2026-05-15T14:28:08-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 741385192 COMMUNITY HOSPITAL OF BRAZOSPORT COMM 9792851803 3003 N 3RD AVE PHEONIX AZ 85013 CHUCK JEFFRESS MARKET CFO 9792851803 2026-05-15 1 0 MARK STOCKI P00642127 3032989100 2024 2025-03-06 01:10:19Z X ROBERT TRAUTMAN 100 MEDICAL DRIVE LAKE JACKSON TX 77566 112804392 0 X WWW.CHISTLUKESBRAZOSPORT.ORG X 1967 TX TO PROVIDE HEALTHCARE SERVICES TO THE PATIENTS AND COMMUNITIES SERVED IN THE LAKE JACKSON, TEXAS AREA WITH EXCELLENCE AND COMPASSION. 9 8 663 50 0 0 224077 9500 109341207 110221863 106334 886955 725471 1393475 110397089 112511793 31657 71500 0 0 39478033 39058192 0 0 0 58869433 63592135 98379123 102721827 12017966 9789966 90891625 145403600 56094477 102315731 34797148 43087869 TO PROVIDE HEALTHCARE SERVICES TO THE PATIENTS AND COMMUNITIES SERVED IN THE LAKE JACKSON, TEXAS AREA WITH EXCELLENCE AND COMPASSION. 0 0 78073724 71500 110221863 PROVIDE VARIOUS HEALTHCARE SERVICES TO THE CITIZENS OF BRAZOSPORT AND THE SURROUNDING BRAZORIA COUNTY AREAS. SPECIALTIES AVAILABLE WERE ALLERGY, ANESTHESIA, CARDIOLOGY, EMERGENCY CARE, OTOLARYNGOLOGY, FAMILY PRACTICE, INTERNAL MEDICINE, NEPHROLOGY, NEUROLOGY, OBSTETRICS/GYNECOLOGY, ONCOLOGY, OPHTHALMOLOGY, ORAL SURGERY, ORTHOPEDICS, PATHOLOGY, PEDIATRICS, REHABILITATION, GENERAL SURGERY, AND UROLOGY. 78073724 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 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 0 663 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X STEPHAN LILLIE 9792851802 100 MEDICAL DRIVE LAKE JACKSON TX 77566 T DOUGLAS LAWSON PHD PRESIDENT, SOUTH REGION (THRU 02/25) 1.00 49.00 X X 0 3774957 101450 STEVEN FOSTER FACHE FORMER OFFICER 0.00 45.00 X 0 968410 37108 MICHAEL STEINES MD BOARD MEMBER/PHYSICIAN 1.00 49.00 X 0 560119 47224 ROBERT TRAUTMAN PRESIDENT - ST. LUKE'S HEALTH BRAZOSPORT 50.00 0.00 X 164117 357438 39849 RACHEL WILLIAMS FORMER HCE 0.00 40.00 X 0 252022 30957 JASON CASEY MARKET VP OPERATIONAL FINANCE 20.00 25.00 X 0 252739 24592 OLGA WILLIAMS VIRTUAL CARE RN 5.00 35.00 X 4910 209766 30420 FELIX UMADHAY RN II 40.00 0.00 X 208405 0 30831 KARIM DAHISSA RN III 5.00 35.00 X 8604 226966 3516 JOAN BELL MKT DIRECTOR QUALITY 40.00 0.00 X 209047 0 22260 MURPHY LAMINA RN III 5.00 35.00 X 28286 183366 9410 MICHAEL LAWSON HOUSTON MARKET PRESIDENT (BEG 12/24) 1.00 49.00 X 0 0 34 JANE AINSWORTH VICE CHAIR 1.00 10.00 X X 0 0 0 FRANK ASHLEY III CHAIR 1.00 10.00 X X 0 0 0 BROOKS BASS BOARD MEMBER 1.00 10.00 X 0 0 0 BRAD BEERS SECRETARY 1.00 10.00 X X 0 0 0 DEMETRESS HARRELL BOARD MEMBER 1.00 10.00 X 0 0 0 ROBERT UPCHURCH BOARD MEMBER 1.00 10.00 X 0 0 0 INDIRA VISHNAMPET BOARD MEMBER 1.00 10.00 X 0 0 0 GARY WHITLOCK BOARD MEMBER 1.00 10.00 X 0 0 0 STEPHAN LILLIE MARKET CFO (BEG 06/25) 1.00 49.00 X 0 0 0 623369 6785783 377651 88 1 1 0 COTTON COMMERCIAL USA INC 5443 KATY HOCKLEY CUT-OFF RD KATY TX 77493 INFRASTRUCTURE SUPPORT SERVICES 435164 ANIL K SINHA MD PA 201 OAK DR S STE 207 LAKE JACKSON TX 77566 MEDICAL SERVICES 138000 HKS INC 191 PEACHTREE ST NW 5000 ATLANTA GA 30303 ARCHITECTURAL SERVICES 137460 CENTIMARK CORP PO BOX 536254 PITTSBURG PA 15253 ROOFING CONTRACTOR 103583 SALEEM RASLAN MD 11800 ASTORIA BLVD HOUSTON TX 77089 MEDICAL SERVICES 100200 5 9500 9500 NET PATIENT SERVICES 900099 110100523 110100523 MEDICARE/MEDICAID 900099 121340 121340 110221863 9554 9554 128255 0 128255 128255 128255 1170000 292599 877401 877401 877401 EMPLOYEE RETENTION CRE 900099 590236 590236 INSURANCE RECOVERIES 900099 523437 523437 CAFETERIA 722514 149968 149968 1579 1579 1265220 112511793 110221863 0 2280430 X 71500 71500 189170 151336 37834 32573637 26058909 6514728 1532297 1225837 306460 2411111 1928888 482223 2351977 1881582 470395 107308 107308 3498292 3498292 2608 2608 21142499 15750912 5391587 33435 26889 6546 1928465 1157079 771386 3844342 2306605 1537737 1616969 1293575 323394 46575 37260 9315 6068 6068 1677799 1677799 2772347 2772347 3022783 2418226 604557 447608 358086 89522 MEDICAL SUPPLIES 19408502 19408502 STATE PROVIDER TAX 3219063 3219063 REPAIRS AND MAINTENANCE 726156 689848 36308 DUES & SUBSCRIPTIONS 86989 85513 1476 4327 4114 213 102721827 78073724 24648103 0 1248 1252 8035394 70132917 47632172 40128076 32728 3021762 4116896 511505 511505 56235520 26907714 29608903 29327806 2047913 1185148 90891625 145403600 6326857 8141974 19349 19349 49748271 94154408 56094477 102315731 X 33211401 41502122 1585747 1585747 34797148 43087869 90891625 145403600 X 9789966 -1499245 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 2608 0 0 0 2608 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $2,608 1740000 1740000 36932776 14060531 22872245 147295 83255 64040 14710582 12763928 1946654 2704867 2704867 29327806 CHI DEBT PROGRAM 31374631 FINANCE LEASE LIABILITY 464560 INTERCOMPANY PAYABLES 57953570 OPERATING LEASE LIABILITY 273285 OTHER CURRENT LIABILITIES 2178815 OTHER LONG TERM LIABILTIES 83745 PHYSICIAN RECRUIT & GUARANTEE PAYABLE 1825802 94154408 X PART X, LINE 2: THE COMMUNITY HOSPITAL OF BRAZOSPORT'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 4383 4215601 3318386 897215 0.00870 513 8588746 9290329 0 0.00000 4896 12804347 12608715 897215 0.00870 74368 74368 0.00070 74368 74368 0.00070 4896 12878715 12608715 971583 0.00940 1 26661020 0 18560779 19561364 -1000585 X 1 1 1 1 COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON TX 77566 SEE STATEMENT 436 X X X URGENT CARE CENTER COMMUNITY HOSPITAL OF BRAZOSPORT 1 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 COMMUNITY HOSPITAL OF BRAZOSPORT PART V, SECTION B, LINE 7D: THE CHNA REPORT IS SHARED WITH HOSPITAL BOARD MEMBERS, LEADERSHIP GROUPS, AND AT THE REQUEST OF ORGANIZATIONS THAT PARTICIPATED IN STAKEHOLDER/COMMUNITY DISCUSSION GROUPS. 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, 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: BRAZORIA COUNTY DREAM CENTER, BRAZOSPORT INDEPENDENT SCHOOL DISTRICT, ACTIONS INC, BRAZOSPORT INDEPENDENT SCHOOL DISTRICT, GULF COAST BAPTIST ASSOCIATION, HABITAT OF SOUTHERN BRAZORIA COUNTY, PREGNANCY HELP CENTER, STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER, UNITED WAY, CRCG - BRAZORIA COUNTY, PREGNANCY HELP CENTER, BRAZORIA COUNTY HEALTH DEPARTMENT AND WOMEN'S CENTER OF BRAZORIA COUNTY. PART V, SECTION B, LINE 7A: HTTPS://WWW.COMMONSPIRIT.ORG/STLUKES-HEALTH/ABOUT-STLUKES-HEALTH#ACCORDION-F606F77FE6-ITEM-4E538BCE2A PART V, SECTION B, LINE 11: BASED ON THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ST. LUKE'S HEALTH BRAZOSPORT HOSPITAL IS ADDRESSING THE FOLLOWING SIGNIFICANT HEALTH NEEDS: HEALTH CARE ACCESS & QUALITY, HEART DISEASE & STROKE, AND CANCER.HEALTH CARE ACCESS & QUALITY- PROVIDE CHARITY CARE AND FINANCIAL ASSISTANCE WHILE OFFERING MEDICAID/ACA ENROLLMENT SUPPORT, NAVIGATION SERVICES, AND FINANCIAL COUNSELING TO IMPROVE ACCESS TO NEEDED HEALTH CARE.- FREE COMMUNITY WELLNESS CLINICS (FLU, BP, GLUCOSE, CHOLESTEROL).- RESOURCE NAVIGATION, RENT/UTILITY SUPPORT VIA UNITED WAY HELPLINE.- TRANSPORTATION ASSISTANCE FOR MEDICAL APPOINTMENTS.- CHI GRANTS SUPPORTING ACCESS, SOCIAL NEEDS, AND COMMUNITY PROVIDER CAPACITY.- COLLABORATORS: BRAZORIA COUNTY HEALTH DEPARTMENT; LIVE OAK CLINIC; UNITED WAY OF BRAZORIA COUNTY; NAMI GULF COAST; LOCAL SCHOOLS AND CHURCHES.- KEY METRICS: # RECEIVING FINANCIAL ASSISTANCE; # CONNECTED TO COVERAGE; # SCREENED AT COMMUNITY EVENTS; PREVENTABLE HOSPITALIZATION TRENDS; # CHI GRANTS AWARDED.HEART DISEASE & STROKE- 24/7 CARDIAC/STEMI COVERAGE AND RAPID RESPONSE PROTOCOLS.- PROCESS ENHANCEMENTS TOWARD STROKE CENTER DESIGNATION.- COMMUNITY BLOOD PRESSURE AND CHOLESTEROL SCREENINGS.- AHA HEART WALK AND CARDIOVASCULAR EDUCATION INITIATIVES.- NUTRITION AND CHRONIC-DISEASE SELF-MANAGEMENT LINKAGE ACTIVITIES.- COLLABORATORS: AMERICAN HEART ASSOCIATION; BRAZORIA COUNTY EXTENSION (AGRILIFE); COMMUNITY HEALTH FAIR PARTNERS; EMPLOYER GROUPS.- KEY METRICS: STEMI ACTIVATIONS; DOOR-TO-BALLOON TIMES; STROKE RESPONSE METRICS; # OF BP/CHOLESTEROL SCREENINGS; EDUCATION EVENT PARTICIPATION.CANCER- NO-COST BREAST SCREENING AND DIAGNOSTICS THROUGH THE MERMAID PROJECT.- COMMUNITY SCREENING EVENTS (MAMMOGRAPHY, FIT KITS, HPV EDUCATION).- CANCER PREVENTION EDUCATION VIA SCHOOLS, CHURCHES, EMPLOYERS, AND MEDIA.- PARTICIPATION IN SURVIVORSHIP AND AWARENESS EVENTS (E.G., RELAY FOR LIFE).- COLLABORATORS: BRAZORIA COUNTY HEALTH DEPARTMENT; LIVE OAK CLINIC; UNITED WAY OF BRAZORIA COUNTY; AMERICAN CANCER SOCIETY.- KEY METRICS: # OF SCREENINGS COMPLETED; OUTREACH EVENT ATTENDANCE; SCREENING REFERRAL COMPLETIONS; CAMPAIGN REACH; EARLY DETECTION RATES.CHNA NEEDS NOT ADDRESSED:- DIABETES- MENTAL HEALTH- RESPIRATORY DISEASESRATIONALE:- LIMITED RESOURCES/STAFFING TO EXPAND NEW SPECIALTY PROGRAMS.- STRONG COMMUNITY PARTNERS ALREADY ADDRESS THESE NEEDS; REDUCING DUPLICATION.- STRATEGIC FOCUS ON NEEDS MOST ALIGNED WITH HOSPITAL CAPABILITIES AND MEASURABLE IMPACT.- NEEDS MAY STILL BE SUPPORTED INDIRECTLY THROUGH SCREENINGS, SOCIAL-NEEDS NAVIGATION, AND COMMUNITY HEALTH IMPROVEMENT GRANTS. 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. PART V, SECTION B, LINES 16A, 16B, & 16C: HTTPS://WWW.STLUKESHEALTH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION A, HOSPITAL WEBSITE: HTTPS://WWW.STLUKESHEALTH.ORG/LOCATIONS/BRAZOSPORT-HOSPITAL PART V, SECTION B, LINE 10: HTTPS://WWW.COMMONSPIRIT.ORG/STLUKES-HEALTH/ABOUT-STLUKES-HEALTH#ACCORDION-F606F77FE6-ITEM-4E538BCE2A 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 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: THE COMMUNITY HOSPITAL OF BRAZOSPORT MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. THE COMMUNITY HOSPITAL OF BRAZOSPORT'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 COMMUNITY HOSPITAL OF BRAZOSPORT 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 COMMUNITY HOSPITAL OF BRAZOSPORT 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 COMMUNITY HOSPITAL OF BRAZOSPORT 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. THE COMMUNITY HOSPITAL OF BRAZOSPORT 'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $1,000,585 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: 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: ST. LUKE'S HEALTH BRAZOSPORT HOSPITAL SERVES A SIX-ZIP-CODE AREA IN BRAZORIA COUNTY, ENCOMPASSING SUBURBAN AND RURAL COMMUNITIES INCLUDING LAKE JACKSON, CLUTE, AND FREEPORT. THE SERVICE AREA POPULATION IS APPROXIMATELY 121,682, WITH A DIVERSE DEMOGRAPHIC PROFILE (37% HISPANIC/LATINO) AND 28.7% OF RESIDENTS AGED 55+. ECONOMIC NEED IS SIGNIFICANT, WITH 9.8% OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL AND HIGHER CONCENTRATIONS OF POVERTY IN SEVERAL ZIP CODES. INSURANCE GAPS PERSIST, INCLUDING 15.5% OF ADULTS UNINSURED, PLACING THE COUNTY AMONG THE HIGHEST-NEED REGIONS NATIONALLY FOR ADULT COVERAGE. THE AREA ALSO EXPERIENCES SHORTAGES IN PRIMARY AND BEHAVIORAL HEALTH PROVIDERS AND INCLUDES COMMUNITIES WITH CHARACTERISTICS SIMILAR TO MEDICALLY UNDERSERVED AREAS/POPULATIONS (MUAS/MUPS). MULTIPLE HOSPITALS AND CLINICS SERVE THE REGION, BUT ACCESS CHALLENGES REMAIN, ESPECIALLY IN HIGH-POVERTY AND HIGH-RISK AREAS. 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. PART VI, LINE 7, REPORTS FILED WITH STATES TX 1 UNITED WAY OF BRAZORIA COUNTY 4005 TECHNOLOGY RD SUITE 1020 ANGLETON TX 77515 741362982 501(C)(3) 44000 0 PROGRAM SUPPORT THE ROSE 12700 N FEATHERWOOD DR SUITE 260 HOUSTON TX 77034 760193812 501(C)(3) 25000 0 PROGRAM SUPPORT 2 0 PART I, LINE 2: DISTRIBUTIONS IN FURTHERANCE OF THE INSTITUTION'S EXEMPT PROGRAMS ARE MADE IN ACCORDANCE WITH PROCEDURES SUBJECT TO CONDITIONS ESTABLISHED BY THE INSTITUTION'S GOVERNING BOARD OR MANAGEMENT DESIGNED TO ENSURE THAT RECIPIENTS OF SUCH DISBURSEMENTS FROM THE ORGANIZATION ARE ADEQUATELY INVESTIGATED AND GRANTED TO QUALIFIED RECIPIENTS. 0 1 0 0 0 0 0 0 0 T DOUGLAS LAWSON PHD PRESIDENT, SOUTH REGION (THRU 02/25) 0 1454915 0 1885572 0 434470 0 78342 0 23108 0 3876407 0 170364 STEVEN FOSTER FACHE FORMER OFFICER 0 453001 0 464583 0 50826 0 17982 0 19126 0 1005518 0 0 MICHAEL STEINES MD BOARD MEMBER/PHYSICIAN 0 554575 0 0 0 5544 0 18925 0 28299 0 607343 0 0 ROBERT TRAUTMAN PRESIDENT - ST. LUKE'S HEALTH BRAZOS 0 351029 157461 0 6656 6409 20325 0 15368 4156 199810 361594 0 0 RACHEL WILLIAMS FORMER HCE 0 251204 0 600 0 218 0 15532 0 15425 0 282979 0 0 JASON CASEY MARKET VP OPERATIONAL FINANCE 0 196922 0 55189 0 628 0 14431 0 10161 0 277331 0 0 OLGA WILLIAMS VIRTUAL CARE RN 4910 199113 0 10600 0 53 0 11197 169 19054 5079 240017 0 0 FELIX UMADHAY RN II 202370 0 600 0 5435 0 11638 0 19193 0 239236 0 0 0 KARIM DAHISSA RN III 8604 226966 0 0 0 0 0 3482 0 34 8604 230482 0 0 JOAN BELL MKT DIRECTOR QUALITY 177598 0 29504 0 1945 0 12147 0 10113 0 231307 0 0 0 MURPHY LAMINA RN III 28286 183366 0 0 0 0 0 7128 136 2146 28422 192640 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 ST. LUKE'S HEALTH SYSTEM CORPORATION (RELATED ORGANIZATIONS) AND FILING 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 1, 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 1, 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 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: T. DOUGLAS LAWSON, $238,262 AND STEVEN C. FOSTER, $23,481. PART II: COMMUNITY HOSPITAL OF BRAZOSPORT 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. PART V, LINE 1C: PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. THEREFORE, NO FORMS 1099 ARE ISSUED BY THE COMMUNITY HOSPITAL OF BRAZOSPORT. 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 THE COMMUNITY HOSPITAL OF BRAZOSPORT ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 1A PURSUANT TO SECTION 6.2 OF THE BYLAWS OF THE CORPORATION, THE CORPORATION SHALL HAVE AN ADVISORY BOARD THAT IS ORGANIZED TO PROVIDE INPUT TO THE CORPORATE MEMBER ON SUCH MATTERS RELATING TO THE CORPORATION AS MAY BE REQUESTED FROM TIME TO TIME BY THE CORPORATE MEMBER, AND WHICH MAY INCLUDE, BUT MAY NOT BE LIMITED TO, THE FOLLOWING: (I) MONITOR AND ENSURE THAT THE ORGANIZATION ACHIEVES KEY PERFORMANCE OUTCOMES CRITICAL TO THE CORPORATE MEMBER'S LONG-TERM SUCCESS FOCUSING ON: (1) FURTHERING THE MISSION OF THE CORPORATE MEMBER IN THE REGION, ESPECIALLY IN THE SERVICE TO THOSE WHO ARE POOR AND VULNERABLE, (2) THE "VALUE PROPOSITION" OF QUALITY, SAFETY, SERVICE, AND COST-EFFECTIVE DELIVERY OF CARE, (3) ENGAGEMENT OF STAFF AND CAREGIVERS, AND ( 4) MARKET COMPETITIVENESS, GROWTH, TRANSFORMATION, AND OPERATING PERFORMANCE; (II) DEVELOP AND RECOMMEND REGIONAL STRATEGIES AND PARTNERSHIPS, CONSISTENT WITH THE OVERALL STRATEGIC DIRECTION OF THE CORPORATE MEMBER, AND OVERSEE THEIR EFFECTIVE IMPLEMENTATION; (III) IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS AND ACHIEVE COMMUNITY HEALTH IMPROVEMENTS AS INCLUDED IN THE PLANS APPLICABLE TO A CHI MARKET BASED ORGANIZATION; (IV) CREDENTIAL MEDICAL PROFESSIONALS; (V) ADVOCATE LOCALLY OR REGIONALLY FOR THE CORPORATION AND THE CORPORATE MEMBER'S MINISTRY; AND (VI) ENSURE THAT PHYSICIANS, ALL CLINICAL PARTNERS, AND STAFF ARE ENGAGED. THE ADVISORY BOARD SHALL CONSIST OF REPRESENTATIVES OF THE CORPORATE MEMBER AND OF INDIVIDUALS REPRESENTATIVE OF THE COMMUNITIES SERVED BY THE CORPORATION. THE ADVISORY BOARD SHALL MEET PERIODICALLY AND ON AN ANNUAL BASIS AND SHALL CONDUCT ITS BUSINESS BY SUCH PROCEDURES AS A MAJORITY OF ITS MEMBERS CONSIDER APPROPRIATE. THE ADVISORY BOARD SHALL REPORT TO THE CORPORATE MEMBER WITH THE PROCEEDINGS OF THE ADVISORY BOARD MEETINGS. FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS OF BRAZOSPORT REGIONAL HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION IS ST. LUKE'S HEALTH CLINICAL OPERATIONS, A TEXAS NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS THE POWER TO APPOINT, REMOVE OR REPLACE THE MEMBERS OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, THE SOLE MEMBER SHALL FILL ALL VACANCIES ON THE BOARD OF TRUSTEES CREATED BY REMOVAL, RESIGNATION OR DEATH; PROVIDED HOWEVER, THAT FOLLOWING SUCH ACTION, NO MORE THAN FORTY-NINE PERCENT OF TOTAL MEMBERS OF THE BOARD OF TRUSTEES SHALL BE COMPRISED OF THE CEO OF THE CORPORATION AND THE PHYSICIAN MEMBERS. (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 ST. LUKE'S HEALTH CLINICAL OPERATIONS (SLHCO). PURSUANT TO ARTICLE V, SECTION 5.4.1 OF THE ORGANIZATION'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 SLHCO BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE SLHCO CHIEF EXECUTIVE OFFICER: - AMENDMENT OF THE CORPORATE DOCUMENTS OF COMMUNITY HOSPITAL OF BRAZOSPORT (CHB) - APPROVE MEMBERS OF THE CHB BOARD - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CHB - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR CHB (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 FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. THEN THE ORGANIZATION PROVIDES HARD COPIES TO BOARD MEMBERS FOR REVIEW PRIOR TO 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 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 GOVERNING DOCUMENTS ARE MADE 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 7,425,282. MANAGEMENT AND GENERAL EXPENSES 4,947,579. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,372,861. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 5,152,849. MANAGEMENT AND GENERAL EXPENSES 220,492. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,373,341. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,206,151. MANAGEMENT AND GENERAL EXPENSES 116,113. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,322,264. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 966,630. MANAGEMENT AND GENERAL EXPENSES 107,403. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,074,033. FORM 990, PART XI, LINE 9: TRANSFERS TO/FROM AFFILIATES -1,499,245. 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 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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 0 CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA NE 68510 363233121 HOLDING CO NE 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) LINE 12A, I CSH 0 CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(C)(3) LINE 3 CHI-SVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHI-SVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) LINE 12A, I N/A 0 COMMONSPIRIT HEALTH DIVERSIFIED HOLDINGS 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 421178204 REHABILITATION IA 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 853374038 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CSH 0 COMMONSPIRIT 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