CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER (EIN 74-1161938)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202321329349302292
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T09:21:49-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	470617373	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	COMMONSPIRIT HEALTH	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1Txt
City	ENGLEWOOD	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	741161938	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF	BusinessNameLine1Txt
Business Name Line2	MEDICINE MEDICAL CENTER	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIS	BusinessNameControlTxt
Phone	8323551000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6624 FANNIN ST 1100	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LINDA KULHANEK	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8323551000	PhoneNum
Signature	2023-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	LINDA	PersonFirstNm
Person Last	KULHANEK	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANGELA NOEL	PreparerPersonNm
PTIN	P01051055	PTIN
Phone	3032989100	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	BAYLOR ST LUKE'S MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	T DOUGLAS LAWSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6624 FANNIN ST 1100	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,063,250,417	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.STLUKESHEALTH.ORG/LOCATIONS/BAYLOR-ST	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1945	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO NURTURE THE HEALING MINISTRY OF THE ROMAN CATHOLIC CHURCH BY BRINGING IT NEW LIFE, ENERGY, AND VIABILITY IN THE TWENTY-FIRST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT MOVES TOWARD THE CREATION OF HEALTHIER COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	5094	TotalEmployeeCnt
Total Volunteers	50	TotalVolunteersCnt
Total Gross UBI	$3,588,930	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$803,877	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,554,385	PYContributionsGrantsAmt
CY Contributions Grants	$8,795,213	CYContributionsGrantsAmt
PY Program Service Revenue	$1,020,671,960	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,042,501,795	CYProgramServiceRevenueAmt
PY Investment Income	$1,888,322	PYInvestmentIncomeAmt
CY Investment Income	$2,403,093	CYInvestmentIncomeAmt
PY Other Revenue	$7,268,245	PYOtherRevenueAmt
CY Other Revenue	$9,419,943	CYOtherRevenueAmt
PY Total Revenue	$1,041,382,912	PYTotalRevenueAmt
CY Total Revenue	$1,063,120,044	CYTotalRevenueAmt
PY Grants And Similar Paid	$458,587	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$25,045	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$367,907,586	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$374,487,070	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$690,263,270	PYOtherExpensesAmt
CY Other Expenses	$744,513,435	CYOtherExpensesAmt
PY Total Expenses	$1,058,629,443	PYTotalExpensesAmt
CY Total Expenses	$1,119,025,550	CYTotalExpensesAmt
PY Revenues Less Expenses	-$17,246,531	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$55,905,506	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,099,094,656	TotalAssetsBOYAmt
Total Assets EOY	$1,275,712,356	TotalAssetsEOYAmt
Total Liabilities BOY	$412,227,410	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$625,429,667	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$686,867,246	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$650,282,689	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,019,045,759	ExpenseAmt
Grant	$25,045	GrantAmt
Revenue	$1,042,501,795	RevenueAmt
Desc	SEE SCHEDULE H	Desc
Total Program Service Expenses	$1,019,045,759	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5094	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JESUS GOMEZ	PersonNm
Phone	8323552885	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6720 BERTNER AVE	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
T DOUGLAS LAWSON PHD
EX-OFFICIO/CEO CHI ST. LUKE'S HEALTH SYSTEM	40.00	0.00	Yes (X)	Yes (X)	$2,836,151	$0	$204,434
ELIZABETH YOUNGBLOOD
PRESIDENT BSLMC/SVP & COO SLHS	50.00	0.00		Yes (X)	$1,395,951	$0	$96,195
BRADLEY LEMBCKE
CMO BSLMC/ SVP & CMO SLHS	50.00	0.00			$1,074,830	$0	$54,561	Yes (X)
LINDA KULHANEK
CFO, CHI ST. LUKE'S HEALTH SYSTEM	40.00	0.00		Yes (X)	$549,535	$0	$13,072
VERONICA MARTIN
DIV SVP CNO	50.00	0.00			$536,170	$0	$33,114		Yes (X)
NATALIE LYLES
RN II	50.00	0.00			$498,948	$0	$32,898		Yes (X)
BRENDA BENAVIDEZ
RN III	50.00	0.00			$498,902	$0	$45,603		Yes (X)
PATRICIA ELLISOR
MKT SVP PATIENT CARE SERVICES	50.00	0.00			$457,979	$0	$31,811		Yes (X)
FAISAL ABABNEH
MKT SVP OPERATIONS	50.00	0.00			$456,689	$0	$45,772		Yes (X)
GAY NORD
FORMER PRESIDENT BSLMC	0.00	0.00			$339,150	$0	$0			Yes (X)
JESUS GOMEZ
TREASURER/VP-FINANCE	50.00	0.00		Yes (X)	$281,629	$0	$22,299
PAMELA WALKO
SECRETARY	9.00	0.00		Yes (X)	$73,606	$0	$15,015
JOHN SCOTT ARNOLDY
BOARD MEMBER (TERMED 12/31/2021)	1.00	0.00	Yes (X)		$0	$0	$0
ROBERT BLAKELY
VICE CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
SARAH FOSHEE MD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
PAUL KLOTMAN MD
EX-OFFICIO/BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
TODD ROSENGART MD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
MARC SHAPIRO
CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MARVIN O'QUINN
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JOHN GLICK
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
MARK MCCOLLUM
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JONATHAN NELSON MD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
ALAN SEMPLE
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
KENNETH WELLS MD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
SCOTT SILVAS
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,999,540	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$594,774	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1020	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DAVID E HARVEY BUILDERS INC
3630 WEST CHASE DR	HOUSTON	TX	77042	CONSTRUCTION SERVICES	$57,203,674
AMN HEALTHCARE
12400 HIGH BLUFF DR SUITE 100	SAN DIEGO	CA	92130	HEALTHCARE CONSULTING SERVICES	$14,679,995
HKS INC
350 N SAINT PAUL ST 100	DALLAS	TX	75201	ARCHITECTURE SERVICES	$4,602,914
HEALTHCARE CUSTODIAL ASSOC LLC
166 HARGRAVES DR	AUSTIN	TX	78737	HOUSEKEEPING SERVICES	$2,252,880
AMERICAN JET INTL
7555 IPSWICH RD	HOUSTON	TX	77061	AIRCRAFT RENTAL SERVICES	$1,874,485

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	74	CntrctRcvdGreaterThan100KCnt
Related Organizations	$7,399,347	RelatedOrganizationsAmt
Government Grants	$1,395,866	GovernmentGrantsAmt
Total Contributions	$8,795,213	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICES	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,042,501,795	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,042,501,795	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,042,501,795	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,928,975	TotalRevenueColumnAmt
Exclusion	$1,928,975	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,038,345	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,038,345	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,038,345	TotalRevenueColumnAmt
Exclusion	$1,038,345	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$455,004	SecuritiesAmt
Other	$149,487	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$130,373	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$455,004	SecuritiesAmt
Other	$19,114	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$474,118	TotalRevenueColumnAmt
Exclusion	$474,118	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
LABORATORY SERVICES	621500	$3,588,930	$0	$3,588,930	$0
EMPLOYEE RETENTION CRE	900099	$2,089,935	$0	$0	$2,089,935
SERVICES SOLD	900099	$1,125,082	$0	$0	$1,125,082

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,577,651	TotalRevenueColumnAmt
Exclusion	$1,577,651	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,381,598	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,063,120,044	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,042,501,795	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,588,930	UnrelatedBusinessRevenueAmt
Exclusion	$8,234,106	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$25,045	TotalAmt
Program Services	$25,045	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,392,165	TotalAmt
Program Services	$837,258	ProgramServicesAmt
Management And General	$1,554,907	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$300,120,170	TotalAmt
Program Services	$286,441,770	ProgramServicesAmt
Management And General	$13,678,400	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,003,647	TotalAmt
Program Services	$13,371,462	ProgramServicesAmt
Management And General	$632,185	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,009,361	TotalAmt
Program Services	$34,248,585	ProgramServicesAmt
Management And General	$1,760,776	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,961,727	TotalAmt
Program Services	$20,863,641	ProgramServicesAmt
Management And General	$1,098,086	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,905,102	TotalAmt
Management And General	$2,905,102	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$37,695,179	TotalAmt
Program Services	$35,810,420	ProgramServicesAmt
Management And General	$1,884,759	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,089	TotalAmt
Program Services	$10,089	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$274,578,500	TotalAmt
Program Services	$258,965,640	ProgramServicesAmt
Management And General	$15,612,860	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$121,361	TotalAmt
Program Services	$121,361	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,528,227	TotalAmt
Program Services	$3,482,783	ProgramServicesAmt
Management And General	$2,045,444	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$26,633,655	TotalAmt
Program Services	$10,653,462	ProgramServicesAmt
Management And General	$15,980,193	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$22,209,901	TotalAmt
Program Services	$3,693,331	ProgramServicesAmt
Management And General	$18,516,570	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$248,924	TotalAmt
Program Services	$236,478	ProgramServicesAmt
Management And General	$12,446	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$135,736	TotalAmt
Program Services	$128,949	ProgramServicesAmt
Management And General	$6,787	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$17,526,434	TotalAmt
Management And General	$17,526,434	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$49,747,208	TotalAmt
Program Services	$47,259,848	ProgramServicesAmt
Management And General	$2,487,360	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,810,949	TotalAmt
Program Services	$5,520,402	ProgramServicesAmt
Management And General	$290,547	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$267,678,885	$267,678,885	$0	$0
STATE PROVIDER TAX	$19,373,000	$18,404,350	$968,650	$0
REPAIRS AND MAINTENANCE	$13,440,170	$10,752,136	$2,688,034	$0
DUES & SUBSCRIPTIONS	$531,673	$505,089	$26,584	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$338,442	TotalAmt
Program Services	$34,775	ProgramServicesAmt
Management And General	$303,667	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,119,025,550	TotalAmt
Program Services	$1,019,045,759	ProgramServicesAmt
Management And General	$99,979,791	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,499	BOYAmt
EOY	$2,502	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,313,360	BOYAmt
EOY	$6,132,756	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$32,447,891	BOYAmt
EOY	$30,120,061	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$198,625,416	BOYAmt
EOY	$199,627,097	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$330	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$34,421,137	BOYAmt
EOY	$33,609,527	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,554,246	BOYAmt
EOY	$4,115,153	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,076,322,764	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$289,133,858	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$628,214,089	BOYAmt
EOY	$787,188,906	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,551,237	BOYAmt
EOY	$9,191,194	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$46,895,576	BOYAmt
EOY	$43,456,129	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$138,067,205	BOYAmt
EOY	$162,268,701	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,099,094,656	BOYAmt
EOY	$1,275,712,356	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$159,212,980	BOYAmt
EOY	$123,754,168	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$49,239	BOYAmt
EOY	$130,075	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$252,965,191	BOYAmt
EOY	$501,545,424	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$412,227,410	BOYAmt
EOY	$625,429,667	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$652,917,586	BOYAmt
EOY	$618,661,635	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,949,660	BOYAmt
EOY	$31,621,054	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$686,867,246	BOYAmt
EOY	$650,282,689	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,099,094,656	BOYAmt
EOY	$1,275,712,356	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$55,905,506	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$903,320	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$20,224,269	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$10,089	FilingOrganizationsTotalAmt
Affiliated Group Total	$10,089	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$10,089	FilingOrganizationsTotalAmt
Affiliated Group Total	$10,089	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,019,045,759	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,019,045,759	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,019,055,848	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,019,055,848	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$141,047	CurrentYearMinus3Amt
Current Year Minus2	$284,736	CurrentYearMinus2Amt
Current Year Minus1	$65,151	CurrentYearMinus1Amt
Current Year	$10,089	CurrentYearAmt
Total	$501,023	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$88,114,127	BeginningYearBalanceAmt
Contributions	$3,521,040	ContributionsAmt
Investment Earnings Or Losses	-$2,519,651	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,586,578	OtherExpendituresAmt
End Year Balance	$84,528,938	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$72,898,440	BeginningYearBalanceAmt
Contributions	$4,702,698	ContributionsAmt
Investment Earnings Or Losses	$14,695,673	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,182,684	OtherExpendituresAmt
End Year Balance	$88,114,127	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,153,668	BeginningYearBalanceAmt
Contributions	$3,532,151	ContributionsAmt
Investment Earnings Or Losses	$1,651,014	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,438,393	OtherExpendituresAmt
End Year Balance	$72,898,440	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$77,616,280	BeginningYearBalanceAmt
Contributions	$2,966,951	ContributionsAmt
Investment Earnings Or Losses	$3,427,100	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,856,663	OtherExpendituresAmt
End Year Balance	$81,153,668	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$77,329,841	BeginningYearBalanceAmt
Contributions	$2,128,264	ContributionsAmt
Investment Earnings Or Losses	$4,797,238	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,639,063	OtherExpendituresAmt
End Year Balance	$77,616,280	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.26900	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.28600	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.44500	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$127,400,000	OtherCostOrOtherBasisAmt
Book Value	$127,400,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$366,772,504	OtherCostOrOtherBasisAmt
Depreciation	$86,731,967	DepreciationAmt
Book Value	$280,040,537	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,032,082	OtherCostOrOtherBasisAmt
Depreciation	$11,997,038	DepreciationAmt
Book Value	$4,035,044	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$246,355,871	OtherCostOrOtherBasisAmt
Depreciation	$190,282,426	DepreciationAmt
Book Value	$56,073,445	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$319,762,307	OtherCostOrOtherBasisAmt
Depreciation	$122,427	DepreciationAmt
Book Value	$319,639,880	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$787,188,906	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLES	$104,068,801
INVESTMENTS IN UNCONSOLIDATED ORGS - CONTROLLING INTEREST	$1,697,903
RIGHT-OF-USE OPERATING LEASE	$33,999,510
CHECK CLEARING	$138,375
UNCLAIMED PROPERTY	$68,641
FEDERAL INCOME TAXES	$953,395
OTHER ASSETS	$21,342,076

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$162,268,701	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
MISC LIABILITY	$7,007,269
RETAINAGE FOR CIP	$17,057,025
INTERCOMPANY PAYABLES	$432,398,599
CURRENT PORTION OF OPERATING LEASE LIABILITY	$7,314,830
LT PORTION OF OPERATING LEASE LIABILITY	$27,667,246
SELF-INSURANCE RESERVES AND CLAIMS	$10,100,455

Field	Value	IRS element (for citing)
Total Liability	$501,545,424	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE ENDOWMENT FUNDS AND THE PURPOSES FOR WHICH THEY ARE INTENDED, INCLUDE BUT ARE NOT LIMITED TO, APPLIED RESEARCH AND EDUCATION IN BIOMEDICAL ENGINEERING, CARDIOLOGY EDUCATION AND RESEARCH,DEVELOPMENTAL PROGRAMS RELATED TO INTERNAL MEDICINE, NUCLEAR MEDICINE, RADIOLOGY, ORTHOPEDIC RESEARCH AND NURSING EDUCATION.

PART X, LINE 2:

CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MEDICAL CENTER QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(A) AND IS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
SOUTH AMERICA	2	PROGRAM SERVICES	MARKETING FEES	$222,468
MIDDLE EAST & NORTH AFRICA	0	PROGRAM SERVICES	MARKETING FEES	$33,300
CENTRAL AMERICA & THE CARIBBEAN	0	PROGRAM SERVICES	MARKETING FEES	$34,252

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	2	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	2	TotalEmployeeCnt
Subtotal Spent	$290,020	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$290,020	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	Yes (1)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3:	SOUTH AMERICA: ACCRUAL MIDDLE EAST & NORTH AFRICA: ACCRUAL CENTRAL AMERICA & THE CARIBBEAN: ACCRUAL
PART III ACCOUNTING METHOD:

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	0	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,027,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,027,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01970	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,565,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,433,867	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,131,180	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,077,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,077,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00900	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$120,669,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,433,867	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,235,180	NetCommunityBenefitExpnsAmt
Total Expense	0.02970	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	779	PersonsServedCnt
Total Community Benefit Expns	$5,602,032	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,602,032	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$39,043,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,141,600	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,901,400	NetCommunityBenefitExpnsAmt
Total Expense	0.03030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,059,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,059,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	779	PersonsServedCnt
Total Community Benefit Expns	$45,704,532	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,141,600	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,562,932	NetCommunityBenefitExpnsAmt
Total Expense	0.03620	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	779	PersonsServedCnt
Total Community Benefit Expns	$166,373,579	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,575,467	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,798,112	NetCommunityBenefitExpnsAmt
Total Expense	0.06590	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$55,874,907	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$194,191,770	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$237,703,273	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$43,511,503	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CHI ST LUKE'S HEALTH BAYLOR ST LUKE'S MED CNTR
1	6720 BERTNER	HOUSTON	TX	77030	HTTPS://WWW.STLUKESHEALTH.ORG	118	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
BAYLOR ST LUKE'S MEDICAL CENTER - MCNAIR CAMPUS
2	7200 CAMBRIDGE ST	HOUSTON	TX	77030	HTTPS://LOCATIONS.STLUKESHEALTH.ORG/LO	118	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MED CN, - FACILITY 2: BAYLOR ST. LUKE'S MEDICAL CENTER - MCNAIR CAMP
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	FOR THE LATEST CHNA, INPUT WAS RECEIVED VIA INTERVIEWS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, FROM THE FOLLOWING ORGANIZATIONS: COALITION TO COMBAT HUMAN TRAFFICKING, COUNCIL ON RECOVERY, JEWISH FAMILY SERVICE HOUSTON, HOUSTON INDEPENDENT SCHOOL DISTRICT, HARRIS COUNTY PUBLIC HEALTH, SAN JOSE HEALTH CLINIC, AVANCE, CATHOLIC CHARITIES, YMCA HOUSTON, HOUSTON AREA WOMEN'S CENTER, BAYLOR ST. LUKE MEDICAL CENTER, MARTHA'S KITCHEN, ANTI-HUMAN TRAFFICKING INITIATIVE.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:	THIS CHNA WAS CONDUCTED IN PARTNERSHIP WITH ST. LUKE'S HEALTH PATIENTS MEDICAL CENTER, ST. LUKE'S HEALTH THE VINTAGE HOSPITAL, ST. LUKE'S HEALTH THE WOODLANDS HOSPITAL, ST. LUKE'S HEALTH SPRINGWOODS VILLAGE HOSPITAL, ST. LUKE'S HEALTH LAKESIDE HOSPITAL, AND ST. LUKE'S HEALTH SUGAR LAND HOSPITAL.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:	THE HOSPITAL INTENDS TO TAKE ACTIONS AND TO DEDICATE RESOURCES TO ADDRESS THE FOLLOWING NEEDS: ACCESS TO CARE, PREVENTIVE PRACTICES, AND VIOLENCE AND INJURY/UNINTENTIONAL INJURY/HUMAN TRAFFICKING:- ACCESS TO CARE: FINANCIAL ASSISTANCE POLICY, ELIGIBILITY AND ENROLLMENT SERVICES, CARE COORDINATION, SAN JOSE CLINIC RELATIONSHIP, EXPAND PRIMARY CARE PROVIDER RELATIONSHIPS AND TRAIN NEW HEALTH CARE PROFESSIONALS, COMMUNITY PARTNERSHIPS, HEALTH PROFESSIONS EDUCATION, MENTORSHIP PROGRAM WITH TEXAS STATE UNIVERSITY (TSU), HUMAN TRAFFICKING EFFORTS, EXAMINATION FILM PROJECT, STAFF EDUCATION.- PREVENTIVE PRACTICES: PHYSICIAN RECRUITMENT AND REFERRAL, COMMUNITY OUTREACH EDUCATION AND COMMUNITY IMMUNIZATIONS, INFORMATIONAL INTERVIEWS WITH TSU RADIO, ACTIVELY ENGAGE IN AND EXPLORE NEW COMMUNITY COLLABORATION AND PARTNERSHIP OPPORTUNITIES.- VIOLENCE AND INJURY / UNINTENTIONAL INJURY / HUMAN TRAFFICKING: CONTINUE CURRENT SCOPE OF WORK AND COLLABORATION(S) WITH SURVIVOR IDENTIFICATION, PREVENTION AND TREATMENT RESOURCES, AND ADVOCACY.THE HOSPITAL WILL NOT FOCUS ON THE FOLLOWING SIGNIFICANT NEEDS: BIRTH INDICATORS, COVID-19, HOMELESSNESS, MENTAL HEALTH, CHRONIC DISEASE, OVERWEIGHT & OBESITY, STIS, SUBSTANCE ABUSE, AND TUBERCULOSIS. THESE NEEDS ARE BEING FOCUSED ON BY OTHER ORGANIZATIONS IN OUR SERVICE AREA, SIMILAR FOCUSED WORK FALLS UNDER AN ALTERNATIVE SIGNIFICANT HEALTH NEED LABEL, IT IS NOT WITHIN THE CAPACITY OF THE HOSPITAL SYSTEM, OR IT IS BEYOND THE MISSION OF OUR HEALTH SYSTEM.
FACILITY REPORTING GROUP - A 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.
PART V, SECTION B, LINE 3E:	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 7A - CHNA REPORT URL	HTTPS://WWW.STLUKESHEALTH.ORG/ABOUT-ST-LUKES-HEALTH/HEALTHY-COMMUNITIES
SCHEDULE H, PART V, SECTION B, LINE 16A - FAP AVAILABLE WEBSITE	HTTPS://WWW.STLUKESHEALTH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION FORM WEBSITE	HTTPS://WWW.STLUKESHEALTH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C -PLAIN LANGUAGE FAP SUMMARY WEBSITE	HTTPS://WWW.STLUKESHEALTH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 10A - IMPLEMENTATION STRATEGY URL	HTTPS://WWW.STLUKESHEALTH.ORG/ABOUT-ST-LUKES-HEALTH/HEALTHY-COMMUNITIES

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - BAYLOR ST LUKE'S MEDICAL CENTER - AMBUL
1977 BUTLER BLVD	HOUSTON	TX	77030	AMBULATORY SURGERY
2 - BAYLOR ST LUKE'S MEDICAL CENTER - ENDOS
7200 CAMBRIDGE 4TH FLOOR	HOUSTON	TX	77030	ENDOSCOPY

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 7:	COMMONSPIRIT HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO 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 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE 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 SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS.
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 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 PROMPT PAY DISCOUNTS, AND 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:	CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MEDICAL CENTER ("MEDICAL CENTER") MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. THE MEDICAL CENTER'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. THE MEDICAL CENTER ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED 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, THE MEDICAL CENTER 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:	PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION THE MEDICAL CENTER EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYERS (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. PERFORMANCE OBLIGATIONS ARE GENERALLY SATISFIED OVER A PERIOD OF LESS THAN ONE YEAR. AS SUCH, THE MEDICAL CENTER HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN ASU 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), AND IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY UNSATISFIED AT THE END OF THE REPORTING PERIOD.THE MEDICAL CENTER ACCEPTS PATIENTS IN IMMEDIATE NEED OF CARE, REGARDLESS OF THEIR ABILITY TO PAY. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ESTIMATED ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS, PRICE CONCESSIONS, AND OTHER DISCOUNTS. THE MEDICAL CENTER DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD- PARTY PAYERS, DISCOUNTS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS IN ACCORDANCE WITH THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS. THE MEDICAL CENTER DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICY, AND HISTORICAL EXPERIENCE. THE MEDICAL CENTER DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THESE CLASSES OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. MANAGEMENT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS ARE PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING 18-MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF THE CHANGE.SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYER'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN SERVICES AND OTHER EXPENSES ON THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. BAD DEBT EXPENSE FOR 2022 AND 2021 WAS NOT SIGNIFICANT.AGREEMENTS WITH THIRD-PARTY PAYERS TYPICALLY PROVIDE FOR PAYMENTS AT AMOUNTS LESS THAN ESTABLISHED CHARGES. NET PATIENT REVENUE INCLUDES ESTIMATED SETTLEMENTS UNDER PAYMENT AGREEMENTS WITH THIRD-PARTY PAYERS. SETTLEMENTS WITH THIRD-PARTY PAYERS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD IN WHICH THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. THESE SETTLEMENTS ARE ESTIMATED AND EVALUATED BASED ON THE TERMS OF THE PAYMENT AGREEMENT WITH THE PAYER, CORRESPONDENCE FROM THE PAYER, AND HISTORICAL SETTLEMENT ACTIVITY.
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 13). 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. CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $43,511,503 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.
FORM 990, SCHEDULE H PART V SEC A - HOSPITAL'S WEBSITE	CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MEDICAL CENTER:HTTPS://LOCATIONS.STLUKESHEALTH.ORG/LOCATION/BAYLOR-ST-LUKES-MEDICAL-CENTERBAYLOR ST. LUKE'S MEDICAL CENTER - MCNAIR CAMPUS:HTTPS://LOCATIONS.STLUKESHEALTH.ORG/LOCATION/BAYLOR-ST-LUKES-MEDICAL-CENTER-MCNAIR
PART VI, LINE 2:	ST. LUKE'S HEALTH WORKS WITH THE TEXAS HOSPITAL ASSOCIATION AND THE TEXAS HEALTH CARE INFORMATION COLLECTION (THCIC) TO PROVIDE AND ASSESS PATIENT DISCHARGE INFORMATION FOR OUR FACILITIES, AND THE SERVICE AREA AND COMMUNITIES WE SERVE. THIS REPRESENTS PUBLIC PATIENT DATA THAT IS USED FOR STRATEGIC PLANNING, SERVICE NEEDS AND TO BETTER UNDERSTAND PATIENT ACCESS AND SERVICE NEED PATTERNS BY DRG, BY AGE, BY GENDER, BY RACE, ETHNICITY, AND PAYER SOURCES. IN ADDITION, ST. LUKE'S HEALTH DEVELOPS A COMMUNITY PROVIDER NEEDS ASSESSMENT EVERY THREE TO FIVE YEARS TO ASSESS THE NEED FOR PRIMARY CARE AND PROVIDER SPECIALISTS FOR OUR FACILITIES AND THE COMMUNITIES WE SERVE.
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. 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:	THE POPULATION OF THE HOSPITAL SERVICE AREA IS 3,621,776. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 26.1% OF THE POPULATION, 63.4% ARE ADULTS, AGES 18-64, AND 10.5% OF THE POPULATION ARE SENIORS, AGES 65 AND OLDER. THE LARGEST PORTION OF THE POPULATION IN THE SERVICE AREA IDENTIFIES AS HISPANIC/LATINO (38.8%), 28.6% OF THE POPULATION IDENTIFIES AS WHITE/CAUCASIAN, 21.4% ARE BLACK/AFRICAN AMERICAN AND 9.2% ARE ASIAN. 1.5% OF THE POPULATION IDENTIFIES AS MULTIRACIAL (TWO-OR-MORE RACES), 0.8% AS NATIVE HAWAIIAN/PACIFIC ISLANDER, AND 0.2% AS AMERICAN INDIAN/ALASKAN NATIVE. THOSE WHO ARE OF ANOTHER RACE/ETHNICITY OR ARE NOT LISTED REPRESENT AN ADDITIONAL 0.3% OF THE SERVICE AREA POPULATION. IN THE SERVICE AREA, 56.2% OF THE POPULATION, 5 YEARS AND OLDER, SPEAK ONLY ENGLISH IN THE HOME. AMONG THE AREA POPULATION, 31.9% SPEAK SPANISH, 5.9% SPEAK AN ASIAN/PACIFIC ISLANDER LANGUAGE, AND 3.9% SPEAK AN INDO-EUROPEAN LANGUAGE IN THE HOME. AMONG THE RESIDENTS IN THE SERVICE AREA, 14.9% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 34.1% ARE AT 200% OF FPL OR BELOW. THOSE WHO SPEND MORE THAN 30% OF THEIR INCOME ON HOUSING ARE SAID TO BE "COST BURDENED." IN THE SERVICE AREA, 33.2% OF OWNER AND RENTER OCCUPIED HOUSEHOLDS SPEND 30% OR MORE OF THEIR INCOME ON HOUSING. THIS IS HIGHER THAN THE STATE RATE (30.5%). EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE HOSPITAL SERVICE AREA, 17.1% OF ADULTS, AGES 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, WHICH IS HIGHER THAN THE STATE RATE (16.3%). 34.4% OF AREA ADULTS HAVE A BACHELOR'S DEGREE OR HIGHER DEGREE. HARRIS COUNTY AND HOUSTON ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUA) AND HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR PRIMARY CARE, DENTAL HEALTH AND MENTAL HEALTH.COMMUNITY STAKEHOLDER INTERVIEWS IDENTIFIED THE FOLLOWING GROUPS AS HAVING THE MOST BARRIERS TO ACCESS: UNDOCUMENTED MEN OF WORKING AGE, HISPANIC/LATINOS, AFRICAN AMERICANS, LBGTQ+ INDIVIDUALS, SENIORS (LIVING ALONE, LACK ACCESS TO TECHNOLOGY), MIDDLE SCHOOL-AGED CHILDREN, NEWLY ARRIVED OR RECENT IMMIGRANTS, AFRICAN IMMIGRANTS (NIGERIAN COMMUNITY), SOUTHEAST ASIAN COMMUNITY (VIETNAMESE), VETERANS, INDIVIDUALS WITHOUT INSURANCE (ESPECIALLY WITHOUT HARRIS COUNTY GOLD CARD), SINGLE MOTHERS, AFGHAN REFUGEES, FAMILIES LIVING IN POVERTY, AND HOMELESS INDIVIDUALS. THE FOLLOWING NEIGHBORHOODS WERE IDENTIFIED AS THE MOST UNDER-RESOURCED: THIRD (SOUTHEAST) AND FIFTH (NORTHEAST) WARDS, SOUTHWEST HOUSTON, PASADENA, SUNNYSIDE, MAGNOLIA PARK, ALTADENA, SPRING, EAST HOUSTON, AND BAYTOWN.
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 REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMUNITY HEALTH OR COMMUNITY BENEFIT 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:	ST. LUKE'S HEALTH SYSTEM CORPORATION IS A SEPARATE LEGAL ENTITY AND IS A TEXAS NONPROFIT MEDICAL EDUCATION CORPORATION UNDER THE DIRECTION OF CHI AND A SEPARATE BOARD OF DIRECTORS. THE SYSTEM PROVIDES DIRECT SERVICES AND EMPLOYEES TO BCMMC FOR THE OPERATION OF THE MEDICAL CENTER. ALL OF THE MEDICAL CENTER EMPLOYEES ARE CONTRACTED FROM THE SYSTEM. THE SYSTEM CHARGES THE MEDICAL CENTER FOR THE WAGES AND BENEFITS PAID TO THESE EMPLOYEES, WHICH ARE REFLECTED AS PERSONNEL COSTS IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. THE SYSTEM PROVIDES CORPORATE SERVICES FOR HUMAN RESOURCES, FINANCE, INFORMATION MANAGEMENT, PURCHASING, COMPLIANCE, MANAGED CARE CONTRACTING, LEGAL, RISK MANAGEMENT, MEDICAL RECORDS, PATIENT FINANCIAL SERVICES, AND QUALITY.BAYLOR COLLEGE OF MEDICINE IS A SEPARATE LEGAL ENTITY AND IS A TEXAS NONPROFIT MEDICAL EDUCATION CORPORATION UNDER THE DIRECTION OF A SEPARATE BOARD OF DIRECTORS. THE MEDICAL CENTER EXECUTED AN ACADEMIC AFFILIATION AGREEMENT WITH BCM EFFECTIVE JANUARY 1, 2014. UNDER THIS AGREEMENT, AS AMENDED, BCM PROVIDES OVERSIGHT AND MANAGEMENT OF MAJOR CLINICAL PROGRAMS, RESEARCH SERVICES, MEDICAL DIRECTORSHIPS, COVERAGE SERVICES FOR KEY AREAS, GRADUATE MEDICAL EDUCATION, AND MISCELLANEOUS SERVICES.
PART VI, LINE 7, REPORTS FILED WITH STATES	TX

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HEALTH CHOICE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2636 SOUTH LOOP WEST SUITE 125	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77054	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	760495152	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$9,714	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	PROGRAM SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION GRANTS FUNDS TO OTHER ORGANIZATIONS AND REQUIRES ALL GRANT RECIPIENTS TO MEASURE THEIR SUCCESS IN ATTAINING PROGRAM GOALS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
T DOUGLAS LAWSON PHD
EX-OFFICIO/CEO CHI ST. LUKE'S HEALTH	$1,031,557	$0	$1,611,322	$0	$193,272	$0	$182,677	$0	$21,757	$0	$3,040,585	$0	$163,800	$0
ELIZABETH YOUNGBLOOD
PRESIDENT BSLMC/SVP & COO SLHS	$640,990	$0	$674,328	$0	$80,633	$0	$74,605	$0	$21,590	$0	$1,492,146	$0	$54,000	$0
BRADLEY LEMBCKE
CMO BSLMC/ SVP & CMO SLHS	$602,552	$0	$285,392	$0	$186,886	$0	$17,275	$0	$37,286	$0	$1,129,391	$0	$0	$0
LINDA KULHANEK
CFO, CHI ST. LUKE'S HEALTH SYSTEM	$380,943	$0	$165,625	$0	$2,967	$0	$3,792	$0	$9,280	$0	$562,607	$0	$0	$0
VERONICA MARTIN
DIV SVP CNO	$363,873	$0	$170,428	$0	$1,869	$0	$17,275	$0	$15,839	$0	$569,284	$0	$0	$0
NATALIE LYLES
RN II	$485,291	$0	$2,376	$0	$11,281	$0	$16,239	$0	$16,659	$0	$531,846	$0	$0	$0
BRENDA BENAVIDEZ
RN III	$494,525	$0	$3,680	$0	$697	$0	$14,639	$0	$30,964	$0	$544,505	$0	$0	$0
PATRICIA ELLISOR
MKT SVP PATIENT CARE SERVICES	$345,876	$0	$106,966	$0	$5,137	$0	$17,454	$0	$14,357	$0	$489,790	$0	$0	$0
FAISAL ABABNEH
MKT SVP OPERATIONS	$292,112	$0	$163,733	$0	$844	$0	$13,979	$0	$31,793	$0	$502,461	$0	$0	$0
GAY NORD
FORMER PRESIDENT BSLMC	$0	$0	$0	$0	$339,150	$0	$0	$0	$0	$0	$339,150	$0	$0	$0
JESUS GOMEZ
TREASURER/VP-FINANCE	$229,110	$0	$52,069	$0	$450	$0	$10,696	$0	$11,603	$0	$303,928	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	DURING THE CALENDAR YEAR 2021, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, AN AFFILIATE OF ST. LUKE'S HEALTH SYSTEM CORPORATION. COMMONSPIRIT HEALTH USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
SCHEDULE J, PART I, LINE 4A	COMPENSATION FOR BAYLOR ST. LUKE'S MEDICAL CENTER IS DETERMINED BY COMMONSPIRIT HEALTH (CSH), AN AFFILIATE OF ST. LUKE'S HEALTH SYSTEM CORPORATION. THE FOLLOWING DISCLOSURE EXPLAINS CSH'S PROCESSES IN DETERMINING COMPENSATION FOR ST. LUKE'S MEDICAL CENTER EMPLOYEES: 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. A REPORTABLE INDIVIDUAL TERMINATED PRIOR TO THE EFFECTIVE DATE OF THE EXECUTIVE SEVERANCE POLICY RECEIVED SEVERANCE IN ACCORDANCE WITH AN EMPLOYMENT CONTRACT. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2021 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): GAY NORD, $339,150.
SCHEDULE J, PART I, LINE 4B	DURING THE 2021 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2021 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: T. DOUGLAS LAWSON, $179,940 AND ELIZABETH YOUNGBLOOD, $78,700. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S 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 2021 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHED
SCHEDULE J, PART II - COMPENSATION FROM AN UNRELATED ORGANIZATION	LIST OF OFFICERS WHO RECEIVED COMPENSATION FROM COMMONSPIRIT HEALTH, AN UNRELATED ORGANIZATION: T. DOUGLAS LAWSON, PHD - $3,040,585 LIST OF OFFICERS, AND KEY EMPLOYEES WHO RECEIVED COMPENSATION FROM ST. LUKE'S HEALTH SYSTEM CORPORATION, AN UNRELATED ORGANIZATION: BRADLEY LEMBCKE - $105,089 LINDA KULHANEK - $562,607 JESUS GOMEZ - $138,447 PAMELA WALKO - $88,621 LIST OF HIGHEST COMPENSATED EMPLOYEES WHO RECEIVED COMPENSATION FROM FRANCISCAN HEALTH SYSTEM, AN UNRELATED ORGANIZATION: PATRICIA ELLISOR - $320,368

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 1A - FORM 1096 REPORTING	PAYMENTS TO VENDORS ARE MADE BY COMMONSPIRIT HEALTH (CSH), AN AFFILIATE OF ST. LUKE'S HEALTH SYSTEM CORPORATION, ON BAYLOR ST. LUKE'S MEDICAL CENTER'S BEHALF. THEREFORE, NO FORM 1099S ARE ISSUED BY THE ORGANIZATION. CSH FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099S ISSUED BY CSH ON BEHALF OF THE ORGANIZATION ARE REPORTED TO THE IRS.
FORM 990, PART VI, SECTION A, LINE 1A	PURSUANT TO SECTION 8.5 OF THE BYLAWS OF CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, AT LEAST ONE BCM APPOINTEE, AND AT LEAST ONE ST. LUKE'S APPOINTEE, AND THE PRESIDENT, WHO SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY VOTING BOARD MEMBERS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY VOTING BOARD MEMBERS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.5 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6	ACCORDING TO THE BYLAWS, BOTH CHI ST. LUKE'S HEALTH SYSTEM CORPORATION, A TEXAS NONPROFIT CORPORATION, AND BAYLOR COLLEGE OF MEDICINE SHALL BE MEMBERS OF CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER.
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 AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. 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. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX.
FORM 990, PART VI, SECTION A, LINE 7B	IN ADDITION TO THE OTHER ACTIONS SPECIFIED IN THE BYLAWS REQUIRING THE APPROVAL OF BOTH CORPORATE MEMBERS, THE FOLLOWING ACTIONS SHALL REQUIRE THE PRIOR APPROVAL OF SOLELY BAYLOR COLLEGE OF MEDICINE ("BCM"): (A) ANY SUBSTANTIAL CHANGE TO THE MISSION, VALUES, PURPOSE, OR GENERAL CHARACTER OF THE CORPORATION; (B) INCURRENCE OF DEBT BY THE CORPORATION THAT RESULTS IN THE CORPORATION MAINTAINING AN EQUIVALENT MOODY'S RATING OF BBB OR LOWER; (C) ADMISSION OF ANY NEW MEMBERS OF THE CORPORATION; (D) MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION, OR BANKRUPTCY OF THE CORPORATION; (E) CHANGES IN TAX-EXEMPT STATUS OF THE CORPORATION OR ANY CHANGE THAT CAUSES A CHANGE IN THE CORPORATION'S TAX-EXEMPT STATUS; (F) TRANSFER OF MEMBERSHIP INTERESTS IN THE CORPORATION OTHER THAN AS PERMITTED BY THE MEMBERSHIP AGREEMENT; (G) AGREEMENTS WITH AN ANNUAL VALUE OF $2.5 MILLION OR MORE (OR AMENDMENTS TO AGREEMENTS) WITH AFFILIATES OF THE CORPORATE MEMBERS (I.E., ANY AGREEMENT BETWEEN THE CORPORATION, ON THE ONE HAND, AND CHI ST. LUKE'S, BCM OR ANY OF THEIR RESPECTIVE AFFILIATES, ON THE OTHER HAND); PROVIDED, HOWEVER, THAT THE CORPORATION SHALL BE PERMITTED, WITHOUT APPROVAL OF BCM TO ENTER INTO ANY AGREEMENTS AS MAY BE PROVIDED IN THE MEMBERSHIP AGREEMENT; (H) SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (I) ANY CHANGE TO THE NAME OF THE MEDICAL CENTER; (J) ANY CHANGES TO THE CORPORATION'S MEDICAL STAFF BYLAWS THAT WOULD AFFECT ACADEMIC ACCREDITATION, THE MEDICAL STAFF LEADERSHIP APPOINTMENT PROCESS; (K) ANY MATERIAL CHANGES TO THE CORPORATION'S MEDICAL STAFF APPOINTMENT PROCESS THAT ADVERSELY AFFECTS BCM; (L) APPROVAL OF THE CORPORATION'S STRATEGIC PLANS; (M) ELIMINATION OF ANY OF THE CORPORATION'S SERVICE LINES OR PROGRAMS REQUIRED FOR ACADEMIC ACCREDITATION OF BCM AND NOT DUE TO FINANCIAL EXIGENCY; (N) SALE OR CONVEYANCE OF ANY REAL PROPERTY OR BUILDING LOCATED AT THE MEDICAL CENTER; (O) SUBJECT TO THE MEMBERSHIP AGREEMENT, ADDITIONAL CAPITAL CONTRIBUTION OR OTHER CONTRIBUTIONS OR ASSUMPTION OR GUARANTEE OF DEBT BY BCM; AND (P) APPROVAL OF THE MASTER FACILITY PLAN AS RELEVANT TO THE MEDICAL CENTER, IN ADDITION TO THE OTHER ACTIONS SPECIFIED IN THE BYLAWS REQUIRING THE APPROVAL OF BOTH CORPORATE MEMBERS, THE FOLLOWING ACTIONS SHALL REQUIRE THE PRIOR APPROVAL OF SOLEY ST. LUKE'S HEALTH SYSTEM CORPORATION ("CHI ST. LUKE'S"): (A) ANY SUBSTANTIAL CHANGE TO THE MISSION, VALUES, PURPOSE, OR GENERAL CHARACTER OF THE CORPORATION; (B) ADMISSION OF ANY NEW MEMBERS OF THE CORPORATION; (C) MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION, OR BANKRUPTCY OF THE CORPORATION; (D) CHANGES IN TAX-EXEMPT STATUS OF THE CORPORATION OR ANY CHANGE THAT CAUSES A CHANGE IN THE CORPORATION'S TAX-EXEMPT STATUS; (E) TRANSFER OF MEMBERSHIP INTERESTS IN THE CORPORATION OTHER THAN AS PERMITTED BY THE MEMBERSHIP AGREEMENT; (T) AGREEMENTS WITH AN ANNUAL VALUE OF $2.5 MILLION OR MORE (OR AMENDMENTS TO AGREEMENTS) WITH AFFILIATES OF THE CORPORATE MEMBERS (I.E., ANY AGREEMENT BETWEEN THE CORPORATION, ON THE ONE HAND, AND CHI ST. LUKE'S, BCM OR ANY OF THEIR RESPECTIVE AFFILIATES, ON THE OTHER HAND); PROVIDED, HOWEVER, THAT THE CORPORATION SHALL BE PERMITTED, WITHOUT APPROVAL OF BCM, TO ENTER INTO ANY AGREEMENTS AS MAY BE PROVIDED IN THE MEMBERSHIP AGREEMENT; (G) SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (H) CONSISTENT WITH THE PRESIDENT SEARCH PROCESS SET FORTH IN SECTION 7.2.1 OF THE BYLAWS, THE APPOINTMENT AND REMOVAL OF THE CORPORATION'S PRESIDENT; (I) APPROVAL OF THE CORPORATION'S STRATEGIC PLANS; (J) ANY CHANGE TO THE CORPORATION'S FACILITY NAME; (K) ANY CHANGES TO THE CORPORATION'S MEDICAL STAFF BYLAWS THAT AFFECT ACADEMIC ACCREDITATION OR THE MEDICAL STAFF LEADERSHIP APPOINTMENT PROCESS; AND (L) OTHER RESERVE POWERS AS REQUIRED BY GAAP TO EFFECT ECONOMIC CONSOLIDATION ON CHPS FINANCIAL STATEMENTS; PROVIDED, HOWEVER, THAT, IN THE SPIRIT OF THE CORPORATE MEMBERS' AGREEMENT IN THE MEMBERSHIP AGREEMENT, ANY SUCH ADDITIONAL RESERVE POWERS WILL BE MINIMIZED TO THE MAXIMUM EXTENT POSSIBLE SO AS TO LIMIT TO THE MAXIMUM EXTENT POSSIBLE THE IMPACT ON THE CORPORATE MEMBERS' RIGHTS AND OBLIGATIONS SET FORTH IN THE MEMBERSHIP AGREEMENT.
FORM 990, PART VI, SECTION B, LINE 11B	THE RETURN WAS MADE AVAILABLE TO THE OFFICERS AND DIRECTORS BEFORE FILING. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD.
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 AT LEAST ANNUALLY (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 - 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 DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS 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 15B	COMPENSATION FOR ELIZABETH YOUNGBLOOD AND BRADLEY LEMBKE IS REVIEWED ANNUALLY BY AN INDEPENDENT GROUP USING COMPARABILITY DATA AND RECOMMENDATIONS ARE PRESENTED TO THE TEXAS EXECUTIVE COMMITTEE FOR APPROVAL. COMPENSATION FOR THE OTHER OFFICERS OF THE ORGANIZATION WAS ESTABLISHED BY HUMAN RESOURCES BY USING COMPENSATION SURVEYS OR STUDIES.
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.
FORM 990, PART VI, LINE 14	WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY: ST LUKE'S HEALTH SYSTEM CORPORATION AND RELATED ENTITIES HAVE A WRITTEN GENERAL POLICY RELATED TO DOCUMENT RETENTION AND DESTRUCTION. DOCUMENTS AND RECORDS ARE RETAINED FOR VARIOUS FEDERAL, STATE OR OTHER JURISDICTION STATUTES FOR MEDICAL OR FINANCIAL REVIEW ON A DEPARTMENT BY-DEPARTMENT BASIS.
FORM 990, PART IX, LINE 11G	CONSULTING: PROGRAM SERVICE EXPENSES 1,057,785. MANAGEMENT AND GENERAL EXPENSES 55,673. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,113,458. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 33,910,825. MANAGEMENT AND GENERAL EXPENSES 3,767,869. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,678,694. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 71,282,559. MANAGEMENT AND GENERAL EXPENSES 3,751,714. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,034,273. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 40,475,856. MANAGEMENT AND GENERAL EXPENSES 2,130,308. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,606,164. OTHER FEES: PROGRAM SERVICE EXPENSES 112,238,615. MANAGEMENT AND GENERAL EXPENSES 5,907,296. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 118,145,911.
FORM 990, PART XI, LINE 9:	BENEFICIAL INTEREST ADJUSTMENT -2,328,606. RECLASSIFICATION OF PRIOR YEAR CARES ACT ADJUSTMENT 22,552,875.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S MEDICAL TOWER CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6624 FANNIN ST STE 1100	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Field	Value	IRS element (for citing)
EIN	760531713	EIN
Primary Activities	PROPERTY MGMT	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 12A, I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHI-SLHBCM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER CONDOMINIUM
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	465079545	CONDO ASSOC	TX	CHI-SLHBCM	C	1.00000	Yes (1)
ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC
6720 BERTNER MC4-262	HOUSTON	TX	77030	760377932	PHO	TX	CHI-SLHBCM	C	1.00000	Yes (1)
THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	900064009	CONDO ASSOC	TX	CHI-SLHBCM	C	1.00000	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd