2026-05-15T09:18:45-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 911939739 FRANCISCAN MEDICAL GROUP FRAN 2536804000 3033 N 3RD AVE PHOENIX AZ 85013 DAVID NOSACKA CFO 2536804000 2026-05-15 1 0 PAMELA KROHN P01210500 3032989100 2024 2025-03-06 01:10:19Z X JULIE MANAS 3033 N 3RD AVE PHOENIX AZ 85013 520937671 0 X HTTPS://WWW.VMFH.ORG/ X 1999 WA FMG WAS FOUNDED ON THE PRINCIPLE TO PROVIDE COMPASSIONATE CARE TO EVERYONE REGARDLESS OF ABILITY TO PAY OR SOCIAL STATUS. FMG INCLUDES AN EXPANDING NETWORK OF CLINICS. 17 17 3478 15 1351047 113297 3161528 2927740 455691614 512653795 177320 2247293 3385703 3108843 462416165 520937671 0 0 0 0 446535230 520598085 0 0 0 236765508 222790871 683300738 743388956 -220884573 -222451285 219623828 248809336 232012326 228022966 -12388498 20786370 X AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 0 0 700650202 0 512653795 SEE SCHEDULE O 700650202 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 0 0 3478 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 17 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 1 0 X DAVID NOSACKA 2536804000 1145 BROADWAY PLAZA STE 1200 TACOMA WA 98402 GURDIP BHATIA ANESTHESIOLOGIST 40.00 0.00 X 2893634 0 55890 JACK DONG ANESTHESIOLOGIST 40.00 0.00 X 1891075 0 34 SATYAVARDHAN PULUKURTHY CARDIOLOGIST 40.00 0.00 X 1793474 0 54653 KEVIN ZHOU CARDIOLOGIST INVASIVE 40.00 0.00 X 1572947 0 51039 RAMIZ GUNDKALLI ANESTHESIOLOGIST 40.00 0.00 X 1568831 0 34 DONNA SMITH FORMER PRESIDENT 40.00 0.00 X 1317561 0 22255 DAVID NOSACKA TREASURER/SVP&CFO NORTHWEST REGION 2.00 48.00 X 0 872310 61972 JANE ROOT PRESIDENT 40.00 0.00 X 590649 0 39977 DAVID BUTCHERITE FORMER TREASURER/REGION VP FINANCE 0.00 50.00 X 0 460998 41857 MIRIAM CHAMBLISS SECRETARY/VP GENERAL COUNSEL NORTHWEST REGION 2.00 48.00 X 0 428659 45640 CHUCK ARNOLD BOARD MEMBER 2.00 6.00 X 0 0 0 LARRY BJORK BOARD MEMBER 2.00 6.00 X 0 0 0 ROBERT CARLILE BOARD MEMBER 2.00 6.00 X 0 0 0 ULI CHI PHD CHAIR 2.00 6.00 X X 0 0 0 JAMES CIVILLA BOARD MEMBER 2.00 6.00 X 0 0 0 CAROLYN CORVI BOARD MEMBER 2.00 6.00 X 0 0 0 SR RUTH GOODWIN OSF BOARD MEMBER 2.00 6.00 X 0 0 0 TOD HAMACHEK BOARD MEMBER 2.00 6.00 X 0 0 0 DENNIS HUNTHAUSEN BOARD MEMBER 2.00 6.00 X 0 0 0 KAREN LEE BOARD MEMBER 2.00 6.00 X 0 0 0 ROBERT LEMON VICE CHAIR 2.00 6.00 X X 0 0 0 SR ANNE MCNAMARA OSF BOARD MEMBER 2.00 6.00 X 0 0 0 GREGG MEYER MD MSC BOARD MEMBER 2.00 6.00 X 0 0 0 JOHN OPPENHEIMER BOARD MEMBER 2.00 6.00 X 0 0 0 DIANN PULS CPA BOARD MEMBER 2.00 6.00 X 0 0 0 JAMES SMALLEY BOARD MEMBER 2.00 6.00 X 0 0 0 DAVID HOHIMER BOARD MEMBER 2.00 6.00 X 0 0 0 11628171 1761967 373351 1126 1 1 0 DOCTORS CLINIC 9621 RIDGETOP BLVD NW SILVERDALE WA 98383 MEDICAL SERVICES 30999836 WELLTOWER INC 4500 DORR STREET TOLEDO OH 43615 REAL ESTATE SERVICES 6567928 COMPHEALTH 7259 S BINGHAM JCT BLVD MIDVALE UT 84047 STAFFING SERVICES 3452277 LOCUMTENENSCOM 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 STAFFING SERVICES 2393917 GIG HARBOR PHYSICIANS LLC 7101 WEST 78TH ST SUITE 200 MINNEAPOLIS MN 55439 MEDICAL SERVICES 1882862 28 2688745 238995 2927740 NET PATIENT SERVICES 900099 511972173 510621126 1351047 0 RENTAL INCOME 900099 681622 681622 0 0 512653795 475154 475154 1772139 0 1772139 1772139 1772139 EMPLOYEE RETENTION CRE 900099 2561648 0 0 2561648 INSURANCE SETTLEMENT 900099 433624 0 0 433624 EDUCATION 611710 61100 0 0 61100 52471 52471 3108843 520937671 511302748 1351047 5356136 X 682343 682343 421434528 394308887 27125641 18974736 18042226 932510 53442461 50793128 2649333 26064017 24760816 1303201 713509 713509 68710 68710 99566852 95616229 3950623 84401 80181 4220 3672313 3488697 183616 18700962 17765914 935048 38937476 36990602 1946874 1894466 1799743 94723 61167 58109 3058 33080 33080 12746996 12109646 637350 9728533 9242106 486427 9248412 8785991 462421 MEDICAL SUPPLIES 17036770 17036770 0 0 OTHER TAXES 5544172 5266963 277209 0 REPAIRS AND MAINTENANCE 1445794 1373504 72290 0 UNRELATED BUSINESS TAXE 43000 0 43000 0 3264258 3097610 166648 743388956 700650202 42738754 0 0 0 135301 237960 0 0 45560283 56543714 0 0 0 0 1795894 3155236 2259562 1900965 3047880 3094298 212203072 163567678 22839869 48635394 0 0 0 0 0 0 15001991 14966258 128983048 120275511 219623828 248809336 48097950 49268282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183914376 178754684 232012326 228022966 X -12388498 20786370 0 -12388498 20786370 219623828 248809336 X -222451285 255626153 X 0 1 X 1 1 1 X 5109138 4058091 8840168 3161528 2927740 24096665 405506432 438944822 437542441 454304859 512653795 2248952349 925914 1745494 3080498 3385703 3108843 12246452 411541484 444748407 449463107 460852090 518690378 2285295466 0 0 0 2285295466 106295 97783 96466 148871 475154 924569 1386756 1351047 2737803 106295 97783 96466 1535627 1826201 3662372 411647779 444846190 449559573 462387717 520516579 2288957838 0.99840 0.99910 0.00160 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 68710 0 0 0 68710 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS : WASHINGTON STATE MEDICAL ASSOCIATION- $68,710. 8943734 2329434 6614300 74794573 55529471 19265102 114566188 105708773 8857415 13898577 13898577 48635394 ROU OPERATING 118421481 ROU FINANCE, NET 851304 DEPOSITS 87172 OTHER ASSETS 284968 INVESTMENTS IN UNCONSOLIDATED ORGS 630586 120275511 CURRENT PORTION - OPERATING LEASE 18433390 INTERCOMPANY PAYABLES 23724883 LT PORTION - FINANCE LEASE 529917 LT PORTION - OPERATING LEASE 129557332 UNCLAIMED PROPERTY 21972 COMPENSATION ACCRUAL 6080015 SERVICE FEE LIABILITY 63645 CURRENT PORTION - FINANCE LEASE 343530 178754684 X PART X, LINE 2: FRANCISCAN MEDICAL GROUP'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 0 0 0 0 0 0 0 0 GURDIP BHATIA ANESTHESIOLOGIST 2821688 0 38726 0 33220 0 17146 0 38744 0 2949524 0 0 0 JACK DONG ANESTHESIOLOGIST 1891075 0 0 0 0 0 0 0 34 0 1891109 0 0 0 SATYAVARDHAN PULUKURTHY CARDIOLOGIST 1600829 0 190713 0 1932 0 11951 0 42702 0 1848127 0 0 0 KEVIN ZHOU CARDIOLOGIST INVASIVE 1397218 0 170185 0 5544 0 20325 0 30714 0 1623986 0 0 0 RAMIZ GUNDKALLI ANESTHESIOLOGIST 1568831 0 0 0 0 0 0 0 34 0 1568865 0 0 0 DONNA SMITH FORMER PRESIDENT 196551 0 0 0 1121010 0 14200 0 8055 0 1339816 0 0 0 DAVID NOSACKA TREASURER/SVP&CFO NORTHWEST REGION 0 624949 0 243163 0 4198 0 20325 0 41647 0 934282 0 0 JANE ROOT PRESIDENT 463116 0 115139 0 12394 0 17238 0 22739 0 630626 0 0 0 DAVID BUTCHERITE FORMER TREASURER/REGION VP FINANCE 0 327472 0 128643 0 4883 0 18694 0 23163 0 502855 0 0 MIRIAM CHAMBLISS SECRETARY/VP GENERAL COUNSEL NORTHWE 0 306158 0 121211 0 1290 0 12689 0 32951 0 474299 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. SCH J, PART I, LINE 4A CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2024 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): DONNA SMITH, $1,112,729. SCH J, PART I, LINE 4B VIRGINIA MASON MEDICAL CENTER HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE SERP IS A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN PURSUANT TO WHICH PLAN BENEFITS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THE PLAN WAS APPROVED BY THE BOARD'S COMPENSATION AND BENEFITS COMMITTEE, A COMMITTEE COMPOSED OF INDEPENDENT BOARD MEMBERS TO WHOM THE BOARD DELEGATES THE AUTHORITY TO APPROVE COMPENSATION AND BENEFITS FOR THE MEDICAL CENTER'S MOST SENIOR EXECUTIVES. THE COMMITTEE RECEIVES ADVICE FROM AN INDEPENDENT COMPENSATION CONSULTANT TO ENSURE THAT COMPENSATION AND BENEFITS, INCLUDING THE SERP, ARE MARKET COMPETITIVE AND REASONABLE. SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS SUCH AS THIS ARE CUSTOMARY FOR SENIOR EXECUTIVES IN THE HEALTH CARE INDUSTRY. SCHEDULE J, PART II FRANCISCAN MEDICAL GROUP FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2024. CHARISSA CHI FAMILY MEMBER OF A BOARD MEMBER 164550 EMPLOYEE PAYROLL WAGES 0 FORM 990, PART III, LINE 4A I. INTRODUCTION A. MARKET BASED ORGANIZATION MISSION AND VISION FRANCISCAN MEDICAL GROUP WAS FOUNDED IN APRIL 1999 TO PROVIDE COMMUNITY BASED HEALTH CARE SERVICES. SINCE ITS INCEPTION, FRANCISCAN MEDICAL GROUP HAS FOCUSED ON PROVIDING QUALITY HEALTH CARE TO ALL MEMBERS OF THEIR COMMUNITY REGARDLESS OF ABILITY TO PAY FOR SERVICES. COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF OUR ACTIVITY. B. COMMUNITY BENEFIT APPROACH FRANCISCAN MEDICAL GROUP CLINICS PROVIDE SERVICES ACROSS A LARGE GEOGRAPHY OF SOUTH PUGET SOUND IN WASHINGTON STATE, SERVING A DIVERSE POPULATION IN OUR SERVICE AREA. FRANCISCAN MEDICAL GROUP PROVIDES SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR ABILITY TO PAY. THE PROGRAMS AND SERVICES SERVED BY FRANCISCAN MEDICAL GROUP NOT ONLY SERVE THE COMMUNITY BUT ALSO REDUCE THE BURDEN ON GOVERNMENTAL PROGRAMS, I.E. MEDICARE AND MEDICAID. WITHOUT THE CHARITY CARE PROVIDED BY FRANCISCAN MEDICAL GROUP CLINICS, THE COMMUNITY CHARITY CARE CASES WOULD FALL UPON THE MORE EXPENSIVE EMERGENCY ROOMS IN LOCAL HOSPITALS, INCLUDING THOSE OPERATED BY LOCAL GOVERNMENT. IN ADDITION TO PROVIDING FINANCIAL ASSISTANCE, FRANCISCAN MEDICAL GROUP SUPPORTS HEALTH PROFESSIONS EDUCATION PROGRAMS AND SUBSIDIZED PROGRAMS FOR THOSE WITH DIABETES. II. QUANTITATIVE DESCRIPTION OF COMMUNITY BENEFIT: UNCOMPENSATED CARE FRANCISCAN MEDICAL GROUP PROVIDED A SIGNIFICANT LEVEL OF CHARITY CARE SERVICES TO THOSE WITH LIMITED OR AN INABILITY TO PAY. TO THE EXTENT MEDICARE AND MEDICAID REIMBURSEMENT IS BELOW COST, FRANCISCAN MEDICAL GROUP RECOGNIZES THESE AMOUNTS AS THE UNCOMPENSATED COST OF PROVIDING CARE. AS MENTIONED ABOVE, FRANCISCAN MEDICAL GROUP PROVIDES SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR ABILITY TO PAY. MOST PHYSICIAN GROUPS IN THE STATE OF WASHINGTON HAVE EITHER PARTIALLY OR FULLY CLOSED THEIR PRACTICES TO NEW MEDICARE AND MEDICAID PATIENTS AS THE REIMBURSEMENT FOR THESE PROGRAMS HAS INCREASINGLY FALLEN SHORT OF THE COST OF PROVIDING THAT CARE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF FRANCISCAN MEDICAL GROUP, NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND OUR MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH FRANCISCAN MEDICAL GROUP'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, WE PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS ALTHOUGH THE COST OF PROVIDING THAT CARE EXCEEDS GOVERNMENTAL PROGRAM REIMBURSEMENT. FOR THE FISCAL YEAR ENDING JUNE 30, 2025, THE COST OF UNCOMPENSATED MEDICAID AMOUNTED TO $ 60 MILLION; FINANCIAL ASSISTANCE TOTALED $ 6.3 MILLION FOR THE YEAR. III. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT A. COMMUNITY OUTREACH FOR THE POOR AND THE BROADER COMMUNITY FRANCISCAN MEDICAL GROUP PROVIDES CHARITY CARE TO THOSE WITH LIMITED OR AN INABILITY TO PAY FOR CARE. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON COMMUNITY HEALTH NEEDS. COMMUNITY HEALTH EDUCATION AROUND HEART DISEASE AND DIABETES, INCLUDING FREE, WEEKLY SUPPORT GROUPS FOR THOSE WITH DIABETES, ARE PROVIDED AT SEVERAL FRANCISCAN MEDICAL GROUP CLINICS. FRANCISCAN MEDICAL GROUP AND ITS MEMBERS PARTNER CLOSELY WITH PROJECT ACCESS PIERCE COUNTY AND PROJECT ACCESS NORTHWEST. MANY FMG PROVIDERS DONATE CARE AND VIRGINIA MASON FRANCISCAN HEALTH PROVIDES FINANCIAL CONTRIBUTIONS TO BOTH ORGANIZATIONS FOR THEIR PREMIUM ASSISTANCE PROGRAMS. IT IS SIGNIFICANT TO NOTE THAT ALL OF THE FRANCISCAN MEDICAL GROUP PRIMARY CARE CLINICS OPERATE IN COMMUNITIES DESIGNATED BY THE US DEPARTMENT OF HEALTH AS MEDICALLY UNDERSERVED AREAS FOR ACCESS TO PRIMARY CARE. FRANCISCAN MEDICAL GROUP SUPPORTS TRAINING FOR MEDICAL STUDENTS TO HELP FILL THIS GAP IN OUR COMMUNITIES. FORM 990, PART V, LINE 1C: PAYMENTS TO VENDORS PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. THEREFORE, NO FORMS 1099 ARE ISSUED BY FRANCISCAN MEDICAL GROUP. COMMONSPIRIT HEALTH FILES THE FORMS 1099 AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAME WINNINGS. THE FORMS 1099 ISSUED ON BEHALF OF FRANCISCAN MEDICAL GROUP ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 1A PURSUANT TO SECTION 7.5 OF THE BYLAWS OF THE FRANCISCAN MEDICAL GROUP THE EXECUTIVE COMMITTEE SHALL CONSIST ONLY OF DIRECTORS OF THE CORPORATION AND SHALL AT ALL TIMES BE IDENTICAL TO THE EXECUTIVE COMMITTEE OF THE MEMBER BOARD. EXCEPT AS PROVIDED BY LAW OR LIMITED BY THE BOARD FROM TIME TO TIME, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. ADDITIONALLY, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF DIRECTORS, THE CORPORATE MEMBER, THE PARENT CORPORATION OR WITH THESE BYLAWS, OR WITH APPLICABLE LAW. FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS OF FRANCISCAN MEDICAL GROUP THE SOLE MEMBER IS FRANCISCAN HEALTH SYSTEM, A WASHINGTON NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS FRANCISCAN HEALTH SYSTEM ("FHS"). PURSUANT TO SECTION 4.4 OF THE ORGANIZATION'S BYLAWS, BOTH FRANCISCAN HEALTH SYSTEM AND COMMONSPIRIT HEALTH (FHS' SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE FRANCISCAN HEALTH SYSTEM BOARD: 1. APPROVE MEMBERS OF THE FRANCISCAN MEDICAL GROUP ("FMG") BOARD 2. AMENDMENT OF THE CORPORATE DOCUMENTS OF FMG 3. APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF FMG 4. ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR FMG THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: 1. SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF FMG 2. REMOVAL OF A MEMBER OF THE GOVERNING BODY OF FMG 3. APPROVAL OF ISSUANCE OF DEBT BY FMG 4. APPROVAL OF PARTICIPATION OF FMG IN A JOINT VENTURE 5. APPROVAL OF FORMATION OF A NEW CORPORATION BY FMG 6. APPROVAL OF A MERGER INVOLVING FMG 7. APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF FMG 8. TO REQUIRE THE TRANSFER OF ASSETS BY FMG TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. IN ADDITION, PURSUANT TO SECTION 4.5.2 OF THE ORGANIZATION'S BYLAWS, FHS OR COMMONSPIRIT HEALTH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (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 B, LINE 11B ONCE THE RETURN IS PREPARED, THE CFO REVIEWS THE TAX RETURN AND ANY NECESSARY CHANGES ARE INCLUDED IN THE FINAL VERSION THAT IS APPROVED FOR FILING WITH THE IRS. IN ADDITION, THE RETURN IS PROVIDED TO THE BOARD PRIOR TO FILING. SUBSEQUENT TO REVIEW, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS FURTHER DESCRIBED BELOW. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. STANDARD MANAGEMENT APPROACHES PER COI POLICY ARE APPLIED TO DISCLOSED CONFLICTS. DISCLOSURES THAT IDENTIFY PERCEIVED, POTENTIAL, OR ACTUAL COIS THAT REQUIRE IMMEDIATE MATERIAL ACTION TO RESOLVE, WILL BE IDENTIFIED, AND, A CONFLICT OF INTEREST MANAGEMENT PLAN DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR ADOPTING A REASONABLE COMPENSATION PHILOSOPHY AND SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. COMMONSPIRIT'S COMPENSATION DEPARTMENT ENSURES THAT ITS PRACTICES ARE CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY, PRACTICES, AND PRINCIPLES, AS DETERMINED BY THE PEOPLE AND COMPENSATION COMMITTEE. WHEN NECESSARY, THE COMPENSATION DEPARTMENT ALSO ENGAGES AN INDEPENDENT CONSULTANT, AS WELL AS QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABILITY DATA IS ALSO OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, AS PART OF THE ORGANIZATION'S COMPENSATION PRACTICES (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). THE DOCUMENTATION OF COMPENSATION DECISIONS INCLUDES THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMPENSATION DEPARTMENT AND THE SOURCES FROM WHICH THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. FORM 990, PART VI, Q. 16B FRANCISCAN MEDICAL GROUP HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER COMMONSPIRIT HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; AND (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 230,836. MANAGEMENT AND GENERAL EXPENSES 12,149. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 242,985. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 9,089,408. MANAGEMENT AND GENERAL EXPENSES 1,009,934. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,099,342. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 8,166,983. MANAGEMENT AND GENERAL EXPENSES 429,841. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,596,824. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 47,475,259. MANAGEMENT AND GENERAL EXPENSES 2,498,699. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,973,958. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 30,653,743. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,653,743. FORM 990, PART XI, LINE 9: CAPITAL TRANSFERS 255,433,368. CHANGES IN EQUITY OF UNCONSOLIDATED ORGS 192,785. FORM 990, PART VI, LINE 14 WHILE FRANCISCAN MEDICAL GROUP HAS A WRITTEN DOCUMENT RETENTION PLAN, THE GOVERNING BOARD HAS NOT FORMALLY ADOPTED IT. 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