2026-05-13T08:39:59-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 611345363 FLAGET HEALTH CARE INC FLAG 5023505000 3033 N 3RD AVE PHOENIX AZ 85013 CHRISTY SPITSER TREASURER/MARKET VP OF FINANCE 5023505000 2026-05-13 1 1 MARK STOCKI P00642127 3032989100 2024 2025-03-06 01:10:19Z X FLAGET MEMORIAL HOSPITAL JENNIFER NOLAN 3033 N 3RD AVE PHOENIX AZ 85013 117718175 0 0928 X SEE SCHEDULE O X 1951 KY THE HOSPITAL'S VISION IS TO BE THE PREMIER, INTEGRATED, COMPREHENSIVE HEALTH SYSTEM IN THE COMMUNITY PROVIDING HIGH QUALITY CARE CLOSE TO HOME, REDUCING THE INCIDENCE OF DISEASE AND ELIMINATING THE INEQUITIES IN ACCESS TO HEALTHCARE. 13 11 551 33 0 0 3120548 703601 102491687 115918272 105724 4000 1111609 1092302 106829568 117718175 107025 78524 0 0 32559220 31228907 0 0 0 57418050 60110787 90084295 91418218 16745273 26299957 91533577 87058537 15527059 13224809 76006518 73833728 "AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL". 0 0 77106565 78524 115918272 SEE SCHEDULE H. 77106565 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 1 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 551 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 KY X TODD BRANHAM 8593131000 1 SAINT JOSEPH DRIVE LEXINGTON KY 40504 T DOUGLAS LAWSON DIRECTOR/PRESIDENT SOUTH REGION (THRU 2/2025) 1.00 50.00 X 0 3774957 101450 MATT GRIMSHAW DIRECTOR/MARKET PRESIDENT (BEG 12/24) 1.00 48.00 X 0 873241 80824 SHARON HAGER FORMER OFFICER 0.00 0.00 X 0 844754 22876 JENNIFER NOLAN PRESIDENT FLAGET 48.00 2.00 X 0 638045 50862 DAVID HEARNE SECRETARY/REGION VP GENERAL COUNSEL (THROUGH 2/17/ 2.00 48.00 X 0 632398 39755 BRIAN WILLIAMS ONCOLOGIST 40.00 0.00 X 27013 485015 51246 CHRISTY SPITSER TREASURER/INTERIM MKT PRES (THROUGH 12/24)/MKT. VP 1.00 50.00 X X 0 501812 49363 SHELLEY STANKO MD DIRECTOR/PHYSICIAN 1.00 50.00 X 0 466372 47324 HANNAH HALL MD PHYSICIAN 40.00 0.00 X 429402 0 53851 CARMEN FOLMAR MD PHYSICIAN 40.00 0.00 X 368479 0 54905 SCOTT MONTGOMERY PHYSICIST 0.00 40.00 X 0 316348 43544 ERIC MILLER MKT DIRECTOR PHARMACY 0.00 40.00 X 0 301148 11960 KAMI POOLE-WARDER VP PATIENT CARE SERVICES 0.00 40.00 X 0 266824 45852 MICHELLE MATTINGLY DIRECTOR, PHARMACY 40.00 0.00 X 237366 0 26782 ELIJAH MARTIN PHYSICIST 40.00 0.00 X 13300 200499 41764 CHELANGAT CHELULE CLINICAL FLEX RN 0.00 40.00 X 0 221737 13620 WILLIAM GEORGE SECRETARY/CORPORATE COUNSEL (THROUGH 8/19/24) 1.00 48.00 X 0 145745 18331 TRICIA SHACKELFORD BOARD SECRETARY/SYS DIRECTOR SR COUNSEL 1.00 48.00 X 0 8846 34 GRANETTA BLEVINS DIRECTOR 1.00 4.00 X 0 0 0 DANIEL RODRIQUE MD DIRECTOR 1.00 4.00 X 0 0 0 MARY-ALICHA WELDON DIRECTOR 1.00 4.00 X 0 0 0 WINSTON GRIFFIN CHAIR 2.00 4.00 X X 0 0 0 ADELINE FEHRIBACH DIRECTOR 1.00 4.00 X 0 0 0 MELISSA MOORE MURPHY DIRECTOR 1.00 4.00 X 0 0 0 KIM POTTER-BLAIR DIRECTOR 1.00 4.00 X 0 0 0 KEVIN SMITH VICE CHAIR 2.00 4.00 X X 0 0 0 MONICA KENNISON DIRECTOR 1.00 4.00 X 0 0 0 DARYL LOVE DIRECTOR 1.00 4.00 X 0 0 0 JANE CHILES DIRECTOR 1.00 4.00 X 0 0 0 1075560 9677741 754343 37 1 1 0 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 90074 EMERGENCY PHYSICIAN CALL COVERAGE 1586856 GILPIN CONSTRUCTION CO INC 1223 N MAIN ST LONDON KY 40741 CONSTRUCTION SERVICES 1406871 ARUP LABORATORIES 500 CHIPETA WAY SALT LAKE CITY UT 84108 RESEARCH LAB SERVICES 363914 UNIVERSAL PROTECTION SVC LP PO BOX 277469 ATLANTA GA 30384 SECURITY SERVICES 262032 ALLIANCE HEALTHCARE SERVICES 18201 VON KARMAN AVE SUITE 600 IRVINE CA 92612 PATIENT CARE SERVICES 235066 13 294528 402613 6460 703601 NET PATIENT SERVICES 900099 114494696 114494696 0 0 HOSPITAL SUPPORT - INT 900099 1401323 1401323 0 0 RENTAL INCOME 900099 22253 22253 0 0 115918272 4000 0 4000 4000 4000 EMPLOYEE RETENTION CRE 900099 406858 0 0 406858 CAFETERIA 722100 243249 0 0 243249 INSURANCE RECOVERIES 900099 124947 0 0 124947 317248 317248 1092302 117718175 115918272 0 1096302 X 62985 62985 15539 15539 25795179 24041107 1754072 993396 961607 31789 2779008 2556687 222321 1661324 1513466 147858 109194 109194 6566 6566 20266270 15726625 4539645 -108 -3 -105 1735752 1124767 610985 3009239 2287022 722217 1798736 1361643 437093 106307 73458 32849 54132 14020 40112 2142219 2142219 4030414 1567831 2462583 865511 53662 811849 MEDICAL SUPPLIES 16811180 16811180 0 0 STATE PROVIDER TAX 5544794 5544794 0 0 INTERCOMPANY ALLOCATION 2572312 2443696 128616 0 REPAIRS AND MAINTENANCE 793100 753445 39655 0 265169 193034 72135 91418218 77106565 14311653 0 1040 1002 24016074 11585540 21779977 20644008 1970246 2243012 68398 255340 91651426 53398672 35073800 38252754 8624042 14076881 91533577 87058537 2931534 7310287 3149 108783 12592376 5805739 15527059 13224809 X 76006518 73833728 0 76006518 73833728 91533577 87058537 X 26299957 -28472747 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 6566 0 0 0 6566 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $2,002 CATHOLIC HEALTH ASSOCIATION - $977 KENTUCKY HOSPITAL ASSOCIATION - $3,517 340B DUES - $70 2846461 2846461 25273634 10555653 14717981 1859844 1753935 105909 54180841 39126431 15054410 7490646 1962653 5527993 38252754 INTERCOMPANY RECEIVABLES 11594962 DEPOSITS 500 RIGHT OF USE OPERATING 2481419 14076881 LEASE LIABILITIES 2266952 CURRENT PORTION OF LEASE LIABILITY 616091 INTERCOMPANY PAYABLES 1099161 PHYSICIAN RECRUIT & GUARANTEE PAYABLE - ST 1823227 OTHER LIABILITIES 308 5805739 X PART X, LINE 2: FLAGET HEALTHCARE, INC.'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, GRANTMAKING 15539 0 0 0 0 0 0 15539 0 15539 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, PROGRAM SUPPORT 0 N/A 15539 MEDICAL EQUIPMENT & SUPPLIES BOOK 0 0 0 0 0 0 PART I, LINE 2: FLAGET HEALTHCARE, INC. ENSURES THAT GRANTS TO RECIPIENTS ARE PROPERLY USED FOR THEIR INTENDED PURPOSE BY ENSURING THAT THE GRANT RECIPIENTS ARE PRIMARILY IRC 501(C)(3) ORGANIZATIONS. FLAGET HEALTHCARE, INC. DOES NOT REQUIRE ACCOUNTING FOR THE GRANT MONIES, SINCE THE RECIPIENT ORGANIZATIONS ARE REQUIRED, AS IRC SEC 501(C)(3) ORGANIZATIONS TO USE THE FUNDS IN FURTHERANCE OF EXEMPT PURPOSES. PART I, LINE 3: ACCRUAL 1 1 X 1 X 1 X 1 1 0 1 1 1404 485173 0 485173 0.00530 12497 20263160 31151264 0 0.00000 0 0 13901 20748333 31151264 485173 0.00530 4 1339 159305 0 159305 0.00170 3 47 29016 0 29016 0.00030 2 16849 3537025 3261427 275598 0.00300 0 0 4 657 67023 0 67023 0.00070 13 18892 3792369 3261427 530942 0.00570 13 32793 24540702 34412691 1016115 0.01100 1 30 199 199 0.00000 1 227 1632 1632 0.00000 1 0 16451 16451 0.00020 3 257 18282 18282 0.00020 1 5062894 0 15846369 16019354 -172985 X 1 1 1 1 FLAGET MEMORIAL HOSPITAL 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/F 100348 X X X FLAGET MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE PART V, PAGE 8 X X 1 25 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE SCH H DISCLOSURES X SEE SCH H DISCLOSURES X SEE SCH H DISCLOSURES X X X X X X 1 X 0 X X X X 1 X 0 0 FLAGET MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: CHI SAINT JOSEPH HEALTH COMMISSIONED PRC TO CONDUCT THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE HOSPITAL. THIS ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH THROUGH A COMMUNITY HEALTH SURVEY AND AN ONLINE KEY INFORMANT SURVEY. THE COMMUNITY HEALTH SURVEY WAS CONDUCTED VIA TELEPHONE AND THROUGH ONLINE QUESTIONNAIRES WITH A STRATIFIED RANDOM SAMPLE OF 172 INDIVIDUALS AGE 18 AND OLDER IN THE HOSPITAL'S SERVICE AREA. THE ONLINE KEY INFORMANT SURVEY INCLUDED FEEDBACK FROM KEY COMMUNITY LEADERS, PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, AND SOCIAL SERVICE PROVIDERS. PARTICIPATING ORGANIZATIONS INCLUDED: BARDSTOWN CITY SCHOOLS, BERNHEIM FOREST AND ARBORETUM, CITY OF BARDSTOWN COMMUNICARE, HITE LAW GROUP, KENTUCKY COURTS, LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT, NELSON COUNTY GOVERNMENT, NELSON COUNTY SCHOOLS, SISTERS OF CHARITY OF NAZARETH, ST. VINCENT DE PAUL OUTREACH, TRI-COUNTY KENTUCKY UNITED WAY, US SENATE. FLAGET MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE HOSPITAL IS TAKING ACTION TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA: DIABETES; HEART DISEASE AND STROKE; CANCER; AND NUTRITION, PHYSICAL ACTIVITY AND WEIGHT. THE HOSPITAL IS TAKING ACTION AND DEDICATING RESOURCES TO ADDRESS THESE NEEDS, INCLUDING: - HEALTH SCREENINGS AND EFFORTS TO PREVENT DISEASE AND BETTER MANAGE CHRONIC HEALTH CONDITIONS - PARTNERSHIPS WITH DIVERSE ORGANIZATIONS TO PROVIDE EDUCATION AND OUTREACH TO POPULATIONS MOST AT RISK FOR HEALTH DISPARITIES - COLLABORATIONS WITH COMMUNITY PARTNERS TO PROVIDE EDUCATION THAT ADDRESSES SOCIAL DETERMINANTS OF HEALTH AND ENCOURAGES HEALTHY BEHAVIORSSYSTEMWIDE STRATEGIES AND RESOURCES INCLUDE: - MAKING COMMUNITY HEALTH IMPROVEMENT GRANTS AVAILABLE TO PARTNERING ORGANIZATIONS TO ADDRESS NEEDS - PARTICIPATING IN THE STATEWIDE FOOD IS MEDICINE INITIATIVE - ADDRESSING SOCIAL DRIVERS OF HEALTH BY INTEGRATING COMMUNITY HEALTH WORKERS IN INTERDISCIPLINARY TEAMS IN CLINICS TO HELP PATIENTS WITH SOCIAL NEEDS THAT COMPROMISE THEIR HEALTH - ADVOCATING AND EDUCATING WITH COMMUNITY STAKEHOLDERS AND POLICY MAKERS TO AFFECT CHANGES IN HEALTH POLICY THAT ADDRESS NEEDS IDENTIFIED IN CHNA - IMPLEMENTING HEALTH EQUITY STRATEGIES, SUCH AS PROVIDING MEDICATION ASSISTANCE, AND INTEGRATING BEHAVIORAL HEALTH AND HEALTHY BEHAVIORS INTO VIOLENCE PREVENTION INITIATIVES - INVESTING IN TELEHEALTH PLATFORMS TO INCREASE ACCESS TO CARE - ENGAGING AND SUPPORTING ACTIVITY AND INPUT FROM PATIENT AND FAMILY AS PARTNERSHOSPITAL SPECIFIC STRATEGIES INCLUDE: INCREASING ACCESS TO PRIMARY CARE, OFFERING HEALTH SCREENINGS AND EDUCATION, PROVIDING PROGRAMS AND REFERRALS TO HELP PEOPLE QUIT TOBACCO USE, PROVIDING MENTAL HEALTH SUPPORT FOR INDIVIDUALS DIAGNOSED WITH CANCER TO HELP THEM ESTABLISH COPING STRATEGIES, ENGAGING WITH HISTORICALLY UNDERSERVED COMMUNITIES, AND PARTNERING WITH COMMUNITY ORGANIZATIONS TO PROVIDE FREE NUTRITION AND EXERCISE PROGRAMS. MENTAL HEALTH AND SUBSTANCE USE DISORDER ARE TWO IDENTIFIED SIGNIFICANT NEEDS NOT BEING ADDRESSED PRIMARILY. FLAGET MEMORIAL HOSPITAL RECOGNIZES THE INCREASING BEHAVIORAL HEALTH NEEDS OF OUR PATIENTS AND COMMUNITY MEMBERS. WE PLAN TO INCREASE OUR ABILITY TO PROVIDE MENTAL HEALTH SUPPORT FOR PATIENTS EXPERIENCING CANCER AND WE WILL CONTINUE TO SCREEN PATIENTS FOR SIGNS OF DEPRESSION AND RELATED MENTAL HEALTH NEEDS. WHEN APPROPRIATE, WE HELP PATIENTS CONNECT WITH SPECIALTY CARE FOR ADVANCED CARE. WE WILL CONTINUE OUR COMMITMENT TO PROVIDING CARE AND SUPPORT FOR MENTAL HEALTH AND SUBSTANCE USE NEEDS, AND WE ACKNOWLEDGE THAT THESE ARE NOT AREAS WHERE FLAGET MEMORIAL HOSPITAL HAS FREE OR LOW COST SERVICES OR OTHER COMMUNITY BENEFIT INITIATIVES. HOWEVER, WE WILL CONTINUE TO SUPPORT THE MANY ORGANIZATIONS AND PROVIDERS THAT BRING THIS DISTINCT EXPERIENCE, EXPERTISE, AND SERVICES TO OUR COMMUNITY. IN WORKING TO ADVANCE MENTAL AND PHYSICAL WELLBEING FOR ALL RESIDENTS, WE WILL FOCUS OUR COMMUNITY BENEFIT EFFORTS IN THE AREAS WHERE WE CAN BEST LEND EXPERTISE AND LEADERSHIP. FLAGET MEMORIAL HOSPITAL PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. SCHEDULE H, PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 7A: HTTPS://WWW.COMMONSPIRIT.ORG/SAINT-JOSEPH-HEALTH/ABOUT-SAINT-JOSEPH-HEALTH#ACCORDION-D4D2A85FF3-ITEM-A131754525 SCHEDULE H, PART V, SECTION B, LINE 10A: HTTPS://WWW.COMMONSPIRIT.ORG/SAINT-JOSEPH-HEALTH/ABOUT-SAINT-JOSEPH-HEALTH#ACCORDION-D4D2A85FF3-ITEM-A131754525 PART V, SECTION B, LINE 16A-C: WWW.COMMONSPIRIT.ORG/PATIENT-RESOURCES/SAINT-JOSEPH-HEALTH-FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 7D: PUBLIC ACCESS TO EACH HOSPITAL'S CHNA IS PROVIDED THROUGH WIDELY SHARED LINKS, INCLUDING DISTRIBUTION TO ALL COMMUNITY PARTNERS APPLYING TO THE COMMONSPIRIT COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM. 2 1 - NEW HAVEN PRIMARY CARE 323 CENTER STREET NEW HAVEN KY 40051 PRIMARY CARE CLINIC 2 - WILLISBURG PRIMARY CARE 2387 MAIN STREET WILLISBURG KY 40078 PRIMARY CARE CLINIC PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:- THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.- THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;- HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;- PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);- FOOD STAMP ELIGIBILITY;- ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);- LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR- PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE. PART I, LINE 6A: FLAGET HEALTHCARE INC. COMMUNITY BENEFIT REPORT IS CONTAINED IN THE REPORT OF A RELATED ORGANIZATION - CHI SAINT JOSEPH HEALTH. PART I, LINE 7: THE HOSPITALS USE AN ADJUSTED COST TO CHARGE RATIO (CCR) CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 IS USED IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) SOFTWARE TO CALCULATE MEDICAID AND OTHER MEANS-TESTED PROGRAMS EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. PART I, LINE 7G: INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE THE FOLLOWING PHYSICIAN CLINICS:FLAGET OB/GYNBARDSTOWN PRIMARY CARETHE TOTAL EXPENSES ASSOCIATED WITH OPERATING THESE CLINICS WERE $3,537,025. REVENUE OFFSETS WERE $3,261,426. ACCORDINGLY, THE TOTAL SUBSIDIZED COST OF THESE NECESSARY SERVICES WAS $275,598. THE CLINICS MEET A COMMUNITY NEED FOR PRIMARY CARE SERVICES OUTSIDE OF THE EMERGENCY ROOM SETTING. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL'S ADVOCACY TEAM IS ADVOCATING FOR PUBLIC POLICIES AND PROGRAMS THAT WOULD IMPROVE HEALTH, INCLUDING PRIORITY NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. SPECIFICALLY, LAWMAKERS HAVE BEEN ASKED TO SUPPORT PROGRAMS AND POLICIES THAT WOULD STRENGTHEN PHYSICAL ACTIVITY AND WELLNESS INITIATIVES IN SCHOOLS, INCREASE FRESH FOOD OPTIONS IN SCHOOL CAFETERIAS, AND HELP OUR YOUTH ESTABLISH LIFELONG, HEALTHY HABITS. ALSO, WE CALL FOR INCENTIVES AND PROGRAMS TO DRIVE THE CREATION OF WELLNESS PROGRAMS, ENABLING BUSINESSES TO EDUCATE AND ENCOURAGE THEIR EMPLOYEES TO ENGAGE IN HEALTHY LIFESTYLES AND OBTAIN PREVENTION. ANOTHER POLICY MEASURE SUPPORTED IS TO FUND THE DEPT. FOR PUBLIC HEALTH'S EFFORTS TO TEACH STUDENTS HOW TO DO CPR. PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 201% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: FLAGET HEALTHCARE, INC. MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. FLAGET HEALTHCARE, INC.'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. FLAGET HEALTHCARE, INC. ALSO UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, FLAGET HEALTHCARE, INC. DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: FLAGET HEALTHCARE, INC. DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS) AND OTHERS AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES." PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 18). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. FLAGET HEALTHCARE, INC'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $172,985 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 3: INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. HOSPITALS' PUBLICLY AVAILABLE COMMUNITY HEALTH IMPLEMENTATION STRATEGIES STATE THAT IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY, AND THAT THE POLICY, PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 4: FLAGET MEMORIAL HOSPITAL IS LOCATED IN BARDSTOWN, KENTUCKY. THE HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS NELSON COUNTY, WHICH INCLUDES SEVEN ZIP CODES. IT ENCOMPASSES 418.69 SQUARE MILES AND HOUSES A TOTAL POPULATION OF 47,102 RESIDENTS, ACCORDING TO LATEST CENSUS ESTIMATES. THE SERVICE AREA IS PREDOMINANTLY RURAL.URBANIZATION: 65.2% RURAL TOTAL POPULATION SIZE: 47,102 RACE & ETHNICITY: HISPANIC 2.7%, WHITE 89.5%, BLACK 5.1%, ASIAN 0.5%, AMERICAN INDIAN OR ALASKA NATIVE 0.1% MEDIAN HOUSEHOLD INCOME: $67,888 PERCENT OF POPULATION LIVING IN POVERTY (BELOW 100% FPL): 9.7% UNEMPLOYMENT RATE (DECEMBER 2024): 4.3% PERCENT OF PEOPLE AGE 5 AND OLDER WHO ARE NON-ENGLISH SPEAKING: 1.1% PERCENT OF PEOPLE WITHOUT HEALTH INSURANCE: 5.4% PERCENT OF PEOPLE WITH MEDICAID: 22.9% HEALTH PROFESSIONAL SHORTAGE AREA: NO MEDICALLY UNDERSERVED AREAS/POPULATIONS: YES MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS: MULTIPLE NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY: 0 PART VI, LINE 5: FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL AND MARKET COMMUNITY BOARDS OF COMMUNITY ADVISORS (OR THEIR DESIGNATED COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 24 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF SEPTEMBER 24, 2025, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 138 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. AN ADDITIONAL 20 HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2025, COMMONSPIRIT HEALTH PROVIDED MORE THAN $3.071 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $5.156 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $39.1 BILLION IN FISCAL YEAR 2025, HAS TOTAL ASSETS OF APPROXIMATELY $57.26 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. 1 BARDSTOWN MAINSTREET PROGRAM ONE COURT SQUARE BARDSTOWN KY 40004 611332010 501(C)(6) 7500 0 PROGRAM SUPPORT OUR COMMONWEALTH INC 126 HUDSON DRIVE BARDSTOWN KY 40004 833326329 501(C)(3) 8800 0 PROGRAM SUPPORT ISAAC W BERNHEIM FOUNDATION 2075 CLERMONT ROAD CLERMONT KY 40110 610444651 501(C)(3) 19500 0 PROGRAM SUPPORT ST VINCENT DE PAUL OUTREACH MINISTRIES 310 W STEPHEN FOSTER AVENUE BARDSTOWN KY 40004 610485640 501(C)(3) 10000 0 PROGRAM SUPPORT 3 1 PART I, LINE 2: THE ORGANIZATION MADE GRANTS TO 501(C)(3) AND 501(C)(6) ORGANIZATIONS. UPON PROVIDING SATISFACTORY WRITTEN EVIDENCE THAT THE FUNDS WERE USED FOR THE PURPOSE THE GRANT WAS MADE, THE HOSPITAL RELEASES THE RESTRICTION AND THE FUNDS ARE TRANSFERRED. THE ORGANIZATION ALSO PROVIDES FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE CSH FINANCIAL ASSISTANCE POLICY TO INDIVIDUALS WHO ARE ELIGIBLE FOR FREE OR DISCOUNTED CARE. 1 1 0 0 0 0 0 0 0 T DOUGLAS LAWSON DIRECTOR/PRESIDENT SOUTH REGION (THR 0 1454915 0 1885572 0 434470 0 78342 0 23108 0 3876407 0 170364 MATT GRIMSHAW DIRECTOR/MARKET PRESIDENT (BEG 12/24 0 480627 0 366103 0 26511 0 44235 0 36589 0 954065 0 0 SHARON HAGER FORMER OFFICER 0 225619 0 171400 0 447735 0 16190 0 6686 0 867630 0 0 JENNIFER NOLAN PRESIDENT FLAGET 0 419802 0 192385 0 25858 0 18925 0 31937 0 688907 0 0 DAVID HEARNE SECRETARY/REGION VP GENERAL COUNSEL 0 443138 0 176298 0 12962 0 18925 0 20830 0 672153 0 0 BRIAN WILLIAMS ONCOLOGIST 27013 474448 0 0 0 10567 0 20325 502 30419 27515 535759 0 0 CHRISTY SPITSER TREASURER/INTERIM MKT PRES (THROUGH 0 401123 0 99523 0 1166 0 16300 0 33063 0 551175 0 0 SHELLEY STANKO MD DIRECTOR/PHYSICIAN 0 378048 0 86580 0 1744 0 16300 0 31024 0 513696 0 0 HANNAH HALL MD PHYSICIAN 414061 0 0 0 15341 0 16300 0 37551 0 483253 0 0 0 CARMEN FOLMAR MD PHYSICIAN 359825 0 0 0 8654 0 16419 0 38486 0 423384 0 0 0 SCOTT MONTGOMERY PHYSICIST 0 302927 0 600 0 12821 0 10521 0 33023 0 359892 0 0 ERIC MILLER MKT DIRECTOR PHARMACY 0 256656 0 43596 0 896 0 11338 0 622 0 313108 0 0 KAMI POOLE-WARDER VP PATIENT CARE SERVICES 0 213608 0 50625 0 2591 0 12694 0 33158 0 312676 0 0 MICHELLE MATTINGLY DIRECTOR, PHARMACY 201138 0 34958 0 1270 0 7373 0 19409 0 264148 0 0 0 ELIJAH MARTIN PHYSICIST 13300 192074 0 600 0 7825 0 11838 630 29296 13930 241633 0 0 CHELANGAT CHELULE CLINICAL FLEX RN 0 221069 0 600 0 68 0 13234 0 386 0 235357 0 0 WILLIAM GEORGE SECRETARY/CORPORATE COUNSEL (THROUGH 0 145474 0 0 0 271 0 11430 0 6901 0 164076 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED BY COMMONSPIRIT HEALTH AND PAID BY ST. JOSEPH HEALTH SYSTEM, INC., A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. PART I, LINE 4A: CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2024 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): SHARON HAGER, $444,221. PART I, LINE 4B: CERTAIN LISTED PERSONS PARTICIPATE IN THE COMMONSPIRIT HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A NONQUALIFIED RETIREMENT PLAN DESIGNED TO PROVIDE DEFERRED COMPENSATION TO KEY EXECUTIVES WHO HAVE CONTRIBUTED MATERIALLY TO THE SUCCESS OF OUR MINISTRY. THE SERP IS INTENDED TO PROVIDE HIGHLY COMPENSATED INDIVIDUALS WITH ADDITIONAL RETIREMENT INCOME TO HELP OFFSET REGULATORY LIMITS IN PLACE ON QUALIFIED RETIREMENT PLANS AND SOCIAL SECURITY. EACH ANNUAL CONTRIBUTION IS SUBJECT TO A FOUR-YEAR VESTING OR RETENTION PERIOD. UPON COMPLETION OF THE APPLICABLE FOUR-YEAR RETENTION PERIOD FOR EACH ANNUAL CONTRIBUTION, VESTING WILL OCCUR, AND ANY ACCUMULATED BENEFIT UNDER THE PLAN WILL BE RECEIVED. ON THE FIRST DAY OF THE CALENDAR MONTH AFTER THE FOURTH ANNIVERSARY OF THE SERP BENEFIT, THE ANNUAL CONTRIBUTION AND ITS ASSOCIATED INVESTMENT GAINS OR LOSSES BECOME 100% VESTED. IN ADDITION, THE PARTICIPANT'S SERP BENEFIT BECOMES 100% VESTED UPON ANY OF THE FOLLOWING EVENTS: 1) REACHING THE AGE OF 65 (THE PLAN'S NORMAL RETIREMENT AGE), OR 2) DEATH, OR BECOME DISABLED UNDER THE LONG-TERM DISABILITY PLAN OR SOCIAL SECURITY. SHOULD EMPLOYMENT END FOR ANY REASON OTHER THAN TERMINATION WITH SEVERANCE, RETIREMENT AT AGE 65 OR OLDER, DISABILITY, OR DEATH, UNVESTED SERP FUNDS ARE FORFEITED. IF EMPLOYMENT IS TERMINATED WITH SEVERANCE, THE TERMS AND CONDITIONS OUTLINED WITHIN THE SERP, AND NOT THOSE OF ANY SEVERANCE AGREEMENT, WILL CONTROL AND GOVERN PAYMENT ENTITLEMENT UNDER THE SERP. CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN THE CATHOLIC HEALTH INITIATIVES SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR REGION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2024 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: T. DOUGLAS LAWSON, $172,166. DUE TO THE "SUPER" VESTING RULES UNDER THE CATHOLIC HEALTH INITIATIVES DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2024 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2024, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO SUPER VESTING RULES: JENNIFER CAMILLE NOLAN, $23,032; MATTHEW GRIMSHAW, $26,001 AND T. DOUGLAS LAWSON, $238,262. SCHEDULE J, PART II: FLAGET HEALTHCARE, INC. FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE PEOPLE AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2024. PART I LINE J ORGANIZATION'S WEBSITE HTTPS://WWW.COMMONSPIRIT.ORG/FIND-A-LOCATION/CHI-SAINT-JOSEPH-HEALTH-FLA GET-MEMORIAL-HOSPITAL-213 PART V, LINE 1C: PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. THEREFORE, NO FORMS 1099 ARE ISSUED BY FLAGET HEALTHCARE, INC. COMMONSPIRIT HEALTH FILES THE FORMS 1099 AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAME WINNINGS. THE FORMS 1099 ISSUED ON BEHALF OF FLAGET HEALTHCARE, INC. ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 1A PURSUANT TO SECTION 7.1 OF THE BYLAWS OF FLAGET HEALTHCARE, INC., THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS OF FLAGET HEALTHCARE INC., THE ENTITY'S SOLE MEMBER IS KENTUCKYONE HEALTH INC., A KENTUCKY NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B FLAGET HEALTHCARE, INC'S CORPORATE MEMBER IS KENTUCKYONE HEALTH, INC. PURSUANT TO SECTION 4.4.1 OF THE ORGANIZATION'S BYLAWS, NEITHER THE BOARD NOR ANY OFFICER OR EMPLOYEE OF THE CORPORATION NOR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION SHALL TAKE ANY ACTION EITHER IN CONTRADICTION OF ANY OF THE FOREGOING POWERS, OR WITHOUT FIRST HAVING SECURED THE NECESSARY APPROVALS OR GIVEN THE APPROPRIATE NOTIFICATIONS AS MAY BE REQUIRED BY THESE BYLAWS. IN ADDITION, PURSUANT TO SECTION 4.4.2 OF THE ORGANIZATION'S BYLAWS, IN EXERCISE OF ITS APPROVAL POWERS, THE CORPORATE MEMBER MAY GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT OF THE CORPORATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 11B ONCE THE RETURN IS PREPARED, IT IS REVIEWED BY THE MARKET VP OF FINANCE. AFTER THE RETURN IS REVIEWED BY THE MARKET VP OF FINANCE, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS FURTHER DESCRIBED BELOW. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. STANDARD MANAGEMENT APPROACHES PER COI POLICY ARE APPLIED TO DISCLOSED CONFLICTS. DISCLOSURES THAT IDENTIFY PERCEIVED, POTENTIAL, OR ACTUAL COIS THAT REQUIRE IMMEDIATE MATERIAL ACTION TO RESOLVE, WILL BE IDENTIFIED, AND, A CONFLICT OF INTEREST MANAGEMENT PLAN DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR ADOPTING A REASONABLE COMPENSATION PHILOSOPHY AND SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. COMMONSPIRIT'S COMPENSATION DEPARTMENT ENSURES THAT ITS PRACTICES ARE CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY, PRACTICES, AND PRINCIPLES, AS DETERMINED BY THE PEOPLE AND COMPENSATION COMMITTEE. WHEN NECESSARY, THE COMPENSATION DEPARTMENT ALSO ENGAGES AN INDEPENDENT CONSULTANT, AS WELL AS QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABILITY DATA IS ALSO OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, AS PART OF THE ORGANIZATION'S COMPENSATION PRACTICES (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). THE DOCUMENTATION OF COMPENSATION DECISIONS INCLUDES THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMPENSATION DEPARTMENT AND THE SOURCES FROM WHICH THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,092,213. MANAGEMENT AND GENERAL EXPENSES 1,469,917. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,562,130. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,932,212. MANAGEMENT AND GENERAL EXPENSES 846,412. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,778,624. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 510,167. MANAGEMENT AND GENERAL EXPENSES 147,265. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 657,432. OTHER FEES: PROGRAM SERVICE EXPENSES 7,192,033. MANAGEMENT AND GENERAL EXPENSES 2,076,051. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,268,084. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS -28,472,747. 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