2025-05-14T09:02:48-05:00 2024-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2023-07-01 741161938 CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER CHIS 8323551000 6624 FANNIN ST 1100 HOUSTON TX 77030 LINDA KULHANEK CFO 8323551000 2025-05-14 1 0 NHU DUONG P02088956 3032989100 2023 2025-03-06 01:10:19Z BAYLOR ST LUKE'S MEDICAL CENTER MICHAEL LAWSON 6624 FANNIN ST 1100 HOUSTON TX 77030 1297134378 0 X WWW.STLUKESHEALTH.ORG X 1945 TX 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. 13 12 4994 130 6903458 1182735 5090606 5044032 1126142393 1269532897 -6799931 3609079 18098437 18885709 1142531505 1297071717 1100 488650 0 0 398041287 427636890 0 0 0 809160409 915639405 1207202796 1343764945 -64671291 -46693228 1389671766 1438523302 629708392 721239944 759963374 717283358 AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 0 0 1207099991 488650 1269532897 SEE SCHEDULE H 0 1207099991 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 4994 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X JESUS GOMEZ 8323552885 6720 BERTNER AVE HOUSTON TX 77030 T DOUGLAS LAWSON PHD PRESIDENT, SOUTH REGION 40.00 0.00 X X 3396538 0 218609 ELIZABETH YOUNGBLOOD PRESIDENT BSLMC/SVP & COO SLHS-(PARTIAL YEAR) 50.00 0.00 X 2594608 0 35028 BRADLEY LEMBCKE DIVISION SVP CMO/ PRESIDENT BSLMC 50.00 0.00 X 1000841 0 53500 LINDA KULHANEK CFO, SOUTH REGION 40.00 0.00 X 734750 0 31236 SYED RAZA CMO, BSLMC 50.00 0.00 X 631875 0 50919 GEETHA D'SOUZA RN II 40.00 10.00 X 439249 0 50993 DONALD MCLAUGHLIN MKT SVP OPERATIONS 40.00 0.00 X 402097 0 22224 NIKE ONIFADE DIV VP ONCOLOGY SERVICE LINE 40.00 10.00 X 359717 0 50094 TANIA MATAR SYS VP INTERNA HEALTH SVCS 40.00 10.00 X 383815 0 20616 LISA CUSHMAN DIRECTOR PATIENT CARE 40.00 0.00 X 371981 0 26086 JESUS MICHAEL GOMEZ TREASURER/VP-FINANCE 50.00 0.00 X 339313 0 28794 PAMELA WALKO SECRETARY 9.00 0.00 X 82533 0 18189 TERIKA RICHARDSON BOARD MEMBER 1.00 0.00 X 0 0 0 SARAH FOSHEE MD BOARD MEMBER 1.00 0.00 X 0 0 0 PAUL KLOTMAN MD EX-OFFICIO/BOARD MEMBER 2.00 0.00 X 0 0 0 TODD ROSENGART MD BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN GLICK CHAIR 2.00 0.00 X X 0 0 0 MARK MCCOLLUM VICE CHAIR 1.00 0.00 X X 0 0 0 JONATHAN NELSON MD BOARD MEMBER 1.00 0.00 X 0 0 0 ALAN SEMPLE BOARD MEMBER 1.00 0.00 X 0 0 0 SCOTT SILVAS BOARD MEMBER 1.00 0.00 X 0 0 0 STU BRIGHTMAN BOARD MEMBER 1.00 0.00 X 0 0 0 BROOKS MCGEE BOARD MEMBER 1.00 0.00 X 0 0 0 KEVIN CROWLEY BOARD MEMBER 1.00 0.00 X 0 0 0 10737317 0 606288 1155 0 1 1 DAVID E HARVEY BUILDERS INC 3630 WEST CHASE DR HOUSTON TX 77042 CONSTRUCTION SERVICES 24007708 AMN HEALTHCARE 12400 HIGH BLUFF DR SUITE 100 SAN DIEGO CA 92130 HEALTHCARE STAFFING SERVICES 9511098 TELLEPSEN BUILDERS LP 777 BENMAR SUITE 400 HOUSTON TX 77060 CONSTRUCTION SERVICES 7667835 M STRATEGIC PARTNERS INC 9977 W SAM HOUSTON PKWY N 105 HOUSTON TX 77064 ARCHITECTURAL SERVICES 1493013 HKS INC 350 N SAINT PAUL ST 100 DALLAS TX 75201 ARCHITECTURE SERVICES 1469606 45 5044032 20000 5044032 NET PATIENT SERVICES 900099 1269532897 1269532897 0 0 1269532897 3133248 3133248 2212318 694332 0 0 2212318 694332 2906650 694332 2212318 265271 210560 0 0 265271 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2067235 340452682 245602699 94849983 93815801 234225 93581576 881754386 INTERCOMPANY RECEIVABLES 121179547 INVESTMENTS IN UNCONSOLIDATED ORGS - CONTROLLING INTEREST 1697903 RIGHT-OF-USE OPERATING LEASE 17875005 OTHER ASSETS 13475917 RIGHT-OF-USE FINANCE 2652689 156881061 RETAINAGE FOR CIP 2410386 INTERCOMPANY PAYABLES 545067906 SELF-INSURANCE RESERVES AND CLAIMS 14525683 PHYSICIAN RECRUIT AND GUARANTEE PAYABLE-ST 16982677 OPERATING LEASE LIABILITY 18674144 FINANCE LEASE LIABILITY 2396992 OTHER CURRENT LIAB 335346 600393134 X 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 BIO MEDICAL 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. PART V, COLUMN (A), LINE 1A ADJUSTMENT TO BEGINNING OF YEAR BALANCE: INCREASE OF $1,905,833. SOUTH AMERICA 2 PROGRAM SERVICES MARKETING FEES 210318 MIDDLE EAST & NORTH AFRICA 1 PROGRAM SERVICES MARKETING FEES 27000 CENTRAL AMERICA & THE CARIBBEAN 2 PROGRAM SERVICES MARKETING FEES 66034 0 5 0 0 0 5 303352 0 303352 0 0 0 0 0 1 PART I, LINE 3: SOUTH AMERICA: ACCRUAL MIDDLE EAST & NORTH AFRICA: ACCRUAL CENTRAL AMERICA & THE CARIBBEAN: ACCRUAL 1 1 X 1 X 1 X 1 1 0 1 1 6339 15920558 0 15920558 0.01180 15466 104319789 97212584 7107205 0.00530 186808 44045 142763 0.00010 21805 120427155 97256629 23170526 0.01720 3 3799 428426 0 428426 0.00030 2 32470505 20023090 12447415 0.00930 0 0 0 0 2 155 840982 0 840982 0.00060 7 3954 33739913 20023090 13716823 0.01020 7 25759 154167068 117279719 36887349 0.02740 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 52355879 0 170819756 228065748 -57245992 X 1 1 2 1 CHI ST LUKE'S HEALTH BAYLOR ST LUKE'S MED CNTR 6720 BERTNER HOUSTON TX 77030 WWW.STLUKESHEALTH.ORG 118 X X X X X A 2 BAYLOR ST LUKE'S MEDICAL CENTER - MCNAIR CAMPUS 7200 CAMBRIDGE ST HOUSTON TX 77030 WWW.STLUKESHEALTH.ORG 118 X X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE SECTION C X X 1 22 1 SEE SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 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 10A - IMPLEMENTATION STRATEGY URL HTTPS://WWW.STLUKESHEALTH.ORG/ABOUT-ST-LUKES-HEALTH/HEALTHY-COMMUNITIES 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 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, 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. PERSONS ASSOCIATED WITH THE FOLLOWING ORGANIZATIONS PARTICIPATED: HARRIS COUNTY PUBLIC HEALTH, COALITION TO COMBAT HUMAN TRAFFICKING, COUNCIL ON RECOVERY, JEWISH FAMILY SERVICE HOUSTON, HOUSTON INDEPENDENT SCHOOL DISTRICT, 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 7D: THE CHNA REPORT IS SHARED WITH HOSPITAL BOARD MEMBERS, LEADERSHIP GROUPS, AND AT THE REQUEST OF ORGANIZATIONS THAT PARTICIPATED IN STAKEHOLDER/COMMUNITY DISCUSSION GROUPS. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: THE HOSPITAL TAKES ACTIONS AND DEDICATES RESOURCES TO ADDRESS THE CHNA SIGNIFICANT HEALTH NEEDS OF 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, ANNUAL SAN JOSE CLINIC SUPPORT, VARIOUS COMMUNITY PARTNERSHIPS, HEALTH PROFESSIONS EDUCATION, GME RESIDENCY PROGRAM, MENTORSHIP PROGRAM WITH TEXAS STATE UNIVERSITY (TSU), HUMAN TRAFFICKING PROGRAM INCLUDING THE PATH COLLABORATIVE AND THE HELPING HANDS COLLABORATIVE, EXAMINATION FILM PROJECT, HEALTH EQUITY AND CULTURAL COMPETENCE STAFF EDUCATION, AND TEAM MEMBER/BOARD MEMBER SUPPORT WAS PROVIDED FOR A COMMUNITY GARDEN PROJECT WITH THE HOUSTON HEALTH DEPARTMENT AS A PART OF OUR HELLO HUMANKINDNESS CAMPAIGN TO SUPPORT THE COMMUNITY AND PROVIDE ACCESS TO FRESH FOOD. * 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: CONTINUING CURRENT SCOPE OF WORK WITH THE HUMAN TRAFFICKING PROGRAM, THE PATH COLLABORATIVE, AND THE HELPING HANDS COLLABORATIVE WORKING TOWARD INCREASED SURVIVOR IDENTIFICATION, PREVENTION AND TREATMENT RESOURCES, AND ADVOCACY. THE HOSPITAL ALSO CONTRACTS WITH A SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM TO ENSURE THE HIGHEST LEVEL OF CARE IS AFFORDED TO VIOLENCE AND HUMAN TRAFFICKING SURVIVORS.THE HOSPITAL WILL NOT FOCUS ON THE CHNA NEEDS OF BIRTH INDICATORS, COVID-19, HOMELESSNESS, MENTAL HEALTH, CHRONIC DISEASE, OVERWEIGHT & OBESITY, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE ABUSE, AND TUBERCULOSIS. THESE NEEDS ARE BEING FOCUSED ON BY OTHER ORGANIZATIONS IN THE AREA, SIMILAR FOCUSED WORK FALLS UNDER AN ALTERNATIVE SIGNIFICANT HEALTH NEED, 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. 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 2 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 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 ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 201% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: 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 WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, 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: THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED CHI ST. LUKE S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED." 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 ST. LUKE'S MEDICAL CENTER'S ("MEDICAL CENTER") SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $57,245,992 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.ALSO, 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 REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. PART VI, LINE 6: ST. LUKE'S HEALTH SYSTEM CORPORATION IS A SEPARATE LEGAL ENTITY AND IS A TEXAS NONPROFIT MEDICAL EDUCATION CORPORATION UNDER THE DIRECTION OF CSH 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 1 SAN JOSE CLINIC 2615 FANNIN ST HOUSTON TX 77002 760373703 501(C)(3) 100000 0 PROGRAM SUPPORT CATHOLIC CHARITIES 2900 LOUISIANA STREET HOUSTON TX 77006 741109733 501(C)(3) 100000 0 PROGRAM SUPPORT HOUSTON HEALTH FOUNDATION PO BOX 20272 HOUSTON TX 77225 272920745 501(C)(3) 100000 0 PROGRAM SUPPORT THE ROSE 12700 N FEATHERWOOD DR HOUSTON TX 77034 760193812 501(C)(3) 100000 0 PROGRAM SUPPORT MAGNIFICAT HOUSES INC PO BOX 8486 HOUSTON TX 77288 237003471 501(C)(3) 88150 0 PROGRAM SUPPORT 5 0 PART I, LINE 2: THE ORGANIZATION GRANTS FUNDS TO OTHER ORGANIZATIONS AND REQUIRES ALL GRANT RECIPIENTS TO MEASURE THEIR SUCCESS IN ATTAINING PROGRAM GOALS. 1 1 0 0 0 0 0 0 0 T DOUGLAS LAWSON PHD PRESIDENT, SOUTH REGION 1254480 0 1981456 0 160602 0 196283 0 22326 0 3615147 0 146007 0 ELIZABETH YOUNGBLOOD PRESIDENT BSLMC/SVP & COO SLHS-(PART 621876 0 691096 0 1281636 0 19175 0 15853 0 2629636 0 120394 0 BRADLEY LEMBCKE DIVISION SVP CMO/ PRESIDENT BSLMC 691290 0 306356 0 3195 0 19175 0 34325 0 1054341 0 0 0 LINDA KULHANEK CFO, SOUTH REGION 501957 0 229109 0 3684 0 19175 0 12061 0 765986 0 0 0 SYED RAZA CMO, BSLMC 489027 0 141139 0 1709 0 19175 0 31744 0 682794 0 0 0 GEETHA D'SOUZA RN II 402901 0 30800 0 5548 0 20197 0 30796 0 490242 0 0 0 DONALD MCLAUGHLIN MKT SVP OPERATIONS 256185 0 38000 0 107912 0 2234 0 19990 0 424321 0 0 0 NIKE ONIFADE DIV VP ONCOLOGY SERVICE LINE 241199 0 118078 0 440 0 12573 0 37521 0 409811 0 0 0 TANIA MATAR SYS VP INTERNA HEALTH SVCS 213471 0 132345 0 37999 0 19329 0 1287 0 404431 0 0 0 LISA CUSHMAN DIRECTOR PATIENT CARE 140834 0 36922 0 194225 0 10385 0 15701 0 398067 0 0 0 JESUS MICHAEL GOMEZ TREASURER/VP-FINANCE 256609 0 81960 0 744 0 17390 0 11404 0 368107 0 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2023, 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 ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 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. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. 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. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED EXECUTIVE SEVERANCE PAYMENTS DURING THE 2023 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): ELIZABETH YOUNGBLOOD, $1,116,135 SCHEDULE J, PART II - COMPENSATION FROM AN UNRELATED ORGANIZATION CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MEDICAL CENTER ("MEDICAL CENTER") FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023. SCHEDULE J, PART I, LINE 4B DURING THE 2023 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 2023, THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: T. DOUGLAS LAWSON, $146,007 AND ELIZABETH YOUNGBLOOD, $116,108. 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 AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2023 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2023, THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE SUPER VESTING: ELIZABETH YOUNGBLOOD, $46,443. 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 - $3,615,147 LIST OF OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO RECEIVED COMPENSATION FROM ST. LUKE'S HEALTH SYSTEM CORPORATION, AN UNRELATED ORGANIZATION: BRADLEY LEMBCKE - $1,054,341 LINDA KULHANEK - $765,986 PAMELA WALKO - $100,722 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 CHI'S 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 - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP 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 IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 2,057,930. MANAGEMENT AND GENERAL EXPENSES 108,312. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,166,242. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 33,435,061. MANAGEMENT AND GENERAL EXPENSES 3,715,007. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,150,068. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 65,771,579. MANAGEMENT AND GENERAL EXPENSES 3,461,662. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,233,241. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 64,285,723. MANAGEMENT AND GENERAL EXPENSES 3,383,459. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,669,182. OTHER FEES: PROGRAM SERVICE EXPENSES 160,626,394. MANAGEMENT AND GENERAL EXPENSES 8,391,360. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,017,754. FORM 990, PART XI, LINE 9: BENEFICIAL INTEREST ADJUSTMENT 3,651,919. OTHER CHANGES IN NET ASSETS -235,042. 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 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 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0