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        <TotalRevenueColumnAmt>84939394</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>84893713</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>45681</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENTAL REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>740079</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>740079</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>259207</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>259207</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HIM RECORDS REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>43025</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43025</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEAL REPLACEMENT REVENUE</Desc>
        <BusinessCd>624210</BusinessCd>
        <TotalRevenueColumnAmt>1119</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1119</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>85982824</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>60163</TotalRevenueColumnAmt>
        <ExclusionAmt>60163</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>5760</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>175669</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-169909</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-169909</TotalRevenueColumnAmt>
        <ExclusionAmt>-169909</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC. REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>37592</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37592</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Cash Discounts</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5187</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5187</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Ground Lease Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>50325</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>50325</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>93104</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>87791819</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>86030247</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>45681</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-109746</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>372799</TotalAmt>
        <ManagementAndGeneralAmt>372799</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>29304580</TotalAmt>
        <ProgramServicesAmt>27529504</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1775076</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>669027</TotalAmt>
        <ProgramServicesAmt>669027</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4459624</TotalAmt>
        <ProgramServicesAmt>3973830</ProgramServicesAmt>
        <ManagementAndGeneralAmt>485794</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2137626</TotalAmt>
        <ProgramServicesAmt>2137626</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>35034</TotalAmt>
        <ManagementAndGeneralAmt>35034</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2504157</TotalAmt>
        <ProgramServicesAmt>2504157</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>302638</TotalAmt>
        <ProgramServicesAmt>70</ProgramServicesAmt>
        <ManagementAndGeneralAmt>302568</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>882140</TotalAmt>
        <ProgramServicesAmt>567756</ProgramServicesAmt>
        <ManagementAndGeneralAmt>314384</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>4144359</TotalAmt>
        <ProgramServicesAmt>4143633</ProgramServicesAmt>
        <ManagementAndGeneralAmt>726</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>1920889</TotalAmt>
        <ProgramServicesAmt>1920889</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>24144</TotalAmt>
        <ProgramServicesAmt>19780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4364</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>7842</TotalAmt>
        <ProgramServicesAmt>7842</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1521948</TotalAmt>
        <ProgramServicesAmt>1521948</ProgramServicesAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>6039166</TotalAmt>
        <ProgramServicesAmt>6039166</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>885473</TotalAmt>
        <ManagementAndGeneralAmt>885473</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>22490401</TotalAmt>
        <ProgramServicesAmt>22490401</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAID FRA EXPENSE</Desc>
        <TotalAmt>6024000</TotalAmt>
        <ProgramServicesAmt>6024000</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <TotalAmt>2170219</TotalAmt>
        <ProgramServicesAmt>2060736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109483</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>2123072</TotalAmt>
        <ProgramServicesAmt>2076170</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46902</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1636982</TotalAmt>
        <ProgramServicesAmt>1381188</ProgramServicesAmt>
        <ManagementAndGeneralAmt>255794</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>89656120</TotalAmt>
        <ProgramServicesAmt>85067723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4588397</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1918303</BOYAmt>
        <EOYAmt>24950344</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>15269408</BOYAmt>
        <EOYAmt>18010735</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>2551747</BOYAmt>
        <EOYAmt>2349935</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>615524</BOYAmt>
        <EOYAmt>622441</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>63116056</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11258363</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>46097880</BOYAmt>
        <EOYAmt>51857693</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>6803454</BOYAmt>
        <EOYAmt>7177977</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>73256316</BOYAmt>
        <EOYAmt>104969125</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>5667453</BOYAmt>
        <EOYAmt>7217199</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>13962601</BOYAmt>
        <EOYAmt>44780245</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>19630054</BOYAmt>
        <EOYAmt>51997444</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>53626262</BOYAmt>
        <EOYAmt>52971681</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>53626262</BOYAmt>
        <EOYAmt>52971681</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>73256316</BOYAmt>
        <EOYAmt>104969125</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-1864301</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>1209720</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>35034</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>35034</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Form Sch C, Part II-B, Line 1f: APPROXIMATELY $35,034 OF THE DUES PAID TO VARIOUS TRADE ORGANIZATIONS FOR THE YEAR ENDED JUNE 30, 2020 ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <OtherCostOrOtherBasisAmt>13690000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>13690000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>18872388</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2397661</DepreciationAmt>
        <BookValueAmt>16474727</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1251000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>504292</DepreciationAmt>
        <BookValueAmt>746708</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>28940702</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8356410</DepreciationAmt>
        <BookValueAmt>20584292</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>361966</OtherCostOrOtherBasisAmt>
        <BookValueAmt>361966</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>51857693</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INTANGIBLE ASSETS</Desc>
        <BookValueAmt>6250000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>927977</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>7177977</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY SETTLEMENTS</Desc>
        <Amt>11264431</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASSET RETIREMENT OBLIGATION</Desc>
        <Amt>470668</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>131213</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ORGANIZATION</Desc>
        <Amt>32913933</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>44780245</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FOOTNOTE FOR UNCERTAIN TAX POSITIONS: ST. LUKE'S EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE ARE NO UNCERTAIN POSITIONS RECORDED IN 2020 OR 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <PersonsServedCnt>2715</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>2946219</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2946219</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03280</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>2436692</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1227176</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1209516</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01350</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>2715</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>5382911</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1227176</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4155735</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04630</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>50992</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>50992</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </CommunityHealthServicesGrp>
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        <OwnWebsiteURLTxt>SEE SUPPLEMENTAL INFORMATION 2</OwnWebsiteURLTxt>
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        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SUPPLEMENTAL INFORMATION 3</StrategyWebsiteURLTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>WWW.STLUKES-STL.COM/PAY</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>SEE SUPPL INFO 5</FAPSummaryOnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 1</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINES 5, 6A, AND 6B: THE HOSPITAL FACILITY SOLICITED INPUT FROM AREA HEALTH EXPERTS AND COMMUNITY LEADERS, AND SELECTED PRIMARY AND SECONDARY SURVEY SOURCES OF INPUT TO IDENTIFY TARGET AREAS FOR IMPROVEMENT WHEN CONDUCTING THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AS OUTLINED IN THE COMMUNITY INPUT FOCUS GROUPS SECTION OF THE ST. LUKE'S DES PERES HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2019, THE PRIMARY RESEARCH METHODOLOGY INCLUDED COLLABORATION WITH ST. LUKE'S HOSPITAL, BJC HEALTHCARE, MISSOURI BAPTIST MEDICAL CENTER, BARNES JEWISH WEST COUNTY, MERCY HOSPITAL ST. LOUIS, AND MERCY HOSPITAL SOUTH IN SOLICITING INPUT FROM HEALTH EXPERTS AND INDIVIDUALS WITH SPECIAL INTEREST IN POPULATIONS SERVED BY THESE HOSPITALS, SPECIFICALLY IN THE WEST AND SOUTH ST. LOUIS COUNTY AREAS. NINETEEN (19) INDIVIDUALS REPRESENTING VARIOUS ST. LOUIS COUNTY ORGANIZATIONS PARTICIPATED IN A FOCUS GROUP PROCESS. THE COMMUNITY STAKEHOLDER FOCUS GROUP MEMBERS (AS OUTLINED IN APPENDIX E OF THE CHNA REPORT) REPRESENTED THE FOLLOWING ORGANIZATIONS: -ALIVE, -AMERICAN CANCER SOCIETY, -AMERICAN DIABETES ASSOCIATION, -AMERICAN HEART ASSOCIATION, -BEHAVIORAL HEALTH NETWORK, -CITY OF OLIVETTE, -GATEWAY REGION YMCA, -INTEGRATED HEALTH NETWORK, -INTERNATIONAL INSTITUTE OF ST. LOUIS, -JEWISH FEDERATION OF ST. LOUIS, -KIRKWOOD FIRE DEPARTMENT, -LIUNA, -NATIONAL COUNCIL ON ALCOHOLISM AND DRUG ABUSE, -PEOPLE'S HEALTH CENTERS/HOPEWELL COMMUNITY MENTAL HEALTH CENTER, -ST. LOUIS COUNTY PUBLIC HEALTH DEPT., -ST. LOUIS COUNSELING, -ST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATION, and -UNITED WAY. A FOCUS GROUP WAS CONDUCTED IN AUGUST 2018 TO SOLICIT FEEDBACK FROM THESE INDIVIDUALS ON THE NEEDS OF THE ST. LOUIS COUNTY POPULATION. PARTICIPANTS WERE GIVEN THE LIST OF THE NEEDS IDENTIFIED IN THE 2016 ASSESSMENT (PRIOR TO ST. LUKE'S DES PERES HOSPITAL'S INVOLVEMENT IN THE CHNA PROCESS) AND ASKED TO RE-RANK THEM ON A SCALE OF 1 (LOW) TO 5 (HIGH), BASED ON THEIR PERCEIVED LEVEL OF COMMUNITY CONCERN AND THE ABILITY OF COMMUNITY ORGANIZATIONS TO COLLABORATE AROUND THEM (SEE CHART ON PAGE 20 OF THE CHNA REPORT). TO FURTHER VALIDATE THE PRIORITIZED NEEDS DETERMINED BY THE FOCUS GROUP, ST. LUKE'S HOSPITAL SURVEYED DAY OF DANCE PARTICIPANTS (FREE WELLNESS EVENT), COMPLETED A HEALTH STATUS SURVEY, AND COMPILED RESULTS AND KEY FINDINGS FROM THE COMPLETED SURVEYS INTO A GROUP HEALTH PROFILE AND COMPARED TO THE 2018 DATA. (SEE RESULTS ON PAGE 22 OF THE CHNA). IN ADDITION, ST. LUKE'S PROVIDES A WORKSITE WELLNESS PROGRAM CALLED PASSPORT TO WELLNESS TO MORE THAN 200 LOCAL EMPLOYERS (INCLUDING ST. LUKE'S DES PERES EMPLOYEES). THROUGH A HEALTH RISK ASSESSMENT, DATA IS COLLECTED AND AGGREGATED. THE DATA WAS COLLECTED USING A GROUP HEALTH REPORT FROM 2016 COMPARED WITH THE SAME CONSUMERS IN 2018 (SEE PAGE 22 AND APPENDIX H OF THE CHNA REPORT FOR THE COMPARISON). IN ADDITION TO THE PRIMARY RESEARCH, ST. LUKE'S DES PERES UTILIZED THE FOLLOWING MAJOR SECONDARY DATA SOURCES: -ST. LOUIS REGION COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN, PUBLISHED AUGUST 2018 (SEE PAGE 13 OF THE CHNA REPORT AND APPENDIX C). -ST. LOUIS COUNTY DEPT. OF PUBLIC HEALTH LEADING CAUSES OF DEATH REPORT, PUBLISHED FEBRUARY 2018 (SEE PAGES 13 - 15 OF THE CHNA REPORT AND APPENDIX D). -2019 ST. LOUIS COUNTY HEALTH RANKINGS AND ROADMAPS REPORT (SEE PAGE 13 OF THE CHNA REPORT AND APPENDIX B). IN 2017, THE NETWORK OF HOSPITALS AND HEALTHCARE PROVIDERS WHO COLLABORATE TO GATHER FEEDBACK FROM THE COMMUNITY FOR ASSESSMENT STRENGTHENED ITS COMMITMENT, AND ST. LUKE'S HOSPITAL JOINED THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC). UPON JOINING ST. LUKE'S NETWORK OF CARE IN 2018, ST. LUKE'S DES PERES HOSPITAL WAS INTEGRATED INTO THESE COLLABORATIVE EFFORTS. THROUGHOUT THEIR HEALTH ASSESSMENT PROCESS, THE STLPHC WAS FOCUSED ON A SYSTEMS LEVEL CHANGE, WITH COMMUNITY ENGAGEMENT AND INCLUSION SERVING AS CORE GUIDING PRINCIPLES. THROUGH LISTENING SESSIONS, SURVEYS AND FOCUS GROUPS, THE STLPHC WORKED TO IDENTIFY THEMES ON WHAT A HEALTHY COMMUNITY SHOULD LOOK LIKE FOR ST. LOUIS AREA RESIDENTS, AND IDENTIFIED BOTH BARRIERS AND FACILITATORS FOR HEALTH IN THE REGION. SUPPLEMENTAL INFORMATION 2 PART V, SECTION B, LINE 7A WEBSITE URL: HTTPS://WWW.STLUKES-STL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/INDEX.HTML</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 10A WEBSITE URL: HTTPS://WWW.STLUKES-STL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/INDEX.HTML</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11 BASED ON CURRENT HEALTH DATA, COMMUNITY INPUT THROUGH FOCUS GROUPS AND SURVEYS, AND IN CONSIDERATION OF REGIONAL STRATEGIES, ST. LUKE'S DES PERES HOSPITAL'S 2019 CHNA IMPLEMENTATION PLAN IDENTIFIES TWO PRIORITY NEED AREAS ON WHICH TO FOCUS TO IMPLEMENT ACTIONABLE INITIATIVES BETWEEN FISCAL YEARS 2020-2022, INCLUDING: -NUTRITION AND WEIGHT STATUS, and -ACCESS TO CARE. WHILE THE NATURE OF COVID-19 DURING FISCAL YEAR 2020 PRESENTED A CHALLENGE FOR IMPLEMENTATION OF MANY PLANNED ACTIONS TO PROGRESS TOWARD ACHIEVING STRATEGIES, THE FOLLOWING ACTIONS WERE TAKEN TO ADDRESS THE PRIORITY NEEDS IDENTIFIED IN THE 2019 CHNA: 1) NUTRITION AND WEIGHT STATUS: PROVIDED NUTRITION EDUCATION CLASSES THROUGH THE ADDITION OF "BASICS OF MINDFUL EATING" &amp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amp; SCREENINGS: CANCER IS THE SECOND LEADING CAUSE OF DEATH IN ST. LOUIS COUNTY, AND THE DIAGNOSIS OF CANCER CONTINUES TO GROW, WITH 7.6% OF ADULTS LIVING IN ST. LOUIS COUNTY HAVING A CANCER DIAGNOSIS. NEVERTHELESS, OUR FOCUS GROUPS AND SURVEYS DID NOT SINGLE OUT CANCER AS A PRESSING PRIORITY RELATIVE TO OTHER ISSUES, WHICH MAY BE A RESULT OF EXISTING COMMUNITY PREVENTION AND TREATMENT ACTIVITIES THAT ADDRESS THE NEED. IN ADDITION TO THE MOBILE MAMMOGRAPHY VAN SCREENINGS, ST. LUKE'S ALSO CONDUCTS ROBUST SCREENING PROGRAMS FOR LUNG CANCER AND SKIN CANCER. OTHER COMMUNITY RESOURCES FOR CANCER PREVENTION, EDUCATION, SCREENING AND SUPPORT INCLUDE THE AMERICAN CANCER SOCIETY, THE CANCER SUPPORT COMMUNITY OF GREATER ST. LOUIS AND SUSAN G. KOMEN MISSOURI. IN ADDITION, OTHER REGIONAL HEALTHCARE PROVIDERS, INCLUDING MERCY AND BJC HEALTHCARE'S SITEMAN CANCER CENTER, PROVIDE COMMUNITY CANCER SCREENINGS AND EDUCATION. CHRONIC DISEASE PREVENTION &amp; MANAGEMENT: CHRONIC DISEASES--SUCH AS HEART DISEASE, CANCER, AND DIABETES--ARE THE LEADING CAUSES OF DEATH AND DISABILITY IN THE UNITED STATES. NOT ONLY DO CHRONIC DISEASES ACCOUNT FOR 70% OF ALL DEATHS IN THE U.S., BUT THEY ALSO IMPACT 1 OUT OF 10 AMERICANS' QUALITY OF LIFE, ACCORDING TO THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). ST. LUKE'S WORK-SITE WELLNESS AND COMMUNITY EDUCATION AND OUTREACH PROGRAMS ARE GEARED TOWARD IMPROVING LIFESTYLE FACTORS RELATED TO CHRONIC DISEASE, CONNECTING INDIVIDUALS TO HEALTHCARE PROVIDERS, AND PROMOTING BETTER CHRONIC DISEASE MANAGEMENT. OTHER COMMUNITY RESOURCES FOR CHRONIC DISEASE PREVENTION AND MANAGEMENT INCLUDE THE YMCA, OASIS, THE ST. LOUIS BUSINESS HEALTH COALITION, GENERATE HEALTH, LIVEWELLSTL, AS WELL AS OTHER REGIONAL HEALTHCARE PROVIDERS. MANY OF THESE COMMUNITY STAKEHOLDERS COLLABORATE AS A PART OF THE STLPHC. MENTAL HEALTH &amp; STRESS MANAGEMENT: WHILE MENTAL HEALTH, SUBSTANCE ABUSE AND ADDICTION CAN OFTEN GO HAND IN HAND, ST. LUKE'S DES PERES HOSPITAL HAS LIMITED RESOURCES TO ADDRESS THE MENTAL HEALTH STATUS OF OUR COMMUNITY. AS A PART OF OUR COMMUNITY EDUCATION OFFERINGS, ST. LUKE'S PROVIDES STRESS MANAGEMENT AND MINDFULNESS COURSES, LED BY A NURSE CERTIFIED IN MINDFULNESS BASED STRESS REDUCTION. EVEN FURTHER, AS A PART OF REGIONAL COLLABORATIVE WORK WITH THE STLPHC, ST. LUKE'S DES PERES HOSPITAL IS COMMITTED TO SUPPORTING INITIATIVES RELATED TO ACCESS TO BEHAVIORAL AND MENTAL HEALTH RESOURCES AS APPROPRIATE. BEYOND THE SCOPE OF ST. LUKE'S, ST. LOUIS COUNTY HAS MANY ORGANIZATIONS THAT OFFER BEHAVIORAL HEALTH SERVICES TO ADDRESS THIS ISSUE. THE ST. LOUIS COUNTY HEALTH AND WELLNESS PROGRAM OFFERS A FAMILY MENTAL HEALTH COLLABORATIVE WHICH FOCUSES ON MEETING THE MENTAL HEALTH NEEDS OF ST. LOUIS COUNTY. THE SERVICES ARE PROVIDED ON A SLIDING SCALE BASED ON THE FAMILY'S INCOME AND INSURANCE PLAN AND INCLUDE CRISIS INTERVENTION, COUNSELING, ASSESSMENTS, CASE/CARE MANAGEMENT, PSYCHOLOGICAL TESTING, PSYCHIATRIC EVALUATION AND MEDICATION. THE FOLLOWING FACILITIES PARTICIPATE IN THIS PROGRAM: BJC BEHAVIORAL HEALTH, CATHOLIC FAMILY SERVICES, JEWISH FAMILY &amp; CHILDREN'S SERVICES, LUTHERAN FAMILY &amp; CHILDREN'S SERVICES, AND PROVIDENT COUNSELING.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16C: WWW.STLUKES-STL.COM/PAY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 1</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 6A N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 7G N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 7 COLUMN (F) TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSE LINE 7A: CHARITY CARE, 3.28% LINE 7B: UNREIMBURSED MEDICAID, 2.72% LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 6.00% LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.06% LINE 7F: HEALTH PROFESSIONS EDUCATION, 2.59% LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.00% LINE 7J: TOTAL OTHER BENEFITS, 2.65% LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 8.65% 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>SUPPLEMENTAL INFORMATION 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PART II: COMMUNITY BUILDING ACTIVITIES ST. LUKE'S (INCLUDING BOTH ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES HOSPITAL) WORKS WITH ITS DENOMINATIONAL SPONSORS, THE EPISCOPAL AND PRESBYTERIAN USA CHURCHES (THE CHURCHES), TO IMPROVE THE HEALTH OF THE GREATER ST. LOUIS COMMUNITY IN BODY, MIND AND SPIRIT. THROUGH VARIOUS COMMUNICATIONS AND OUTREACH EFFORTS, ST. LUKE'S WORKS TO CREATE A STRONGER CONNECTION WITH THE CHURCHES AND COMMUNITY TO SHOW HOW ST. LUKE'S LIVES OUT ITS MISSION AND MINISTRY OF HEALING. KEY INITIATIVES INCLUDE: 1) ANNUAL REPRESENTATION AT A MEETING OF THE PRESBYTERY OF GIDDINGS-LOVEJOY/EPISCOPAL DIOCESE OF MISSOURI BY THE PASTORAL CARE DIRECTOR TO PROVIDE AN OVERVIEW OF ANNUAL MISSION ACTIVITIES; 2) ANNUAL MISSION BROCHURE TO DESCRIBE HOSPITAL SERVICES, COMMUNITY OUTREACH, EDUCATION, PROVISION OF CHARITY CARE TO THE UNINSURED AND UNDERINSURED WITHIN THE COMMUNITY, AND INFORMATION ABOUT OTHER RESOURCES PROVIDED BY THE HOSPITALS, SUCH AS MEALS ON WHEELS AND THE PEDIATRIC CARE CENTER; 3) RAISING AWARENESS ABOUT THE ST. LUKE'S PASTORAL CARE DEPARTMENT AND CLINICAL PASTORAL EDUCATION PROGRAM; AND 4) IDENTIFYING OPPORTUNITIES TO PROVIDE HEALTH EDUCATION ARTICLES AND INFORMATION ABOUT UPCOMING HEALTHY LIVING EVENTS TO THE PRESBYTERY/DIOCESE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 2 AND LINE 3: COSTING METHODOLOGY COST TO CHARGE RATIO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 3: BAD DEBT EXPENSE ST. LUKE'S DES PERES 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>SUPPLEMENTAL INFORMATION 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 4 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 BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS IN ACCORDANCE WITH ST. LUKE'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. ST. LUKE'S DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. ST. LUKE'S DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 8</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 8 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>SUPPLEMENTAL INFORMATION 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 9B COLLECTION POLICY REGARDING PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE - ST. LUKE'S DES PERES 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 DES PERES HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S DES PERES HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S DES PERES 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. ST. LUKE'S DES PERES 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>SUPPLEMENTAL INFORMATION 10</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 2: NEEDS ASSESSMENT UPON ACQUISITION, ST. LUKE'S DES PERES HOSPITAL BECAME INTEGRATED INTO ONGOING REGIONAL COMMUNITY BENEFIT EFFORTS BEING IMPLEMENTED ACROSS THE ST. LUKE'S NETWORK OF CARE. PRIOR TO BECOMING A NOT-FOR-PROFIT HOSPITAL, ST. LUKE'S DES PERES WAS ALREADY ACTIVELY ENGAGED IN MEETING THE HEALTH NEEDS OF THE COMMUNITY IT SERVES, PARTICULARLY THROUGH THE PROVISION OF SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION. THE INTERESTS OF THE ST. LUKE'S DES PERES COMMUNITY ARE REPRESENTED BY A COMMUNITY BENEFIT COORDINATOR INVOLVED WITH SEVERAL COMMUNITY ORGANIZATIONS AND COALITIONS, INCLUDING THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY AND ITS REGIONAL LEADERSHIP AND PLANNING GROUP, AND THE ST. LOUIS COUNTY HOSPITAL COLLABORATIVE. IN 2017, THE NETWORK OF HOSPITALS AND HEALTHCARE PROVIDERS WHO COLLABORATE TO GATHER FEEDBACK FROM THE COMMUNITY FOR ASSESSMENT STRENGTHENED ITS COMMITMENT, AND ST. LUKE'S HOSPITAL JOINED THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC). UPON JOINING ST. LUKE'S NETWORK OF CARE IN 2018, ST. LUKE'S DES PERES HOSPITAL WAS INTEGRATED INTO THESE COLLABORATIVE EFFORTS. THROUGHOUT THEIR HEALTH ASSESSMENT PROCESS, THE STLPHC WAS FOCUSED ON A SYSTEMS LEVEL CHANGE, WITH COMMUNITY ENGAGEMENT AND INCLUSION SERVING AS CORE GUIDING PRINCIPLES. THROUGH LISTENING SESSIONS, SURVEYS AND FOCUS GROUPS, THE STLPHC WORKED TO IDENTIFY THEMES ON WHAT A HEALTHY COMMUNITY SHOULD LOOK LIKE FOR ST. LOUIS AREA RESIDENTS, AND IDENTIFIED BOTH BARRIERS AND FACILITATORS FOR HEALTH IN THE REGION. IN JUNE 2019, ST. LUKE'S DES PERES PUBLISHED ITS INAUGURAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AS A NEW NOT-FOR-PROFIT HOSPITAL, THIS REPORT PROVIDES A FOUNDATION FOR ST. LUKE'S DES PERES TO MEET PRESSING COMMUNITY NEEDS THROUGH HEALTH IMPROVEMENT AND COMMUNITY BUILDING ACTIVITIES. THE IMPLEMENTATION PLAN WAS ADOPTED NOVEMBER 2019. AS THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IS THE FIRST ONE PREPARED AND ADOPTED BY ST. LUKE'S DES PERES HOSPITAL, WORK TO IMPLEMENT THE ACTION PLANS BEGAN IN FISCAL 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 11</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS ARE INFORMED ABOUT ST. LUKE'S DES PERES 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 OPTIONS AND FINANCIAL ASSISTANCE. -DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING WITH ANY PATIENTS ON THE PHONE PRIOR TO AND/OR AFTER THEIR SERVICE. -INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS LOCATED VIA THE: -WEBSITE -BILLING STATEMENTS -REGISTRATION BOOKLETS/BROCHURES -CASHIER'S OFFICE -REGISTRATION AREAS -BILLING OFFICE -SOCIAL SERVICES/CARE MANAGEMENT -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>SUPPLEMENTAL INFORMATION 12</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 4: COMMUNITY INFORMATION ST. LUKE'S DES PERES SERVES THE ST. LOUIS METRO REGION, WITH ITS SERVICE AREA INCLUDING ST. LOUIS COUNTY, ST. FRANCOIS COUNTY AND JEFFERSON COUNTY. THE GEOGRAPHIC AREA POPULATION IS GREATER THAN 1.4 MILLION, WITH OVER 550,000 HOUSEHOLDS. IN ADDITION, PATIENTS FROM ILLINOIS UTILIZE ST. LUKE'S DES PERES HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 13</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH ADDITIONAL COMMUNITY SUPPORT INCLUDES: -ST. LUKE'S DES PERES OFFERS USE OF ITS MEETING SPACE FREE OF CHARGE TO AREA NON-PROFITS FOR HEALTH EDUCATION AND SUPPORT GROUPS. -ST. LUKE'S DES PERES ORGANIZES PERIODIC BLOOD DRIVES, IN CONJUNCTION WITH AND IN SUPPORT OF THE MISSISSIPPI VALLEY REGIONAL BLOOD CENTER. -ST. LUKE'S DES PERES CONDUCTS FREE HEALTH TALKS AS PART OF THE CONVERSATIONS WITH WOMEN SERIES. OTHER SERVICES PROVIDED: ST. LUKE'S DES PERES HOSPITAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR PATIENTS AND THE COMMUNITY. ST. LUKE'S DES PERES OFFERS SERVICES INCLUDING PRIMARY CARE, EMERGENCY CARE, GENERAL SURGICAL SERVICES, ORTHOPEDICS, VASCULAR CARE, THERAPY (PHYSICAL, OCCUPATIONAL, SPEECH, RESPIRATORY), ENDOSCOPY, GASTROENTEROLOGY, ENT, AND MY NEW SELF BARIATRICS. MEDICAL STAFF: ST. LUKE'S DES PERES HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR PRIMARY CARE SERVICES (I.E. INTERNAL MEDICINE). OF THE 362 PHYSICIANS ON THE MEDICAL STAFF AT JUNE 30, 2020, 90% ARE BOARD CERTIFIED. GOVERNING BODY: ST. LUKE'S DES PERES HOSPITAL HAS THREE VOTING MEMBERS ON ITS BOARD OF DIRECTORS. ALLOCATION OF SURPLUS FUNDS: POSITIVE FINANCIAL RESULTS SUPPORT 1) INVESTMENT IN STRATEGIC CAPITAL EXPENDITURES AND NEW TECHNOLOGY, 2) GROWTH AND EXPANSION OF SERVICES TO MEET IDENTIFIED COMMUNITY NEEDS, AND 3) RECRUITMENT AND RETENTION OF QUALITY HEALTHCARE PROFESSIONALS THROUGH A COMPREHENSIVE MARKET-BASED COMPENSATION AND BENEFITS PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 14</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT N/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>true</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christine M Candio</PersonNm>
        <TitleTxt>Pres/CEO Health Corp thru 4/20</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Scott Johnson</PersonNm>
        <TitleTxt>Executive VP &amp; CFO Health Corp</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Loving</PersonNm>
        <TitleTxt>President</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>339940</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>387545</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Diane Ray</PersonNm>
        <TitleTxt>SR VP/ NETWORK CNO/SLH COO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>320658</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>31941</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>31500</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>14731</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>398830</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Ann Hampton</PersonNm>
        <TitleTxt>Chief Nursing Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>7017</DeferredCompensationFlngOrgAmt>
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        <PersonNm>Kathaleen Clutts</PersonNm>
        <TitleTxt>Director Human Resources</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>6079</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alan Martin</PersonNm>
        <TitleTxt>Physician Medical Director</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Guy Felder</PersonNm>
        <TitleTxt>House Physician</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <PersonNm>Robert Hibbard</PersonNm>
        <TitleTxt>House Physician</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Part I, Line 4b CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. NO INDIVIDUAL LISTED IN PART VII RECEIVED A DISTRIBUTION IN CALENDAR 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Part I, Line 5b THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATON. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD OBJECTIVES. 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>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>GENERAL STATEMENT 1</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 1: DESCRIPTION OF MISSION OUR MISSION FAITHFUL TO OUR EPISCOPAL-PRESBYTERIAN HERITAGE AND ITS MINISTRY OF HEALING, ST. LUKE'S DES PERES HOSPITAL IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. USING TALENTS AND RESOURCES RESPONSIBLY, WE PROVIDE HIGH QUALITY, SAFE CARE WITH COMPASSION, PROFESSIONAL EXCELLENCE AND RESPECT FOR EACH OTHER AND THOSE WE SERVE. ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS (ST. LUKE'S) ORGANIZED ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S DES PERES)IN ORDER TO BETTER ADDRESS THE MEDICAL NEEDS OF THE GENERAL PUBLIC IN THE GREATER ST. LOUIS METROPOLITAN AREA AND ITS SURROUNDING REGIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>GENERAL STATEMENT 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 4A: PROGRAM SERVICES DESCRIPTION OF SERVICES PROVIDED AT ST. LUKE'S DES PERES HOSPITAL, WE'RE DEDICATED TO ONE THING: OUR PATIENTS, LIVING A HEALTHY, HAPPY LIFE. SINCE 1974 AND NOW AS PART OF THE ST. LUKE'S NETWORK OF CARE, WE ARE PROUD TO SERVE HEALTH CARE NEEDS WITH COMPASSION AND A PERSONALIZED APPROACH. MEDICALLY NECESSARY HEALTH SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER, REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, AGE, GENDER, RELIGION OR ABILITY TO PAY. FROM PRIMARY CARE TO EMERGENCY CARE, WITH GENERAL MEDICAL AND SPECIALTY SURGICAL SERVICES, SPECIALIZING IN BARIATRIC, ORTHOPEDICS AND HEART CARE. OTHER SERVICES INCLUDE RADIOLOGY, ENDOSCOPY, LABORATORY, GASTROENTEROLOGY, ENT/OTOLARYNGOLOGY, FOOT CARE, NUTRITION COUNSELING, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, UROLOGY, UROGYNECOLOGY AND VASCULAR CARE. WE PROVIDE CARING TREATMENT IN A 143-BED ACUTE CARE HOSPITAL WITH NETWORK ACCESS TO HIGHER LEVEL SERVICES IF NEEDED. IN SUPPORT OF OUR MISSION, ST. LUKE'S DES PERES HOSPITAL 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. AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, ST. LUKE'S DES PERES PARTICIPATED WITH OTHER NONPROFIT HOSPITALS IN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2018-2019 TO EVALUATE THE COMMUNITY NEEDS AND ENSURE THAT WE ARE OFFERING SERVICES TO MEET THESE NEEDS. WITH THIS INFORMATION, ST. LUKE'S DES PERES DEVELOPED AN IMPLEMENTATION PLAN WITH WAYS TO ENHANCE OUR EDUCATION AND PARTNER WITH COMMUNITY ORGANIZATIONS TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITY, SPECIFICALLY IN THE AREAS OF ACCESS TO CARE AND NUTRITION AND WEIGHT STATUS. THE FULL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ON THE ST. LUKE'S DES PERES WEBSITE AT https://www.stlukes-stl.com/community-health-needsassessment/index.html. ST. LUKE'S DES PERES HOSPITAL PROVIDES PASTORAL CARE SERVICES AROUND THE CLOCK, SEVEN DAYS A WEEK THROUGH THE ST. LUKE'S PASTORAL CARE DEPARTMENT. ST. LUKE'S PASTORAL CARE PROVIDES PASTORAL CARE TO PATIENTS, THEIR FAMILIES AND LOVED ONES, VISITORS, STAFF, AND PHYSICIANS AT BOTH ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES HOSPITAL. THE PASTORAL CARE DEPARTMENT PARTICIPATES IN ST. LUKE'S DES PERES' MINISTRY OF HEALING BY WORKING WITH THE HEALTH CARE TEAM TO PROVIDE HOLISTIC CARE FOR PATIENTS, THEIR FAMILIES, VISITORS, PHYSICIANS AND TEAM MEMBERS OF ALL FAITHS. THE DEPARTMENT HOLDS REGULAR WORSHIP SERVICES, INCLUDING EPISCOPAL AND PRESBYTERIAN EUCHARIST SERVICES, ROMAN CATHOLIC MASS, ECUMENICAL WORSHIP SERVICES, MORNING AND EVENING PRAYER SERVICES AND OTHER LITURGICAL SERVICES ON SPECIAL FEAST DAYS. ST. LUKE'S DES PERES HOSPITAL SUPPORTS MISSION OUTREACH ACTIVITIES THROUGH ST. LUKE'S MISSION OUTREACH COMMITTEE. ST. LUKE'S MISSION OUTREACH COMMITTEE, COMPRISED OF TEAM MEMBERS ACROSS THE ORGANIZATION, COORDINATES OUTREACH EFFORTS THROUGHOUT THE YEAR. TEAM MEMBERS, PATIENTS AND PHYSICIANS GENEROUSLY SUPPORT INITIATIVES SUCH AS WINTER CLOTHING DRIVES, HEALTH SCREENINGS, FOOD DRIVES, TOY DRIVES, AND SCHOOL SUPPLY DRIVES TO ASSIST THE FAMILIES OF THE ST. LUKE'S PEDIATRIC CARE CENER, ISAIAH 58 MINISTRIES, LITTLE PATRIOTS, AND OPERATION FOOD SEARCH. ST. LUKE'S DES PERES HOSPITAL HAS A PROUD HERITAGE OF GRADUATE MEDICAL EDUCATION. SINCE 1954 WE HAVE PROVIDED QUALITY OSTEOPATHIC MEDICAL EDUCATION. WE HAVE FIVE OSTEOPATHIC RESIDENCY PROGRAMS ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION (AOA) IN: INTERNAL MEDICINE, GENERAL SURGERY, ANESTHESIOLOGY, OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY AND ORTHOPEDIC SURGERY. OUR FAMILY MEDICINE RESIDENCY PROGRAM ACHIEVED ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION IN 2019. WE OFFER HANDS ON CLINICAL EXPERIENCE THROUGH HOSPITAL ROTATIONS. PARTICIPATION ON OUR CLINICAL ROTATION PROGRAMS PROVIDES MEDICAL STUDENTS AN OPPORTUNITY TO BEGIN THEIR GROWING KNOWLEDGE IN A TRUE HEALTHCARE ENVIRONMENT. ST. LUKE'S DES PERES HOSPITAL IS A CORE TRAINING SITE FOR THE KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE AND KANSAS CITY UNIVERSITY OF MEDICINE AND BIOSCIENCESE. WE ALSO SCHEDULE MEDICAL STUDENTS FROM ALL OTHER OSTEOPATHIC MEDICAL SCHOOLS FOR SINGLE/MULTIPLE ROTATIONS. ST. LUKE'S DES PERES HOSPITAL EARNED THE 2020 WOMEN'S CHOICE AWARD AS ONE OF AMERICA'S BEST HOSPITALS FOR BARIATRIC SURGERY AND ORTHOPEDICS. WOMENCERTIFIED INC., AN ADVOCATE FOR FEMALE CONSUMERS, CREATED THE NATIONAL WOMEN'S CHOICE AWARD PROGRAM. THESE ACHIEVEMENTS ARE A TESTAMENT TO THE DEDICATION OF ST. LUKE'S DES PERES' PHYSICIANS, TEAM MEMBERS AND VOLUNTEERS WHO PROVIDE QUALITY, COMPASSIONATE CARE TO OUR PATIENTS EVERY DAY. THE MYNEWSELF SURGICAL WEIGHT LOSS PROGRAM OFFERS SEVERAL PROCEDURE OPTIONS, PRE-SURGERY EDUCATION, POST-SURGERY CLASSES AND SUPPORT GROUPS AND PERSONAL NUTRITION AND LIFESTYLE COUNSELING AND SUPPORT. OUR BOARD-CERTIFIED PHYSICIANS WILL TAILOR A SOLUTION TO HELP EACH PATIENT REACH A HEALTHIER WEIGHT AND OUR TEAM OF NURSES, DIETITIANS AND COUNSELORS WILL TEACH LIFESTYLE CHANGES TO SUPPORT A LONGER, HEALTHIER AND MORE ACTIVE LIFE. THE MYNEWSELF SURGICAL WEIGHT LOSS PROGRAM HAS BEEN ACCREDITED AS A COMPREHENSIVE CENTER UNDER THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS) AND THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). ST. LUKE'S DES PERES HOSPITAL HAS RECEIVED SEVERAL DESIGNATIONS FOR CLINICAL QUALITY FOR BARIATRIC SURGERY INCLUDING AETNA INSTITUTE OF QUALITY, BLUE CROSS BLUE SHIELD BLUE DISTINCTION, AND OPTUM CENTER OF EXCELLENCE. ST. LUKE'S DES PERES HOSPITAL ACHIEVED AN 'A' RATING IN BOTH THE SPRING AND FALL HOSPITAL SAFETY GRADE FROM THE LEAPFROG GROUP. THE DESIGNATION RECOGNIZES THE HOSPITAL'S EFFORTS IN PROTECTING PATIENTS FROM HARM AND PROVIDING SAFER HEALTHCARE. THE LEAPFROG GROUP IS A NATIONAL NONPROFIT ORGANIZATION THAT WORKS TO IMPROVE HEALTHCARE QUALITY AND SAFETY FOR CONSUMERS AND PURCHASERS. THE SAFETY GRADE ASSIGNS AN 'A', 'B', 'C', 'D', OR 'F' GRADE TO HOSPITALS ACROSS THE COUNTRY BASED ON THEIR PERFORMANCE IN PREVENTING MEDICAL ERRORS, INJURIES, ACCIDENTS, INFECTIONS, AND OTHER HARM TO PATIENTS IN THEIR CARE. ST. LUKE'S DES PERES HOSPITAL IS A RECIPIENT OF THE 2020 GET WITH THE GUIDELINES-HEART FAILURE GOLD PLUS QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES THE HOSPITAL'S COMMITMENT TO ENSURING HEART FAILURE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES FOUNDED IN THE LATEST SCIENTIFIC EVIDENCE. THE GOAL IS SPEEDING RECOVERY AND REDUCING HOSPITAL READMISSIONS FOR HEART FAILURE PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>GENERAL STATEMENT 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION A, LINE 6: ORGANIZATION MEMBERS OR STOCKHOLDERS ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, A 501 (C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>GENERAL STATEMENT 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION A, LINE 7A: POWER TO ELECT OR APPOINT ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, IS AUTHORIZED UNDER THE ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL'S ARTICLES OF INCORPORATION TO APPOINT TWO MEMBERS TO THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL. THE ADDITIONAL MEMBER IS DEFINED PER THE ARTICLES OF INCORPORATION AS THE CURRENT CHAIRMAN OF THE BOARD OF DIRECTORS OF THE MEMBER, ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>GENERAL STATEMENT 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION A, LINE 7B: GOVERNANCE DECISIONS ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, HAS RESERVED POWERS INCLUDING THE ELECTION AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL AND THE APPROVAL OF PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>GENERAL STATEMENT 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION B, LINE 11: REVIEW OF THE 990 THE FORM 990 HAS BEEN DISCUSSED AND PRESENTED TO THE BOARD AND ITS COMMITTEES. THE ORGANIZATION PROVIDED A COPY OF THE FORM 990 TO ST. LUKE'S HEALTH CORPORATION'S FINANCE, AUDIT AND RISK COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING FOR REVIEW AND INPUT. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>GENERAL STATEMENT 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION B, LINE 12C: CONFLICT 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 TEAM MEMBER 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 AUDIT COMMITTEE. THE AUDIT 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>GENERAL STATEMENT 8</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION B, LINE 15: 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>GENERAL STATEMENT 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION C, LINE 19: 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>GENERAL STATEMENT 10</FormAndLineReferenceDesc>
        <ExplanationTxt>PART XII, LINE 2C: FINANCIAL STATEMENTS AND REPORTING ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ST. LUKE'S HEALTH CORPORATION. ST. LUKE'S HEALTH CORPORATION'S BOARD OF DIRECTORS HAS A COMMITTEE IN PLACE THAT OVERSEES THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>GENERAL STATEMENT 11</FormAndLineReferenceDesc>
        <ExplanationTxt>PART XI, LINE 9: OTHER CHANGES IN NET ASSETS DES PERES CAPITAL CONTRIBUTIONS $1,209,720</ExplanationTxt>
      </SupplementalInformationDetail>
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      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
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