2026-05-15T09:02:31-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 911145592 FRANCISCAN FOUNDATION FRAN 2536803687 3033 N 3RD AVE PHOENIX AZ 85013 JEANNE JACHIM PRESIDENT 2536803687 2026-05-15 1 0 PAMELA KROHN P01210500 3032989100 2024 2025-03-06 01:10:19Z X JEANNE JACHIM 3033 N 3RD AVE PHOENIX AZ 85013 6668714 0 X SEE SCHEDULE O X 1986 WA THE FRANCISCAN FOUNDATION SOLICITS, RECEIVES AND ADMINISTERS CHARITABLE GIFTS FOR FRANCISCAN HEALTH SYSTEM, IN KEEPING WITH FHS' MISSION OF BUILDING HEALTHIER COMMUNITIES. 21 17 0 19 0 0 1688038 4799302 0 0 1139305 1748587 58641 74856 2885984 6622745 998221 3706575 0 0 0 0 0 0 129795 530186 632891 1528407 4339466 1357577 2283279 33942401 37629223 248461 4903 33693940 37624320 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 3855935 3706575 0 SEE SCHEDULE O 3855935 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 17 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 0 WA X DAVID NOSACKA 2536804000 1145 BROADWAY PLAZA STE 1200 TACOMA WA 98402 KETUL PATEL EX OFFICIO/CEO VMFH & PRESIDENT NW REGION 2.00 48.00 X 0 5665901 88958 DAVID NOSACKA SVP&CFO NORTHWEST REGION 2.00 48.00 X 0 872310 61972 JANE BUCKNER MD TRUSTEE 2.00 48.00 X 0 662039 34193 MARIKO KITA MD TRUSTEE 2.00 48.00 X 0 578628 21039 JEANNE JACHIM REGION CHIEF PHILANTHROPY OFFICER-NW 40.00 10.00 X X 0 554582 42423 SHARON ROYNE FORMER INTERIM PRESIDENT 0.00 50.00 X 0 406549 38829 CAROLINE LEUNG FORMER CORPORATE TREASURER/ACCTG DIRECTOR FHS 0.00 50.00 X 0 216926 33790 DENISE DOLAK FORMER SECRETARY/EXECUTIVE ASSISTANT 0.00 50.00 X 0 100032 23003 DEBBIE GORDON CORPORATE SECRETARY/EXECUTIVE ASSISTANT 2.00 38.00 X 0 86597 27915 JANA ARNOLD CHAIR 2.00 0.00 X X 0 0 0 PAMELA BAADE TRUSTEE 2.00 0.00 X 0 0 0 RICHARD BANGERT II TRUSTEE 2.00 8.00 X 0 0 0 LARRY BJORK TRUSTEE (THRU 12/24) 2.00 6.00 X 0 0 0 CAROL BOSTON-FLEISCHHAUER JD MS BSN TRUSTEE 2.00 0.00 X 0 0 0 CLEMENCIA CASTRO-WOOLERY TRUSTEE (THRU 12/24) 2.00 0.00 X 0 0 0 PHILIP CONDIT CO-CHAIR (THRU 1/25)/TRUSTEE 2.00 0.00 X X 0 0 0 JOSHUA GREEN III TRUSTEE 2.00 0.00 X 0 0 0 PAMELA GREEN TRUSTEE 2.00 0.00 X 0 0 0 JEAN-FRANOIS HEITZ TRUSTEE 2.00 0.00 X 0 0 0 KATERINA HUBKA TRUSTEE 2.00 0.00 X 0 0 0 MINAKSHI KRISHNA VELAMOOR TRUSTEE 2.00 0.00 X 0 0 0 ROBERT LEMON TRUSTEE 2.00 8.00 X 0 0 0 RICHARD MARTINEZ TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL MILLEGAN TRUSTEE 2.00 0.00 X 0 0 0 JOHN OPPENHEIMER CO-CHAIR (THRU 1/25)/TREASURER 2.00 8.00 X X 0 0 0 KRISTI PANGRAZIO TRUSTEE 2.00 0.00 X 0 0 0 ANGELA TRELEVEN TRUSTEE 2.00 0.00 X 0 0 0 GEORGE TREPERINAS TRUSTEE 2.00 0.00 X 0 0 0 0 9143564 372122 0 1 1 0 0 169523 849370 83232 3697177 87699 4799302 425423 425423 1323164 0 1323164 1323164 1323164 115046 169523 45969 69077 69077 5779 0 5779 5779 6622745 0 0 1823443 X 3653769 3653769 52806 52806 486393 149360 210651 126382 33669 31695 1974 108443 108443 2539 1931 608 EDUCATION 1513 0 832 681 DUES & SUBSCRIPTIONS 216 0 119 97 MISCELLANEOUS EXPENSES 118 0 65 53 4339466 3855935 353736 129795 0 0 2609899 2636166 364419 1082493 1353 506 0 0 0 0 0 0 0 0 0 0 297916 297916 0 0 22384 22384 30944346 33782790 0 0 0 0 0 104884 33942401 37629223 1451 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247010 4903 248461 4903 X 9545452 11355926 24148488 26268394 33693940 37624320 33942401 37629223 X 2283279 1118806 528295 X 0 1 X 1 0 X 1895818 1717460 1429214 1688038 4799302 11529832 1895818 1717460 1429214 1688038 4799302 11529832 347329 212828 368318 200276 2550000 3678751 0 347329 212828 368318 200276 2550000 3678751 7851081 303705 259897 305236 351913 425423 1646174 303705 259897 305236 351913 425423 1646174 4141 4141 4375 24512 38384 83765 120825 271861 2208039 2001869 1772834 2123716 5345550 13452008 0.58360 0.68440 0.12240 0.15240 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: GROSS INCOME FROM FUNDRAISING EVENTS GAMING - 2020 AMOUNT: $ 4,375. 2021 AMOUNT: $ 24,512. 2022 AMOUNT: $ 38,384. 2023 AMOUNT: $ 83,765. 2024 AMOUNT: $ 120,825. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12805051 309873 628452 1628673 12114703 12508864 146340 423523 273676 12805051 12012437 362168 243071 108812 12508864 10962242 562534 628654 140993 12012437 8643323 1656477 662442 10962242 0.65250 0.34750 0 0 297916 297916 0 0 COMMONSPIRIT OPERATING INVESTMENT POOL, LLC 33782790 F 33782790 RESERVE ANNUITIES - CHARITABLE REMAINDER GIFT 4860 PHYSICIAN RECRUITMENT 43 4903 X PART V, LINE 4: THE ORGANIZATION'S PURPOSE IS TO ADVANCE AND IMPROVE MEDICAL HEALTH CARE EXCELLENCE IN THE COMMUNITIES SERVED BY FRANCISCAN HEALTH SYSTEM (THE ORGANIZATION'S SOLE CORPORATE MEMBER) THROUGH SOLICITATION AND ADMINISTRATION OF DONATIONS AND CONTRIBUTIONS IN SUPPORT OF CAPITAL EQUIPMENT NEEDS, AND COMPREHENSIVE SERVICES AND PROGRAMS AT ST. JOSEPH MEDICAL CENTER; ST. FRANCIS HOSPITAL; ST. CLARE HOSPITAL; ST. ANTHONY HOSPITAL; ST. ELIZABETH HOSPITAL; FRANCISCAN HOSPICE; AND FRANCISCAN MEDICAL GROUP (THE FRANCISCAN HEALTH SYSTEM ENTITIES). IN ADDITION, ENDOWMENT FUNDS ARE USED TO SUPPORT HEALTHCARE EDUCATION. THE ENDOWMENT FUNDS ARE HELD TO ACCOMPLISH THESE PURPOSES. PART X, LINE 2: FRANCISCAN FOUNDATION'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. MATHIS GUILD LUNCHEON 96984 58470 38514 7452 6662 ST ANTHONY HARBOR NIGHT 182593 111013 71580 19698 10806 279577 169483 110094 27150 17468 44618 65476 1 FRANCISCAN HEALTH SYSTEM 1717 S J STREET TACOMA WA 98405 910564491 501(C)(3) 2789453 0 PROGRAM SUPPORT HARRISON MEDICAL CENTER 1800 NW MYHRE RD SILVERDALE WA 98383 910565546 501(C)(3) 722622 0 PROGRAM SUPPORT MERCY FOUNDATION INC 2700 NW STEWART PARKWAY ROSEBURG OR 97471 936088946 501(C)(3) 52806 0 PROGRAM SUPPORT 3 0 EMPLOYEE ASSISTANCE 188 51472 0 PART I, LINE 2: GRANTS ARE MONITORED THROUGH REPORTS RECEIVED FROM THE GRANTEE ORGANIZATIONS CONTAINING FINANCIAL AND NARRATIVE INFORMATION DESCRIBING THE USE OF THE FUNDS. FOR ANY SCHOLARSHIPS AWARDED, THE FOUNDATION REQUIRES THAT INFORMATION CONCERNING GRADES BE SUBMITTED ANNUALLY BY SCHOLARSHIP RECIPIENTS. PART III : GRANTS TO INDIVIDUALS FRANCISCAN FOUNDATION PROVIDES ASSISTANCE TO FRANCISCAN HEALTH EMPLOYEES ON AN AS NEEDED BASIS IN TWO WAYS. 1. PURCHASING KROGER GIFT CARDS UTILIZING THE EMPLOYEE ASSISTANCE FUND. THE CARDS ARE GIVEN TO HR STAFF WHO MANAGE THE DISTRIBUTION AND USAGE OF THESE CARDS. 2. PROVIDING FUNDING FOR EMPLOYEE ASSISTANCE INCLUDING RENT, UTILITIES AND OTHER EXPENSES. IN BOTH INSTANCES, THE HR STAFF MANAGE THE APPLICATION PROCESS, SEND REQUESTS TO THE FOUNDATION AND TRACK THE USAGE. THE FOUNDATION PROVIDES THE FUNDING. 188 EMPLOYEES WERE ASSISTED IN THE FINANCIAL YEAR ENDING 06.30.25. 0 1 0 0 0 0 0 0 0 KETUL PATEL EX OFFICIO/CEO VMFH & PRESIDENT NW R 0 1399822 0 4002957 0 263122 0 74757 0 14201 0 5754859 0 0 DAVID NOSACKA SVP&CFO NORTHWEST REGION 0 624949 0 243163 0 4198 0 20325 0 41647 0 934282 0 0 JANE BUCKNER MD TRUSTEE 0 662039 0 0 0 0 0 30500 0 3693 0 696232 0 0 MARIKO KITA MD TRUSTEE 0 577812 0 42 0 774 0 0 0 21039 0 599667 0 0 JEANNE JACHIM REGION CHIEF PHILANTHROPY OFFICER-NW 0 390295 0 152961 0 11326 0 19052 0 23371 0 597005 0 0 SHARON ROYNE FORMER INTERIM PRESIDENT 0 399961 0 600 0 5988 0 15367 0 23462 0 445378 0 0 CAROLINE LEUNG FORMER CORPORATE TREASURER/ACCTG DIR 0 174464 0 40015 0 2447 0 12658 0 21132 0 250716 0 0 DENISE DOLAK FORMER SECRETARY/EXECUTIVE ASSISTANT 0 92640 0 600 0 6792 0 5632 0 17371 0 123035 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED BY COMMONSPIRIT HEALTH AND PAID BY FRANCISCAN HEALTH SYSTEM, 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. IN ADDITION, THE PRESIDENT'S COMPENSATION, AS DETERMINED BY COMMONSPIRIT, IS REVIEWED AND APPROVED BY THE LOCAL BOARD. 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. 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. DUE TO THE "SUPER" VESTING RULES UNDER THE CATHOLIC HEALTH INITIATIVES DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, 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: KETUL J PATEL, $244,754. SCHEDULE J, PART II FRANCISCAN FOUNDATION 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. X 5318 COST X 99 7995 COST X GIFT CARDS 38 48171 COST X OTHER 114 19789 COST X BOOKS 14 6426 COST 0 1 0 PART I, COLUMN (B): COLUMN B REPORTS THE NUMBER OF CONTRIBUTIONS FOR EACH LINE ITEM. FORM 990, PART III, LINE 4A I. INTRODUCTION MISSION AND VISION THE FRANCISCAN FOUNDATION WAS INCORPORATED AS A 501(C)(3), TAX-EXEMPT, CHARITABLE FOUNDATION IN 1986 TO SERVE AS THE OFFICIAL GIFT-RECEIVING AND GIFT-ADMINISTRATION AGENCY FOR TWO CHI FRANCISCAN HOSPITALS IN NEIGHBORING WESTERN WASHINGTON COMMUNITIES, ST. JOSEPH MEDICAL CENTER OF TACOMA AND ST. FRANCIS HOSPITAL OF FEDERAL WAY. ALTHOUGH HEALTH CARE FOUNDATIONS SERVING MULTIPLE HOSPITALS ARE A FAIRLY COMMON WAY OF REDUCING HEALTH CARE COSTS TODAY, THE FRANCISCAN FOUNDATION WAS WASHINGTON'S FIRST REGIONAL HEALTH CARE FOUNDATION SERVING MORE THAN ONE HOSPITAL. IN SUBSEQUENT YEARS, THE FRANCISCAN FOUNDATION ALSO ASSUMED FUND DEVELOPMENT AND GIFT MANAGEMENT RESPONSIBILITIES FOR ST. CLARE HOSPITAL OF LAKEWOOD, ST. ANTHONY HOSPITAL OF GIG HARBOR, ST. ELIZABETH HOSPITAL OF ENUMCLAW, FRANCISCAN HOSPICE AND PALLIATIVE CARE AND A GROWING NUMBER OF FRANCISCAN MEDICAL GROUP CLINICS IN THE SOUTH PUGET SOUND AREA. ON JANUARY 1, 2021, THE HARRISON MEDICAL CENTER FOUNDATION MERGED WITH FRANCISCAN FOUNDATION. THE FRANCISCAN FOUNDATION WILL CONTINUE THE HARRISON MEDICAL CENTER FOUNDATION'S MISSION TO RECEIVE AND ADMINISTER CHARITABLE GIFTS MADE FOR THE BENEFIT OF HARRISON MEDICAL CENTER, NOW ST. MICHAEL MEDICAL CENTER. THE FRANCISCAN FOUNDATION 25 MEMBER BOARD OF DIRECTORS RAISE FUNDS THROUGH ANNUAL GIVING, MAJOR GIFTS, PLANNED GIVING, SPECIAL EVENTS, CORPORATE/FOUNDATION GRANTS AND CAPITAL CAMPAIGNS TO HELP FUND VIRTUALLY EVERY HEALTH CARE PROGRAM, PROJECT AND COMMUNITY OUTREACH SERVICE OFFERED BY THE HOSPITALS, AND CLINICS OF CHI FRANCISCAN. IN FY 2025, THE FRANCISCAN FOUNDATION RAISED ALMOST $5 MILLION FOR THESE PURPOSES THROUGH GIFTS AND PLEDGES. AT THE SAME TIME, IT DISBURSED MORE THAN $3.6 MILLION BACK TO FACILITIES AND THE COMMUNITY THROUGH ITS SUPPORT OF FRANCISCAN'S NONPROFIT HEALTH CARE SERVICES. OVER THE PAST 38 YEARS, THE FOUNDATION HAS GENERATED OVER $120 MILLION AND DISBURSED $124 MILLION BACK INTO THE COMMUNITY. B. COMMUNITY BENEFIT PROVIDING QUALITY HEALTH CARE FOR ALL WHO NEED IT, REGARDLESS OF ABILITY TO PAY, IS AN IMPORTANT PART OF THE FRANCISCAN HEALTH SYSTEM'S MISSION AS WELL AS THAT OF THE FOUNDATION. THE FOUNDATION ASSISTS FRANCISCAN HEALTH SYSTEM IN PROVIDING CARE FOR THE POOR BY ENCOURAGING ITS DONORS TO CONTRIBUTE GIFTS FOR CHARITY CARE AND MAKING THEIR GIFTS AVAILABLE TO FRANCISCAN HEALTH SYSTEM FOR USE IN ASSISTING THE POOR IN PAYING FOR THEIR CARE. C. FINANCIAL ASSISTANCE POLICIES AND PROGRAMS IN ADDITION TO PROVIDING FUNDING FOR UNCOMPENSATED PATIENT CARE, THE FRANCISCAN FOUNDATION RAISED FUNDS TO PROVIDE FINANCIAL ASSISTANCE FOR COMFORT THERAPIES PROGRAMS NOT COVERED BY INSURANCE. PATIENT ASSISTANCE FUNDS SUPPORT DIAGNOSTIC AND TREATMENT COSTS, THE PURCHASE OF CLOTHING FOR THE FRANCISCAN CLOTHING CLOSETS, CANES, CRUTCHES, PROSTHESES AND WHEELCHAIRS AND TO PAY FOR TRANSPORTATION HOME FROM THE HOSPITAL FOR PATIENTS WHO DON'T HAVE MONEY TO PAY FOR THESE THINGS THEMSELVES. THE FOUNDATION'S FY 2025 FUND-RAISING EVENTS INCLUDED THE MATHIS GUILD LUNCHEON, VIOLET GUILD MINI-TREE SALE AND THE HARBOR NIGHT EVENT. II. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT A. COMMUNITY OUTREACH FOR THOSE IN NEED IN FY25, THE FOUNDATION, IN PARTNERSHIP WITH THE CHI FRANCISCAN COMMUNITY CONTRIBUTIONS PROGRAM AND MISSION PROGRAMS, PROVIDED FINANCIAL SUPPORT FOR A WIDE RANGE OF OTHER NON-PROFIT AGENCIES IN THE COMMUNITY WHOSE MISSION AND GOALS ARE CONSISTENT WITH THE HEALTHY- COMMUNITY-BUILDING GOALS OF CHI FRANCISCAN. FORM 990, PART V, LINE 1C: PAYMENTS TO VENDORS PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. THEREFORE, NO FORMS 1099 ARE ISSUED BY FRANCISCAN FOUNDATION. COMMONSPIRIT HEALTH FILES THE FORMS 1099 AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAME WINNINGS. THE FORMS 1099 ISSUED ON BEHALF OF FRANCISCAN FOUNDATION ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS ONLY OF DIRECTORS OF THE CORPORATION AND IS COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION, EACH OF WHOM SERVE AS EX OFFICIO VOTING MEMBERS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE CORPORATE MEMBER. ALL ACTIONS TAKEN ARE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE EARLIEST MEETING. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING REPORTABLE INDIVIDUALS HAVE FAMILY RELATIONSHIPS: JOSHUA GREEN AND PAMELA GREEN HAVE A FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE ORGANIZATION'S BYLAWS, THE ENTITY'S SOLE MEMBER IS FRANCISCAN HEALTH SYSTEM, A WASHINGTON NONPROFIT CORPORATION. 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 THE ORGANIZATION'S CORPORATE MEMBER IS FRANCISCAN HEALTH SYSTEM (FHS). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH FHS AND COMMONSPIRIT HEALTH (FHS'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE FHS BOARD: * APPROVE MEMBERS OF THE FRANCISCAN FOUNDATION BOARD * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE FRANCISCAN FOUNDATION * APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF FRANCISCAN FOUNDATION * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR FRANCISCAN FOUNDATION THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF FRANCISCAN FOUNDATION * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF FRANCISCAN FOUNDATION * APPROVAL OF ISSUANCE OF DEBT BY FRANCISCAN FOUNDATION * APPROVAL OF PARTICIPATION OF FRANCISCAN FOUNDATION IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY FRANCISCAN FOUNDATION * APPROVAL OF A MERGER INVOLVING FRANCISCAN FOUNDATION * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF FRANCISCAN FOUNDATION * TO REQUIRE THE TRANSFER OF ASSETS BY THE FRANCISCAN FOUNDATION TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. PURSUANT TO SECTION 5.5 OF THE ORGANIZATION'S BYLAWS, FRANCISCAN HEALTH SYSTEM OR COMMONSPIRIT HEALTH MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS THE FORM 990 AND ANY NECESSARY CHANGES ARE INCLUDED IN THE FINAL VERSION THAT IS APPROVED FOR FILING WITH THE IRS. THE CFO ALSO PROVIDES THE RETURN TO THE BOARD VIA ELECTRONIC MEANS PRIOR TO FILING. SUBSEQUENT TO REVIEW, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS FURTHER DESCRIBED BELOW. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. STANDARD MANAGEMENT APPROACHES PER COI POLICY ARE APPLIED TO DISCLOSED CONFLICTS. DISCLOSURES THAT IDENTIFY PERCEIVED, POTENTIAL, OR ACTUAL COIS THAT REQUIRE IMMEDIATE MATERIAL ACTION TO RESOLVE, WILL BE IDENTIFIED, AND, A CONFLICT OF INTEREST MANAGEMENT PLAN DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR ADOPTING A REASONABLE COMPENSATION PHILOSOPHY AND SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. COMMONSPIRIT'S COMPENSATION DEPARTMENT ENSURES THAT ITS PRACTICES ARE CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY, PRACTICES, AND PRINCIPLES, AS DETERMINED BY THE PEOPLE AND COMPENSATION COMMITTEE. WHEN NECESSARY, THE COMPENSATION DEPARTMENT ALSO ENGAGES AN INDEPENDENT CONSULTANT, AS WELL AS QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABILITY DATA IS ALSO OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, AS PART OF THE ORGANIZATION'S COMPENSATION PRACTICES (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). THE DOCUMENTATION OF COMPENSATION DECISIONS INCLUDES THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMPENSATION DEPARTMENT AND THE SOURCES FROM WHICH THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 149,360. MANAGEMENT AND GENERAL EXPENSES 210,651. FUNDRAISING EXPENSES 126,382. TOTAL EXPENSES 486,393. FORM 990, PART XI, LINE 9: CAPITAL TRANSFERS 530,100. RETURNED PLEDGES -1,805. FORM 990, PART VI LINE 14 THE ORGANIZATION'S BOARD HAS NOT FORMALLY ADOPTED A WRITTEN DOCUMENT RETENTION & DESTRUCTION POLICY. THE ORGANIZATION FOLLOWS THE POLICY AND PROCEDURES OF FRANCISCAN HEALTH SYSTEM, IT'S SOLE CORPORATE MEMBER, BUT THE FRANCISCAN FOUNDATION BOARD HAS NOT OFFICIALLY ADOPTED THE POLICY. PAGE 1, ITEM J HTTPS://WWW.VMFH.ORG/OUR-FOUNDATIONS/FRANCISCAN-FOUNDATION 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 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