2025-05-13T14:29:20-05:00 2024-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2023-07-01 620532345 MEMORIAL HEALTH CARE SYSTEM INC MEMO 4234957878 2525 DESALES AVENUE CHATTANOOGA TN 37404 MICHAEL SUTTON CFO 4234957878 2025-05-13 1 0 HEATHER ADKINS P01725376 3032989100 2023 2025-03-06 01:10:19Z JANELLE REILLY 2525 DESALES AVENUE CHATTANOOGA TN 37404 714969916 0 0928 X WWW.MEMORIAL.ORG X 1952 TN EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE CREATE HEALTHIER COMMUNITIES BY PROVIDING HEALTH CARE SERVICES REGARDLESS OF ABILITY TO PAY FOR THOSE IN CHATTANOOGA, TN AND THE SURROUNDING AREA. 18 11 4383 276 12477391 0 7481662 4267845 621347084 683625573 5067834 3863480 21851093 23213018 655747673 714969916 482921 2333425 0 0 297438452 309211441 0 0 0 400912866 426669985 698834239 738214851 -43086566 -23244935 731817781 494347608 385701379 308184670 346116402 186162938 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 51784784 474983 136905434 CARDIOVASCULAR SERVICESCHI MEMORIAL'S GUERRY HEART AND VASCULAR CENTER OFFERS A TEAM OF CARDIAC SPECIALISTS WHO HAVE TRAINED AT SOME OF THE MOST RENOWNED MEDICAL PROGRAMS IN THE COUNTRY. CHI MEMORIAL AND THE CHATTANOOGA HEART INSTITUTE INTEGRATED SERVICES IN EARLY 2011. WITH 25 CARDIOLOGISTS AND TWO CARDIOTHORACIC SURGEONS, THE CHATTANOOGA HEART INSTITUTE HAS LED THE REGION'S LARGEST CENTER DEDICATED SOLELY TO CARDIOVASCULAR CARE FOR THE PAST 40 YEARS. CHI MEMORIAL HOSPITAL CHATTANOOGA AND CHI MEMORIAL HOSPITAL HIXSON EACH PROVIDE CARDIAC IMAGING SERVICES THAT INCLUDE ECHOCARDIOGRAPHY, STRESS ECHOCARDIOGRAPHY, TRANSESOPHAGEAL ECHOCARDIOGRAPHY AND NUCLEAR CARDIOLOGY. CHI MEMORIAL HOSPITAL CHATTANOOGA HAS FIVE CARDIAC CATHETERIZATION LABORATORIES AND TWO ELECTROPHYSIOLOGY LABORATORIES FOR SPECIALIZED CARDIAC PROCEDURES. 20996500 422736 121846204 IMAGING/ DIAGNOSTIC SERVICESCHI MEMORIAL OFFERS PATIENTS THE FULL RANGE OF OUTPATIENT IMAGING SERVICES. FOR WOMEN, OUR FACILITIES INCLUDE PRIVATE MAMMOGRAPHY SUITES, "SOFT" MAMMOGRAPHY, BREAST CANCER EDUCATION AND SUPPORT SERVICES. IMAGING SERVICES ARE AVAILABLE AT CHI MEMORIAL HOSPITAL CHATTANOOGA, CHI MEMORIAL HOSPITAL HIXSON, CHI MEMORIAL HOSPITAL GEORGIA AND CHI MEMORIAL OOLTEWAH IMAGING CENTER. OUR CAPABILITIES INCLUDE CT, 3-T MRI, DEDICATED BREAST MRI, DIGITAL RADIOGRAPHY, DIGITAL FLUOROSCOPY,NUCLEAR MEDICINE, ULTRASOUND, VASCULAR STUDIES, CARDIAC STRESS TESTING, ECOCARDIOGRAPHY, BONE DENSITY, MAMMOGRAPHY, AND PET/CT. 11960542 150431 43358933 CANCERTHE REES SKILLERN CANCER INSTITUTE AT CHI MEMORIAL IS THE LEADING PROVIDER OF CANCER SERVICES IN THE CHATTANOOGA AREA. OUR COMPREHENSIVE PROGRAM INCLUDES SEVEN CENTERS OF EXCELLENCE, EACH DEDICATED TO A SPECIFIC TYPE OF CANCER AND SUPPORTED BY INTERDISCIPLINARY TUMOR BOARDS, CLINICAL TRIALS AND ADVANCED TECHNOLOGIES, SUCH AS THE DA VINCI SURGICAL SYSTEM FOR ROBOTIC-ASSISTED MINIMALLY INVASIVE TREATMENT OF PROSTATE, GYNECOLOGIC, HEAD AND NECK, COLORECTAL, LUNG AND OTHER CANCERS. THE REES SKILLERN CANCER INSTITUTE AT CHI MEMORIAL IS THE LEADING PROVIDER OF CANCER SERVICES IN THE CHATTANOOGA AREA. AT CHI MEMORIAL, WE HAVE THE MOST UP TO DATE CANCER TREATMENT MACHINES IN THE INDUSTRY. WE HAVE THE TRUE BEAM STX, NOVALIS TX AND THE SIEMEN'S PRIMUS LINEAR ACCELERATORS. THESE MACHINES USE RADIATION TO TREAT THE PATIENT'S TUMOR. 600179601 1285275 381515002 CHI MEMORIAL HEALTH PROVIDES ADDITIONAL SERVICES INCLUDING BUT NOTLIMITED TO: PRIMARY AND PREVENTIVE CARE SERVICES, SOCIAL SERVICES,NUTRITION SERVICES, PHYSICAL AND SPEECH THERAPY, RADIOLOGY, ENDOSCOPYCENTER, SLEEP DIAGNOSTIC CENTER, AND MOBILE MAMMOGRAPHY SERVICES THATEXTENDS ACCESS TO MAMMOGRAPHY, HEALTH SCREENINGS, AND EDUCATIONALINFORMATION TO RESIDENTS IN 35 COUNTIES ACROSS TENNESSEE, GEORGIA ANDALABAMA. 600179601 1285275 381515002 684921427 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 4383 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 18 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 TN X CRAIG NIELSEN 4234952565 2525 DE SALES AVENUE CHATTANOOGA TN 37404 X T DOUGLAS LAWSON PHD PRESIDENT SOUTH REGION 2.00 48.00 X X 0 3396538 218609 LARRY SCHUMACHER SR. VP OF OPERATIONS, SE DIVISION / FORMER CEO 2.00 48.00 X 0 2980859 39731 JAMES ZELLNER MD BOARD MEMBER/CARDIOVASCULAR SURGEON 50.00 1.00 X 1744433 0 47556 JANELLE REILLY MARKET CEO 46.00 4.00 X X 1421289 0 56588 JOHN CRAIG MD CARDIOVASCULAR SURGEON 50.00 0.00 X 1347602 0 48481 MAYSHAN GHIASSI MD NEUROSURGEON 5.00 45.00 X 108257 1204590 31667 ANTHONY HOUSTON FORMER KEY EMPLOYEE 0.00 50.00 X 0 1247727 56741 TROY HAMMETT DIVISION SVP / CFO 50.00 0.00 X 1165421 0 110020 JEFFREY MULLINS MD UROLOGIST 1.00 49.00 X 1664 1187899 48792 RANJITH BABU MD NEUROSURGEON 20.00 30.00 X 267110 920018 44745 WILLIAM WARREN MD FORMER BOARD MEMBER AND OFFICER 50.00 0.00 X 898839 0 57219 ALLEN ATCHLEY MD BOARD MEMBER/CARDIOLOGIST 50.00 0.00 X 896779 0 58956 DEBRA MOORE SVP/ADMINISTRATOR OF MEMORIAL HOSPITAL HIXSON 50.00 0.00 X 768515 0 23842 MICHAEL SUTTON FORMER OFFICER 47.00 3.00 X 536668 0 33469 HANY NAGGAR MD PHD BOARD MEMBER 2.00 48.00 X 0 357005 58646 MARK ANDERSON MD BOARD MEMBER/PHYSICIAN 2.00 48.00 X 65598 233088 56001 CRAIG NIELSEN BOARD TREASURER/MARKET VP 47.00 3.00 X 238263 0 35456 SLOAN YOUNGBLOOD MD CHIEF OF MEDICAL STAFF 38.00 2.00 X 27660 0 0 JILL APLIN BOARD MEMBER/CHAIR (PAST) 2.00 1.00 X 0 0 0 DAVEY DANIEL MD BOARD MEMBER 2.00 1.00 X 0 0 0 MARILYN HELMS MD CHAIR 2.00 1.00 X X 0 0 0 MARYSTEWART LEWIS BOARD MEMBER 2.00 1.00 X 0 0 0 JUDITH JUDY RALEY SCN SECRETARY 2.00 1.00 X X 0 0 0 MICHAEL WEBB BOARD VICE CHAIR 2.00 1.00 X X 0 0 0 TRACY WOOD BOARD MEMBER 2.00 1.00 X 0 0 0 ELIZABETH MCCRIGHT BOARD MEMBER 2.00 1.00 X 0 0 0 STEVEN DOWLEN MD BOARD MEMBER 2.00 1.00 X 0 0 0 SR CHRISTINE KUNZE SCN BOARD MEMBER (PARTIAL) 2.00 1.00 X 0 0 0 STEPHEN ROWND BOARD MEMBER (PARTIAL) 2.00 1.00 X 0 0 0 RHONDA MCCABE INTERIM CFO (PARTIAL) 10.00 40.00 X 0 0 0 CANDY JOHNSON BOARD MEMBER 2.00 1.00 X 0 0 0 SR REV DR TERENCE L MAYES BOARD MEMBER 2.00 0.00 X 0 0 0 9488098 11527724 1026519 482 1 1 0 CROSS COUNTRY STAFFING INC 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 HEALTHCARE STAFFING SERVICES 9214816 AMERICAN ANESTHESIOLOGY OF TN 501 20TH ST 606 KNOXVILLE TN 37916 ANESTHESIOLOGY SERVICES 6721456 MCCARTHY BUILDING COMPANIES 2200 POST OAK BLVD SUITE 2200 HOUSTON TX 77056 CONSTRUCTION SERVICES 2957369 AMN HEALTHCARE 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 HEALTHCARE STAFFING SERVICES 2672041 UNIVERSAL PROTECTION SVC LP 161 WASHINGTON ST 600 CONSHY PA 19428 HEALTHCARE STAFFING SERVICES 1235082 60 3850772 417073 4267845 NET PATIENT SERVICES 900099 673701788 673701788 0 0 MEDICAL SERVICES 621300 3776389 3776389 0 0 ALL OTHER PSR 900099 3641166 3641166 0 0 RENTAL INCOME 900099 2506230 2506230 0 0 683625573 1799608 61824 1737784 750 0 750 750 750 2052666 11206 0 0 2052666 11206 2063872 2063872 PHARMACY SERVICES 446110 12387427 0 12387427 0 INSURANCE RECOVERIES 900099 4644219 0 0 4644219 SERVICES SOLD 900099 2836916 0 0 2836916 3343706 28140 3315566 23212268 714969916 683625573 12477391 14599107 X 2222925 2222925 110500 110500 4513929 3295168 1218761 244070172 232803721 11266451 11291424 10748182 543242 32417339 30831150 1586189 16918577 16072648 845929 1323645 1323645 11025 10474 551 108339 108339 124822969 118048554 6774415 2496179 2496179 8549138 8549138 21908286 21908286 15095820 15095820 731944 731944 91718 91718 13601225 13601225 18851682 18851682 27467132 27467132 3688607 3688607 MEDICAL SUPPLIES 148787768 148787768 0 0 STATE PROVIDER TAX 28008496 28008496 0 0 REPAIRS AND MAINTENANCE 6989269 6989269 0 0 MISCELLANEOUS EXPENSES 2735323 2735323 0 0 1401420 1401420 738214851 684921427 53293424 0 3012073 4796004 3638897 9229992 0 84501006 89356613 0 0 0 24515806 24749554 2420791 3839047 718212247 441224869 287219072 276987378 0 212979959 18911831 0 7042487 7042487 106487690 59434702 731817781 494347608 38570032 52952982 0 10167 20167 0 0 0 0 0 347121180 255211521 385701379 308184670 X 345658106 185704642 458296 458296 346116402 186162938 731817781 494347608 X -23244935 2560248 -139268777 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 18995 1 1423 0 1 87921 108339 0 PART II-B, LINE 1: B. PAID STAFF ATTENDED COMMUNITY EVENTS, VARIOUS COMMUNITY ACTIVITIES, STRATEGIC PLANNING SESSIONS AND ATTENDED OTHER LEGISLATIVE MEETINGS. F. THE PORTION OF THE ORGANIZATIONS' DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION(AHA) - $6,379, CATHOLIC HEALTH ASSOCIATION(CHA) -$2,752, TENNESSEE HOSPITAL ASSOCIATION - $9,864 G. ATTENDED THE TN HOSPITAL ASSOCIATION'S DAY ON THE HILL AND MET WITH TN AND GA LEGISLATIVE DELEGATIONS. I. THE INGRAM GROUP, HEALTH CARE ADVOCACY, PUBLIC RELATIONS, HEALTH COMMUNITY, AND STRATEGIC PLANNING. 2111356 48685 39183 2120858 2166419 21437 76500 2111356 1582052 604859 -20492 2166419 1362974 219078 1582052 1344652 250 18072 1362974 0.69000 0.31000 0.00000 0 1 1 14525628 14525628 436374682 217183786 219190896 3754625 2830951 923674 243354629 209903540 33451089 20202683 11306592 8896091 276987378 INTERCOMPANY RECEIVABLES 31156169 INVESTMENTS IN UNCONSOLIDATED ORGS - CONTROLLING INTEREST 1181514 INVESTMENTS IN UNCONSOLIDATED ORGS - NONCONTROLLING INTEREST 380092 RIGHT-OF-USE OPERATING LEASE 21684992 RIGHT-OF-USE FINANCE LEASE 4880935 OTHER ASSETS 151000 59434702 ENVIRONMENTAL REMEDIATION LIABILITY 514068 INTERCOMPANY NOTES PAYABLE 144867621 FINANCE LEASE LIABILITY 4385578 OPERATING LEASE LIABILITY 22997161 OTHER CURRENT LIABILITIES 82447093 255211521 X PART V, LINE 4: THE ENDOWMENT, HELD BY THE MEMORIAL HEALTH CARE SYSTEM FOUNDATION, INC., WILL SECURE LONG-TERM ADVANCEMENT AND EXCELLENCE FOR MEMORIAL HEALTH CARE SYSTEM, INC.'S MINISTRY OF HEALING AS WE MOVE OUR MISSION FORWARD. CURRENTLY, THE FOUNDATION BOARD HAS MADE THE DECISION TO ALLOW THE ENDOWMENT TO CONTINUE TO GROW FOR THE FORESEEABLE FUTURE UNTIL IT REACHES A SIZE WHERE INVESTMENT INCOME WILL MAKE A SIGNIFICANT DIFFERENCE IN FUNDING FOR NEEDS AT MHCS. PART X, LINE 2: MEMORIAL HEALTH CARE SYSTEM'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 1 X 1 X 1 X 1 1 0 1 1 10472 14192766 0 14192766 0.01920 9464 51625694 44599539 7026155 0.00950 0 0 19936 65818460 44599539 21218921 0.02870 5 1050 3154504 95470 3059034 0.00410 6 123 4927990 2309219 2618771 0.00350 0 0 1 276165 231138 45027 0.00010 4 468 580662 0 580662 0.00080 16 1641 8939321 2635827 6303494 0.00850 16 21577 74757781 47235366 27522415 0.03720 0 0 0 0 3 229 672539 0 672539 0.00090 0 0 0 0 0 0 0 0 0 0 0 0 3 229 672539 672539 0.00090 31380044 0 135288312 162867316 -27579004 X 1 1 1 BERYWOOD OFFICE PROPERTIES PHYSICIAN OFFICE BUILDING 0.63000 0.37000 2 1 CHI MEMORIAL HOSPITAL 2525 DESALES AVENUE CHATTANOOGA TN 37404 WWW.MEMORIAL.ORG 0000000071 X X X A 2 CHI MEMORIAL HOSPITAL HIXSON 2051 HAMILL ROAD HIXSON TN 37343 WWW.MEMORIAL.ORG 0000000071 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.MEMORIAL.ORG/EN/ABOUT-US/COMMUNITY-BENEFIT.HTML X 1 22 1 HTTPS://WWW.MEMORIAL.ORG/ABOUT-US/COMMUNITY-BENEFIT.HTML 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: CHI MEMORIAL HOSPITAL, - FACILITY 2: CHI MEMORIAL HOSPITAL HIXSON FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: CHI MEMORIAL CHATTANOOGA, CHI MEMORIAL HIXSON, AND CHI MEMORIAL GEORGIA ENGAGED STRATASAN, A HEALTHCARE ANALYTICS AND FACILITATION COMPANY BASED IN NASHVILLE, TENNESSEE, TO ANALYZE COMMUNITY HEALTH DATA, FACILITATE FOCUS GROUPS, CONDUCT THE INTERVIEWS, FACILITATE TELEPHONE SURVEYS, AND FACILITATE A COMMUNITY HEALTH SUMMIT FOR COMMUNITY INPUT INTO THE PRIORITIES AND BRAINSTORM GOALS AND ACTIONS THE COMMUNITY COULD TAKE TO IMPROVE HEALTH. WILKINS RESEARCH SERVICES IN CHATTANOOGA CONDUCTED 400 SURVEYS IN THE FIVE COUNTIES IN ORDER TO GLEAN INPUT FROM A BROADER SEGMENT OF THE COMMUNITIES. THERE WERE 241 ONLINE, 50 CELL PHONE AND 109 LANDLINE SURVEYS COMPLETED. THE TENNESSEE AND GEORGIA DEPARTMENTS OF HEALTH PARTICIPATED IN THE FOCUS GROUPS AND INTERVIEWS AND ATTENDED THE SUMMIT, WHERE THEY ASSISTED WITH THE PRIORITIZATION OF THE MOST SIGNIFICANT ISSUES. AGENCIES AND ORGANIZATIONS REPRESENTING MEDICALLY-UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS PARTICIPATED IN FOCUS GROUPS/INTERVIEWS AND THE COMMUNITY HEALTH SUMMIT. THESE INCLUDED: BRAINERD COMMUNITY FOOD PANTRY, URBAN LEAGUE, CHATTANOOGA AREA FOOD BANK, CHATTANOOGA HOUSING AUTHORITY, CHATTANOOGA REGIONAL HOMELESS COALITION, COUNCIL FOR ALCOHOL AND DRUG ABUSE SERVICES, FAMILY JUSTICE CENTER, GLENWOOD NEIGHBORHOOD ASSOCIATION, HOMELESS HEALTH CENTER, CHI MEMORIAL EQUALITY AND DIVERSITY BOARD, THE SAMARITAN CENTER, TRI STATE FOOD PANTRY, FEDERALLY QUALIFIED HEALTH CENTERS, AND NORTHWEST GA AREA AGENCY ON AGING. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: CHI MEMORIAL CHATTANOOGA, CHI MEMORIAL HIXSON, AND CHI MEMORIAL GEORGIA FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: THE HOSPITALS ARE TAKING ACTIONS TO HELP ADDRESS ALL OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS.* ACCESS TO AFFORDABLE HEALTHCARE AND INSURANCE: - PROVIDED ONGOING MEDICARE COUNSELING TO ASSIST PATIENTS THAT ARE PART OF THE CLINICALLY INTEGRATED NETWORK (CIN) IN FINDING AFFORDABLE INSURANCE OPTIONS- PROVIDED FUNDING TO ADDRESS BARRIERS TO SEEKING OR RECEIVING HEALTH CARE (E.G. TRANSPORTATION, UTILITIES, DENTAL WORK, TESTING SUPPLIES, MEDICATION COPAYS ETC.)- MAINTAINED BASIC INDIGENT CARE FUND FOR CANCER PATIENTS- PROMOTED USE OF THE 211 UNITED WAY MICRO-SITE ICON, WHICH IS A DESKTOP ICON ON HOSPITAL COMPUTERS THAT CAN HELP LINK PATIENTS TO APPROPRIATE COMMUNITY RESOURCES- MAINTAINED INTERNAL RESOURCE DATABASE WITHIN THE CLINICALLY INTEGRATED NETWORK- ONBOARDED INNOVACCER SOCIAL DETERMINANTS OF HEALTH MODULE FOR THE CIN TEAM TO BETTER CONNECT PATIENTS TO RESOURCES- EMPLOYED A GRANT FUNDED COMMUNITY HEALTH ADVOCATE LOCATED AT THE CHI MEMORIAL CENTER FOR HEALTHY AGING AT BOYNTON TERRACE APARTMENTS TO INCREASE ACCESS TO CARE FOR THE AGING POPULATION. EXPLORING GRANT OPPORTUNITIES TO SUSTAIN THE PROGRAM.- CONTINUED THE PROCESS OF PURSUING A STATE-OF-THE-ART REPLACEMENT FACILITY FOR CHI MEMORIAL HOSPITAL GEORGIA TO FACILITATE IMPROVED ACCESS TO HIGH QUALITY HEALTHCARE FOR NORTH GEORGIA RESIDENTS * MENTAL/BEHAVIORAL HEALTH:- PROVIDED LIMITED NON-BILLABLE COUNSELING THROUGH THE CIN- MAINTAINED UPDATED BEHAVIORAL HEALTH RESOURCE GUIDE FOR CLINICS- FACILITATED MENTAL HEALTH FIRST AID TRAININGS TO EDUCATE INDIVIDUALS ON TOOLS TO ADDRESS COMMON MENTAL HEALTH ISSUES- PARTICIPATED IN LOCAL HAMILTON COUNTY FREQUENT USER SYSTEMS ENGAGEMENT (FUSE) INITIATIVE AIMED AT PROVIDING MENTAL HEALTH TREATMENT AND PERMANENT SUPPORTIVE HOUSING TO FREQUENT USERS OF LOCAL HOSPITALS, JAILS, EMERGENCY DEPARTMENTS, AND CRISIS CENTERS THAT ARE HOMELESS - EMPLOYED A MUSIC THERAPIST THAT PROVIDES ACUTE INPATIENT MUSIC THERAPY & DEVELOPED EHR REFERRAL PATHWAY- PARTNERED WITH LOCAL ARTS ORGANIZATIONS TO RAISE AWARENESS OF THE USE OF ARTS IN THE HEALING PROCESS. WE HAVE ACTIVE PARTNERSHIPS WITH 6 ORGANIZATIONS AND PARTNER WITH APPROXIMATELY 20 LOCAL ARTISTS PER YEAR. - PARTICIPATED IN PUBLIC ARTS ENGAGEMENTS AND EVENTS TO HIGHLIGHT THE INTERSECTION OF ARTS AND WELL-BEING, HOST EXHIBITS AT THE HOSPITAL THAT ENGAGE THOSE WHO ARE IN THE HOSPITAL ENVIRONMENT, AND PARTNER ON GRANT APPLICATIONS TO INCREASE ACCESS TO ARTS & WELL-BEING PROGRAMMING.- CONTINUED TO EXPLORE POSSIBILITY OF EXPANDING CHI MEMORIAL'S BEHAVIORAL HEALTH SERVICES* AFFORDABLE, HEALTHY HOUSING:- PARTNERED WITH A LOCAL ORGANIZATION TO PROVIDE MEDICAL RESPITE FOR INDIVIDUALS WHO ARE EXPERIENCING HOMELESSNESS AND NEED ADDITIONAL MEDICAL SUPPORT UPON DISCHARGE FROM THE HOSPITAL. WE HAVE RECEIVED A GRANT TO HELP EXPAND THESE PROGRAMS.- PROVIDED SUPPORT AND RESOURCES TO HELP TRANSITION PARTICIPANTS INTO PERMANENT HOUSING- PROVIDED RENT AND UTILITY ASSISTANCE- INCREASED AWARENESS OF AND ACCESS TO COMMUNITY HOUSING RESOURCES VIA REFERRALS - PARTICIPATED IN LOCAL HAMILTON COUNTY FREQUENT USER SYSTEMS ENGAGEMENT (FUSE) INITIATIVE AIMED AT PROVIDING MENTAL HEALTH TREATMENT AND PERMANENT SUPPORTIVE HOUSING TO FREQUENT USERS OF LOCAL HOSPITALS, JAILS, EMERGENCY DEPARTMENTS, AND CRISIS CENTERS THAT ARE HOMELESS * SUBSTANCE USE DISORDER:- PROVIDED PHYSICAL SPACE IN HOSPITALS FOR TENNESSEE RECOVERY NAVIGATORS (CERTIFIED PEER RECOVERY SPECIALISTS IN LONG-TERM RECOVERY WHO HELP PEOPLE LIVING WITH ADDICTION TO CONNECT WITH TREATMENT AND RECOVERY OPTIONS)- FACILITATED TELEHEALTH FOR MEDICATION ASSISTED THERAPY TO SUPPORT RECOVERY FROM DRUG ADDICTION- PROVIDED REGULAR SESSIONS OF A FREE FREEDOM FROM SMOKING COURSE TO ASSIST PATIENTS IN SMOKING CESSATION* PREVENTION AND EDUCATION- CONTINUED THE MORE IN COMMON ALLIANCE PARTNERSHIP BETWEEN THE MOREHOUSE SCHOOL OF MEDICINE AND COMMONSPIRIT HEALTH, AIMED AT ADDRESSING THE UNDERLYING CAUSES OF HEALTH INEQUITIES, INCLUDING THE LACK OF REPRESENTATION AMONG CARE PROVIDERS- PARTNERED WITH OTHER MEDICAL SCHOOLS, UNIVERSITIES, AND HIGH SCHOOLS TO PROVIDE MEDICAL ROTATIONS AT CHI MEMORIAL. CHI HAS FORMAL PARTNERSHIPS WITH 4 MEDICAL SCHOOLS BESIDES MOREHOUSE SCHOOL OF MEDICINE, 11 NURSING & ALLIED HEALTH SCHOOLS, AND 4 HIGH SCHOOLS. - FACILITATED 6 CPR CERTIFICATION COURSES AT 2 LOCAL HIGH SCHOOLS- FUNDED SCHOLARSHIPS FOR CURRENT AND PROSPECTIVE EMPLOYEES TO EARN DEGREES IN MEDICAL PROFESSIONS- ATTENDED COMMUNITY EVENTS/HEALTH FAIRS TO EDUCATE THE COMMUNITY REGARDING AVAILABLE HEALTH CARE RESOURCES. SOME EXAMPLES INCLUDE: FY24 HAMILTON COUNTY MINORITY HEALTH FAIR, FY24 PARTNERSHIP WITH THE CITY OF CHATT. OFFICE OF COMMUNITY DEVELOPMENT- BOO BALL WITH THE DOCS; FY24 PARTNERSHIP WITH THE CHATT. FIRE DEPARTMENT SUMMER OF SAFETY FESTIVAL; BLACK ARTS & IDEAS JUNETEENTH FESTIVAL FREE HEALTH SCREENINGS;- 2023 CHATT STATE LATIN FESTIVAL, AND THE AMERICAN HEART ASSOCIATION- PROVIDED FREE MONTHLY COMMUNITY CLASSES IN AVONDALE, RINGGOLD, HIXSON, OOLTEWAH AND DOWNTOWN FOCUSING ON A DIFFERENT HEALTH ISSUE EACH MONTH * VIOLENCE- PROVIDED REFERRALS TO VIOLENCE PREVENTION ORGANIZATIONS, SUCH AS ADULT PROTECTIVE SERVICES, AS NEEDED- RECEIVED A GRANT FROM COMMONSPIRIT AND PRODUCED A PUBLIC EDUCATION VIDEO ON GUN SAFETY IN THE CHATTANOOGA AREA. PARTNERED WITH CHATTANOOGA POLICE DEPARTMENT ON HOW TO SAFELY AND SECURELY STORE GUNS IN VEHICLES. * OBESITY- CONTINUED TO REFINE THE OBESITY DASHBOARD USED TO IDENTIFY PATIENTS FOR RESOURCE REFERRAL - PROVIDED BMI REDUCTION COURSES- MAINTAINED THE OBESITY MEDICINE PROGRAM, WHICH INCLUDES EXERCISE SUPPORT, MEDICATION, AND NUTRITION AND BEHAVIORAL COUNSELING- PROVIDED MEDICAL NUTRITION THERAPY AND NUTRITION COUNSELING FOR WEIGHT CONTROL THROUGH CHI MEMORIAL ENDOCRINOLOGY ASSOCIATES* FOOD INSECURITY- PROVIDED FUNDS TO ASSIST PATIENTS IN OBTAINING FOOD- PROVIDED REFERRALS TO SOCIAL WORKERS AND COMMUNITY ORGANIZATIONS TO ADDRESS FOOD INSECURITY AS NEEDED- PARTICIPATED IN THE CHATTANOOGA CHAMBER OF COMMERCE MIDTOWN COUNCIL BOARD, WHICH SUPPORTS THE BRAINERD COMMUNITY FOOD PANTRY* CHRONIC DISEASES- PARTNERED WITH THE GO2 FOUNDATION, BETHLEHEM COMMUNITY CENTER TO LAUNCH OUR SECOND MOBILE LUNG SCREENING COACH AT THE JUNETEENTH JUBILEE JUNE 2024.- PROVIDED SCREENINGS AND OUTREACH WITH EXISTING MOBILE COACHES - 2 FOR MAMMOGRAPHY AND 2 FOR LUNG SCREENING- PROVIDED FREE BLOOD PRESSURE AND BLOOD SUGAR SCREENINGS AT COMMUNITY EVENTS/HEALTH FAIRS, INCLUDING THE HAMILTON COUNTY MINORITY HEALTH FAIR; 2023 LATIN FESTIVAL; CHATT. FIRE DEPARTMENT SUMMER OF SAFETY FESTIVAL- PROVIDED EDUCATION VIA THE CIN TEAM TO PATIENTS DIAGNOSED WITH CHRONIC DISEASES - BEGAN PILOT PROGRAM TO COORDINATE CARE FOR PATIENTS AFTER DISCHARGE FROM THE HOSPITAL AIMED AT MANAGING CHRONIC CONDITIONS AND REDUCING THE RISK FOR READMISSION- EXPANDED THE NEUROSCIENCES SERVICE LINE TO PROVIDE MORE TIMELY STROKE CARE TO A GREATER NUMBER OF STROKE PATIENTS- STRENGTHENED RELATIONSHIPS WITH REFERRING HOSPITALS TO MAXIMIZE SAFETY AND COMMUNICATION FOR NEURO/STROKE- EDUCATED EMS ON NEW NEURO/STROKE SERVICES PROVIDED AT CHI MEMORIAL- INCREASED COMMUNITY AWARENESS OF THE SIGNS AND SYMPTOMS OF A STROKE THROUGH PARTICIPATION IN COMMUNITY OUTREACH EVENTS; BOO BALL WITH THE DOCS (STROKE EDUCATION)- PROVIDED EDUCATION AND SUPPORT FOR: INSTRUCTION IN BLOOD GLUCOSE MONITORING AND INSULIN ADMINISTRATION AS WELL AS CARBOHYDRATE COUNTING- PROVIDED INSULIN PUMP THERAPY- PROVIDED FREE DIABETES TESTING SUPPLIES AS NEEDED FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP A PART V, LINE 16A, FAP:HTTPS://WWW.MEMORIAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP A PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.MEMORIAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP A PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.MEMORIAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE 5 1 - MEMORIAL HEART INSTITUTE 2501 CITICO AVE CHATTANOOGA TN 37404 CARDIAC PHYSICIAN PRACTICE 2 - MEMORIAL HEART INSTITUTE 2051 HAMILL ROAD HIXSON TN 37343 CARDIAC PHYSICIAN PRACTICE 3 - MEMORIAL OOLTEWAH IMAGING CENTER 6401 MOUNTAIN VIEW ROAD OOLTEWAH TN 37363 OUTPATIENT IMAGING CENTER 4 - MEMORIAL HEART INSTITUTE 400 BERRYWOOD TRAIL SUITE A CLEVELAND TN 37312 CARDIAC PHYSICIAN PRACTICE 5 - BERYWOOD OFFICE PROPERTIES 2501 CITICO AVENUE CHATTANOOGA TN 37404 PHYSICIAN OFFICE BUILDING PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:- THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. - THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;- HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;- PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); - FOOD STAMP ELIGIBILITY;- ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);- LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR- PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE. PART I, LINE 7: THE HOSPITALS USE AN ADJUSTED COST TO CHARGE RATIO (CCR) CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 IS USED IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) SOFTWARE TO CALCULATE MEDICAID AND OTHER MEANS-TESTED PROGRAMS EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES AT CHI MEMORIAL PROMOTED THE HEALTH OF OUR COMMUNITY BY (1) SUPPORTING INFRASTRUCTURE FOR CURRENT PROGRAMS,(2) INITIATING NEW PROGRAMS NEEDED IN THE COMMUNITY,(3) REDUCING BARRIERS TO HEALTHCARE FOR PATIENTS, AND (4) ENSURING A STRONG HEALTHCARE WORKFORCE. 1) INFRASTRUCTURE OF CURRENT PROGRAMS WERE STRENGTHENED, INCLUDING: BLOOD DRIVES TO BOLSTER THE COMMUNITY SUPPLY, CONTINUATION OF THE ARTS IN HEALTH PROGRAM AIMED AT THE USE OF ARTS TO AID THE HEALING PROCESS, PROVISION OF MAMMOGRAM AND LUNG SCREENING VIA MOBILE COACHES, GENETIC TESTING FOR FAMILY MEMBERS IF FINANCIAL ASSISTANCE WAS NEEDED, AND PROVISION OF STAFFING FOR THE MELANOMA PROGRAM, COSTS OF FUNDRAISING FOR COMMUNITY BUILDING. 2) CONTINUATION OF THE LYMPHEDEMA PROGRAM, A MUCH NEEDED PROGRAM FOR OUR COMMUNITY FOR AN UNDERTREATED CONDITION.3) REDUCING BARRIERS TO HEALTHCARE FOR COMMUNITY MEMBERS THROUGH FINANCIAL ASSISTANCE FOR BASIC NEEDS & MEDICAL SUPPLIES, INCLUDING: TRANSPORTATION, FOOD, MEDICATION COPAYS, DIABETES TESTING SUPPLIES, RENT, UTILITIES, AND DENTAL CARE FOR RADIATION.4) ENSURING A STRONG HEALTHCARE WORKFORCE BY PROVIDING SCHOLARSHIPS TO HIGH SCHOOL AND COLLEGE STUDENTS EXPLORING CAREERS IN HEALTHCARE, AS WELL AS SUSTAINING A MEDICAL ASSISTANT TRAINING PROGRAM. PART III, LINE 2: BAD DEBT EXPENSE REPORTED ON THE MHCS UNAUDITED FINANCIAL STATEMENTS REPRESENTS AN ESTIMATE OF BAD DEBTS BASED ON HISTORICAL COLLECTION RESULTS. IT DOES NOT REPRESENT ACTUAL WRITE-OFFS INCURRED DURING THE PERIOD. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS SUBSTANTIALLY ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY.WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. ALL PATIENTS THAT DO NOT HAVE INSURANCE RECEIVE A DISCOUNT THAT IS CALCULATED EACH YEAR AS 150% OF THE COST TO CHARGE RATIO IN ACCORDANCE WITH TENNESSEE STATE CODE. THIS DISCOUNT IS APPLIED TO THE PATIENTS ACCOUNT PRIOR TO BILLING AND IS TREATED AS AN ADJUSTMENT TO NET PATIENT REVENUE IN THE SAME MANNER AS A MANAGED CARE DISCOUNT. THE PROVISION OF THIS DISCOUNT TO ALL PATIENTS WITHOUT INSURANCE LOWERS THE AMOUNT THAT IS BILLED TO THE PATIENT AND REDUCES THE AMOUNT OF ANY SUBSEQUENT BAD DEBT EXPENSE. IN FISCAL YEAR 2024, SELF PAY DISCOUNTS WERE $ $28.2 MILLION REPRESENTING $ 5.9 MILLION AT COST. PART III, LINE 3: MEMORIAL HEALTH CARE SYSTEM, INC. MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. MEMORIAL HEALTH CARE SYSTEM, INC.'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. MEMORIAL HEALTH CARE SYSTEM, INC. ALSO UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, MEMORIAL HEALTH CARE SYSTEM, INC. DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: MEMORIAL HEALTH CARE SYSTEM, INC. DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES." PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 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. MEMORIAL HEALTH CARE SYSTEM INC.'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $27.5 MILLION REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 2: CHI MEMORIAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES IN ADDITION TO CHNAS. THESE METHODS INCLUDE: ONGOING REVIEWS OF LOCAL PUBLIC HEALTH DATA, PERIODIC PROVIDER DEMAND ASSESSMENTS, AND PROVIDER SURVEYS THAT ASSESS GAPS IN CARE. PART VI, LINE 3: INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 4: CHI MEMORIAL PRIMARILY SERVES 5 COUNTIES: HAMILTON, BRADLEY, CATOOSA, DADE AND WALKER COUNTIES. THE COMMUNITY INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH CHI MEMORIAL DRAWS ITS PATIENTS. THE COMMUNITY CONSISTS OF A MIXTURE OF URBAN, RURAL, AND SUBURBAN SETTINGS. THE COMMUNITY CONSISTS OF A HIGHER PROPORTION OF THE 65 AND OLDER AGE GROUP WHEN COMPARED TO THE U.S. THIS POPULATION REQUIRES MORE EXTENSIVE HEALTH CARE SERVICES AND IS GROWING AT A HIGHER RATE THAN OTHER AGE GROUPS IN THE COMMUNITY. THE RACIAL AND ETHNIC MAKE-UP OF THE FIVE COUNTIES WAS 80% WHITE, 13% BLACK, 6% HISPANIC ORIGIN, 2% MIXED RACE, 2% ASIAN/PACIFIC ISLANDER, AND 3% OTHER. (THESE PERCENTAGES TOTAL TO OVER 100% BECAUSE HISPANIC IS AN ETHNICITY, NOT A RACE.) THE MAJORITY OF EMPLOYEES IN THE 5-COUNTY AREA ARE EMPLOYED IN: MANUFACTURING (27.9%), EDUCATION SERVICES (19.2%), RETAIL TRADE (10.0%), HEALTH CARE AND SOCIAL ASSISTANCE (8.4%), AND PUBLIC ADMINISTRATION (6.4%). RETAIL TRADE OFFERS HEALTH INSURANCE AT A LOWER RATE THAN HEALTH CARE, PUBLIC ADMINISTRATION, AND EDUCATION SERVICES.THE HOUSEHOLD INCOME DISTRIBUTION OF THE FIVE COUNTIES WAS 24% HIGHER INCOME (OVER $100,000), 56% MIDDLE INCOME, AND 20% LOWER INCOME (UNDER $25,000). THE COMMUNITY HAS SEVERAL CENSUS TRACTS WITH A HIGH NUMBER OF HOUSEHOLDS MAKING BELOW $15,000 PER YEAR. THESE AREAS ARE AT HIGHER RISK FOR HEALTH INEQUITIES. THE 5-COUNTIES MEDIAN HOUSEHOLD INCOME AT $55,253 WAS LOWER THAN TN ($55,276) AND GA ($60,605), AND THE U.S. ($64,730). THE RATE OF POVERTY IN EACH COUNTY WAS HIGHER THAN THE U.S. EXCEPT CATOOSA. THERE ARE TWO OTHER MAJOR HEALTH SYSTEMS THAT SERVE THE SERVICE AREA: ERLANGER HEALTH SYSTEM AND HCA PARKRIDGE HEALTH SYSTEM. PART VI, LINE 5: * FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.* USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.* OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.* ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 24 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF SEPTEMBER 25, 2024, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 137 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. AN ADDITIONAL 21 HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2024, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.574 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.22 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $37.5 BILLION IN FISCAL YEAR 2024, HAS TOTAL ASSETS OF APPROXIMATELY $54.73 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. PART VI, LINE 7, REPORTS FILED WITH STATES TN,GA 1 CATHOLIC CHARITIES OF EAST TN 119 DAMERON AVENUE KNOXVILLE TN 37917 850110070 501(C)(3) 97124 0 COMMUNITY SUPPORT MEDICAL FOUNDATION OF CHATTANOOGA INC 1917 E 3RD ST CHATTANOOGA TN 37404 581696660 501(C)(3) 67500 0 COMMUNITY SUPPORT WELCOME HOME OF CHATTANOOGA PO BOX 4247 CHATTANOOGA TN 37405 462613489 501(C)(3) 80852 0 PROGRAM SUPPORT HOPE SPUR INC 517 BENJAMIN WAY DALTON GA 30721 882852107 501(C)(3) 20000 0 PROGRAM SUPPORT MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 621839548 501(C)(3) 1585241 0 PROGRAM SUPPORT UNIVERSITY OF CHATTANOOGA FOUNDATION 605 OAK STREET CHATTANOOGA TN 37403 620476521 501(C)(3) 52000 0 COMMUNITY SUPPORT SISKIN HOSPITAL FOR PHYS REHAB ONE SISKIN PLAZA CHATTANOOGA TN 37403 621220402 501(C)(3) 6000 0 COMMUNITY SUPPORT AMERICAN CANCER SOCIETY 250 WILLIAMS STREET NW ATLANTA GA 30303 131788491 501(C)(3) 7500 0 COMMUNITY SUPPORT SAINT THOMAS HEALTH FOUNDATIONS 4220 HARDING ROAD NASHVILLE TN 37205 581663055 501(C)(3) 0 179866 BOOK PHARMACEUTICALS COMMUNITY SUPPORT 9 0 SCHOLARSHIPS 42 110500 FMV PAYMENTS TO UNIVERSITIES FOR SCHOLARSHIP RECIPIENTS PART I, LINE 2: GRANT REQUESTS ARE COORDINATED THROUGH THE MEMORIAL HEALTH CARE SYSTEM FOUNDATION. THE BENEFICIARY OF THE GRANT IS RESPONSIBLE FOR USING THE FUNDS IN ACCORDANCE WITH THE GRANT REQUIREMENTS. ALL GRANT SPENDING IS REVIEWED BY FISCAL SERVICES AND THE FOUNDATION BEFORE GRANT SPENDING IS REIMBURSED THROUGH THE FOUNDATION. PERIODIC REPORTING IS COORDINATED BETWEEN THE BENEFICIARY, FISCAL SERVICES, AND THE FOUNDATION. X X X X 1 1 0 0 0 0 0 1 0 T DOUGLAS LAWSON PHD PRESIDENT SOUTH REGION 0 1254480 0 1981456 0 160602 0 196283 0 22326 0 3615147 0 146007 LARRY SCHUMACHER SR. VP OF OPERATIONS, SE DIVISION / 0 1212292 0 1539478 0 229089 0 18431 0 21300 0 3020590 0 0 JAMES ZELLNER MD BOARD MEMBER/CARDIOVASCULAR SURGEON 1181875 0 555214 0 7344 0 18917 0 28639 0 1791989 0 0 0 JANELLE REILLY MARKET CEO 657662 0 643251 0 120376 0 19175 0 37413 0 1477877 0 55898 0 JOHN CRAIG MD CARDIOVASCULAR SURGEON 1282042 0 37500 0 28060 0 11550 0 36931 0 1396083 0 0 0 MAYSHAN GHIASSI MD NEUROSURGEON 108257 1152879 0 50000 0 1711 0 0 18350 13317 126607 1217907 0 0 ANTHONY HOUSTON FORMER KEY EMPLOYEE 0 636781 0 546476 0 64470 0 20726 0 36015 0 1304468 0 0 TROY HAMMETT DIVISION SVP / CFO 634839 0 485713 0 44869 0 76895 0 33125 0 1275441 0 39964 0 JEFFREY MULLINS MD UROLOGIST 1664 1186019 0 0 0 1880 18073 0 22077 8642 41814 1196541 0 0 RANJITH BABU MD NEUROSURGEON 267110 918222 0 0 0 1796 17106 0 15893 11746 300109 931764 0 0 WILLIAM WARREN MD FORMER BOARD MEMBER AND OFFICER 619714 0 275393 0 3732 0 19350 0 37869 0 956058 0 0 0 ALLEN ATCHLEY MD BOARD MEMBER/CARDIOLOGIST 618026 0 275393 0 3360 0 19175 0 39781 0 955735 0 0 0 DEBRA MOORE SVP/ADMINISTRATOR OF MEMORIAL HOSPIT 144785 0 122842 0 500888 0 17291 0 6551 0 792357 0 0 0 MICHAEL SUTTON FORMER OFFICER 357588 0 176830 0 2250 0 19350 0 14119 0 570137 0 0 0 HANY NAGGAR MD PHD BOARD MEMBER 0 354425 0 0 0 2580 0 19115 0 39531 0 415651 0 0 MARK ANDERSON MD BOARD MEMBER/PHYSICIAN 65598 226004 0 0 0 7084 19182 0 23590 13229 108370 246317 0 0 CRAIG NIELSEN BOARD TREASURER/MARKET VP 195688 0 41996 0 579 0 11075 0 24381 0 273719 0 0 0 PART I, LINE 7 MEMORIAL HEALTH CARE SYSTEM (MHCS) ISSUED BONUSES BASED ON INDIVIDUAL PERFORMANCE AND SPECIFIED EVENTS. BONUSES ARE SUBJECT TO MANAGEMENT AND BOARD APPROVAL. 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 2023 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): DEBRA MOORE $498,480. PART I, LINE 4B DURING THE 2023 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2023, THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: LAWRENCE SCHUMACHER - $152; JANELLE REILLY - $52,781; TROY HAMMETT - $39,964 & T. DOUGLAS LAWSON - $146,007. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2023 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2023, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: LAWRENCE SCHUMACHER - $211,992; ANTHONY A HOUSTON - $62,762; JANELLE REILLY - $64,260. SCHEDULE J, PART II MEMORIAL HEALTH CARE SYSTEM FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023. MARK SCHUMACHER FAMILY MEMBER OF BOARD MEMBER L. SCHUMACHER 31454 EMPLOYEE PAYROLL WAGES 0 RILEY ROMINGER FAMILY MEMBER OF KEY EMPLOYEE DEBRA MOORE 12226 EMPLOYEE PAYROLL WAGES 0 FORM 990, PART V, LINE 1C PAYMENTS TO VENDORS PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT ARE MADE BY CONMONSPIRIT HEALTH. THEREFORE, NO FORMS 1099 ARE ISSUED BY MEMORIAL HEALTH CARE SYSTEM. COMMONSPIRIT HEALTH FILES THE FORMS 1099 AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE FORMS 1099 ISSUED ON BEHALF OF MEMORIAL HEALTH CARE SYSTEM ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 1A DELEGATED BROAD AUTHORITY TO A COMMITTEE PURSUANT TO SECTION 8.6 OF THE BYLAWS OF MEMORIAL HEALTH CARE SYSTEM, THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND THE SECRETARY, WITH ONE (1) OR TWO (2) OTHER DIRECTORS; PROVIDED THAT THE EXECUTIVE COMMITTEE SHALL INCLUDE: (1) TO THE EXTENT POSSIBLE, AT LEAST ONE MEMBER OF A PARTICIPATING CONGREGATION OR OTHER RELIGIOUS INSTITUTE OF THE ROMAN CATHOLIC CHURCH, AND (2) AT LEAST ONE DIRECTOR WHO IS A PHYSICIAN MEMBER OF THE MEDICAL STAFF. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. ANY VACANCY OF AN APPOINTED EXECUTIVE COMMITTEE MEMBERSHIP MAY BE FILLED FOR THE UNEXPIRED PORTION OF THE TERM IN THE MANNER THAT THE ORIGINAL COMMITTEE MEMBER WAS APPOINTED. PURSUANT TO SECTION 8.1 OF THE CORPORATIONS BYLAWS, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) BOARD MEMBERS. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. COMMITTEE MEMBERS SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL THEIR SUCCESSORS ARE DULY APPOINTED AND QUALIFIED. FURTHER, PURSUANT TO SECTION 8.6 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 OF MEMORIAL HEALTH CARE SYSTEM, THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDER SELECTING MEMBERS OF GOVERNING BODY ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30TH 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 AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS MEMORIAL HEALTH CARE SYSTEM'S ("MHCS"), CORPORATE MEMBER IS COMMONSPIRIT HEALTH ("CSH"). PURSUANT TO SECTION 5.4 OF MHCS'S BYLAWS,THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CSH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CSH CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF MHCS * AMENDMENT OF THE CORPORATE DOCUMENTS OF MHCS * APPROVE MEMBERS OF THE MHCS BOARD * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MHCS * APPROVAL OF ISSUANCE OF DEBT BY MHCS * APPROVAL OF PARTICIPATION OF MHCS IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY MHCS * APPROVAL OF A MERGER INVOLVING MHCS * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MHCS * TO REQUIRE THE TRANSFER OF ASSETS BY MHCS TO CSH TO ACCOMPLISH CSH'S GOALS AND OBJECTIVES, AND TO SATISFY CSH DEBTS. * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR MHCS. IN ADDITION, PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CSH 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. FORM 990, PART VI, SECTION B, LINE 11B MHCS'S FORM 990 IS PREPARED AND REVIEWED BY THE INTERNAL TAX DEPARTMENT OF ITS PARENT ORGANIZATION, COMMONSPIRIT HEALTH. THE RETURN IS THEN REVIEWED BY MHCS'S FISCAL SERVICES DEPARTMENT AND ITS CHIEF FINANCIAL OFFICER. PRIOR TO FILING, A COPY OF THE RETURN IS PROVIDED TO EACH MEMBER OF THE BOARD ELECTRONICALLY. SUBSEQUENT TO PRESENTATION 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 RE-SUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 FOR LEADERSHIP POSITIONS WITH SUBSTANTIAL INFLUENCE (INCLUDING THE PRESIDENT/CEO), COMPENSATION IS REVIEWED BY AN INDEPENDENT GROUP USING COMPARABILITY DATA AND RECOMMENDATIONS ARE PRESENTED TO THE ORGANIZATION'S EXECUTIVE COMMITTEE FOR APPROVAL OF BASE PAY INCREASES AND INCENTIVE ACHIEVEMENT. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS ESTABLISHED BY COMMONSPIRIT HEALTH COMPENSATION USING EXTERNAL COMPENSATION SURVEYS OR STUDIES CONTAINING COMPARABLE DATA FOR SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX EXEMPT FOR SIMILAR JOB RESPONSIBILITIES. 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, LINE 14 DOCUMENT RETENTION POLICY WHILE THE ORGANIZATION DOES HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY IT HAS NOT BEEN FORMALLY ADOPTED BY THE BOARD. FORM 990, PART VI, LINE 16B JOINT VENTURE POLICY MHCS 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. SCHEDULE O, PART VII DURING FISCAL YEAR 2024, THE ENTITY ENGAGED SPECTRUM HEALTH PARTNERS LLC TO PROVIDE CHIEF FINANCIAL OFFICER SERVICES. MEMORIAL HEALTH CARE SYSTEM COMPENSATED SPECTRUM HEALTH PARTNERS LLC FOR THE SERVICES PROVIDED BY RHONDA MCCABE. THE ORGANIZATION IS NOT AWARE OF THE AMOUNT OF COMPENSATION PAID BY SPECTRUM HEALTH PARTNERS TO RHONDA MCCABE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 18,318,314. MANAGEMENT AND GENERAL EXPENSES 964,122. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,282,436. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 45,210,343. MANAGEMENT AND GENERAL EXPENSES 2,379,492. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,589,835. CONSULTING: PROGRAM SERVICE EXPENSES 730,941. MANAGEMENT AND GENERAL EXPENSES 38,470. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 769,411. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 9,598,797. MANAGEMENT AND GENERAL EXPENSES 1,066,533. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,665,330. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 44,190,159. MANAGEMENT AND GENERAL EXPENSES 2,325,798. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,515,957. FORM 990, PART XI, LINE 9: NON-CONTROLLING INTEREST -80,015. ASSETS RELEASED FROM RESTRICTION-MEMORIAL HEALTH CARE SYSTEM FOUNDATION -3,653,492. INTERCOMPANY TRANSACTIONS -135,863,010. EQUITY CHANGES IN UNCONSOLIDATED ORGS 327,740. MEMORIAL HEALTH PARTNERS 2525 DE SALES AVENUE CHATTANOOGA TN 37404 621784262 CONTRACT SERVICES TN MHCS MEMORIAL HEART INSTITUTE LLC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 PHYSICIAN SERVICES TN 33387862 12699995 MHCS MISSION HEALTH CARE NETWORK 2525 DE SALES AVENUE CHATTANOOGA TN 37404 464236212 CLINICALLY INTEGRATED NETWORK TN 1833006 246118 MHCS ORTHOPEDIC SERVICE LINE MANAGEMENT LLC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 ORTHOPEDIC MANAGEMENT TN MHCS ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) LINE 10 SFH 0 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93301 951802779 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(C)(3) LINE 12A, I CSH 0 BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(C)(3) LINE 3 TCHB 0 BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 REHABILITATION TX 501(C)(3) LINE 10 SJSC 0 CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840405257 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL AVE CENTENNIAL CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC 0 CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 TELEHEALTH CO 501(C)(3) LINE 12A, I CSH 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(C)(3) LINE 10 MMC - ROSEBURG 0 CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(C)(3) LINE 3 DCC 0 CENTRAL KANSAS MEDICAL CENTER 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 480543724 INACTIVE KS 501(C)(3) LINE 3 CSH 0 CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 SENIOR LIVING MN 501(C)(3) LINE 10 CSH 0 CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 ACH 0 CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 INVESTMENTS KY 501(C)(3) LINE 12A, I CSH 0 CHI LIVING COMMUNITIES 930 S WYNN ROAD OREGON OH 43616 341892096 SENIOR LIVING OH 501(C)(3) LINE 12A, I SFH-OH 0 CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(C)(3) LINE 3 MHCS 1 CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA NE 68510 363233121 HOLDING CO NE 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) LINE 12A, I CSH 0 CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(C)(3) LINE 3 CHI-SVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHI-SVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) LINE 12A, I N/A 0 COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 853374038 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CSH 0 COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 850919176 OPERATING INVESTMENTS DE 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 RESEARCH CO 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT MOUNTAIN REGION 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 841335382 MANAGEMENT COMPANY CO 501(C)(3) LINE 12A, I CHIC 0 COMMUNITY HOSPITAL OF SAN BERNARDINO 1805 MEDICAL CENTER DRIVE SAN BERNARDINO CA 92411 951643373 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 HOLDING CO OH 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AZ 85224 742418514 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA CA 95670 680220314 MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(C)(3) LINE 12A, I DCC 0 DOMINICAN HEALTH SERVICES 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770056778 COMMUNITY HEALTH SYSTEM CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN OAKS CORPORATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770127719 OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS CA 501(C)(3) LINE 10 DHS 0 ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING 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LINE 12A, I CSH 0 GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311778403 EDUCATION OH 501(C)(3) LINE 2 GSH 0 GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 GSH-KN 0 GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311206047 FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I GSH 0 HARRISON MEDICAL CENTER 1800 NW MYHRE RD SILVERDALE WA 98383 910565546 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING FOUNDATION MN 501(C)(3) LINE 12A, I SFMC-MN 0 JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611029768 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E LIBERTY ST STE 800 LOUISVILLE KY 40202 611352729 PHYSICIANS KY 501(C)(3) LINE 10 KOH 0 KENTUCKYONE HEALTH INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611029769 HEALTHCARE KY 501(C)(3) LINE 12A, I CSH 0 LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 LHC 0 LEGACY FOUNDATION OF KENTUCKIANA INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I KOH 0 LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 LONGMONT UNITED HOSPITAL 1950 MOUNTAIN VIEW AVE LONGMONT CO 80501 840460697 HOSPITAL CO 501(C)(3) LINE 3 CHIC 0 LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(C)(3) LINE 12A, I MHSET 0 MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 ASSISTED LIVING KY 501(C)(3) LINE 10 CHILC 0 MARIAN REGIONAL MEDICAL CENTER FOUNDATION 1400 E CHURCH STREET SANTA MARIA CA 93454 953818027 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MARK TWAIN MEDICAL CENTER 768 MOUNTAIN RANCH ROAD SAN ANDREAS CA 95249 680127677 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING FOUNDATION TN 501(C)(3) LINE 7 MHCS 1 MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(C)(3) LINE 3 CSH 0 MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(C)(3) LINE 10 MHCS 1 MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HOSPITAL TX 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