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        <ManagementAndGeneral>14845</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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        <ManagementAndGeneral>-11425</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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        <ProgramServices>209</ProgramServices>
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        <ProgramServices>2628494</ProgramServices>
        <ManagementAndGeneral>365563</ManagementAndGeneral>
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      <Advertising>
        <Total>17707</Total>
        <ProgramServices>17707</ProgramServices>
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      <OfficeExpenses>
        <Total>1352521</Total>
        <ProgramServices>980678</ProgramServices>
        <ManagementAndGeneral>371843</ManagementAndGeneral>
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      <InformationTechnology>
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        <ProgramServices>111105</ProgramServices>
        <ManagementAndGeneral>10162</ManagementAndGeneral>
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      <Occupancy>
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        <ProgramServices>3022969</ProgramServices>
        <ManagementAndGeneral>158191</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>18339</ProgramServices>
        <ManagementAndGeneral>17785</ManagementAndGeneral>
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      <ConferencesMeetings>
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        <ProgramServices>20120</ProgramServices>
        <ManagementAndGeneral>15694</ManagementAndGeneral>
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        <ProgramServices>889914</ProgramServices>
        <ManagementAndGeneral>9262</ManagementAndGeneral>
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      <Insurance>
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        <ProgramServices>1251299</ProgramServices>
        <ManagementAndGeneral>284622</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>SHARED SERVICES-SLHS</Description>
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        <ProgramServices>622631</ProgramServices>
        <ManagementAndGeneral>1877369</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>BAD DEBT</Description>
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        <ProgramServices>1423947</ProgramServices>
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      <OtherExpenses>
        <Description>PHARMACUETICALS</Description>
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        <ProgramServices>1176375</ProgramServices>
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      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
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        <ProgramServices>714194</ProgramServices>
        <ManagementAndGeneral>-165</ManagementAndGeneral>
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      <AllOtherExpenses>
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        <ProgramServices>109356</ProgramServices>
        <ManagementAndGeneral>47043</ManagementAndGeneral>
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        <EOY>74825</EOY>
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        <BOY>2676621</BOY>
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        <EOY>13083344</EOY>
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      <ReconcilationRevenueExpenses>464488</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-702401</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
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      <AuditCommittee>1</AuditCommittee>
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        </ContributorNameBusiness>
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      <Form990ScheduleJPartII>
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      <Form990ScheduleJPartII>
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      <Form990ScheduleJPartII>
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      <Form990ScheduleJPartII>
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        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>457(F) PLAN PARTICIPANT AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: GEORGE PAGELS, MD - $124,805 CHARLES ROBB - $81,951</Explanation>
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        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>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 RETENTION, 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. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS.</Explanation>
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        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>PART II: CHUCK ROBB AND GEORGE PAGELS 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>NUMBER REPORTED IN BOX 3 OF FORM 1096</Identifier>
        <ReturnReference>PART V, LINE 1A</ReturnReference>
        <Explanation>SAINT LUKE'S MEDICAL GROUP IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. THE MAJORITY OF SAINT LUKE'S MEDICAL GROUP'S VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>GEORGE PAGELS, MD, AND CHARLES ROBB HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS, OFFICERS, AND/OR EMPLOYEES OF THE SAME AFFILIATED TAX-EXEMPT ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>AS PART OF AN INTEGRATED HEALTH SYSTEM, THE ORGANIZATION ROUTINELY DELEGATED VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>THE SOLE MEMBER HAS SPECIFIED RESERVE POWERS OVER MAJOR DECISIONS SUCH AS AMENDMENTS TO ARTICLES AND BYLAWS, DEBT, BUDGETS, CAPITAL EXPENDITURES AND STRATEGIC OPERATING DECISIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>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. THE 990 DRAFT WAS ALSO PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. THE 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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 COMPLIANCE OFFICER OR THE SYSTEM VICE PRESIDENT OF HUMAN RESOURCES 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE. 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 TOTAL COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE. COMPENSATION FOR OFFICERS NOT REVIEWED BY THE COMPENSATION COMMITTEE IS SET/APPROVED ANNUALLY BY SAINT LUKE'S HEALTH SYSTEM EXECUTIVE MANAGEMENT BASED ON MARKET COMPENSATION SURVEYS AND COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM. DIRECTORS ARE NOT COMPENSATED FOR SERVING AS A DIRECTOR OR BOARD OFFICER. THE PHYSICIAN COMPENSATION COMMITTEE OF THE BOARD APPROVES AND DIRECTS THE PHYSICIAN COMPENSATION PLAN FOR THE PHYSICIAN EMPLOYEES. EMPLOYED PHYSICIANS ARE NOT PART OF THE PHYSICIAN COMPENSATION COMMITTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT PUBLICLY AVAILABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, BOX E</ReturnReference>
        <Explanation>CHUCK ROBB AND GEORGE PAGELS 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. THESE INDIVIDUALS WORKED 40 HOURS OR MORE PER WEEK FOR RELATED ORGANIZATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>RISK RETENTION GROUP SUBSCRIBER SAVINGS ACCOUNT DIVIDENDS -464,489. PENSION OBLIGATION TRANSFER TO SLHS -237,912. TOTAL TO FORM 990, PART XI, LINE 5: -702,401.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VIII, LINE 3</ReturnReference>
        <Explanation>INVESTMENT INCOME INCLUDES $464,490 OF SUBSCRIBER SAVINGS ACCOUNT ALLOCATION FROM RELATED RISK RETENTION GROUP.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10920 ELM AVENUE</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64134</ZIPCode>
        </AddressUS>
        <EIN>431747502</EIN>
        <PrimaryActivities>HEALTH SYSTEM</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3) - TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4401 WORNALL ROAD</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>440545297</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKE'S NORTHLAND HOSPITAL CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 SOUTH 169 HIGHWAY</AddressLine1>
          <City>SMITHVILLE</City>
          <State>MO</State>
          <ZIPCode>64089</ZIPCode>
        </AddressUS>
        <EIN>440565393</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES SOUTH HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>12300 METCALF AVENUE</AddressLine1>
          <City>OVERLAND PARK</City>
          <State>KS</State>
          <ZIPCode>66213</ZIPCode>
        </AddressUS>
        <EIN>481203262</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES EAST HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 NE SAINT LUKES BLVD</AddressLine1>
          <City>LEES SUMMIT</City>
          <State>MO</State>
          <ZIPCode>64086</ZIPCode>
        </AddressUS>
        <EIN>562488077</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CRITTENTON</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10918 ELM AVENUE</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64134</ZIPCode>
        </AddressUS>
        <EIN>440545808</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3100 BROADWAY STE 1000</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>431127200</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKES OF TRENTON</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>191 IOWA BLVD</AddressLine1>
          <City>TRENTON</City>
          <State>MO</State>
          <ZIPCode>64683</ZIPCode>
        </AddressUS>
        <EIN>431707306</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES HOSPITAL OF GARNETT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>421 SOUTH MAPLE</AddressLine1>
          <City>GARNETT</City>
          <State>KS</State>
          <ZIPCode>66032</ZIPCode>
        </AddressUS>
        <EIN>742849611</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CABOT WESTSIDE HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2121 SUMMIT</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64108</ZIPCode>
        </AddressUS>
        <EIN>440546280</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AVI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDWEST EAR INSTITUTE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4200 PENNSYLVANIA SUITE 100</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>480905027</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKE'S HOSPITAL OF CHILLICOTHE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 CENTRAL STREET</AddressLine1>
          <City>CHILLICOTHE</City>
          <State>MO</State>
          <ZIPCode>64601</ZIPCode>
        </AddressUS>
        <EIN>431735565</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CUSHING MEMORIAL HOSPITAL CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>711 MARSHALL</AddressLine1>
          <City>LEAVENWORTH</City>
          <State>KS</State>
          <ZIPCode>66048</ZIPCode>
        </AddressUS>
        <EIN>480543792</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES CANCER INSTITUTE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4323 WORNALL ROAD PEET 1</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>431933950</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10920 ELM AVENUE</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64134</ZIPCode>
        </AddressUS>
        <EIN>260185090</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3) - TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEDICAL PLAZA IMAGING ASSOCIATES LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4401 WORNALL ROAD</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>431609584</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKE'S COLLEGE OF HEALTH SCIENCES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>8320 WARD PARKWAY SUITE 300</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64114</ZIPCode>
        </AddressUS>
        <EIN>272716128</EIN>
        <PrimaryActivities>POST-SECONDARY NURSING EDUCATION</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST LUKE'S HOSPITAL OF KANSAS CITY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SLCC INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4330 WORNALL ROAD SUITE 2000</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>271994652</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>APPLYING FOR 501(C)(</ExemptCodeSection>
        <PublicCharityStatus>APPLYING FOR 170B1AI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SLNC INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4401 WORNALL ROAD</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>451470888</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>APPLYING FOR 501(C)(</ExemptCodeSection>
        <PublicCharityStatus>APPLYING FOR 170B1AI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDICAL PLAZA PARTNERS LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4320 WORNALL ROAD SUITE 410</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>431357824</EIN>
        <PrimaryActivity>OWN &amp; OPERATE MEDICAL OFFICE BUILDING</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDICAL PARK ASSOCIATES A LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>601 SOUTH 169 HIGHWAY</AddressLine1>
          <City>SMITHVILLE</City>
          <State>MO</State>
          <ZIPCode>64089</ZIPCode>
        </AddressUS>
        <EIN>431311049</EIN>
        <PrimaryActivity>OWN &amp; OPERATE MEDICAL OFFICE BUILDING</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
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          <BusinessNameLine1>ST LUKES SURGICENTER-LEES SUMMIT LLC</BusinessNameLine1>
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          <AddressLine1>11221 ROE AVE SUITE 230</AddressLine1>
          <City>OVERLAND PARK</City>
          <State>KS</State>
          <ZIPCode>66211</ZIPCode>
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        <EIN>470853481</EIN>
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          <BusinessNameLine1>FAMILY ADVOCATES LLC</BusinessNameLine1>
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          <AddressLine1>10918 ELM AVENUE</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
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          <BusinessNameLine1>SAINT LUKES CARDIOLOGY SERVICES LLC</BusinessNameLine1>
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          <AddressLine1>10920 ELM AVENUE</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64134</ZIPCode>
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        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
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          <BusinessNameLine1>SAINT LUKE'S SOUTH SURGERY CENTER LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>11221 ROE AVE SUITE 230</AddressLine1>
          <City>OVERLAND PARK</City>
          <State>KS</State>
          <ZIPCode>66211</ZIPCode>
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          <BusinessNameLine1>SAINT LUKE'S-GI DIAGNOSTICS LLC</BusinessNameLine1>
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          <AddressLine1>4321 WASHINGTON SUITE 5700</AddressLine1>
          <City>KANSAS CITY</City>
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          <AddressLine1>10920 ELM AVENUE</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
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          <BusinessNameLine1>ST LUKES HEALTH VENTURES INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4320 WORNALL ROAD SUITE 410</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDICAL PLAZA MANAGEMENT INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4320 WORNALL ROAD SUITE 410</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
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        <EIN>431352317</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING MANAGEMENT</PrimaryActivity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>VENTURE FINANCIAL SERVICES INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>9500 EAST 63RD STREET SUITE 202</AddressLine1>
          <City>RAYTOWN</City>
          <State>MO</State>
          <ZIPCode>64133</ZIPCode>
        </AddressUS>
        <EIN>431605740</EIN>
        <PrimaryActivity>COLLECTIONS</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SPELMAN DEVELOPMENT CORPORATION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>601 SOUTH 169 HIGHWAY</AddressLine1>
          <City>SMITHVILLE</City>
          <State>MO</State>
          <ZIPCode>64089</ZIPCode>
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        <EIN>431296007</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTALS</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
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      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>