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        <NameOfContractor>
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        <NamePerson>SALLY THIEMAN</NamePerson>
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        <NamePerson>DIANE WATKINS</NamePerson>
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        <NamePerson>RENE GILLESPIE</NamePerson>
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        <NamePerson>CYNTHIA CHRISTENSEN</NamePerson>
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        <NamePerson>HOWARD MANN</NamePerson>
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        <NamePerson>ROGER ZAREMBA</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL ALLISON</NamePerson>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>457(F) PLAN PARTICIPANTS AND AMOUNT INCLUDED IN COLUMN C FOR THE PLAN: G. RICHARD HASTINGS - NONE GEORGE PAGELS - $125,285 ROBERT BONNEY - $84,940 CHARLES V. ROBB - $87,239 DAWN MURPHY - $71,991</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>PART II: JANI JOHNSON RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR DUTIES AS OFFICERS OF THE FILING ORGANIZATION AND FOR SERVICES RENDERED TO THE RELATED ORGANIZATION. J CHRIS PERRYMAN, MD, AND PETER HOLT, MD, DID NOT RECEIVE COMPENSATION FOR DUTIES AS DIRECTORS OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. GEORGE PAGELS AND DON SIPES RECEIVED COMPENSATION FROM THE FILING ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND TO RELATED ORGANIZATIONS. BONUS AND INCENTIVE COMPENSATION FOR RICHARD HASTINGS IS PAYMENT OF A 5-YEAR RETENTION BONUS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
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          <BusinessNameLine1>HEALTH AND EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2003A&amp;2003B</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>431178966</IssuerEIN>
        <CUSIPNumber>60635RF85</CUSIPNumber>
        <DateIssued>2003-09-17</DateIssued>
        <IssuePrice>125000000</IssuePrice>
        <DescriptionOfPurpose>NEW 52-BED HOSPITAL. EXPANSION AND CAPITAL PROJECTS AT SLHS HOSPITALS</DescriptionOfPurpose>
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        <IssuePrice>105136306</IssuePrice>
        <DescriptionOfPurpose>REFUND SERIES 1993 BONDS</DescriptionOfPurpose>
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      <Form990ScheduleKPartI>
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        <IssuePrice>100000000</IssuePrice>
        <DescriptionOfPurpose>CAPITAL PROJECTS AT ST LUKES HOSPITAL OF KANSAS CITY</DescriptionOfPurpose>
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        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
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      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HEALTH AND EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2008AB&amp;C</BusinessNameLine1>
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        <DateIssued>2008-07-08</DateIssued>
        <IssuePrice>140000000</IssuePrice>
        <DescriptionOfPurpose>PARTLY REFUND 1997 BONDS. CAPITAL PROJECTS AT SLHS HOSPITALS.</DescriptionOfPurpose>
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        <CapitalExpenditures>122885370</CapitalExpenditures>
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        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00090</PrcntgePrvtBusinessUseByOthers>
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        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
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        <HedgeTerminated>1</HedgeTerminated>
        <GrossProceedsInvestedInGIC>1</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>MBIA INC</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>1.900000000000</TermOfGIC>
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        <GrossProceedsInvested>0</GrossProceedsInvested>
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        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>1</HedgeTerminated>
        <GrossProceedsInvestedInGIC>1</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>PALLAS CAPITAL CORP</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>1.800000000000</TermOfGIC>
        <RegulatorySafeHarborSatisfied>1</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>1</GrossProceedsInvested>
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        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
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        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>1</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>MONUMENTAL LIFE</BusinessNameLine1>
          <BusinessNameLine2>INSURANCE INC</BusinessNameLine2>
        </NameOfGICProvider>
        <TermOfGIC>0.500000000000</TermOfGIC>
        <RegulatorySafeHarborSatisfied>1</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>0</GrossProceedsInvested>
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      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>FORM 990, SCHEDULE K, PART IV, LINE 3C:</Identifier>
        <Explanation>THREE HEDGE INSTRUMENTS ARE RELATED TO THE 2008 BONDS. THE TERMS OF THESE INSTRUMENTS ARE 24.4 YEARS, 24.4 YEARS, AND 27.4 YEARS.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>FORM 990, SCHEDULE K, PART III, LINE 3:</Identifier>
        <Explanation>SERIES 2003A&amp;B BOND ISSUE TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS OF $1,608,186. SERIES 2005A&amp;B BOND ISSUE TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS OF $9,221,328. SERIES 2008A,B&amp;C BOND ISSUE TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS OF $1,381,775. SERIES 2010A BOND ISSUE TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS OF $15,960.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>SCHEDULE K</Identifier>
        <Explanation>THE MASTER TRUST INDENTURE PROVIDES THAT THE TAX-EXEMPT REVENUE BONDS ARE THE JOINT AND SEVERAL OBLIGATIONS OF EACH OF THE MEMBERS OF THE OBLIGATED GROUP. IN 2010, THE OBLIGATED GROUP INCLUDES SAINT LUKE'S HEALTH SYSTEM, SAINT LUKE'S HOSPITAL OF KANSAS CITY, SAINT LUKE'S NORTHLAND HOSPITAL, SAINT LUKE'S SOUTH HOSPITAL AND SAINT LUKE'S EAST HOSPITAL. ONLY A PORTION OF THE BONDS WAS USED FOR THE FILING ORGANIZATION'S PROJECTS.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc1053100002">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HEALTH AND EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2010A</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>431178966</IssuerEIN>
        <CUSIPNumber>60635R7U5</CUSIPNumber>
        <DateIssued>2010-06-03</DateIssued>
        <IssuePrice>101289824</IssuePrice>
        <DescriptionOfPurpose>REFUND SERIES 1996A B&amp;P; FACILITIES EXPANSIONS &amp; EQUIPMENT AT SLEH &amp; SLHKC</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>2120000</AmountRetired>
        <TotalProceeds>101305784</TotalProceeds>
        <RefundingEscrow>43055401</RefundingEscrow>
        <CapitalExpenditures>36304619</CapitalExpenditures>
        <AmountUnspent>21931940</AmountUnspent>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE MEMBERS OF THE CORPORATION ARE SAINT LUKE'S HOSPITAL OF KANSAS CITY, SAINT LUKE'S NORTHLAND HOSPITAL, SAINT LUKE'S EAST HOSPITAL, AND SAINT LUKE'S SOUTH HOSPITAL, INC., EACH A 501(C)(3) ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>THE GOVERNING BODY IS ELECTED BY THE CORPORATE MEMBERS OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE 990 IS PREPARED JOINTLY BY ACCOUNTING STAFF OF THE ENTITY AND SAINT LUKE'S HEALTH SYSTEM (SYSTEM) TAX STAFF. THE RETURN IS REVIEWED BY THE ENTITY'S CFO BEFORE FILING. THE 990 DRAFT WAS ALSO PRESENTED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. THE 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD MEMBERS BEFORE FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>SAINT LUKE'S HEALTH SYSTEM AND ITS AFFILIATES HAVE COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICIES APPLICABLE TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. ANY ACTUAL, POSSIBLE OR PERCEIVED CONFLICT OF INTEREST IS EXPECTED TO BE HANDLED THROUGH FULL AND TIMELY DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSENCE OF PERSUASION IN ANY DISCUSSION AND IN ANY VOTE WHEREIN THE INTEREST IS INVOLVED. DISCLOSURE IS TO BE MADE WHEN THE INTEREST ARISES, AT ANY TIME THE INTEREST BECOMES A MATTER OF GOVERNING BOARD ACTION, AND THEN ANNUALLY THROUGH COMPLETION OF A CONFLICT OF INTEREST QUESTIONNAIRE. THE SYSTEM COMPLIANCE OFFICER OR THE SYSTEM VICE PRESIDENT OF HUMAN RESOURCES REVIEWS COMPLETED QUESTIONNAIRES AND FURTHER INVESTIGATES POSSIBLE CONFLICTS OF INTEREST. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS AND ANY IDENTIFIED CONFLICT OF INTEREST IS REPORTED TO THE APPLICABLE ENTITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVE AND OTHER HIGHLY COMPENSATED OFFICERS. INDEPENDENT, EXTERNAL DIRECTORS SERVE ON THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY PROVIDES A WRITTEN REPORT AND REASONABLENESS OPINION. THE CONSULTANT REVIEWS THE SYSTEM'S EXECUTIVE TOTAL COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT PUBLICLY AVAILABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, SECTION A, COLUMN (B):</ReturnReference>
        <Explanation>JANI JOHNSON RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR DUTIES AS AN OFFICER OF THE FILING ORGANIZATION AND FOR SERVICES RENDERED TO THE RELATED ORGANIZATION. JANI JOHNSON WORKED 40 HOURS OR MORE PER WEEK FOR ALL RELATED ORGANIZATIONS. J CHRIS PERRYMAN, MD, AND PETER HOLT, MD, DID NOT RECEIVE COMPENSATION FOR DUTIES AS DIRECTORS OF THE FILING ORGANIZATION BUT RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES RENDERED TO THE RELATED ORGANIZATIONS. THESE INDIVIDUALS WORKED 40 HOURS OR MORE PER WEEK FOR ALL RELATED ORGANIZATIONS. GEORGE PAGELS AND DON SIPES RECEIVED COMPENSATION FROM THE FILING ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND RELATED ORGANIZATIONS. GEORGE PAGELS DEVOTED AT LEAST 20 HOURS PER WEEK TO RELATED ORGANIZATIONS. DON SIPES DEVOTED AT LEAST 5 HOURS PER WEEK TO RELATED ORGANIZATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>ADDITIONAL PENSION OBLIGATION 30,864,645. UNREALIZED SWAP GAIN (LOSS) -6,185,379. NET ASSET TRANSFER 1,088,297. TOTAL TO FORM 990, PART XI, LINE 5: 25,767,563.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4401 WORNALL ROAD</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>440545297</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES NORTHLAND HOSPITAL CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 SOUTH 169 HWY</AddressLine1>
          <City>SMITHVILLE</City>
          <State>MO</State>
          <ZIPCode>64089</ZIPCode>
        </AddressUS>
        <EIN>440565393</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES SOUTH HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>12300 METCALF AVE</AddressLine1>
          <City>OVERLAND PARK</City>
          <State>KS</State>
          <ZIPCode>66213</ZIPCode>
        </AddressUS>
        <EIN>481203262</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES EAST HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 NE SAINT LUKES BLVD</AddressLine1>
          <City>LEES SUMMIT</City>
          <State>MO</State>
          <ZIPCode>64086</ZIPCode>
        </AddressUS>
        <EIN>562488077</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES MEDICAL GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6750 ANTIOCH STE 210</AddressLine1>
          <City>SHAWNEE MISSION</City>
          <State>KS</State>
          <ZIPCode>66204</ZIPCode>
        </AddressUS>
        <EIN>451598353</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CRITTENTON</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10918 ELM AVENUE</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64134</ZIPCode>
        </AddressUS>
        <EIN>440545808</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HOSPITAL OF KANSAS CITY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3100 BROADWAY SUITE 1000</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>431127200</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKES OF TRENTON</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>191 IOWA BLVD</AddressLine1>
          <City>TRENTON</City>
          <State>MO</State>
          <ZIPCode>64683</ZIPCode>
        </AddressUS>
        <EIN>431707306</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES HOSPITAL OF GARNETT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>421 SOUTH MAPLE</AddressLine1>
          <City>GARNETT</City>
          <State>KS</State>
          <ZIPCode>66032</ZIPCode>
        </AddressUS>
        <EIN>742849611</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CABOT WESTSIDE HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2121 SUMMIT</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64108</ZIPCode>
        </AddressUS>
        <EIN>440546280</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AVI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDWEST EAR INSTITUTE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4200 PENNSYLVANIA STE 100</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>480905027</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HOSPITAL OF KANSAS CITY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES HOSPITAL OF CHILLICOTHE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 CENTRAL STREET</AddressLine1>
          <City>CHILLICOTHE</City>
          <State>MO</State>
          <ZIPCode>64601</ZIPCode>
        </AddressUS>
        <EIN>431735565</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CUSHING MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>711 MARSHALL</AddressLine1>
          <City>LEAVENWORTH</City>
          <State>KS</State>
          <ZIPCode>66048</ZIPCode>
        </AddressUS>
        <EIN>480543792</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES CANCER INSTITUTE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4323 WORNALL ROAD PEET 1</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>431933950</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10920 ELM AVENUE</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64134</ZIPCode>
        </AddressUS>
        <EIN>260185090</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3) - TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEDICAL PLAZA IMAGING ASSOCIATES LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4401 WORNALL ROAD</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>431609584</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AIII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT LUKES COLLEGE OF HEALTH SCIENCES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>8320 WARD PARKWAY SUITE 300</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64114</ZIPCode>
        </AddressUS>
        <EIN>272716128</EIN>
        <PrimaryActivities>POST-SECONDARY NURSING EDUCATION</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170B1AII</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HOSPITAL OF KANSAS CITY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SLCC INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4330 WORNALL ROAD SUITE 2000</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>271994652</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>APPLYING FOR 501(C)(</ExemptCodeSection>
        <PublicCharityStatus>APPLYING FOR 170B1AI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT LUKE'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDICAL PLAZA PARTNERS LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4320 WORNALL ROAD STE 410</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>431357824</EIN>
        <PrimaryActivity>OWN &amp; OPERATE MEDICAL OFFICE BUILDING</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDICAL PARK ASSOCIATES A LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>601 SOUTH 169 HWY</AddressLine1>
          <City>SMITHVILLE</City>
          <State>MO</State>
          <ZIPCode>64089</ZIPCode>
        </AddressUS>
        <EIN>431311049</EIN>
        <PrimaryActivity>OWN &amp; OPERATE MEDICAL OFFICE BUILDING</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT LUKES SURGICENTER - LEES SUMMIT LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11221 ROE AVE SUITE 230</AddressLine1>
          <City>OVERLAND PARK</City>
          <State>KS</State>
          <ZIPCode>66211</ZIPCode>
        </AddressUS>
        <EIN>470853481</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT LUKES SURGICETNER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11221 ROE AVE SUITE 230</AddressLine1>
          <City>OVERLAND PARK</City>
          <State>KS</State>
          <ZIPCode>66211</ZIPCode>
        </AddressUS>
        <EIN>201721929</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>KS</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FAMILY ADVOCATES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>10918 ELM AVENUE</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64134</ZIPCode>
        </AddressUS>
        <EIN>202739036</EIN>
        <PrimaryActivity>FOSTER CARE</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT LUKES CARDIOLOGY SERVICES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>10920 ELM AVENUE</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64134</ZIPCode>
        </AddressUS>
        <EIN>263726426</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT LUKES-GI DIAGNOSTICS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4321 WASHINGTON SUITE 5700</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64111</ZIPCode>
        </AddressUS>
        <EIN>274142549</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>10920 ELM AVENUE</AddressLine1>
          <City>KANSAS CITY</City>
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          <City>RAYTOWN</City>
          <State>MO</State>
          <ZIPCode>64133</ZIPCode>
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        <PrimaryActivity>COLLECTIONS</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>SPELMAN DEVELOPMENT CORPORATION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>601 SOUTH 169 HWY</AddressLine1>
          <City>SMITHVILLE</City>
          <State>MO</State>
          <ZIPCode>64089</ZIPCode>
        </AddressUS>
        <EIN>431296007</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
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        <TypeOfEntity>C</TypeOfEntity>
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      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
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      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
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      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
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          <BusinessNameLine1>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1>
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          <BusinessNameLine1>CRITTENTON</BusinessNameLine1>
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          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE</BusinessNameLine1>
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          <BusinessNameLine1>ST LUKES OF TRENTON</BusinessNameLine1>
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          <BusinessNameLine1>SAINT LUKES HOSPITAL OF GARNETT</BusinessNameLine1>
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          <BusinessNameLine1>CABOT WESTSIDE HEALTH CENTER</BusinessNameLine1>
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          <BusinessNameLine1>SAINT LUKES HOSPITAL OF CHILLICOTHE</BusinessNameLine1>
        </NameOfOtherOrganization>
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          <BusinessNameLine1>SAINT LUKES CANCER INSTITUTE LLC</BusinessNameLine1>
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          <BusinessNameLine1>CUSHING MEMORIAL HOSPITAL CORPORATION</BusinessNameLine1>
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          <BusinessNameLine1>SAINT LUKES CARE</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>550957</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SAINT LUKES EAST HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>301297</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>291924</AmountInvolved>
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          <BusinessNameLine1>SAINT LUKES CARE</BusinessNameLine1>
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          <BusinessNameLine1>SLCC INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>1693947</AmountInvolved>
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          <BusinessNameLine1>SAINT LUKES COLLEGE OF HEALTH SCIENCES</BusinessNameLine1>
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          <BusinessNameLine1>MEDICAL PLAZA IMAGING ASSOCIATES LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>53140</AmountInvolved>
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          <BusinessNameLine1>SAINT LUKES HOSPITAL OF CHILLICOTHE</BusinessNameLine1>
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        <TransactionType>N</TransactionType>
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          <BusinessNameLine1>SAINT LUKES CANCER INSTITUTE LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>274858</AmountInvolved>
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          <BusinessNameLine1>SAINT LUKES EAST HOSPITAL</BusinessNameLine1>
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          <BusinessNameLine1>SAINT LUKES HOSPITAL OF CHILLICOTHE</BusinessNameLine1>
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          <BusinessNameLine1>SAINT LUKES HOSPITAL OF GARNETT</BusinessNameLine1>
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          <BusinessNameLine1>ST LUKES OF TRENTON</BusinessNameLine1>
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          <BusinessNameLine1>CUSHING MEMORIAL HOSPITAL CORPORATION</BusinessNameLine1>
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          <BusinessNameLine1>SAINT LUKES NORTHLAND HOSPITAL CORPORATION</BusinessNameLine1>
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          <BusinessNameLine1>SAINT LUKES MEDICAL GROUP</BusinessNameLine1>
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        <AmountInvolved>783232</AmountInvolved>
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          <BusinessNameLine1>SAINT LUKES SOUTH HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1170989</AmountInvolved>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>CRITTENTON</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>353273</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CABOT WESTSIDE HEALTH CENTER</BusinessNameLine1>
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        <TransactionType>O</TransactionType>
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          <BusinessNameLine1>SLCC INC</BusinessNameLine1>
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        <AmountInvolved>310573</AmountInvolved>
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      <Form990ScheduleRPartVII>
        <Identifier>TRANSACTIONS WITH RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE R, PART V, LINE 2:</ReturnReference>
        <Explanation>SAINT LUKE'S HEALTH SYSTEM (SYSTEM) AND ITS AFFILIATED ENTITIES OPERATE AS A HIGHLY INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM MANAGES AND OPERATES RELATED HOSPITALS AND THEIR AFFILIATES AS A COMMON MISSION ORIENTED HEALTH CARE SYSTEM IN ORDER TO BETTER SERVE THE HEALTH-RELATED NEEDS OF GREATER KANSAS CITY AND SURROUNDING AREAS. AS A RESULT, THERE ARE NUMEROUS INTERCOMPANY INTERACTIONS INCLUDING CENTRALIZED SUPPORT SERVICES AND SHARING OF RESOURCES AND COSTS.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>