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      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY R JOHNSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHERINE ARBUCKLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN EILERMANN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEAN C DAVIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES M SNOWDEN JR</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD L GLOTZBACH</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE MODRELL</PersonNm>
        <TitleTxt>DIRECTOR - THRU 12/31/23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID R PRICE JR</PersonNm>
        <TitleTxt>DIRECTOR - THRU 12/31/23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL K STEGMANN</PersonNm>
        <TitleTxt>VICE CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER J TERRY</PersonNm>
        <TitleTxt>DIRECTOR - THRU 12/31/23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARTHA FLEISCHMANN</PersonNm>
        <TitleTxt>SENIOR VP &amp; CFO - THRU 6/30/24</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>35.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>38961</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW BAGNALL</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>18.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAGED HAIKAL MD</PersonNm>
        <TitleTxt>CHIEF OF MEDICINE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>995516</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD LEIDENFROST MD</PersonNm>
        <TitleTxt>CHAIRMAN HEART &amp; VASCULAR INST.</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>601042</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAMUEL FLANDERS MD</PersonNm>
        <TitleTxt>EXEC VP QUALITY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARREN HASKELL MD</PersonNm>
        <TitleTxt>CHIEF MEDICAN OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL KLEVENS MD</PersonNm>
        <TitleTxt>NETWORK VP IMMEDIATE CARE SERV</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NATHAN BIGLER</PersonNm>
        <TitleTxt>CHIEF PEOPLE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE RAY</PersonNm>
        <TitleTxt>SENIOR VP / NETWORK CNO / SLH - COO - THRU 6/30/24</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT B JOHNSON</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DON MILLER</PersonNm>
        <TitleTxt>NETWORK VP FACILITIES</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>9.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT HOLTSWORTH</PersonNm>
        <TitleTxt>VP / NETWORK CIO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON MERTZLUFFT</PersonNm>
        <TitleTxt>VICE PRESIDENT&amp; EXEC DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA OVERTURF</PersonNm>
        <TitleTxt>NETWORK VP REV CYCLE - THRU 1/26/24</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JON BETTALE</PersonNm>
        <TitleTxt>VICE PRESIDENT SURGICAL SVCS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JASON EDWARDS MD</PersonNm>
        <TitleTxt>RADIATION ONCOLOGIST</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC JENKINS MD</PersonNm>
        <TitleTxt>PHYSICIAN CVICU</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE TERRELL MD</PersonNm>
        <TitleTxt>CVICU</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMIE HAAS MD</PersonNm>
        <TitleTxt>SLEEP MEDICINE PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VEDICA SHARMA MD</PersonNm>
        <TitleTxt>CVICU</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHANE M CERONE</PersonNm>
        <TitleTxt>FORMER PRESIDENT &amp; CEO</TitleTxt>
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      <TotReportableCompRltdOrgAmt>4076239</TotReportableCompRltdOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRIMEDX LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5050 KINGSLY DR</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45227</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EQUIPMENT MAINTENANCE</ServicesDesc>
        <CompensationAmt>5308546</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AYA HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 674907</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75267</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFFING</ServicesDesc>
        <CompensationAmt>4457188</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PARIC CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>77 WESTPORT PLAZA DR</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63146</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>3116056</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ICS CONSTRUCTION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2930 MARKET STREET</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>2865565</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LABORATORY CORP OF AMERICA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 12140</AddressLine1Txt>
            <CityNm>BURLINGTON</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27216</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB SERVICES</ServicesDesc>
        <CompensationAmt>2459706</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>86</CntrctRcvdGreaterThan100KCnt>
      <InfoInScheduleOPartVIIIInd>X</InfoInScheduleOPartVIIIInd>
      <FundraisingAmt>20923</FundraisingAmt>
      <GovernmentGrantsAmt>7889591</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>6560844</AllOtherContributionsAmt>
      <NoncashContributionsAmt>163449</NoncashContributionsAmt>
      <TotalContributionsAmt>14471358</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REV.</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>590203185</TotalRevenueColumnAmt>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RETAIL PHARMACIES</Desc>
        <BusinessCd>456110</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <FundraisingAmt>42624</FundraisingAmt>
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        <ManagementAndGeneralAmt>763489</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>270842</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>64203</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>18884000</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>39771875</EOYAmt>
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        <EOYAmt>60716</EOYAmt>
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        <EOYAmt>57281605</EOYAmt>
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        <EOYAmt>859504157</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>56771918</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>-47492232</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>1</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>64203</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>64203</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>APPROXIMATELY $64,203 OF THE DUES PAID TO VARIOUS TRADE ORGANIZATIONS FOR THE YEAR ENDED JUNE 30, 2024 ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <ExplanationProvidedInd>X</ExplanationProvidedInd>
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        <EndYearBalanceAmt>28961841</EndYearBalanceAmt>
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        <OtherExpendituresAmt>2616502</OtherExpendituresAmt>
        <EndYearBalanceAmt>26143988</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
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        <BookValueAmt>17267851</BookValueAmt>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL OBTAINS ONE MONTH'S WORTH OF DEPOSITS IN ADVANCE FOR ROOM AND BOARD CHARGES FOR SKILLED NURSING FACILITY PRIVATE PAY RESIDENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS CONSIST OF NINE INDIVIDUAL FUNDS, OF WHICH THREE WERE ESTABLISHED FOR INDIGENT CARE. ALL REALIZED INVESTMENT RETURNS ARE RELEASED TO OPERATIONS IN ACCORDANCE WITH THE DONOR RESTRICTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE'S EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED IN 2024 OR 2023.</ExplanationTxt>
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        <FormAndLineReferenceDesc>ST. LUKE'S HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: PART V, SECTION B, LINES 5 AND 6ATHE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS COLLECTED PRIMARY DATA THROUGH KEY STAKEHOLDER AND COMMUNITY MEMBER SURVEYS, COORDINATED THROUGH A COLLABORATIVE APPROACH BETWEEN ST. LOUIS AREA HOSPITALS AND HEALTH SYSTEMS INCLUDING BJC HEALTHCARE, MERCY, SSM HEALTH, ST. LUKE'S HOSPITAL, AND SHRINERS HOSPITALS FOR CHILDREN. APPENDIX B OF THE ST. LUKE'S HOSPITAL CHNA INCLUDES QUESTIONS AND RESPONSES FOR EACH SURVEY.THE STAKEHOLDER SURVEY SOLICITED INPUT FROM PARTNERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS WEB-BASED, EMAILED DIRECTLY TO IDENTIFIED PARTNERS, AND AVAILABLE DURING THE MONTH OF JUNE 2021. RESPONSES FROM 17 PARTNERS IN THE WEST AND CENTRAL ST. LOUIS COUNTY AREAS WERE INCLUDED IN THE ST. LUKE'S CHNA. COMMUNITY PARTNERS REPRESENTED PUBLIC HEALTH, COMMUNITY-BASED ORGANIZATIONS, LOCAL MUNICIPAL GOVERNMENT, EDUCATION, AND FIRE AND POLICE DEPARTMENTS. ORGANIZATIONS REPRESENTED IN STAKEHOLDER SURVEY RESPONSES INCLUDE THE FOLLOWING:CIRCLE OF CONCERNCITY OF DES PERESCREVE COEUR POLICE DEPARTMENTEUREKA POLICE DEPARTMENTEVENT EXHIBITS, INC.JEWISH COMMUNITY CENTERKIRKWOOD FIRE DEPARTMENTMARYVILLE UNIVERSITYMETROWEST ANESTHESIA GROUPMISSOURI BAPTIST UNIVERSITYPREVENTEDROCKWOOD SCHOOL DISTRICTST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTHST. LOUIS COUNTY POLICEST. LUKE'S DES PERES ADVISORY BOARDTOWN AND COUNTRY POLICE DEPARTMENTTHE COMMUNITY MEMBER SURVEY WAS WEB-BASED AND AVAILABLE TO ALL MEMBERS OF THE ST. LOUIS METROPOLITAN AREA BETWEEN MAY AND JUNE 2021. SURVEY PROMOTIONS INCLUDED A PRESS RELEASE TO LOCAL MEDIA OUTLETS, HOSPITAL NEWS STORIES, SOCIAL MEDIA PROMOTIONS, FLYER DISTRIBUTION THROUGHOUT THE COMMUNITY AT HOSPITAL-SPONSORED ACTIVITIES, AND THROUGH COMMUNITY-BASED PARTNER ORGANIZATIONS INCLUDING THOSE WITH INTERNET AVAILABILITY FOR INDIVIDUALS WITHOUT ACCESS TO INTERNET AT HOME. SURVEY RESPONSES WERE AGGREGATED AT THE ZIP CODE LEVEL TO ALIGN WITH THE UNIQUE CHNA COMMUNITIES OF EACH HOSPITAL. A TOTAL OF 465 RESPONSES WERE COLLECTED FROM THE ST. LUKE'S CHNA GEOGRAPHY.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. LUKE'S HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: BASED ON ASSESSMENT OF LOCAL HEALTH, SOCIAL, AND DEMOGRAPHIC DATA; COMMUNITY AND STAKEHOLDER SURVEY INPUT; AND IN CONSIDERATION OF REGIONAL STRATEGIES AND HOSPITAL PRIORITIES, THE ST. LUKE'S HOSPITAL'S 2022 CHNA EXECUTIVE TEAM PRIORITIZED THE FOLLOWING NEEDS ON WHICH TO FOCUS INITIATIVES THROUGH STRATEGIES IDENTIFIED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) BETWEEN FY2023 AND FY2025:- OLDER ADULTS- WEIGHT MANAGEMENT- MENTAL HEALTHTHE FOLLOWING ACTIONS WERE IMPLEMENTED IN FY2024 TO ADDRESS THE PRIORITY NEEDS IDENTIFIED IN THE 2022 CHNA:OLDER ADULTS: THE GOAL OF THE OLDER ADULTS IMPLEMENTATION PLAN IS TO INCREASE THE NUMBER OF OLDER ADULTS ACTIVELY ENGAGED IN HEALTHY LIFESTYLES, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE OF HEALTHY BEHAVIORS AND DISEASE MANAGEMENT STRATEGIES, 2) INCREASE OPPORTUNITIES TO ENGAGE IN HEALTHY BEHAVIORS, 3) IMPROVE ACCESS TO INSURANCE COVERAGE AND SERVICES, AND 4) DECREASE THE NUMBER OF AVOIDABLE HOSPITALIZATIONS AMONG OLDER ADULTS. OLDER ADULT INITIATIVES IMPLEMENTED IN FY2024 TO ACHIEVE THESE OUTCOMES INCLUDE: - EXPANDED ST. LUKE'S SENIOR OUTREACH EDUCATION IN THE COMMUNITY WITH NEW FY2024 PARTNER SITES INCLUDING CHESTERFIELD AND MARYLAND HEIGHTS YMCA LOCATIONS - IMPLEMENTED MONTHLY "COFFEE AND CONVERSATIONS" COMMUNITY EDUCATION TO PROMOTE ONGOING ENGAGEMENT, SOCIALIZATION, AND HEALTH EDUCATION- DEVELOPED AND DISTRIBUTED ST. LUKE'S FAMILY &amp; CAREGIVER RESOURCE GUIDE FOR CARE OF OLDER ADULTS- ESTABLISHED PARTNERSHIP WITH MISSOURI STATE HEALTH INSURANCE ASSISTANCE PROGRAM (SHIP) TO PROVIDE MEDICARE COUNSELING, EDUCATION, AND ENROLLMENT ASSISTANCE- EXPANDED READMISSIONS REDUCTION PROGRAM TO INCLUDE EXPANSION TO DES PERES HOSPITAL CAMPUS, TOTAL JOINT PATIENTS, AND AGE 80+ BLACK PATIENTS- CONTINUED INTENSIVE DIABETES MANAGEMENT PROGRAM IN ST. LUKE'S MEDICAL GROUP PRACTICES TO PROACTIVELY IDENTIFY AND CARE FOR DIABETIC PATIENTS AND IMPROVE PATIENT OUTCOMES- CONTINUED EMPLOYMENT OF SOCIAL WORKER IN ST. LUKE'S EMERGENCY DEPARTMENT TO ASSIST WITH FOLLOW-UP AND POST-ACUTE PLACEMENT OF PATIENTSWEIGHT MANAGEMENT: THE GOAL OF THE WEIGHT MANAGEMENT IMPLEMENTATION PLAN IS TO REDUCE THE PREVALENCE OF AT-RISK, OVERWEIGHT, AND OBESE INDIVIDUALS IN THE COMMUNITY, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE AVAILABILITY OF HEALTHY FOOD AND EXERCISE OPTIONS AND 2) IMPROVE KNOWLEDGE AND AWARENESS ABOUT HEALTHY HABITS, RESOURCES, AND ACCESS. WEIGHT MANAGEMENT INITIATIVES IMPLEMENTED IN FY2024 TO ACHIEVE THESE OUTCOMES INCLUDE: - ESTABLISHED MONTHLY COMMUNITY WALKING GROUP AT ST. LUKE'S WALKING TRAIL TO PROMOTE EXERCISE AND HEALTH EDUCATION- IMPLEMENTED QUARTERLY "LET'S COOK!" FOOD DEMONSTRATIONS ON EACH HOSPITAL CAMPUS AND IN THE COMMUNITY, IN COLLABORATION WITH COMMUNITY PARTNERS, TO ENCOURAGE AND EDUCATE ABOUT HEALTHY FOOD PREPARATION AND EATING - CONTINUED PARTNERSHIP WITH SCHNUCKS MARKETS TO OFFER DIETITIAN-GUIDED SUPERMARKET TOURS TO PROMOTE HEALTHY SHOPPING AND FOOD CHOICES, WITH PLANNED EXPANSION TO ADDITIONAL ZIP CODES IN FY2025MENTAL HEALTH: THE GOAL OF THE MENTAL HEALTH IMPLEMENTATION PLAN IS TO IMPROVE ACCESS TO AND KNOWLEDGE OF MENTAL HEALTH RESOURCES, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE THROUGH COMMUNITY EDUCATION ABOUT MENTAL HEALTH AWARENESS, REDUCED STIGMA, COPING STRATEGIES, AND RESOURCE CONNECTIONS, 2) IMPROVE PATIENT ACCESS TO MENTAL HEALTH SERVICES THROUGH COMMUNITY PARTNERSHIPS AND COORDINATION OF PATIENT CARE, AND 3) IMPROVE KNOWLEDGE AMONG HOSPITAL STAFF ABOUT MENTAL HEALTH RESOURCES AND HOW TO NAVIGATE AND ACCESS POINTS OF CARE. MENTAL HEALTH INITIATIVES IMPLEMENTED IN FY2024 TO ACHIEVE THESE OUTCOMES INCLUDE: - PILOTED A COMMUNITY BOOK CLUB, FOCUSED ON TOPICS TO PROMOTE POSITIVE MENTAL HEALTH AND FAMILY CONNECTIONS- DEVELOPED MENTAL HEALTH TOOLKIT OF RESOURCES AND EDUCATION FOR ST. LUKE'S STAFF TO USE WHEN REFERRING PATIENTS WITH MENTAL HEALTH NEEDS- CONTINUED EMPLOYMENT OF SOCIAL WORKER IN ST. LUKE'S EMERGENCY DEPARTMENT TO ASSIST WITH FOLLOW-UP AND POST-ACUTE PLACEMENT OF PATIENTS - CONTINUED USE OF EAP VIDEO TO PROMOTE EMPLOYEE AWARENESS OF NAVIGATING MENTAL HEALTH RESOURCES- CONTINUED USE OF "CODE LAVENDER CART" FOR USE BY ST. LUKE'S DEPARTMENTS WHOSE STAFF HAVE ENCOUNTERED CRISIS OR NEED MENTAL HEALTH RESOURCESADDITIONAL HEALTH NEEDS WERE IDENTIFIED THROUGH THE ST. LUKE'S CHNA PROCESS, HOWEVER LIMITED RESOURCES NECESSITATE SELECTION OF FOCUS AREAS FOR IMPLEMENTATION OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE FOLLOWING COMMUNITY NEEDS HAVE BEEN IDENTIFIED BUT WERE NOT PRIORITIZED AS TOP HEALTH NEEDS IN THE ST. LUKE'S 2022 CHNA.CANCER: ST. LUKE'S CENTER FOR CANCER CARE OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICES, EDUCATIONAL INFORMATION, AND EMOTIONAL SUPPORT FOR THE PREVENTION, DIAGNOSIS, AND TREATMENT OF CANCER. CANCER CARE IS A SERVICE LINE STRENGTH AT ST. LUKE'S, AND WE PLAN TO CONTINUE TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH PREVENTION AND EARLY DETECTION.ARTHRITIS/JOINT DISEASE: ST. LUKE'S ORTHOPEDICS AND PHYSICAL THERAPY SERVICE LINES OFFER COMPREHENSIVE TREATMENT AND THERAPY OPTIONS FOR INDIVIDUALS WHO SUFFER FROM PAIN, INJURY, AND OTHER MEDICAL PROBLEMS WITH THE GOAL OF RETURNING PATIENTS TO OPTIMAL LEVELS OF PHYSICAL FUNCTION. SINCE JOINT PAIN AND ARTHRITIS ARE HEALTH CONDITIONS OFTEN AFFECTING OLDER ADULTS, THE PRIORITY FOCUS OF THE OLDER ADULT POPULATION MAY ALSO INCLUDE INITIATIVES TO ADDRESS PAIN IN THE VULNERABLE POPULATION. SMOKING (VAPING + TOBACCO): WHILE SMOKING AND VAPING IMPACT A SIGNIFICANT NUMBER OF INDIVIDUALS IN THE COMMUNITY, INDICATORS PRESENT SMOKING AS LESS OF A PRIORITY HEALTH NEED THAN OTHER IDENTIFIED NEEDS. THE RATE OF SMOKING IN THE ST. LUKE'S CHNA IS LESS THAN THE COMPARISON BENCHMARK OF ST. LOUIS COUNTY, AND THE COMMUNITY SURVEY RANKED SMOKING AS A LOWER CONCERN THAN OTHER IDENTIFIED NEEDS. PLANNED COMMUNITY OUTREACH EFFORTS WILL HELP EDUCATE AND NAVIGATE CURRENT AND FORMER SMOKERS TO LOW DOSE CT SCAN SCREENING FOR LUNG CANCER AND SMOKING CESSATION RESOURCES.DRUG ABUSE: DRUG ABUSE WAS NOT SELECTED AS A FOCUSED HEALTH NEED, HOWEVER THE 2019 CHNA OPIOID MISUSE ACTION TEAM WILL CONTINUE ONGOING INITIATIVES AND WILL ADDRESS AND IMPLEMENT NEW INITIATIVES WITH COMMUNITY PARTNERS. IN ADDITION, OTHER SUBSTANCE ABUSE NEEDS WILL LIKELY BE ADDRESSED THROUGH IMPLEMENTATION OF INITIATIVES FOR MENTAL HEALTH. ALZHEIMER'S DISEASE: ST. LUKE'S CURRENTLY PARTNERS WITH THE ALZHEIMER'S ASSOCIATION TO OFFER COMMUNITY EDUCATION, RESOURCES, AND DEMENTIA CARE COORDINATION. THIS ONGOING PARTNERSHIP WILL CONTINUE AND WILL BE COMPLEMENTED WITH SIMILAR AND LIKELY RELATED INITIATIVES FOR THE PRIORITY OLDER ADULT POPULATION IN OUR COMMUNITY.HYPERTENSION, HEART DISEASE, DIABETES: HYPERTENSION, HEART DISEASE, AND DIABETES ARE RELATED CONDITIONS OFTEN RESULTING FROM BEING OVERWEIGHT OR OBESE. SELECTING WEIGHT MANAGEMENT AS A PRIORITY HEALTH NEED RECOGNIZES THAT RELATED HEALTH CONDITIONS WILL LIKELY BE ADDRESSED AND IMPACTED THROUGH INITIATIVES FOR OBESITY. OVERLAND, 63114: ST. LUKE'S HAS BEEN INVESTED IN THE OVERLAND COMMUNITY FOR MORE THAN 60 YEARS THROUGH ITS PEDIATRIC CARE CENTER AND IS COMMITTED TO CONTINUING TO OFFER PEDIATRIC HEALTH CARE SERVICES, EDUCATION AND PREVENTION TO AREA CHILDREN AND THEIR FAMILIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. LUKE'S REHABILITATION HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: ST. LUKE'S REHABILITATION HOSPITAL MEDICAID PENDING.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. LUKE'S REHABILITATION HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16J: ST. LUKE'S REHABILITATION HOSPITALST. LUKE'S REHABILITATION HOSPITAL (THE REHAB HOSPITAL) RECEIVES PATIENTS ON A REFERRAL-ONLY BASIS, MANY OF WHOM ARE REFERRED BY ST. LUKE'S HOSPITAL. THE REHAB HOSPITAL HONORS THE FINANCIAL ASSISTANCE DETERMINATIONS MADE BY ST. LUKE'S HOSPITAL UNDER ITS FINANCIAL ASSISTANCE POLICY, WHICH IS PUBLICIZED WITHIN THE COMMUNITY SERVED BY BOTH FACILITIES. ON THE ST. LUKE'S HOSPITAL WEBSITE, ST. LUKE'S REHABILITATION HOSPITAL IS LISTED UNDER THE "SERVICES AND "LOCATIONS" TAB OF THE HOSPITAL AND UNDER THE "PAYMENTS &amp; FINANCIAL ASSISTANCE" TAB - "COMMITTED TO ASSISTING OUR PATIENTS IN FINDING THE INFORMATION THEY NEED REGARDING BILLING AND CHARGES FROM HEALTHCARE SERVICES OBTAINED AT ONE OF OUR FACILITIES".</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION C</FormAndLineReferenceDesc>
        <ExplanationTxt>ASIDE FROM THE ADDITIONAL DISCLOSURES FOR PART V, SECTION B, LINE 13H AND PART VI, SECTION B, LINES 16J AND 20E, THE SUPPLEMENTAL INFORMATION PROVIDED IN SCHEDULE H, PART V, SECTION C APPLIES TO BOTH ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS (ST. LUKE'S HOSPITAL) AND ST. LUKE'S REHABILITATION HOSPITAL (REHAB HOSPITAL). ADDITIONALLY, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COVERS ST. LUKE'S HOSPITAL AND THE REHAB HOSPITAL, AS IT IS INCLUDED IN ST. LUKE'S PROCESS AND STEERING COMMITTEE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - ST LUKE'S HOSP SK NURS FAC-SURREY PLACE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14701 OLIVE BLVD</AddressLine1Txt>
            <CityNm>CHESTERFIELD</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63017</ZIPCd>
          </USAddress>
          <FacilityTxt>SKILLED NURSING / RESIDENTIAL CARE FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - ST LUKE'S HOSPITAL HOME HEALTH AGENCY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>111 S WOODS MILL RD</AddressLine1Txt>
            <CityNm>CHESTERFIELD</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63017</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME HEALTH SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - ST LUKE'S HOSPITAL HOSPICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>111 S WOODS MILL RD</AddressLine1Txt>
            <CityNm>CHESTERFIELD</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63017</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPICE CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - GATEWAY ENDOSCOPY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12855 N 40 DR SUITE 150</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63141</ZIPCd>
          </USAddress>
          <FacilityTxt>GASTROINTESTINAL ENDOSCOPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATIONPART I, LINE 7GN/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSELINE 7A: CHARITY CARE, 0.94%LINE 7B: UNREIMBURSED MEDICAID, 2.24 %LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 3.18 %LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.19 %LINE 7F: HEALTH PROFESSIONS EDUCATION, 1.23 %LINE 7G: SUBSIDIZED HEALTH SERVICES, 0.25 %LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.01 %LINE 7J: TOTAL OTHER BENEFITS, 1.68 %LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 4.86 %BAD DEBT EXPENSE SUBTRACTED FROM LINE 7, COLUMN (F): N/A-BAD DEBT IS AN IMPLICIT PRICE CONCESSION AND A REDUCTION OF PATIENT REVENUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIESST. LUKE'S EMPLOYEES ENGAGE IN A VARIETY OF COMMUNITY-BUILDING PARTNERSHIPS AND ACTIVITIES TO SUPPORT AND IMPROVE THE HEALTH AND SAFETY OF INDIVIDUALS LIVING IN OUR SURROUNDING COMMUNITY. ACTIVITIES REPORTED IN PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE: COMMUNITY SUPPORT: ST. LUKE'S LEADERSHIP AND STAFF ARE INVOLVED ON LOCAL NONPROFIT BOARDS AND COMMITTEES INTENDED TO ADVANCE COMMUNITY HEALTH, INCLUDING EPISCOPAL PRESBYTERIAN HEALTH TRUST, WHICH ALLOCATES FUNDS TO BENEFIT THE HEALTH OF VULNERABLE POPULATIONS IN THE CITY OF ST. LOUIS.WORKFORCE DEVELOPMENT: ST. LUKE'S HOSPITAL LEADERS PROVIDE CAREER PLANNING ADVICE, OPPORTUNITY, AND GUIDANCE TO ASSIST AND GUIDE STUDENTS ABOUT CAREERS IN THE HEALTHCARE INDUSTRY THROUGH JOB SHADOWING OPPORTUNITIES FOR HIGH SCHOOL AND COLLEGE STUDENTS, THE ST. LOUIS INTERNSHIP PROGRAM (SLIP), PARKWAY SPARK! EXPERIENTIAL LEARNING, AND ST. LUKE'S HEALTHCARE EXPLORERS POST.ADDITIONALLY, ST. LUKE'S COORDINATES VOCATIONAL SKILLS PROGRAMS TO SUPPORT DISABLED STUDENTS FROM THE COMMUNITY AND PROVIDE THEM WITH ON-THE-JOB TRAINING AND EXPERIENCE TO SUPPORT THEM ON THEIR PATH TO EMPLOYMENT.LEADERSHIP DEVELOPMENT AND TRAINING: ST. LUKE'S HOSPITAL SUPPORTS VISION ST. CHARLES LEADERSHIP DEVELOPMENT AND TRAINING THROUGH FINANCIAL SUPPORT AND STAFF INVOLVEMENT ON THE HEALTH SUBCOMMITTEE. COALITION BUILDING: ST. LUKE'S LEADERSHIP AND STAFF PARTICIPATE IN VARIOUS COLLABORATIVE EFFORTS WITH OTHER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS TO ADVANCE THE HEALTH AND SAFETY OF OUR COMMUNITY, INCLUDING CITY OF CHESTERFIELD COMMUNITY CENTER, ALLIANCE FOR HEALTHY COMMUNITIES, AND ST. LOUIS AREA MEDICATION SAFETY.DISASTER READINESS: ST. LUKE'S STAFF PARTICIPATE IN REGIONAL DISASTER PREPAREDNESS COLLABORATIVES AND ENGAGES BEYOND WHAT IS REQUIRED OF ALL ORGANIZATIONS, INCLUDING INVOLVEMENT WITH THE FEDERAL DISASTER MEDICAL ASSISTANCE TEAM, INTERSTATE DISASTER MEDICAL COLLABORATION, ST. LOUIS AREA REGIONAL RESPONSE SYSTEM, AND ST. LOUIS MEDICAL OPERATIONS CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST TO CHARGE RATIO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTST. LUKE'S CONSIDERS THIS PORTION OF BAD DEBT EXPENSE A COMMUNITY BENEFIT AS IT IS THE ADDITIONAL COST OF PROVIDING FINANCIAL ASSISTANCE TO THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>NOTE 3 - PATIENT SERVICE REVENUE AND OTHER OPERATING REVENUE (ST. LUKE'S HEALTH CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS) - "ST. LUKE'S DETERMINES THE TRANSACTION PRICE, WHICH INVOLVES SIGNIFICANT ESTIMATES AND JUDGMENT, BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY EXPLICIT AND IMPLICIT PRICE CONCESSIONS, INCLUDING CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS IN ACCORDANCE WITH ST. LUKE'S POLICY, AND IMPLICIT PRICE CONCESSIONS BASED ON THE HISTORICAL COLLECTION EXPERIENCE OF PATIENT ACCOUNTS. ST. LUKE'S DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE WITH MEDICARE, MEDICAID, MANAGED CARE PROGRAMS, AND OTHER THIRD-PARTY PAYORS BASED ON REIMBURSEMENT TERMS PER CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. PAYMENT ARRANGEMENTS WITH THOSE PAYORS INCLUDE PROSPECTIVELY DETERMINED RATES PER ADMISSION OR VISIT, REIMBURSED COSTS, DISCOUNTED CHARGES, PER DIEM RATES AND VALUE-BASED PAYMENTS. REPORTED COSTS AND/OR SERVICES PROVIDED UNDER CERTAIN OF THESE ARRANGEMENTS ARE SUBJECT TO RETROACTIVE AUDIT AND ADJUSTMENT. PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS) ARE RECORDED DURING THE PERIOD THE HEALTH CARE SERVICES ARE PROVIDED AND ARE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. ESTIMATES OF CONTRACTUAL ALLOWANCES UNDER MANAGED CARE HEALTH PLANS ARE BASED UPON THE SERVICES PROVIDED HISTORICAL PAYMENT RATES, AND THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUES RELATED TO UNINSURED PATIENTS HAVE DISCOUNTS APPLIED IN ACCORDANCE WITH ST. LUKE'S POLICY."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION OF CARE TO MEDICARE BENEFICIARIES MEETS A NEED IN THE COMMUNITY AND ANY SHORTFALL IS CONSIDERED TO BE A COMMUNITY BENEFIT.COSTING METHODOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COSTS - COST TO CHARGE RATIOS/MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLECTION POLICY REGARDING PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE - ST. LUKE'S HOSPITAL HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM ST. LUKE'S HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT IMPOSE WAGE GARNISHMENTS OR FORCE A FORECLOSURE ON PRIMARY RESIDENCES, WILL NOT IMPOSE ACTIONS THAT FORCE BANKRUPTCY AND WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES. UNPAID BALANCES WILL NOT BE REPORTED TO THE CREDIT BUREAU UNTIL AT LEAST 6 MONTHS FROM PLACEMENT DATE AND ONLY IF PATIENTS ARE NOT COOPERATING WITH PAYING THEIR BALANCE.ST. LUKE'S HOSPITAL ADHERES TO THE LAWS OF THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND PATIENTS ARE TREATED WITH DIGNITY, RESPECT AND IN LINE WITH OUR MISSION AND VALUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENTIN ADDITION TO CONDUCTING A FORMAL CHNA EVERY THREE YEARS, ST. LUKE'S CONTINUOUSLY MONITORS THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY THROUGH VARIOUS APPROACHES, MOST DIRECTLY THROUGH THE ST. LUKE'S COMMUNITY BENEFIT PROGRAM AND DEDICATED COMMUNITY BENEFIT STAFF. THE ST. LUKE'S COMMUNITY BENEFIT COORDINATOR PARTICIPATES IN COMMUNITY COLLABORATIONS AND COALITIONS INCLUDING ONGOING REGIONAL HOSPITAL COMMUNITY HEALTH COLLABORATION WITH OTHER LOCAL HOSPITAL SYSTEMS TO INTENTIONALLY ADDRESS OUTSTANDING REGIONAL NEEDS EFFICIENTLY AND EFFECTIVELY. ADDITIONAL COMMUNITY ASSESSMENT IS ACHIEVED THROUGH INVOLVEMENT IN THE LOCAL HEALTH DEPARTMENT HEALTH ASSESSMENT PROCESS; PARTICIPATION ON THE COMMISSION ON CANCER STEERING COMMITTEE AND ANNUAL DEVELOPMENT OF FOCUSED EFFORTS TO ADDRESS OUTSTANDING SCREENING AND PREVENTION NEEDS; ADVISING ON MISSOURI HOSPITAL ASSOCIATION COMMUNITY HEALTH INITIATIVES INTENDED TO BETTER ASSIST STATE HOSPITALS TO ADDRESS HEALTH EQUITY; COLLABORATION WITH PARTNERS THROUGH THE ALLIANCE FOR HEALTHY COMMUNITIES COALITION TO ADDRESS SUBSTANCE ABUSE AND MISUSE; AND ONGOING MARKET ASSESSMENT AND RESEARCH THROUGH LOCAL CURRENT EVENTS, COMPETITOR ACTIVITY, AND LITERATURE REVIEW. ADDITIONALLY, HOSPITAL LEADERSHIP AND MEMBERS OF THE MANAGEMENT TEAM SERVE ON COMMUNITY BOARDS AND PARTNER WITH COMMUNITY ORGANIZATIONS. COMMUNITY OUTREACH STAFF SERVE MEMBERS OF THE COMMUNITY THROUGH A VARIETY OF SCREENINGS, EDUCATION, AND HEALTH COACHING EVENTS, WHICH PROVIDE ADDITIONAL ASSESSMENT OF THE OUTSTANDING HEALTH NEEDS THAT ARE IMPORTANT TO OUR COMMUNITY. CARE MANAGEMENT STAFF INTERACTIONS WITH PATIENTS PROVIDE ONGOING MONITORING AND SERVE AS IMPORTANT INPUT FOR ADDRESSING PATIENT NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS ARE INFORMED ABOUT ST. LUKE'S FINANCIAL ASSISTANCE AND THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS IN A NUMBER OF WAYS:-FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO PATIENTS DURING THEIR STAY.-PATIENT FINANCIAL SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO PROVIDE PATIENTS WITH THEIR EXPECTED AMOUNTS DUE AND DISCUSS PAYMENT / DISCOUNT OPTIONS.-DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING TO PATIENTS ON THE PHONE ABOUT THEIR ACCOUNT BALANCES.-INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS LOCATED ON OUR WEBSITE, OUR BILLING STATEMENTS, AS WELL AS OUR REGISTRATION BOOKLETS/BROCHURES AND SIGNAGE IN ALL REGISTRATION AREAS.-APPLICATIONS ARE AVAILABLE FREE OF CHARGE BY MAIL OR PHONE AND CAN BE OBTAINED ON OUR WEBSITE.-FINANCIAL COUNSELORS SCREEN PATIENTS FOR MEDICAID ELIGIBILITY TO ASSIST WITH ENROLLMENT IN THE STATE MEDICAID PROGRAM.-CERTIFIED APPLICATION COUNSELORS ARE AVAILABLE TO PATIENTS AND MEMBERS OF THE COMMUNITY TO ASSIST THEM WITH ENROLLING IN AN INSURANCE PLAN ON THE MARKETPLACE.-PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATIONTHE DEFINITION OF ST. LUKE'S CHNA COMMUNITY WAS DEVELOPED FROM ZIP CODE EVALUATION OF CONCENTRATED HOSPITAL INPATIENT VOLUME AND MARKET SHARE TO UNDERSTAND IN WHICH ZIP CODES THE MAJORITY OF PATIENTS RELY ON ST. LUKE'S FOR SERVICES. TO ENSURE INCLUSION OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHO LIVE IN OR NEAR THE GEOGRAPHIC AREA FROM WHICH ST. LUKE'S DRAWS PATIENTS, THE COMMUNITY EVALUATION INCLUDED ZIP-CODE LEVEL VULNERABILITIES IN ADDITION TO VOLUME AND MARKET-SHARE. TO ACCOMPLISH THIS, THE DIGNITY HEALTH COMMUNITY NEED INDEX (CNI) HIGHLIGHTED AREAS IN OUR COMMUNITY WITH GREATER NEEDS AND DISPARITIES THAT MAY LEAD TO POOR HEALTH OUTCOMES. THE AREAS OF HIGH NEED ON THE PERIPHERY OF THE GEOGRAPHIC AREA OF CONCENTRATED VOLUME AND MARKET SHARE WERE INCLUDED IN THE DEFINITION OF ST. LUKE'S COMMUNITY. THE RESULTING ST. LUKE'S CHNA COMMUNITY DEFINITION OF 13 ZIP CODES WAS APPROVED BY THE ST. LUKE'S HOSPITAL CHNA STEERING COMMITTEE. REFINING THE ST. LUKE'S CHNA GEOGRAPHIC AREA BASED ON ZIP CODE-LEVEL VOLUME, MARKET SHARE, AND COMMUNITY NEED ALLOWS FOR A MORE FOCUSED ASSESSMENT OF OUTSTANDING NEEDS AND FOR MORE OPPORTUNITY TO MAKE AN IMPACT IN AREAS MOST SIGNIFICANT TO OUR ORGANIZATION.AS A COMBINED GEOGRAPHY, THE ST. LUKE'S COMMUNITY REPRESENTS AN OLDER, WELL-EDUCATED POPULATION WITH HIGH INCOME. THE AGE 65+ AGE GROUP IS GROWING AT 1.24% ANNUALLY COMPARED TO 0.08% POPULATION GROWTH FOR THE ENTIRE POPULATION. THE CHESTERFIELD, MO (63017) ZIP CODE, WHERE ST. LUKE'S HOSPITAL IS LOCATED, HAS THE HIGHEST PROPORTION OF AGE GROUP 65+ AMONG ALL OTHER ZIP CODES IN THE ST. LUKE'S COMMUNITY. THE ST. LUKE'S COMMUNITY IS LESS RACIALLY DIVERSE THAN THE BENCHMARK SURROUNDING GEOGRAPHY OF ST. LOUIS COUNTY, WITH 13% MORE WHITES AND 19% FEWER BLACK PEOPLE, WITH ZIP CODE 63114 (OVERLAND, MO) BEING AN EXCEPTION.DESPITE THE OVERALL DEMOGRAPHIC COMPOSITION OF THE ST. LUKE'S COMMUNITY, POCKETS OF VULNERABLE POPULATIONS WITH GREATER HEALTH AND SOCIAL NEEDS EXIST IN ZIP CODES 63114, 63088, 63043, AND 63146.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTHAS A COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL'S BOARD IS REPRESENTATIVE OF A MAJORITY OF VOLUNTEER COMMUNITY MEMBERS WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF ST. LUKE'S, BUT ARE COMMUNITY LEADERS WHOSE PRIMARY INTEREST IN BOARD INVOLVEMENT IS TO ENSURE THE HEALTH OF OUR REGION. ST. LUKE'S EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY BASED ON ORGANIZATIONAL AND COMMUNITY NEED. ALL SURPLUS FUNDS OF THE ORGANIZATION ARE REINVESTED IN THE FACILITIES TO IMPROVE PATIENT CARE THROUGH A SYSTEMATIC CAPITAL APPROVAL AND ALLOCATION PROCESS TO ENSURE COMMUNITY AND ORGANIZATION NEEDS ARE PRIORITIZED AND ADDRESSED.TO FURTHER PROMOTE THE HEALTH OF OUR COMMUNITY, ST. LUKE'S ENGAGES IN THE FOLLOWING ONGOING INITIATIVES TO INCREASE ACCESS TO HEALTH CARE SERVICES, IMPROVE THE HEALTH OF OUR COMMUNITY, AND TO EDUCATE COMMUNITY MEMBERS ON MEDICAL AND HEALTH TOPICS: - COMMUNITY EDUCATION FOCUSED ON PREVENTION AND HEALTH BEHAVIOR MODIFICATION THROUGH IN-PERSON AND VIRTUAL CLASSES, PRINT INFORMATION AND NEWSLETTERS, RADIO AND TV APPEARANCES, ONLINE APPLICATIONS AND RESOURCES, AND INDIVIDUAL HEALTH COACHING.- COMMUNITY-BASED CLINICAL SERVICES THAT DO NOT GENERATE A PATIENT BILL INCLUDING BLOOD DRIVES, VACCINATION CLINICS, BIOMETRIC SCREENINGS, COLORECTAL CANCER SCREENINGS, AND MAMMOGRAMS.- HEALTH CARE SUPPORT SERVICES TO EXTEND ACCESS AND CONNECT ANY COMMUNITY MEMBER WITH SERVICES INCLUDING FINANCIAL RESOURCES IN THE COMMUNITY, MEDICATION ASSISTANCE, TRANSPORTATION ASSISTANCE, GENETIC COUNSELING AND TESTING, AND FACILITATING CONNECTIONS WITH COMMUNITY-BASED ORGANIZATIONS AND RESOURCES.- HEALTH PROFESSIONS EDUCATION TO ADVANCE KNOWLEDGE OF MEDICAL PROFESSIONALS AND STUDENTS INCLUDING GRADUATE MEDICAL EDUCATION, CONTINUING MEDICAL EDUCATION, PASTORAL CARE, PHARMACY, RADIOLOGY, ULTRASOUND, NUCLEAR MEDICINE, THERAPY SERVICES, AND NURSING.- SUBSIDIZED HEALTH SERVICES PROVIDED DESPITE A FINANCIAL LOSS, INCLUDING ST. LUKE'S PEDIATRIC CARE CENTER, THE ALBERT PUJOLS WELLNESS CENTER FOR ADULTS WITH DOWN SYNDROME, AND THE HEALING GRACE CLINIC.- CASH DONATIONS TO NONPROFIT ORGANIZATIONS WITH COMMUNITY BENEFIT INTENT AND IN-KIND DONATIONS INCLUDING ONSITE USE OF MEETING SPACE FREE OF CHARGE TO LOCAL NONPROFITS. IN ADDITION, ST. LUKE'S EXTENDS ITS PASSPORT TO WELLNESS WORKSITE WELLNESS PROGRAM THROUGHOUT THE COMMUNITY TO PROACTIVELY ADDRESS HEALTH NEEDS AND PROMOTE HEALTHY LIVING THROUGH EDUCATION AND HEALTH SCREENINGS AMONG EMPLOYEES OF AREA ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFFILIATED HEALTH CARE SYSTEMN/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE FILING OF COMMUNITY BENEFIT REPORTN/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA)</ExplanationTxt>
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        <NontaxableBenefitsFilingOrgAmt>8436</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL KLEVENS MD</PersonNm>
        <TitleTxt>NETWORK VP IMMEDIATE CARE SERV</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>39769</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>20625</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22811</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>549388</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LESLIE TERRELL MD</PersonNm>
        <TitleTxt>CVICU</TitleTxt>
        <BaseCompensationFilingOrgAmt>508226</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10725</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22811</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>541762</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANE RAY</PersonNm>
        <TitleTxt>SENIOR VP / NETWORK CNO / SLH - COO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>51449</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>37125</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14641</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>524459</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VEDICA SHARMA MD</PersonNm>
        <TitleTxt>CVICU</TitleTxt>
        <BaseCompensationFilingOrgAmt>508670</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10725</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>519395</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHAN BIGLER</PersonNm>
        <TitleTxt>CHIEF PEOPLE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>396537</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22943</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4125</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22970</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>446575</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DON MILLER</PersonNm>
        <TitleTxt>NETWORK VP FACILITIES</TitleTxt>
        <BaseCompensationFilingOrgAmt>321227</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42315</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18542</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20625</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16241</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>418950</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT HOLTSWORTH</PersonNm>
        <TitleTxt>VP / NETWORK CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>310805</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>41362</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18124</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>30525</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13292</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>414108</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHARON MERTZLUFFT</PersonNm>
        <TitleTxt>VICE PRESIDENT&amp; EXEC DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>292217</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>38651</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14113</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14025</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>16354</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>375360</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT B JOHNSON</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>361445</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA OVERTURF</PersonNm>
        <TitleTxt>NETWORK VP REV CYCLE - THRU 1/26/24</TitleTxt>
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        <BonusFilingOrganizationAmount>33478</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>34841</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8298</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>351713</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JON BETTALE</PersonNm>
        <TitleTxt>VICE PRESIDENT SURGICAL SVCS</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TWO INDIVIDUALS RECEIVED A GROSS-UP PAYMENT IN 2023. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES OR FEES THE ORGANIZATION PAYS SPECIFIC SOCIAL CLUB DUES OR FEES INCURRED FOR BUSINESS PURPOSES; SUPPORTING DOCUMENTATION IS REQUIRED PRIOR TO PAYMENT. EXPENSES INCURRED FOR PERSONAL USE OF THE SOCIAL CLUB ARE PAID BY THE EXECUTIVE. ONE LISTED INDIVIDUAL RECEIVED THIS BENEFIT DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2023: SHANE CERONE, $764,423. CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. NO INDIVIDUALS LISTED IN PART VII RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATION. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD OBJECTIVE. THE INCENTIVE COMPENSATION PLAN IS DETERMINED BY A FIXED FORMULA BASED ON ACHIEVING CERTAIN GOALS AND OBJECTIVES EACH YEAR. THE OBJECTIVES ARE BUILT AROUND FOUR PERSPECTIVES, INCLUDING: 1. QUALITY &amp; PATIENT SATISFACTION 2. FINANCIAL PERFORMANCE 3. EXECUTIVE INDIVIDUAL GOALS 4. EXECUTIVE'S INTERNAL BUSINESS (DIVISION) GOALS THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS AND DEPARTMENT DIRECTORS OF THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <PurposeDesc>SEE PART VI</PurposeDesc>
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        <PurposeDesc>SEE PART VI</PurposeDesc>
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      <TaxExemptBondsIssuesGrp>
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        <PurposeDesc>SEE PART VI</PurposeDesc>
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      </TaxExemptBondsIssuesGrp>
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        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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        <BondReferenceCd>A</BondReferenceCd>
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        <ExceptionToRebateInd>0</ExceptionToRebateInd>
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        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, SECTION A, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>2015 (SERIES 2015B) BONDS ISSUED NOVEMBER 12, 2015 AT A FIXED RATE WITH PROCEEDS OF $34 MILLION USED IN PART TO REFUND A PORTION OF THE SERIES 2006 BONDS (ISSSUED JANUARY 9, 2007) AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, SECTION B, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>2016 BONDS ISSUED DECEMBER 20, 2016 AT A FIXED RATE WITH PROCEEDS OF $14 MILLION USED TO FINANCE CAPITAL IMPROVEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, SECTION C, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>2019 BONDS ISSUED JUNE 20, 2019 AT A FIXED RATE WITH PROCEEDS OF $60 MILLION USED TO USED IN PART TO REFUND A PRIOR TAXABLE LOAN AND TO PARTIALLY FINANCE CAPITAL IMPROVEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3, COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND AND FUNDS TRANSFERRED FROM DEBT SERVICE FUND FOR THE REFUNDED BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3, COLUMN C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INTEREST EARNED ON THE PROJECT FUND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 11, COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCEEDS ISSUED TO CURRENTLY REFUND PRIOR ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS MAY HAVE LEASE ARRANGEMENTS IN BOND-FINANCED SPACE. THE HOSPITAL MONITORS ALL SUCH LEASES AND WORKS ROUTINELY WITH BOND COUNSEL TO REVIEW AND DETERMINE WHETHER AN EXCEPTION TO OR EXCLUSION FROM PRIVATE BUSINESS USE APPLIES, THAT THERE IS SUFFICIENT EQUITY TO OFFSET ANY PRIVATE BUSINESS USE OR, IF NECESSARY, TO CALCULATE THE AMOUNT OF PRIVATE BUSINESS USE AND ENSURE POST-ISSUANCE COMPLIANCE REQUIREMENTS ARE MET.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>7</ContributionCnt>
        <NoncashContributionsRptF990Amt>163449</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 32B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES AN OUTSIDE TRUST COMPANY TO SELL EQUITY SECURITIES CONTRIBUTED TO THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 COLUMN (B)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF INDIVIDUAL CONTRIBUTIONS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR MISSION WE ARE DEDICATED TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME. OUR VISION ST. LUKE'S WILL BE AN INTEGRATED, NATIONALLY RECOGNIZED, AWARD-WINNING HEALTH SYSTEM. LIVING OUR MISSION MISSION OUTREACH IS A FOUNDING PRINCIPLE OF ST. LUKE'S, WHICH CARED FOR ITS FIRST PATIENT ON FEBRUARY 28, 1866. WE CELEBRATE FOUNDERS' DAY TO REMEMBER OUR HERITAGE AND TO HONOR OUR FOUNDERS, WHOSE VISION WE CONTINUE TO LIVE OUT EACH DAY. WE ALSO REAFFIRM OUR MISSION, WHICH IS THE FOUNDATION SUPPORTING OUR SERVICE IN AND TO THE COMMUNITY. ST. LUKE'S LIVES ITS MINISTRY OF HEALING BY DEDICATING ITSELF TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT THROUGH THE WIDE ARRAY OF SERVICES IT MAKES AVAILABLE TO THE ST. LOUIS METROPOLITAN AREA. OUR MISSION COMMITMENT INCLUDES THE VITAL AREAS OF COMMUNITY OUTREACH, COMMUNITY HEALTH, COMMUNITY HEALTH INFORMATION/EDUCATION AND COMMUNITY SERVICES. ST. LUKE'S VISION AS AN INDEPENDENT HEALTHCARE SYSTEM IS TO BE AN INTEGRATED, NATIONALLY RECOGNIZED, AWARD-WINNING HEALTH SYSTEM THROUGH OUR COMMITMENT TO HIGH QUALITY, SAFE AND PERSONALIZED SERVICES. WE STRESS EDUCATION REGARDING LIFESTYLES, NUTRITION, IMMUNIZATION AND OTHER METHODS OF MAINTAINING THE HEALTH OF THE BODY AND THE SPIRIT. WE FIND NEW AND INNOVATIVE MEANS OF BRINGING THIS MESSAGE TO THE COMMUNITY, INCLUDING THE UNDERSERVED. ST. LUKE'S PROVIDES QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. AS WE CONTINUE TO PROVIDE QUALITY, SAFE AND COMPASSIONATE CARE TO HEAL THE ACUTELY ILL IN OUR HOSPITALS AND OTHER LOCATIONS IN A COST-EFFICIENT MANNER, WE HAVE ALSO INCREASED OUR EFFORTS TO ASSIST THOSE WHO ARE LIVING WITH CHRONIC DISEASE IN THEIR HOMES, TO RELIEVE THEIR SUFFERING AND IMPROVE THEIR QUALITY OF LIFE. ST. LUKE'S HOME HEALTH AND HOSPICE SERVICES ARE INTEGRAL TO THIS EFFORT. AS A NOT-FOR-PROFIT ORGANIZATION, ST. LUKE'S CONTINUES TO PROVIDE MUCH NEEDED CHARITABLE CARE TO PEOPLE THROUGHOUT THE ST. LOUIS AREA. WE ALSO SUPPORT A WIDE VARIETY OF COMMUNITY CAUSES AND OUTREACH EFFORTS, BOTH EXTERNALLY AND INTERNALLY, FROM SPONSORING FREE CLINICS AND SCREENINGS FOR THE UNDERSERVED TO MAKING AVAILABLE AN EMPLOYEE CRISIS FUND WHICH SERVES TEAM MEMBERS IN NEED. THESE IMPORTANT ENDEAVORS REFLECT OUR MISSION TO SERVE BY PROVIDING SERVICES FOR THOSE WHO MAY OTHERWISE GO WITHOUT. AS WE RECEIVE INPUT, WE MEASURE AND EVALUATE OUR EFFORTS TO BE SURE THAT WHAT WE DO BRINGS BENEFIT TO THE PEOPLE IN OUR COMMUNITY. WE CONTINUALLY REFINE OUR APPROACHES TO MAINTAIN AND IMPROVE COMMUNITY HEALTH AND WELLNESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF SERVICES PROVIDED MEDICALLY NECESSARY HEALTH SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. OUR INDEPENDENT HEALTH SYSTEM PROVIDES PERSONALIZED HEALTHCARE SERVICES AT OUR 493-BED HOSPITAL IN CHESTERFIELD, MISSOURI AND 143-BED ST. LUKE'S DES PERES HOSPITAL. ST. LUKE'S ALSO OFFERS ABOUT 30 OTHER LOCATIONS ACROSS THE GREATER ST. LOUIS AREA, INCLUDING AN OUTPATIENT CENTER, A SKILLED NURSING/RESIDENTIAL CARE FACILITY, EIGHT URGENT CARE CENTERS, A REHABILITATION HOSPITAL, DIAGNOSTIC IMAGING CENTERS, PHYSICIAN OFFICES, A VASCULAR ACCESS CENTER, HOME HEALTH SERVICES AND HOSPICE SERVICES. NATIONALLY RECOGNIZED FOR EXCELLENCE IN HEALTHCARE QUALITY, SAFETY AND PATIENT EXPERIENCE, ST. LUKE'S OFFERS CARE IN MORE THAN 60 SPECIALTY AREAS INCLUDING CARDIOLOGY AND CARDIOVASCULAR SURGERY, CANCER CARE, ORTHOPEDICS, BARIATRICS, NEUROSURGERY AND NEUROLOGY, WOMEN'S SERVICES (INCLUDING OBSTETRICS), PEDIATRICS, URGENT CARE, PULMONARY MEDICINE, SLEEP MEDICINE AND WELLNESS SERVICES FOR ADULTS WITH DOWN SYNDROME. ADDITIONALLY, ST. LUKE'S HOSPITAL IS THE EXCLUSIVE SPIRIT OF WOMEN HOSPITAL IN ST. LOUIS AND HAS BEEN RECOGNIZED AS A SPIRIT OF WOMEN PREMIER HOSPITAL FOR ITS FOCUS ON ELEVATING THE STANDARDS IN WOMEN'S HEALTH. THE NATIONAL DESIGNATION IS BASED ON A COMPREHENSIVE EVALUATION OF INNOVATION AND EXCELLENCE IN WOMEN'S HEALTHCARE AND COMMUNITY OUTREACH DEVELOPED IN CONSULTATION WITH THE OFFICE ON WOMEN'S HEALTH IN THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. TO FURTHER OUR MISSION OF PROVIDING CARE FOR THE MEDICALLY UNDERSERVED AND UNDERINSURED, ST. LUKE'S OPERATES A PEDIATRIC CARE CENTER WHICH PROVIDES HEALTHCARE TO CHILDREN IN A PRIVATE PRACTICE SETTING AS WELL AS EDUCATION AND SOCIAL SUPPORT SERVICES TO THEIR FAMILIES. ST. LUKE'S HAS A ROBUST VOLUNTEER PROGRAM. OUR VOLUNTEER SERVICES DEPARTMENT HAS ABOUT 212 VOLUNTEERS WHO SERVE IN MORE THAN 30 DEPARTMENTS/SITES ACROSS ST. LUKE'S HEALTH SYSTEM. VOLUNTEERS ASSIST BY TRANSPORTING PATIENTS AND VISITORS BY WHEELCHAIR, STOCKING SUPPLIES, GREETING AND DIRECTING ALL VISITORS TO OUR CAMPUS, AND SERVING IN CLERICAL AND RECEPTIONIST ROLES. VOLUNTEERS CONTRIBUTE AN AVERAGE OF 40,000 HOURS OF SERVICE A YEAR. ST. LUKE'S IS CONSISTENTLY RECOGNIZED WITH NATIONAL HONORS FOR EXCELLENCE IN HEALTHCARE QUALITY, SAFETY AND PATIENT EXPERIENCE. RECENT HONORS AND AWARDS INCLUDE: - ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES HOSPITAL RECOGNIZED AS BEST HOSPITALS BY U.S. NEWS &amp; WORLD REPORT, 2024-2025 - THE CENTER FOR CANCER CARE AT ST. LUKE'S NAMED ONE OF NEWSWEEK'S "AMERICA'S BEST CANCER HOSPITALS 2024" - ST. LUKE'S HOSPITAL NAMED TO THE FORBES LIST OF AMERICA'S BEST EMPLOYERS FOR WOMEN 2024 - HEALTHGRADES 2024 OUTSTANDING PATIENT EXPERIENCE AWARD, 2011-2024 - ONE OF HEALTHGRADES AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY FOR 6 YEARS IN A ROW, 2019-2024 - ONE OF HEALTHGRADES AMERICA'S 50 BEST HOSPITALS FOR VASCULAR SURGERY, 2024 - RECIPIENT OF THE HEALTHGRADES CARDIAC SURGERY EXCELLENCE AWARD FOR 6 YEARS IN A ROW, 2019-2024 - WEBMD PATIENT CHOICE AWARD, 2024 - WEBMD PATIENT CHOICE CORONARY BYPASS MISSOURI 2023-2024 - WEBMD PATIENT CHOICE PACEMAKER OR DEFIBRILLATOR PLACEMENT MISSOURI 2023-2024 - WEBMD PATIENT CHOICE NEUROLOGY MISSOURI 2023-2024 - WEBMD PATIENT CHOICE NEUROLOGY ST. LOUIS 2023-2024 - CMS 5-STAR OVERALL QUALITY, 2021-2023 - ST. LUKE'S HOSPITAL NAMED ONE OF THE BEST HOSPITALS FOR MATERNITY BY U.S. NEWS &amp; WORLD REPORT, 2022 - BEST NURSING HOMES FOR SHORT-STAY REHABILITATION, U.S. NEWS &amp; WORLD REPORT, 2019-2022 - WOMEN'S CHOICE AWARD, WOMENCERTIFIED INC., 2015-2024 - "TOP DOCTORS, 2024," CASTLE CONNOLLY, ST. LOUIS MAGAZINE - OVERALL 5-STAR RATING, HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS), 2024</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4B (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>RESOURCES INVESTED AND PROGRAM SERVICES TO SUPPORT MISSION IN SUPPORT OF OUR MISSION, ST. LUKE'S PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, WHICH INCLUDES THOSE WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. IN ADDITION, THE ORGANIZATION PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE LESS THAN THE RELATED COSTS FOR THE SERVICES PROVIDED TO THE RECIPIENTS. EACH YEAR, WE INVEST CONSIDERABLE RESOURCES TO IMPROVE THE HEALTH, WELLNESS AND QUALITY OF LIFE IN OUR COMMUNITY. IN RESPONSE TO IDENTIFIED NEEDS, ST. LUKE'S ALSO BENEFITS THE COMMUNITY IN THE FOLLOWING WAYS: - ST. LUKE'S SUPPORT FOR ITS MEDICAL RESIDENCY PROGRAMS IS AN INTEGRAL PART OF OUR SERVICE TO THE MEDICAL COMMUNITY BY PREPARING NEW PHYSICIANS FOR THEIR CAREERS. ST. LUKES HOSPITAL OFFERS A RESIDENCY IN INTERNAL MEDICINE PROGRAM, WHICH IS ACGME (ACCREDITATION FOR GRADUATE MEDICAL EDUCATION) ACCREDITED FOR 45 RESIDENTS. THIS PROGRAM PROVIDES A UNIQUE OPPORTUNITY FOR TRAINING IN PRIMARY CARE INTERNAL MEDICINE AT BOTH ST. LUKE'S AND PUBLIC HEALTH CLINICS SERVING THE NEEDS OF THE INDIGENT POPULATION IN THE ST. LOUIS AREA. ST. LUKE'S MEDICAL RESIDENTS ALSO PROVIDE COMMUNITY SERVICE BY SPEAKING AT SCHOOLS AND TO VARIOUS CIVIC ORGANIZATIONS. TRAINING OPPORTUNITIES FOR HEALTH PROFESSIONALS IN NURSING, PHARMACY AND OTHER HEALTH SPECIALTIES ARE ALSO AVAILABLE. A PROGRAM DIRECTOR, TWO ASSOCIATE PROGRAM DIRECTORS, A PROGRAM SECRETARY AND A PROGRAM COORDINATOR OVERSEE THE RESIDENCY PROGRAM. MORE THAN 100 PHYSICIANS CONTRIBUTE TO THE TEACHING MISSION AS FULL AND PART-TIME FACULTY. THE ST. LUKE'S DES PERES HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM IS ALSO AN ACGME ACCREDITED PROGRAM. IT PROVIDES GRADUATE MEDICAL TRAINING FOR 12 RESIDENTS WHO GAIN EXPERIENCE THROUGH A NUMBER OF DAILY, WEEKLY AND MONTHLY DIDACTIC EXPERIENCES INCLUDING JOURNAL CLUB, READING CLUB, GRAND ROUNDS, BOARD REVIEW, STFM CORE CURRICULUM, CONFERENCES AND RESEARCH METHODOLOGY. PROGRAM LEADERSHIP AND CORE FACULTY EDUCATION ARE PROVIDED BY ST. LUKE'S MEDICAL GROUP PHYSICIANS AT THE CEDAR HILL PRIMARY CARE PRACTICE, AND OTHER REQUIREMENTS ARE ADDRESSED THROUGH CLINICAL ROTATIONS WITH SPECIALISTS THROUGHOUT THE ST. LUKE'S HEALTH SYSTEM. - ST. LUKE'S OFFERS CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. THE PROGRAM IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION. - ST. LUKE'S MINISTRY OF HEALING CELEBRATES ALL FAITHS THROUGH SPIRITUAL CARE SERVICES THAT IMPROVE THE HEALTH OF THE COMMUNITY IN BODY, MIND AND SPIRIT. WORSHIP AND PRAYER SERVICES, SACRAMENTS AND SPIRITUAL SUPPORT ARE OFFERED AROUND THE CLOCK. WE MINISTER TO ALL IN NEED, HELP PATIENTS AND CAREGIVERS MAKE COMPLEX MEDICAL DECISIONS AND WALK BESIDE THOSE HAVING MEDICAL PROCEDURES OR NAVIGATING SERIOUS ILLNESSES. SOME OF THE CHAPLAINS SERVING AS PART OF OUR HEALTHCARE TEAM ARE PART OF OUR CHAPLAIN RESIDENCY PROGRAM. THEOLOGICALLY EDUCATED STUDENTS COME FROM ACROSS THE COUNTRY TO PARTICIPATE IN ST. LUKE'S ONE-YEAR CLINICAL PASTORAL EDUCATION (CPE) RESIDENCY, WHICH IS ACCREDITED BY THE ASSOCIATION OF CLINICAL PASTORAL EDUCATION. THESE GIFTED INDIVIDUALS BRING FRESH PERSPECTIVES AND COMPASSIONATE HEARTS TO CARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR TEAM MEMBERS. - ST. LUKE'S TEAM MEMBERS GENEROUSLY SUPPORT THE COMMUNITY ALL YEAR LONG. OUR MISSION OUTREACH COMMITTEE LEADS THESE EFFORTS IN OUR WORKPLACE AND CONDUCTS THREE COLLECTION DRIVES FOR DONATIONS OF FOOD, SCHOOL SUPPLIES, WARM CLOTHING AND TOYS TO ASSIST FAMILIES IN NEED. TEAM MEMBERS, PATIENTS AND PHYSICIANS GENEROUSLY SUPPORT THESE INITIATIVES TO ASSIST THE FAMILIES SERVED BY ST. LUKE'S PEDIATRIC CARE CENTER, ISAIAH 58 MINISTRIES, OPERATION FOOD SEARCH AND LITTLE PATRIOTS EMBRACED. - ST. LUKE'S HAS HAD A LONG-STANDING COMMITMENT TO PROVIDING PREVENTIVE HEALTHCARE AND TREATMENT TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN IN THE ST. LOUIS REGION. LOCATED IN NORTH ST. LOUIS COUNTY, ST. LUKE'S PEDIATRIC CARE CENTER IS A MISSION-BASED AGENCY OF ST. LUKE'S THAT PROVIDES QUALITY PRIMARY CARE TO MEDICALLY UNDERSERVED AND UNDERINSURED CHILDREN IN ST. LOUIS CITY AND COUNTY IN A PRIVATE PRACTICE SETTING. THE PRIMARY GOAL OF THE CENTER IS TO ESTABLISH AND MAINTAIN ACCESS TO HEALTHCARE FOR FAMILIES THROUGH A PRIMARY CARE PHYSICIAN, THEREBY HELPING THEM UNDERSTAND AND DEAL WITH POTENTIAL HEALTH ISSUES BEFORE THE ISSUES BECOME SERIOUS ENOUGH TO REQUIRE ACUTE CARE. THE STAFF CONSISTS OF TWO FULL-TIME BOARD-CERTIFIED PEDIATRICIANS AS WELL AS A SITE MANAGER, REGISTERED NURSE, SOCIAL WORKER AND OFFICE COORDINATOR, ALL OF WHOM ARE DEDICATED TO IMPROVING HEALTHCARE FOR CHILDREN AND FAMILIES. - ST. LUKE'S HELPS EDUCATE WOMEN ABOUT IMPORTANT TOPICS THAT IMPACT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. THROUGH A FREE MEMBERSHIP IN ST. LUKE'S SPIRIT OF WOMEN PROGRAM, WOMEN RECEIVE HEALTH INFORMATION FROM ST. LUKE'S VIA EMAILS, A WOMEN'S HEALTH MAGAZINE AND MORE. THROUGH A WEBSITE, WOMEN CAN ACCESS MONTHLY HEALTH TOPICS AS WELL AS EASY-TO-NAVIGATE PREVENTIVE HEALTH INFORMATION BY DECADE OF LIFE. THE COMMUNITY IS INVITED TO SPIRIT OF WOMEN PROGRAMMING AND EVENTS THROUGHOUT THE YEAR. - ST. LUKE'S HEALTHY WORKFORCE PROGRAM PARTNERS WITH MORE THAN 100 LOCAL EMPLOYERS FOR WORKSITE WELLNESS PROGRAMS, COLLABORATING WITH THEM TO IDENTIFY, ADDRESS AND ELIMINATE EMPLOYEE HEALTH RISKS BEFORE THEY RESULT IN COSTLY HEALTHCARE CLAIMS. OUR TEAM COLLECTS PERSONAL HEALTH PROFILES FROM THEIR EMPLOYEES. THEN, WE PROVIDE A GROUP HEALTH REPORT TO IDENTIFY THE SPECIFIC HEALTH RISKS PRESENT IN THEIR WORKFORCE AND WAYS TO ADDRESS THESE RISKS. ST. LUKE'S HEALTHCARE PROFESSIONALS COORDINATE AND PROVIDE ON-SITE LOW-COST HEALTH SCREENINGS (CHOLESTEROL, GLUCOSE, BLOOD PRESSURE, PERIPHERAL ARTERY DISEASE, WAIST MEASUREMENT), FLU VACCINE CLINICS, LUNCHTIME SEMINARS, HEALTH COACHING AND ASK THE EXPERT TABLING EVENTS. EDUCATIONAL MATERIALS ARE PROVIDED AT EACH OFFERING FOR THE EMPLOYEES AND/OR THEIR FAMILY MEMBERS. ST. LUKE'S ALSO PROVIDES EMPLOYERS WITH ACCESS TO AN INTERNET-BASED FINANCIAL ANALYSIS TOOL THAT ALLOWS THE EMPLOYER TO UNDERSTAND THE HEALTH RISKS FACED BY WORKERS, PROJECT HOW HEALTHCARE DOLLARS WILL BE SPENT AND IDENTIFY POTENTIAL SAVINGS THROUGH THE ATTAINMENT OF A HEALTHIER WORKFORCE. - ST. LUKE'S HEART AND VASCULAR INSTITUTE'S HEART FAILURE CLINIC OFFERS INDIVIDUALIZED TREATMENT OPTIONS FOR PATIENTS WITH HEART FAILURE TO RELIEVE SYMPTOMS, TREAT UNDERLYING CAUSES AND HELP SLOW PROGRESSION OF THE DISEASE. THE CLINIC'S MULTIDISCIPLINARY TEAM ASSESSES AND TREATS EACH ASPECT OF THE DISEASE PROCESS AND WORKS CLOSELY WITH PATIENTS TO HELP MANAGE THEIR CONDITION. IMPLEMENTATION OF A MULTIDISCIPLINARY HEART FAILURE CLINIC HAS BEEN SHOWN TO REDUCE HOSPITAL READMISSIONS AND MORTALITY FROM THE DISEASE. - THE GOAL OF THE HEALING GRACE CLINIC, FOUNDED BY A ST. LUKE'S MEDICAL GROUP PHYSICIAN, IS TO PROVIDE A CLINIC FOR THE UNINSURED IN WEST ST. LOUIS COUNTY. IT IS LOCATED ON THE GROUNDS OF AND OPERATED BY CENTRAL BAPTIST CHURCH IN EUREKA, MISSOURI AND IS PRIMARILY STAFFED BY VOLUNTEERS. ONGOING SUPPORT FROM ST. LUKE'S INCLUDES THE PROVISION OF A PART-TIME PHYSICIAN ASSISTANT AND MEDICAL ASSISTANT WHO SEE PATIENTS AT THE CLINIC, SOME MEDICAL SUPPLIES AND PHYSICIAN COVERAGE FOR THE PHYSICIAN ASSISTANT. THROUGH THE ST. LUKE'S CENTER FOR DIAGNOSTIC IMAGING, IMAGING SERVICES ARE PROVIDED FREE OR AT A REDUCED COST TO PATIENTS. CHRONIC CONDITIONS ARE MANAGED AND CARE IS COORDINATED THROUGH ARRANGEMENTS WITH OTHER ST. LUKE'S DEPARTMENTS AND MEMBERS OF ST. LUKE'S MEDICAL STAFFS, WITH FINANCIAL ASSISTANCE PROVIDED. - THE ALBERT PUJOLS WELLNESS CENTER FOR ADULTS WITH DOWN SYNDROME AT ST. LUKE'S HOSPITAL HELPS FILL A GROWING NEED FOR SERVICES IN OUR COMMUNITY. PATIENTS 17 YEARS OF AGE AND OLDER ARE REFERRED TO THE CENTER FOR SERVICES FOCUSED ON NUTRITION, EXERCISE, SAFETY AND SOCIAL/EMOTIONAL WELL-BEING. CLASSES AND PROGRAMS JUST FOR FUN, SUCH AS DANCING AND VARIOUS ARTS AND CRAFTS, ARE ALSO OFFERED. THE CENTER OFFERS PROGRAMMING ON VARIOUS TOPICS FOR CAREGIVERS AS WELL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4B (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>- ST. LUKE'S COMMITMENT TO PROVIDE EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME IS FACILITATED THROUGH THE DEVELOPMENT OF COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLANS (CHIP). THE PROCESS TO DEVELOP THE CHNA AND CHIP HELPS US TO BETTER UNDERSTAND AND FOCUS ON THE IMPORTANT HEALTH AND HEALTH-RELATED ISSUES AFFECTING OUR COMMUNITIES AND TO DEVELOP STRATEGIES AND IMPLEMENTATION PLANS INTENDED TO DRIVE MEANINGFUL RESULTS. THE CURRENT 2022 CHNAS FOR ST. LUKE'S HOSPITAL FOCUS ON THE FOLLOWING PRIORITY NEEDS: WEIGHT MANAGEMENT, MENTAL HEALTH AND OLDER ADULTS. THE CURRENT 2022 CHNAS FOR ST. LUKE'S DES PERES HOSPITAL FOCUS ON THE FOLLOWING PRIORITY NEEDS: WEIGHT MANAGEMENT, SMOKING/RESPIRATORY HEALTH AND ACCESS IN PRIORITY AREAS. THE FULL REPORTS ARE AVAILABLE ON ST. LUKE'S WEBSITE AT STLUKES-STL.COM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION MEMBERS OR STOCKHOLDERS: ST. LUKE'S HEALTH CORPORATION A 501(C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, A REGIONAL HEALTH CARE PROVIDER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNANCE DECISIONS OF THE ORGANIZATION CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION, INCLUDING AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BY-LAWS AND CHANGES TO THE SIZE OF THE BOARD OF DIRECTORS, ARE SUBJECT TO APPROVAL BY THE DIOCESE OF MISSOURI OF THE PROTESTANT EPISCOPAL CHURCH IN THE UNITED STATES OF AMERICA AND BY THE PRESBYTERY OF GIDDINGS-LOVEJOY OF THE PRESBYTERIAN CHURCH (U.S.A.). SUCH DECISIONS ALSO REQUIRE APPROVAL BY ST. LUKE'S HEALTH CORPORATION, THE SOLE CORPORATE MEMBER OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS. THE DIOCESE OF MISSOURI OF THE PROTESTANT EPISCOPAL CHURCH IN THE UNITED STATES OF AMERICA AND THE PRESBYTERY OF GIDDINGS-LOVEJOY OF THE PRESBYTERIAN CHURCH (U.S.A.) ARE ALSO REPRESENTED ON THE BOARD OF DIRECTORS OF ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, HOLDING FOUR OF TWENTY POSITIONS WITH EACH POSITION HAVING ONE VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF THE 990 THE FORM 990 HAS BEEN REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICTS OF INTEREST POLICY THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY PROVIDING THE POLICY AND QUESTIONNAIRE TO EACH BOARD MEMBER AT THE TIME OF APPOINTMENT AND TO EACH NEW EMPLOYEE AT THE TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER. EACH BOARD MEMBER AND KEY EMPLOYEE IS REQUIRED TO SIGN A STATEMENT ACKNOWLEDGING HE/SHE HAS READ, UNDERSTANDS AND AGREES TO COMPLY WITH THE POLICY AS WELL AS SUBMIT THE COMPLETED QUESTIONNAIRE. ANY/ALL ACTUAL OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE FROM THE FORMS ARE DISCLOSED TO THE FINANCE, AUDIT AND RISK COMMITTEE. THE FINANCE, AUDIT AND RISK COMMITTEE ADDRESSES ANY POTENTIAL CONFLICT OF INTEREST AND TAKES APPROPRIATE ACTION TO RESOLVE. THE ORGANIZATION CONSIDERS THE POSSIBILITY THAT BOARD MEMBERS OR KEY EMPLOYEES MAY INADVERTENTLY FAIL TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND PERFORMS DUE DILIGENCE TO ADDRESS AND RESPOND IN ACCORDANCE WITH THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION EXECUTIVE, KEY EMPLOYEE AND PHYSICIAN SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE ORGANIZATION ALSO ENGAGED CONSULTANTS FOR INDEPENDENT REVIEWS TO ENSURE COMPENSATION FOR CERTAIN OF THE ABOVE EMPLOYEES IS FAIR AND WITHIN MARKET PARAMETERS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS FOR EXECUTIVES AND KEY EMPLOYEES ARE PRESENTED TO THE COMPENSATION COMMITTEE TO APPROVE OR MODIFY. THE COMPENSATION COMMITTEE HAS REPRESENTATION FROM THE INDEPENDENT MEMBERS OF THE BOARD AND LEGAL COUNSEL. MINUTES ARE MAINTAINED OF THE DISCUSSIONS AND CONCLUSIONS OF THE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC ACCESS ANNUAL FINANCIAL STATEMENTS INCLUDING FORM 990 ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. ANY PROPRIETARY INTERNAL POLICIES OR GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VIII, LINE 7C, COLUMN I:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAINS AND LOSSES FROM INVESTMENTS THE ORGANIZATION PARTICIPATES IN A SYSTEM-WIDE POOLED INVESTMENT PROGRAM. THE INVESTMENTS ARE REPORTED ONLY AS REALIZED GAINS OR LOSSES TO EACH ORGANIZATION AND DO NOT REPORT THE ALLOCATION PORTION OF PROCEEDS AND COST BASIS RELATED TO THOSE REALIZED GAINS/LOSSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN PENSION OBLIGATION -268,620. TRANSFERS TO MEDICAL GROUP -42,904,998. CHANGE IN RESTRICTED ASSETS -4,318,614.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <TotalIncomeAmt>-909975</TotalIncomeAmt>
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        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>ST LUKE'S DEVELOPMENT CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>232 S WOODS MILL ROAD</AddressLine1Txt>
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        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SL HEALTH CORP</BusinessNameLine1Txt>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>SCHEDULE K-1</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>