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        <FormAndLineReferenceDesc>Schedule J, Part II REPORTED COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR AMY NACHTIGAL AND JANE PECK IS FOR COMPENSATION FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS. THE RELATED ORGANIZATION HAS ADOPTED A MANAGEMENT INCENTIVE COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR AND MIDDLE MANAGEMENT TO PROMOTE EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND OPTIMAL USE OF RESOURCES. THE INCENTIVES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY CONTINGENT ON ACHIEVING QUALITY, PATIENT SATISFACTION, EMPLOYEE ENGAGEMENT, FINANCIAL AND OTHER OPERATIONAL PERFORMANCE TARGETS ESTABLISHED BY THE BOARD'S COMPENSATION COMMITTEE ON AN ANNUAL BASIS. INCENTIVE AWARDS ARE PAID AT THE DISCRETION OF THE BOARD OF DIRECTORS AND DO NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER FINANCIAL RESULTS HAVE BEEN DETERMINED FOR THE CALENDAR YEAR. THIS INCENTIVE COMPENSATION IS EVALUATED AS PART OF THE REVIEW OF MARKET COMPETITIVE DATA AND REASONABLENESS OF OVERALL COMPENSATION AND BENEFITS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL PLAZA IMAGING ASSOCIATES (MPIA) IS PART OF SAINT LUKE'S HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM. MPIA'S VENDORS ARE PAID THROUGH A CENTRALIZED PAYMENT SYSTEM WITH 1099S ISSUED BY THE CENTRALIZED SERVICE ENTITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 COMPENSATION OF OFFICERS</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVES FROM SAINT LUKE'S HOSPITAL OF KANSAS CITY SERVE AS THE TREASURER AND THE PRESIDENT FOR MPIA. ANNUALLY, THE SAINT LUKE'S HEALTH SYSTEM BOARD OF DIRECTORS' COMPENSATION COMMITTEE REVIEWS, DISCUSSES, SETS AND APPROVES COMPENSATION FOR THESE EXECUTIVES. 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 COMPENSATION PHILOSOPHY AND ANALYZES MARKET COMPETITIVENESS (IN TOTAL AND BY EACH COMPENSATION AND BENEFIT ELEMENT) FOR THE EXECUTIVES USING APPROPRIATE COMPARABILITY DATA. COMPENSATION COMMITTEE ACTIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE PROCESS SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER IS SAINT LUKE'S HEALTH SYSTEM, AN AFFILIATED TAX-EXEMPT ORGANIZATION. THE OPERATIONS OF MEDICAL PLAZA IMAGING ASSOCIATES ARE MANAGED BY ITS SOLE MEMBER. AS PART OF AN INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER ALSO PROVIDES VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO THE ORGANIZATION. SAINT LUKE'S HEALTH SYSTEM IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS, A MAJORITY OF WHOM ARE EXTERNAL, INDEPENDENT PERSONS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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 TREASURER BEFORE FILING. A draft of the Form 990 was provided to the BJC Health System Board and members of the BJC Audit and Community Benefit Committees. THE 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE FILING WITH THE IRS.</ExplanationTxt>
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        <ExplanationTxt>THE FILING ORGANIZATION HAS A COMPREHENSIVE WRITTEN CONFLICT OF INTEREST POLICY 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. A REPORT IS PROVIDED TO THE AUDIT COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ARTICLES OF ORGANIZATION AND AMENDMENTS THERETO ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE SECRETARY FOR STATE. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT LUKE'S HEALTH SYSTEM INC THAT ARE AVAILABLE TO THE PUBLIC THROUGH EMMA. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
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        <ExplanationTxt>REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR AMY NACHTIGAL AND JANE PECK IS FOR COMPENSATION FOR SERVICES RENDERED TO THE FILING AND RELATED ORGANIZATIONS.</ExplanationTxt>
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        <ExplanationTxt>Physician Remuneration - Total Expense: 1626176, Program Service Expense: 1626176, Management and General Expenses: , Fundraising Expenses: ; Biomed Service Contracts - Total Expense: 368555, Program Service Expense: 368555, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 360822, Program Service Expense: 123678, Management and General Expenses: 237144, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
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          <ZIPCd>64131</ZIPCd>
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        <EIN>431127200</EIN>
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          <AddressLine1Txt>191 IOWA BLVD</AddressLine1Txt>
          <CityNm>TRENTON</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64683</ZIPCd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT LUKES HOSPITAL OF GARNETT</BusinessNameLine1Txt>
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          <AddressLine1Txt>421 SOUTH MAPLE</AddressLine1Txt>
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          <BusinessNameLine1Txt>SAINT LUKES CUSHING HOSPITAL</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>711 MARSHALL</AddressLine1Txt>
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          <ZIPCd>66048</ZIPCd>
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          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SAINT LUKES CARE</BusinessNameLine1Txt>
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          <AddressLine1Txt>901 E 104TH ST</AddressLine1Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
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        </USAddress>
        <EIN>260185090</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVANCED UROLOGIC ASSOCIATES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>901 E 104TH ST</AddressLine1Txt>
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          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROCKHILL ORTHOPAEDIC SPECIALISTS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>901 E 104TH ST</AddressLine1Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64131</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE BISHOP SPENCER PLACE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4301 MADISON AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64111</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>RETIREMENT COMMUNITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>WINDSOR CARE INCORPORATED</BusinessNameLine1Txt>
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          <AddressLine1Txt>4301 MADISON AVENUE</AddressLine1Txt>
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        <EIN>205284328</EIN>
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          <BusinessNameLine1Txt>THE BISHOP SPENCER PLACE</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Saint Luke's Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>901 E 104th Street</AddressLine1Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64131</ZIPCd>
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        <PrimaryActivitiesTxt>Foundation</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Saint Luke's Health System</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Saint Luke's Hospital of Allen County Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>3066 N Kentucky St</AddressLine1Txt>
          <CityNm>Iola</CityNm>
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          <ZIPCd>66749</ZIPCd>
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          <BusinessNameLine1Txt>Saint Luke's Health System</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>OWN &amp; OPERATE MEDICAL OFFICE BUILDING</PrimaryActivitiesTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ST LUKES SURGICENTER-LEES SUMMIT LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>11221 ROE AVE STE 230</AddressLine1Txt>
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          <BusinessNameLine1Txt>SAINT LUKES-GI DIAGNOSTICS</BusinessNameLine1Txt>
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          <AddressLine1Txt>3651 COLLEGE BLVD</AddressLine1Txt>
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          <BusinessNameLine1Txt>SAINT LUKES RADIATION THERAPY-LIBERTY LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>901 E 104TH ST</AddressLine1Txt>
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          <BusinessNameLine1Txt>Saint Luke's South Pain Management Center LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>7651 W 159th Street</AddressLine1Txt>
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        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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          <BusinessNameLine1Txt>Saint Lukes North Surgery Center LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>8860 Northeast St 82nd Terrace</AddressLine1Txt>
          <CityNm>Kansas City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP</BusinessNameLine1Txt>
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          <AddressLine1Txt>901 E 104TH ST</AddressLine1Txt>
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          <BusinessNameLine1Txt>ST LUKES HEALTH VENTURES INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SAINT LUKES HEALTH SYSTEM INSURANCE LTD</BusinessNameLine1Txt>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part V, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSACTIONS WITH RELATED ORGANIZATIONS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>