2026-05-14T16:15:52-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 620532345 MEMORIAL HEALTH CARE SYSTEM INC MEMO 4234957878 3033 N 3RD AVE PHOENIX AZ 85013 MICHAEL SUTTON CFO 4234957878 2026-05-14 1 0 HEATHER ADKINS P01725376 3032989100 2024 2025-03-06 01:10:19Z X JANELLE REILLY 2525 DESALES AVENUE CHATTANOOGA TN 37404 708534239 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 4248 309 12583589 0 4267845 5774942 683625573 680198971 3863480 2221590 23213018 20338736 714969916 708534239 2333425 2076105 0 0 309211441 307624023 0 0 0 426669985 437327874 738214851 747028002 -23244935 -38493763 494347608 505311623 308184670 372212046 186162938 133099577 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 45256334 302449 97678194 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. 27260244 361482 116743271 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. 12012179 92712 29941875 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. 609786484 1319462 435835631 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. 609786484 1319462 435835631 694315241 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 4248 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 0 0 1 0 TN X CRAIG NIELSEN 4234952565 2525 DE SALES AVENUE CHATTANOOGA TN 37404 X T DOUGLAS LAWSON PHD PRESIDENT SOUTH REGION-(PARTIAL YEAR) 2.00 48.00 X X 0 3774957 101450 LARRY SCHUMACHER SR. VP OF OPERATIONS, SE DIVISION / FORMER CEO 2.00 48.00 X 0 2504033 10402 MATTHEW BROWN MD PRESIDENT SOUTH REGION 2.00 48.00 X X 0 1825312 176408 JOHN CRAIG MD CARDIOVASCULAR SURGEON 50.00 0.00 X 1721471 0 60868 ANTHONY HOUSTON FORMER KEY EMPLOYEE 0.00 50.00 X 0 1702477 64890 JAMES ZELLNER MD BOARD MEMBER/CARDIOVASCULAR SURGEON 50.00 0.00 X 1588865 0 48517 MAYSHAN GHIASSI MD NEUROSURGEON 5.00 45.00 X 330620 1139883 53295 TROY HAMMETT DIVISION SVP / CFO 50.00 0.00 X 1284957 86198 58742 JEFFREY MULLINS MD UROLOGIST 1.00 49.00 X 27782 1260563 46903 RANJITH BABU MD NEUROSURGEON 20.00 30.00 X 401954 827150 47907 JANELLE REILLY MARKET CEO 46.00 4.00 X X 1078278 0 67400 ALLEN ATCHLEY MD BOARD MEMBER/CARDIOLOGIST 50.00 0.00 X 887728 0 62605 WILLIAM WARREN MD FORMER BOARD MEMBER AND OFFICER 50.00 0.00 X 891052 0 57920 HANY NAGGAR MD PHD BOARD MEMBER 2.00 48.00 X 0 360489 61231 MARK ANDERSON MD BOARD MEMBER/PHYSICIAN 2.00 48.00 X 69532 274541 56659 MICHAEL SUTTON FORMER OFFICER 47.00 3.00 X 345507 0 34129 CRAIG NIELSEN BOARD TREASURER/MARKET VP 47.00 3.00 X 246099 0 41109 SLOAN YOUNGBLOOD MD CHIEF OF MEDICAL STAFF 38.00 2.00 X 41340 0 0 JILL APLIN BOARD MEMBER 2.00 1.00 X 0 0 0 DAVEY DANIEL MD BOARD MEMBER 2.00 1.00 X 0 0 0 MARILYN HELMS DBA 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 (THRU 09/24) 2.00 1.00 X 0 0 0 STEVEN DOWLEN MD BOARD MEMBER 2.00 1.00 X 0 0 0 CANDY JOHNSON BOARD MEMBER (THRU 07/24) 2.00 1.00 X 0 0 0 SR REV DR TERENCE L MAYES BOARD MEMBER 2.00 1.00 X 0 0 0 MARCO PEREZ BOARD MEMBER 2.00 1.00 X 0 0 0 SR JACQUELINE ACETO BOARD MEMBER 2.00 1.00 X 0 0 0 8915185 13755603 1050435 424 1 1 0 AMERICAN ANESTHESIOLOGY OF TN 501 20TH ST 606 KNOXVILLE TN 37916 ANESTHESIOLOGY SERVICES 14274063 CHATTANOOGA ANESTHESIA PARTNERS PC 2525 DESALES AVE CHATTANOOGA TN 37404 ANESTHESIOLOGY SERVICES 6687600 CROSS COUNTRY STAFFING INC 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 HEALTHCARE STAFFING SERVICES 3501033 LABORATORY CORPORATION OF AMERRICA 531 SOUTH SPRING ST BURLINGTON NC 27215 LAB AND DIAGNOSTIC SERVICES 2057865 UNIVERSAL PROTECTION SVC LP 161 WASHINGTON ST 600 CONSHY PA 19428 SECURITY SERVICES 1559281 64 5590323 184619 5774942 NET PATIENT SERVICES 900099 672589284 672589284 0 0 MEDICAL SERVICES 621300 4758816 4758816 0 0 RENTAL INCOME 900099 2467378 2467378 0 0 ALL OTHER PSR 900099 383493 383493 0 0 680198971 654101 654101 809161 758328 0 0 809161 758328 1567489 1567489 PHARMACY SERVICES 446110 12555467 0 12555467 0 SERVICES SOLD 900099 2103007 0 0 2103007 CAFETERIA 722100 1711573 0 0 1711573 3968689 28122 3940567 20338736 708534239 680198971 12583589 9976737 X 1963105 1963105 113000 113000 3530370 2577170 953200 238754615 227541819 11212796 10313634 9819747 493887 39050916 37128321 1922595 15974488 15175764 798724 1251115 1251115 118281 118281 138204641 131098693 7105948 2489024 2489024 9189181 9189181 22001974 22001974 15292070 15292070 865856 865856 126087 126087 10783055 10783055 16948692 16948692 24443859 24443859 3673615 3673615 MEDICAL SUPPLIES 151335602 151335602 0 0 STATE PROVIDER TAX 27928294 27928294 0 0 REPAIRS AND MAINTENANCE 7276273 7276273 0 0 MISCELLANEOUS EXPENSES 3673856 3673856 0 0 1726399 1726399 747028002 694315241 52712761 0 4796004 7225246 9229992 1339579 0 89356613 94175912 0 0 0 24749554 23154218 3839047 8557425 736178000 462017909 276987378 274160091 0 18911831 20664959 0 7042487 7042487 59434702 68991706 494347608 505311623 52952982 51694312 0 20167 20167 0 0 0 0 0 255211521 320497567 308184670 372212046 X 185704642 132641281 458296 458296 186162938 133099577 494347608 505311623 X -38493763 684314 -15253912 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 24486 1 1529 0 1 92266 118281 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) - $8,769, CATHOLIC HEALTH ASSOCIATION(CHA) -$4,279, TENNESSEE HOSPITAL ASSOCIATION - $11,438 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. 2120858 116125 51084 2185899 2111356 48685 39183 2120858 2166419 21437 76500 2111356 1582052 604859 -20492 2166419 1362974 219078 1582052 0.73000 0.27000 0.00000 0 1 1 14525628 14525628 437839179 227966730 209872449 4995233 3146241 1848992 255286857 219475513 35811344 23531103 11429425 12101678 274160091 INTERCOMPANY RECEIVABLES 28648293 INVESTMENTS IN UNCONSOLIDATED ORGS - CONTROLLING INTEREST 1471675 INVESTMENTS IN UNCONSOLIDATED ORGS - NONCONTROLLING INTEREST 394947 RIGHT-OF-USE OPERATING LEASE 33455809 RIGHT-OF-USE FINANCE LEASE 5019982 OTHER ASSETS 1000 68991706 ENVIRONMENTAL REMEDIATION LIABILITY 534941 INTERCOMPANY NOTES PAYABLE 127178393 FINANCE LEASE LIABILITY 4041365 OPERATING LEASE LIABILITY 37554800 OTHER CURRENT LIABILITIES 151188068 320497567 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 8537 11980156 0 11980156 0.01600 8640 49562142 41797143 7764999 0.01040 0 0 17177 61542298 41797143 19745155 0.02640 7 2749 2897387 114056 2783331 0.00370 4 133 4345973 1920116 2425857 0.00320 0 0 1 514576 169259 345317 0.00050 3 2 259697 0 259697 0.00030 15 2884 8017633 2203431 5814202 0.00770 15 20061 69559931 44000574 25559357 0.03410 0 0 0 0 2 0 1411354 111611 1299743 0.00170 0 0 0 0 0 0 0 0 0 0 0 0 2 1411354 111611 1299743 0.00170 1 33218126 0 129783495 158586251 -28802756 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 24 1 1 0 1 X HTTPS://WWW.COMMONSPIRIT.ORG/MEMORIAL/ABOUT-MEMORIAL#ACCORDION-66941C9C6E-I X X 1 25 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: COMMONSPIRIT - MEMORIAL HOSPITAL - CHATTANOOGA; COMMONSPIRIT - MEMORIAL HOSPITAL - HIXSON; COMMONSPIRIT - MEMORIAL HOSPITAL - NORTH GEORGIA ENGAGED STRATEGY HEALTH, 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 252 ONLINE, 109 CELL PHONE AND 39 LANDLINE SURVEYS COMPLETED.AGENCIES AND ORGANIZATIONS REPRESENTING MEDICALLY-UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS PARTICIPATED IN FOCUS GROUPS/INTERVIEWS AND THE COMMUNITY HEALTH SUMMIT. THESE INCLUDED: AMERICAN HEART ASSOCIATION, BETHLEHEM COMMUNITY CENTER, BRIDGE HEALTH, CATOOSA COUNTY CHAMBER OF COMMERCE, CATOOSA COUNTY SCHOOLS, CATOOSA COUNTY SHERIFF'S OFFICE, CHATT FOUNDATION, CHATTANOOGA HOUSING AUTHORITY, CITY OF CHATTANOOGA, FIRST CENTENARY CHURCH, GIRLS, INC., HAMILTON COUNTY GOVERNMENT, HOPE SPUR, LAPAZ, LIFT YOUTH CENTER, NON-PROFIT RESOURCE CENTER, NORTHSIDE NEIGHBORHOOD HOUSE, NW GEORGIA CANCER, PROJECT ACCESS, RONALD MCDONALD HOUSE, SALVATION ARMY, URBAN LEAGUE OF GREATER CHATTANOOGA, VITRUVIAN HEALTH, VOLUNTEERS IN MEDICINE, WALKER COUNTY GOVERNMENT AND WELCOME HOME OF CHATTANOOGA. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: COMMONSPIRIT - MEMORIAL HOSPITAL - CHATTANOOGA; COMMONSPIRIT - MEMORIAL HOSPITAL - HIXSON; COMMONSPIRIT - MEMORIAL HOSPITAL - NORTH GEORGIA FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D: PUBLIC ACCESS TO EACH HOSPITAL'S CHNA IS PROVIDED THROUGH WIDELY SHARED LINKS, INCLUDING DISTRIBUTION TO ALL COMMUNITY PARTNERS APPLYING TO THE COMMONSPIRIT COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: BASED ON THE MOST RECENT CHNA, COMMONSPIRIT - MEMORIAL HOSPITAL - CHATTANOOGA; COMMONSPIRIT - MEMORIAL HOSPITAL - HIXSON; AND COMMONSPIRIT - MEMORIAL HOSPITAL - NORTH GEORGIA WILL ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS: ACCESS TO AFFORDABLE HEALTH CARE AND INSURANCE, POOR/LOW INCOME, AND CHRONIC DISEASE.* ACCESS TO AFFORDABLE HEALTHCARE AND INSURANCE: - PROVIDE ONGOING MEDICARE COUNSELING TO ASSIST PATIENTS THAT ARE PART OF THE CLINICALLY INTEGRATED NETWORK (CIN) IN FINDING AFFORDABLE INSURANCE OPTIONS- PROVIDE FUNDING TO ADDRESS BARRIERS TO SEEKING OR RECEIVING HEALTH CARE (E.G. TRANSPORTATION, UTILITIES, DENTAL WORK, TESTING SUPPLIES, MEDICATION COPAYS, ETC.)- MAINTAIN BASIC INDIGENT CARE FUND FOR CANCER PATIENTS- OPENING A STATE-OF-THE-ART REPLACEMENT FACILITY FOR COMMONSPIRIT - MEMORIAL HOSPITAL - NORTH GEORGIA TO FACILITATE IMPROVED ACCESS TO HIGH QUALITY HEALTHCARE FOR NORTH GEORGIA RESIDENTS IN JANUARY 2026.- ANTICIPATED METRICS: # OF ACUTE CARE INPATIENTS WHO QUALIFY TO BE ENROLLED IN AFFORDABLE HEALTH INSURANCE PLANS; # OF ACUTE CARE INPATIENTS WHO QUALIFY TO BE ENROLLED IN SHIP; # OF ACUTE CARE INPATIENTS WHO QUALIFY TO UTILIZE OUR PARTNER RESOURCES. * POOR/LOW INCOME:- PROVIDE FUNDING TO ADDRESS BARRIERS TO SEEKING OR RECEIVING HEALTH CARE (E.G. TRANSPORTATION, UTILITIES, DENTAL WORK, TESTING SUPPLIES, MEDICATION COPAYSETC.)- PARTNERSHIP WITH ONE WESTSIDE PROJECT THROUGH THE CHATTANOOGA HOUSING AUTHORITY, CITY OF CHATTANOOGA, SAMHSA, PROJECT ACCESS, VOLUNTEERS IN MEDICINE, CEMPA, HOMELESS HEALTHCARE CLINIC AND ADDITIONAL PARTNERS.- ANTICIPATED METRICS: # OF PATIENTS WHO USE THE RESOURCES. * CHRONIC DISEASES- PROVIDE HEALTH SCREENINGS AT THE ANNUAL JUNETEENTH JUBILEE CELEBRATION AT THE BETHLEHEM COMMUNITY CENTER- PROVIDE SCREENINGS AND OUTREACH WITH EXISTING MOBILE COACHES - 2 FOR MAMMOGRAPHY AND 2 FOR LUNG SCREENINGS- PROVIDE FREE BLOOD PRESSURE AND BLOOD SUGAR SCREENINGS AT COMMUNITY EVENTS/HEALTH FAIRS, INCLUDING THE HAMILTON COUNTY MINORITY HEALTH FAIR; CHATT. FIRE DEPARTMENT SUMMER OF SAFETY FESTIVAL- PROVIDE EDUCATION VIA THE CIN TEAM TO PATIENTS DIAGNOSED WITH CHRONIC DISEASES - EXPAND THE NEUROSCIENCES SERVICE LINE TO PROVIDE MORE TIMELY STROKE CARE TO A GREATER NUMBER OF STROKE PATIENTS - STRENGTHEN RELATIONSHIPS WITH REFERRING HOSPITALS TO MAXIMIZE SAFETY AND COMMUNICATION FOR NEURO/STROKE - EDUCATE EMS ON NEW NEURO/STROKE SERVICES PROVIDED AT COMMONSPIRIT AT MEMORIAL - PROVIDE EDUCATION AND SUPPORT FOR INSTRUCTION IN BLOOD GLUCOSE MONITORING AND INSULIN ADMINISTRATION AS WELL AS CARBOHYDRATE COUNTING- PARTICIPATE IN HEALTH FAIRS, STROKE EDUCATION/PREVENTION; HEALTH LITERACY; HEALTH SCREENINGS; COMMUNITY HEALTH CLINIC IN HIXSON HEALTH SCREENINGS; UTILIZE THE CHATTANOOGA HEART INSTITUTE FOR CARDIAC AMYLOID SCREENINGS - ANTICIPATED METRICS: UTILIZE DATA FOR TRACKING COMMUNITY REFERRALS; # OF COMMUNITY SCREENINGS FOR ALL CHRONIC DISEASESCOMMONSPIRIT - MEMORIAL HOSPITAL - CHATTANOOGA; COMMONSPIRIT - MEMORIAL HOSPITAL - HIXSON; AND COMMONSPIRIT - MEMORIAL HOSPITAL - NORTH GEORGIA ACKNOWLEDGES THE IMPORTANCE OF MENTAL/BEHAVIORAL HEALTH, FOOD INSECURITY, AFFORDABLE HOUSING, TRANSPORTATION, PREVENTION, EDUCATION AND HEALTH LITERACY AND SUBSTANCE USE DISORDER AS TOP HEALTH NEEDS IDENTIFIED BY THE COMMUNITY. DUE TO LIMITED RESOURCES, WE DO NOT HAVE THE CAPACITY TO ADDRESS THIS DIRECTLY WITHIN THE CURRENT CHNA IMPLEMENTATION STRATEGY CYCLE. 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 A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES AT COMMONSPIRIT MEMORIAL PROMOTE THE HEALTH OF OUR COMMUNITY BY THE FOLLOWING FOUR KEY AREAS OF COMMUNITY BENEFIT:* SUPPORT INFRASTRUCTURE FOR CURRENT PROGRAMS: STRENGTHEN PROGRAMS WHICH INCLUDE BLOOD DRIVES, THE ARTS IN HEALTH PROGRAM, MOBILE MAMMOGRAM AND LUNG SCREENINGS, FINANCIAL ASSISTANCE FOR GENETIC TESTING FOR FAMILY MEMBERS, AND PROVISION OF STAFFING FOR THE MELANOMA PROGRAM.* INITIATE NEW PROGRAMS: THIS SPECIFICALLY INCLUDES THE CONTINUATION OF THE LYMPHEDEMA PROGRAM, IDENTIFIED AS A MUCH-NEEDED SERVICE FOR AN UNDERTREATED CONDITION IN THE COMMUNITY.* REDUCE BARRIERS TO HEALTHCARE: PROVIDE FINANCIAL ASSISTANCE TO COMMUNITY MEMBERS FOR BASIC NEEDS AND MEDICAL SUPPLIES, SUCH AS TRANSPORTATION, FOOD, MEDICATION COPAYS, DIABETES TESTING SUPPLIES, RENT, UTILITIES, AND DENTAL CARE FOR RADIATION PATIENTS.* ENSURE A STRONG HEALTHCARE WORKFORCE: FOCUS EFFORTS ON PROVIDING SCHOLARSHIPS TO HIGH SCHOOL AND COLLEGE STUDENTS PURSUING HEALTHCARE CAREERS AND 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 2025, SELF PAY DISCOUNTS WERE $16,021,571 REPRESENTING $3,334,626 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, 2025, 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 18). 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 $28.8 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: COMMONSPIRIT - MEMORIAL HOSPITAL - CHATTANOOGA; COMMONSPIRIT - MEMORIAL HOSPITAL - HIXSON; AND COMMONSPIRIT - MEMORIAL HOSPITAL - NORTH GEORGIA 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. HOSPITALS' PUBLICLY AVAILABLE COMMUNITY HEALTH IMPLEMENTATION STRATEGIES STATE THAT 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, AND THAT THE POLICY, PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE. 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: COMMONSPIRIT - MEMORIAL HOSPITAL - CHATTANOOGA; COMMONSPIRIT - MEMORIAL HOSPITAL - HIXSON; AND COMMONSPIRIT - MEMORIAL HOSPITAL - NORTH GEORGIA 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 COMMONSPIRIT AT 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 SERVICE AREA WAS 77% WHITE, 12% BLACK, 6% HISPANIC ORIGIN, 7% MORE THAN ONE RACE, 2% ASIAN/PACIFIC ISLANDER, AND 3% OTHER. (THESE PERCENTAGES TOTAL TO OVER 100% BECAUSE HISPANIC IS AN ETHNICITY, NOT A RACE.) HAMILTON COUNTY WAS THE MOST DIVERSE COUNTY WHEREAS CATOOSA, DADE AND WALKER WERE MORE HOMOGENEOUS, PREDOMINANTLY WHITE. RETAIL, ACCOMMODATION, AND FOOD SERVICES OFFER HEALTH INSURANCE AT A LOWER RATE THAN HEALTHCARE, PUBLIC ADMINISTRATION, AND EDUCATIONAL SERVICES. PEOPLE WHO WORK IN THESE INDUSTRIES MAY HAVE ACCESS TO CARE ISSUES. HAMILTON COUNTY HAD THE HIGHEST MEDIAN HOUSEHOLD INCOME AT $69,069 WHICH WAS HIGHER THAN TN ($65,254) AND THE U.S. ($67,521). DADE AND WALKER HAD THE LOWEST INCOMES AT $59,531 AND $52,276 RESPECTIVELY WHICH WERE LOWER THAN GA ($61,035). DADE AND WALKER COUNTIES HAD THE LOWEST MEDIAN INCOMES AT $59,531 AND $52,276 RESPECTIVELY, WHICH WERE LOWER THAN GA ($61,035). THE RATE OF POVERTY IN WALKER COUNTY WAS 13.7%, WHICH WAS HIGHER THAN GA (13.5%) AND THE U.S. (12.5%). THE LOWEST RATE OF POVERTY WAS IN DADE COUNTY AT 6.5%. THE PERCENTAGE OF ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED (ALICE) HOUSEHOLDS WAS HIGHEST IN DADE AND WALKER COUNTIES AT 42% AND 41%, RESPECTIVELY.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 AND MARKET COMMUNITY BOARDS OF COMMUNITY ADVISORS (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 24, 2025, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 138 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 20 HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2025, COMMONSPIRIT HEALTH PROVIDED MORE THAN $3.071 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 $5.156 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $39.1 BILLION IN FISCAL YEAR 2025, HAS TOTAL ASSETS OF APPROXIMATELY $57.26 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 1 MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 621839548 501(C)(3) 1785091 0 PROGRAM SUPPORT CATHOLIC CHARITIES OF EAST TN 119 DAMERON AVENUE KNOXVILLE TN 37917 850110070 501(C)(3) 69000 0 COMMUNITY SUPPORT THE LIGHT HOUSE COLLECTIVE 3731 DORRIS STREET CHATTANOOGA TN 37401 921285971 501(C)(3) 20000 0 COMMUNITY SUPPORT LAPAZ DE DIOS 809 S WILLOW ST CHATTANOOGA TN 37404 201115026 501(C)(3) 20000 0 COMMUNITY SUPPORT MEDICAL FOUNDATION OF CHATTANOOGA 1917 EAST 3RD STREET CHATTANOOGA TN 37406 581696660 501(C)(3) 20000 0 COMMUNITY SUPPORT HUNTER MUSEUM OF AMERICAN ART 10 BLUFF VIEW CHATTANOOGA TN 37403 620511893 501(C)(3) 7750 0 COMMUNITY SUPPORT THE BETHLEHEM CENTER P O BOX 3501 SPARTANBURG SC 29306 570314367 501(C)(3) 7500 0 COMMUNITY SUPPORT ELLA LIBRARY P O BOX 3034 CHATTANOOGA TN 37404 831892994 501(C)(3) 6000 0 COMMUNITY SUPPORT FIRST-CENTENARY UNITED METHODIST CHURCH - ABIDE RESPITE MINISTRY P O BOX 208 CHATTANOOGA TN 37401 430718921 501(C)(3) 6000 0 COMMUNITY SUPPORT 9 0 SCHOLARSHIPS 42 113000 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. 1 1 0 0 0 0 0 0 0 T DOUGLAS LAWSON PHD PRESIDENT SOUTH REGION-(PARTIAL YEAR 0 1454915 0 1885572 0 434470 0 78342 0 23108 0 3876407 0 170364 LARRY SCHUMACHER SR. VP OF OPERATIONS, SE DIVISION / 0 13240 0 0 0 2490793 0 8737 0 1665 0 2514435 0 0 MATTHEW BROWN MD PRESIDENT SOUTH REGION 0 852685 0 969173 0 3454 0 138435 0 37973 0 2001720 0 0 JOHN CRAIG MD CARDIOVASCULAR SURGEON 1357464 0 347485 0 16522 0 20325 0 40543 0 1782339 0 0 0 ANTHONY HOUSTON FORMER KEY EMPLOYEE 0 713666 0 695650 0 293161 0 24088 0 40802 0 1767367 0 0 JAMES ZELLNER MD BOARD MEMBER/CARDIOVASCULAR SURGEON 1349731 0 226666 0 12468 0 18925 0 29592 0 1637382 0 0 0 MAYSHAN GHIASSI MD NEUROSURGEON 330620 1137583 0 0 0 2300 0 14681 1788 36826 332408 1191390 0 0 TROY HAMMETT DIVISION SVP / CFO 659271 18950 555237 0 70449 67248 0 20325 11268 27149 1296225 133672 55500 0 JEFFREY MULLINS MD UROLOGIST 27782 1258683 0 0 0 1880 0 16119 176 30608 27958 1307290 0 0 RANJITH BABU MD NEUROSURGEON 401954 825354 0 0 0 1796 0 18842 2989 26076 404943 872068 0 0 JANELLE REILLY MARKET CEO 684486 0 313616 0 80176 0 27295 0 40105 0 1145678 0 0 0 ALLEN ATCHLEY MD BOARD MEMBER/CARDIOLOGIST 615657 0 268711 0 3360 0 20325 0 42280 0 950333 0 0 0 WILLIAM WARREN MD FORMER BOARD MEMBER AND OFFICER 618609 0 268711 0 3732 0 18925 0 38995 0 948972 0 0 0 HANY NAGGAR MD PHD BOARD MEMBER 0 357602 0 0 0 2887 0 19001 0 42230 0 421720 0 0 MARK ANDERSON MD BOARD MEMBER/PHYSICIAN 69532 269173 0 0 0 5368 0 18500 2633 35526 72165 328567 0 0 MICHAEL SUTTON FORMER OFFICER 342589 0 0 0 2918 0 18925 0 15204 0 379636 0 0 0 CRAIG NIELSEN BOARD TREASURER/MARKET VP 222810 0 0 0 23289 0 12906 0 28203 0 287208 0 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED 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. 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): LAWRENCE SCHUMACHER $2,488,602. PART I, LINE 4B CERTAIN LISTED PERSONS PARTICIPATE IN THE COMMONSPIRIT HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A NONQUALIFIED RETIREMENT PLAN DESIGNED TO PROVIDE DEFERRED COMPENSATION TO KEY EXECUTIVES WHO HAVE CONTRIBUTED MATERIALLY TO THE SUCCESS OF OUR MINISTRY. THE SERP IS INTENDED TO PROVIDE HIGHLY COMPENSATED INDIVIDUALS WITH ADDITIONAL RETIREMENT INCOME TO HELP OFFSET REGULATORY LIMITS IN PLACE ON QUALIFIED RETIREMENT PLANS AND SOCIAL SECURITY. EACH ANNUAL CONTRIBUTION IS SUBJECT TO A FOUR-YEAR VESTING OR RETENTION PERIOD. UPON COMPLETION OF THE APPLICABLE FOUR-YEAR RETENTION PERIOD FOR EACH ANNUAL CONTRIBUTION, VESTING WILL OCCUR, AND ANY ACCUMULATED BENEFIT UNDER THE PLAN WILL BE RECEIVED. ON THE FIRST DAY OF THE CALENDAR MONTH AFTER THE FOURTH ANNIVERSARY OF THE SERP BENEFIT, THE ANNUAL CONTRIBUTION AND ITS ASSOCIATED INVESTMENT GAINS OR LOSSES BECOME 100% VESTED. IN ADDITION, THE PARTICIPANT'S SERP BENEFIT BECOMES 100% VESTED UPON ANY OF THE FOLLOWING EVENTS: 1) REACHING THE AGE OF 65 (THE PLAN'S NORMAL RETIREMENT AGE), OR 2) DEATH, OR BECOME DISABLED UNDER THE LONG-TERM DISABILITY PLAN OR SOCIAL SECURITY. SHOULD EMPLOYMENT END FOR ANY REASON OTHER THAN TERMINATION WITH SEVERANCE, RETIREMENT AT AGE 65 OR OLDER, DISABILITY, OR DEATH, UNVESTED SERP FUNDS ARE FORFEITED. IF EMPLOYMENT IS TERMINATED WITH SEVERANCE, THE TERMS AND CONDITIONS OUTLINED WITHIN THE SERP, AND NOT THOSE OF ANY SEVERANCE AGREEMENT, WILL CONTROL AND GOVERN PAYMENT ENTITLEMENT UNDER THE SERP. CERTAIN ELIGIBLE LISTED PERSONS RECEIVED AN ADDITIONAL PAYMENT DURING 2024 DUE TO A DELAY IN THE START DATE OF THE SERP. CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN THE CATHOLIC HEALTH INITIATIVES SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR REGION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2024, THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: LAWRENCE SCHUMACHER - $316; TROY HAMMETT - $59,057 & T. DOUGLAS LAWSON - $ 172,166. 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 2024 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 2024, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: ANTHONY A HOUSTON- $65, 214; JANELLE REILLY - $66,736; T. DOUGLAS LAWSON - $238,262, & TROY HAMMETT - $65,756. 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 PEOPLE 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. MARK SCHUMACHER FAMILY MEMBER OF BOARD MEMBER L. SCHUMACHER 32241 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 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, 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. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 57,632,657. MANAGEMENT AND GENERAL EXPENSES 3,033,298. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,665,955. CONSULTING: PROGRAM SERVICE EXPENSES 769,570. MANAGEMENT AND GENERAL EXPENSES 40,504. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 810,074. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,522,874. MANAGEMENT AND GENERAL EXPENSES 391,430. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,914,304. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 48,481,840. MANAGEMENT AND GENERAL EXPENSES 2,551,676. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,033,516. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 20,691,752. MANAGEMENT AND GENERAL EXPENSES 1,089,040. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,780,792. FORM 990, PART XI, LINE 9: NON-CONTROLLING INTEREST -83,796. ASSETS RELEASED FROM RESTRICTION-MEMORIAL HEALTH CARE SYSTEM FOUNDATION 6,548. INTERCOMPANY TRANSACTIONS -15,625,112. EQUITY CHANGES IN UNCONSOLIDATED ORGS 531,493. OTHER CHANGE IN NET ASSETS -83,045. 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 273799362 PHYSICIAN SERVICES TN 34900424 35341597 MHCS MISSION HEALTH CARE NETWORK 2525 DE SALES AVENUE CHATTANOOGA TN 37404 464236212 CLINICALLY INTEGRATED NETWORK TN 1548822 169172 MHCS ORTHOPEDIC SERVICE LINE MANAGEMENT LLC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 474174722 ORTHOPEDIC MANAGEMENT TN MHCS ASSOCIATES OF THE MEMORIALMISSION OUTPATIENT SURGERY CENTER 2525 DE SALES AVENUE CHATTANOOGA TN 37404 460509787 OUTPATIENT SURGERY SERVICES 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 BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 9TH AVE SEATTLE WA 98101 910653422 RESEARCH WA 501(C)(3) LINE 4 VMFH 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(C)(3) LINE 12A, I CSH 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 CS OR 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 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CSH 0 COMMONSPIRIT MOUNTAIN REGION 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 841335382 MANAGEMENT COMPANY CO 501(C)(3) LINE 12A, I CHIC 0 COMMONSPIRIT OREGON 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HOSPITAL OR 501(C)(3) LINE 3 CSH 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 501(C)(2) GSH 0 COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AH-CMHMV 0 CONTINUING CARE HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611400619 HOSPITAL KY 501(C)(3) LINE 3 SJHS 0 DIGNITY COMMUNITY CARE 3033 N 3RD AVENUE PHOENIX AZ 85013 815009488 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH 3033 N 3RD AVENUE PHOENIX AZ 85013 941196203 HOSPITAL CA 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH CONNECTED 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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 FOUNDATION KY 501(C)(3) LINE 12A, I FH 0 FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(C)(3) LINE 10 CHILC 0 FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(C)(3) LINE 10 FHS 0 FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(C)(3) LINE 3 CSH 0 FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 PHYSICIANS WA 501(C)(3) LINE 10 FHS 0 FRENCH HOSPITAL MEDICAL CENTER FOUNDATION 1911 JOHNSON AVENUE SAN LUIS OBISPO CA 93401 203256125 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HOSPITAL ND 501(C)(3) LINE 3 SAMC 0 GLENDALE MEMORIAL HEALTH FOUNDATION 1420 SOUTH CENTRAL AVENUE GLENDALE CA 91204 953625651 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 INACTIVE CO 501(C)(3) 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 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