAND AND UTILIZE RESOURCES AVAILABLE TO THEM AFTER BEING DISCHARGED FROM THE HOSPITAL. TWO COMMUNITY HEALTH WORKERS ARE ASSIGNED TO SAINT LUKE'S HOSPITAL TO WORK WITH PATIENTS TO: FIND AND SECURE A PRIMARY CARE MEDICAL HOME AND HELP FIND COMMUNITY BASED RESOURCES TO ADDRESS ANY BARRIERS TO RECEIVING HEALTH CARE. IN ADDITION, SAINT LUKE'S HOSPITAL SPONSORS A PHYSICIAN TO HELP PROVIDE CARE AT THE KC FREE CLINIC LOCATED NEAR SAINT LUKE'S HOSPITAL. - SAINT LUKE'S HEALTH SYSTEM'S PARTNERSHIP WITH HY-VEE GROCERY STORE CHAINS THROUGHOUT THE KANSAS CITY AREA HELP PROVIDE HIGH-QUALITY AND AFFORDABLE PRIMARY CARE CLOSER TO WHERE PEOPLE LIVE AND WORK. SEVERAL CLINICS LOCATED WITHIN THE HY-VEE GROCERY STORES WERE OPENED. PATIENTS HAVE ACCESS TO IN-STORE DIETITIANS AND PHARMACISTS, AS WELL AS HEALTH, WELLNESS, AND PREVENTIVE CARE SERVICES ALL IN ONE STOP. THE FOLLOWING OUTLINES THE HOSPITAL'S EFFORTS TO ADDRESS AWARENESS OF SERVICES AND HEALTH INFORMATION FOR PATIENTS IN THE COMMUNITY: - THE HOSPITAL CONTINUES TO HOST CLINIC-BASED AND COMMUNITY BASED WELLNESS EDUCATION FOR PATIENTS. - IN ORDER TO CONTINUE TO UNDERSTAND AND MEET THE UNIQUE NEEDS OF THE COMMUNITY, THE HOSPITAL WILL DEVELOP STRONGER PARTNERSHIPS WITH KEY NON-PROFIT ORGANIZATIONS IN THE KANSAS CITY METRO AREA THAT SERVE THE URBAN CORE AND/OR VULNERABLE OR UNDERSERVED POPULATIONS. RECENTLY, WITH THE GUIDANCE OF MEMBERS FROM THE SAINT LUKE'S HEALTH SYSTEM DIVERSITY AND INCLUSION COUNCIL, THE HOSPITAL SELECTED FOUR KEY PROGRAMS TO SUPPORT. THEY INCLUDE: HOPE HOUSE, GUADALUPE CENTER, KC CARE CLINIC, AND SAFEHOME. 2. DIABETES THE HOSPITAL'S DIABETES CENTER CONTINUES TO PROVIDE COMPREHENSIVE SERVICES FEATURING AN INTEGRATED CARE TEAM, WHERE PATIENTS CAN ACCESS ENDOCRINOLOGY SPECIALISTS, CERTIFIED NURSE EDUCATORS, AND CERTIFIED DIETITIAN DIABETES EDUCATORS ALL WITHIN THE SAME SUITE. ADDITIONALLY, THE CENTER IS: - IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION - OFFERS CUSTOMIZED CARE PLANS WITH INPUT FROM MULTIPLE SPECIALISTS - FEATURES CERTIFIED DIABETES NURSES AND DIETITIANS WHO ARE EXPERIENCED IN MANAGING COMPLEX DIABETES CASES - PROMOTES LONG-TERM HEALTH THROUGH A VARIETY OF INDIVIDUAL AND GROUP CLASSES WHICH INCLUDE: DIABETES PREVENTION CLASSES, HEALTHY LIVING WITH DIABETES, GESTATIONAL DIABETES, MEDICAL NUTRITION THERAPY, AND INSULIN AND INJECTED MEDICINE EDUCATION AND TRAINING - FEATURES A TEACHING KITCHEN WITH COOKING DEMONSTRATIONS TO PROMOTE A HEALTHY DIET THE HOSPITAL CONTINUES TO PIONEER DIABETES RESEARCH EFFORTS AND ARE PRESENTLY FOCUSED ON STUDYING DRUG TREATMENTS THAT HAVE THE POTENTIAL TO IMPROVE OUTCOMES FOR PATIENTS WITH DIABETES AND HEART FAILURE. 3. HYPERTENSION/HIGH BLOOD PRESSURE THE HOSPITAL IS ACTIVELY ENGAGED LOCALLY, REGIONALLY, AND NATIONALLY IN THE MILLION HEARTS INITIATIVE, WHICH IS A JOINT INITIATIVE LAUNCHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND CENTERS FOR MEDICARE AND MEDICAID SERVICES. THE MILLION HEARTS INITIATIVE IS FOCUSED ON TWO NATIONAL GOALS: EMPOWER AMERICANS TO MAKE HEALTHY CHOICES (SUCH AS PREVENTING TOBACCO USE AND REDUCING SODIUM AND TRANS FAT CONSUMPTION) AND IMPROVE CARE FOR PEOPLE WHO DO NEED TREATMENT BY ENCOURAGING A TARGETED FOCUS ON THE "ABCS" (ASPIRIN FOR PEOPLE AT RISK, BLOOD PRESSURE CONTROL, CHOLESTEROL MANAGEMENT, AND SMOKING CESSATION). THE HOSPITAL CHOSE ONE RISK FACTOR TO FOCUS ON, BLOOD PRESSURE. THE HOSPITAL ALSO CONTINUES THE COMMITMENT TO THE PREVENTION OF HEART DISEASE AND STROKE BY OFFERING SMOKING CESSATION CLASSES, BODY COMPOSITION ASSESSMENT, HEALTHY COOKING DEMONSTRATIONS, AND COMMUNITY EDUCATION SERIES THROUGH SAINT LUKE'S HOSPITAL'S CHARLES &amp; BARBARA DUBOC CARDIO HEALTH &amp; WELLNESS CENTER. THE HOSPITAL ALSO PROVIDES CONTINUED SUPPORT FOR THE AMERICAN HEART ASSOCIATION (AHA) IN ITS EFFORT TO BUILD HEALTHIER LIVES FREE OF CARDIOVASCULAR DISEASES AND STROKE. THE HOSPITAL CONTINUES TO SUPPORT AHA IN LOCAL COMMUNITY EFFORTS INCLUDING GO RED FOR WOMEN AND THE HEART WALK 4. NEONATAL HEALTH SINCE NEWBORN HEALTH AND MATERNAL HEALTH GO HAND IN HAND, THE HOSPITAL HAS BEEN A LONG STANDING SUPPORTER AND SPONSOR OF THE MOTHER AND CHILD HEALTH COALITION (MCHC). MCHC PARTNERS WITH HEALTH ORGANIZATIONS AND PROVIDERS IN THE KANSAS CITY COMMUNITY TO PROMOTE ALL ASPECTS OF INFANT AND CHILD WELLNESS, INCLUDING PROMOTION OF IMMUNIZATIONS. THE HOSPITAL'S OBSTETRICAL AND NEONATAL PATIENTS AND FAMILIES ARE PROVIDED INFORMATION AND ACCESS TO RECOMMENDED IMMUNIZATIONS FOR BOTH MOTHERS AND BABIES. IN ADDITION, THE HOSPITAL IS COMMITTED TO CONTINUING TO PROVIDE THE FOLLOWING SERVICES TO ADDRESS MATERNAL AND NEWBORN HEALTH NEEDS IN THE COMMUNITY: - PROVIDE THE ONLY MILK BANK IN THE KANSAS CITY AREA - HIGH-RISK OBSTETRIC CARE INCLUDING HIGH-RESOLUTION ULTRASOUND STUDIES, GENETIC COUNSELING, GENETIC DIAGNOSTIC PROCEDURES, DIABETES MANAGEMENT, AND FETAL SURVEILLANCE - HEART DISEASE IN PREGNANCY PROGRAM - NEONATAL INTENSIVE CARE - TENDER TOUCH PROGRAM PROVIDING INFANT MASSAGE THERAPY - FAMILY SUPPORT PROGRAM THROUGH THE MARCH OF DIMES - EDUCATION INCLUDING HOCKADAY WOMEN'S HEALTH SERIES, NEWBORN CARE, AND BREASTFEEDING BASICS - EMOTIONAL WELLNESS COUNSELING - CORD BLOOD PROGRAM - NEONATAL FOLLOW-UP CLINIC - SOCIAL WORK AND CASE MANAGEMENT PROGRAMS - THE CHILDREN'S SPOT (SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY) - CAR SEAT SAFETY CHECKS BY CERTIFIED CHILD PASSENGER SAFETY TECHNICIANS 5. THORACIC CARE THE HOSPITAL CONTINUES TO OFFER COMPREHENSIVE CARE TO PATIENTS WITH LUNG CANCER AND OTHER DISEASES OF THE LUNG AND CHEST THROUGH THE SAINT LUKE'S THORACIC CENTER AND SAINT LUKE'S CANCER INSTITUTE. A TEAM OF MULTIDISCIPLINARY SPECIALISTS ARE DEDICATED TO ENSURING EASY ACCESS TO THE MOST ADVANCED THERAPIES AND CLINICAL TRIALS. OUR TEAM PROVIDES A SECOND OPINION PROGRAM TO HELP PATIENTS CONFIRM A DIAGNOSIS AND FURTHER UNDERSTAND TREATMENT OPTIONS. THE HOSPITAL OFFERS THE FOLLOWING PREVENTION AND WELLNESS PROGRAMS FOR THOSE WITH LUNG DISEASES. - LUNG CANCER SCREENING TESTS OFFERED THROUGH THE SAINT LUKE'S THORACIC CENTER ARE PROVIDED WHICH COULD HELP DETECT LUNG CANCER EARLY AND RESULT IN MORE OPTIONS FOR TREATMENT. - SMOKING CESSATION IS A KEY ELEMENT TO PREVENTING LUNG CANCER. THE HOSPITAL'S CHARLES &amp; BARBARA DUBOC CARDIO HEALTH &amp; WELLNESS CENTER OFFERS A SMOKING CESSATION PROGRAM THAT ASSISTS PATIENT'S EFFORTS TO END TOBACCO USAGE. - THE USE OF AN EARLY IDENTIFICATION SCREENING TOOL BY PRIMARY CARE PHYSICIANS WILL HELP TO IDENTIFY THOSE PATIENTS WITH THE HIGHEST RISK OF LUNG DISEASE. THOSE PATIENTS DETERMINED HIGH RISK CAN THEN BE GIVEN ORDERS FOR AN IMAGING TEST OR SMOKING CESSATION PROGRAM. THERE ARE NO NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED. THE COMMUNITY BENEFIT COORDINATOR MEETS WITH THE EXECUTIVE TEAM AT THE HOSPITAL TO ENSURE THAT THE PROGRAMS IDENTIFIED IN THE IMPLEMENTATION PLAN ARE ACTIVE AND CONTINUE TO MEET THE SIGNIFICANT NEEDS IDENTIFIED IN THE IMPLEMENTATION PLAN.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. PRIMARY DATA WAS COLLECTED BY CONNECTING WITH COMMUNITY STAKEHOLDERS TO DISCUSS THE NEEDS OF THE JOHNSON COUNTY POPULATION. STAKEHOLDERS WERE CHOSEN TO REPRESENT BROAD INTERESTS OF THE COMMUNITY, INCLUDING UNDERSERVED POPULATIONS. STAKEHOLDERS PROVIDED INFORMATION, WHICH WAS USED TO HELP IDENTIFY AND PRIORITIZE COMMUNITY NEEDS. NO PUBLIC COMMENTS WERE RECEIVED FROM THE PREVIOUS CHNA; THEREFORE, THEY COULD NOT BE TAKEN INTO CONSIDERATION FOR THIS CHNA PROCESS. - KANSAS CITY OTHROPAEDIC BOARD OF DIRECTORS - SAINT LUKE'S SOUTH SENIOR LEADERSHIP (HEALTH SYSTEM HOSPITAL THAT SERVES THE SAME POPULATION) - JOHNSON COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENT - HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY (SAFETY NET PRIMARY CARE PROVIDER) - METROPOLITAN ORGANIZATION TO COUNTER SEXUAL ASSAULT (MOCSA) - MEDICAL SOCIETY OF JOHNSON AND WYANDOTTE COUNTIES (PROVIDES CARE TO THE UNDERSERVED IN THE AREA) - AMERICAN HEART ASSOCIATION - AMERICAN LUNG ASSOCIATION</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC. PRIORITY NEEDS WERE IDENTIFIED BASED ON INPUT AND ANALYSIS FROM SEVERAL GROUPS INCLUDING HOSPITAL REPRESENTATIVES AND OUTSIDE AGENCIES PROVIDING SERVICES IN THE COMMUNITY. THE PROCESS RECOGNIZED ALL THREE HEALTH NEEDS IDENTIFIED IN THE CHNA AS PRIORITY NEEDS WHICH KCOI WILL ADDRESS THROUGH COMMUNITY BENEFIT ACTIVITIES. 1. ACCESS TO CARE FOR LOW INCOME INDIVIDUALS KCOI WILL WORK TO EXPAND ACCESS TO COMPREHENSIVE, QUALITY HEALTH CARE SERVICES FOR LOW INCOME INDIVIDUALS. KCOI WILL IMPLEMENT THE FOLLOWING STRATEGIES IN ADDRESSING ACCESS TO CARE FOR LOW INCOME INDIVIDUALS AS A PRIORITY NEED: - KCOI HAS IN PLACE CHARITY CARE AND FINANCIAL ASSISTANCE PROTOCOLS AND WILL MAKE THOSE PROCESSES READILY AVAILABLE FOR THOSE WHO QUALIFY IN ORDER TO INCREASE ACCESS. - AS A MEMBER OF SAINT LUKE S HEALTH SYSTEM, KCOI WILL CONTINUE TO ADVOCATE ON KEY HEALTH POLICY ISSUES AT THE STATE AND NATIONAL LEVEL, INCLUDING MEDICAID REFORM, ACCESS TO CARE, AND HEALTH CARE FINANCING FOR THE LOW-INCOME POPULATION. - CONTINUE TO SUPPORT NUMBER OF WY/JO CARE CASES PER YEAR THAT KCOI SUPPORTS THROUGH PROVISION OF CARE AND SERVICES. WY/JO CARE IS A COMMUNITY PARTNERSHIP TO IMPROVE ACCESS TO SPECIALTY HEALTH CARE FOR LOW INCOME, UNINSURED RESIDENTS OF WYANDOTTE AND JOHNSON COUNTIES. KCOI DONATES SPECIALTY CARE IN A COORDINATED REFERRAL PROGRAM LED BY THE MEDICAL SOCIETY TO ENHANCE THE WORK OF EXISTING SAFETY NET CLINICS AND OTHER COMMUNITY AGENCIES. - CONTINUE TO OFFER INCREASED ACCESS TO CARE WITH A NEWLY OPENED URGENT CARE CLINIC WITH EXTENDED APPOINTMENT HOURS. 2. NUTRITION AND PHYSICAL ACTIVITY KCOI WILL WORK TO PROMOTE HEALTH AND REDUCE THE PREVALENCE OF OVERWEIGHT AND OBESE INDIVIDUALS THROUGH THE CONSUMPTION OF HEALTHY DIETS AND INCREASED PHYSICAL ACTIVITY, RESULTING IN ACHIEVEMENT AND MAINTENANCE OF HEALTHY BODY WEIGHT. KCOI WILL IMPLEMENT THE FOLLOWING STRATEGIES IN ADDRESSING NUTRITION AND PHYSICAL ACTIVITY AS A PRIORITY NEED: - CONTINUE TO PROVIDE RESOURCES AND EDUCATION FOR THE PRIMARY SERVICE AREA REGARDING PHYSICAL ACTIVITY. THIS INCLUDES CONTINUATION OF THE SPORTS INJURY PREVENTION CLINICS. THESE CLINICS ARE FREE TO THE PUBLIC TO HELP PREVENT INJURIES SUSTAINED WHILE ENGAGING IN PHYSICAL ACTIVITY; RUNNING IN PARTICULAR. - CONTINUE STRATEGIES FOR OPTIMIZING PATIENTS FOR SURGERY SUCH AS INCORPORATING NUTRITION AND PHYSICAL ACTIVITY THEMES IN PREOPERATIVE EDUCATION TO PATIENTS 3. MANAGEMENT OF TRANSITIONS OF CARE KCOI WILL IMPLEMENT THE FOLLOWING STRATEGIES IN ADDRESSING MANAGEMENT OF TRANSITIONS OF CARE AS A PRIORITY NEED: WITH THE INTRODUCTION OF BUNDLED PAYMENTS, COMMUNICATION AND PATIENT TRANSITIONS HAVE BECOME MORE OF A FOCUS FOR ORTHOPEDIC INSTITUTES AND COLLABORATING FACILITIES. KCOI HAS CREATED A COMMITTEE TO IMPLEMENT AND MONITOR THE PATIENT CARE FOR LOWER EXTREMITY TOTAL JOINT REPLACEMENT FOR A 90 DAY POST DISCHARGE EPISODE OF CARE. FOLLOWING THE NEW GUIDELINES OF THIS CMS INITIATIVE WILL HELP PROMOTE SUCCESSFUL AND WELL-COORDINATED TRANSITIONS OF CARE FOR ALL THOSE WHO PASS THROUGH OUR DOORS. THERE ARE NO NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. THE HOSPITAL PROVIDES ELECTIVE SERVICES. FINANCIAL ASSISTANCE ELIGIBILITY IS BASED ON THE FEDERAL POVERTY GUIDELINE AND OTHER FINANCIAL RESOURCES. IN ALL CASES, THE PATIENT'S AND RESPONSIBLE PARTY'S OVERALL FINANCIAL POSITION AND HOUSEHOLD SIZE AND INCOME ARE CONSIDERED WHEN DETERMINING FINANCIAL ASSISTANCE. FPL% GUIDELINES ARE APPLIED AS FOLLOWS: HOSPITAL SERVICES - UNSCHEDULED PATIENTS: 133% OR LESS FPL, 100% CHARITY 0% PATIENT RESPONSIBILITY HOSPITAL SERVICES - SCHEDULED PATIENTS: 133% OR LESS FPL, 75% CHARITY 25% PATIENT RESPONSIBILITY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. THE HOSPITAL PROVIDES ELECTIVE SERVICES. FINANCIAL ASSISTANCE ELIGIBILITY IS BASED ON THE FEDERAL POVERTY GUIDELINE AND OTHER FINANCIAL RESOURCES. IN ALL CASES, THE PATIENT'S AND RESPONSIBLE PARTY'S OVERALL FINANCIAL POSITION AND HOUSEHOLD SIZE AND INCOME ARE CONSIDERED WHEN DETERMINING FINANCIAL ASSISTANCE. FPL% GUIDELINES ARE APPLIED AS FOLLOWS: HOSPITAL SERVICES - UNSCHEDULED PATIENTS: 133% OR LESS FPL, 100% CHARITY 0% PATIENT RESPONSIBILITY HOSPITAL SERVICES - SCHEDULED PATIENTS: 133% OR LESS FPL, 75% CHARITY 25% PATIENT RESPONSIBILITY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC:. THERE WAS NO EXTRAORDINARY COLLECTION ACTIVITY IN 2017.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>0</FacilityNum>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6 PART V, SECTION B, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PERMITTED BY IRS TRANSITION RULES, SAINT LUKE'S HOSPITAL ADOPTED ITS IMPLEMENTATION STRATEGY BY MAY 15, 2016 AND THEREFORE IS DEEMED TO SATISFY THE REQUIREMENT TO ADOPT THE STRATEGY IN THE SAME YEAR THE CHNA WAS COMPLETED AND WIDELY PUBLICIZED, 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3 PART V, SECTION B, LINE 3I, ST LUKE'S HOSPITAL OF KANSAS CITY</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT LUKE'S HOSPITAL'S MOST RECENT CHNA WAS PREPARED IN 2015, WHICH WAS PRIOR TO THE FINAL 501(R) REGULATIONS. THE REQUIREMENT TO REPORT THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE HOSPITAL FACILITY'S PRIOR CHNA WAS NOT SPECIFICALLY ADDRESSED IN THE ORGANIZATION'S 2015 CHNA SINCE IT WAS PREPARED USING THE PROPOSED REGULATIONS, WHICH DID NOT INCLUDE THIS REQUIREMENT. THE IMPACT OF ANY ACTIONS TAKEN WILL BE ADDRESSED IN ALL FUTURE CHNA REPORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>Subsidized health services includes unreimbursed costs for community service physician clinics, emergency services, and services by the trauma center, cardiac rehab, diabetes center, children's SPOT and women's care center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>26429294</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF CHARITY CARE AND UNREIMBURSED HEALTH SERVICES ARE CALCULATED USING THE APPOPRIATE COST TO CHARGE RATIO FORM THE HOSPITAL'S COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT RELATED BAD DEBT IS REPORTED CONSISTENT WITH THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (INCLUDING COPAYMENT AND DEDUCTIBLE AMOUNTS FROM PATIENTS), THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE,WHICH INDICATES THAT SOME PATIENTS ARE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS, AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN WHAT IT COSTS TO PROVIDE THE CARE AND SERVICES. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THE COST OF PROVIDING THE CARE MAY EXCEED THE FUNDS WE RECEIVE FROM MEDICARE FOR THE SERVICE. OUR SHORTFALL IS CONSIDERED TO BE COMMUNITY BENEFIT. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. ADDITIONALLY, IT IS IMPLIED IN INTERNAL REVENUE SERVICE REVENUE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS, INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE ACCOUNT IS ADJUSTED ACCORDINGLY. ANY REMAINING BALANCE WOULD BE COLLECTED UNDER THE DEBT COLLECTION POLICY. OUR COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. ALTHOUGH WE ARE NOT LEGALLY BOUND BY THE FAIR DEBT COLLECTION PRACTICES ACT, THE PRINCIPLES ADDRESSED ARE GENERALLY FOLLOWED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- ST LUKES HOSPITAL OF KANSAS CITY: Line 16a URL: WWW.SAINTLUKESKC.ORG; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16a URL: WWW.SAINTLUKESKC.ORG;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- ST LUKES HOSPITAL OF KANSAS CITY: Line 16b URL: WWW.SAINTLUKESKC.ORG; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16b URL: WWW.SAINTLUKESKC.ORG;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- ST LUKES HOSPITAL OF KANSAS CITY: Line 16c URL: WWW.SAINTLUKESKC.ORG; - KANSAS CITY ORTHOPAEDIC INSTITUTE, LLC: Line 16c URL: WWW.SAINTLUKESKC.ORG;</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 AND INPUT FROM MANY COMMUNITY STAKEHOLDERS. THROUGH DATA RESEARCH AND KEY CONVERSATIONS IN THE KANSAS CITY COMMUNITY, THIS CHNA PULLS TOGETHER COMMUNITY FINDINGS AND ADDRESSES TOP HEALTH PRIORITIES TO HELP IMPROVE COMMUNITY HEALTH OVER THE NEXT THREE YEARS. SAINT LUKE'S HOSPITAL ALSO ASSESSES COMMUNITY NEEDS ON AN ANNUAL BASIS IN NUMEROUS WAYS, INCLUDING THROUGH ITS COMPREHENSIVE, DATA DRIVEN, ANNUAL STRATEGIC PLANNING PROCESS. THE HOSPITAL OBTAINS HIDI MARKET DATA AND OTHER OUTPATIENT MARKET DATA THROUGH ITS ANNUAL ENVIRONMENTAL ASSESSMENT PROCESS. WITH THIS DATA, THE HOSPITAL IDENTIFIES SERVICES RECEIVED BY THE RESIDENTS OF OUR COMMUNITY (DEFINED BY OUR PRIMARY AND SECONDARY SERVICE AREAS). ANY PREDOMINANT SERVICES NOT CURRENTLY OFFERED BY THE HOSPITAL ARE CONSIDERED DURING STRATEGIC PLANNING. ANOTHER ELEMENT OF THE COMMUNITY NEEDS ASSESSMENT INVOLVES ANNUALLY UPDATING SAINT LUKE'S HOSPITAL'S MEDICAL STAFF DEVELOPMENT PLAN. AS A TERTIARY AND QUATERNARY HEALTHCARE PROVIDER, IT IS CRITICAL THAT THE HOSPITAL ENSURES IT HAS APPROPRIATE MEDICAL STAFF LEVELS IN A VARIETY OF MEDICAL SPECIALTIES AND SUBSPECIALTIES TO SERVE THE PATIENTS IN OUR COMMUNITY. THE HOSPITAL PARTNERS WITH ITS MEDICAL STAFF IN THIS ENDEAVOR. ANOTHER ASPECT OF THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT IS AN ANALYSIS OF WORKFORCE PLANNING TO ENSURE ADEQUATE CLINICAL AND OTHER PROFESSIONAL STAFF TO PROVIDE NEEDED HEALTHCARE SERVICES THROUGHOUT THE COMMUNITY. THE HOSPITAL AND RELATED HEALTH SYSTEM ARE ACTIVELY ENGAGED IN A VARIETY OF FORMAL HEALTH PROFESSIONALS EDUCATION PROGRAMS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT LUKE'S HOSPITAL FOLLOWS THE SAINT LUKE'S HEALTH SYSTEM POLICIES FOR FINANCIAL ASSISTANCE, PATIENT BILLING AND COLLECTION. IN ADDITION TO THESE POLICIES, SAINT LUKE'S HOSPITAL PROVIDES EDUCATION ON FINANCIAL ASSISTANCE ELIGIBILITY TO PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES THROUGH MANY SOURCES INCLUDING THE SLHS WEB SITE, INFORMATION ON BILLING STATEMENTS, INFORMATION UPON CHECK-IN LOCATED IN THE ADMITTING PATIENT PACKETS, ON OUR B-131 RELEASE TO TREAT FORMS SIGNED BY ALL PATIENTS REQUESTING SERVICES, VISITS WITH INPATIENTS BY SOCIAL WORKER TEAMS, AND FOLLOW-UP CALLS TO PATIENTS AFTER DISCHARGE. FINANCIAL ASSISTANCE APPLICATIONS OR MEDICAID APPLICATIONS ARE REQUESTED ON ALL UNINSURED INPATIENTS PRIOR TO DISCHARGE. SAINT LUKE'S HOSPITAL ALSO CONTRACTS WITH ELIGIBILITY ENROLLMENT COMPANIES TO SCREEN ALL UNINSURED PATIENTS, ANY PATIENTS IDENTIFIED BY OUR SOCIAL WORKER OR CASE MANAGEMENT TEAMS, AND ALL PATIENTS THAT REQUEST ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT COVERAGE. THE ELIGIBILITY ENROLLMENT SERVICE ALSO PROVIDES PATIENTS WITH INFORMATION ON FINANCIAL ASSISTANCE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT LUKE'S HOSPITAL IS LOCATED IN THE URBAN CORE OF KANSAS CITY, MISSOURI. IT IS A MAJOR TEACHING AND RESEARCH FACILITY, AND PROVIDES TERTIARY AND QUATERNARY LEVEL PATIENT CARE SERVICES TO THE METROPOLITAN KANSAS CITY AREA, AND SERVES AS A MAJOR REFERRAL HOSPITAL FOR THE SURROUNDING COUNTIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS AND IN GENERAL STEWARDSHIP. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE HOSPITAL UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: 1) COMMUNITY SERVICE OUTPATIENT CLINICS THAT PROVIDE SUBSIDIZED CARE TO LOW INCOME PATIENTS; 2) DIABETES EDUCATION PROGRAMS, PARENT EDUCATION, AND PRENATAL EDUCATION; 3) PSYCHIATRIC SERVICES; AND 4) FORMAL RESEARCH ACTIVITIES.</ExplanationTxt>
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        <ExplanationTxt>SAINT LUKE'S HOSPITAL IS AFFILIATED WITH SAINT LUKE'S HEALTH SYSTEM, WHICH CONSISTS OF 10 AREA HOSPITALS AND MULTIPLE PRIMARY AND SPECIALTY CARE PRACTICES, AND 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 KANSAS CITY AREA AND THE SURROUNDING REGION.</ExplanationTxt>
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        <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 HOSPITAL OF KANSAS CITY.</ExplanationTxt>
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        <DeferredCompensationFlngOrgAmt>2664</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23801</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>158222</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DEBRA WILSON</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>VP &amp; CHIEF NURSING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>271045</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>22356</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>434200</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>20703</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JOHN YEAST MD</BusinessNameLine1Txt>
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        <TitleTxt>VP-MED ED &amp; RESEARCH</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13200</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>25057</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>275002</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>LEONARDO LOZADA MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>FORMER INTERIM CEO OF PHYSICIAN SPECIALISTS</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>740815</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>183061</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>106941</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>116764</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30446</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1178027</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>87394</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JOSEPH STASI</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>FORMER COO OF PHYSICIAN SPECIALISTS</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>277779</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>47550</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>33784</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>37786</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30243</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>427141</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>17395</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>STEPHEN TAKACS</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>FORMER CFO OF PHYSICIAN SPECIALISTS</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>186421</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>57631</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1113</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>12508</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>24974</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>282648</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>NORMAN HEISLER MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>289747</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2558</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24507</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>328962</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>EILEEN DUGGAN MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>218510</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2114</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17626</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8621</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>246871</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MANUEL HERNANDEZ</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>205242</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1005</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8433</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21188</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>235868</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JANE PECK</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>215962</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>33560</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1417</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9998</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>262283</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JOHN SPERTUS MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>398130</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>55228</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28759</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>499667</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>49017</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARLES ROBB, MELINDA ESTES, MICHAEL WEAVER, JULIE QUIRIN, JOSEPH STASI, STEPHEN TAKACS, LEONARDO LOZADA, JOHN HELZBERG, MATTHEW DEEDY, AND LEANNA MOSHER DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. PETER HOLT DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OF THE ORGANIZATION BUT RECEIVED COMPENSATION FOR SERVICES RENDERED AS AN EMPLOYEE OF THE ORGANIZATION. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR JAMIE ALLEN IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</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 EXECUTIVES AND 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 PHILOSPHY 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>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>457(F) PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: CHARLES ROBB: $73,068 JULIE QUIRIN: $43,646 MELINDA ESTES: $200,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="17005876" softwareVersionNum="2017v2.2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 4 Number of Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Luke's Physician Specialists, LLC, a single-member LLC previously wholly owned by the organization, was merged with an affiliate entity at the beginning of 2017. This results in a sizable change in the employee numbers and additional reporting of former key employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096</FormAndLineReferenceDesc>
        <ExplanationTxt>ST LUKES HOSPITAL OF KANSAS CITY (SLH) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SLH VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 PROCESS FOR EXECUTIVE COMPENSATION</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 EXECUTIVES AND 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 PHILOSPHY 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 16b JOINT VENTURES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PARTICIPATES IN JOINT VENTURES ESTABLISHED SEVERAL YEARS AGO. 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 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARLES ROBB, MATTHEW DEEDY, AND LEONARDO LOZADA HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF AFFILIATED TAX-EXEMPT ORGANIZATIONS. - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, APPOINTMENT &amp; REMOVAL OF DIRECTORS AND THE CEO, DEBT, BUDGETS, CAPITAL EXPENDITURES, POLICIES APPLICABLE TO THE ORGANIZATION, AND STRATEGIC OPERATING DECISIONS. AS PART OF AN INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER ALSO PROVIDES VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO THE ORGANIZATION.</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 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, INCLUDING THE FILING ORGANIZATION, 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 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE THROUGH THE SECRETARY OF STATE. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE AVAILABLE THROUGH EMMA AND ARE ATTACHED TO THIS RETURN. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VII, COLUMN E</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS ARE NOT COMPENSATED FOR SERVING AS A DIRECTOR OR BOARD OFFICER. CHARLES ROBB, MELINDA ESTES, MICHAEL WEAVER, JULIE QUIRIN, JOSEPH STASI, STEPHEN TAKACS, LEONARDO LOZADA, JOHN HELZBERG, MATTHEW DEEDY AND LEANNA MOSHER DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OR OFFICER OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. PETER HOLT DID NOT RECEIVE COMPENSATION FOR DUTIES AS A DIRECTOR OF THE ORGANIZATION BUT RECEIVED COMPENSATION FOR SERVICES RENDERED AS AN EMPLOYEE OF THE ORGANIZATION. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR JAMIE ALLEN IS FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: 21721456, Related or Exempt Function Revenue: 21721456, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 20 TAX-EXEMPT BOND LIABILITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED AS TAX-EXEMPT BONDS IS THE PORTION OF SAINT LUKE'S HEALTH SYSTEM BONDS ALLOCATED TO ST LUKES HOSPITAL OF KANSAS CITY. REQUIRED INFORMATION FOR THE BONDS, INCLUDING SCHEDULE K, IS REPORTED IN THE SAINT LUKE'S HEALTH SYSTEM (EIN: 43-1747502) IRS FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION SETTLEMENT/LIABILITY TRANSFER - 231002; TRANSFER FROM RESTRICTED ACCTS NOT RECORDED IN OPERATING ACCTS - -2427; CHANGE IN THE BENEFICIAL INTEREST IN ASSETS OF FOUNDATION - 14550316; RRG SUBSCRIBER DISTRIBUTION - 680503; SYSTEM INVESTMENT ADJUSTMENTS - -13269; RRG SSA Dividend - -5835; TEMPORARY RESTRICTED ASSETS ADJUSTMENT - -68427;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="17005876" softwareVersionNum="2017v2.2">
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          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>901 E 104TH ST</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64131</ZIPCd>
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          <BusinessNameLine1Txt>SAINT LUKES NORTH HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5830 NW BARRY ROAD</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64154</ZIPCd>
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          <BusinessNameLine1Txt>SAINT LUKES SOUTH HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>12300 METCALF AVE</AddressLine1Txt>
          <CityNm>OVERLAND PARK</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66213</ZIPCd>
        </USAddress>
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          <BusinessNameLine1Txt>SAINT LUKES EAST HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>100 NE SAINT LUKES BLVD</AddressLine1Txt>
          <CityNm>LEES SUMMIT</CityNm>
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          <ZIPCd>64086</ZIPCd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST LUKES OF TRENTON</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>191 IOWA BLVD</AddressLine1Txt>
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          <ZIPCd>64683</ZIPCd>
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          <BusinessNameLine1Txt>SAINT LUKES HOSPITAL OF GARNETT</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>421 SOUTH MAPLE</AddressLine1Txt>
          <CityNm>GARNETT</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66032</ZIPCd>
        </USAddress>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>CABOT WESTSIDE HEALTH CENTER</BusinessNameLine1Txt>
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        </DisregardedEntityName>
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          <AddressLine1Txt>2799 N WASHINGTON</AddressLine1Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64601</ZIPCd>
        </USAddress>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT LUKES CUSHING HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>711 MARSHALL</AddressLine1Txt>
          <CityNm>LEAVENWORTH</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66048</ZIPCd>
        </USAddress>
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          <ZIPCd>64131</ZIPCd>
        </USAddress>
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        </DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEDICAL PLAZA IMAGING ASSOCIATES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>4401 WORNALL ROAD</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64111</ZIPCd>
        </USAddress>
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          <BusinessNameLine1Txt>SAINT LUKE'S COLLEGE OF HEALTH SCIENES</BusinessNameLine1Txt>
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          <AddressLine1Txt>624 WESTPORT ROAD</AddressLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROCKHILL ORTHOPAEDIC SPECIALISTS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>901 E 104TH ST</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64131</ZIPCd>
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        <DisregardedEntityName>
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        <RelatedOrganizationName>
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        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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        <ShareOfTotalIncomeAmt>791916</ShareOfTotalIncomeAmt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ST LUKES SURGICENTER-LEES SUMMIT LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>11221 ROE AVE STE 230</AddressLine1Txt>
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          <ZIPCd>66211</ZIPCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT LUKES SOUTH SURGERY CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>11221 ROE AVE STE 230</AddressLine1Txt>
          <CityNm>OVERLAND PARK</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66211</ZIPCd>
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      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT LUKES-GI DIAGNOSTICS</BusinessNameLine1Txt>
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          <AddressLine1Txt>4321 WASHINGTON STE 5700</AddressLine1Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64111</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1Txt>
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        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KANSAS CITY ORTHOPAEDIC INSTITUTE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3651 COLLEGE BLVD</AddressLine1Txt>
          <CityNm>LEAWOOD</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66211</ZIPCd>
        </USAddress>
        <EIN>481197295</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>8548384</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>13756317</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT LUKES RADIATION THERAPY-LIBERTY LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>901 E 104TH ST</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64131</ZIPCd>
        </USAddress>
        <EIN>473793070</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>1134922</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>5019446</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THP-SAINT LUKES VENTURES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1415 LOUISIANA ST 27TH FLR</AddressLine1Txt>
          <CityNm>HOUSTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77002</ZIPCd>
        </USAddress>
        <EIN>811243747</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>901 E 104TH ST</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64131</ZIPCd>
        </USAddress>
        <EIN>371471890</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ST LUKES HEALTH VENTURES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>901 E 104TH ST</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64131</ZIPCd>
        </USAddress>
        <EIN>431278476</EIN>
        <PrimaryActivitiesTxt>ACCOUNTING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>1190547</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>-851348</ShareOfEOYAssetsAmt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEDICAL PLAZA MANAGEMENT INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4320 WORNALL ROAD STE 714</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64111</ZIPCd>
        </USAddress>
        <EIN>431352317</EIN>
        <PrimaryActivitiesTxt>MEDICAL OFFICE BUILDING MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKES HEALTH VENTURES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VENTURE FINANCIAL SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>9500 EAST 63RD ST STE 202</AddressLine1Txt>
          <CityNm>RAYTOWN</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64133</ZIPCd>
        </USAddress>
        <EIN>431605740</EIN>
        <PrimaryActivitiesTxt>COLLECTIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKES HEALTH VENTURES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM INSURANCE LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>CAPTIVE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>true</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEDICAL PLAZA PARTNERS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>2194229</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEDICAL PLAZA PARTNERS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>94931</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VENTURE FINANCIAL SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>686189</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEDICAL PLAZA IMAGING ASSOCIATES (501C3 ORGANIZATION)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>78067</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEDICAL PLAZA IMAGING ASSOCIATES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>341988</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEDICAL PLAZA PARTNERS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>285081</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT LUKES COLLEGE OF HEALTH SCIENCES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>191470</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT LUKES COLLEGE OF HEALTH SCIENCES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>271190</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT LUKES RADIATION THERAPY - LIBERTY LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1648278</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part V, Line 1 PART V, LINE 1</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>