2026-05-14T16:06:44-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 741161938 CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER CHIS 8323551000 3033 N 3RD AVE PHOENIX AZ 85013 LINDA KULHANEK MARKET CFO 8323551000 2026-05-14 1 0 MARK STOCKI P00642127 3032989100 2024 2025-03-06 01:10:19Z X BAYLOR ST LUKE'S MEDICAL CENTER MICHAEL LAWSON 6624 FANNIN ST 1100 HOUSTON TX 77030 1477616320 0 X WWW.STLUKESHEALTH.ORG X 1945 TX TO NURTURE THE HEALING MINISTRY OF THE ROMAN CATHOLIC CHURCH BY BRINGING IT NEW LIFE, ENERGY, AND VIABILITY IN THE TWENTY-FIRST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT MOVES TOWARD THE CREATION OF HEALTHIER COMMUNITIES. 14 13 5098 130 7091691 844408 5044032 6398940 1269532897 1446470639 3609079 3910034 18885709 20555255 1297071717 1477334868 488650 684432 0 0 427636890 455724799 0 0 0 915639405 1023032711 1343764945 1479441942 -46693228 -2107074 1438523302 1603153316 721239944 891944729 717283358 711208587 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 1338426099 684432 1446470639 SEE SCHEDULE H 1338426099 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 5098 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JESUS GOMEZ 8323552885 6720 BERTNER AVE HOUSTON TX 77030 T DOUGLAS LAWSON PHD PRESIDENT, SOUTH REGION (THRU 02/25) 40.00 0.00 X X 3774957 0 101450 MATTHEW BROWN INTERIM PRESIDENT, SOUTH REGION 40.00 0.00 X 1825312 0 176408 BRADLEY LEMBCKE MD PRESIDENT BSLMC 50.00 0.00 X X 1590137 0 55564 LINDA KULHANEK CFO, SOUTH REGION 40.00 0.00 X 769018 0 32341 SYED RAZA MD CMO, BSLMC (THRU 6/25) 50.00 0.00 X 608063 0 52013 TANIA MATAR SYS VP INTERNA HEALTH SVCS 40.00 0.00 X 607763 0 20048 DONALD MCLAUGHLIN MKT SVP OPERATIONS 40.00 0.00 X 520328 0 50107 PETER WONG VP-PERFORMANCE EXCELLENCE (THRU 4/25) 40.00 0.00 X 469572 0 44255 GEETHA D'SOUZA RN II 40.00 0.00 X 364872 0 43652 LORI STANLEY SVP-PATIENT CARE SERVICES (THRU 3/25) 40.00 0.00 X 386524 0 13937 JESUS MICHAEL GOMEZ TREASURER/VP-FINANCE 50.00 10.00 X 331041 0 28351 MONIQUE MORGAN PHD SECRETARY 40.00 0.00 X 39023 0 12328 SARAH FOSHEE MD BOARD MEMBER 1.00 0.00 X 2100 0 0 JOHN GLICK CHAIR 2.00 0.00 X X 2100 0 0 MARK MCCOLLUM VICE CHAIR 1.00 0.00 X X 2100 0 0 ALAN SEMPLE BOARD MEMBER 1.00 0.00 X 2100 0 0 MICHAEL LAWSON HOUSTON MARKET PRESIDENT(BEG 12/24) 40.00 0.00 X 0 0 34 STEPHAN LILLIE MARKET CFO HOUSTON (BEG 06/25) 40.00 0.00 X 0 0 0 TERIKA RICHARDSON BOARD MEMBER 1.00 0.00 X 0 0 0 PAUL KLOTMAN MD EX-OFFICIO/BOARD MEMBER 2.00 0.00 X 0 0 0 TODD ROSENGART MD BOARD MEMBER 1.00 0.00 X 0 0 0 JONATHAN NELSON MD BOARD MEMBER 1.00 0.00 X 0 0 0 SCOTT SILVAS BOARD MEMBER 1.00 0.00 X 0 0 0 STU BRIGHTMAN BOARD MEMBER 1.00 0.00 X 0 0 0 BROOKS MCGEE BOARD MEMBER 1.00 0.00 X 0 0 0 KEVIN CROWLEY BOARD MEMBER 1.00 0.00 X 0 0 0 ALAN SPEIR MD BOARD MEMBER 1.00 0.00 X 0 0 0 11295010 0 630488 1216 0 1 1 TELLEPSEN BUILDERS LP 777 BENMAR SUITE 400 HOUSTON TX 77060 CONSTRUCTIONS SERVICES 19981298 DAVID E HARVEY BUILDERS INC 3630 WEST CHASE DR HOUSTON TX 77042 CONSTRUCTIONS SERVICES 3158448 M STRATEGIC PARTNERS INC 9977 W SAM HOUSTON PKWY N SUITE 105 HOUSTON TX 77064 ARCHITECTURAL SERVICES 2011510 HKS INC 350 N SAINT PAUL ST 100 DALLAS TX 75201 ARCHITECTURAL SERVICES 1454065 HHS ENVIRONMENTAL SERVICES LLC 12495 SILVER CREEK ROAD 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INTERNAL MEDICINE, NUCLEAR MEDICINE, RADIOLOGY, ORTHOPEDIC RESEARCH AND NURSING EDUCATION. PART X, LINE 2: CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MEDICAL CENTER QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(A) AND IS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. SOUTH AMERICA 2 PROGRAM SERVICES MARKETING FEES 191235 MIDDLE EAST & NORTH AFRICA 1 PROGRAM SERVICES MARKETING FEES 40000 CENTRAL AMERICA & THE CARIBBEAN 2 PROGRAM SERVICES MARKETING FEES 56802 0 5 0 0 0 5 288037 0 288037 0 0 0 0 0 1 PART I, LINE 3: SOUTH AMERICA: ACCRUAL MIDDLE EAST & NORTH AFRICA: ACCRUAL CENTRAL AMERICA & THE CARIBBEAN: ACCRUAL 1 1 X 1 X 1 X 1 1 1 0 1 1 6106 22026309 22026309 0.01490 15768 126723419 187951006 0 0.00000 0 0 21874 148749728 187951006 22026309 0.01490 4 753 271231 0 271231 0.00020 2 33239924 10542488 22697436 0.01530 0 0 0 0 2 8 638872 0 638872 0.00040 8 761 34150027 10542488 23607539 0.01590 8 22635 182899755 198493494 45633848 0.03080 0 0 0 0 1 0 2500 0 0.00000 0 0 0 0 0 0 0 0 0 0 0 0 1 2500 0 0.00000 1 70000454 170373288 210600065 -40226777 X 1 1 2 1 CHI ST LUKE'S HEALTH BAYLOR ST LUKE'S MED CNTR 6720 BERTNER HOUSTON TX 77030 WWW.STLUKESHEALTH.ORG 118 X X X X X A 2 BAYLOR ST LUKE'S MEDICAL CENTER - MCNAIR CAMPUS 7200 CAMBRIDGE ST HOUSTON TX 77030 WWW.STLUKESHEALTH.ORG 118 X X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE SECTION C X X 1 25 1 SEE SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 7A - CHNA REPORT URL HTTPS://WWW.COMMONSPIRIT.ORG/BSLMC/ABOUT-BSLMC#ACCORDION-B4F84AC8A7-ITEM-2911FB55A3 SCHEDULE H, PART V, SECTION B, LINE 10A - IMPLEMENTATION STRATEGY URL HTTPS://WWW.COMMONSPIRIT.ORG/BSLMC/ABOUT-BSLMC#ACCORDION-B4F84AC8A7-ITEM-2911FB55A3 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MED CN, - FACILITY 2: BAYLOR ST. LUKE'S MEDICAL CENTER - MCNAIR CAMP FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: THE HOSPITAL CONSIDERED INPUT FROM PERSONS REPRESENTING THE COMMUNITY THROUGH SURVEYS, INTERVIEWS, LISTENING SESSIONS, AND REGIONAL FOCUS GROUPS WITH LOCAL ORGANIZATIONS, PUBLIC HEALTH AGENCIES, AND SERVICE PROVIDERS. THESE ENGAGEMENT ACTIVITIES INTENTIONALLY INCLUDED REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. CONDUENT HEALTHY COMMUNITIES FACILITATED THIS PROCESS, ENSURING ALL PARTICIPATION WAS CONFIDENTIAL. THE FOLLOWING ORGANIZATIONS WERE INCLUDED: TEXAS SUICIDE PREVENTION COLLABORATIVE, AID TO VICTIMS OF DOMESTIC ABUSE, HOUSTON AREA WOMEN'S CENTER, BAY AREA TURNING POINT, BOY'S & GIRL'S CLUB, CATHOLIC CHARITIES OF THE ARCHDIOCESE OF GALVESTON-HOUSTON, GREATER HOUSTON PARTNERSHIP, HARRIS COUNTY AAA/HEALTH DEPT, HARRIS COUNTY PUBLIC HEALTH, HARRIS HEALTH SYSTEM, HOUSTON FOOD BANK, HOUSTON HEALTH DEPT, HOUSTON INDEPENDENT SCHOOL DISTRICT, IBN SINA FOUNDATION, JEWISH FAMILY SERVICE HOUSTON, LEGACY COMMUNITY HEALTH, MY BROTHER'S KEEPER HOUSTON (HOUSED IN THE BUREAU OF YOUTH AND ADOLESCENT HEALTH AT THE HOUSTON HEALTH DEPARTMENT), NORTHWEST ASSISTANCE MINISTRIES, THE HOPE CENTER, THE LANDING ANTI-TRAFFICKING ORGANIZATION, THE LIGHTHOUSE OF HOUSTON, YMCA HOUSTON, BAYLOR COLLEGE OF MEDICINE, CITY OF HOUSTON HEALTH DEPARTMENT, SAN JOSE CLINIC, UNIVERSITY OF ST. THOMAS - HOUSTON, AVANCE-HOUSTON, ACCESS HEALTH, FAMILY HOUSTON, FOOD ACCESS AND NUTRITION NETWORK, HARRIS COUNTY PATHWAYS COMMUNITY HUB, HOPE CLINIC, JUDAH BROWN PROJECT, MAGNIFICAT HOUSES, BREAD OF LIFE, HOUSTON FOOD BANK AND NORTHEAST HOSPITAL AUTHORITY & FOUNDATION. 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 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), BAYLOR ST. LUKE'S MEDICAL CENTER (BSLMC) IS ADDRESSING THE FOLLOWING SIGNIFICANT HEALTH NEEDS: HEALTH CARE ACCESS & QUALITY, HEART DISEASE & STROKE, AND CANCER* HEALTH CARE ACCESS & QUALITY: - COMMUNITY CLINIC PARTNERSHIPS: COLLABORATIONS WITH HOPE CLINIC, SAN JOSE CLINIC, AND CATHOLIC CHARITIES TO EXPAND PRIMARY AND PREVENTIVE CARE FOR UNINSURED/UNDERINSURED RESIDENTS. ACTIVITIES INCLUDE PREVENTIVE SCREENINGS, CHRONIC DISEASE MANAGEMENT, CULTURALLY RESPONSIVE CARE, AND REDUCING PREVENTABLE HOSPITAL UTILIZATION. - COVERAGE & ELIGIBILITY NAVIGATION: ON-SITE MEDICAID/CHIP ENROLLMENT SUPPORT AND CHARITY CARE ASSISTANCE TO REDUCE FINANCIAL BARRIERS.- COMMUNITY HEALTH IMPROVEMENT GRANTS: ANNUAL GRANT PROGRAM (UP TO $100,000 AWARDS) SUPPORTING NONPROFITS ADVANCING ACCESS TO CARE, BEHAVIORAL HEALTH, CHRONIC DISEASE PREVENTION, AND SOCIAL DRIVERS OF HEALTH. - CONNECTED COMMUNITY NETWORK (CCN): PARTICIPATION IN REGIONAL CCN ENSURING PATIENT REFERRALS FOR FOOD, HOUSING, UTILITIES, TRANSPORTATION, AND OTHER SDOH NEEDS. - COLLABORATORS: HOPE CLINIC, SAN JOSE CLINIC, CATHOLIC CHARITIES, HOUSTON HEALTH DEPARTMENT, AREA AGENCY ON AGING, UT HEALTH, UNITED WAY THRIVE NETWORK, COMMONSPIRIT INITIATIVES. - KEY METRICS (ANTICIPATED): INCREASED PREVENTIVE CARE UTILIZATION; REDUCED AVOIDABLE HOSPITALIZATIONS; INCREASED INSURANCE ENROLLMENT; NUMBER OF CCN REFERRALS AND SUCCESSFUL LINKAGES.* HEART DISEASE & STROKE:- CARDIOVASCULAR SCREENING & EDUCATION: COMMUNITY BLOOD PRESSURE, CHOLESTEROL, AND DIABETES RISK SCREENINGS; HEART-HEALTHY EDUCATION IN HIGH-NEED COMMUNITIES. - AHA HEART WALK & COMMUNITY EVENTS: SPONSORSHIP AND STAFF PARTICIPATION TO PROMOTE PREVENTION, PHYSICAL ACTIVITY, AND STROKE AWARENESS. - 24/7 STEMI & STROKE RESPONSE: MAINTENANCE OF EMERGENCY CARDIAC RESPONSE CAPACITY; PURSUIT OF ADVANCED CERTIFICATIONS FOR IMPROVED STROKE AND CARDIAC OUTCOMES. - HEART FAILURE FOLLOW-UP: TELEHEALTH AND MULTIDISCIPLINARY TEAM FOLLOW-UP TO REDUCE READMISSIONS. - COLLABORATORS: AMERICAN HEART ASSOCIATION, HARRIS COUNTY PUBLIC HEALTH, FAITH HEALTH COLLABORATIVE, FITNESS/WELLNESS ORGANIZATIONS. - KEY METRICS: SCREENING TOTALS; AHA HEART WALK PARTICIPATION; STROKE RESPONSE TIMES; READMISSION PREVENTION OUTCOMES.* CANCER:- SCREENING & EARLY DETECTION: PARTNERSHIPS WITH THE ROSE, SAN JOSE CLINIC, HOPE CLINIC, AND OTHERS TO EXPAND BREAST AND PROSTATE CANCER SCREENINGS FOR UNINSURED AND UNDER-SCREENED POPULATIONS, PARTICULARLY BLACK AND HISPANIC RESIDENTS. - NAVIGATION & SURVIVORSHIP SUPPORT: NAVIGATION LINKING PATIENTS TO FINANCIAL COUNSELING, SOCIAL SERVICES, AND SURVIVORSHIP RESOURCES.- EDUCATION & AWARENESS CAMPAIGNS: CULTURALLY RELEVANT CANCER EDUCATION FOCUSED ON SCREENING GUIDELINES AND RISK REDUCTION.- COLLABORATORS: THE ROSE, HOPE CLINIC, SAN JOSE CLINIC, HARRIS COUNTY PUBLIC HEALTH, AMERICAN CANCER SOCIETY, FAITH AND CIVIC PARTNERS.- KEY METRICS: NUMBER OF SCREENINGS; EARLY DETECTION RATES; EDUCATION EVENT REACH.* HEALTH PRIORITIES NOT BEING ADDRESSED DIRECTLY:DIABETES- THE HOSPITAL PRIORITIZES RESOURCES TOWARD ACCESS TO CARE, HEART DISEASE & STROKE, AND CANCER. STRONG EXISTING PROGRAMS AND PARTNERS IN THE REGION ALREADY FOCUS ON DIABETES MANAGEMENT. THE HOSPITAL SUPPORTS INDIRECTLY THROUGH PARTNER COLLABORATIONS AND CHIG GRANTS.MENTAL HEALTH- LIMITED RESOURCES; STRONG EXISTING COMMUNITY PARTNERS AND HEALTH SYSTEM INITIATIVES ALREADY SERVE THIS NEED. HOSPITAL SUPPORTS MENTAL HEALTH INDIRECTLY THROUGH GRANT-FUNDED PROGRAMS AND CCN REFERRALS.RESPIRATORY DISEASES- EXISTING PARTNER CAPACITY IN THE REGION; HOSPITAL FOCUS PLACED ON PRIORITY CHNA NEEDS MOST ALIGNED WITH CAPABILITIES. INDIRECT SUPPORT CONTINUES THROUGH COLLABORATIONS AND GRANTMAKING. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. SCHEDULE H, PART V, SECTION B, LINE 16A - FAP AVAILABLE WEBSITE HTTPS://WWW.STLUKESHEALTH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION FORM WEBSITE HTTPS://WWW.STLUKESHEALTH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C -PLAIN LANGUAGE FAP SUMMARY WEBSITE HTTPS://WWW.STLUKESHEALTH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE 2 1 - BAYLOR ST LUKE'S MEDICAL CENTER - AMBUL 1977 BUTLER BLVD HOUSTON TX 77030 AMBULATORY SURGERY 2 - BAYLOR ST LUKE'S MEDICAL CENTER - ENDOS 7200 CAMBRIDGE 4TH FLOOR HOUSTON TX 77030 ENDOSCOPY PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:- THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.- THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;- HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;- PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);- FOOD STAMP ELIGIBILITY;- ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);- LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR- PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE. PART I, LINE 7: COMMONSPIRIT HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: DURING FY25, THE MEDICAL CENTER DONATED $2,500 TO THE ALBERT SCHWEITZER FELLOWSHIP OF HOUSTON-GALVESTON. THIS DONATION WAS IN DIRECT SUPPORT OF COMMUNITY SERVICE PROJECTS THAT MEET DEMONSTRATED UNMET NEEDS OF A VULNERABLE POPULATION IN THE HOSPITAL SERVICE AREA. PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 201% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER ("MEDICAL CENTER") MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION MEDICAL CENTER 'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. THE MEDICAL CENTER ALSO UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, THE MEDICAL CENTER DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED CHI ST. LUKE S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION THE MEDICAL CENTER EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS) AND OTHERS AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED." 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. THE MEDICAL CENTER'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $40,226,777 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. FORM 990, SCHEDULE H PART V SEC A - HOSPITAL'S WEBSITE CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MEDICAL CENTER:HTTPS://LOCATIONS.STLUKESHEALTH.ORG/LOCATION/BAYLOR-ST-LUKES-MEDICAL-CENTERBAYLOR ST. LUKE'S MEDICAL CENTER - MCNAIR CAMPUS:HTTPS://LOCATIONS.STLUKESHEALTH.ORG/LOCATION/BAYLOR-ST-LUKES-MEDICAL-CENTER-MCNAIR PART VI, LINE 2: ST. LUKE'S HEALTH ANALYZES AND ASSESSES PATIENT DISCHARGE INFORMATION SOURCED FROM TEXAS HEALTH CARE INFORMATION COLLECTION FOR OUR FACILITIES, AND THE SERVICE AREA AND COMMUNITIES WE SERVE. THIS REPRESENTS PUBLICLY AVAILABLE ENCOUNTER DATA THAT IS USED FOR STRATEGIC PLANNING, SERVICE NEEDS AND TO BETTER UNDERSTAND PATIENT ACCESS AND SERVICE NEED PATTERNS. ST. LUKE'S HEALTH ALSO ANALYZES PHYSICIAN SUPPLY AND DEMAND DATA FROM TIME TO TIME TO DETERMINE THE NEEDS FOR ADDITIONAL PRIMARY CARE AND SPECIALIST PHYSICIANS TO SERVE OUR HOSPITALS AND COMMUNITIES. 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: BAYLOR ST. LUKE'S MEDICAL CENTER SERVES A LARGE AND DIVERSE URBAN AND SUBURBAN POPULATION ACROSS GREATER HOUSTON, DRAWING PATIENTS FROM MORE THAN 60 ZIP CODES IN HARRIS AND SURROUNDING COUNTIES. THE COMMUNITY IS ONE OF THE MOST DIVERSE IN THE NATION, WITH SUBSTANTIAL HISPANIC/LATINO, BLACK/AFRICAN AMERICAN, ASIAN, AND IMMIGRANT POPULATIONS, ALONGSIDE SIGNIFICANT LINGUISTIC DIVERSITY. WHILE PARTS OF THE REGION HAVE HIGH MEDIAN HOUSEHOLD INCOMES, MANY NEIGHBORHOODS EXPERIENCE PERSISTENT SOCIOECONOMIC HARDSHIP, INCLUDING ELEVATED POVERTY, HOUSING COST BURDENS, TRANSPORTATION BARRIERS, AND HIGH RATES OF UNINSURED ADULTS.THE SERVICE AREA INCLUDES COMMUNITIES DESIGNATED AS MEDICALLY UNDERSERVED AREAS/POPULATIONS, REFLECTING SHORTAGES IN PRIMARY CARE, BEHAVIORAL HEALTH, AND SPECIALTY PROVIDERS. CHRONIC DISEASE PREVALENCE, MENTAL HEALTH NEEDS, AND AVOIDABLE HOSPITALIZATIONS ARE ELEVATED IN HIGH-NEED ZIP CODES. MULTIPLE HOSPITALS OPERATE IN THE REGION, BUT ACCESS CHALLENGES REMAIN FOR LOW-INCOME, UNINSURED, AND MEDICALLY VULNERABLE RESIDENTS. AS A MAJOR TERTIARY AND QUATERNARY REFERRAL CENTER, BSLMC PLAYS A CRUCIAL ROLE IN PROVIDING ADVANCED MEDICAL CARE, SPECIALTY SERVICES, AND COMMUNITY HEALTH SUPPORT ACROSS THE HOUSTON METROPOLITAN AREA. 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: ST. LUKE'S HEALTH SYSTEM CORPORATION (THE SYSTEM)THE SYSTEM IS A SEPARATE LEGAL ENTITY AND IS A TEXAS NONPROFIT MEDICAL EDUCATION CORPORATION UNDER THE DIRECTION OF CSH AND A SEPARATE BOARD OF DIRECTORS. THE SYSTEM PROVIDES DIRECT SERVICES AND EMPLOYEES TO THE MEDICAL CENTER FOR THE OPERATION OF THE MEDICAL CENTER. ALL OF THE MEDICAL CENTER EMPLOYEES ARE CONTRACTED FROM THE SYSTEM. THE SYSTEM CHARGES THE MEDICAL CENTER FOR THE WAGES AND BENEFITS PAID TO THESE EMPLOYEES, WHICH ARE REFLECTED AS PERSONNEL COSTS ON THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. THE SYSTEM ALSO PROVIDES CORPORATE SERVICES FOR HUMAN RESOURCES, FINANCE, INFORMATION MANAGEMENT, PURCHASING, COMPLIANCE, MANAGED CARE CONTRACTING, LEGAL, RISK MANAGEMENT, MEDICAL RECORDS, PATIENT FINANCIAL SERVICES, AND QUALITY.COMMONSPIRIT HEALTH (CSH)CSH, THE PARENT OF THE SYSTEM, PROVIDES SERVICES TO THE MEDICAL CENTER FOR PATIENT FINANCIAL SERVICES, FOOD PROGRAM, EMPLOYEE BENEFITS, CLINICAL ENGINEERING, FACILITIES MANAGEMENT, INSURANCE, AND A GENERAL MANAGEMENT ASSESSMENT.BAYLOR COLLEGE OF MEDICINE (BCM)BCM IS A SEPARATE LEGAL ENTITY AND IS A TEXAS NONPROFIT MEDICAL EDUCATION CORPORATION UNDER THE DIRECTION OF A SEPARATE BOARD OF DIRECTORS. THE MEDICAL CENTER EXECUTED AN ACADEMIC AFFILIATION AGREEMENT WITH BCM EFFECTIVE JANUARY 1, 2014. UNDER THIS AGREEMENT, AS AMENDED, BCM PROVIDES OVERSIGHT AND MANAGEMENT OF MAJOR CLINICAL PROGRAMS, RESEARCH SERVICES, MEDICAL DIRECTORSHIPS, COVERAGE SERVICES FOR KEY AREAS, GRADUATE MEDICAL EDUCATION, AND MISCELLANEOUS SERVICES. PART VI, LINE 7, REPORTS FILED WITH STATES TX 1 SAN JOSE CLINIC 2615 FANNIN HOUSTON TX 77002 760373703 501(C)(3) 100000 0 PROGRAM SUPPORT CATHOLIC CHARITIES OF THE ARCHDIOCESE OF GALVESTON-HOUSTON 2900 LOUISIANA STREET HOUSTON TX 77006 741109733 501(C)(3) 94372 0 PROGRAM SUPPORT MAGNIFICAT HOUSES INC PO BOX 8486 HOUSTON TX 77288 237003471 501(C)(3) 95000 0 PROGRAM SUPPORT THE ROSE 12700 N FEATHERWOOD DR HOUSTON TX 77034 760193812 501(C)(3) 100000 0 PROGRAM SUPPORT THE LIGHTHOUSE OF HOUSTON 3602 W DALLAS ST HOUSTON TX 77019 741146781 501(C)(3) 25000 0 PROGRAM SUPPORT HOUSTON AREA WOMEN'S CENTER INC 3077 EL CAMINO ST HOUSTON TX 77054 742029166 501(C)(3) 100000 0 PROGRAM SUPPORT NETWORK OF BEHAVIORAL HEALTH PROVIDERS 9401 SOUTHWEST FWY STE 1242 HOUSTON TX 77074 753220882 501(C)(3) 100000 0 PROGRAM SUPPORT THE ARC OF HARRIS COUNTY 9401 SOUTHWEST FREEWAY HOUSTON TX 77074 760129106 501(C)(3) 20000 0 PROGRAM SUPPORT 8 0 PART I, LINE 2: THE ORGANIZATION GRANTS FUNDS TO OTHER ORGANIZATIONS AND REQUIRES ALL GRANT RECIPIENTS TO MEASURE THEIR SUCCESS IN ATTAINING PROGRAM GOALS. 1 1 0 0 0 0 0 0 0 T DOUGLAS LAWSON PHD PRESIDENT, SOUTH REGION (THRU 02/25) 1454915 0 1885572 0 434470 0 78342 0 23108 0 3876407 0 170364 0 MATTHEW BROWN INTERIM PRESIDENT, SOUTH REGION 852685 0 969173 0 3454 0 138435 0 37973 0 2001720 0 0 0 BRADLEY LEMBCKE MD PRESIDENT BSLMC 946343 0 633357 0 10437 0 20325 0 35239 0 1645701 0 0 0 LINDA KULHANEK CFO, SOUTH REGION 586278 0 174979 0 7761 0 20325 0 12016 0 801359 0 0 0 SYED RAZA MD CMO, BSLMC (THRU 6/25) 508437 0 97004 0 2622 0 20325 0 31688 0 660076 0 0 0 TANIA MATAR SYS VP INTERNA HEALTH SVCS 9717 0 96914 0 501132 0 11496 0 8552 0 627811 0 0 0 DONALD MCLAUGHLIN MKT SVP OPERATIONS 391711 0 127172 0 1445 0 19697 0 30410 0 570435 0 0 0 PETER WONG VP-PERFORMANCE EXCELLENCE (THRU 4/25 342707 0 117022 0 9843 0 20216 0 24039 0 513827 0 0 0 GEETHA D'SOUZA RN II 356266 0 600 0 8006 0 14181 0 29471 0 408524 0 0 0 LORI STANLEY SVP-PATIENT CARE SERVICES (THRU 3/25 263799 0 42000 0 80725 0 2295 0 11642 0 400461 0 0 0 JESUS MICHAEL GOMEZ TREASURER/VP-FINANCE 267055 0 63103 0 883 0 17194 0 11157 0 359392 0 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED BY COMMONSPIRIT HEALTH (CSH), AN AFFILIATE OF ST. LUKE'S HEALTH SYSTEM CORPORATION (THE SYSTEM), AND PAID BY CSH AND THE SYSTEM. CSH 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. SCHEDULE J, PART I, LINE 4A COMPENSATION FOR BAYLOR ST. LUKE'S MEDICAL CENTER IS DETERMINED BY COMMONSPIRIT HEALTH (CSH), AN AFFILIATE OF ST. LUKE'S HEALTH SYSTEM CORPORATION. THE FOLLOWING DISCLOSURE EXPLAINS CSH'S PROCESSES IN DETERMINING COMPENSATION FOR BAYLOR ST. LUKE'S MEDICAL CENTER EMPLOYEES: CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED EXECUTIVE SEVERANCE PAYMENTS DURING THE 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): TANIA MATAR, $407,928. SCHEDULE J, PART II CHI ST. LUKE'S HEALTH BAYLOR ST. LUKE'S MEDICAL CENTER ("MEDICAL CENTER") FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE 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. SCHEDULE J, 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: 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: T. DOUGLAS LAWSON, $238,262. SCHEDULE J, PART II - COMPENSATION FROM AN UNRELATED ORGANIZATION LIST OF OFFICERS WHO RECEIVED COMPENSATION FROM COMMONSPIRIT HEALTH AN UNRELATED ORGANIZATION: T. DOUGLAS LAWSON, PHD - $3,876,407 MATTHEW BROWN -$2,001,720 LIST OF OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO RECEIVED COMPENSATION FROM ST. LUKE'S HEALTH SYSTEM CORPORATION, AN UNRELATED ORGANIZATION: BRADLEY LEMBCKE - $1,645,701 LINDA KULHANEK - $801,359 PETER WONG -$356,919 FORM 990, PART V, LINE 1A - FORM 1096 REPORTING PAYMENTS TO VENDORS ARE MADE BY COMMONSPIRIT HEALTH (CSH), AN AFFILIATE OF ST. LUKE'S HEALTH SYSTEM CORPORATION, ON BAYLOR ST. LUKE'S MEDICAL CENTER'S BEHALF. THEREFORE, NO FORM 1099S ARE ISSUED BY THE ORGANIZATION. CSH FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099S ISSUED BY CSH ON BEHALF OF THE ORGANIZATION ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 1A PURSUANT TO SECTION 8.5 OF THE BYLAWS OF CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, AT LEAST ONE BCM APPOINTEE, AND AT LEAST ONE ST. LUKE'S APPOINTEE, AND THE PRESIDENT, WHO SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY VOTING BOARD MEMBERS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY VOTING BOARD MEMBERS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.5 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS, BOTH CHI ST. LUKE'S HEALTH SYSTEM CORPORATION, A TEXAS NONPROFIT CORPORATION, AND BAYLOR COLLEGE OF MEDICINE SHALL BE MEMBERS OF CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO THE OTHER ACTIONS SPECIFIED IN THE BYLAWS REQUIRING THE APPROVAL OF BOTH CORPORATE MEMBERS, THE FOLLOWING ACTIONS SHALL REQUIRE THE PRIOR APPROVAL OF SOLELY BAYLOR COLLEGE OF MEDICINE ("BCM"): (A) ANY SUBSTANTIAL CHANGE TO THE MISSION, VALUES, PURPOSE, OR GENERAL CHARACTER OF THE CORPORATION; (B) INCURRENCE OF DEBT BY THE CORPORATION THAT RESULTS IN THE CORPORATION MAINTAINING AN EQUIVALENT MOODY'S RATING OF BBB OR LOWER; (C) ADMISSION OF ANY NEW MEMBERS OF THE CORPORATION; (D) MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION, OR BANKRUPTCY OF THE CORPORATION; (E) CHANGES IN TAX-EXEMPT STATUS OF THE CORPORATION OR ANY CHANGE THAT CAUSES A CHANGE IN THE CORPORATION'S TAX-EXEMPT STATUS; (F) TRANSFER OF MEMBERSHIP INTERESTS IN THE CORPORATION OTHER THAN AS PERMITTED BY THE MEMBERSHIP AGREEMENT; (G) AGREEMENTS WITH AN ANNUAL VALUE OF $2.5 MILLION OR MORE (OR AMENDMENTS TO AGREEMENTS) WITH AFFILIATES OF THE CORPORATE MEMBERS (I.E., ANY AGREEMENT BETWEEN THE CORPORATION, ON THE ONE HAND, AND CHI ST. LUKE'S, BCM OR ANY OF THEIR RESPECTIVE AFFILIATES, ON THE OTHER HAND); PROVIDED, HOWEVER, THAT THE CORPORATION SHALL BE PERMITTED, WITHOUT APPROVAL OF BCM TO ENTER INTO ANY AGREEMENTS AS MAY BE PROVIDED IN THE MEMBERSHIP AGREEMENT; (H) SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (I) ANY CHANGE TO THE NAME OF THE MEDICAL CENTER; (J) ANY CHANGES TO THE CORPORATION'S MEDICAL STAFF BYLAWS THAT WOULD AFFECT ACADEMIC ACCREDITATION, THE MEDICAL STAFF LEADERSHIP APPOINTMENT PROCESS; (K) ANY MATERIAL CHANGES TO THE CORPORATION'S MEDICAL STAFF APPOINTMENT PROCESS THAT ADVERSELY AFFECTS BCM; (L) APPROVAL OF THE CORPORATION'S STRATEGIC PLANS; (M) ELIMINATION OF ANY OF THE CORPORATION'S SERVICE LINES OR PROGRAMS REQUIRED FOR ACADEMIC ACCREDITATION OF BCM AND NOT DUE TO FINANCIAL EXIGENCY; (N) SALE OR CONVEYANCE OF ANY REAL PROPERTY OR BUILDING LOCATED AT THE MEDICAL CENTER; (O) SUBJECT TO THE MEMBERSHIP AGREEMENT, ADDITIONAL CAPITAL CONTRIBUTION OR OTHER CONTRIBUTIONS OR ASSUMPTION OR GUARANTEE OF DEBT BY BCM; AND (P) APPROVAL OF THE MASTER FACILITY PLAN AS RELEVANT TO THE MEDICAL CENTER, IN ADDITION TO THE OTHER ACTIONS SPECIFIED IN THE BYLAWS REQUIRING THE APPROVAL OF BOTH CORPORATE MEMBERS, THE FOLLOWING ACTIONS SHALL REQUIRE THE PRIOR APPROVAL OF SOLEY ST. LUKE'S HEALTH SYSTEM CORPORATION ("CHI ST. LUKE'S"): (A) ANY SUBSTANTIAL CHANGE TO THE MISSION, VALUES, PURPOSE, OR GENERAL CHARACTER OF THE CORPORATION; (B) ADMISSION OF ANY NEW MEMBERS OF THE CORPORATION; (C) MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION, OR BANKRUPTCY OF THE CORPORATION; (D) CHANGES IN TAX-EXEMPT STATUS OF THE CORPORATION OR ANY CHANGE THAT CAUSES A CHANGE IN THE CORPORATION'S TAX-EXEMPT STATUS; (E) TRANSFER OF MEMBERSHIP INTERESTS IN THE CORPORATION OTHER THAN AS PERMITTED BY THE MEMBERSHIP AGREEMENT; (F) AGREEMENTS WITH AN ANNUAL VALUE OF $2.5 MILLION OR MORE (OR AMENDMENTS TO AGREEMENTS) WITH AFFILIATES OF THE CORPORATE MEMBERS (I.E., ANY AGREEMENT BETWEEN THE CORPORATION, ON THE ONE HAND, AND CHI ST. LUKE'S, BCM OR ANY OF THEIR RESPECTIVE AFFILIATES, ON THE OTHER HAND); PROVIDED, HOWEVER, THAT THE CORPORATION SHALL BE PERMITTED, WITHOUT APPROVAL OF BCM, TO ENTER INTO ANY AGREEMENTS AS MAY BE PROVIDED IN THE MEMBERSHIP AGREEMENT; (G) SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (H) CONSISTENT WITH THE PRESIDENT SEARCH PROCESS SET FORTH IN SECTION 7.2.1 OF THE BYLAWS, THE APPOINTMENT AND REMOVAL OF THE CORPORATION'S PRESIDENT; (I) APPROVAL OF THE CORPORATION'S STRATEGIC PLANS; (J) ANY CHANGE TO THE CORPORATION'S FACILITY NAME; (K) ANY CHANGES TO THE CORPORATION'S MEDICAL STAFF BYLAWS THAT AFFECT ACADEMIC ACCREDITATION OR THE MEDICAL STAFF LEADERSHIP APPOINTMENT PROCESS; AND (L) OTHER RESERVE POWERS AS REQUIRED BY GAAP TO EFFECT ECONOMIC CONSOLIDATION ON CHI'S FINANCIAL STATEMENTS; PROVIDED, HOWEVER, THAT, IN THE SPIRIT OF THE CORPORATE MEMBERS' AGREEMENT IN THE MEMBERSHIP AGREEMENT, ANY SUCH ADDITIONAL RESERVE POWERS WILL BE MINIMIZED TO THE MAXIMUM EXTENT POSSIBLE SO AS TO LIMIT TO THE MAXIMUM EXTENT POSSIBLE THE IMPACT ON THE CORPORATE MEMBERS' RIGHTS AND OBLIGATIONS SET FORTH IN THE MEMBERSHIP AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS MADE AVAILABLE TO THE OFFICERS AND DIRECTORS BEFORE FILING. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST 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. COMMONSPIRIT'S PHYSICIAN COMPENSATION SERVICES GROUP (PCSG) IS RESPONSIBLE FOR DEVELOPING COMMONSPIRIT'S PHYSICIAN COMPENSATION GUIDELINES (GUIDELINES). THE GUIDELINES INCLUDE: GENERAL PROVIDER COMPENSATION CONSIDERATIONS RECOMMENDED PRACTICES IN PROVIDER COMPENSATION DOCUMENTING FAIR MARKET VALUE AND WHEN AN EXTERNAL FAIR MARKET VALUE OPINION IS REQUIRED DOCUMENTING WHEN A COMPLIANCE REVIEW OR OTHER REVIEWS ARE NECESSARY PROVIDER WORK PRODUCTIVITY PARAMETERS AND EXPECTATIONS IN ADDITION, THE GUIDELINES INCLUDE STANDARD PHYSICIAN TRANSACTION PARAMETERS (PARAMETERS) THAT DEFINE CRITERIA FOR STANDARD PHYSICIAN TRANSACTIONS. THE APPROVAL PROCESS REQUIRED FOR A PHYSICIAN TRANSACTION WILL DEPEND ON WHETHER THE PHYSICIAN TRANSACTION FITS WITHIN THESE PARAMETERS. A CORPORATE RESPONSIBILITY PROGRAM CONTRACTS ADMINISTRATION TEAM MEMBER (CRP CAT) WILL CONDUCT THE INITIAL REVIEW OF A PHYSICIAN TRANSACTION. THE CRP CAT REVIEW INCLUDES, BUT IS NOT LIMITED TO, THE NEED FOR THE ARRANGEMENT, ALL REMUNERATION INVOLVED, THE COMPENSATION STRUCTURE OF THE ARRANGEMENT, AND ANY DOCUMENTATION OF FAIR MARKET VALUE AND COMMERCIAL REASONABLENESS (WHEN REQUIRED UNDER THE GUIDELINES). THE CRP CAT SHALL ALSO DETERMINE IF THE PHYSICIAN TRANSACTION IS A STANDARD TRANSACTION (FITS ENTIRELY WITHIN THE PARAMETERS) OR A NON-STANDARD TRANSACTION REQUIRING REVIEW BY THE PHYSICIAN TRANSACTION ADVISORY GROUP (PTAG). IF REQUIRED, THE PURPOSE OF PTAG REVIEW SHALL BE TO EVALUATE WHETHER COMPENSATION TO BE PAID BY THE COMMONSPIRIT ENTITY TO THE PHYSICIAN UNDER THE TRANSACTION IS SUPPORTED BY DOCUMENTATION OF FAIR MARKET VALUE AND COMMERCIAL REASONABLENESS THAT SATISFIES THE REQUIREMENTS OF APPLICABLE COMMONSPIRIT POLICIES AND TO IDENTIFY WHETHER FURTHER COMPLIANCE REVIEW IS REQUIRED. ACQUIRING FAIR MARKET VALUE AND COMMERCIAL REASONABLENESS OPINIONS FROM EXTERNAL, THIRD-PARTY VALUATION FIRMS IS ENCOURAGED IN APPROPRIATE SITUATIONS. IN SOME SITUATIONS, PTAG REQUIRES EXTERNAL OPINIONS. THE VALUE OF THE CONTRACT GOVERNS APPROVAL AUTHORITY LEVEL. APPROVAL BY THE SVP OF OPERATIONS AND THE COMMONSPIRIT HEALTH CHIEF OPERATING OFFICER, FOR EXAMPLE, MAY BE REQUIRED WHEN APPROPRIATE. ALL PHYSICIAN CONTRACTS, WHETHER STANDARD PHYSICIAN TRANSACTIONS OR NON-STANDARD PHYSICIAN TRANSACTIONS, MUST BE REVIEWED BY THE CRP CAT UPON RENEWAL AND AT LEAST EVERY THREE YEARS, UNLESS AN EARLIER REVIEW IS SPECIFIED BY THE PTAG WHEN THE PHYSICIAN TRANSACTION IS INITIALLY ENTERED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 1,060,359. MANAGEMENT AND GENERAL EXPENSES 55,808. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,116,167. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 25,366,905. MANAGEMENT AND GENERAL EXPENSES 2,818,545. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,185,450. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 76,220,716. MANAGEMENT AND GENERAL EXPENSES 4,011,617. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,232,333. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 76,955,127. MANAGEMENT AND GENERAL EXPENSES 4,050,270. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,005,397. OTHER FEES: PROGRAM SERVICE EXPENSES 186,886,371. MANAGEMENT AND GENERAL EXPENSES 9,760,449. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 196,646,820. FORM 990, PART XI, LINE 9: BENEFICIAL INTEREST ADJUSTMENT 4,483,489. AFFILIATE TRANSFER -8,439,346. OTHER CHANGES IN NET ASSETS -356,190. CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER CONDOMINIUM 6624 FANNIN ST STE 1100 HOUSTON TX 77030 465079545 CONDO ASSOC TX CHI-SLHBCM C 1.00000 1 ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC 6720 BERTNER MC4-262 HOUSTON TX 77030 760377932 PHO TX CHI-SLHBCM C 1.00000 1 THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B 6624 FANNIN ST STE 1100 HOUSTON TX 77030 900064009 CONDO ASSOC TX CHI-SLHBCM C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0