2024-05-10T11:22:54-05:00 2023-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2022-07-01 030417049 MEMORIAL HEALTH PARTNERS FOUNDATION INC MEMO 4234958491 5600 BRAINERD ROAD 500 CHATTANOOGA TN 37411 CRAIG NIELSEN CFO 4234958491 2024-05-10 1 CRAIG NIELSEN 999009999 0 HEATHER ADKINS P01725376 3032989100 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z M GLYN HUGHES 5600 BRAINERD ROAD 500 CHATTANOOGA TN 37411 121595906 0 X WWW.MEMORIAL.ORG X 2002 TN TO OWN AND OPERATE PHYSICIAN CLINICS AND ENGAGE IN ACTIVITIES DESIGNED TO PROMOTE THE HEALTHCARE NEEDS OF THE COMMUNITY, INCLUDING THE PROVISION OF HEALTH SERVICES BY PHYSICIANS. 10 0 328 0 0 0 744771 1544139 110957739 119867849 2665 -3866 210428 183918 111915603 121592040 0 0 0 0 103889394 109729762 0 0 0 40066514 40478725 143955908 150208487 -32040305 -28616447 38284870 46492019 33495341 34129611 4789529 12362408 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 134251456 119867849 SEE SCHEDULE O 134251456 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 70 0 1 328 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 1 0 TN X CRAIG NIELSEN 4234958491 2525 DE SALES AVENUE CHATTANOOGA TN 37377 LARRY SCHUMACHER SR. VP OF OPERATIONS, SE DIVISION (FORMER) 2.00 50.00 X 0 2744155 38181 KRISHNENDU BHADRA MD PHYSICIAN 50.00 0.00 X 1323326 0 48118 JEFFREY MULLINS MD PHYSICIAN 50.00 0.00 X 1160235 35848 46447 LARRY SPROUSE MD VASCULAR SURGEON PRIMARY 0.00 50.00 X 58083 1118112 41993 JANELLE REILLY MARKET CEO 2.00 50.00 X X 0 1133117 54412 DAVID FOSTER MD BOARD MEMBER/ SYSTEM VP PE OPS 1.00 50.00 X 0 1125757 50083 MARK FUGATE MD VASCULAR SURGEON PRIMARY 0.00 50.00 X 52286 1005571 54188 TROY HAMMETT FORMER BOARD MEMBER/CFO 0.00 0.00 X 0 1003751 105837 RANJITH BABU MD NEUROSURGEON 0.00 50.00 X 910509 0 26789 DANIEL HEITHOLD MD BOARD MEMBER/PHYSICIAN 50.00 0.00 X 601427 0 45414 ALYCIA CLEINMAN MD CHAIR/PHYSICIAN 50.00 0.00 X X 567479 0 29175 TONIA COX MD BOARD MEMBER/PHYSICIAN 50.00 0.00 X 394106 0 53610 DEREK CROUTHERS MD BOARD MEMBER/PHYSICIAN 50.00 0.00 X 416195 0 19428 ANDREW MCGILL BOARD MEMBER/MHCS SVP DEVELOPMENT/VP 2.00 50.00 X X 0 393026 38189 MAELOR HUGHES VICE CHAIR /MMS PRESIDENT(PARTIAL YEAR) 20.00 30.00 X X 0 391028 34227 JOHN REDDING MD BOARD MEMBER/VP-CLINICALLY INTEGRATED NETWORK 1.00 50.00 X 0 359690 30591 MICHAEL SUTTON FORMER CFO 2.00 50.00 X 0 356741 31397 HANY NAGGAR MD BOARD MEMBER/PHYSICIAN 50.00 0.00 X 300262 0 56195 CRAIG NIELSEN CFO 0.00 50.00 X 0 183895 46963 FRANKLIN BAKER PA BOARD MEMBER/PA 50.00 0.00 X 113238 0 20720 MCCABE RHONDA INTERIM CFO 0.00 0.00 X 0 0 0 5897146 9850691 871957 231 1 1 0 VINCENT VISCOMI MD PC 3063 BATTLEFIELD PARKWAY FORT OGLETHORPE GA 30742 MEDICAL SERVICES 795403 ABBVIE INC NORTH WAUKEGAN ROAD NORTH CHICAGO IL 60064 HEALTHCARE RESEARCH 567180 MEDICAL PERSONNEL SERVICES 1917 E 3RD STREET CHATTANOOGA TN 37404 STAFFING SERVICES 355887 TARECK A KADRIE PLLC 2525 DESALES AVE CHATTANOOGA TN 37404 MEDICAL SERVICES 344074 TAILORED CONSTRUCTION & DEV PO BOX 1207 RINGGOLD GA 30736 CONSTRUCTION SERVICES 224460 7 1544139 1544139 NET PATIENT SERVICES 900099 101095816 101095816 INTERCOMPANY TRANSACTI 900099 18647249 18647249 SERVICES SOLD 900099 124784 124784 119867849 3866 -3866 -3866 -3866 EMPLOYEE RETENTION CRE 900099 183918 183918 183918 121592040 119867849 0 180052 2653702 2653702 90246128 89967983 278145 2891141 2882155 8986 9089596 9062085 27511 4849195 4834647 14548 13140726 5479682 7661044 2671 2671 2784560 2662039 122521 3719596 3719596 7207247 7120760 86487 192886 192886 1078 1078 2738403 2738403 2123518 885507 1238011 879 879 MEDICAL SUPPLIES 6508212 6508212 REPAIRS AND MAINTENANCE 1001254 971216 30038 DUES & SUBSCRIPTIONS 297148 288234 8914 EDUCATION 285286 276547 8739 475261 461173 14088 150208487 134251456 15957031 0 1406 5232878 6962325 8062388 12447339 291048 144727 838435 1128390 18278836 15472834 3598167 2806002 44650 44650 20217304 22957180 38284870 46492019 8381352 6188625 25113989 27940986 33495341 34129611 X 4789529 12362408 4789529 12362408 38284870 46492019 -28616447 36189326 0 X 0 1 X 1 0 X 345645 1895715 731716 744771 1544139 5261986 94477770 96118378 106102754 110957739 119867849 527524490 94823415 98014093 106834470 111702510 121411988 532786476 0 0 0 532786476 210428 183918 394346 94823415 98014093 106834470 111912938 121595906 533180822 0.99930 0.99960 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1811405 1808644 2761 5401626 2844893 2556733 11065805 10819297 246508 2806002 RIGHT OF USE ASSETS 22957180 22957180 UNCLAIMED PROPERTY 6220 ACCURAL - UNRECORDED LIABILITY 1073953 INTERCOMPANY PAYABLES 461443 LEASE LIABILITY 26399370 27940986 X PART X, LINE 2: MEMORIAL HEALTH PARTNERS 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. 0 1 0 1 0 1 0 0 0 LARRY SCHUMACHER SR. VP OF OPERATIONS, SE DIVISION (F 0 1172822 0 1129494 0 441839 0 17444 0 20737 0 2782336 0 181486 KRISHNENDU BHADRA MD PHYSICIAN 1321011 0 0 0 2315 0 17750 0 30368 0 1371444 0 0 0 JEFFREY MULLINS MD PHYSICIAN 1158340 35848 0 0 1895 0 0 16497 8110 21840 1168345 74185 0 0 LARRY SPROUSE MD VASCULAR SURGEON PRIMARY 55583 710980 0 377306 2500 29826 16700 0 14304 10989 89087 1129101 0 0 JANELLE REILLY MARKET CEO 0 630819 0 369019 0 133279 0 17925 0 36487 0 1187529 0 54188 DAVID FOSTER MD BOARD MEMBER/ SYSTEM VP PE OPS 0 618093 0 505732 0 1932 0 18110 0 31973 0 1175840 0 0 MARK FUGATE MD VASCULAR SURGEON PRIMARY 49946 687618 0 290048 2340 27905 17925 0 22268 13995 92479 1019566 0 0 TROY HAMMETT FORMER BOARD MEMBER/CFO 0 609773 0 300789 0 93189 0 73425 0 32412 0 1109588 0 52044 RANJITH BABU MD NEUROSURGEON 908782 0 0 0 1727 0 0 0 26789 0 937298 0 0 0 DANIEL HEITHOLD MD BOARD MEMBER/PHYSICIAN 596760 0 0 0 4667 0 17925 0 27489 0 646841 0 0 0 ALYCIA CLEINMAN MD CHAIR/PHYSICIAN 501749 0 63385 0 2345 0 17900 0 11275 0 596654 0 0 0 TONIA COX MD BOARD MEMBER/PHYSICIAN 391832 0 0 0 2274 0 17750 0 35860 0 447716 0 0 0 DEREK CROUTHERS MD BOARD MEMBER/PHYSICIAN 366936 0 47650 0 1609 0 8296 0 11132 0 435623 0 0 0 ANDREW MCGILL BOARD MEMBER/MHCS SVP DEVELOPMENT/VP 0 326598 0 57051 0 9377 0 17750 0 20439 0 431215 0 0 MAELOR HUGHES VICE CHAIR /MMS PRESIDENT(PARTIAL YE 0 304624 0 62780 0 23624 0 17750 0 16477 0 425255 0 0 JOHN REDDING MD BOARD MEMBER/VP-CLINICALLY INTEGRATE 0 321418 0 36719 0 1553 0 9813 0 20778 0 390281 0 0 MICHAEL SUTTON FORMER CFO 0 316784 0 38176 0 1781 0 17750 0 13647 0 388138 0 0 HANY NAGGAR MD BOARD MEMBER/PHYSICIAN 298186 0 0 0 2076 0 17585 0 38610 0 356457 0 0 0 CRAIG NIELSEN CFO 0 170255 0 13263 0 377 0 11398 0 35565 0 230858 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2022, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 5 PHYSICIAN COMPENSATION IS NOT BASED ON REVENUES OR NET EARNINGS OF THE ORGANIZATION AS A WHOLE, BUT IS BASED UPON SEVERAL REVENUE COMPONENTS THAT THE PHYSICIAN GENERATES OR CONTROLS, INCLUDING CLINICAL REVENUE GENERATED BY THE PHYSICIAN AND SOME ANCILLARY NET INCOME GENERATED BY THE PHYSICIAN. FOR NEW PHYSICIAN AGREEMENTS AND FOR RENEWALS OF PHYSICIAN AGREEMENTS (OTHER THAN AUTOMATIC RENEWALS) PHYSICIAN TOTAL COMPENSATION IS APPROVED IN ADVANCE BY A COMMITTEE OF THE BOARD OF DIRECTORS OF MHPF FOLLOWING A REVIEW BY THE CHI PHYSICIAN ALIGNMENT REVIEW TEAM (PART), CHI EMPLOYER PHYSICIAN INTEGRATION COUNCIL (EPIC), MHCS AND THE PHYSICIAN TRANSACTION REVIEW COMMITTEE (A COMMITTEE COMPRISED OF INDEPENDENT COMMUNITY MEMBERS). REVIEWS BY EACH OF THESE GROUPS CONSIDER APPROPRIATE COMPARABILITY DATA PURSUANT TO THE REQUIREMENTS OF IRC SECTION 4958. TOTAL COMPENSATION IS SUBJECT TO A CAP THAT ENSURES COMPENSATION IS AT FAIR MARKET VALUE. PART I, LINE 6 SEE NARRATIVE FOR SCHEDULE J, PART I, LINE 5A. 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. SCHEDULE J, PART II MEMORIAL HEALTH PARTNERS 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 HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2022. PART 1, LINE 4B: DURING THE 2022 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2022 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: LAWRENCE SCHUMACHER, $247,481, JANELLE REILLY, $71,631 AND TROY HAMMETT, $89,460. 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, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2022 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 2022, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: MAELOR HUGHES, $15,048, JANELLE G. REILLY, $58,037 AND LAWRENCE SCHUMACHER, $177,414. FORM 990, PART III, LINE 4A: I. INTRODUCTION MEMORIAL HEALTH PARTNERS FOUNDATION, INC. (MHPF) IS A TENNESSEE NONPROFIT CORPORATION THAT WAS FORMED ON MARCH 21, 2002 TO PROVIDE MEDICAL SERVICES IN CHATTANOOGA, TENNESSEE AND ITS SURROUNDING COMMUNITY. MHPF OWNS AND OPERATES PHYSICIAN CLINICS AND RELATED FACILITIES IN THE AREA AND ENGAGES IN ACTIVITIES DESIGNED TO PROMOTE THE HEALTH CARE NEEDS OF THE COMMUNITY, IN PARTICULAR THE PROVISION OF HEALTH CARE SERVICES BY PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS. MHPF CURRENTLY PROVIDES SERVICES AT 54 CLINIC LOCATIONS THROUGH 90 PHYSICIAN EMPLOYEES AND 61 MID-LEVEL PROVIDER EMPLOYEES. MHPF ALSO PROVIDES HOSPITALIST SERVICES AT MEMORIAL HEALTH CARE SYSTEM CAMPUSES THROUGH 52 PHYSICIAN EMPLOYEES AND 42 MID-LEVEL PROVIDER EMPLOYEES. MEDICAL CARE IS PROVIDED TO ALL PERSONS IN THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. MHPF'S SOLE CORPORATE MEMBER IS MEMORIAL HEALTH CARE SYSTEM, INC. (MHCS), A KENTUCKY NONPROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE. MHPF AND MHCS ARE PART OF A NATIONWIDE SYSTEM OF NONPROFIT, TAX-EXEMPT HEALTH CARE PROVIDERS OF WHICH CATHOLIC HEALTH INITIATIVES, INC. (CHI), A COLORADO NONPROFIT CORPORATION WHICH IS ALSO EXEMPT FROM FEDERAL TAX AS AN ORGANIZATION DESCRIBED UNDER SECTION 501(C)(3), SERVES AS THE SOLE CORPORATE MEMBER. AS A PART OF THE CHI SYSTEM, MHPF AND MHCS OPERATE IN CONFORMITY WITH THE MISSION OF CHI, WHICH AMONG OTHER THINGS OBLIGATES MHPF AND MHCS TO OPERATE IN WAYS THAT "NURTURE THE HEALING MINISTRY OF THE CHURCH, BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY, AND THAT "EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE IN THE CREATION OF HEALTHIER COMMUNITIES." MHPF IS DEDICATED TO CHRISTIAN VALUES AND IS ABLE TO INCORPORATE EFFICIENT PRACTICES TO ENSURE CONTINUATION OF ITS MISSION INTO THE FUTURE. MHPF PARTICIPATES IN TNCARE AND MEDICARE, AND HAS AN ACTIVE CHARITY CARE PROGRAM. MHPF WAS GRANTED TAX EXEMPT STATUS ON MARCH 24, 2002 AS A 509 (A) 2 ENTITY. II. COMMUNITY BENEFIT APPROACH MHPF'S 54 CLINICS ARE DISPERSED IN SIX COUNTIES IN SOUTHEAST TENNESSEE AND NORTHEAST GEORGIA. SINCE ITS FORMATION IN 2002, MHPF'S PRIMARY FOCUS HAS BEEN THE PROVISION OF HEALTH CARE SERVICES AND THE PROMOTION OF A HEALTH COMMUNITY. MHPF UNDERSTANDS THE NEEDS IN MEDICALLY UNDERSERVED AREAS WITHIN CHATTANOOGA AND OPERATES A CLINIC CENTRAL TO MANY OF THOSE AREAS IN ORDER TO PROVIDE CARE TO THE UNDERSERVED. MHPF AS A RESULT COMMITS SUBSTANTIAL RESOURCES TO SPONSOR A BROAD RANGE OF SERVICES TO BOTH THE POOR AS WELL AS THE BROADER COMMUNITY. BENEFITS FOR THE POOR INCLUDE THE COST OF PROVIDING SERVICES TO PERSONS WHO CANNOT AFFORD HEALTH CARE DUE TO INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED, AND INCLUDE TRADITIONAL CHARITY CARE, UNPAID COSTS OF MEDICAID, AND OTHER UNPAID COSTS OF CLINICS. BENEFITS PROVIDED TO THE BROADER COMMUNITY ALSO INCLUDE THE COSTS OF PROVIDING SERVICES TO OTHER POPULATIONS WHO MAY NOT QUALIFY AS POOR BUT MAY NEED SPECIAL SERVICES AND SUPPORT. BENEFITS TO THE BROADER COMMUNITY INCLUDE THE UNPAID COSTS OF MEDICARE PROGRAMS FOR SENIORS. IN FISCAL YEAR 2022, MEMORIAL HEALTH PARTNERS FOUNDATION PROVIDED COMMUNITY BENEFITS AND SERVICES THROUGH APPROXIMATELY 554,902 PATIENT ENCOUNTERS AT A TOTAL COST OF $87,012,885. DONATIONS, GRANTS, AND OTHER RECEIPTS TOTALING $43,509,598 WERE AVAILABLE AS DIRECT OFFSETS TO THESE COSTS. THE MAJOR COMPONENTS OF THESE COMMUNITY SERVICES ARE AS FOLLOWS: COMMUNITY BENEFITS FOR THE POOR: ESTIMATED NUMBER OF PEOPLE SERVED COMMUNITY BENEFIT COST COST OF CHARITY CARE PROVIDED: 16,874 | 1,504,949 UNREIMBURSED COST OF PUBLIC PROGRAMS: 57,910 | 4,461,956 NON-BILLED SERVICES FOR THE POOR: | 45,863 TOTAL COMMUNITY BENEFITS FOR THE POOR: 74,784 | 6,012,768 TOTAL COST OF COMMUNITY BENEFITS 6,012,768 BENEFITS FOR THE BROADER COMMUNITY: UNPAID COSTS OF MEDICARE: 480,118 | 37,536,383 TOTAL COMMUNITY BENEFIT INCLUDING THE UNPAID COST OF MEDICARE: 554,902 | 43,549,151 III. UNCOMPENSATED CARE CHARITY CARE IS THE COST OF CARE OF UNINSURED OR UNDER-INSURED, LOW-INCOME PATIENTS WHO ARE NOT EXPECTED TO PAY ALL OF A BILL, OR WHO ARE ABLE TO PAY ONLY A PORTION USING AN INCOME-RELATED SCALE. THOSE RECEIVING CHARITY CARE ARE NOT ELIGIBLE FOR PUBLIC PROGRAMS SUCH AS TENNCARE. MHPF HAS A CHARITY CARE POLICY, WHICH ASSURES THAT ALL PERSONS RECEIVE MEDICALLY NECESSARY, BASIC PHYSICIAN CARE AND SERVICES REGARDLESS OF THEIR ABILITY TO PAY. MHPF PROVIDES A SIGNIFICANT LEVEL OF CHARITY CARE EACH YEAR. IN FY 2023, THE COST OF CHARITY CARE WAS $1,504,949. ADDITIONALLY, MHPF PROVIDED UNREIMBURSED COSTS IN THE AMOUNT OF $4,461,956 FOR PATIENTS WHO QUALIFIED FOR THE TENNCARE PROGRAM. IV. COMMUNITY OUTREACH FOR THE POOR PRIMARY CARE HEALTH CLINICS SEVERAL AREAS OF CHATTANOOGA DO NOT HAVE CONVENIENT ACCESS TO PRIMARY HEALTHCARE SERVICES. TO ANSWER THE NEED FOR MORE CONVENIENT HEALTHCARE, MHPF HAS A COMMUNITY BASED HEALTH CLINIC. THIS CLINIC OPERATES IN FEDERALLY DESIGNATED HEALTHCARE SHORTAGE AREAS IN MEDICALLY UNDERSERVED AREA/POPULATION (MUA/P). THE CLINIC IS STAFFED WITH NURSE PRACTITIONERS WORKING IN COLLABORATION WITH A PHYSICIAN MEDICAL DIRECTOR WHO ADDRESS PATIENT CARE "HOLISTICALLY" IN A MANNER WHICH ACKNOWLEDGES THE RELATIONSHIPS OF PHYSICAL, MENTAL AND SPIRITUAL HEALTH. THE CLINIC PROVIDE CARE FOR EVERYONE IN THE FAMILY REGARDLESS OF THEIR ABILITY TO PAY. UNREIMBURSED COSTS (IN ADDITION TO COSTS REPORTED IN THE COMMUNITY BENEFITS TABLE ABOVE) IN FY 2023 TOTALED $320,783 FOR THE PRIMARY CARE CLINICS. V. UNBILLED SERVICES FOR THE POOR PHARMACY ASSISTANCE THE COMMUNITY BASED HEALTH CLINIC PROVIDE PHARMACY ASSISTANCE TO UNINSURED AND UNDERINSURED PATIENTS IN THE FORM OF A PHARMACY ASSISTANCE COORDINATOR. THE COORDINATOR APPLIES FOR FINANCIAL AID DIRECTLY WITH PHARMACEUTICAL COMPANIES. WITHOUT THIS ASSISTANCE, THE UNINSURED AND UNDERINSURED PATIENTS WHO ARE CARED FOR IN THE CLINICS MAY NOT HAVE ACCESS TO THE MEDICINES THEY NEED. FOR FISCAL YEAR 2023, MHPF'S COST OF PROVIDING THIS SERVICE WAS $36,433. ACCESS TO SPECIALTY CARE THE COMMUNITY BASED HEALTH CLINIC ALSO COORDINATES ACCESS TO SPECIALTY CARE VIA COORDINATION WITH PROJECT ACCESS, A LOCAL NETWORK OF SPECIALISTS WHO HAVE AGREED TO PROVIDE CARE TO THE UNINSURED AND UNDERINSURED. WITHOUT THIS SERVICE THE CLINICS' UN-INSURED AND UNDER-INSURED PATIENTS MAY NOT BE ABLE TO ACCESS THE SPECIALTY CARE THEY NEED. FOR FISCAL YEAR 2023, MHPF'S COST OF PROVIDING THIS SERVICE WAS $9,430. V. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY UNPAID COSTS OF MEDICARE MHPF HAS A VERY LARGE MEDICARE POPULATION REPRESENTING ABOUT 52% OF THE TOTAL POPULATION OF PATIENTS SEEN IN FY 2023. MHPF INCURRED $37,536,383 IN UNREIMBURSED COSTS FOR ITS MEDICARE PATIENTS DURING FY 2023. MHPF'S UNREIMBURSED COSTS FROM THE MEDICARE PROGRAM ARE COMPUTED IN A MANNER CONSISTENT WITH A STANDARDIZED APPROACH DEVELOPED BY CATHOLIC HEALTH INITIATIVES FOR REPORTING AND BUDGETING BENEFITS PROVIDED TO THE COMMUNITY. FORM 990, PART VI, SECTION A, LINE 1A PURSUANT TO SECTION 8.1 OF THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE VOTING DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE OTHER THAN THE NOMINATING ADVISORY COMMITTEE SHALL CONSIST OF AT LEAST TWO DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS MEMORIAL HEALTH CARE SYSTEM, INC., A KENTUCKY NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. 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 MEMORIAL HEALTH CARE SYSTEM, INC. ("MHCS"). PURSUANT TO THE ORGANIZATION'S BYLAWS, BOTH MHCS AND COMMONSPIRIT HEALTH (MHCS'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 MHCS BOARD: * APPROVE MEMBERS OF MEMORIAL HEALTH PARTNERS FOUNDATION, INC ("MHPF") BOARD * AMENDMENT OF THE CORPORATE DOCUMENTS OF MHPF * APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MHPF * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR MHPF 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 MHPF * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MHPF * APPROVAL OF ISSUANCE OF DEBT BY MHPF * APPROVAL OF PARTICIPATION OF MHPF IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY MHPF * APPROVAL OF A MERGER INVOLVING MHPF * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MHPF * TO REQUIRE THE TRANSFER OF ASSETS BY MHPF TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. PURSUANT TO THE ORGANIZATION'S BYLAWS, MHCS 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 ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE MHP FOUNDATION CEO, THE MHP FOUNDATION CFO, AND THE MHCS CFO. COPIES OF THE FINAL RETURN ARE THEN PROVIDED TO THE MHP FOUNDATION BOARD MEMBERS. 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 AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15B FOR LEADERSHIP POSITIONS WITH SUBSTANTIAL INFLUENCE (NOT INCLUDING THE PRESIDENT/CEO, WHO IS PAID BY A RELATED ORGANIZATION), COMPENSATION IS REVIEWED BY AN INDEPENDENT GROUP USING COMPARABILITY DATA AND RECOMMENDATIONS ARE PRESENTED TO THE ORGANIZATION'S EXECUTIVE COMMITTEE FOR APPROVAL OF BASE PAY INCREASES AND INCENTIVE ACHIEVEMENT. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. COMPENSATION FOR OTHER OFFICERS (INCLUDING THE PRESIDENT/CEO) AND KEY EMPLOYEES OF THE ORGANIZATION IS ESTABLISHED BY COMMONSPIRIT HEALTH COMPENSATION USING EXTERNAL COMPENSATION SURVEYS OR STUDIES CONTAINING COMPARABLE DATA FOR SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX EXEMPT FOR SIMILAR JOB RESPONSIBILITIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE TENNESSEE SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. FORM 990, PART VI, LINE 14: MHP FOUNDATION ("MHPF") FOLLOWS THE DOCUMENT RETENTION AND DESTRUCTION POLICY OF MEMORIAL HEALTH CARE SYSTEM, MHPF'S SOLE CORPORATE MEMBER. HOWEVER, THIS POLICY HAS NOT BEEN FORMALLY ADOPTED BY MHPF'S BOARD OF DIRECTORS. THE DOCUMENT RETENTION POLICY FOR MEMORIAL HEALTH CARE SYSTEM WENT INTO EFFECT IN OCTOBER 2012. 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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