CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER (EIN 74-1161938)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-16
IRS object ID: 202231369349302628
Schema version: 2020v4.2
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	2022-05-16T08:49:12-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1225 17TH STREET SUITE 800	AddressLine1Txt
City	DENVER	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	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	2022-05-16	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	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARK SHELTON	PreparerPersonNm
PTIN	P01203482	PTIN
Phone	3033827856	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$1,041,673,248	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	5032	TotalEmployeeCnt
Total Volunteers	50	TotalVolunteersCnt
Total Gross UBI	$3,982,888	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,103,303	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$23,433,789	PYContributionsGrantsAmt
CY Contributions Grants	$11,554,385	CYContributionsGrantsAmt
PY Program Service Revenue	$912,126,317	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,020,671,960	CYProgramServiceRevenueAmt
PY Investment Income	$27,701,957	PYInvestmentIncomeAmt
CY Investment Income	$1,888,322	CYInvestmentIncomeAmt
PY Other Revenue	$9,508,567	PYOtherRevenueAmt
CY Other Revenue	$7,268,245	CYOtherRevenueAmt
PY Total Revenue	$972,770,630	PYTotalRevenueAmt
CY Total Revenue	$1,041,382,912	CYTotalRevenueAmt
PY Grants And Similar Paid	$79,835	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$458,587	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$378,360,203	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$367,907,586	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$624,294,832	PYOtherExpensesAmt
CY Other Expenses	$690,263,270	CYOtherExpensesAmt
PY Total Expenses	$1,002,734,870	PYTotalExpensesAmt
CY Total Expenses	$1,058,629,443	CYTotalExpensesAmt
PY Revenues Less Expenses	-$29,964,240	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$17,246,531	CYRevenuesLessExpensesAmt
Total Assets BOY	$984,854,764	TotalAssetsBOYAmt
Total Assets EOY	$1,099,094,656	TotalAssetsEOYAmt
Total Liabilities BOY	$280,984,251	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$412,227,410	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$703,870,513	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$686,867,246	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	$948,590,429	ExpenseAmt
Grant	$458,587	GrantAmt
Revenue	$1,020,671,960	RevenueAmt
Desc	SEE SCHEDULE H	Desc
Total Program Service Expenses	$948,590,429	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	5032	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	0	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 (30 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 SLHS	40.00	0.00	Yes (X)	Yes (X)	$2,116,319	$0	$203,814
ELIZABETH YOUNGBLOOD
PRESIDENT BSLMC/SVP & COO SLHS	50.00	0.00		Yes (X)	$822,950	$0	$95,852
BRADLEY LEMBCKE
CMO BSLMC/ SVP & CMO SLHS	50.00	0.00			$737,180	$0	$55,355	Yes (X)
MARK TERESI
INTERIM CFO OF SLHS	40.00	0.00		Yes (X)	$625,246	$0	$0
JOHN BYRNE
FORMER MKT SVP-MEDICAL OPERATIONS	1.00	0.00			$610,315	$0	$9,702		Yes (X)
VERONICA MARTIN
DIV SVP CNO	50.00	0.00			$373,153	$0	$22,123		Yes (X)
GAY NORD
FORMER PRESIDENT	0.00	0.00			$352,194	$0	$0			Yes (X)
CAROLYN DOUGLAS-CURRY
RN II	40.00	0.00			$292,488	$0	$47,616		Yes (X)
TANIA MATAR
SYS VP INTERNAL HEALTH SVCS	40.00	0.00			$311,598	$0	$21,009		Yes (X)
JASON PELTON MD
CARDIOLOGIST	40.00	0.00			$306,486	$0	$5,156		Yes (X)
PRISCILLA NEEDHAM
TREASURER/VP-FINANCE (PARTIAL YEAR)	9.00	0.00		Yes (X)	$255,929	$0	$32,630
ALENE JACKSON
DIRECTOR-PATIENT CARE (PARTIAL YEAR)	50.00	0.00			$172,705	$0	$24,987	Yes (X)
JESUS GOMEZ
TREASURER/VP-FINANCE	50.00	0.00		Yes (X)	$175,740	$0	$12,566
PAMELA WALKO
SECRETARY	9.00	0.00		Yes (X)	$72,262	$0	$7,216
JOHN ANDERSON MD
BOARD MEMBER (PARTIAL YEAR)	1.00	0.00	Yes (X)		$0	$0	$0
JOHN SCOTT ARNOLDY
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
ROBERT BLAKELY
VICE CHAIR	1.00	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	1.00	0.00	Yes (X)		$0	$0	$0
JEFF ROSE
BOARD MEMBER (PARTIAL YEAR)	1.00	0.00	Yes (X)		$0	$0	$0
TODD ROSENGART MD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
MARC SHAPIRO
CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
CLAYTON TRIER
BM/SECRETARY (PARTIAL YEAR)	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MARVIN OQUINN
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
LINDA KULHANEK
CFO - CHI ST. LUKE'S HEALTH SYSTEM	40.00	0.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,224,565	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$538,026	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	836	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	$14,610,458
AMN HEALTHCARE
12400 HIGH BLUFF DR SUITE 100	SAN DIEGO	CA	92130	HEALTHCARE CONSULTING SERVICES	$11,695,303
HKS INC
350 N SAINT PAUL ST 100	DALLAS	TX	75201	ARCHITECTURE SERVICES	$9,189,773
ADAMS MANAGEMENT SERVICES CORP
336 BROAD ST	ROME	GA	30161	CONSULTING SERVICES	$3,028,939
HEALTHCARE CUSTODIAL ASSOC LLC
166 HARGRAVES DR	AUSTIN	TX	78737	HOUSEKEEPING SERVICES	$2,920,238

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	72	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,792,051	RelatedOrganizationsAmt
Government Grants	$8,746,263	GovernmentGrantsAmt
All Other Contributions	$16,071	AllOtherContributionsAmt
Total Contributions	$11,554,385	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICES	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,020,671,960	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,020,671,960	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,020,671,960	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,086,739	TotalRevenueColumnAmt
Unrelated Business Revenue	$13,550	UnrelatedBusinessRevenueAmt
Exclusion	$1,073,189	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$989,875	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	$989,875	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$989,875	TotalRevenueColumnAmt
Exclusion	$989,875	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$601,919	SecuritiesAmt
Other	$490,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$290,336	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$601,919	SecuritiesAmt
Other	$199,664	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$801,583	TotalRevenueColumnAmt
Exclusion	$801,583	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
LABORATORY SERVICES	621500	$3,969,338	$3,969,338
INSURANCE INCENTIVE PA	524298	$976,280	$0	$0	$976,280
SERVICES SOLD	900099	$621,114			$621,114

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$711,638	TotalRevenueColumnAmt
Exclusion	$711,638	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,278,370	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,041,382,912	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,020,671,960	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,982,888	UnrelatedBusinessRevenueAmt
Exclusion	$5,173,679	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	$458,587	TotalAmt
Program Services	$458,587	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,092,313	TotalAmt
Program Services	$732,309	ProgramServicesAmt
Management And General	$1,360,004	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$286,548,223	TotalAmt
Program Services	$273,378,842	ProgramServicesAmt
Management And General	$13,169,381	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,796,120	TotalAmt
Program Services	$13,134,793	ProgramServicesAmt
Management And General	$661,327	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$43,732,882	TotalAmt
Program Services	$41,580,102	ProgramServicesAmt
Management And General	$2,152,780	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,738,048	TotalAmt
Program Services	$20,651,146	ProgramServicesAmt
Management And General	$1,086,902	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$65,151	TotalAmt
Program Services	$65,151	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$234,673,897	TotalAmt
Program Services	$222,190,914	ProgramServicesAmt
Management And General	$12,482,983	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$203,512	TotalAmt
Program Services	$203,512	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,543,167	TotalAmt
Program Services	$5,382,195	ProgramServicesAmt
Management And General	$3,160,972	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$30,743,334	TotalAmt
Program Services	$12,297,333	ProgramServicesAmt
Management And General	$18,446,001	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$24,239,945	TotalAmt
Program Services	$4,605,590	ProgramServicesAmt
Management And General	$19,634,355	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$49,086	TotalAmt
Program Services	$46,631	ProgramServicesAmt
Management And General	$2,455	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$89,880	TotalAmt
Program Services	$85,386	ProgramServicesAmt
Management And General	$4,494	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$30,886,411	TotalAmt
Management And General	$30,886,411	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,329,740	TotalAmt
Program Services	$36,413,253	ProgramServicesAmt
Management And General	$1,916,487	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,431,481	TotalAmt
Program Services	$5,159,907	ProgramServicesAmt
Management And General	$271,574	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$263,961,687	$263,961,687	$0	$0
STATE PROVIDER TAX	$26,068,111	$24,764,705	$1,303,406	$0
INTRACOMPANY ALLOCATION	$13,486,041	$12,808,482	$677,559	$0
UNRELATED BUSINESS TAXE	$76,360	$0	$76,360	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,415,467	TotalAmt
Program Services	$10,669,904	ProgramServicesAmt
Management And General	$2,745,563	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,058,629,443	TotalAmt
Program Services	$948,590,429	ProgramServicesAmt
Management And General	$110,039,014	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,826	BOYAmt
EOY	$4,499	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,946,492	BOYAmt
EOY	$6,313,360	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$29,959,122	BOYAmt
EOY	$32,447,891	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$137,298,315	BOYAmt
EOY	$198,625,416	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	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$25,600,867	BOYAmt
EOY	$34,421,137	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,934,563	BOYAmt
EOY	$4,554,246	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$883,576,616	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$255,362,527	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$560,900,746	BOYAmt
EOY	$628,214,089	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	$7,564,595	BOYAmt
EOY	$9,551,237	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,335,023	BOYAmt
EOY	$46,895,576	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$155,299,215	BOYAmt
EOY	$138,067,205	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$984,854,764	BOYAmt
EOY	$1,099,094,656	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$154,150,944	BOYAmt
EOY	$159,212,980	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$49,239	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	$126,833,307	BOYAmt
EOY	$252,965,191	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$280,984,251	BOYAmt
EOY	$412,227,410	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	$672,409,621	BOYAmt
EOY	$652,917,586	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,460,892	BOYAmt
EOY	$33,949,660	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$703,870,513	BOYAmt
EOY	$686,867,246	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$984,854,764	BOYAmt
EOY	$1,099,094,656	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$17,246,531	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,267,675	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$2,030,986	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$3,055,397	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	$65,151	FilingOrganizationsTotalAmt
Affiliated Group Total	$65,151	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$65,151	FilingOrganizationsTotalAmt
Affiliated Group Total	$65,151	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$948,525,278	FilingOrganizationsTotalAmt
Affiliated Group Total	$948,525,278	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$948,590,429	FilingOrganizationsTotalAmt
Affiliated Group Total	$948,590,429	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	$95,673	CurrentYearMinus3Amt
Current Year Minus2	$141,047	CurrentYearMinus2Amt
Current Year Minus1	$284,736	CurrentYearMinus1Amt
Current Year	$65,151	CurrentYearAmt
Total	$586,607	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$75,360,004	BeginningYearBalanceAmt
Contributions	$4,200,089	ContributionsAmt
Investment Earnings Or Losses	$6,091,894	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,322,146	OtherExpendituresAmt
End Year Balance	$77,329,841	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.28000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.28000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.44000	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	$365,238,468	OtherCostOrOtherBasisAmt
Depreciation	$75,448,912	DepreciationAmt
Book Value	$289,789,556	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,032,082	OtherCostOrOtherBasisAmt
Depreciation	$10,939,731	DepreciationAmt
Book Value	$5,092,351	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$240,037,667	OtherCostOrOtherBasisAmt
Depreciation	$168,864,935	DepreciationAmt
Book Value	$71,172,732	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$134,868,399	OtherCostOrOtherBasisAmt
Depreciation	$108,949	DepreciationAmt
Book Value	$134,759,450	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$628,214,089	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	$18,995,315
CHECK CLEARING	$138,375
UNCLAIMED PROPERTY	$68,641
FEDERAL INCOME TAXES	$953,395
OTHER ASSETS	$12,144,775

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$138,067,205	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
MISC LIABILITY	$5,919
OTHER CURRENT LIABILITIES	$5,694
RETAINAGE FOR CIP	$6,205,339
INTERCOMPANY PAYABLES	$215,421,394
CURRENT PORTION OF OPERATING LEASE LIABILITY	$5,919,210
LT PORTION OF OPERATING LEASE LIABILITY	$12,992,555
SELF-INSURANCE RESERVES AND CLAIMS	$12,415,080

Field	Value	IRS element (for citing)
Total Liability	$252,965,191	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	$180,050
MIDDLE EAST & NORTH AFRICA	0	PROGRAM SERVICES	MARKETING FEES	$45,755
CENTRAL AMERICA & THE CARIBBEAN	0	PROGRAM SERVICES	MARKETING FEES	$24,770

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	$250,575	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$250,575	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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
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	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	9617	PersonsServedCnt
Total Community Benefit Expns	$39,762,497	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,762,497	NetCommunityBenefitExpnsAmt
Total Expense	0.03760	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	15211	PersonsServedCnt
Total Community Benefit Expns	$102,407,395	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,554,725	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,852,670	NetCommunityBenefitExpnsAmt
Total Expense	0.03760	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	24828	PersonsServedCnt
Total Community Benefit Expns	$142,169,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,554,725	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,615,167	NetCommunityBenefitExpnsAmt
Total Expense	0.07520	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,299,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,021,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,278,304	NetCommunityBenefitExpnsAmt
Total Expense	0.03050	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,059,334	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,059,334	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$199,464	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$199,464	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,558,690	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,021,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,537,102	NetCommunityBenefitExpnsAmt
Total Expense	0.03170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	24828	PersonsServedCnt
Total Community Benefit Expns	$180,728,582	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,576,313	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$113,152,269	NetCommunityBenefitExpnsAmt
Total Expense	0.10690	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$40,965,893	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$188,874,053	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$236,180,835	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$47,306,782	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	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHI ST LUKE'S HEALTH BAYLOR ST LUKE'S MED CNTR	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.STLUKESHEALTH.ORG	WebsiteAddressTxt
State License	118	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE STATEMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE STATEMENT	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	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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 STATEMENT	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE STATEMENT	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE STATEMENT	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
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MED CNTR	PART V, SECTION B, LINE 5: FOR THE LATEST CHNA, THE HOSPITAL WORKED WITH THE EPISCOPAL HEALTH FOUNDATION WHICH HIRED HEALTH RESOURCES IN ACTION, A NONPROFIT PUBLIC HEALTH INSTITUTE, TO CONDUCT KEY INFORMANT INTERVIEWS WITH INFORMANTS IDENTIFIED BY THE HOSPITALS AND TO ANALYZE THOSE INTERVIEWS FOR KEY THEMES. A TOTAL OF 53 KEY INFORMANT INTERVIEWS WERE CONDUCTED. COMMUNITY INPUT ALSO INCLUDED EMAIL AND TELEPHONE SURVEYS OF RESIDENTS, AND FOCUS GROUPS INCLUDING HEALTH CARE STAFF, COMMUNITY ORGANIZATIONS AND OTHER STAKEHOLDERS. PARTICIPANTS REPRESENTED A WIDE RANGE OF COMMUNITY SECTORS, INCLUDING LOCAL PUBLIC HEALTH AND POOR AND MEDICALLY INDIGENT POPULATIONS IN THE COMMUNITY. ORGANIZATIONS REPRESENTED INCLUDE: CATHOLIC CHARITIES-FORT BEND, CHILD ADVOCATES OF FORT BEND, FORT BEND COUNTY HEALTH AND HUMAN SERVICES, FORT BEND REGIONAL COUNCIL ON SUBSTANCE ABUSE, FORT BEND SENIORS, FORT BEND WOMEN'S CENTER, THE ARC OF FORT BEND COUNTY, AIDS FOUNDATION OF HOUSTON, ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, AVENUE CDC, CHRIST CLINIC, COASTAL AREA HEALTH EDUCATION CENTERS, COMMUNITY HEALTH CHOICE, GREATER HOUSTON PARTNERSHIP, HEALTH CARE FOR THE HOMELESS-HOUSTON, HOPE CLINIC, HOUSTON AREA FOOD BANK, KINDER INSTITUTE, LEGACY COMMUNITY HEALTH, NEIGHBORHOOD CENTERS HEAD START/EARLY HEAD START PROGRAM SERVICES/BAKER RIPLEY, THE ROSE, LIBERTY COUNTY SHERIFF'S OFFICE, TRI COUNTY SERVICES BEHAVIORAL HEALTH CARE, PRAIRIE VIEW A&M, AND EL CENTRO DE CORAZON.
CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MED CNTR	PART V, SECTION B, LINE 6A: FOR THE LATEST CHNA, THE HOSPITAL COLLABORATED WITH SEVERAL OTHER HOSPITALS AND HOSPITAL SYSTEMS. CHI ST. LUKE'S FACILITIES INCLUDED: CHI ST. LUKE'S HEALTH BAYLOR MEDICAL CENTER , PATIENTS MEDICAL CENTER, SPRINGWOODS VILLAGE HOSPITAL, SUGAR LAND HOSPITAL, THE VINTAGE HOSPITAL, THE WOODLANDS HOSPITAL, AND LAKESIDE HOSPITAL. OTHER PARTICIPATING HOSPITALS WERE HOUSTON METHODIST HOSPITAL, MEMORIAL HERMANN HEALTH SYSTEM, AND TEXAS CHILDREN'S HOSPITAL.
CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MED CNTR	PART V, SECTION B, LINE 6B: EPISCOPAL HEALTH FOUNDATION
CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MED CNTR	PART V, SECTION B, LINE 11: THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: ACCESS TO CARE, HUMAN TRAFFICKING, OBESITY, AND BEHAVIORAL HEALTH. THE HOSPITAL WILL TAKE ACTIONS TO HELP ADDRESS EACH OF THE SIGNIFICANT NEEDS. ACCESS TO CARE: DEFINE A PROCEDURE FOR TREATING AND/OR IDENTIFYING TRAFFICKED VICTIMS IN OUR FACILITIES AND COLLABORATING WITH COMMUNITY PARTNERS (THIS HAS REMAINED AN ONGOING EFFORT THAT HAS PROVEN MOST EFFECTIVE THROUGH OUR WORK WITH LOCAL LAW ENFORCEMENT AND HEALTHCARE PARTNERS); PROVIDE EDUCATION FOR STAFF AND COMMUNITY REGARDING SERVICES, CULTURAL DIFFERENCE THAT AFFECT TREATMENT; COLLABORATE WITH COMMUNITY ORGANIZATIONS, CHURCHES, CIVIC GROUPS AND SUPPORT GROUPS TO PRESENT EDUCATIONAL SEMINARS; FOSTER NEW RELATIONSHIPS WITH PRIMARY CARE PROVIDERS AND HEALTHCARE SERVICE PROVIDERS TO ASSIST LINKING HOSPITAL PATIENTS TO MEDICAL HOMES (THESE EFFORTS HAVE CONTINUED BUT ADDITIONAL WORK INCLUDES COMMUNICATION REFERENCING DIVERSITY AND INCLUSION WITH REGARD TO CULTURE STRESSORS THAT IMPACT BIAS AND POTENTIAL ACCESS TO CARE). HUMAN TRAFFICKING: INCREASE PREVENTION AND TREATMENT RESOURCES IN AREAS OF PHYSICAL/SEXUAL ABUSE, HUMAN TRAFFICKING AND VIOLENCE IN SCHOOLS; PARTNER WITH HOUSTON WOMEN'S CENTER TO EDUCATE STAFF ON SIGNS TO RECOGNIZE ABUSED PATIENTS; PARTNER WITH LAW ENFORCEMENT AND SOCIAL SERVICE ORGANIZATIONS TO INCREASE TRAUMA INFORMED CARE TO HUMAN TRAFFICKING VICTIMS (THESE EFFORTS HAVE CONTINUED STRONGLY. WE HAVE SHIFTED TO LARGELY VIRTUAL EDUCATION WITH OUR PARTNERS). OBESITY: PARTNER WITH SCHOOLS TO PROVIDE RESOURCES AND EDUCATIONAL SUPPORT FOR NUTRITION, OBESITY, AND HEALTHY LIFESTYLES AMONG YOUTH (LARGELY DUE TO SCHOOL CLOSURES, ACCESS TO CONSISTENT STUDENT POPULATIONS, AND STAFFING ISSUES, THE WORK TO EDUCATE HAS BEEN HINDERED. BEHAVIORAL HEALTH: DEVELOP RESOURCES IN THE EMERGENCY DEPARTMENT TO MANAGE NEEDS OF BEHAVIORAL HEALTH PATIENTS; STRENGTHEN COMMUNITY PARTNERSHIPS TO ADVOCATE FOR ADDITIONAL SUPPORT FOR BEHAVIORAL HEALTH SPECIALISTS TO WORK ALONGSIDE CAREGIVERS (WE CONTINUE TO PURSUE EDUCATION WITH FRONT LINE RESPONDERS REGARDING BEHAVIORAL HEALTH).
CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MED CNTR	PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) 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 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 CHI 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 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
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

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 (13 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 THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. - THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. - THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. - THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. 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 CLINIC; - PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); - FOOD STAMP ELIGIBILITY; - SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; - ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); - LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR - PATIENT IS DECEASED WITH NO KNOWN ESTATE.
PART I, LINE 7:	THE COST TO CHARGE RATIO METHOD WAS UTILIZED TO DETERMINE FINANCIAL ASSISTANCE AT COST AS WELL AS TO DETERMINE UNREIMBURSED MEDICAID COSTS. TOTAL EXPENSES PER FORM 990, PART IX, LINE 25(A) WERE USED TO DETERMINE THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7(F).
PART III, LINE 2:	COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 3:	CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MEDICAL CENTER ("MEDICAL CENTER") DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
PART III, LINE 4:	PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION OF THE MEDICAL CENTER 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. PERFORMANCE OBLIGATIONS ARE GENERALLY SATISFIED OVER A PERIOD LESS THAN ONE YEAR. AS SUCH, THE MEDICAL CENTER HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN FASB ACCOUNTING STANDARDS UPDATED (ASU) NO. 2015-14, 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 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 EIGHTEEN-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 RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. BAD DEBT EXPENSE FOR 2021 WAS NOT SIGNIFICANT.AGREEMENTS WITH THIRD-PARTY PAYORS TYPICALLY PROVIDE FOR PAYMENTS AT AMOUNTS LESS THAN ESTABLISHED CHARGES. NET PATIENT REVENUE INCLUDES ESTIMATED SETTLEMENTS UNDER PAYMENT AGREEMENTS WITH THIRD PARTY PAYORS. SETTLEMENTS WITH THIRD-PARTY PAYORS 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 PAYOR, CORRESPONDENCE FROM THE PAYOR, 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 $47,306,782 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS.
PART III, LINE 9B:	THE ORGANIZATION'S BILLING AND COLLECTIONS POLICY APPLIES TO ALL INDIVIDUALS PRESENTING FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE POLICY CONTAINS PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO THE ORGANIZATION KNOWS TO QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS OR THROUGH PRESUMPTIVE ELIGIBILITY PROCESSES. BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) TO OBTAIN PAYMENT FOR EMCARE, HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IN NO EVENT WILL AN ECA BE INITIATED PRIOR TO 120 DAYS FROM THE DATE THE FACILITY PROVIDES THE FIRST POST-DISCHARGE BILLING STATEMENT (I.E., DURING THE NOTIFICATION PERIOD) UNLESS ALL REASONABLE EFFORTS HAVE BEEN MADE.HOSPITAL FACILITIES WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE, AND THE HOSPITAL FACILITY HAS NOT YET MADE REASONABLE EFFORTS WITH RESPECT TO THE ACCOUNT. 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. PATIENTS WHO QUALIFY FOR MEDICAID ARE PRESUMED TO QUALIFY FOR FULL CHARITY WRITE OFF. ANY CHARGES FOR DAYS OR SERVICES WRITTEN OFF (EXCLUDING MEDICAID DENIALS RELATED TO TIMELINESS OF BILLING, INSUFFICIENT MEDICAL RECORD DOCUMENTATION, MISSING INVOICES, AUTHORIZATION, OR ELIGIBILITY ISSUES) AS A RESULT OF A MEDICAID ARE BOOKED AS CHARITY.SOME MEDICAID PLANS OFFER COVERAGE FOR A LIMITED OR RESTRICTED LIST OF SERVICES. IF A PATIENT IS ELIGIBLE FOR MEDICAID, ANY CHARGES FOR DAYS OR SERVICES NOT COVERED BY THE PATIENT'S COVERAGE MAY BE WRITTEN OFF TO CHARITY WITHOUT A COMPLETED APPLICATION. THIS DOES NOT INCLUDE ANY SHARE OF COST (SOC) OR OTHER PATIENT COST-SHARING AMOUNTS SUCH AS DEDUCTIBLES OR COPAYMENTS, AS SUCH COSTS ARE DETERMINED BY THE STATE TO BE AN AMOUNT THAT THE PATIENT MUST PAY BEFORE THE PATIENT IS ELIGIBLE FOR MEDICAID. HEALTH AND HUMAN SERVICES (HSS) USES THE TERM "SPEND DOWN" INSTEAD OF SHARE OF COST.ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY, A DESIGNATED SUPPLIER, OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. ALL THIRD-PARTY AGREEMENTS GOVERNING COLLECTION AND RECOVERY ACTIVITIES MUST INCLUDE A PROVISION REQUIRING COMPLIANCE WITH THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE AND BILLING AND COLLECTIONS POLICY AND INDEMNIFICATION FOR FAILURES AS A RESULT OF ITS NONCOMPLIANCE. THIS INCLUDES, BUT IS NOT LIMITED TO, AGREEMENTS BETWEEN THIRD PARTIES WHO SUBSEQUENTLY SELL OR REFER DEBT OF THE HOSPITAL FACILITY.
PART VI, LINE 2:	THE CHNA IS THE PRIMARY WAY BY WHICH THE HOSPITAL FORMALLY ASSESSES COMMUNITY HEALTH NEEDS.
PART VI, LINE 3:	NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI HOSPITAL ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: - CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; - NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND - PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI 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.IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF A FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES.HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4:	THE COMMUNITY SERVED BY CHI ST. LUKE'S HEALTH IS DEFINED AS THE CONTIGUOUS ZIP CODES DETERMINED BY BAYLOR ST. LUKE'S HOSPITAL DISCHARGE DATA. LOCATED IN HOUSTON, TEXAS, THE BAYLOR ST. LUKE'S HOSPITAL SERVICE AREA INCLUDES A LARGE METROPOLITAN AREA, AS WELL AS MANY SMALLER SUBURBAN AND RURAL COMMUNITIES. THE HOSPITAL SERVICE AREA INCLUDES 39 TEXAS COUNTIES, WITH THE MAJORITY OF THE SERVICE AREA FOUND WITHIN HARRIS, FORT BEND, BRAZORIA, AND GALVESTON COUNTIES. BAYLOR ST. LUKE'S SERVES AN AREA THAT IS HOME TO A POPULATION OVER TWO MILLION RESIDENTS THAT REPRESENT DIVERSE ETHNICITIES, BACKGROUNDS AND NEEDS. KEY DESCRIPTORS OF THE COMMUNITY INCLUDE: AGE: THE LARGEST POPULATION IN THE COMMUNITY FALLS IN THE AGE CATEGORY OF 18-44 YEARS (38.2%). THE SECOND-LARGEST AGE CATEGORY IS 00-17 YEARS (26.3). THERE IS THE SMALLEST NUMBER OF PERSONS IS IN THE OLDEST TWO CATEGORIES OF 45-64 YEARS (24.2%) AND 65+ YEARS (11.3%). RACE/ETHNICITY: THE MAJORITY OF COMMUNITY RESIDENTS IDENTIFY AS HISPANIC (38.4%) AND WHITE/NON-HISPANIC (32.5%). 17.6% OF THE POPULATION IDENTIFIES AS BLACK/NON-HISPANIC AND 9.5% AS ASIAN/NON-HISPANIC.EDUCATION: 16.9% OF THE POPULATION HAD LESS THAN A HIGH SCHOOL DIPLOMA AND 31.7% HAD A BACHELOR'S DEGREE OR HIGHER.INCOME: 18.2% OF THE POPULATION HAS A HOUSEHOLD INCOME OF LESS THAN $25,000 PER YEAR, WHILE 44.2% HAD AN INCOME OF $75,000 OR MORE.
PART VI, LINE 5:	CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER CONTRIBUTES TO ENHANCING COMMUNITY HEALTH BY DELIVERING SUPERIOR VALUE IN HIGH-QUALITY, COST-EFFECTIVE CARE. AS A COMMUNITY TEACHING HOSPITAL AND A TERTIARY REFERRAL CENTER, CHI ST. LUKE'S SERVES BOTH THE GREATER HOUSTON AREA AND GLOBAL COMMUNITY. THE HOSPITAL ENGAGES IN MEDICAL RESEARCH THAT BENEFITS THE WIDER SOCIETY BY THE PRODUCTION OF NEW MEDICAL KNOWLEDGE. IN COLLABORATION WITH ITS MEDICAL STAFF, CHI ST. LUKE'S IS DEDICATED TO EXCELLENCE AND COMPASSION IN CARING FOR THE WHOLE PERSON - MIND, BODY AND SPIRIT. THE HOSPITAL PROMOTES HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. ITS BOARD OF TRUSTEES IS COMPOSED OF CITIZENS IN THE COMMUNITY. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE HOSPITAL TREATS PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT.ADDITIONALLY, CHI ST. LUKE'S HEALTH - BAYLOR ST. LUKE'S MEDICAL CENTER WORKED TO FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH A VARIETY OF PROJECTS AND ACTIVITIES. EDUCATION/ STROKE (THESE ARE ALL CONTINUING VIA VIRTUAL PORTALS).STROKE SUPPORT GROUP: MEETS MONTHLY NEAR THE HOSPITAL- OPEN TO PATIENTS AND GENERAL PUBLIC. COMMUNITY SCREENINGS: STROKE SCREENING & EDUCATION CONDUCTED THROUGHOUT THE YEAR AT COMMUNITY EVENTS, HEALTH FAIRS AND SCHOOLS. TARGET POPULATION- BROAD COMMUNITY.AMERICAN HEART/STROKE WALK - THE HEART WALK IS THE AMERICAN HEART ASSOCIATION'S PREMIERE EVENT FOR RAISING FUNDS TO SAVE LIVES FROM THIS COUNTRY'S NO. 1 AND NO. 5 KILLERS - HEART DISEASE AND STROKE. EMPLOYEES VOLUNTEER ONE DAY IN NOVEMBER TO HELP WITH ACTIVITIES.FOR MORE INFORMATION REGARDING THE HOSPITAL'S ACTIVITIES AND ACCOMPLISHMENTS, PLEASE VISIT HTTP://WWW.CHISTLUKESHEALTH.ORG/BAYLORSTLUKES.
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 (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	IRC SectionIRCSectionDesc
WINNIE-STOWELL HOSPITAL
PO BOX 1997	WINNIE	TX	77665	611500560	$46,600	PROGRAM SUPPORT
JOHN STATIN DBA PRIVATE CARE
3318 ENDICOTT LANE	PEARLAND	TX	77584	851430358	$56,000	PROGRAM SUPPORT
SAN JOSE CLINIC
2615 FANNIN ST	HOUSTON	TX	77002	760373703	$319,095	PROGRAM SUPPORT	501-C-3
PARAGON INFUSION CARE
6721 PORTWEST DR SUITE 100	HOUSTON	TX	77024	061639157	$16,033	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	3	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 (13 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 SLHS	$958,843	$0	$1,006,996	$0	$150,480	$0	$182,377	$0	$21,437	$0	$2,320,133	$0	$117,000	$0
ELIZABETH YOUNGBLOOD
PRESIDENT BSLMC/SVP & COO SLHS	$584,769	$0	$234,098	$0	$4,083	$0	$73,684	$0	$22,168	$0	$918,802	$0	$0	$0
BRADLEY LEMBCKE
CMO BSLMC/ SVP & CMO SLHS	$554,613	$0	$178,484	$0	$4,083	$0	$17,641	$0	$37,714	$0	$792,535	$0	$0	$0
MARK TERESI
INTERIM CFO OF SLHS	$625,246	$0	$0	$0	$0	$0	$0	$0	$0	$0	$625,246	$0	$0	$0
JOHN BYRNE
FORMER MKT SVP-MEDICAL OPERATIONS	$54,019	$0	$23,920	$0	$532,376	$0	$9,647	$0	$55	$0	$620,017	$0	$0	$0
VERONICA MARTIN
DIV SVP CNO	$314,483	$0	$56,976	$0	$1,694	$0	$9,098	$0	$13,025	$0	$395,276	$0	$0	$0
GAY NORD
FORMER PRESIDENT	$0	$0	$0	$0	$352,194	$0	$0	$0	$0	$0	$352,194	$0	$0	$0
CAROLYN DOUGLAS-CURRY
RN II	$284,389	$0	$2,506	$0	$5,593	$0	$12,735	$0	$34,881	$0	$340,104	$0	$0	$0
TANIA MATAR
SYS VP INTERNAL HEALTH SVCS	$218,520	$0	$92,003	$0	$1,075	$0	$16,600	$0	$4,409	$0	$332,607	$0	$0	$0
JASON PELTON MD
CARDIOLOGIST	$285,260	$0	$0	$0	$21,226	$0	$2,565	$0	$2,591	$0	$311,642	$0	$0	$0
PRISCILLA NEEDHAM
TREASURER/VP-FINANCE (PARTIAL YEAR)	$255,342	$0	$0	$0	$587	$0	$13,046	$0	$19,584	$0	$288,559	$0	$0	$0
ALENE JACKSON
DIRECTOR-PATIENT CARE (PARTIAL YEAR)	$162,947	$0	$8,919	$0	$839	$0	$11,571	$0	$13,416	$0	$197,692	$0	$0	$0
JESUS GOMEZ
TREASURER/VP-FINANCE	$168,745	$0	$6,646	$0	$349	$0	$10,124	$0	$2,442	$0	$188,306	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

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. FOR REPORTABLE INDIVIDUALS EMPLOYED PRIOR TO 2019, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. OFFICERS, KEY EMPLOYEES AND CERTAIN HIGHLY COMPENSATED EMPLOYEES WHO BEGAN EMPLOYMENT AFTER NOVEMBER 1ST OF 2019 ARE COVERED BY THE COMMONSPIRIT HEALTH EXECUTIVE SEVERANCE POLICY. THIS POLICY PROVIDES FOR SEVERANCE PAY WHICH VARIES BASED UPON THE EXECUTIVE'S POSITION LEVEL, IN THE EVENT OF A POSITION ELIMINATION OR OTHER QUALIFYING EVENT, IN ACCORDANCE WITH THE GUIDELINES OF THE EXECUTIVE SEVERANCE POLICY. AN EXECUTIVE'S WRITTEN EMPLOYMENT OR SEVERANCE AGREEMENT SHALL CONTROL WHERE THE SEVERANCE PAY AMOUNTS IN THE POLICY CONFLICT WITH THE EXECUTIVE'S WRITTEN EMPLOYMENT OR SEVERANCE AGREEMENT. IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT OF CLAIMS. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CSH DURING THE 2020 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, $352,194; JOHN BYRNE, $531,737. DURING THE 2020 CALENDAR YEAR, COMMONSPIRIT MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/HOSPITAL PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2020 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: T. DOUGLAS LAWSON, $136,636.

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 - $2,320,133 LIST OF OFFICERS, AND KEY EMPLOYEES WHO RECEIVED COMPENSATION FROM ST. LUKE'S HEALTH SYSTEM CORPORATION, AN UNRELATED ORGANIZATION: ELIZABETH YOUNGBLOOD - $525,274 BRADLEY LEMBCKE - $452,820 MARK TERESI - $625,246 JESUS GOMEZ - $178,182 LIST OF HIGHEST COMPENSATED EMPLOYEES WHO RECEIVED COMPENSATION FROM JACK STEPHENS HEART INSTITUTE, AN UNRELATED ORGANIZATION: JASON PELTON, MD - $244,092

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 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 1	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. THE POLICY WAS LAST UPDATED DURING THE TAX YEAR ENDED 6/30/2021. 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 - 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 (WHICH INCLUDES 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). 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 THE OTHER OFFICERS OF THE ORGANIZATION WAS ESTABLISHED BY THE HUMAN RESOURCES DIRECTOR USING COMPENSATION SURVEYS OR STUDIES BASED ON GEOGRAPHICAL LOCATION.
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 1,204,341. MANAGEMENT AND GENERAL EXPENSES 63,386. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,267,727. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 13,487,193. MANAGEMENT AND GENERAL EXPENSES 1,498,577. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,985,770. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 66,703,403. MANAGEMENT AND GENERAL EXPENSES 3,510,705. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,214,108. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 41,014,388. MANAGEMENT AND GENERAL EXPENSES 2,158,652. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,173,040. OTHER FEES: PROGRAM SERVICE EXPENSES 99,781,589. MANAGEMENT AND GENERAL EXPENSES 5,251,663. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,033,252.
FORM 990, PART XI, LINE 9:	REALLOCATION OF CARES ACT REVENUE 80,835. NONCONTROLLING INTEREST IN OWNERSHIP CHANGES -5,625,000. BENEFICIAL INTEREST ADJUSTMENT 2,488,768.
FORM 990, PART XI, LINE 8	PRIOR PERIOD ADJUSTMENT: CENTRALIZED TRANSACTIONS: TRANSFERS FOR JOURNAL ENTRIES RECORDED CENTRALLY AT COMMONSPIRIT TO STANDARDIZE CONTRACTUAL ALLOWANCE METHODOLOGY ACROSS ALL COMMONSPIRIT AFFILIATES AND SUBSIDIARIES. RECORDED CENTRALLY AT YEAR END AND TRANSFERRED TO FACILITIES IN THE FOLLOWING YEAR.

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