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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Saint Lukes Health System Inc
 
Employer identification number
43-1747502
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2020
 
43-1178966 60637ASF0 10-14-2020 107,655,465 Refund Series 2010A Bonds; various remodels at SLH and SLN and expansion at SLE   X   X   X
B HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2012C
 
43-1178966   12-13-2012 50,000,000 CAPITAL PROJECTS AT SLHKC & SLEH   X   X   X
C HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2016A
 
43-1178966 60637ALA8 05-19-2016 303,495,001 REFUND SERIES 2003A AND 2003B, 2005A AND 2005B, AND PARTIAL 2012B BONDS   X   X   X
D HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO SERIES 2016B
 
43-1178966   07-01-2016 90,000,000 REFUND SERIES 2012A AND REMAINING 2012B BONDS   X   X   X
HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO 2016C
 
43-1178966   12-21-2016 23,280,000 REFUND BISHOP SPENCER PLACE SERIES 2004 BONDS   X   X   X
Health and Educational Facilities Authority of the State of Missouri Health
Facilities Revenue Bonds (Saint Luke's Health System Inc) Series 2018A
43-1178966 60637AMW9 05-23-2018 100,000,872 Partial Series 2012C refund; facility expansions and equipment at SLH, SLEH, SLNH AND SLSH   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 4,720,000 20,000,000 13,895,000 105,000
2 Amount of bonds legally defeased ..............   0    
3 Total proceeds of issue .................. 107,655,955 50,000,000 303,495,001 90,000,000
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 1,155,159 1,224,102 2,442,228  
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 35,000,000 50,000,000    
11 Other spent proceeds ............. 71,500,306 20,243,408 301,052,773 90,000,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2021 2012 2016 2016
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
X     X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X X     X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0.25 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0.25 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X X   X  
c No rebate due? .........   X X     X   X
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X X     X X  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X X  
b Name of provider ..........  
 
 
 
 
 
UBS
 
c Term of hedge .........       1920 %
d Was the hedge superintegrated? ......               X
e Was the hedge terminated? ........               X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I SCHEDULE K 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 2018, THE OBLIGATED GROUP INCLUDES SAINT LUKE'S HEALTH SYSTEM, SAINT LUKE'S HOSPITAL OF KANSAS CITY, SAINT LUKE'S NORTH 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. THE BONDS ARE REPORTED AS LIABILITIES ON THE BALANCE SHEETS OF THE OBLIGATED GROUP ENTITIES.
Schedule K, Part I PART I AND II ISSUER NAME: HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO: SERIES 2018A THE TOTAL AMOUNT OF PROCEEDS OF THE BOND ISSUE IS NOT IDENTICAL TO THE ISSUANCE PRICE LISTED IN PART I DUE TO INVESTMENT EARNINGS.
Schedule K, Part IV, Line 2c COLUMN B Issuer name: HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO: SERIES 2012C The calculation for computing no rebate due was performed on 06/29/2018
Schedule K (Form 990) 2021

Additional Data


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