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      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>3770874</TotalAmt>
        <ProgramServicesAmt>3457515</ProgramServicesAmt>
        <ManagementAndGeneralAmt>313359</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>177407</TotalAmt>
        <ProgramServicesAmt>113346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64061</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>2356703</TotalAmt>
        <ProgramServicesAmt>2120978</ProgramServicesAmt>
        <ManagementAndGeneralAmt>235725</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>17086228</TotalAmt>
        <ProgramServicesAmt>15377605</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1708623</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>503512</TotalAmt>
        <ProgramServicesAmt>503512</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>36316451</TotalAmt>
        <ProgramServicesAmt>36316451</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DRUGS</Desc>
        <TotalAmt>8646069</TotalAmt>
        <ProgramServicesAmt>8646069</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES &amp; FEES</Desc>
        <TotalAmt>3568227</TotalAmt>
        <ProgramServicesAmt>3381107</ProgramServicesAmt>
        <ManagementAndGeneralAmt>187120</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL</Desc>
        <TotalAmt>2066685</TotalAmt>
        <ProgramServicesAmt>1885573</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181112</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2895158</TotalAmt>
        <ProgramServicesAmt>2077176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>817982</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>220305635</TotalAmt>
        <ProgramServicesAmt>190599983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29705652</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3753764</BOYAmt>
        <EOYAmt>4150984</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>31655573</BOYAmt>
        <EOYAmt>29326788</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>1469181</BOYAmt>
        <EOYAmt>1390865</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>4643964</BOYAmt>
        <EOYAmt>2594424</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>167544781</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>49145768</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>130877269</BOYAmt>
        <EOYAmt>118399013</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>36564014</BOYAmt>
        <EOYAmt>30978183</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>595461</BOYAmt>
        <EOYAmt>508137</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>1163010</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>40922250</BOYAmt>
        <EOYAmt>46611000</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>250481476</BOYAmt>
        <EOYAmt>235122404</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>43084113</BOYAmt>
        <EOYAmt>43432817</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>64419307</BOYAmt>
        <EOYAmt>64293050</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>62915520</BOYAmt>
        <EOYAmt>71589243</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>170418940</BOYAmt>
        <EOYAmt>179315110</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>59720932</BOYAmt>
        <EOYAmt>32316179</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>20341604</BOYAmt>
        <EOYAmt>23491115</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>80062536</BOYAmt>
        <EOYAmt>55807294</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>250481476</BOYAmt>
        <EOYAmt>235122404</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-26003942</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>3208068</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-1459368</OtherChangesInNetAssetsAmt>
      <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>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <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>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>3332</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>3332</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKES HOSPITAL PAYS DUES TO THE OHIO HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>820000</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>6135278</OtherCostOrOtherBasisAmt>
        <BookValueAmt>6955278</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>73681332</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9592916</DepreciationAmt>
        <BookValueAmt>64088416</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>689575</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>184714</DepreciationAmt>
        <BookValueAmt>504861</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>47065233</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>27216400</DepreciationAmt>
        <BookValueAmt>19848833</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>39153363</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>12151738</DepreciationAmt>
        <BookValueAmt>27001625</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>118399013</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INTEREST IN FOUNDATION</Desc>
        <BookValueAmt>23491115</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>22750375</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>EST THIRD PARTY SETTLEMENT REC</Desc>
        <BookValueAmt>2943</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>366567</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>46611000</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PENSION LIABILITY</Desc>
        <Amt>57470405</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>8678070</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>EST THIRD PARTY SETTLEMENT PAY</Desc>
        <Amt>2291068</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MALPRACTICE TAIL LIABILITY</Desc>
        <Amt>1784663</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASBESTOS REMEDIATION</Desc>
        <Amt>114333</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>1250704</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>71589243</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKES HOSPITAL IS INCLUDED IN THE CONSOLIDATED AUDITED STATEMENTS OF ST. LUKES HOLDING COMPANY, INC. (SLHC) AND IS INCORPORATED UNDER THE LAWS OF THE STATE OF OHIO. SLHC AND ITS WHOLLY OWNED SUBSIDIARIES, ST. LUKES HOSPITAL, ST. LUKES HOSPITAL FOUNDATION AND CARE ENTERPRISES, INC. ARE NONPROFIT CORPORATIONS AND ARE EXEMPT FROM STATE AND LOCAL TAXES. THE IRS HAS DETERMINED THAT SLHC, ST. LUKES HOSPITAL, ST. LUKES HOSPITAL FOUNDATION, CARE ENTERPRISES, INC. AND WELLCARE PHYSICIANS GROUP, LLC ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN SLHCS CONSOLIDATED FINANCIAL STATEMENTS. CARE HOLDINGS, INC. AND PHYSICIANS ADVANTAGE MSO, INC., WHOLLY OWNED SUBSIDIARIES OF SLHC, ARE TAXABLE CORPORATIONS. INCOME TAX PROVISIONS FOR THESE ENTITIES ARE NOT MATERIAL TO SLHCS AUDITED FINANCIAL STATEMENTS.</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>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>2682326</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2025526</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>656800</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00300</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>21683719</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>10205310</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11478409</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05210</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>8502824</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>6376444</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2126380</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00970</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>32868869</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>18607280</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>14261589</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06480</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>73083</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>73083</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>3203309</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>359244</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2844065</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01290</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1798629</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>73174</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1725455</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00780</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>71880</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>71880</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>5146901</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>432418</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4714483</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02130</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>38015770</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>19039698</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>18976072</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.08610</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <EnvironmentalImprovementsGrp>
        <TotalCommunityBenefitExpnsAmt>53203</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>53203</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </EnvironmentalImprovementsGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>53203</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>53203</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>6581754</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>1250533</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>51413283</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>51834304</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-421021</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>ST LUKE'S PHYSICIAN</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>PHYSICIAN HOSPITAL ORG</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.5</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.0133</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.4867</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>HOSPITAL ORG INC</BusinessNameLine1Txt>
        </EntityName>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>ST LUKE'S HOSPITAL</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>PAIN MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.51</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.0</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.49</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>PAIN MANAGEMENT LLC</BusinessNameLine1Txt>
        </EntityName>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>ST LUKE'S HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA ROAD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.STLUKESHOSPITAL.COM</WebsiteAddressTxt>
        <StateLicenseNum>1224</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE'S HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, THROUGH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THESE PERSONS INCLUDED STAFF OF THE TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, MENTAL HEALTH RECOVERY AND SERVICES BOARD OF LUCAS COUNTY, AND LOCAL HOSPITAL STAFF INVOLVED IN COMMUNITY HEALTH PROGRAMMING. THE HOSPITAL FACILITY CONSULTED WITH THESE PERSONS THROUGH MEETINGS AND ALSO VIA EMAIL CORRESPONDENCE. ADDITIONALLY, THE HOSPITAL CONSULTED WITH OTHER ORGANIZATIONS AND OTHER GROUPS IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THESE CONSULTING INDIVIDUALS REPRESENTED THE FOLLOWING ORGANIZATIONS: - UNIVERSITY OF TOLEDO - YMCA LIVE WELL TOLEDO - TOLEDO PUBLIC SCHOOL NURSES - MERCY HEALTH PARTNERS - LUCAS COUNTY EDUCATIONAL SERVICE CENTER - TOLEDO LUCAS COUNTY FAMILY COUNCIL - HELP ME GROW, LUCAS COUNTY FAMILY COUNCIL - NORTHWEST OHIO CONGREGATIONAL NURSE ASSOCIATION - FAMILY &amp; CHILDREN FIRST COUNCIL - MENTAL HEALTH RECOVERY AND SERVICES BOARD OF LUCAS COUNTY - LUCAS COUNTY TOBACCO COALITION - TOLEDO COMMUNITY FOUNDATION - AMERICAN CANCER SOCIETY - PROMEDICA HEALTH SYSTEM - YWCA - OHIO DEPARTMENT OF HEALTH - HOME VISITING &amp; TRAINING COORDINATOR, LUCAS COUNTY - GRACE COMMUNITY CENTER - JUVENILE COURT, LUCAS COUNTY - JOB &amp; FAMILY SERVICES, LUCAS COUNTY - HOSPITAL COUNCIL OF NORTHWEST OHIO - TOLEDO-LUCAS COUNTY CARENET - UNITED WAY OF GREATER TOLEDO - EXCHANGE CLUB - TOLEDO PUBLIC SCHOOLS BOARD OF EDUCATION - BOWLING GREEN STATE UNIVERSITY PART V, SECTION B, LINE 11: ACTIONS TAKEN DISCLOSURE ST. LUKE'S HOSPITAL (ST. LUKE'S) WILL SPECIFICALLY IMPLEMENT PROGRAMS TO ADDRESS THE FOLLOWING HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - CARDIOVASCULAR HEALTH - STROKE - CANCER PROGRAMS/SCREENINGS SKIN, ORAL, AND/OR BREAST - AGE/GERIATRIC-RELATED INITIATIVES NUTRITION, DEMENTIA, AND/OR FALL PREVENTION - TOBACCO USE, PREVENTION, AND TREATMENT - DIABETES ACTIONS TAKEN DURING 2019 TO ADDRESS THE ABOVE IDENTIFIED NEEDS ARE INCLUDED BELOW: HEALTH NEED IDENTIFIED: CARDIOVASCULAR HEALTH - STROKE STRATEGY #1 PROVIDE ONGOING EDUCATION FOR EMERGENCY DEPARTMENT PHYSICIANS AND NURSES, INTENSIVE CARE CENTER NURSES, AND HOSPITALISTS TO IMPROVE DOOR-TO-NEEDLE TIME WHICH IN TURN WILL IMPROVE PATIENT OUTCOMES. ACTIONS TAKEN IN 2019: ALL NEW ST. LUKES EMERGENCY DEPARTMENT (E.D.) AND INTENSIVE CARE CENTER (ICC) R.N.S WERE REQUIRED TO COMPLETE 3 HOURS OF ONE-ON-ONE EDUCATION WITH THE ST. LUKES STROKE COORDINATOR REGARDING NEURO INTERVENTION PROTOCOLS AND E.D./ICC STROKE ALERT PROTOCOLS, RESPECTIVELY. E.D. STROKE ALERT TRAINING SESSIONS HELD IN 2019: JANUARY 14, JANUARY 17, FEBRUARY 15, FEBRUARY 21, FEBRUARY 22, MARCH 1, JUNE 19, JULY 17, JULY 19, AUGUST 2, AUGUST 6, AUGUST 13, SEPTEMBER 9, NOVEMBER 13, AND DECEMBER 11. ICC STROKE ALERT TRAINING HELD IN 2019: APRIL 18, APRIL 25, MAY 2, MAY 9, AUGUST 27, SEPTEMBER 27, AND NOVEMBER 9. THE ST. LUKES STROKE COORDINATOR PRESENTED AT THE PROMEDICA TOLEDO HOSPITAL NURSING STROKE CONFERENCE ON JUNE 14, 2019. CONTENT INCLUDED THE FOLLOWING EDUCATION: BASIC STROKE, ALTEPLASE, NEURO INTERVENTION (THROMBECTOMY), NEURO ASSESSMENT SKILLS, AND INPATIENT STROKE ALERT PATIENT SCENARIOS WITH DISCUSSION. APPROXIMATELY 60 R.N.S ATTENDED. ST. LUKES E.D. PHYSICIAN EDUCATION WEBINARS (JANUARY 31, FEBRUARY 26, APRIL 17, AUGUST 15, OCTOBER 29, AND NOVEMBER 7) WERE CONDUCTED UTILIZING CT/CTA/CTP RAPID IMAGING AND ACTUAL CASE STUDIES TO IMPROVE KNOWLEDGE, CONFIDENCE, AND EFFICIENCY IN EMERGENT TRIAGE OF ACUTE STROKE PATIENTS. A 4-HOUR MANDATORY NEURO INTERVENTION STROKE EDUCATION PROGRAM WAS PROVIDED TO ALL ST. LUKES ICC, CARDIOVASCULAR ICU (CVU), E.D., AND INTERVENTIONAL RADIOLOGY (I.R.) R.N.S ON JULY 10, 2019. A STROKE PRESENTATION WAS PROVIDED TO THE ST. LUKES FAMILY MEDICINE RESIDENTS AND FACULTY ON AUGUST 22, 2019 BY THE ST. LUKES STROKE COORDINATOR. THE FOLLOWING EDUCATIONAL OPPORTUNITIES WERE PROVIDED FOR ALL ST. LUKES E.D. PHYSICIANS, HOSPITALIST PHYSICIANS, AND ICC/CVU/E.D./I.R. R.N.S IN 2019: - NEURO INTERVENTION CASE DEBRIEFINGS WERE HELD ON MAY 2, 2019 WITH 25 ATTENDEES. - 2019 EDUCATION PROGRAMS ON CLEVIPREX (CLEVIDIPINE) CONTINUOUS I.V. INFUSION USED IN MANAGING BLOOD PRESSURE IN ACUTE ISCHEMIC STROKE PATIENTS WERE HELD ON JANUARY 24, APRIL 17, AND MAY 20. - AN ACUTE ISCHEMIC STROKE EDUCATION PROGRAM, REGARDING ALTEPLASE ADMINISTRATION CRITERIA, WAS HELD ON MAY 30, 2019 WITH 15 ATTENDEES. - AN ACUTE ISCHEMIC STROKE EDUCATION PROGRAM, FOCUSING ON ALTEPLASE AND EVALUATING FOR DISABILITY AND WHAT IS CONSIDERED A MEASURABLE DEFICIT, WAS HELD ON JUNE 11, 2019 WITH 20 ATTENDEES. - A PROGRAM, STROKE: KNOWLEDGE IS POWER WAS PRESENTED ON AUGUST 9, 2019 AND AUGUST 28, 2019 TO R.N.S FOR 1 HOUR OF CEUS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>STRATEGY #2 - CONDUCT MULTIPLE BLOOD PRESSURE SCREENINGS AT ST. LUKES</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL AND/OR AT SERVICE AREA SENIOR CENTERS/VENUES. ACTIONS TAKEN IN 2019: ST. LUKES AT MAUMEE SENIOR CENTER, BLOOD PRESSURE TRACKING &amp; RESULTS FOR 2019: DATE TOTAL NORMAL PREHYPERTENSIVE HIGH STAGE 1 HIGH STAGE 2 1/10/2019 11 5 2 1 3 1/31/2019 8 3 3 0 2 2/14/2019 16 5 7 2 2 2/28/2019 8 4 3 0 1 3/14/2019 12 3 6 2 1 3/28/2019 11 7 2 1 1 4/4/2019 11 4 3 1 3 4/25/2019 15 4 5 1 5 6/6/2019 8 5 1 0 2 6/20/2019 10 3 4 2 1 7/11/2019 11 6 3 1 1 7/25/2019 6 2 3 1 0 8/8/2019 15 7 6 1 1 8/22/2019 12 5 5 2 0 9/5/2019 8 1 4 2 1 9/19/2019 6 1 4 1 0 10/3/2019 10 5 1 3 1 10/17/2019 13 5 3 2 3 10/31/2019 8 4 3 1 0 11/7/2019 6 1 3 2 0 11/21/2019 6 1 2 0 3 12/5/2019 10 3 4 2 1 12/19/2019 10 2 5 3 0 OTHER ST. LUKES BLOOD PRESSURE EVENTS IN 2019: DATE/EVENT TOTAL NORMAL PREHYPERTENSIVE HIGH STAGE 1 HIGH STAGE 2 2/1/2019 - WEAR RED FOR WOMEN 74 27 19 15 13 6/8/2019 - RUN FOR RORY 7 3 4 0 0 TOLEDO ZOO SUMMER DAYS: 6/17/2019 25 10 6 6 3 7/15/2019 24 14 2 5 3 8/12/2019 23 7 4 5 7 8/10/2019 - MAUMEE AREA RIVER RIDE 19 11 3 1 4 ST. LUKES EMPLOYEE FLU SHOT CLINICS: 10/1/2019 32 21 2 4 5 10/3/2019 28 8 10 8 2 10/4/2019 7 5 0 1 1 10/8/2019 13 5 2 4 2 10/9/2019 10 5 3 0 2 10/11/2019 6 2 2 2 0 10/16/2019 12 3 4 2 3 10/22/2019 12 8 1 1 2 11/12/2019 - MAUMEE CHAMBER OF COMMERCE EXPO 11 4 1 5 1 12/10/2019 - ST. LUKES SENIOR HOLIDAY LUNCH 46 8 8 14 16</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>STRATEGY #3 EDUCATE THE COMMUNITY ABOUT STROKE RECOGNITION AND EARLY</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTION MINIMIZING BRAIN DAMAGE. WHEN INDICATED, COLLABORATE WITH LOCAL EMS PROVIDERS TO EDUCATE THE COMMUNITY. ACTIONS TAKEN IN 2019: ST. LUKES STROKE COORDINATOR PRESENTED STROKE: KNOWLEDGE IS POWER ON JANUARY 17, 2019 AT WATERFORD LEVIS COMMONS, IN PERRYSBURG, OHIO. THERE WERE 45 ATTENDEES. AT ST. LUKES GO RED FOR WOMEN ON FEBRUARY 1, 2019, A STROKE BOOTH WAS PRESENTED/AVAILABLE TO APPROXIMATELY 220+ WOMEN. DR. KAMALA TAMIRISA PRESENTED ON AFIB AND TREATMENT, AND DR. SYED ZAIDI PRESENTED A PATIENTS JOURNEY THROUGH STROKE. IN ADDITION, CARDIOCHEKS, BLOOD PRESSURE CHECKS, AND CAROTID ARTERY SCREENINGS WERE OFFERED TO ATTENDEES. ST. LUKES STAFFED THE ST. LUKES COMMUNITY HEALTH FAIR STROKE AWARENESS BOOTH ON APRIL 11, 2019. THERE WERE APPROXIMATELY 100 COMMUNITY MEMBERS PRESENT. A ST. LUKES ASK AN EXPERT PROGRAM WAS HELD ON APRIL 16, 2019 AT THE MAUMEE BRANCH LIBRARY. BRAIN ATTACKS AND HOW TO RECOGNIZE THEM WAS PRESENTED TO APPROXIMATELY 10 COMMUNITY MEMBERS. THE ST. LUKES STROKE IN TIME EVENT/EDUCATION DINNER WAS HELD ON MAY 16, 2019 FOR STROKE SURVIVORS, STAFF, AND COMMUNITY. THERE WERE APPROXIMATELY 120 ATTENDEES. ST. LUKES STAFFED THE AHA HEART WALK IN DOWNTOWN TOLEDO ON MAY 18, 2019. THERE WERE 118 COMMUNITY MEMBERS WHO RECEIVED GIFT BAGS WITH A VARIETY OF STROKE EDUCATIONAL MATERIALS, SUCH AS RECOGNIZING SIGNS/SYMPTOMS, RISK FACTORS, IMPORTANCE OF CALLING 911, AND ACUTE STROKE TREATMENTS AND MEDICATIONS. ST. LUKES STAFFED THE 2019 RUN FOR RORY WALK/RUN ON JUNE 8, 2019. HANDS-ONLY CPR DEMONSTRATIONS WERE SHOWN TO 25 COMMUNITY MEMBERS. ST. LUKES STROKE COORDINATOR ALSO PROVIDED A STROKE BOOTH WITH EDUCATION ON SIGNS, SYMPTOMS, RISK FACTORS, AND IMPORTANCE OF CALLING 911. ST. LUKES STAFF PROVIDED HANDS-ONLY CPR DEMONSTRATIONS TO 15 COMMUNITY MEMBERS ON JUNE 11, 2019 AT THE CONNECTING KIDS TO MEALS HOLLAND BRANCH LIBRARY MEAL SITE. THE ST. LUKES STROKE COORDINATOR PRESENTED STROKE: KNOWLEDGE IS POWER ON JULY 11, 2019 TO ST. LUKES PROSTATE CANCER SUPPORT GROUP. THERE WERE 13 ATTENDEES. THE ST. LUKES STROKE COORDINATOR PRESENTED STROKE: KNOWLEDGE IS POWER ON JUNE 12, 2019 AT THE LAKES OF MONCLOVA. THERE WERE 35 ATTENDEES. ST. LUKES STAFF PROVIDED HANDS-ONLY CPR DEMONSTRATIONS TO 15 COMMUNITY MEMBERS ON JULY 15, 2019 AT THE TOLEDO ZOO SUMMER DAYS. ST. LUKES PROVIDED HANDS-ONLY CPR DEMONSTRATIONS TO 6 COMMUNITY MEMBERS ON JULY 29, 2019 AT THE CONNECTING KIDS TO MEALS HOLLAND BRANCH LIBRARY MEAL SITE. ST. LUKES PROVIDED HANDS-ONLY CPR DEMONSTRATIONS TO APPROXIMATELY 50 COMMUNITY MEMBERS AT THE 2019 PERRYSBURG SUMMER FRIDAY NIGHT EVENTS. ST. LUKES HOSTED AN ASK AN EXPERT PROGRAM ON OCTOBER 1, 2019 AT THE MAUMEE BRANCH LIBRARY, PRESENTED BY BEVERLY MALCZEWSKI, RN, REGARDING HANDS-ONLY CPR. APPROXIMATELY 10 COMMUNITY MEMBERS WERE IN ATTENDANCE. ST. LUKES STAFFED THE LUCAS COUNTY HEALTH FAIR STROKE AWARENESS BOOTH ON OCTOBER 3, 2019. THERE WERE APPROXIMATELY 150 ATTENDEES. ST. LUKES STAFFED THE JEEP HEALTH FAIR STROKE AWARENESS BOOTH ON OCTOBER 10, 2019. THERE WERE APPROXIMATELY 25 ATTENDEES. THE ST. LUKES STROKE COORDINATOR PARTICIPATED IN THE MAKING OF A ST. LUKES HOSPITAL TELEVISION COMMERCIAL ON OCTOBER 16, 2019. PART OF THE COMMERCIAL CONTENT FOCUSED ON ST. LUKES HOSPITALS HIGHER LEVEL OF STROKE TREATMENT AND CAPABILITIES THAT ST. LUKES IS ABLE TO PROVIDE TO ALL THE SURROUNDING COUNTIES. IT WAS DUE TO AIR IN JANUARY 2020. THE ST. LUKES STROKE COORDINATOR PARTICIPATED IN A LIVE RADIO INTERVIEW ON 97.7 FM ON OCTOBER 23, 2019, IN ORDER TO PROVIDE COMMUNITY EDUCATION ON BE FAST, VARIOUS TYPES OF STROKES, RISK FACTORS, CALLING 911, ACUTE TREATMENTS AVAILABLE TO STROKE PATIENTS WHO ARRIVE SHORTLY AFTER STROKE SYMPTOMS ARE DISCOVERED, AND THE IMPORTANCE OF TIME IS BRAIN. THE ST. LUKES STROKE COORDINATOR PROVIDED A STROKE BOOTH AT THE MANOR OF PERRYSBURG COMMUNITY HEALTH FAIR ON NOVEMBER 14, 2019. THE EDUCATION FOCUSED ON SIGNS, SYMPTOMS, RISK FACTORS, IMPORTANCE OF CALLING 911, AND ACUTE STROKE TREATMENTS AND MEDICATIONS. THERE WERE 45 COMMUNITY ATTENDEES WHO RECEIVED GIFT BAGS WITH A VARIETY OF STROKE EDUCATIONAL MATERIALS. ST. LUKES STAFFED THE SENIOR SERVICE HOLIDAY LUNCH STROKE AWARENESS BOOTH ON DECEMBER 10, 2019. THERE WERE APPROXIMATELY 160 ATTENDEES. 58 CAROTID SCREENS WERE CONDUCTED ON ATTENDEES. 57 WERE NORMAL. ONE WAS CATEGORIZED AS POSITIVE. EMS STROKE EDUCATION: - FEBRUARY 25, 2019: ROSSFORD EMS STROKE PRESENTATION WITH 1 HOUR CEU PROVIDED. THERE WERE 10 EMS ATTENDEES. - APRIL 10, 2019: ST. LUKES EMS STROKE PRESENTATION TO AREA EMS PERSONNEL WITH 2 HOURS OF CEUS PROVIDED. THERE WERE APPROXIMATELY 25 ATTENDEES. - SEPTEMBER 21, 2019: MIDDLETON TOWNSHIP EMS STROKE PRESENTATION WITH 1 HOUR OF CEUS PROVIDED. THERE WERE 7 EMS ATTENDEES. ST. LUKES HOSPITAL FAMLY MEDICINE RESIDENCY STAFFED/PARTICIPATED IN THE FOLLOWING STROKE EDUCATION EVENTS: STROKE RISKS IN OLDER ADULTS BY: JP GALLAGHER, D.O. THERE WERE APPROXIMATELY 15 COMMUNITY MEMBERS AT EACH EVENT. 5/1/2019 KINGSTON ASSISTED LIVING 5/8/2019 THE WATERFORD AT LEVIS COMMONS 5/15/2019 WOOD COUNTY SENIOR CENTER 5/22/2019 PERRYSBURG COMMONS 5/29/2019 MAUMEE SENIOR CENTER HEALTH NEED IDENTIFIED: SKIN, ORAL, AND/OR BREAST/LUNG CANCER STRATEGY #1 CONDUCT A FREE SKIN CANCER SCREENING OR ORAL CANCER SCREENING IN ST. LUKES SERVICE AREA. ACTIONS TAKEN IN 2019: ST. LUKES HOSPITAL, ALONG WITH DERMATOLOGY ASSOCIATES, CONDUCTED SKIN CANCER SCREENINGS FOR 22 COMMUNITY MEMBERS ON AUGUST 3, 2019. 11 OF THE COMMUNITY MEMBERS WERE REFERRED FOR TREATMENT. STRATEGY #2 - CONDUCT A PUBLIC EDUCATIONAL SESSION REGARDING CANCER PREVENTION/TREATMENT IN ST. LUKES SERVICE AREA. ACTIONS TAKEN IN 2019: ST. LUKES HOSPITAL HOSTED A MONTHLY PROSTATE CANCER EDUCATION AND SUPPORT GROUP ON THE SECOND THURSDAY OF EACH MONTH. ON AVERAGE, THERE WERE 2025 ATTENDEES/PARTICIPANTS PER MEETING. ST. LUKES HOSTED AN ASK AN EXPERT SESSION ON FEBRUARY 12, 2019 AT THE MAUMEE BRANCH LIBRARY PRESENTED BY ST. LUKES HOSPITALS CLINICAL DIETITIAN TEAM ABOUT KETO, PALEO, AND VEGAN DIETS (AND CANCER PREVENTION). APPROXIMATELY 10 COMMUNITY MEMBERS WERE IN ATTENDANCE. ST. LUKES HOSTED A LUNCH-N-LEARN PROGRAM ON MARCH 12, 2019 WITH SPEAKER DR. ASISH MUKHERJEE, COLON-RECTAL SURGEON, ENTITLED, COLON HEALTH, COLON CANCER, COLITIS, AND DIVERTICULAR DISEASE. APPROXIMATELY 60 COMMUNITY MEMBERS WERE IN ATTENDANCE. ST. LUKES HOSPITAL CONDUCTED 251 CT LOW DOSE LUNG SCREENINGS (TO HELP DETECT LUNG CANCER) FOR PATIENTS/COMMUNITY MEMBERS IN 2019. HEALTH NEED IDENTIFIED: AGE/GERIATRIC-RELATED INITIATIVES NUTRITION, DEMENTIA, AND/OR FALL PREVENTION STRATEGY #1 CONTINUE TO IMPLEMENT THE AGE/GERIATRIC-RELATED NUTRITION, MEMORY, AND/OR FALL PREVENTION/BALANCE EDUCATION ACTIONS. ACTIONS TAKEN IN 2019: ST. LUKES HOSTED AN ASK AN EXPERT SESSION ON FEBRUARY 12, 2019 AT THE MAUMEE BRANCH LIBRARY PRESENTED BY ST. LUKES HOSPITALS CLINICAL DIETITIAN TEAM ABOUT KETO, PALEO, AND VEGAN DIETS. APPROXIMATELY 10 COMMUNITY MEMBERS WERE IN ATTENDANCE. APPROXIMATELY 100 PEOPLE ATTENDED THE ST. LUKES SENIOR SERVICE/COMMUNITY HEALTH FAIR ON APRIL 11, 2019. NUTRITION, MEMORY, AND/OR FALL PREVENTION EDUCATIONAL MATERIALS WERE DISTRIBUTED AT THIS EVENT. ST. LUKES HOSTED A LUNCH-N-LEARN PROGRAM ON JUNE 11, 2019 WITH SPEAKER DIANA WAUGH ABOUT MEMORY AND DEMENTIA. APPROXIMATELY 80 COMMUNITY MEMBERS WERE IN ATTENDANCE. ST. LUKES HOSTED AN ASK AN EXPERT PROGRAM ON JUNE 25, 2019 AT THE MAUMEE BRANCH LIBRARY PRESENTED BY ST. LUKES EMERGENCY DEPARTMENT REGARDING SUMMERTIME HEALTH AND SAFETY. APPROXIMATELY 10 COMMUNITY MEMBERS WERE IN ATTENDANCE. ST. LUKES HOSPITAL COLLECTED HEALTHY SNACKS AND DRINKS AT THE JULY 18, 2019 MAUMEE 5K RACE AND DONATED MANY OF THE ITEMS TO THE MAUMEE SENIOR CENTER. ST. LUKES HOSTED AN ASK AN EXPERT PROGRAM ON AUGUST 27, 2019 AT THE MAUMEE BRANCH LIBRARY PRESENTED BY DR. JAMES LYIONS ON SAFETY, ACCIDENT PREVENTION AND FALL RISK. APPROXIMATELY 15 COMMUNITY MEMBERS WERE IN ATTENDANCE. AT THE SEPTEMBER 6, 2019 MAUMEE SENIOR CENTER HEALTH FAIR, 51 COMMUNITY MEMBERS HAD DEXA SCREENS PERFORMED BY ST. LUKES STAFF. 24 WERE FOUND TO HAVE OSTEOPENIA AND 3 WERE FOUND TO HAVE OSTEOPOROSIS. AT THE OCTOBER 3, 2019 LUCAS COUNTY EMPLOYEE HEALTH FAIR, 100 COMMUNITY MEMBERS HAD DEXA SCREENS PERFORMED BY ST. LUKES STAFF. 17 WERE FOUND TO HAVE OSTEOPENIA AND 1 WAS FOUND TO HAVE OSTEOPOROSIS. AT THE OCTOBER 20, 2019 ISLAMIC CENTER OF GREATER TOLEDO HEALTH FAIR, 23 FLU SHOTS WERE ADMINISTERED TO COMMUNITY MEMBERS BY ST. LUKES STAFF. AT THE NOVEMBER 14, 2019 MANOR AT PERRYSBURG HEALTH FAIR, 7 COMMUNITY MEMBERS HAD DEXA SCREENS PERFORMED BY ST. LUKES STAFF. ALL RESULTS WERE FOUND TO BE NORMAL. ST. LUKES HOSPITAL SPONSORED A MEMORY MATTERS SYMPOSIUM WITH SPEAKER DR. BETH NOLAN ABOUT UNDERSTANDING, LOVING, AND LIVING WITH MEMORY LOSS ON NOVEMBER 20, 2019. APPROXIMATELY 75 COMMUNITY MEMBERS WERE EDUCATED/ATTENDED. ST. LUKES HOSTED AN ASK AN EXPERT PROGRAM ON DECEMBER 2, 2019 AT THE MAUMEE BRANCH LIBRARY PRESENTED BY DIANA SPIESS, A CERTIFIED HEALTH AND WELLNESS COACH, ABOUT HOLIDAY AND F</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>STROKE RISKS IN OLDER ADULTS BY: JP GALLAGHER, DO. THERE WERE</FormAndLineReferenceDesc>
        <ExplanationTxt>APPROXIMATELY 15 COMMUNITY MEMBERS AT EACH EVENT. 5/1/2019 KINGSTON ASSISTED LIVING 5/8/2019 THE WATERFORD AT LEVIS COMMONS 5/15/2019 WOOD COUNTY SENIOR CENTER 5/22/2019 PERRYSBURG COMMONS 5/29/2019 MAUMEE SENIOR CENTER REDUCING THE RISK OF FALLS BY: TONY PFEIFFER, MSW, LISW-S. THERE WERE APPROXIMATELY 15 COMMUNITY MEMBERS AT EACH EVENT. 6/5/2019 KINGSTON ASSISTED LIVING 6/12/2019 THE WATERFORD AT LEVIS COMMONS 6/19/2019 WOOD COUNTY SENIOR CENTER 6/26/2019 PERRYSBURG COMMONS HEAT AND SUMMER PRECAUTIONS BY: EMMANUEL JEAN-LOUIS, MD. THERE WERE APPROXIMATELY 15 COMMUNITY MEMBERS AT EACH EVENT. 7/3/2019 KINGSTON ASSISTED LIVING 7/10/2019 THE WATERFORD AT LEVIS COMMONS 7/17/2019 WOOD COUNTY SENIOR CENTER 7/24/2019 PERRYSBURG COMMONS 7/31/2019 MAUMEE SENIOR CENTER MANAGING HYPERTENSION BY: PETER NGUYEN, MD. THERE WERE APPROXIMATELY 15 COMMUNITY MEMBERS AT EACH EVENT. 8/7/2019 KINGSTON ASSISTED LIVING 8/14/2019 THE WATERFORD AT LEVIS COMMONS 8/21/2019 WOOD COUNTY SENIOR CENTER 8/28/2019 PERRYSBURG COMMONS ORAL HEALTH CARE AND AGING BY: AMY FUNG, MD. THERE WERE APPROXIMATELY 15 COMMUNITY MEMBERS AT EACH EVENT. 9/4/2019 KINGSTON ASSISTED LIVING 9/11/2019 THE WATERFORD AT LEVIS COMMONS 9/18/2019 WOOD COUNTY SENIOR CENTER 9/25/2019 PERRYSBURG COMMONS SLEEP DISTURBANCES BY: MICHELE YOUNG, MD. THERE WERE APPROXIMATELY 15 COMMUNITY MEMBERS AT EACH EVENT. 10/2/2019 KINGSTON ASSISTED LIVING 10/9/2019 THE WATERFORD AT LEVIS COMMONS 10/16/2019 WOOD COUNTY SENIOR CENTER 10/23/2019 PERRYSBURG COMMONS 10/30/2019 MAUMEE SENIOR CENTER SENSORY CHANGES AND AGING BY: MICHELE YOUNG, MD. THERE WERE APPROXIMATELY 15 COMMUNITY MEMBERS AT EACH EVENT. 11/6/2019 KINGSTON ASSISTED LIVING 11/13/2019 THE WATERFORD AT LEVIS COMMONS 11/20/2019 WOOD COUNTY SENIOR CENTER 11/27/2019 PERRYSBURG COMMONS DEPRESSION AND ANXIETY BY: EMMANUEL JEAN-LOUIS, MD. THERE WERE APPROXIMATELY 15 COMMUNITY MEMBERS AT EACH EVENT. 12/7/2019 KINGSTON ASSISTED LIVING 12/11/2019 THE WATERFORD AT LEVIS COMMONS 12/18/2019 WOOD COUNTY SENIOR CENTER HEALTH NEED IDENTIFIED: TOBACCO USE, PREVENTION, AND TREATMENT STRATEGY #1 - CONDUCT PEAK FLOW/PULMONARY FUNCTION SCREENINGS AT A ST. LUKE'S HOSPITAL-SPONSORED SENIOR EVENT(S). ACTIONS TAKEN IN 2019: 31 PULMONARY FUNCTION SCREENS AND EDUCATION WERE PROVIDED AT THE APRIL 11, 2019 ST. LUKES COMMUNITY/SENIOR SERVICE EVENT. APPROXIMATELY 160 COMMUNITY MEMBERS ATTENDED THIS EVENT. PULMONARY FUNCTION SCREENS WERE CONDUCTED BY ST. LUKES STAFF AT THE ISLAMIC CENTER HEALTH FAIR HELD IN OCTOBER 24, 2019, AND AT THE LOCAL 50 PLUMBER AND PIPEFITTERS HEALTH FAIR ON DECEMBER 7, 2019. OVER 50 PULMONARY FUNCTION SCREENS WERE PERFORMED AT THESE COMMUNITY EVENTS. STRATEGY #2 - CONTINUE ST. LUKE'S HOSPITAL PULMONARY REHAB PROGRAM. ACTIONS TAKEN IN 2019: ST. LUKES PULMONARY REHAB PROGRAM CONTINUED TO OFFER A SUPERVISED EXERCISE PROGRAM FOR PULMONARY REHAB OUTPATIENTS, AND ST. LUKES CONDUCTED A MONTHLY TOBACCO EDUCATION COMPONENT FACILITATED BY ST. LUKES CERTIFIED TOBACCO TREATMENT SPECIALISTS. STRATEGY #3 - SPONSOR/CONDUCT A ST. LUKE'S FREE PULMONARY SUPPORT GROUP AMONG ST. LUKE'S PATIENTS AND COMMUNITY MEMBERS. ACTIONS TAKEN IN 2019: ST. LUKES HOSPITAL CONTINUED TO OFFER A MONTHLY SUPPORT GROUP FOR COMMUNITY MEMBERS NEEDING ASSISTANCE IN MAINTAINING A SMOKE-FREE LIFESTYLE. THERE WAS NO CHARGE FOR THIS PROGRAM. ON AVERAGE, 1520 COMMUNITY MEMBERS PARTICIPATED PER MONTH. STRATEGY #4 - PROVIDE TOBACCO CESSATION EDUCATION TO SELF-IDENTIFIED INPATIENTS. ACTIONS TAKEN IN 2019: EVERY ST. LUKES INPATIENT, WHO HAD BEEN IDENTIFIED AS A TOBACCO USER, WAS SEEN BY A ST. LUKES TOBACCO TREATMENT SPECIALIST FOR THE PURPOSE OF RECOMMENDING TOBACCO CESSATION MEDICATIONS AND COUNSELING. PATIENTS WHO WERE INTERESTED IN QUITTING RECEIVED FREE TELEPHONE AND/OR INDIVIDUAL FOLLOW-UP. IN 2019, OVER 1,000 PATIENTS WERE COUNSELED BY ST. LUKES PULMONARY REHAB STAFF. PRINTED EDUCATIONAL MATERIALS WERE ROUTINELY GIVEN TO ALL IDENTIFIED TOBACCO USERS AND WERE AVAILABLE TO VISITORS THROUGHOUT ST. LUKES HOSPITAL. STRATEGY #5 PROVIDE TOBACCO CESSATION EDUCATION TO INDIVIDUALS AND GROUPS ON AN OUTPATIENT BASIS. ACTIONS TAKEN IN 2019: A QUARTERLY 6-WEEK CESSATION PROGRAM WAS OFFERED FOR COMMUNITY MEMBERS WHO PREFERRED QUITTING WITH A GROUP. IN ADDITION, ST. LUKES PROVIDED INDIVIDUAL COUNSELING APPOINTMENTS. TELEPHONIC COUNSELING WAS ALSO OFFERED AND WAS POPULAR WITH PATIENTS OUTSIDE OF THE ST. LUKES SERVICE AREA, OR WITH THOSE WHO HAD CHALLENGES WITH TRANSPORTATION. SOME ST. LUKES PATIENTS RECEIVED FINANCIAL ASSISTANCE WITH THEIR TOBACCO CESSATION MEDICATIONS. ST. LUKES ALSO PARTICIPATED WITH THE LUCAS COUNTY HEALTH DEPARTMENT IN PROVIDING TOBACCO CESSATION EDUCATION AND TREATMENT SERVICES TO UNINSURED AND UNDERINSURED LUCAS COUNTY RESIDENTS. STRATEGY #6 PROVIDE FREE ALTERNATIVE-TO-SUSPENSION SERVICES, AND TOBACCO EDUCATION SERVICES TO LOCAL/AREA SCHOOLS. ACTIONS TAKEN IN 2019: ST. LUKES HOSPITAL CONTINUED TO OFFER FREE INTERVENTION AND CESSATION SERVICES TO 28 SCHOOLS, WITHIN 18 DIFFERENT SCHOOL DISTRICTS IN THE GREATER TOLEDO AREA. IN 2019, ST. LUKES EXPERIENCED AN INCREASE IN SCHOOL PARTICIPATION FOR BOTH THE ST. LUKES ALTERNATIVE-TO-SUSPENSION PROGRAM AND CESSATION SERVICES. WITH VAPING AND E-CIGARETTE USE ON THE RISE IN SCHOOLS, ST. LUKES INCREASED ITS EDUCATION/TREATMENT SERVICES TO ACCOMMODATE THESE INCREASED COMMUNITY AND SCHOOL NEEDS. THE ST. LUKES CERTIFIED TOBACCO TREATMENT SPECIALIST SPOKE TO MANY SCHOOLS/STUDENTS, BUSINESSES, HOSPITALS AND COMMUNITY ORGANIZATIONS REGARDING THE EMERGING USE OF NICOTINE, E-CIGARETTES AND VAPING IN 2019. SHE WAS A KEYNOTE SPEAKER AT A VAPING COMMUNITY EVENT, HELD ON SEPTEMBER 26, 2019 AT ST. LUKES HOSPITAL. 106 COMMUNITY MEMBERS ATTENDED THE EVENT. A VAPING FORUM WAS HELD WITH 19 AREA SCHOOL SUPERINTENDENTS AND ADMINISTRATORS, FROM EIGHT DIFFERENT LOCAL SCHOOL SYSTEMS, AT ST. LUKES HOSPITAL ON OCTOBER 23, 2019. VARIOUS STRATEGIES ON HOW TO ADDRESS THE EMERGING VAPING AMONG STUDENTS WAS ADDRESSED. ADDITIONALLY, IN NOVEMBER 2019, THE ST. LUKES TOBACCO TREATMENT SPECIALIST WAS HIGHLIGHTED ON A WTOL (CHANNEL 11) NEWS SEGMENT REGARDING THE EMERGENCE OF VAPING AND ELECTRONIC CIGARETTES. ST. LUKES ALSO CONTINUED ITS SUPPORT AND PARTNERSHIP WITH THE TOLEDO-LUCAS COUNTY HEALTH DEPARTMENTS TOBACCO USE PREVENTION AND CESSATION PROGRAM IN 2019. ST. LUKES DEVELOPED TWO YOU-TUBE VIDEOS WITH THE ST. LUKES TOBACCO TREATMENT SPECIALIST THAT WERE USED FOR RAISING COMMUNITY AWARENESS AND PREVENTION. THEY WERE ENTITLED, QUITTING NICOTINE WERE HERE TO HELP YOU SUCCEED AND HELPING TEENS QUIT NICOTINE. THE ST. LUKES EMPLOYEE/COMMUNITY ASSISTANCE COORDINATOR SERVED SURROUNDING SCHOOL DISTRICTS IN ASSISTING STUDENTS WITH SUBSTANCE ABUSE RELATED ISSUES INCLUDING VAPING WITH THE DRUG THC. HE MET WITH 73 STUDENTS IN THE 2019 2020 SCHOOL YEAR TO PROVIDE EDUCATION, INTERVENTION AND REFERRAL SERVICES. THIS IS A 135% INCREASE OVER THE PREVIOUS YEAR, WITH VAPING BEING THE PRIMARY REASON FOR BEING SEEN. HEALTH NEED IDENTIFIED: DIABETES STRATEGY #1 - CONDUCT BLOOD GLUCOSE (SUGAR) SCREENINGS AT ST. LUKE'S SPONSORED SENIOR/COMMUNITY EVENTS. (CARDIOCHEKS ARE A SCREENING TEST FOR GLUCOSE AND/OR CHOLESTEROL.) ACTIONS TAKEN IN 2019: DATE: EVENT NUMBER OF CARDIOCHEKS 1/31/2019 Maumee Senior Center 6 2/14/2019 Maumee Senior Center 10 3/14/2019 Maumee Senior Center 5 4/11/2019 St. Lukes Community Health Fair 37 6/06/2019 Maumee Senior Center 1 6/20/2019 Maumee Senior Center 5 8/22/2019 Maumee Senior Center 7 9/6/2019 Maumee Senior Center 32 9/19/2019 Maumee Senior Center 8 10/17/2019 Maumee Senior Center 10 11/7/2019 Maumee Senior Center 3 12/5/2019 Maumee Senior Center 6 12/10/2019 Senior Service Holiday Lunch 33 12/11/2019 Holiday Hoopla (Caregiver Lunch) 26 STRATEGY #2 CONTINUE TO PROVIDE INDIVIDUAL AND GROUP PATIENT EDUCATION AT THE ST. LUKES DIABETES CARE CENTER. ACTIONS TAKEN IN 2019: ST. LUKES HELD INDIVIDUAL SESSIONS FOR DIABETES SELF-MANAGEMENT EDUCATION (DSME) IN 2019. ST. LUKES HAD 444 REFERRALS FOR DSME AND SCHEDULED SESSIONS WITH 400 OF THE PATIENTS. 170 WERE NEW PATIENTS. INDIVIDUAL AND GROUP PATIENT EDUCATION SESSIONS CONTINUED TO BE HELD AT THE ST. LUKES DIABETES CARE CENTER. THE ST. LUKES DIABETES EDUCATOR TREATED 47 COMMUNITY MEMBERS FOR MEDICAL NUTRITION THERAPY (MNT), FOR THE YEAR 2019. APPROXIMATELY 220+ PEOPLE ATTENDED THE WEAR RED FOR WOMEN EVENT ON FEBRUARY 1, 2019 IN THE ST. LUKES AUDITORIUM. DIABETES EDUCATION WAS AVAILABLE TO THOSE WHO STOPPED AT THE VENDOR TABLE. A DIABETES ADVISORY GROUP MEETING WAS HELD ON FEBRUARY 19, 2020 IN THE ST. LUKES DIABETES CARE CENTER CLASSROOM. THE ST. LUKES DIABETES EDUCATOR PRODUCED TWO YOU-TUBE EDUCATIONAL VIDEOS IN 2019. THESES VIDEOS WERE REVIEWED BY 1,294 COMMUNITY MEMBERS. STRATEGY #3 - CONDUCT DIABETES EDUCATIONAL SESSIONS AT ST. LUKES SENIOR EVENTS AND/OR SERVICE AREA SENIOR CENTERS. ACTIONS TAKEN IN 2019: ST. LUKES HELD A DIABETES CLASS ON THE SECOND MONDAY OF EVERY MONTH IN THE ST. LUKES CARDIAC REHAB AREA. A TOTAL OF 27 PEOPLE WERE IN</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16J</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL ASSISTANCE POLICY (FAP) WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.STLUKESHOSPITAL.COM PART V, SECTION B, LINE 20B A PATIENT FINANCIAL ADVOCATE (PFA) IS AVAILABLE AT THE HOSPITAL TO ASSIST EACH PATIENT WHO HAS BEEN ADMITTED TO THE HOSPITAL FACILITY AND TO NOTIFY THE INDIVIDUAL OF THE FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>21</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>REGENCY CT RADIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>300 REGENCY COURT SUITE 105</AddressLine1Txt>
            <CityNm>TOLEDO</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43623</ZIPCd>
          </USAddress>
          <FacilityTxt>RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FALLEN TIMBERS RADIOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5757 MONCLOVA RD SUITE 31</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SLH OUTPAITENT SURGERY - SURGICARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5959 MONCLOVA RD</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FALLEN TIMBERS LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5757 MONCLOVA RD</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WATERVILLE SATELLITE LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 WATERVILLE-MONCLOVA RD SUITE</AddressLine1Txt>
            <CityNm>WATERVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43566</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST LUKE'S DIABETES CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5871 MONCLOVA RD</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>WOUND/DIABETES CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PERRYSBURG RADIOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1103 VILLAGE SQUARE DR SUITE 200</AddressLine1Txt>
            <CityNm>PERRYSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43551</ZIPCd>
          </USAddress>
          <FacilityTxt>RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PERRYSBURG SATELLITE LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1103 VILLAGE SQUARE DR SUITE 201</AddressLine1Txt>
            <CityNm>PERRYSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43551</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WATERVILLE REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 WATERVILLE-MONCLOVA RD SUITE</AddressLine1Txt>
            <CityNm>WATERVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43566</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SWANTON REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 TURTLE CREEK CIRCLE</AddressLine1Txt>
            <CityNm>SWANTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43558</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>VESTIBULAR CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6005 MONCLOVA RD SUITE 360</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>VESTIBULAR CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MAUMEE VALLEY IMAGING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6005 MONCLOVA RD</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TOBACCO TREATMENT CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5757 MONCLOVA RD</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>TOBACCO TREATMENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RIVER ROAD SATELLITE LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>28442 E RIVER RD SUITE 101</AddressLine1Txt>
            <CityNm>PERRYSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43551</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PERRYSBURG REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1103 VILLAGE SQUARE DR</AddressLine1Txt>
            <CityNm>PERRYSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43551</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PAIN CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5759 MONCLOVA RD</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>PAIN CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ANTI COAGULATION CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6005 MONCLOVA RD</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>ANTI-COAGULATION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST LUKE'S FAMILY MEDICINE RESIDENCY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7045 LIGHTHOUSE WAY</AddressLine1Txt>
            <CityNm>PERRYSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43551</ZIPCd>
          </USAddress>
          <FacilityTxt>RESIDENCY PROGRAM</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICINE CLINIC SATELLITE LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7045 LIGHTHOUSE WAY</AddressLine1Txt>
            <CityNm>PERRYSBURG</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43551</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MAUMEE VALLEY SATELLITE LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6005 MONCLOVA RD SUITE 210</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MAUMEE VALLEY REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6005 MONCLOVA RD SUITE 225</AddressLine1Txt>
            <CityNm>MAUMEE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43537</ZIPCd>
          </USAddress>
          <FacilityTxt>REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE'S HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE'S HOSPITAL PROMOTED THE HEALTH OF ITS COMMUNITY BY ENGAGING IN ACTIVITIES THAT PROMOTE COMMUNITY BUILDING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE'S HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS LOOK-BACK METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS COPAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE'S HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BASED ON HISTORICAL PERCENTAGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGE 9 OF THE ATTACHED ST. LUKE'S HOLDING COMPANY AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III SECTION B LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM. - THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS. - MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER. - MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES. ST. LUKE'S HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2019 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III SECTION C LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT. PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKES HOSPITAL HAS ACTIVELY PARTICIPATED IN THE LUCAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SINCE ITS EARLY BEGINNINGS. THROUGH THE COURSE OF A PRIMARY MARKET RESEARCH SURVEY (WHICH IS CONSISTENT WITH THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM [BRFSS] QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION) AND PUBLISHED HEALTH AND DEMOGRAPHIC DATA, A CHNA IS COMPLETED EVERY THREE YEARS. A MULTI-DISCIPLINARY, COMPREHENSIVE GROUP OF STAKEHOLDERS (INCLUDING A ST. LUKES HOSPITAL REPRESENTATIVE) FROM LUCAS COUNTY DISCUSS, DEBATE AND RANK FINDINGS FROM THE CHNA. ST. LUKES HOSPITAL, THEN REVIEWS THE CHNA RESULTS, LUCAS COUNTY FINDINGS REPORT, AND COUNTY LEADING CAUSES OF DEATH (THE LEADING CAUSES OF DEATH IN LUCAS COUNTY, 2013 - 2015 WERE HEART DISEASE, CANCER, CHRONIC LOWER RESPIRATORY DISEASES, STROKE, AND ACCIDENTS/ UNINTENTIONAL INJURIES) TO DEVELOP ITS OWN CHNA REPORT AND IMPLEMENTATION PLAN FOR ITS PRIMARY SERVICE AREA, MOST OF WHICH IS LOCATED IN LUCAS COUNTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT ST. LUKES HOSPITAL THROUGH THE FOLLOWING METHODS: A. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. B. A PATIENT FINANCIAL ADVOCATE IS AVAILABLE AT THE HOSPITAL TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. THE PATIENT FINANCIAL ADVOCATE ATTEMPTS TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS. C. A MESSAGE IS SENT ALONG WITH THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY. D. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE ST. LUKES HOSPITAL WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE ST. LUKES HOSPITAL CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKES HOSPITAL IS LOCATED IN MAUMEE, OHIO, WHICH IS IN THE SOUTHWEST PORTION OF LUCAS COUNTY. AS OF THE 2010 CENSUS, THERE WERE 441,815 PEOPLE, 180,267 HOUSEHOLDS, AND 111,016 FAMILIES RESIDING IN LUCAS COUNTY. THE RACIAL MAKEUP OF THE COUNTY WAS 74.0% WHITE, 19.0% BLACK OR AFRICAN AMERICAN, 1.5% ASIAN, 0.3% AMERICAN INDIAN, 2.0% FROM OTHER RACES, AND 3.1% FROM TWO OR MORE RACES. THE MEDIAN HOUSEHOLD INCOME AND PER CAPITA INCOME IN THE COUNTY WERE $46,806 AND $23,981, RESPECTIVELY. APPROXIMATELY, 14% OF FAMILIES AND 18% OF THE POPULATION WERE BELOW THE POVERTY LINE. BESIDES LUCAS COUNTY, ST. LUKES ALSO DRAWS A CONSIDERABLE NUMBER OF PATIENTS FROM WOOD COUNTY AND FULTON COUNTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKES HOSPITAL HAS AN OPEN MEDICAL STAFF, AND AS OF DECEMBER 31, 2019, HAD 475 ACTIVE OR ASSOCIATE MEMBERS. ST. LUKES HOSPITAL HAS 12 BOARD MEMBERS WHO ARE VOLUNTEERS AND NOT COMPENSATED FOR THEIR SERVICE TO OUR HOSPITAL. ST. LUKES HOSPITAL OPERATES SEVERAL SERVICES EITHER FREE OR AT LOW COST FOR THE BENEFIT OF THE COMMUNITY SUCH AS OUR COURTESY VAN SERVICE, WHICH TRANSPORTS PATIENTS TO OUR HOSPITAL CAMPUS AND BACK TO THEIR HOME FOR FREE AND OUR TOBACCO TREATMENT CENTER WHICH PROVIDES EDUCATION OR SERVICES AT NO OR LOW COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Lukes Holding Company, Inc. is an Ohio not-for-profit corporation which serves as a holding company for several corporations. The St. Lukes Holding Company, Inc. provides its subsidiaries and other affiliated entities various types of health care services including management, long-range planning and community health services. St. Lukes Holding Company, Inc. is the parent of the following subsidiaries: St. Lukes Hospital an Ohio not-for-profit corporation operates a general, acute care facility offering inpatient and outpatient healthcare services primarily to residents in the southwestern part of Lucas County, northern Wood County and eastern Fulton County in Ohio. St. Lukes Hospital Foundation an Ohio not-for-profit corporation supports the activities and purposes of the Hospital. Care Enterprises, Inc. an Ohio not-for-profit corporation operates and manages medical office buildings. Care Enterprises, Inc. includes a 70 percent ownership in Waterville Medical Center, LLC. WellCare Physicians Group, LLC employs physicians and other medical professionals providing primary and specialty healthcare services to its patients. Care Holdings, Inc. engages in the business of the ownership, development and management of real estate. Physicians Advantage MSO, Inc. provides management services to WellCare Physicians Group, LLC and other independent physicians on a fee-for-service basis. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: OHIO</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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          <BusinessNameLine1Txt>AMERICAN HEART ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>5455 NORTH HIGH STREET</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43214</ZIPCd>
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        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE TOLEDO ZOOLOGICAL SOCIETY</BusinessNameLine1Txt>
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          <AddressLine1Txt>2700 BROADWAY</AddressLine1Txt>
          <CityNm>TOLEDO</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43609</ZIPCd>
        </USAddress>
        <RecipientEIN>344440256</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TOLEDO CLASSIC INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4405 DORR STREET</AddressLine1Txt>
          <CityNm>TOLEDO</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43607</ZIPCd>
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        <RecipientEIN>341499072</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOSPITAL COUNCIL OF NORTHWEST OHIO</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3231 CENTRAL PARK WEST STE 200</AddressLine1Txt>
          <CityNm>TOLEDO</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43617</ZIPCd>
        </USAddress>
        <RecipientEIN>341116795</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FALLEN TIMBERS BATTLEFIELD PRESERVATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 758</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
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        <RecipientEIN>341804550</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>MARCH OF DIMES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1550 CRYSTAL DRIVE STE 1300</AddressLine1Txt>
          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22202</ZIPCd>
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        <RecipientEIN>131846366</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22500</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LPGA TOURNAMENT PROPERTIES ONE LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 INTERNATIONAL GOLF DRIVE</AddressLine1Txt>
          <CityNm>DAYTONA BEACH</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32124</ZIPCd>
        </USAddress>
        <RecipientEIN>271317091</RecipientEIN>
        <CashGrantAmt>22000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WELLCARE PHYSICIANS GROUP LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA ROAD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
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        <RecipientEIN>611528443</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10436326</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST LUKE'S HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA ROAD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
        </USAddress>
        <RecipientEIN>311292849</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>372923</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>8</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>DIRECT CASH ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>19</RecipientCnt>
        <CashGrantAmt>31108</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>AS AN AFFILIATE OF ST. LUKE'S HOLDING COMPANY, INC. (SLHC), FINANCE, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO SLHC'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH FINANCE POLICIES AND PROCEDURES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTISON MD LALAINE E</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>234377</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>25000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>981</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>60937</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>20375</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>341670</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WAKEMAN DANIEL</PersonNm>
        <TitleTxt>PRESIDENT/CEO, EX-OFFICIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>394479</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4284</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>46471</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22730</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>467964</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BURMEISTER KEITH</PersonNm>
        <TitleTxt>VP CHIEF RELATIONS OFFICER</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2732</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BURMEISTER KERRY</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>695</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17924</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>190051</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIM JEFF</PersonNm>
        <TitleTxt>VP CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>268039</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1242</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>58915</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31215</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>359411</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MORRISSEY MARTIN</PersonNm>
        <TitleTxt>VP GENERAL COUNSEL</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2322</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>42419</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29913</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>327540</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RILEY KEVIN</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>270268</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1242</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28973</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>308733</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SESSLER CONNIE</PersonNm>
        <TitleTxt>VP HR/SUPPORT SERVICES</TitleTxt>
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        <OtherCompensationFilingOrgAmt>2260</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>44686</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9894</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>233176</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TROSIN JILL</PersonNm>
        <TitleTxt>VP PATIENT CARE/CNO</TitleTxt>
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        <PersonNm>STOUT JOHN LEFT 1119</PersonNm>
        <TitleTxt>VP BUSINESS PERFORMANCE DEV</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMPSON DAN</PersonNm>
        <TitleTxt>ADMIN DIRECTOR TECHNOLOGY</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>97</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>189515</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>O'LEARY WENDY</PersonNm>
        <TitleTxt>ADMIN DIRECTOR SOFTWARE APP</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ST MARY JUDY</PersonNm>
        <TitleTxt>PHARMACIST, MANAGER</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ONYSYK ANTHONY</PersonNm>
        <TitleTxt>CLINICAL PHARMACIST</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GRABARCZYK JENNIFER</PersonNm>
        <TitleTxt>CHIEF CLINICAL PHARMACIST</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKES HOSPITAL USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATIONS TOP MANAGEMENT OFFICIALS: - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD SCHEDULE J, PART I, LINE 4A JOHN STOUT RECEIVED $14,846 OF SEVERANCE PAYMENTS DURING 2019. SEVERANCE IS FOR 1040 HOURS THAT BEGAN IN NOVEMBER 2019 AND ENDS IN MAY 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKES HOSPITAL (ST. LUKES), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN MAUMEE, OHIO, ST. LUKES SERVES THE SOUTHWEST PORTION OF LUCAS COUNTY AND PORTIONS OF WOOD AND FULTON COUNTIES. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS ABILITY TO PAY. A 300 BED FACILITY IN MAUMEE, OHIO, ST LUKES PROVIDES EXTENSIVE HEALTHCARE SERVICES SUCH AS EMERGENCY MEDICINE; SURGICAL SERVICES; OUTPATIENT PHYSICAL, OCCUPATIONAL, PULMONARY AND CARDIAC REHABILITATION; CRITICAL CARE; CARDIOLOGY; RESPIRATORY; LABOR AND DELIVERY; AND A FULL RANGE OF LABORATORY AND RADIOLOGY SERVICES. ST. LUKES CAMPUS IS HOME TO THE PROMEDICA MAUMEE CANCER CENTER FOR OUTPATIENT CANCER CARE, AS WELL AS A SLEEP DISORDERS CLINIC, A PAIN CLINIC, A FAMILY BIRTHING CENTER, A DIABETES CARE CENTER, AND TOBACCO TREATMENT CENTER. IN 2019, ST. LUKES ALSO HAD CHEST PAIN ACCREDITATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, PRIMARY STROKE CENTER CERTIFICATION, AND THE LABORATORY WAS CERTIFIED BY THE COLLEGE OF AMERICAN PATHOLOGISTS. ST. LUKES SERVED 9,493 INPATIENTS AND 188,008 OUTPATIENTS IN 2019. FURTHER, 31,831 INDIVIDUALS SOUGHT EMERGENCY CARE AT ST. LUKES. THE HOSPITAL CONTRIBUTED $18,976,072 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT SPONSORED, MEANS-TESTED HEALTHCARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONALS EDUCATION, SUBSIDIZED HEALTH SERVICES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, ST. LUKES CONTRIBUTED $4,714,483 TO THE COMMUNITY DURING 2019. INCLUDED IN THIS FIGURE ARE PROGRAMS AND EVENTS SUCH AS: - PARTICIPATION IN AMERICAN MEDICINE CHEST CHALLENGES, A MEDICATION DROP OFF EVENT, WHERE COMMUNITY MEMBERS DROP OFF EXPIRED AND UNUSED MEDICATIONS TO SAFELY DISPOSE OF DRUGS THAT POTENTIALLY MAY BE ABUSED. - DIABETES EDUCATION PROGRAMS OFFERED WEEKLY, AS WELL AS MONTHLY SUPPORT GROUPS FOR INDIVIDUALS RECENTLY DIAGNOSED WITH DIABETES. - SPONSORSHIP OF THE AMERICAN HEART ASSOCIATIONS GO RED FOR WOMEN EVENT IN SUPPORT OF WOMENS HEART HEALTH, AS WELL AS STRONG PARTICIPATION IN THE HEART WALK IN SUPPORT OF OVERALL HEART HEALTH. - SCREENING EVENTS FOR SKIN, CANCER AND INTRODUCTION OF LOW-DOSE CT SCAN FOR LUNG CANCER DETECTION. - TOBACCO CESSATION PROGRAMS AND SUPPORT GROUPS FOR COMMUNITY MEMBERS. - A COURTESY VAN PROVIDED TO PATIENTS NEEDING TRANSPORTATION TO AND FROM THE HOSPITAL FOR APPOINTMENTS AND TESTING. - SENIOR SERVICE EDUCATION PROGRAMS COVERING TOPICS SUCH AS EXERCISE FOR SENIORS, HEALTHY CHOICES FOR EATING OUT, AND BREAST HEALTH. ST. LUKES PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2019 OF WHICH $656,800 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. ST. LUKES COST OF BAD DEBT FOR 2019 WAS $1,714,415. THIS AMOUNT IS NOT INCLUDED IN THE $18,976,072 NOTED ABOVE. FURTHER, ST. LUKES PROVIDED $11,478,409 OF COMMUNITY BENEFIT THROUGH COSTS NOT REIMBURSED BY THE GOVERNMENT FOR TREATING MEDICAID AND OTHER MEANS TESTED PATIENTS. ALSO, IN 2019, THE TOTAL COSTS NOT REIMBURSED BY THE GOVERNMENT FOR TREATING MEDICARE PATIENTS WAS $6,946,593 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $18,976,072 NOTED ABOVE. DURING 2019, ST LUKES EXPENDED $47,669,087 IN NET PAYROLL, PROVIDING 1,425 JOBS IN NORTHWEST OHIO. A TOTAL OF $3,026,726 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, ST. LUKES DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, GENDER, NATIONAL ORIGIN, DISABILITY, OR AGE. AND WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES, RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE. COMMUNITY BENEFIT DEFINITIONS ST. LUKES PREPARES ITS COMMUNITY BENEFIT REPORTS USING REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND CONSISTENT WITH FORM 990, SCHEDULE H, HOSPITALS, REPORTING. COMMUNITY BENEFITS ARE PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFITS REPORTED BY ST. LUKES RESPOND TO IDENTIFIED COMMUNITY NEEDS AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTHCARE SERVICE - ENHANCE THE HEALTH OF THE COMMUNITY - ADVANCE HEALTHCARE KNOWLEDGE - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, ST. LUKES PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY THEIR BILL. ST. LUKES PROVIDES FREE CARE TO THOSE UNINSURED PATIENTS WITH INCOMES UP TO 200% OF THE FEDERAL POVERTY LEVEL. SIGNIFICANT DISCOUNTS ARE ALSO PROVIDED ON A SLIDING SCALE TO UNINSURED PATIENTS UP TO 400% OF THE POVERTY LEVEL. FINANCIAL ASSISTANCE IS REPORTED IN THE FORM OF COST TO PROVIDE SERVICES AND HAS BEEN REDUCED TO REFLECT REIMBURSEMENT RECEIVED FROM STATE PROGRAMS DESIGNED TO RELIEVE THE BURDEN OF PROVIDING FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS THAT DO NOT PAY THEIR BILL. GOVERNMENT SPONSORED HEALTH CARE GOVERNMENT-SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH FEDERAL, STATE AND LOCAL MEANS-TESTED PROGRAMS SUCH AS MEDICAID. ST. LUKES INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN ST. LUKES COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY ACCOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDES ACTIVITIES CARRIED OUT FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY ST. LUKES. COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEED AND/OR ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND ADMINISTRATION. HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION INCLUDE COSTS FOR ALL EDUCATIONAL PROGRAMS ST. LUKES IS INVOLVED WITH, THE PROVISION OF A CLINICAL SETTING FOR TRAINING FOR HEALTHCARE STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR HEALTHCARE EDUCATION. SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES ARE SERVICES PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS. THESE SERVICES GENERATE A BILL FOR REIMBURSEMENT AND INCLUDE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING, OR UNABLE, TO PROVIDE THE SERVICES, OR THE SERVICES OTHERWISE WOULD NOT BE AVAILABLE TO MEET COMMUNITY NEEDS. CASH AND IN-KIND CONTRIBUTIONS CASH AND IN-KIND CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY ORGANIZATIONS AND THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF FOR COMMUNITY NEEDS WHILE ON WORK TIME; AS WELL AS DONATIONS OF FOOD, EQUIPMENT, AND SUPPLIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>LALAINE E. MATTISON, MD., TIMOTHY J. MATTISON, MD., ADAM RETTIG, MD., AND DANIEL WAKEMAN ARE COMPENSATED BY THE ORGANIZATION OR A RELATED ENTITY AND THEREFORE ARE NON-INDEPENDENT TRUSTEES. FORM 990, PART VI, SECTION A, LINE 2 LALAINE E. MATTISON, MD AND TIMOTHY J. MATTISON, MD HAVE A FAMILY RELATIONSHIP. KEITH BURMEISTER AND KERRY BURMEISTER HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 ST. LUKE'S HOLDING COMPANY IS THE SOLE MEMBER OF ST. LUKE'S HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE'S HOLDING COMPANY, INC. (SLHC) IS THE PARENT CORPORATION AND SOLE MEMBER OF ST. LUKE'S HOSPITAL. AS THE MEMBER, SLHC HAS THE RIGHT TO (A) NOMINATE AND ELECT A MINORITY OF THE MEMBERS AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF ST. LUKE'S HOSPITAL AND (B) APPROVE THE NOMINEES TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES, A MAJORITY OF WHOM ARE NOMINATED BY ST. LUKE'S HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>WHILE THE BOARD OF TRUSTEES OF EACH CORPORATION IS GRANTED CERTAIN POWERS WITH RESPECT TO THEIR OPERATIONS, AS THE SOLE MEMBER, ST. LUKE'S HOLDING COMPANY, INC. (SLHC) RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (1) ADOPTION OF THE CORPORATION'S STRATEGIC PLANS AND FINANCIAL PLANS, (2) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC, (3) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE CORPORATION'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC, (4) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (5) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY SLHC AND (6) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER THE GUIDANCE OF ST. LUKE'S HOLDING COMPANY, INC.'S (SLHC) TAX CONSULTANTS, FORM 990'S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH SLHC SUBSIDIARY AND REVIEWED BY THE RESPECTIVE SUBSIDIARY'S FINANCE LEADERSHIP ALONG WITH AN INDEPENDENT ACCOUNTING FIRM. AFTER SUBSIDIARY'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR SLHC AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT OR AUTHORIZED SIGNER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ST LUKES HOLDING COMPANY, INC. AND SUBSIDIARIES (SLHC) HAVE STANDARDS OF ETHICAL BUSINESS PRACTICE THAT APPLY TO ALL SLHC BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER CERTIFICATION STATEMENT WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER CERTIFICATION STATEMENTS ARE COMPILED AND REVIEWED BY THE ST. LUKES ADMINISTRATION OFFICE. SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, LEGAL COUNSEL, ST. LUKES PRESIDENT AND THE VICE PRESIDENT OF MEDICAL AFFAIRS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO BRING ANY POTENTIAL UNDISCLOSED CONFLICTS TO THE ATTENTION OF THE ST. LUKES ADMINISTRATION OFFICE. THE ST. LUKES ADMINISTRATION OFFICE THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER CERTIFICATION STATEMENTS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. SIGNIFICANT POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH GENERAL COUNSEL FOR RECOMMENDATIONS TO THE COMPLIANCE COMMITTEE FOR CORRECTIVE ACTION. THE ST. LUKES ADMINISTRATION OFFICE FORWARDS THE COMPLIANCE OFFICER A REPORT OF BOARD MEMBERS WHO HAVE SIGNED AND RETURNED THE ANNUAL BOARD MEMBER CERTIFICATION STATEMENT, SIGNIFICANT POTENTIAL CONFLICTS DISCLOSED AND THE RESOLUTION OF SUCH CONFLICTS. THE COMPLIANCE OFFICER ISSUES A REPORT TO THE COMPLIANCE COMMITTEE OF THESE FINDINGS. FAILURE TO FILE THE CERTIFICATION STATEMENT, OR THE FILING OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBERS CERTIFICATION STATEMENT OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE PROVIDED A PAPER COPY OF THE EMPLOYEE STANDARDS OF ETHICAL BUSINESS AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES AND SPECIFICALLY IDENTIFIED HOURLY EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION STATEMENT BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL STATEMENTS, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE COMPLIANCE OFFICER OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION STATEMENTS SENT AND COMPLETED AND COPIES OF ANY STATEMENTS CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW. THE HUMAN RESOURCE ADMINISRATIVE DIRECTOR REPORTS IDENTIFIED CONFLICTS TO THE COMPLIANCE COMMITTEE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR SLHC, A RECOMMENDATION WILL BE PREPARED BY THE COMPLIANCE COMMITTEE FOR FINAL APPROVAL BY THE ST. LUKES PRESIDENT. FAILURE TO COMPLETE THE CERTIFICATION STATEMENT, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEES CERTIFICATION STATEMENT OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. EMPLOYED PHYSICIANS ALL NEW EMPLOYED PHYSICIANS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PHYSICIAN STANDARD OF CONDUCT AND THE PHYSICIAN CERTIFICATION STATEMENT WHICH THE NEW PHYSICIAN IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PHYSICIANS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PHYSICIAN CERTIFICATION STATEMENT BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE HUMAN RESOURCE ADMINISTRATIVE DIRECTOR ENSURES THAT ALL CERTIFICATION STATEMENTS, WHICH ARE STORED ELECTRONICALLY, ARE REVIEWED. IDENTIFIED CONFLICTS ARE REPORTED TO THE COMPLIANCE COMMITTEE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR SLHC, A RECOMMENDATION WILL BE PREPARED BY THE COMPLIANCE COMMITTEE FOR FINAL APPROVAL BY THE ADMINISTRATOR WITH PRIMARY RESPONSIBILITY FOR THE PHYSICIANS EMPLOYMENT AGREEMENT AND/OR THE BOARD OF TRUSTEES. THE HUMAN RESOURCES DEPARTMENT FORWARDS THE COMPLIANCE OFFICER A REPORT OF THE NUMBER OF ANNUAL PHYSICIAN CERTIFICATION STATEMENTS SENT AND COMPLETED AND COPIES OF ANY STATEMENTS CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW. THE COMPLIANCE OFFICER ISSUES AN ANNUAL REPORT TO THE COMPLIANCE COMMITTEE OF THESE FINDINGS. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE APPROPRIATE PHYSICIAN BY THE ASSIGNED ADMINISTRATOR. THE ADMINISTATOR WILL PROVIDE THE PHYSICIAN-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE SLHC MARKETING COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE ST. LUKES HOSPITAL WEBSITE (STLUKESHOSPITAL.COM) BY THE SLHC MARKETING COMMUNICATIONS REPRESENTATIVE. FAILURE TO FILE THE CERTIFICATION STATEMENT, OR THE FILING OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE PHYSICIANS CERTIFICATION STATEMENT OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE VICE PRESIDENT OF MEDICAL AFFAIRS OR BOARD OF TRUSTEES UP TO AND INCLUDING TERMINATION OF THE PHYSICIANS ASSOCIATION/CONTRACT WITH SLHC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE ST. LUKE'S HOSPITAL EXECUTIVE COMMITTEE OF THE BOARD EVERY NOVEMBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE NOVEMBER MEETING OF THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE FEBRUARY MEETING EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 16A &amp; 16B</FormAndLineReferenceDesc>
        <ExplanationTxt>JOINT VENTURE OPERATING AGREEMENTS INVOLVING ST. LUKES HOLDING COMPANY, INC. (SLHC) OR ITS SUBSIDIARIES INCLUDE PROVISIONS TO PROTECT SLHCS TAX EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. SLHC CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL SLHC JOINT VENTURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE'S HOLDING COMPANY, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>GENERAL $ 3,543,147 CONTR NPHYS 771,335 CONTR PHYS 9,317,745 BILLING SERVICES 3,332,584 CONSULTANTS 1,307,324 LITHOTRIPTOR 178,768 SERVICE CONTRACTS 5,174,663 LAUNDRY 531,088 FOOD SVC MGT 531,150 TEMP AGENCY 1,540,888 REFERRED TESTING 2,805,904 OTHER 142,212</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT $(4,608,879) BENEFICIAL INTEREST IN FOUNDATION 3,149,511 TOTAL (1,459,368)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COBRA VENTURES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA RD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
        </USAddress>
        <EIN>204671613</EIN>
        <PrimaryActivitiesTxt>LAND LEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKE HF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WELLCARE PHYSICIANS GROUP LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA RD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
        </USAddress>
        <EIN>611528443</EIN>
        <PrimaryActivitiesTxt>EMPLOYS PHYS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKE HC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARE ENTERPRISES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA RD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
        </USAddress>
        <EIN>341366709</EIN>
        <PrimaryActivitiesTxt>FAC LEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKE HC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST LUKE'S HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA RD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
        </USAddress>
        <EIN>341292849</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKE HC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST LUKE'S HOLDING COMPANY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA RD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
        </USAddress>
        <EIN>812599592</EIN>
        <PrimaryActivitiesTxt>PARENT CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WATERVILLE MEDICAL CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA RD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
        </USAddress>
        <EIN>320160784</EIN>
        <PrimaryActivitiesTxt>FAC LEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CARE ENT INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ST LUKE'S HOSPITAL PAIN MANAGEMENT LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA RD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
        </USAddress>
        <EIN>833639701</EIN>
        <PrimaryActivitiesTxt>PAIN MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKES HOSP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>342132</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>597334</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CARE HOLDINGS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA RD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
        </USAddress>
        <EIN>341796790</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKE HC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PHYSICIANS ADVANTAGE MSO</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5901 MONCLOVA RD</AddressLine1Txt>
          <CityNm>MAUMEE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43537</ZIPCd>
        </USAddress>
        <EIN>061811760</EIN>
        <PrimaryActivitiesTxt>PHYS MGMT SVC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST LUKE HC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>