TY 2019 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) LLOYD H DEAN...................................................................... CHIEF EXECUTIVE OFFICER	30.00 ................. 20.00	X	X		0	13,327,537	3,417,690
(2) KEVIN LOFTON FACHE...................................................................... CHIEF EXECUTIVE OFFICER (THROUGH 06/30/20)	30.00 ................. 20.00	X	X		5,572,945	0	33,619
(3) MARVIN O'QUINN...................................................................... PRESIDENT AND CHIEF OPERATING OFFICER	25.00 ................. 25.00		X		0	5,037,654	562,200
(4) ELIZABETH SHIH...................................................................... SEVP, CHIEF ADMINISTRATIVE OFFICER	30.00 ................. 20.00		X		0	3,475,394	751,090
(5) DANIEL J MORISSETTE CPA...................................................................... SEVP, CHIEF FINANCIAL OFFICER/TREASURER	25.00 ................. 25.00		X		0	3,332,751	378,955
(6) DARRYL ROBINSON...................................................................... SEVP, CHIEF HUMAN RESOURCE OFFICER	30.00 ................. 20.00			X	0	3,012,757	330,656
(7) DEAN SWINDLE CPA...................................................................... FORMER PRESIDENT OF ENTERPRISE BUSINESS LINES AND	48.00 ................. 2.00			X	3,233,008	0	43,334
(8) ROBERT WIEBE MD...................................................................... EVP, CHIEF MEDICAL OFFICER	30.00 ................. 20.00			X	0	2,893,670	352,798
(9) CHARLES P FRANCIS...................................................................... SEVP, CHIEF STRATEGY OFFICER	30.00 ................. 20.00			X	0	2,880,272	219,029
(10) KETUL PATEL...................................................................... SVP DIVISIONAL OPERATIONS AND CHIEF EXECUTIVE OFFI	48.00 ................. 2.00			X	2,449,983	0	216,880
(11) ANTHONY JONES...................................................................... SYSTEM SEVP, OPERATIONS	48.00 ................. 2.00			X	2,459,531	0	14,470
(12) LAWRENCE SCHUMACHER...................................................................... SVP DIVISIONAL OPERATIONS AND CHIEF EXECUTIVE OFFI	48.00 ................. 2.00			X	2,159,587	0	215,816
(13) ELIZABETH I KEITH...................................................................... EVP/SPONSORSHIP/MISSION INTEGRATION, PHILANTHROPY	20.00 ................. 30.00			X	0	2,139,763	224,203
(14) CLIFF ROBERTSON MD...................................................................... SVP DIVISIONAL OPERATIONS AND CHIEF EXECUTIVE OFFI	48.00 ................. 2.00			X	2,271,574	0	46,283
(15) LISA GAMSHAD ZUCKERMAN...................................................................... SYSTEM SVP TREASURY AND STRATEGIC INVESTMENTS	30.00 ................. 20.00			X	0	1,653,674	210,095
(16) CHERYL HARELSTAD...................................................................... SYSTEM SVP SUPPLY CHAIN MGMT (THROUGH 5/19/19)	50.00 ................. 0.00			X	1,800,390	0	30,764
(17) T DOUGLAS LAWSON PHD...................................................................... SVP DIVISIONAL OPERATIONS AND CHIEF EXECUTIVE OFFI	48.00 ................. 2.00			X	1,536,576	0	212,997

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) PATRICIA WEBB FACHE........................................................................ SEVP, CHIEF ADMINISTRATIVE OFFICER	45.00 .......................5.00		X				1,700,640	0	34,477
(19) JEFFREY W LAND........................................................................ SYSTEM SVP NATIONAL REAL ESTATE SERVICES	20.00 .......................30.00			X			0	1,545,879	141,493
(20) PAUL EDGETT III........................................................................ CHIEF BUSINESS LINES OFFICER	30.00 .......................20.00			X			1,631,607	0	47,118
(21) MITCH MELFI ESQ........................................................................ CHIEF LEGAL OFFICER/SECRETARY	30.00 .......................20.00		X				1,640,990	0	37,534
(22) JEFFREY DROP........................................................................ SVP AND DIVISION EXECUTIVE OFFICER	24.00 .......................26.00			X			1,632,531	0	28,135
(23) ROBERT WEIL MD........................................................................ SVP AND CHIEF MEDICAL OFFICER (THROUGH 6/30/19)	50.00 .......................0.00			X			1,582,980	0	29,683
(24) FREDERICK MEADORS........................................................................ CARDIOVASCULAR SURGEON (SOUTHEAST DIVISION)	0.00 .......................50.00					X	0	1,530,991	32,545
(25) BENJIE M LOANZON........................................................................ SYSTEM SVP FINANCE AND CORPORATE CONTROLLER	20.00 .......................30.00			X			0	1,336,350	188,734
(26) FRANK BAUER........................................................................ CARDIOTHORACIC SURGEON (SOUTHEAST DIVISION)	0.00 .......................50.00					X	0	1,486,152	24,918
(27) THOMAS KOPFENSTEINER STD........................................................................ CHIEF MISSION OFFICER	30.00 .......................20.00			X			1,482,923	0	26,535
(28) KATHLEEN SANFORD RN DBA FACHE........................................................................ CHIEF NURSING OFFICER	30.00 .......................20.00			X			1,448,706	0	44,513
(29) TAMMARA WILCOX........................................................................ SYSTEM SVP PAYER STRATEGY & RELATIONSHIPS	20.00 .......................30.00				X		0	1,300,827	170,547
(30) BRUCE SWARTZ........................................................................ SVP PHYSICIAN ENTERPRISE	30.00 .......................20.00			X			0	1,320,919	120,124
(31) ROBERT RITZ........................................................................ CEO-MERCYONE	48.00 .......................2.00				X		1,295,482	0	43,093
(32) JOHN PETERSDORF........................................................................ SYSTEM SVP OPERATIONAL FINANCE	20.00 .......................30.00				X		0	1,117,159	168,320
(33) MICHAEL COVERT........................................................................ FORMER SVP DIVISIONAL OPERATIONS/MBO CEO	0.00 .......................0.00					X	1,154,658	0	11,974
(34) ELAINE LISKO........................................................................ SVP AND GENERAL COUNSEL	50.00 .......................0.00				X		932,043	0	73,829
(35) TANJA OQUENDO........................................................................ SYSTEM SVP-TRANSFORM-INTEGRATION	30.00 .......................20.00				X		285,046	641,921	33,320
(36) RUTH WILLIAMS BRINKLEY........................................................................ FORMER SVP/MBO PRESIDENT AND CEO (THROUGH 11/15/17	0.00 .......................0.00					X	874,238	0	0
(37) JOYCE ROSS........................................................................ FORMER SVP COMMUNICATIONS/ASSISTANT SECRETARY (THR	0.00 .......................0.00					X	630,155	0	18,602
(38) MICHAEL O'ROURKE........................................................................ FORMER SVP AND CHIEF INFORMATION OFFICER (THROUGH	0.00 .......................0.00					X	182,933	0	0
(39) TESSIE GUILLERMO........................................................................ BOARD CHAIR	5.00 .......................5.50	X	X				130,000	23,750	0
(40) MARK DEMICHELE........................................................................ TRUSTEE	4.50 .......................5.00	X					110,000	18,750	0
(41) PETER G HANELT CPA........................................................................ TRUSTEE	3.50 .......................3.50	X					110,000	17,500	0
(42) PATRICK STEELE........................................................................ TRUSTEE	3.50 .......................4.00	X					110,000	17,500	0
(43) KENT BRADLEY MD........................................................................ TRUSTEE	2.50 .......................2.50	X					110,000	16,250	0
(44) CHRISTOPHER LOWNEY........................................................................ VICE CHAIR	5.00 .......................6.00	X	X				125,000	0	0
(45) ANTOINETTE HARDY-WALLER RN MJ........................................................................ TRUSTEE	4.00 .......................1.50	X					111,313	0	0
(46) GERALDINE BEDNASH PHD RN FAAN........................................................................ TRUSTEE	2.00 .......................1.50	X					100,000	0	0
(47) JAMES HAMILL........................................................................ TRUSTEE	3.00 .......................1.50	X					100,000	0	0
(48) GARY YATES MD........................................................................ TRUSTEE	2.00 .......................1.50	X					100,000	0	0
(49) CHALLIS LOWE........................................................................ FORMER TRUSTEE (THROUGH 2/7/19)	0.00 .......................0.00					X	70,000	0	0
(50) JUDY CARLE RSM........................................................................ TRUSTEE	3.50 .......................3.50	X					0	0	0
(51) BARBARA HAGEDORN SC........................................................................ TRUSTEE	4.00 .......................1.50	X					0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
CONIFER HEALTH SOLUTIONS 3560 DALLAS PARKWAY FRISCO,TX75034	REVENUE CYCLE SERVICES	564,905,726
DELOITTE CONSULTING LLP 30 ROCKEFELLER PLAZA NEW YORK,NY101120015	CONSULTING SERVICES	83,382,663
PERFORMANCE INTERIORS PO BOX 360170 PITTSBURGH,PA15251	FOOD SERVICES	79,662,617
UNISYS CORPORATION 5451 GREAT AMERICA PARKWAY STE 125 SANTA CLARA,CA95054	IT SUPPORT SERVICES	47,406,683
CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY,MO64117	TECHNOLOGY SERVICES	46,275,608
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 183

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

COMMONSPIRIT HEALTH

Employer identification number

47-0617373

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................1

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) CATHOLIC HEALTH CARE FEDERATION	000000000	1	Yes		0	0

Total 1					0	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Yes

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Yes

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Yes

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
SECTION A, LINE 1:	COMMONSPIRIT HEALTH'S ARTICLES OF INCORPORATION SPECIFICALLY DESIGNATE CATHOLIC HEALTH CARE FEDERATION AS ITS PUBLICLY SUPPORTED ORGANIZATION AND DESIGNATE, BY PURPOSE, SUCH OTHER CHARITABLE ORGANIZATIONS, THE PURPOSES OF WHICH ARE TO EMBODY THE MISSION OF THE HEALING MINISTRY OF JESUS IN THE CHURCH THROUGH OWNERSHIP, MANAGEMENT, OR GOVERNANCE OF HEALTH MINISTRIES, OR THE OFFERING OF OR SUPPORTING OF CHARITABLE AND RELIGIOUS PROGRAMS OR SERVICES CONSISTENT WITH SUCH PURPOSES, IN KEEPING WITH THE GOSPEL IMPERATIVE.
SECTION A, LINE 2:	COMMONSPIRIT HEALTH IS ORGANIZED AND OPERATED, WITHIN THE MEANING OF SECTION 509(A)(3)(A) OF THE INTERNAL REVENUE CODE OF 1986, AS NOW IN EFFECT OR AS SUBSEQUENTLY AMENDED ("IRC"), EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND/OR TO CARRY OUT THE RELIGIOUS, CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE IRC, OF CATHOLIC HEALTH CARE FEDERATION ("CHCF"), A PUBLIC JURIDIC PERSON WITHIN THE MEANING OF THE CODE OF CANON LAW FOR THE ROMAN CATHOLIC CHURCH ("CANON LAW"), INCLUDING BY SUPPORTING SUCH OTHER CHARITABLE ORGANIZATIONS, THE PURPOSES OF WHICH ARE TO EMBODY THE MISSION OF THE HEALING MINISTRY OF JESUS IN THE CHURCH THROUGH OWNERSHIP, MANAGEMENT, OR GOVERNANCE OF HEALTH MINISTRIES, OR THE OFFERING OF OR SUPPORTING OF CHARITABLE AND RELIGIOUS PROGRAMS OR SERVICES CONSISTENT WITH SUCH PURPOSES, IN KEEPING WITH THE GOSPEL IMPERATIVE. BECAUSE CHCF IS PART OF THE ROMAN CATHOLIC CHURCH, IT IS NOT REQUIRED TO APPLY FOR RECOGNITION OF EXEMPT STATUS PURSUANT TO IRC 508(C). BY VIRTUE OF ITS DECREE OF CANONICAL ERECTION BY THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE, CHCF IS A PUBLIC JURIDIC PERSON OF PONTIFICAL RIGHT, SUBJECT TO THE DIRECT OVERSIGHT AND JURISDICTION OF THE APOSTOLIC SEE IN THE VATICAN. AS A PUBLIC JURIDIC PERSON IN THE CHURCH, CHCF IS THE JURIDICAL EQUIVALENT OF A DIOCESE OR PARISH OR RELIGIOUS ORDER IN THE CATHOLIC CHURCH. AS A PUBLIC JURIDIC PERSON, CHCF IS NOT MERELY AFFILIATED WITH THE CATHOLIC CHURCH; IT IS THE CATHOLIC CHURCH, AN OFFICIAL PART OF THE CHURCH ITSELF, WITH A MUNUS OR DUTY ASSIGNED TO IT BY THE CHURCH, AND ABLE TO ACT PUBLICLY IN THE NAME OF THE CHURCH. THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE BY DECREE DATED JUNE 8, 1991, CONFERRED PUBLIC JURIDIC PERSONALITY IN THE CHURCH ON CHCF, STATING THAT CHCF WAS "TO BE GOVERNED IN ACCORDANCE WITH CANON LAW AND ITS OWN APPROVED STATUTES".
SECTION B, LINE 2:	THE ORGANIZATION OPERATES EXCLUSIVELY TO SUPPORT OR BENEFIT ITS PUBLICLY SUPPORTED ORGANIZATION BY SUPPORTING ORGANIZATIONS, OTHER THAN A PRIVATE FOUNDATION, WHICH ARE DESCRIBED IN SECTION 501(C)(3) AND ARE OPERATED, SUPERVISED, OR CONTROLLED DIRECTLY BY OR IN CONNECTION WITH SUCH PUBLICLY SUPPORTED ORGANIZATIONS, OR WHICH IS DESCRIBED IN SECTION 511(A)(2)(B). NO PART OF THE ORGANIZATION'S ACTIVITIES IS IN FURTHERANCE OF A PURPOSE OTHER THAN SUPPORTING OR BENEFITING ONE OR MORE SPECIFIED PUBLICLY SUPPORTED ORGANIZATIONS.

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

COMMONSPIRIT HEALTH

Employer identification number

47-0617373

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization COMMONSPIRIT HEALTH

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization COMMONSPIRIT HEALTH		Employer identification number 47-0617373

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization COMMONSPIRIT HEALTH			Employer identification number 47-0617373
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

COMMONSPIRIT HEALTH

Employer identification number

47-0617373

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

136,086

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

100,000

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

9,390

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

245,476

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	LINE 1A: COMMONSPIRIT HEALTH DOING BUSINESS AS CATHOLIC HEALTH INITIATIVES' (CHI) ONLINE ADVOCACY ACTION CENTER WAS AVAILABLE TO COMMONSPIRIT HEALTH EMPLOYEES AND THE GENERAL PUBLIC FOR USE IN SENDING LETTERS BY E-MAIL TO MEMBERS OF CONGRESS AND THE ADMINISTRATION. DRAFT LETTERS WERE PROVIDED ON CHI ADVOCACY PRIORITIES. INDIVIDUALS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. LINE 1B: CHI HAS TWO SENIOR-LEVEL EMPLOYEES, A SENIOR VICE PRESIDENT/CHIEF ADVOCACY OFFICER AND VICE PRESIDENT REGULATORY AFFAIRS AND STATE RELATIONS, WHO SPEND A PORTION OF THEIR TIME ON LOBBYING ACTIVITIES AT THE FEDERAL LEVEL WITH MINIMAL STATE-LEVEL LOBBYING. A THIRD EMPLOYEE, THE DIRECTOR OF ADVOCACY PROGRAMS, PARTICIPATES IN A NOMINAL AMOUNT OF LOBBYING. THE MAJORITY OF LOBBYING-RELATED ACTIVITIES ARE CONSULTATIVE TO LEADERSHIP AND STAFF OF THE SYSTEM'S HOSPITALS AND HEALTH CARE ORGANIZATIONS. LINE 1D: CHI COMMUNICATES WITH LEADERS OF THE SYSTEM'S HOSPITALS AND HEALTH CARE ORGANIZATIONS ON ADVOCACY ACTIVITIES PRIMARILY THROUGH E-MAIL. MOST COMMUNICATIONS WITH CONGRESS OCCUR ELECTRONICALLY THROUGH THE ADVOCACY ACTION CENTER. CHI ADVOCACY ACTIVITIES INVOLVED COMMUNICATIONS ON CHI ADVOCACY PRIORITIES, INCLUDING ISSUES RELATED TO ACCESS AND COVERAGE FOR ALL, HOSPITAL AND HEALTH PROVIDER REIMBURSEMENT, COVID-19 RELIEF FOR INDIVIDUALS AND HEALTH ENTITIES, AND SOCIAL JUSTICE ISSUES (E.G. ENVIRONMENTAL STEWARDSHIP, IMMIGRATION). LINE 1F: CATHOLIC HEALTH INITIATIVES CONTRIBUTED TO THE COALITION TO PROTECT AMERICA'S HEALTH CARE IN ACCORDANCE WITH CHI ADVOCACY PRIORITIES. LINE 1G: CHI LEADERS HAVE OCCASIONALLY MET WITH MEMBERS OF CONGRESS OR THEIR STAFF AND MADE TELEPHONE CALLS TO EXPRESS POSITIONS ON CHI ADVOCACY PRIORITIES. MANY OF CHI'S EFFORTS ARE FOCUSED THROUGH OUR NATIONAL AND STATE HOSPITAL ASSOCIATIONS AND OUR REGIONAL CHI ADVOCACY LEADERS. AN OVERVIEW OF COMMONSPIRIT HEALTH LOBBYING ACTIVITIES IS PROVIDED BELOW: CENTRAL TO THE COMMONSPIRIT HEALTH MISSION AND VISION IS A COMMITMENT TO ADVOCATE FOR SYSTEMIC CHANGES TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND COMMUNITIES WITH A SPECIFIC CONCERN FOR PERSONS WHO ARE POOR AND MARGINALIZED. THE CATHOLIC HEALTH INITIATIVES ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE COMMONSPIRIT HEALTH PROGRAM FOCUSES ON PUBLIC POLICY ADVOCACY, WHICH INCLUDES ATTENTION TO FEDERAL LEGISLATIVE AND REGULATORY MEASURES, FORMATION OF POSITIONS ON PRIORITY ISSUES, AND POLITICAL ACTIVISM. THE COMMONSPIRIT HEALTH PUBLIC POLICY AGENDA INCLUDES BOTH TRADITIONAL HEALTH CARE POLICIES (E.G. PAYMENT ISSUES, QUALITY AND SAFETY, ETC.) AS WELL AS SOCIAL JUSTICE POLICIES. UNIQUE TO FY 2020 IS ADVOCACY RELATED TO COVID-19 (E.G. FINANCIAL ASSISTANCE, LIABILITY PROTECTIONS, ETC.). POLICIES ADDRESSING THE EXPANSION OF HEALTH COVERAGE AND ACCESS; STRONGER HEALTHIER COMMUNITIES; QUALITY AND VALUE AND FAIR PAYMENT; AND A VIBRANT MINISTRY ARE VITALLY IMPORTANT TO COMMONSPIRIT HEALTH. ALSO IMPORTANT ARE POLICIES THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. COMMONSPIRIT HEALTH BELIEVES ADVOCATING FOR POLICY MEASURES THAT IMPROVE EDUCATION, HOUSING, EMPLOYMENT, AND SOCIOECONOMIC STATUS, PARTICULARLY ON BEHALF OF THE MOST VULNERABLE IN SOCIETY, IS ESSENTIAL TO THE HEALTH AND WELL-BEING OF INDIVIDUALS AND COMMUNITIES. AT THE COMMONSPIRIT HEALTH NATIONAL OFFICE, THE ADVOCACY TEAM IDENTIFIES PUBLIC POLICY PRIORITIES AND INITIATES ADVOCACY STRATEGIES. THE NATIONAL ADVOCACY OFFICE DEVELOPS RESOURCES TO FACILITATE THE INVOLVEMENT OF THE ENTIRE HEALTH SYSTEM IN GRASSROOTS PUBLIC POLICY INITIATIVES. COMMONSPIRIT HEALTH WILL CONTINUE TO EXPAND ITS PUBLIC POLICY PROGRAM IN AN EFFORT TO DEMONSTRATE ITS COMMITMENT TO THE IMPROVEMENT OF HEALTH AND THE PROMOTION OF SOCIAL JUSTICE, PARTICULARLY FOR THE COMMUNITIES IT SERVES AND FOR PERSONS WHO ARE MOST VULNERABLE.

Return Reference

Explanation

PART II-B, LINE 1:

LINE 1A: COMMONSPIRIT HEALTH DOING BUSINESS AS CATHOLIC HEALTH INITIATIVES' (CHI) ONLINE ADVOCACY ACTION CENTER WAS AVAILABLE TO COMMONSPIRIT HEALTH EMPLOYEES AND THE GENERAL PUBLIC FOR USE IN SENDING LETTERS BY E-MAIL TO MEMBERS OF CONGRESS AND THE ADMINISTRATION. DRAFT LETTERS WERE PROVIDED ON CHI ADVOCACY PRIORITIES. INDIVIDUALS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. LINE 1B: CHI HAS TWO SENIOR-LEVEL EMPLOYEES, A SENIOR VICE PRESIDENT/CHIEF ADVOCACY OFFICER AND VICE PRESIDENT REGULATORY AFFAIRS AND STATE RELATIONS, WHO SPEND A PORTION OF THEIR TIME ON LOBBYING ACTIVITIES AT THE FEDERAL LEVEL WITH MINIMAL STATE-LEVEL LOBBYING. A THIRD EMPLOYEE, THE DIRECTOR OF ADVOCACY PROGRAMS, PARTICIPATES IN A NOMINAL AMOUNT OF LOBBYING. THE MAJORITY OF LOBBYING-RELATED ACTIVITIES ARE CONSULTATIVE TO LEADERSHIP AND STAFF OF THE SYSTEM'S HOSPITALS AND HEALTH CARE ORGANIZATIONS. LINE 1D: CHI COMMUNICATES WITH LEADERS OF THE SYSTEM'S HOSPITALS AND HEALTH CARE ORGANIZATIONS ON ADVOCACY ACTIVITIES PRIMARILY THROUGH E-MAIL. MOST COMMUNICATIONS WITH CONGRESS OCCUR ELECTRONICALLY THROUGH THE ADVOCACY ACTION CENTER. CHI ADVOCACY ACTIVITIES INVOLVED COMMUNICATIONS ON CHI ADVOCACY PRIORITIES, INCLUDING ISSUES RELATED TO ACCESS AND COVERAGE FOR ALL, HOSPITAL AND HEALTH PROVIDER REIMBURSEMENT, COVID-19 RELIEF FOR INDIVIDUALS AND HEALTH ENTITIES, AND SOCIAL JUSTICE ISSUES (E.G. ENVIRONMENTAL STEWARDSHIP, IMMIGRATION). LINE 1F: CATHOLIC HEALTH INITIATIVES CONTRIBUTED TO THE COALITION TO PROTECT AMERICA'S HEALTH CARE IN ACCORDANCE WITH CHI ADVOCACY PRIORITIES. LINE 1G: CHI LEADERS HAVE OCCASIONALLY MET WITH MEMBERS OF CONGRESS OR THEIR STAFF AND MADE TELEPHONE CALLS TO EXPRESS POSITIONS ON CHI ADVOCACY PRIORITIES. MANY OF CHI'S EFFORTS ARE FOCUSED THROUGH OUR NATIONAL AND STATE HOSPITAL ASSOCIATIONS AND OUR REGIONAL CHI ADVOCACY LEADERS. AN OVERVIEW OF COMMONSPIRIT HEALTH LOBBYING ACTIVITIES IS PROVIDED BELOW: CENTRAL TO THE COMMONSPIRIT HEALTH MISSION AND VISION IS A COMMITMENT TO ADVOCATE FOR SYSTEMIC CHANGES TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND COMMUNITIES WITH A SPECIFIC CONCERN FOR PERSONS WHO ARE POOR AND MARGINALIZED. THE CATHOLIC HEALTH INITIATIVES ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE COMMONSPIRIT HEALTH PROGRAM FOCUSES ON PUBLIC POLICY ADVOCACY, WHICH INCLUDES ATTENTION TO FEDERAL LEGISLATIVE AND REGULATORY MEASURES, FORMATION OF POSITIONS ON PRIORITY ISSUES, AND POLITICAL ACTIVISM. THE COMMONSPIRIT HEALTH PUBLIC POLICY AGENDA INCLUDES BOTH TRADITIONAL HEALTH CARE POLICIES (E.G. PAYMENT ISSUES, QUALITY AND SAFETY, ETC.) AS WELL AS SOCIAL JUSTICE POLICIES. UNIQUE TO FY 2020 IS ADVOCACY RELATED TO COVID-19 (E.G. FINANCIAL ASSISTANCE, LIABILITY PROTECTIONS, ETC.). POLICIES ADDRESSING THE EXPANSION OF HEALTH COVERAGE AND ACCESS; STRONGER HEALTHIER COMMUNITIES; QUALITY AND VALUE AND FAIR PAYMENT; AND A VIBRANT MINISTRY ARE VITALLY IMPORTANT TO COMMONSPIRIT HEALTH. ALSO IMPORTANT ARE POLICIES THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. COMMONSPIRIT HEALTH BELIEVES ADVOCATING FOR POLICY MEASURES THAT IMPROVE EDUCATION, HOUSING, EMPLOYMENT, AND SOCIOECONOMIC STATUS, PARTICULARLY ON BEHALF OF THE MOST VULNERABLE IN SOCIETY, IS ESSENTIAL TO THE HEALTH AND WELL-BEING OF INDIVIDUALS AND COMMUNITIES. AT THE COMMONSPIRIT HEALTH NATIONAL OFFICE, THE ADVOCACY TEAM IDENTIFIES PUBLIC POLICY PRIORITIES AND INITIATES ADVOCACY STRATEGIES. THE NATIONAL ADVOCACY OFFICE DEVELOPS RESOURCES TO FACILITATE THE INVOLVEMENT OF THE ENTIRE HEALTH SYSTEM IN GRASSROOTS PUBLIC POLICY INITIATIVES. COMMONSPIRIT HEALTH WILL CONTINUE TO EXPAND ITS PUBLIC POLICY PROGRAM IN AN EFFORT TO DEMONSTRATE ITS COMMITMENT TO THE IMPROVEMENT OF HEALTH AND THE PROMOTION OF SOCIAL JUSTICE, PARTICULARLY FOR THE COMMUNITIES IT SERVES AND FOR PERSONS WHO ARE MOST VULNERABLE.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

COMMONSPIRIT HEALTH

Employer identification number

47-0617373

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	9,993,072		9,993,072
b	Buildings ....	63,336,651	16,693,519	46,643,132
c	Leasehold improvements	8,888,951	8,163,645	725,306
d	Equipment ....	1,352,649,622	949,820,442	402,829,180
e	Other .....	26,461,572	30,224	26,431,348
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				486,622,038

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)CONIFER VALUATION & REVENUE CYCLE				2,398,026
(2)INVESTMENTS IN UNCONSOLIDATED ORGS - CONTROLLING INTEREST				686,574,071
(3)DEPOSITS				3,237,060
(4)DEFERRED COMPENSATION				204,217,608
(5)INFORMATION TECHNOLOGY SERVICE LONG-TERM PREPAID				3,634,742
(6)PROJECTS IN PROGRESS - INTERNAL USE SOFTWARE				881,535
(7)RIGHT-OF-USE FINANCE LEASE				244,093
(8)RIGHT-OF-USE OPERATING LEASE				22,978,834
(9)OTHER ASSETS				2,730,002
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				926,895,971

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,463,112,706
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART IV, LINE 2B:	COMMONSPIRIT HEALTH ACTS AS A PAYING AGENT FOR THE EMPLOYEE FINANCIAL ASSISTANCE FUND, AN EMPLOYEE FUNDED AND ADMINISTERED PROGRAM.
PART X, LINE 2:	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.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization
COMMONSPIRIT HEALTH

Employer identification number

47-0617373

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	BOARD MEETINGS		29,771
	NORTH AMERICA (CANADA & MEXICO ONLY)	0	0	BOARD MEETINGS		116,326
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS		1,618,225
	SOUTH ASIA	0	0	GRANTMAKING		93,500
	SUB-SAHARAN AFRICA	0	0	GRANTMAKING		120,000
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	GRANTMAKING		21,255
	CENTRAL AMERICA AND THE CARIBBEAN	0	1	PROGRAM SERVICES	INDEPENDENT CONTRACTORS	17,020
	EAST ASIA AND THE PACIFIC	0	2	PROGRAM SERVICES	INDEPENDENT CONTRACTORS	10,905
	EUROPE	0	6	PROGRAM SERVICES	INDEPENDENT CONTRACTORS	41,240
	MIDDLE EAST AND NORTH AFRICA	0	3	PROGRAM SERVICES	INDEPENDENT CONTRACTORS	45,568
	NORTH AMERICA (CANADA & MEXICO ONLY)	0	8	PROGRAM SERVICES	INDEPENDENT CONTRACTORS	143,128
	SOUTH AMERICA	0	2	PROGRAM SERVICES	INDEPENDENT CONTRACTORS	187,029
	SOUTH ASIA	0	1	PROGRAM SERVICES	INDEPENDENT CONTRACTORS	3,737,551




3a	Sub-total ....	0	3			2,027,002
b	Total from continuation sheets to Part I ...	0	20			4,154,516
c	Totals (add lines 3a and 3b)	0	23			6,181,518

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
SOUTH ASIA	WOMEN AND YOUTH TRAINING	13,500	ACH
SOUTH ASIA	BIRTH ATTENDANT TRAINING	80,000	ACH
SUB-SAHARAN AFRICA	BIRTH ATTENDANT TRAINING	120,000	ACH
CENTRAL AMERICA AND THE CARIBBEAN	COMMUNITY HEALTH AND WELLNESS	21,255	ACH

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	3
3	Enter total number of other organizations or entities .......................	0

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART I, LINE 2:	COMMONSPIRIT HEALTH'S MISSION AND MINISTRY FUND PROVIDES GRANTS TO ELIGIBLE COMMONSPIRIT ORGANIZATIONS, STRATEGIC PARTNERS, AND PARTICIPATING RELIGIOUS CONGREGATIONS TO BE USED FOR THE PLANNING, DEVELOPMENT AND IMPLEMENTATION OF INITIATIVES TO PROMOTE HEALTHY COMMUNITIES. MOST GRANTS MADE BY COMMONSPIRIT COME FROM THE MISSION AND MINISTRY FUND. ELIGIBLE FACILITIES AND GROUPS ASSOCIATED WITH COMMONSPIRIT APPLY FOR GRANT FUNDING FOR HEALTHY COMMUNITY COALITIONS AND PROJECTS. GRANTS FROM THE MISSION AND MINISTRY FUND ARE AWARDED BASED UPON A REVIEW OF GRANT APPLICATIONS SUBMITTED. A COMMITTEE OF THE BOARD OF STEWARDSHIP TRUSTEES IS CHARGED WITH GRANTEE SELECTION. FUNDS AWARDED THROUGH THE MISSION AND MINISTRY FUND ARE IDENTIFIED IN THE COMMONSPIRIT HEALTH GENERAL LEDGER SYSTEM. COMMONSPIRIT ENSURES THAT GRANTS TO UNITED STATES RECIPIENTS ARE PROPERLY USED FOR THEIR INTENDED PURPOSE BY ENSURING THAT THE GRANT RECIPIENTS ARE PRIMARILY IRC 501(C)(3) ORGANIZATIONS. OCCASIONALLY, THESE US 501(C)(3) ORGANIZATIONS (IN MOST CIRCUMSTANCES THE RECIPIENT IS A COMMONSPIRIT AFFILIATE), USE THE FUNDS TO SUPPORT HEALTHCARE ACTIVITIES AND PROMOTE HEALTHY COMMUNITIES IN FOREIGN COUNTIES. THE COMMONSPIRIT HEALTH-RELATED ENTITIES SUPERVISE THE GRANT INITIATIVES, INCLUDING THE EXPENDITURE OF FUNDS IN FURTHERANCE OF THE INITIATIVES. MISSION AND MINISTRY FUND GRANT RECIPIENTS ALSO PROVIDE SEMI-ANNUAL PROGRESS REPORTS, INCLUDING A FINANCIAL REPORT.
PART I, LINE 3:	CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL NORTH AMERICA (CANADA & MEXICO ONLY): ACCRUAL SOUTH ASIA: ACCRUAL SUB-SAHARAH AFRICA: ACCRUAL EAST ASIA AND THE PACIFIC: ACCRUAL EUROPE: ACCRUAL MIDDLE EAST AND NORTH AFRICA: ACCRUAL SOUTH AMERICA: ACCRUAL PART I, LINE 3(F) - DESCRIPTION OF ACCOUNTING METHOD FOR COSTS IN REGION: BOARD MEETINGS ACTIVITIES: SEVERAL COMMONSPIRIT HEALTH EMPLOYEES SERVE ON THE BOARDS OF OFFSHORE CAPTIVES OF COMMONSPIRIT. COMMONSPIRIT ALLOCATED A PORTION OF THE SALARIES OF THESE INDIVIDUALS TO THIS ACTIVITY. TRAVEL COSTS FOR THESE INDIVIDUALS WERE NOT PAID BY COMMONSPIRIT. INVESTMENT ACTIVITY: COMMONSPIRIT'S INVESTMENT IN ALL SAINTS INSURANCE COMPANY, SPC IS REFLECTED IN THIS LINE. ALSO INCLUDED IS THE COMMON STOCK INVESTMENT IN FIRST INITIATIVES INSURANCE, LTD, A WHOLLY OWNED OFFSHORE CAPTIVE SELF-INSURANCE VEHICLE. FIRST INITIATIVES INSURANCE, LTD IS INCLUDED IN COMMONSPIRIT'S CONSOLIDATED FINANCIAL STATEMENTS. GRANTMAKING ACTIVITIES: COMMONSPIRIT PROVIDES CHARITABLE GRANTS TO OTHER U.S. 501(C)(3) ORGANIZATIONS TO SUPPORT FOREIGN PROGRAMS (SEE DESCRIPTION FOR PART I, LINE 2). PROGRAM SERVICE ACTIVITIES: COMMONSPIRIT PAYS VARIOUS FOREIGN INDEPENDENT CONTRACTORS FOR PROGRAM RELATED SERVICES. INCLUDED IN THE SOUTH ASIA PROGRAM SERVICES LINE IS APPROXIMATELY $3.7 MILLION PAID TO WIPRO FOR CENTRALIZED IT SUPPORT SHARED SERVICES PROVIDED TO COMMONSPIRIT NATIONAL OFFICES AND DIVISIONS.
PART II, LINE 1 ACCOUNTING METHOD:	SOUTH ASIA: ACCRUAL SUB-SAHARAN AFRICA: ACCRUAL CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL
PART III ACCOUNTING METHOD:

Schedule F (Form 990) 2019

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
COMMONSPIRIT HEALTH

Employer identification number
47-0617373

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) ALEGENT CREIGHTON HEALTH 12809 WEST DODGE ROAD OMAHA,NE68154	47-0757164	501(C)(3)	506,526				COMMUNITY HEALTH
(2) ALEGENT HEALTH-MERCY HOSPITAL CORNING IA 603 ROSARY DRIVE CORNING,IA50841	42-0782518	501(C)(3)	169,254				COMMUNITY HEALTH
(3) ANNUNCIATION CATHOLIC CHURCH 1408 E 36TH AVE DENVER,CO80205	84-0522064	501(C)(3)	15,000				EDUCATION SUPPORT
(4) ARRUPE CORPORATE WORK STUDY PROGRAM 4343 UTICA ST DENVER,CO80212	46-0508814	501(C)(3)	20,350				EDUCATION SUPPORT
(5) BLUFORD HEALTHCARE LEADERSHIP INSTITUTE 7900 LEES SUMMIT ROAD KANSAS CITY,MO64139	46-3328194	501(C)(3)	45,000				COMMUNITY HEALTH
(6) CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON,ND58421	45-0227311	501(C)(3)	73,888				COMMUNITY HEALTH
(7) CATHOLIC CHARITITIES USA 2050 BALLENGER AVE 400 ALEXANDRIA,VA22314	53-0196620	501(C)(3)	60,000				COMMUNITY HEALTH
(8) CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVENUE DES MOINES,IA50314	42-0680448	501(C)(3)	59,020				VIOLENCE PREVENTION
(9) CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 1150 KELLY JOHNSON BLVD SUITE 204 COLORADO SPRINGS,CO80920	84-0902211	501(C)(3)	390,402				VIOLENCE PREVENTION
(10) CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 1150 KELLY JOHNSON BLVD SUITE 204 COLORADO SPRINGS,CO80920	84-0902211	501(C)(3)	658,172				FOUNDATION SUPPORT
(11) CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE A TOLEDO,OH43623	34-1892096	501(C)(3)		197,770	BOOK	COVID-19 CARE PACKAGES	COMMUNITY HEALTH
(12) CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	45-1261716	501(C)(3)	56,025				COMMUNITY HEALTH
(13) DOMINICAN SISTERS OF PEACE 2320 AIRPORT DR COLUMBUS,OH43219	26-3550703	501(C)(3)	206,132				COMMUNITY HEALTH
(14) FATHER WOODY'S HAVEN OF HOPE 1101 WEST 7TH AVENUE DENVER,CO80204	84-1479555	501(C)(3)	10,000				COMMUNITY HEALTH
(15) FLAGET MEMORIAL HOSPITAL FOUNDATION 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN,KY40004	56-2351341	501(C)(3)	111,081				COMMUNITY HEALTH
(16) FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA,WA98405	91-1145592	501(C)(3)	149,691				COMMUNITY HEALTH
(17) FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA,WA98405	91-1145592	501(C)(3)	44,134				EDUCATION SUPPORT
(18) FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA,WA98405	91-1145592	501(C)(3)	215,799				VIOLENCE PREVENTION
(19) GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY,NE68848	47-0379755	501(C)(3)	65,000				COMMUNITY HEALTH
(20) GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202	31-1206047	501(C)(3)	132,995				FOUNDATION SUPPORT
(21) HIGHLINE MEDICAL CENTER FOUNDATION 16259 SYLVESTER ROAD SW BURIEN,WA98166	91-1171170	501(C)(3)	200,000				COMMUNITY HEALTH
(22) MERCY HOUSING MIDWEST 1600 BROADWAY SUITE 2000 DENVER,CO80202	47-0772351	501(C)(3)	35,050				COMMUNITY HEALTH
(23) MERCY HOUSING NORTHWEST 6930 MARTIN LUTHER KING JR WAY SOUTH SEATTLE,WA98118	91-1546525	501(C)(3)	85,000				COMMUNITY HEALTH
(24) MERCY MEDICAL CENTER INC 2700 STEWART PARKWAY ROSEBURG,OR97471	93-0386868	501(C)(3)	190,493				COMMUNITY HEALTH
(25) NATIONAL ASSOCIATION OF HEALTH SERVICES EXECUTIVES 1050 CONNECTICUT AVENUE NW 5TH FLOOR WASHINGTON,DC20036	62-1312239	501(C)(3)	100,000				COMMUNITY HEALTH
(26) SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN,NE68510	47-0379836	501(C)(3)	45,000				COMMUNITY HEALTH
(27) SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN,NE68510	47-0379836	501(C)(3)	39,970				VIOLENCE PREVENTION
(28) SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 1451 HARRODSBURG ROAD NO 308-D LEXINGTON,KY40504	26-0152877	501(C)(3)	137,031				VIOLENCE PREVENTION
(29) SAINT JOSEPH LONDON FOUNDATION INC 1451 HARRODSBURG ROAD NO 308-D LEXINGTON,KY40504	26-0438748	501(C)(3)	113,306				COMMUNITY HEALTH
(30) SAMARITAN BEHAVIORAL HEALTH INC 110 N MAIN ST 500 DAYTON,OH45402	02-0633634	501(C)(3)	211,504				VIOLENCE PREVENTION
(31) SISTERS OF ST FRANCIS 6832 CONVENT BLVD SYLVANIA,OH43560	34-4450609	501(C)(3)	125,000				VIOLENCE PREVENTION
(32) SISTERS OF ST FRANCIS FOUNDATION OF THE SISTERS OF ST FRANCIS OF PHILADEL 609 S CONVENT RD GLEN RIDDLE ASTON,PA19014	23-2784568	501(C)(3)	140,559				COMMUNITY HEALTH
(33) SISTERS OF THE PRESENTATION OF THE BLESSED VIRGIN MARY FARGO 1101 32ND AVENUE SOUTH FARGO,ND58103	45-0227756	501(C)(3)	75,000				COMMUNITY HEALTH
(34) ST JOSEPH HOSPITAL FOUNDATION INC 1451 HARRODSBURG ROAD NO 308-D LEXINGTON,KY40504	61-1159649	501(C)(3)	71,643				VIOLENCE PREVENTION
(35) ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK,ND58501	45-0226711	501(C)(3)	224,887				VIOLENCE PREVENTION
(36) ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DRIVE BRECKENRIDGE,MN56520	41-0695598	501(C)(3)	74,238				VIOLENCE PREVENTION
(37) ST LUKES HEALTH SYSTEM CORPORATION PO BOX 20269 HOUSTON,TX77225	76-0536232	501(C)(3)	176,200				VIOLENCE PREVENTION
(38) THE AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS,TX75231	13-5613797	501(C)(3)	25,000				COMMUNITY HEALTH
(39) WOMEN'S BUSINESS LEADERS FOUNDATION 1227 25TH ST NW 700 WASHINGTON,DC20037	51-0410145	501(C)(3)	20,000				COMMUNITY HEALTH

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) FLOOD RELIEF	12	43,500
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

COMMONSPIRIT HEALTH'S MISSION AND MINISTRY FUND PROVIDES GRANTS TO ELIGIBLE COMMONSPIRIT ORGANIZATIONS, STRATEGIC PARTNERS, AND PARTICIPATING RELIGIOUS CONGREGATIONS TO BE USED FOR THE PLANNING, DEVELOPMENT AND IMPLEMENTATION OF INITIATIVES TO PROMOTE HEALTHY COMMUNITIES. MOST GRANTS MADE BY COMMONSPIRIT COME FROM THE MISSION AND MINISTRY FUND. ELIGIBLE FACILITIES AND GROUPS ASSOCIATED WITH COMMONSPIRIT APPLY FOR GRANT FUNDING FOR HEALTHY COMMUNITY COALITIONS AND PROJECTS. GRANTS FROM THE MISSION AND MINISTRY FUND ARE AWARDED BASED UPON A REVIEW OF GRANT APPLICATIONS SUBMITTED. A COMMITTEE OF THE BOARD OF STEWARDSHIP TRUSTEES IS CHARGED WITH GRANTEE SELECTION. COMMONSPIRIT ENSURES THAT GRANTS TO UNITED STATES RECIPIENTS ARE PROPERLY USED FOR THEIR INTENDED PURPOSE BY ENSURING THAT THE GRANT RECIPIENTS ARE PRIMARILY IRC SECTION 501(C)(3) ORGANIZATIONS. IN MOST CIRCUMSTANCES, THE RECIPIENT IS A COMMONSPIRIT AFFILIATE. THAT COMMONSPIRIT AFFILIATE SUPERVISES THE GRANT INITIATIVE, INCLUDING THE EXPENDITURE OF FUNDS IN FURTHERANCE OF THE INITIATIVE. MISSION AND MINISTRY FUND GRANT RECIPIENTS ALSO PROVIDE SEMI-ANNUAL PROGRESS REPORTS, INCLUDING A FINANCIAL REPORT.

Schedule I (Form 990) 2019

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

COMMONSPIRIT HEALTH

Employer identification number

47-0617373

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1LLOYD H DEAN CHIEF EXECUTIVE OFFICER	(i) (ii)	0 ------------- 1,942,477	0 ------------- 8,157,579	0 ------------- 3,227,481	0 ------------- 3,302,242	0 ------------- 115,448	0 ------------- 16,745,227	0 ------------- 3,042,693
2KEVIN LOFTON FACHE CHIEF EXECUTIVE OFFICER (THROUGH 06/	(i) (ii)	1,796,768 ------------- 0	3,204,923 ------------- 0	571,254 ------------- 0	15,817 ------------- 0	17,802 ------------- 0	5,606,564 ------------- 0	0 ------------- 0
3MARVIN O'QUINN PRESIDENT AND CHIEF OPERATING OFFICE	(i) (ii)	0 ------------- 1,638,534	0 ------------- 3,031,336	0 ------------- 367,784	0 ------------- 485,531	0 ------------- 76,669	0 ------------- 5,599,854	0 ------------- 326,231
4ELIZABETH SHIH SEVP, CHIEF ADMINISTRATIVE OFFICER	(i) (ii)	0 ------------- 1,020,285	0 ------------- 1,850,665	0 ------------- 604,444	0 ------------- 657,095	0 ------------- 93,995	0 ------------- 4,226,484	0 ------------- 496,573
5DANIEL J MORISSETTE CPA SEVP, CHIEF FINANCIAL OFFICER/TREASU	(i) (ii)	0 ------------- 1,349,240	0 ------------- 1,975,581	0 ------------- 7,930	0 ------------- 340,398	0 ------------- 38,557	0 ------------- 3,711,706	0 ------------- 0
6DARRYL ROBINSON SEVP, CHIEF HUMAN RESOURCE OFFICER	(i) (ii)	0 ------------- 925,320	0 ------------- 1,974,603	0 ------------- 112,834	0 ------------- 274,521	0 ------------- 56,135	0 ------------- 3,343,413	0 ------------- 0
7DEAN SWINDLE CPA FORMER PRESIDENT OF ENTERPRISE BUSIN	(i) (ii)	1,287,313 ------------- 0	1,597,821 ------------- 0	347,874 ------------- 0	16,397 ------------- 0	26,937 ------------- 0	3,276,342 ------------- 0	0 ------------- 0
8ROBERT WIEBE MD EVP, CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 1,041,623	0 ------------- 1,648,302	0 ------------- 203,745	0 ------------- 315,919	0 ------------- 36,879	0 ------------- 3,246,468	0 ------------- 189,492
9CHARLES P FRANCIS SEVP, CHIEF STRATEGY OFFICER	(i) (ii)	0 ------------- 1,061,002	0 ------------- 1,797,352	0 ------------- 21,918	0 ------------- 146,018	0 ------------- 73,011	0 ------------- 3,099,301	0 ------------- 0
10KETUL PATEL SVP DIVISIONAL OPERATIONS AND CHIEF	(i) (ii)	1,197,841 ------------- 0	1,064,486 ------------- 0	187,656 ------------- 0	204,891 ------------- 0	11,989 ------------- 0	2,666,863 ------------- 0	167,190 ------------- 0
11ANTHONY JONES SYSTEM SEVP, OPERATIONS	(i) (ii)	1,193,615 ------------- 0	1,247,337 ------------- 0	18,579 ------------- 0	0 ------------- 0	14,470 ------------- 0	2,474,001 ------------- 0	0 ------------- 0
12LAWRENCE SCHUMACHER SVP DIVISIONAL OPERATIONS AND CHIEF	(i) (ii)	1,124,447 ------------- 0	903,053 ------------- 0	132,087 ------------- 0	189,040 ------------- 0	26,776 ------------- 0	2,375,403 ------------- 0	112,320 ------------- 0
13ELIZABETH I KEITH EVP/SPONSORSHIP/MISSION INTEGRATION,	(i) (ii)	0 ------------- 628,854	0 ------------- 1,307,730	0 ------------- 203,179	0 ------------- 179,090	0 ------------- 45,113	0 ------------- 2,363,966	0 ------------- 0
14CLIFF ROBERTSON MD SVP DIVISIONAL OPERATIONS AND CHIEF	(i) (ii)	1,062,248 ------------- 0	848,919 ------------- 0	360,407 ------------- 0	16,675 ------------- 0	29,608 ------------- 0	2,317,857 ------------- 0	136,676 ------------- 0
15LISA GAMSHAD ZUCKERMAN SYSTEM SVP TREASURY AND STRATEGIC IN	(i) (ii)	0 ------------- 603,856	0 ------------- 1,035,285	0 ------------- 14,533	0 ------------- 154,335	0 ------------- 55,760	0 ------------- 1,863,769	0 ------------- 0
16CHERYL HARELSTAD SYSTEM SVP SUPPLY CHAIN MGMT (THROU	(i) (ii)	231,623 ------------- 0	321,806 ------------- 0	1,246,961 ------------- 0	16,675 ------------- 0	14,089 ------------- 0	1,831,154 ------------- 0	0 ------------- 0
17T DOUGLAS LAWSON PHD SVP DIVISIONAL OPERATIONS AND CHIEF	(i) (ii)	1,020,839 ------------- 0	499,895 ------------- 0	15,842 ------------- 0	180,475 ------------- 0	32,522 ------------- 0	1,749,573 ------------- 0	0 ------------- 0
18PATRICIA WEBB FACHE SEVP, CHIEF ADMINISTRATIVE OFFICER	(i) (ii)	910,322 ------------- 0	622,477 ------------- 0	167,841 ------------- 0	16,675 ------------- 0	17,802 ------------- 0	1,735,117 ------------- 0	0 ------------- 0
19JEFFREY W LAND SYSTEM SVP NATIONAL REAL ESTATE SERV	(i) (ii)	0 ------------- 426,419	0 ------------- 559,446	0 ------------- 560,014	0 ------------- 95,353	0 ------------- 46,140	0 ------------- 1,687,372	0 ------------- 551,926
20PAUL EDGETT III CHIEF BUSINESS LINES OFFICER	(i) (ii)	848,293 ------------- 0	608,753 ------------- 0	174,561 ------------- 0	14,455 ------------- 0	32,663 ------------- 0	1,678,725 ------------- 0	0 ------------- 0
21MITCH MELFI ESQ CHIEF LEGAL OFFICER/SECRETARY	(i) (ii)	856,473 ------------- 0	624,970 ------------- 0	159,547 ------------- 0	15,625 ------------- 0	21,909 ------------- 0	1,678,524 ------------- 0	0 ------------- 0
22JEFFREY DROP SVP AND DIVISION EXECUTIVE OFFICER	(i) (ii)	738,287 ------------- 0	762,437 ------------- 0	131,807 ------------- 0	10,333 ------------- 0	17,802 ------------- 0	1,660,666 ------------- 0	0 ------------- 0
23ROBERT WEIL MD SVP AND CHIEF MEDICAL OFFICER (THROU	(i) (ii)	376,505 ------------- 0	592,636 ------------- 0	613,839 ------------- 0	16,675 ------------- 0	13,008 ------------- 0	1,612,663 ------------- 0	108,000 ------------- 0
24FREDERICK MEADORS CARDIOVASCULAR SURGEON (SOUTHEAST DI	(i) (ii)	0 ------------- 1,525,447	0 ------------- 0	0 ------------- 5,544	0 ------------- 15,802	0 ------------- 16,743	0 ------------- 1,563,536	0 ------------- 0
25BENJIE M LOANZON SYSTEM SVP FINANCE AND CORPORATE CON	(i) (ii)	0 ------------- 620,869	0 ------------- 709,560	0 ------------- 5,921	0 ------------- 126,258	0 ------------- 62,476	0 ------------- 1,525,084	0 ------------- 0
26FRANK BAUER CARDIOTHORACIC SURGEON (SOUTHEAST DI	(i) (ii)	0 ------------- 1,480,608	0 ------------- 0	0 ------------- 5,544	0 ------------- 15,625	0 ------------- 9,293	0 ------------- 1,511,070	0 ------------- 0
27THOMAS KOPFENSTEINER STD CHIEF MISSION OFFICER	(i) (ii)	768,542 ------------- 0	559,325 ------------- 0	155,056 ------------- 0	16,675 ------------- 0	9,860 ------------- 0	1,509,458 ------------- 0	0 ------------- 0
28KATHLEEN SANFORD RN DBA FACHE CHIEF NURSING OFFICER	(i) (ii)	774,030 ------------- 0	548,878 ------------- 0	125,798 ------------- 0	16,358 ------------- 0	28,155 ------------- 0	1,493,219 ------------- 0	0 ------------- 0
29TAMMARA WILCOX SYSTEM SVP PAYER STRATEGY & RELATION	(i) (ii)	0 ------------- 548,950	0 ------------- 741,390	0 ------------- 10,487	0 ------------- 122,560	0 ------------- 47,987	0 ------------- 1,471,374	0 ------------- 0
30BRUCE SWARTZ SVP PHYSICIAN ENTERPRISE	(i) (ii)	0 ------------- 592,524	0 ------------- 695,800	0 ------------- 32,595	0 ------------- 74,991	0 ------------- 45,133	0 ------------- 1,441,043	0 ------------- 0
31ROBERT RITZ CEO-MERCYONE	(i) (ii)	1,010,543 ------------- 0	0 ------------- 0	284,939 ------------- 0	16,675 ------------- 0	26,418 ------------- 0	1,338,575 ------------- 0	97,036 ------------- 0
32JOHN PETERSDORF SYSTEM SVP OPERATIONAL FINANCE	(i) (ii)	0 ------------- 509,140	0 ------------- 600,301	0 ------------- 7,718	0 ------------- 106,423	0 ------------- 61,897	0 ------------- 1,285,479	0 ------------- 0
33MICHAEL COVERT FORMER SVP DIVISIONAL OPERATIONS/MBO	(i) (ii)	0 ------------- 0	0 ------------- 0	1,154,658 ------------- 0	11,974 ------------- 0	0 ------------- 0	1,166,632 ------------- 0	0 ------------- 0
34ELAINE LISKO SVP AND GENERAL COUNSEL	(i) (ii)	579,356 ------------- 0	293,498 ------------- 0	59,189 ------------- 0	63,219 ------------- 0	10,610 ------------- 0	1,005,872 ------------- 0	0 ------------- 0
35TANJA OQUENDO SYSTEM SVP-TRANSFORM-INTEGRATION	(i) (ii)	85,897 ------------- 466,032	146,286 ------------- 126,000	52,863 ------------- 49,889	0 ------------- 15,645	465 ------------- 17,210	285,511 ------------- 674,776	0 ------------- 40,526
36RUTH WILLIAMS BRINKLEY FORMER SVP/MBO PRESIDENT AND CEO (TH	(i) (ii)	0 ------------- 0	0 ------------- 0	874,238 ------------- 0	0 ------------- 0	0 ------------- 0	874,238 ------------- 0	0 ------------- 0
37JOYCE ROSS FORMER SVP COMMUNICATIONS/ASSISTANT	(i) (ii)	114,356 ------------- 0	130,790 ------------- 0	385,009 ------------- 0	16,092 ------------- 0	2,510 ------------- 0	648,757 ------------- 0	0 ------------- 0
38MICHAEL O'ROURKE FORMER SVP AND CHIEF INFORMATION OFF	(i) (ii)	0 ------------- 0	0 ------------- 0	182,933 ------------- 0	0 ------------- 0	0 ------------- 0	182,933 ------------- 0	0 ------------- 0
39TESSIE GUILLERMO BOARD CHAIR	(i) (ii)	0 ------------- 0	0 ------------- 0	130,000 ------------- 23,750	0 ------------- 0	0 ------------- 0	130,000 ------------- 23,750	0 ------------- 0
40CHALLIS LOWE FORMER TRUSTEE (THROUGH 2/7/19)	(i) (ii)	0 ------------- 0	0 ------------- 0	70,000 ------------- 0	0 ------------- 0	0 ------------- 0	70,000 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	FIRST-CLASS OR CHARTER TRAVEL: COMMONSPIRIT HEALTH POLICY ALLOWS MEMBERS OF THE BOARD OF STEWARDSHIP TRUSTEES TO BOOK BUSINESS CLASS FLIGHTS, OR FIRST CLASS IF BUSINESS CLASS IS NOT AVAILABLE, FOR FLIGHTS OF MORE THAN THREE HOURS DURATION. THIS POLICY EXCLUDES ANY PERSON WHO IS AN EMPLOYEE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") WHO MAY SERVE ON ANY BOARD OR BOARD COMMITTEE ASSOCIATED WITH COMMONSPIRIT OR ITS SUBSIDIARY. COMMONSPIRIT EMPLOYEE FIRST CLASS TRAVEL IS GENERALLY NOT PERMITTED BUT MAY BE UTILIZED IF APPROVED IN ADVANCE IN ACCORDANCE WITH COMMONSPIRIT'S POLICY. FIRST CLASS AIRFARE WAS PROVIDED TO TWO TRUSTEES, ONE TRUSTEE/OFFICER AND ONE TRUSTEE/CORPORATE OFFICER. NO AMOUNT WAS INCLUDED AS REPORTABLE COMPENSATION AS THE TRAVEL WAS INCURRED FOR A BUSINESS PURPOSE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: A TAX GROSS-UP PAYMENT WAS PROVIDED TO THREE TRUSTEES. THESE GROSS UP PAYMENTS WERE INCLUDED AS TAXABLE COMPENSATION TO THE LISTED PERSONS.
PART I, LINE 3	DURING THE TAX YEAR, COMMONSPIRIT WAS LED BY TWO CEOS. ONE OF THE CEOS WAS PAID BY DIGNITY HEALTH, A RELATED ORGANIZATION. DIGNITY HEALTH USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; AND (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. IN EARLY 2019, COMMONSPIRIT HEALTH OBTAINED AN INDEPENDENT, OUTSIDE REVIEW OF THE APPROPRIATE ANNUAL STIPEND TO BE PROVIDED TO ITS BOARD OF STEWARDSHIP TRUSTEES ("BOARD") AND BOARD COMMITTEE MEMBERS. THE REVIEW INCLUDED COMPARABILITY DATA AND REPORTED OUT ON REASONABLE AND APPROPRIATE STIPEND RANGES. THE SPONSORSHIP AND GOVERNANCE COMMITTEE OF THE COMMONSPIRIT BOARD CONSIDERED THE DATA AND RANGES AND MADE A RECOMMENDATION TO THE COMMONSPIRIT BOARD AS TO REASONABLE AND APPROPRIATE STIPEND LEVELS, WHICH THE BOARD APPROVED. COMMONSPIRIT PLANS TO REVIEW BOARD STIPEND LEVELS AT THE SOONER OF THREE YEAR INTERVALS OR PROPOSED ADJUSTMENTS.
PART I, LINES 4A-B	PART I, 4A: FOR REPORTABLE INDIVIDUALS EMPLOYED PRIOR TO 2019, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. OFFICERS, KEY EMPLOYEES AND CERTAIN HIGHLY COMPENSATED EMPLOYEES WHO BEGAN EMPLOYMENT AFTER NOVEMBER 1ST OF 2019 ARE COVERED BY A SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 1 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. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM COMMONSPIRIT DURING THE 2019 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): MICHAEL COVERT, $1,154,658; CHERYL HARELSTAD, $1,133,517; MICHAEL O'ROURKE, $182,933; JOYCE ROSS, $279,898; ROBERT WEIL, $325,718 AND RUTH WILLIAMS BRINKLEY, $874,238. DIGNITY HEALTH'S KEY EMPLOYEES AND OFFICERS AND CERTAIN HIGHLY COMPENSATED EMPLOYEES PARTICIPATE IN A SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 1 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 PLAN. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE FROM DIGNITY HEALTH DURING 2019. PART I, 4B: DURING THE 2019 CALENDAR YEAR, COMMONSPIRIT MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/HOSPITAL PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2019 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: CHERYL HARELSTAD, $86,042; ELAINE LISKO, $39,745; TANJA OQUENDO, $40,639; KETUL PATEL, $172,486; ROBERT RITZ, $97,196; CLIFF ROBERTSON, $139,927; LAWRENCE SCHUMACHER, $112,633 AND ROBERT WEIL, $222,290. 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 2019 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 2019, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: JEFFREY DROP, $112,353; PAUL EDGETT, III, $141,855; CHERYL HARELSTAD, $21,051; THOMAS KOPFENSTEINER, $132,155; KEVIN LOFTON, $533,406; MITCH MELFI, $141,771; TANJA OQUENDO, $48,681; ROBERT RITZ, $162,721; CLIFF ROBERTSON, $182,082; JOYCE ROSS, $8,347; KATHLEEN SANFORD, $102,897; DEAN SWINDLE, $322,862; PATRICIA WEBB, $144,939 AND ROBERT WEIL, $57,747. CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO REPORTABLE INDIVIDUALS RECEIVED PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT DURING 2019. DIGNITY HEALTH'S KEY EMPLOYEES AND CERTAIN OFFICERS AND HIGHLY COMPENSATED EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE. THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS DURING 2019: LLOYD DEAN, $3,042,693; JEFFREY LAND, $551,926; MARVIN O'QUINN, $326,231; ELIZABETH SHIH, $496,573 AND ROBERT WIEBE, $189,492. CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATE IN THE DIGNITY HEALTH SUPPLEMENTAL EXECUTIVE RETENTION/RETIREMENT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN WHICH IN 2002 WAS OFFERED TO MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM BY THE DIGNITY HEALTH BOARD OF DIRECTORS AND WOULD BE PAID ONLY IF THE EXECUTIVES STAYED WITH THE ORGANIZATION FOR A SPECIFIED NUMBER OF YEARS AS THE PRIMARY PURPOSE OF THIS PLAN IS TO PROVIDE FOR THE RETENTION AND RETIREMENT OF THE PARTICIPANTS. THE EXECUTIVE MANAGEMENT TEAM IS RECRUITED FROM STABLE CAREERS IN ORGANIZATIONS FROM ACROSS THE COUNTRY AND FROM VARIOUS INDUSTRIES. DUTIES ARE BOTH EXTENSIVE AND COMPLEX AND REQUIRE SUBSTANTIAL AND DIVERSE EXPERIENCE AND SKILL SETS TO EXECUTE THEIR ROLES SUCCESSFULLY. THE CALCULATION FOR THE PAYMENTS TO EACH EXECUTIVE ARE BASED ON THE VALUE OF A FINAL AVERAGE PAY ANNUITY BENEFIT BASED ON RETIREMENT AGE AND SERVICE YEARS TO THE ORGANIZATION. DISTRIBUTION OCCURS EACH JULY 1 IF THE PLAN FORMULA WARRANTS A PAYMENT. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2019. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)).
PART I, LINE 7	DURING THE 2019 CALENDAR YEAR, COMMONSPIRIT MAINTAINED A VARIABLE PAY PROGRAM FOR MANAGERS AND ABOVE THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PROGRAM ARE MADE BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING FINANCIAL OUTCOMES, QUALITY IMPROVEMENT, AND OTHER MEASURES AS DETERMINED ANNUALLY BY THE HR COMMITTEE OF THE BOARD OF STEWARDSHIP TRUSTEES. HOWEVER, ELIGIBLE AWARDS PAYABLE UNDER THIS PROGRAM ARE DEPENDENT ON REACHING MINIMUM LEVELS OF OPERATING MARGIN AND CHARITY CARE LEVELS, UNLESS THE HR COMMITTEE OF THE BOARD OF STEWARDSHIP TRUSTEES USES ITS DISCRETION TO APPROVE AN EXCEPTION. SUCH EXCEPTIONS ARE NOT APPLIED TO INDIVIDUALS OR CLASSES OF INDIVIDUALS, BUT RATHER TO THE PROGRAM AS A WHOLE.

Schedule J (Form 990) 2019

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
COMMONSPIRIT HEALTH

Employer identification number
47-0617373

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY 2019A1 2019A2 2019B1 2019B2	84-0752932	19648FKT0	08-21-2019	2,357,725,342	SEE PART VI - (2019 COMP ISSUE)		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTH 2019A1 2019A2 2019B1 2019B2 & B3	91-1108929	93978HVB8	08-21-2019	774,448,531	SEE PART VI - (2019 COMP ISSUE)		X		X		X
C	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 2019A2	52-1298872	162410FF6	08-21-2019	317,329,944	SEE PART VI - (2019 COMP ISSUE)		X		X		X
D	KENTUCKY ECONOMIC DEV FINANCE AUTH 2019A1 2019A2	61-0600439	49126PGX2	08-21-2019	209,746,688	SEE PART VI - (2019 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2015A	84-0752932	000000000	07-24-2015	21,400,000	SEE PART VI - (2015A ISSUE)		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2013A	91-1108929	93978HHU2	11-14-2013	63,627,435	SEE PART VI - (2013A ISSUE)		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2013B	91-1108929	93978HHW8	11-14-2013	200,000,000	SEE PART VI - (2013 B ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2013C	84-0752932	000000000	12-19-2013	100,000,000	SEE PART VI - (2013C ISSUE)		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE 2011B	61-0600439	49126PDY3	11-10-2011	158,155,000	SEE PART VI - (2011B ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2009AB	84-0752932	19648ARL1	11-10-2009	713,972,398	SEE PART VI - (2009AB COMP ISSUE)	X			X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB	61-0600439	49126PDF4	11-10-2009	133,269,543	SEE PART VI - (2009AB COMP ISSUE)		X		X		X
	COUNTY OF MONTGOMERY OHIO 2009 AB	31-6000172	613549HX5	11-10-2009	263,401,078	SEE PART VI - (2009AB COMP ISSUE)	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2004B-6	84-0752932	196574T34	09-25-2014	54,200,000	SEE PART VI (2004B-6 ISSUE)		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD	61-0600439	49126PJCT	11-18-2004	94,575,000	SEE PART VI - (2004BCD COMP ISSUE)		X		X		X
	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	52-1298872	162410CB8	11-18-2004	58,900,000	SEE PART VI - (2004BCD COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008C-4	84-0752932	19648A4Q5	11-12-2015	26,495,000	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008C-2	84-0752932	19648A4P7	11-12-2015	26,495,000	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008D-3	84-0752932	19648A4R3	11-12-2015	48,835,493	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	7,400,000		531,890,000		48,170,000		3,000,000
2 Amount of bonds legally defeased ..............			131,465,000				79,880,000
3 Total proceeds of issue ..................	2,357,725,342		774,448,531		317,329,944		209,746,688
4 Gross proceeds in reserve funds .............					10,104		18,140
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,380,000		6,264,973		1,380,211		2,530,978
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	40,015		19,152		70		3,710
10 Capital expenditures from proceeds .............	1,243,899,934		434,821,870		296,022,361		86,144,364
11 Other spent proceeds .............	1,113,785,393		339,607,509		21,297,479		123,580,474
12 Other unspent proceeds .............
13 Year of substantial completion .............	2001		2013		2013		2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........	X		X		X		X
16 Has the final allocation of proceeds been made? ..........		X		X		X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.400 %		0 %		0 %		0.020 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.140 %		0.010 %				0.010 %
6 Total of lines 4 and 5 .............	0.400 %		0 %		0 %		0.020 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0.100 %		6.190 %				0.080 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............	X		X				X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020 ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020 ISSUER NAME: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020
SCHEDULE K, PART VI - SERIES 2004CD COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2008C-2, 2008C-4 AND 2008D-3 COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES D, A, AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES. ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C-2 (ORIGINAL ISSUE DATE: APRIL 30, 2008) COLORADO HEALTH FACILITIES AUTHORITY 2008C-4 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C-4 (ORIGINAL ISSUE DATE: APRIL 30, 2008) COLORADO HEALTH FACILITIES AUTHORITY 2008D-3 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008D-3 (ORIGINAL ISSUE DATE: NOVEMBER 30, 2008) $1,332,999.11 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 AND C-4 BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2009 A/B COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES B, C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $42,935,594.18 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2015 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $1,124,855.22 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2011B ISSUE	SERIES 2011B ISSUE: PART I LINE F PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2013A ISSUE	PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2015A ISSUE	PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2015A - CURRENT REFUNDING OF PULASKI COUNTY, ARKANSAS HEALTH FACILITIES BOARD (ST. VINCENT INFIRMARY) VARIABLE RATE DEMAND REVENUE BONDS SERIES 2000B (ORIGINAL ISSUE DATE: MARCH 30, 2000) PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES CO 2004B-6	PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. $51,759.38 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES CO 2013C	PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. $79,442 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2013C BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - WASHINGTON HEALTH CARE FACILITIES 2013B	PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2019 COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINE A-D IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2019 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. COMMONSPIRIT HEALTH IS THE BORROWER OF THE PROCEEDS OF THE SERIES 2019A-2, 2019B-1, 2019B-2 AND 2019B-3 BONDS, AND DIGNITY HEALTH, A RELATED ORGANIZATION TO COMMONSPIRIT HEALTH, IS THE BORROWER OF THE PROCEEDS OF THE SERIES 2019A-1 BONDS THAT COLLECTIVELY COMPRISE THE COMPOSITE ISSUE. CONSISTENT WITH THE INSTRUCTIONS FOR SCHEDULE K, THE SERIES 2019 COMPOSITE ISSUE IS REPORTED ON THIS COMMONSPIRIT SCHEDULE K, AND NOT REPORTED ON DIGNITY HEALTH'S SCHEDULE K. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY ("COHFA") 2019A-1, 2019A-2, 2019B-1 AND 2019B-2 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN COLORADO, IOWA, KANSAS, MINNESOTA, NEBRASKA, OHIO, OREGON; CURRENT REFUNDING OF ALL OR A PORTION OF THE FOLLOWING BONDS: COHFA 2008D-1 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2008), COHFA 2009B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009), COHFA 2006A, (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006), COHFA 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009), COHFA 2011C (ORIGINAL ISSUACE DATE: NOVEMBER 1, 2011), COHFA 2015-1 (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2015-2 (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2015B (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2017B (ORIGINAL ISSUANCE DATE; DECEMBER 29 2017), CITY OF BRECKENRIDGE, MINNESOTA 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), COUNTY OF MONTGOMERY, OHIO 2008D-1 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008), COUNTY OF MONTGOMERY, OHIO 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), COUNTY OF MONTGOMERY, OHIO 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009) AND HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY, OREGON 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004). KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY ("KEDFA") REVENUE BONDS 2019A-1 AND 2019A-2 REFINANCING OF TAXABLE DEBT FOR CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN KENTUCKY AND CURRENT REFUNDING OF KEDFA 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009) AND KEDFA 2011B1 AND 2011B2 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2011). THE HEALTH, EDUCATIONAL AND HOUSING FACILITY BOARD OF THE CITY OF CHATTANOOGA, TENNESSEE ("HEHFB") REVENUE BONDS 2019A-1 AND 2019A-2 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN TENNESSEE; CURRENT REFUNDING OF HEHFB 2008D (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008). WASHINGTON HEALTH CARE FACILITIES AUTHORITY ('WHCFA") REVENUE BONDS 2019A-1, 2019A-2, 2019B-1, 2019B-2 AND 2019B-3 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN WASHINGTON AND CURRENT REFUNDING OF WHCFA 2008D BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008), WASHINGTON 2008A4-A6 (ORIGINAL ISSUANCE DATE: APRIL 21, 2008) AND WASHINGTON 2015A (ORIGINAL ISSUANCE DATE: JULY 24, 2015) PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.

Schedule K (Form 990) 2019

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
COMMONSPIRIT HEALTH

Employer identification number
47-0617373

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY 2019A1 2019A2 2019B1 2019B2	84-0752932	19648FKT0	08-21-2019	2,357,725,342	SEE PART VI - (2019 COMP ISSUE)		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTH 2019A1 2019A2 2019B1 2019B2 & B3	91-1108929	93978HVB8	08-21-2019	774,448,531	SEE PART VI - (2019 COMP ISSUE)		X		X		X
C	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 2019A2	52-1298872	162410FF6	08-21-2019	317,329,944	SEE PART VI - (2019 COMP ISSUE)		X		X		X
D	KENTUCKY ECONOMIC DEV FINANCE AUTH 2019A1 2019A2	61-0600439	49126PGX2	08-21-2019	209,746,688	SEE PART VI - (2019 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2015A	84-0752932	000000000	07-24-2015	21,400,000	SEE PART VI - (2015A ISSUE)		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2013A	91-1108929	93978HHU2	11-14-2013	63,627,435	SEE PART VI - (2013A ISSUE)		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2013B	91-1108929	93978HHW8	11-14-2013	200,000,000	SEE PART VI - (2013 B ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2013C	84-0752932	000000000	12-19-2013	100,000,000	SEE PART VI - (2013C ISSUE)		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE 2011B	61-0600439	49126PDY3	11-10-2011	158,155,000	SEE PART VI - (2011B ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2009AB	84-0752932	19648ARL1	11-10-2009	713,972,398	SEE PART VI - (2009AB COMP ISSUE)	X			X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB	61-0600439	49126PDF4	11-10-2009	133,269,543	SEE PART VI - (2009AB COMP ISSUE)		X		X		X
	COUNTY OF MONTGOMERY OHIO 2009 AB	31-6000172	613549HX5	11-10-2009	263,401,078	SEE PART VI - (2009AB COMP ISSUE)	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2004B-6	84-0752932	196574T34	09-25-2014	54,200,000	SEE PART VI (2004B-6 ISSUE)		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD	61-0600439	49126PJCT	11-18-2004	94,575,000	SEE PART VI - (2004BCD COMP ISSUE)		X		X		X
	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	52-1298872	162410CB8	11-18-2004	58,900,000	SEE PART VI - (2004BCD COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008C-4	84-0752932	19648A4Q5	11-12-2015	26,495,000	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008C-2	84-0752932	19648A4P7	11-12-2015	26,495,000	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008D-3	84-0752932	19648A4R3	11-12-2015	48,835,493	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	7,400,000		531,890,000		48,170,000		3,000,000
2 Amount of bonds legally defeased ..............			131,465,000				79,880,000
3 Total proceeds of issue ..................	2,357,725,342		774,448,531		317,329,944		209,746,688
4 Gross proceeds in reserve funds .............					10,104		18,140
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,380,000		6,264,973		1,380,211		2,530,978
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	40,015		19,152		70		3,710
10 Capital expenditures from proceeds .............	1,243,899,934		434,821,870		296,022,361		86,144,364
11 Other spent proceeds .............	1,113,785,393		339,607,509		21,297,479		123,580,474
12 Other unspent proceeds .............
13 Year of substantial completion .............	2001		2013		2013		2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........	X		X		X		X
16 Has the final allocation of proceeds been made? ..........		X		X		X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.400 %		0 %		0 %		0.020 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.140 %		0.010 %				0.010 %
6 Total of lines 4 and 5 .............	0.400 %		0 %		0 %		0.020 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0.100 %		6.190 %				0.080 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............	X		X				X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020 ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020 ISSUER NAME: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020
SCHEDULE K, PART VI - SERIES 2004CD COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2008C-2, 2008C-4 AND 2008D-3 COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES D, A, AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES. ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C-2 (ORIGINAL ISSUE DATE: APRIL 30, 2008) COLORADO HEALTH FACILITIES AUTHORITY 2008C-4 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C-4 (ORIGINAL ISSUE DATE: APRIL 30, 2008) COLORADO HEALTH FACILITIES AUTHORITY 2008D-3 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008D-3 (ORIGINAL ISSUE DATE: NOVEMBER 30, 2008) $1,332,999.11 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 AND C-4 BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2009 A/B COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES B, C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $42,935,594.18 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2015 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $1,124,855.22 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2011B ISSUE	SERIES 2011B ISSUE: PART I LINE F PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2013A ISSUE	PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2015A ISSUE	PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2015A - CURRENT REFUNDING OF PULASKI COUNTY, ARKANSAS HEALTH FACILITIES BOARD (ST. VINCENT INFIRMARY) VARIABLE RATE DEMAND REVENUE BONDS SERIES 2000B (ORIGINAL ISSUE DATE: MARCH 30, 2000) PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES CO 2004B-6	PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. $51,759.38 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES CO 2013C	PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. $79,442 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2013C BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - WASHINGTON HEALTH CARE FACILITIES 2013B	PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2019 COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINE A-D IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2019 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. COMMONSPIRIT HEALTH IS THE BORROWER OF THE PROCEEDS OF THE SERIES 2019A-2, 2019B-1, 2019B-2 AND 2019B-3 BONDS, AND DIGNITY HEALTH, A RELATED ORGANIZATION TO COMMONSPIRIT HEALTH, IS THE BORROWER OF THE PROCEEDS OF THE SERIES 2019A-1 BONDS THAT COLLECTIVELY COMPRISE THE COMPOSITE ISSUE. CONSISTENT WITH THE INSTRUCTIONS FOR SCHEDULE K, THE SERIES 2019 COMPOSITE ISSUE IS REPORTED ON THIS COMMONSPIRIT SCHEDULE K, AND NOT REPORTED ON DIGNITY HEALTH'S SCHEDULE K. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY ("COHFA") 2019A-1, 2019A-2, 2019B-1 AND 2019B-2 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN COLORADO, IOWA, KANSAS, MINNESOTA, NEBRASKA, OHIO, OREGON; CURRENT REFUNDING OF ALL OR A PORTION OF THE FOLLOWING BONDS: COHFA 2008D-1 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2008), COHFA 2009B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009), COHFA 2006A, (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006), COHFA 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009), COHFA 2011C (ORIGINAL ISSUACE DATE: NOVEMBER 1, 2011), COHFA 2015-1 (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2015-2 (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2015B (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2017B (ORIGINAL ISSUANCE DATE; DECEMBER 29 2017), CITY OF BRECKENRIDGE, MINNESOTA 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), COUNTY OF MONTGOMERY, OHIO 2008D-1 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008), COUNTY OF MONTGOMERY, OHIO 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), COUNTY OF MONTGOMERY, OHIO 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009) AND HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY, OREGON 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004). KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY ("KEDFA") REVENUE BONDS 2019A-1 AND 2019A-2 REFINANCING OF TAXABLE DEBT FOR CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN KENTUCKY AND CURRENT REFUNDING OF KEDFA 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009) AND KEDFA 2011B1 AND 2011B2 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2011). THE HEALTH, EDUCATIONAL AND HOUSING FACILITY BOARD OF THE CITY OF CHATTANOOGA, TENNESSEE ("HEHFB") REVENUE BONDS 2019A-1 AND 2019A-2 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN TENNESSEE; CURRENT REFUNDING OF HEHFB 2008D (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008). WASHINGTON HEALTH CARE FACILITIES AUTHORITY ('WHCFA") REVENUE BONDS 2019A-1, 2019A-2, 2019B-1, 2019B-2 AND 2019B-3 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN WASHINGTON AND CURRENT REFUNDING OF WHCFA 2008D BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008), WASHINGTON 2008A4-A6 (ORIGINAL ISSUANCE DATE: APRIL 21, 2008) AND WASHINGTON 2015A (ORIGINAL ISSUANCE DATE: JULY 24, 2015) PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.

Schedule K (Form 990) 2019

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
COMMONSPIRIT HEALTH

Employer identification number
47-0617373

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY 2019A1 2019A2 2019B1 2019B2	84-0752932	19648FKT0	08-21-2019	2,357,725,342	SEE PART VI - (2019 COMP ISSUE)		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTH 2019A1 2019A2 2019B1 2019B2 & B3	91-1108929	93978HVB8	08-21-2019	774,448,531	SEE PART VI - (2019 COMP ISSUE)		X		X		X
C	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 2019A2	52-1298872	162410FF6	08-21-2019	317,329,944	SEE PART VI - (2019 COMP ISSUE)		X		X		X
D	KENTUCKY ECONOMIC DEV FINANCE AUTH 2019A1 2019A2	61-0600439	49126PGX2	08-21-2019	209,746,688	SEE PART VI - (2019 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2015A	84-0752932	000000000	07-24-2015	21,400,000	SEE PART VI - (2015A ISSUE)		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2013A	91-1108929	93978HHU2	11-14-2013	63,627,435	SEE PART VI - (2013A ISSUE)		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2013B	91-1108929	93978HHW8	11-14-2013	200,000,000	SEE PART VI - (2013 B ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2013C	84-0752932	000000000	12-19-2013	100,000,000	SEE PART VI - (2013C ISSUE)		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE 2011B	61-0600439	49126PDY3	11-10-2011	158,155,000	SEE PART VI - (2011B ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2009AB	84-0752932	19648ARL1	11-10-2009	713,972,398	SEE PART VI - (2009AB COMP ISSUE)	X			X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB	61-0600439	49126PDF4	11-10-2009	133,269,543	SEE PART VI - (2009AB COMP ISSUE)		X		X		X
	COUNTY OF MONTGOMERY OHIO 2009 AB	31-6000172	613549HX5	11-10-2009	263,401,078	SEE PART VI - (2009AB COMP ISSUE)	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2004B-6	84-0752932	196574T34	09-25-2014	54,200,000	SEE PART VI (2004B-6 ISSUE)		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD	61-0600439	49126PJCT	11-18-2004	94,575,000	SEE PART VI - (2004BCD COMP ISSUE)		X		X		X
	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	52-1298872	162410CB8	11-18-2004	58,900,000	SEE PART VI - (2004BCD COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008C-4	84-0752932	19648A4Q5	11-12-2015	26,495,000	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008C-2	84-0752932	19648A4P7	11-12-2015	26,495,000	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008D-3	84-0752932	19648A4R3	11-12-2015	48,835,493	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	7,400,000		531,890,000		48,170,000		3,000,000
2 Amount of bonds legally defeased ..............			131,465,000				79,880,000
3 Total proceeds of issue ..................	2,357,725,342		774,448,531		317,329,944		209,746,688
4 Gross proceeds in reserve funds .............					10,104		18,140
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,380,000		6,264,973		1,380,211		2,530,978
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	40,015		19,152		70		3,710
10 Capital expenditures from proceeds .............	1,243,899,934		434,821,870		296,022,361		86,144,364
11 Other spent proceeds .............	1,113,785,393		339,607,509		21,297,479		123,580,474
12 Other unspent proceeds .............
13 Year of substantial completion .............	2001		2013		2013		2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........	X		X		X		X
16 Has the final allocation of proceeds been made? ..........		X		X		X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.400 %		0 %		0 %		0.020 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.140 %		0.010 %				0.010 %
6 Total of lines 4 and 5 .............	0.400 %		0 %		0 %		0.020 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0.100 %		6.190 %				0.080 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............	X		X				X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020 ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020 ISSUER NAME: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020
SCHEDULE K, PART VI - SERIES 2004CD COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2008C-2, 2008C-4 AND 2008D-3 COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES D, A, AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES. ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C-2 (ORIGINAL ISSUE DATE: APRIL 30, 2008) COLORADO HEALTH FACILITIES AUTHORITY 2008C-4 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C-4 (ORIGINAL ISSUE DATE: APRIL 30, 2008) COLORADO HEALTH FACILITIES AUTHORITY 2008D-3 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008D-3 (ORIGINAL ISSUE DATE: NOVEMBER 30, 2008) $1,332,999.11 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 AND C-4 BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2009 A/B COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES B, C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $42,935,594.18 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2015 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $1,124,855.22 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2011B ISSUE	SERIES 2011B ISSUE: PART I LINE F PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2013A ISSUE	PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2015A ISSUE	PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2015A - CURRENT REFUNDING OF PULASKI COUNTY, ARKANSAS HEALTH FACILITIES BOARD (ST. VINCENT INFIRMARY) VARIABLE RATE DEMAND REVENUE BONDS SERIES 2000B (ORIGINAL ISSUE DATE: MARCH 30, 2000) PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES CO 2004B-6	PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. $51,759.38 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES CO 2013C	PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. $79,442 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2013C BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - WASHINGTON HEALTH CARE FACILITIES 2013B	PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2019 COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINE A-D IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2019 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. COMMONSPIRIT HEALTH IS THE BORROWER OF THE PROCEEDS OF THE SERIES 2019A-2, 2019B-1, 2019B-2 AND 2019B-3 BONDS, AND DIGNITY HEALTH, A RELATED ORGANIZATION TO COMMONSPIRIT HEALTH, IS THE BORROWER OF THE PROCEEDS OF THE SERIES 2019A-1 BONDS THAT COLLECTIVELY COMPRISE THE COMPOSITE ISSUE. CONSISTENT WITH THE INSTRUCTIONS FOR SCHEDULE K, THE SERIES 2019 COMPOSITE ISSUE IS REPORTED ON THIS COMMONSPIRIT SCHEDULE K, AND NOT REPORTED ON DIGNITY HEALTH'S SCHEDULE K. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY ("COHFA") 2019A-1, 2019A-2, 2019B-1 AND 2019B-2 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN COLORADO, IOWA, KANSAS, MINNESOTA, NEBRASKA, OHIO, OREGON; CURRENT REFUNDING OF ALL OR A PORTION OF THE FOLLOWING BONDS: COHFA 2008D-1 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2008), COHFA 2009B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009), COHFA 2006A, (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006), COHFA 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009), COHFA 2011C (ORIGINAL ISSUACE DATE: NOVEMBER 1, 2011), COHFA 2015-1 (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2015-2 (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2015B (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2017B (ORIGINAL ISSUANCE DATE; DECEMBER 29 2017), CITY OF BRECKENRIDGE, MINNESOTA 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), COUNTY OF MONTGOMERY, OHIO 2008D-1 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008), COUNTY OF MONTGOMERY, OHIO 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), COUNTY OF MONTGOMERY, OHIO 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009) AND HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY, OREGON 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004). KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY ("KEDFA") REVENUE BONDS 2019A-1 AND 2019A-2 REFINANCING OF TAXABLE DEBT FOR CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN KENTUCKY AND CURRENT REFUNDING OF KEDFA 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009) AND KEDFA 2011B1 AND 2011B2 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2011). THE HEALTH, EDUCATIONAL AND HOUSING FACILITY BOARD OF THE CITY OF CHATTANOOGA, TENNESSEE ("HEHFB") REVENUE BONDS 2019A-1 AND 2019A-2 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN TENNESSEE; CURRENT REFUNDING OF HEHFB 2008D (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008). WASHINGTON HEALTH CARE FACILITIES AUTHORITY ('WHCFA") REVENUE BONDS 2019A-1, 2019A-2, 2019B-1, 2019B-2 AND 2019B-3 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN WASHINGTON AND CURRENT REFUNDING OF WHCFA 2008D BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008), WASHINGTON 2008A4-A6 (ORIGINAL ISSUANCE DATE: APRIL 21, 2008) AND WASHINGTON 2015A (ORIGINAL ISSUANCE DATE: JULY 24, 2015) PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.

Schedule K (Form 990) 2019

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
COMMONSPIRIT HEALTH

Employer identification number
47-0617373

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY 2019A1 2019A2 2019B1 2019B2	84-0752932	19648FKT0	08-21-2019	2,357,725,342	SEE PART VI - (2019 COMP ISSUE)		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTH 2019A1 2019A2 2019B1 2019B2 & B3	91-1108929	93978HVB8	08-21-2019	774,448,531	SEE PART VI - (2019 COMP ISSUE)		X		X		X
C	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 2019A2	52-1298872	162410FF6	08-21-2019	317,329,944	SEE PART VI - (2019 COMP ISSUE)		X		X		X
D	KENTUCKY ECONOMIC DEV FINANCE AUTH 2019A1 2019A2	61-0600439	49126PGX2	08-21-2019	209,746,688	SEE PART VI - (2019 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2015A	84-0752932	000000000	07-24-2015	21,400,000	SEE PART VI - (2015A ISSUE)		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2013A	91-1108929	93978HHU2	11-14-2013	63,627,435	SEE PART VI - (2013A ISSUE)		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2013B	91-1108929	93978HHW8	11-14-2013	200,000,000	SEE PART VI - (2013 B ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2013C	84-0752932	000000000	12-19-2013	100,000,000	SEE PART VI - (2013C ISSUE)		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE 2011B	61-0600439	49126PDY3	11-10-2011	158,155,000	SEE PART VI - (2011B ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2009AB	84-0752932	19648ARL1	11-10-2009	713,972,398	SEE PART VI - (2009AB COMP ISSUE)	X			X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB	61-0600439	49126PDF4	11-10-2009	133,269,543	SEE PART VI - (2009AB COMP ISSUE)		X		X		X
	COUNTY OF MONTGOMERY OHIO 2009 AB	31-6000172	613549HX5	11-10-2009	263,401,078	SEE PART VI - (2009AB COMP ISSUE)	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2004B-6	84-0752932	196574T34	09-25-2014	54,200,000	SEE PART VI (2004B-6 ISSUE)		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD	61-0600439	49126PJCT	11-18-2004	94,575,000	SEE PART VI - (2004BCD COMP ISSUE)		X		X		X
	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	52-1298872	162410CB8	11-18-2004	58,900,000	SEE PART VI - (2004BCD COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008C-4	84-0752932	19648A4Q5	11-12-2015	26,495,000	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008C-2	84-0752932	19648A4P7	11-12-2015	26,495,000	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008D-3	84-0752932	19648A4R3	11-12-2015	48,835,493	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	7,400,000		531,890,000		48,170,000		3,000,000
2 Amount of bonds legally defeased ..............			131,465,000				79,880,000
3 Total proceeds of issue ..................	2,357,725,342		774,448,531		317,329,944		209,746,688
4 Gross proceeds in reserve funds .............					10,104		18,140
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,380,000		6,264,973		1,380,211		2,530,978
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	40,015		19,152		70		3,710
10 Capital expenditures from proceeds .............	1,243,899,934		434,821,870		296,022,361		86,144,364
11 Other spent proceeds .............	1,113,785,393		339,607,509		21,297,479		123,580,474
12 Other unspent proceeds .............
13 Year of substantial completion .............	2001		2013		2013		2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........	X		X		X		X
16 Has the final allocation of proceeds been made? ..........		X		X		X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.400 %		0 %		0 %		0.020 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.140 %		0.010 %				0.010 %
6 Total of lines 4 and 5 .............	0.400 %		0 %		0 %		0.020 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0.100 %		6.190 %				0.080 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............	X		X				X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020 ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020 ISSUER NAME: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020
SCHEDULE K, PART VI - SERIES 2004CD COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2008C-2, 2008C-4 AND 2008D-3 COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES D, A, AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES. ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C-2 (ORIGINAL ISSUE DATE: APRIL 30, 2008) COLORADO HEALTH FACILITIES AUTHORITY 2008C-4 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C-4 (ORIGINAL ISSUE DATE: APRIL 30, 2008) COLORADO HEALTH FACILITIES AUTHORITY 2008D-3 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008D-3 (ORIGINAL ISSUE DATE: NOVEMBER 30, 2008) $1,332,999.11 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 AND C-4 BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2009 A/B COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES B, C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $42,935,594.18 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2015 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $1,124,855.22 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2011B ISSUE	SERIES 2011B ISSUE: PART I LINE F PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2013A ISSUE	PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2015A ISSUE	PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2015A - CURRENT REFUNDING OF PULASKI COUNTY, ARKANSAS HEALTH FACILITIES BOARD (ST. VINCENT INFIRMARY) VARIABLE RATE DEMAND REVENUE BONDS SERIES 2000B (ORIGINAL ISSUE DATE: MARCH 30, 2000) PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES CO 2004B-6	PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. $51,759.38 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES CO 2013C	PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. $79,442 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2013C BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - WASHINGTON HEALTH CARE FACILITIES 2013B	PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2019 COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINE A-D IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2019 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. COMMONSPIRIT HEALTH IS THE BORROWER OF THE PROCEEDS OF THE SERIES 2019A-2, 2019B-1, 2019B-2 AND 2019B-3 BONDS, AND DIGNITY HEALTH, A RELATED ORGANIZATION TO COMMONSPIRIT HEALTH, IS THE BORROWER OF THE PROCEEDS OF THE SERIES 2019A-1 BONDS THAT COLLECTIVELY COMPRISE THE COMPOSITE ISSUE. CONSISTENT WITH THE INSTRUCTIONS FOR SCHEDULE K, THE SERIES 2019 COMPOSITE ISSUE IS REPORTED ON THIS COMMONSPIRIT SCHEDULE K, AND NOT REPORTED ON DIGNITY HEALTH'S SCHEDULE K. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY ("COHFA") 2019A-1, 2019A-2, 2019B-1 AND 2019B-2 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN COLORADO, IOWA, KANSAS, MINNESOTA, NEBRASKA, OHIO, OREGON; CURRENT REFUNDING OF ALL OR A PORTION OF THE FOLLOWING BONDS: COHFA 2008D-1 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2008), COHFA 2009B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009), COHFA 2006A, (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006), COHFA 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009), COHFA 2011C (ORIGINAL ISSUACE DATE: NOVEMBER 1, 2011), COHFA 2015-1 (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2015-2 (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2015B (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2017B (ORIGINAL ISSUANCE DATE; DECEMBER 29 2017), CITY OF BRECKENRIDGE, MINNESOTA 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), COUNTY OF MONTGOMERY, OHIO 2008D-1 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008), COUNTY OF MONTGOMERY, OHIO 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), COUNTY OF MONTGOMERY, OHIO 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009) AND HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY, OREGON 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004). KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY ("KEDFA") REVENUE BONDS 2019A-1 AND 2019A-2 REFINANCING OF TAXABLE DEBT FOR CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN KENTUCKY AND CURRENT REFUNDING OF KEDFA 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009) AND KEDFA 2011B1 AND 2011B2 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2011). THE HEALTH, EDUCATIONAL AND HOUSING FACILITY BOARD OF THE CITY OF CHATTANOOGA, TENNESSEE ("HEHFB") REVENUE BONDS 2019A-1 AND 2019A-2 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN TENNESSEE; CURRENT REFUNDING OF HEHFB 2008D (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008). WASHINGTON HEALTH CARE FACILITIES AUTHORITY ('WHCFA") REVENUE BONDS 2019A-1, 2019A-2, 2019B-1, 2019B-2 AND 2019B-3 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN WASHINGTON AND CURRENT REFUNDING OF WHCFA 2008D BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008), WASHINGTON 2008A4-A6 (ORIGINAL ISSUANCE DATE: APRIL 21, 2008) AND WASHINGTON 2015A (ORIGINAL ISSUANCE DATE: JULY 24, 2015) PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.

Schedule K (Form 990) 2019

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
COMMONSPIRIT HEALTH

Employer identification number
47-0617373

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY 2019A1 2019A2 2019B1 2019B2	84-0752932	19648FKT0	08-21-2019	2,357,725,342	SEE PART VI - (2019 COMP ISSUE)		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTH 2019A1 2019A2 2019B1 2019B2 & B3	91-1108929	93978HVB8	08-21-2019	774,448,531	SEE PART VI - (2019 COMP ISSUE)		X		X		X
C	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 2019A2	52-1298872	162410FF6	08-21-2019	317,329,944	SEE PART VI - (2019 COMP ISSUE)		X		X		X
D	KENTUCKY ECONOMIC DEV FINANCE AUTH 2019A1 2019A2	61-0600439	49126PGX2	08-21-2019	209,746,688	SEE PART VI - (2019 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2015A	84-0752932	000000000	07-24-2015	21,400,000	SEE PART VI - (2015A ISSUE)		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2013A	91-1108929	93978HHU2	11-14-2013	63,627,435	SEE PART VI - (2013A ISSUE)		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2013B	91-1108929	93978HHW8	11-14-2013	200,000,000	SEE PART VI - (2013 B ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2013C	84-0752932	000000000	12-19-2013	100,000,000	SEE PART VI - (2013C ISSUE)		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE 2011B	61-0600439	49126PDY3	11-10-2011	158,155,000	SEE PART VI - (2011B ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2009AB	84-0752932	19648ARL1	11-10-2009	713,972,398	SEE PART VI - (2009AB COMP ISSUE)	X			X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB	61-0600439	49126PDF4	11-10-2009	133,269,543	SEE PART VI - (2009AB COMP ISSUE)		X		X		X
	COUNTY OF MONTGOMERY OHIO 2009 AB	31-6000172	613549HX5	11-10-2009	263,401,078	SEE PART VI - (2009AB COMP ISSUE)	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2004B-6	84-0752932	196574T34	09-25-2014	54,200,000	SEE PART VI (2004B-6 ISSUE)		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD	61-0600439	49126PJCT	11-18-2004	94,575,000	SEE PART VI - (2004BCD COMP ISSUE)		X		X		X
	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	52-1298872	162410CB8	11-18-2004	58,900,000	SEE PART VI - (2004BCD COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008C-4	84-0752932	19648A4Q5	11-12-2015	26,495,000	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008C-2	84-0752932	19648A4P7	11-12-2015	26,495,000	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2008D-3	84-0752932	19648A4R3	11-12-2015	48,835,493	SEE PART VI (2008C2, C4, D3 COMP ISSUE)		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	7,400,000		531,890,000		48,170,000		3,000,000
2 Amount of bonds legally defeased ..............			131,465,000				79,880,000
3 Total proceeds of issue ..................	2,357,725,342		774,448,531		317,329,944		209,746,688
4 Gross proceeds in reserve funds .............					10,104		18,140
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,380,000		6,264,973		1,380,211		2,530,978
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	40,015		19,152		70		3,710
10 Capital expenditures from proceeds .............	1,243,899,934		434,821,870		296,022,361		86,144,364
11 Other spent proceeds .............	1,113,785,393		339,607,509		21,297,479		123,580,474
12 Other unspent proceeds .............
13 Year of substantial completion .............	2001		2013		2013		2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........	X		X		X		X
16 Has the final allocation of proceeds been made? ..........		X		X		X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.400 %		0 %		0 %		0.020 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.140 %		0.010 %				0.010 %
6 Total of lines 4 and 5 .............	0.400 %		0 %		0 %		0.020 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0.100 %		6.190 %				0.080 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............	X		X				X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020 ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020 ISSUER NAME: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C DATE THE REBATE COMPUTATION WAS PERFORMED: 01/27/2020
SCHEDULE K, PART VI - SERIES 2004CD COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2008C-2, 2008C-4 AND 2008D-3 COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES D, A, AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES. ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C-2 (ORIGINAL ISSUE DATE: APRIL 30, 2008) COLORADO HEALTH FACILITIES AUTHORITY 2008C-4 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008C-4 (ORIGINAL ISSUE DATE: APRIL 30, 2008) COLORADO HEALTH FACILITIES AUTHORITY 2008D-3 - REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY REVENUE BONDS SERIES 2008D-3 (ORIGINAL ISSUE DATE: NOVEMBER 30, 2008) $1,332,999.11 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 AND C-4 BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2009 A/B COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINES B, C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $42,935,594.18 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2015 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. $1,124,855.22 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2011B ISSUE	SERIES 2011B ISSUE: PART I LINE F PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2013A ISSUE	PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2015A ISSUE	PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2015A - CURRENT REFUNDING OF PULASKI COUNTY, ARKANSAS HEALTH FACILITIES BOARD (ST. VINCENT INFIRMARY) VARIABLE RATE DEMAND REVENUE BONDS SERIES 2000B (ORIGINAL ISSUE DATE: MARCH 30, 2000) PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES CO 2004B-6	PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. $51,759.38 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES CO 2013C	PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. $79,442 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2013C BONDS WERE REISSUED ON JUNE 30, 2016 AS AN ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN REPORTED IN A FORM 8038 AND NOT SEPARATELY REPORTED IN THIS SCHEDULE K. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - WASHINGTON HEALTH CARE FACILITIES 2013B	PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.
SCHEDULE K, PART VI - SERIES 2019 COMPOSITE ISSUE	THE BONDS DESCRIBED ON LINE A-D IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2019 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. COMMONSPIRIT HEALTH IS THE BORROWER OF THE PROCEEDS OF THE SERIES 2019A-2, 2019B-1, 2019B-2 AND 2019B-3 BONDS, AND DIGNITY HEALTH, A RELATED ORGANIZATION TO COMMONSPIRIT HEALTH, IS THE BORROWER OF THE PROCEEDS OF THE SERIES 2019A-1 BONDS THAT COLLECTIVELY COMPRISE THE COMPOSITE ISSUE. CONSISTENT WITH THE INSTRUCTIONS FOR SCHEDULE K, THE SERIES 2019 COMPOSITE ISSUE IS REPORTED ON THIS COMMONSPIRIT SCHEDULE K, AND NOT REPORTED ON DIGNITY HEALTH'S SCHEDULE K. PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY ("COHFA") 2019A-1, 2019A-2, 2019B-1 AND 2019B-2 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN COLORADO, IOWA, KANSAS, MINNESOTA, NEBRASKA, OHIO, OREGON; CURRENT REFUNDING OF ALL OR A PORTION OF THE FOLLOWING BONDS: COHFA 2008D-1 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2008), COHFA 2009B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009), COHFA 2006A, (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006), COHFA 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009), COHFA 2011C (ORIGINAL ISSUACE DATE: NOVEMBER 1, 2011), COHFA 2015-1 (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2015-2 (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2015B (ORIGINAL ISSUANCE DATE: JULY 24, 2015), COHFA 2017B (ORIGINAL ISSUANCE DATE; DECEMBER 29 2017), CITY OF BRECKENRIDGE, MINNESOTA 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), COUNTY OF MONTGOMERY, OHIO 2008D-1 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008), COUNTY OF MONTGOMERY, OHIO 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), COUNTY OF MONTGOMERY, OHIO 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009) AND HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY, OREGON 2004A (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004). KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY ("KEDFA") REVENUE BONDS 2019A-1 AND 2019A-2 REFINANCING OF TAXABLE DEBT FOR CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN KENTUCKY AND CURRENT REFUNDING OF KEDFA 2009A (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2009) AND KEDFA 2011B1 AND 2011B2 (ORIGINAL ISSUANCE DATE: NOVEMBER 10, 2011). THE HEALTH, EDUCATIONAL AND HOUSING FACILITY BOARD OF THE CITY OF CHATTANOOGA, TENNESSEE ("HEHFB") REVENUE BONDS 2019A-1 AND 2019A-2 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN TENNESSEE; CURRENT REFUNDING OF HEHFB 2008D (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008). WASHINGTON HEALTH CARE FACILITIES AUTHORITY ('WHCFA") REVENUE BONDS 2019A-1, 2019A-2, 2019B-1, 2019B-2 AND 2019B-3 FINANCING (OR REFINANCING OF TAXABLE DEBT FOR) CAPITAL IMPROVEMENTS AND EQUIPMENT FOR AFFILIATES IN WASHINGTON AND CURRENT REFUNDING OF WHCFA 2008D BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008), WASHINGTON 2008A4-A6 (ORIGINAL ISSUANCE DATE: APRIL 21, 2008) AND WASHINGTON 2015A (ORIGINAL ISSUANCE DATE: JULY 24, 2015) PART III PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CSH MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND HAS DETERMINED THAT THE PRIVATE BUSINESS USE TEST HAS NOT BEEN MET THEREFORE THERE IS NO REQUIREMENT TO CALCULATE THE AMOUNT OF ANY PRIVATE PAYMENTS.

Schedule K (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

COMMONSPIRIT HEALTH

Employer identification number

47-0617373

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( CARE PACKAGES FOR HEALTHCARE WORKERS )	X	1,750	135,000	COST
26 Other ( HAND SANITIZER )	X	3,432	62,770	COST
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2019)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, COLUMN (B):	OTHER - HAND SANITIZER - NUMBER OF ITEMS RECEIVED OTHER - CARE PACKAGES FOR HEALTHCARE WORKERS - NUMBER OF CONTRIBUTIONS

Schedule M (Form 990) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

COMMONSPIRIT HEALTH

Employer identification number

47-0617373

Return Reference	Explanation
FORM 990, PART III, LINE 4, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS:	COMMONSPIRIT HEALTH WAS FORMED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES (CHI) AND DIGNITY HEALTH. FOUNDED BY WOMEN RELIGIOUS, BOTH HEALTH SYSTEMS HAVE A LONG, PROUD LEGACY OF SERVING ALL PEOPLE IN NEED, ESPECIALLY THOSE WHO'VE BEEN MADE VULNERABLE BY POVERTY, AGE, AND OTHER HARDSHIPS. COMMONSPIRIT HEALTH IS CONTINUING THESE LEGACIES BY ACTIVELY ADVOCATING FOR POSITIVE SOCIAL CHANGE. COMMONSPIRIT HEALTH IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN - BOTH INSIDE OUR HOSPITALS AND OUT IN THE COMMUNITY. OUR COMMITMENT TO SERVE THE COMMON GOOD IS DELIVERED THROUGH THE DEDICATED WORK OF THOUSANDS OF PHYSICIANS, ADVANCED PRACTICE CLINICIANS, NURSES, AND STAFF; THROUGH CLINICAL EXCELLENCE DELIVERED ACROSS A SYSTEM OF HOSPITALS AND OTHER CARE CENTERS COVERING 21 STATES. COMMONSPIRIT HEALTH IS COMPRISED OF 137 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. IN FISCAL YEAR 2020, COMMONSPIRIT HEALTH, WITH ITS CONSOLIDATED ENTITIES, PROVIDED MORE THAN $2.2 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 $4.5 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES, AS WELL AS CENTRALIZED SERVICES, TO 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 ENABLES DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. COMMONSPIRIT HEALTH IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
FORM 990, PART VI, SECTION A, LINE 1	COMMONSPIRIT HEALTH'S BOARD OF STEWARDSHIP TRUSTEES HAS AN EXECUTIVE COMMITTEE WHICH CONSISTS ONLY OF MEMBERS OF THE BOARD OF STEWARDSHIP TRUSTEES AND INCLUDES BOTH THE CHAIRPERSON AND VICE CHAIRPERSON OF THE BOARD OF STEWARDSHIP TRUSTEES, THE CO-CHIEF EXECUTIVE OFFICERS OF COMMONSPIRIT HEALTH, AND ONE ADDITIONAL TRUSTEE. PURSUANT TO THE COMMONSPIRIT HEALTH BYLAWS, EXCEPT AS OTHERWISE PROVIDED BY LAW, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF STEWARDSHIP TRUSTEES. ADDITIONALLY, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF STEWARDSHIP TRUSTEES, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF STEWARDSHIP TRUSTEES, THE BYLAWS, OR APPLICABLE LAW. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF STEWARDSHIP TRUSTEES AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF STEWARDSHIP TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 2	CERTAIN REPORTABLE INDIVIDUALS, AT THE DIRECTION OF COMMONSPIRIT HEALTH AND IN THEIR CAPACITIES AS COMMONSPIRIT HEALTH EMPLOYEES, HAVE BUSINESS RELATIONSHIPS AS A RESULT OF BOARD SERVICE FOR COMMONSPIRIT HEALTH FOR-PROFIT SUBSIDIARIES OR JOINT VENTURES: 1. QUALCHOICE HEALTH, INC. - MITCH MELFI, DEAN SWINDLE 2. CONSOLIDATED HEALTH SERVICES, INC. - MITCH MELFI, DEAN SWINDLE, PAUL EDGETT, CLIFF ROBERTSON 3. FRANCISCAN SERVICES, INC. - MITCH MELFI, THOMAS KOPFENSTEINER 4. FIRST INITIATIVES INSURANCE, LTD - MITCH MELFI, KEVIN LOFTON, ANTOINETTE HARDY-WALLER, DEAN SWINDLE, DANIEL MORISSETTE 5. CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH - KATHLEEN SANFORD, ROBERT WEIL, CLIFF ROBERTSON, ROBERT WIEBE 6. PRIMED MANAGEMENT CONSULTING - MARVIN O'QUINN, BRUCE SWARTZ 7. OPTUM 360, LLC AND OPTUM SERVICES - PETER HANELT, LISA ZUCKERMAN 8. CONCENTRA GROUP HOLDINGS - KENT BRADLEY, LISA ZUCKERMAN 9. DIGNITY HEALTH GLOBAL EDUCATION LTD. - MARVIN O'QUINN, KATHLEEN SANFORD 10. DIGNITY HEALTH BIOLIFE HOLDING - BENJIE LOANZON, ELIZABETH SHIH 11. DIGNITY HEALTH HOLDING CORPORATION - ELIZABETH SHIH, DANIEL MORISSETTE, CHARLES FRANCIS, MARVIN O'QUINN 12. DIGNITY HEALTH PROVIDER RESOURCES, INC. - BRUCE SWARTZ, TAMMARA WILCOX 13. DIGNITY HEALTH INSURANCE LTD. - KEVIN LOFTON, MITCH MELFI, DANIEL MORISSETTE, MARVIN O'QUINN, ROBERT WIEBE
FORM 990, PART VI, SECTION A, LINE 6	FORM 990 INSTRUCTIONS DEFINE A "MEMBER" AS ANY PERSON WHO, PURSUANT TO A PROVISION OF THE ORGANIZATION'S GOVERNING DOCUMENTS OR APPLICABLE STATE LAW, HAS THE RIGHT TO... "APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OR TO... "RECEIVE A SHARE OF THE ORGANIZATION'S PROFITS OR EXCESS DUES OR A SHARE OF THE ORGANIZATION'S NET ASSETS UPON THE ORGANIZATION'S DISSOLUTION". THE CORPORATION WAS FOUNDED BY RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH. THOSE RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH THAT AGREE TO ACCEPT THE MISSION AND VISION OF THE ORGANIZATION AND MEET CERTAIN OTHER REQUIREMENTS ESTABLISHED BY THE BOARD OF STEWARDSHIP TRUSTEES, AND WHO ARE APPROVED BY A 2/3 VOTE OF THE BOARD OF STEWARDSHIP TRUSTEES, HAVE "PARTICIPATING CONGREGATION" RIGHTS AND DUTIES UNDER THE BYLAWS OF THE ORGANIZATION. PARTICIPATING CONGREGATIONS HAVE THE RIGHT TO APPROVE SUBSTANTIAL CHANGES TO THE MISSION AND PHILOSOPHICAL DIRECTION OF THE ORGANIZATION, APPROVE AMENDMENTS TO THE ARTICLES AND BYLAWS AFFECTING ANY PROVISION GOVERNING THE QUALIFICATIONS, RIGHTS OR RESPONSIBILITIES OF THE PARTICIPATING CONGREGATIONS, SELECT AND REMOVE A PERSON WHO REPRESENTS THAT PARTICIPATING CONGREGATION IN EXERCISING ITS RIGHTS AND DUTIES, BENEFIT FROM THE DISTRIBUTION OF ASSETS UPON THE DISSOLUTION OF THE ORGANIZATION, PARTICIPATE IN THE MINISTRIES AND ADVOCACY EFFORTS SPONSORED BY THE ORGANIZATION, ENCOURAGE CONGREGATION MEMBERS TO SERVE ON COMMITTEES OF THE BOARD OF STEWARDSHIP TRUSTEES AND LOCAL LEVELS WHERE PERMITTED AND APPROPRIATE, ATTEND NATIONAL EVENTS OF THE ORGANIZATION, AND PARTICIPATE THROUGH THEIR REPRESENTATIVES IN MEETINGS HELD AT LEAST ONCE A YEAR WITH SPECIFIC ORGANIZATION STAFF AND/OR THE BOARD OF STEWARDSHIP TRUSTEES. (SECTION 4.1.1 OF THE BYLAWS OF COMMONSPIRIT HEALTH.)
FORM 990, PART VI, SECTION A, LINE 7A	COMMONSPIRIT HEALTH, AS AN ECCLESIASTICAL ENDEAVOR, FUNCTIONS AS A PUBLIC JURIDIC PERSON UNDER THE NAME CATHOLIC HEALTH CARE FEDERATION ("CHCF"). CHCF'S RESERVED RIGHTS INCLUDE THE APPROVAL OR REMOVAL OF ANY MEMBERS OF THE BOARD OF STEWARDSHIP TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	FORM 990 INSTRUCTIONS INDICATE THAT AN ORGANIZATION MUST ANSWER "YES" IF AT ANY TIME DURING THE ORGANIZATION'S TAX YEAR, THERE WERE ONE OR MORE PERSONS WHO HAD THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING BODY'S DECISION TO DISSOLVE THE ORGANIZATION. THE CORPORATION WAS FOUNDED BY RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH. THOSE RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH THAT AGREE TO ACCEPT THE MISSION AND VISION OF THE ORGANIZATION AND MEET CERTAIN OTHER REQUIREMENTS ESTABLISHED BY THE BOARD OF STEWARDSHIP TRUSTEES, AND WHO ARE APPROVED BY A 2/3 VOTE OF THE BOARD OF STEWARDSHIP TRUSTEES, HAVE "PARTICIPATING CONGREGATION" RIGHTS AND DUTIES UNDER THE BYLAWS OF THE ORGANIZATION. PARTICIPATING CONGREGATIONS HAVE THE RIGHT TO APPROVE SUBSTANTIAL CHANGES TO THE MISSION AND PHILOSOPHICAL DIRECTION OF THE ORGANIZATION, APPROVE AMENDMENTS TO THE ARTICLES AND BYLAWS AFFECTING ANY PROVISION GOVERNING THE QUALIFICATIONS, RIGHTS OR RESPONSIBILITIES OF THE PARTICIPATING CONGREGATIONS, SELECT AND REMOVE A PERSON WHO REPRESENTS THAT PARTICIPATING CONGREGATION IN EXERCISING ITS RIGHTS AND DUTIES, BENEFIT FROM THE DISTRIBUTION OF ASSETS UPON THE DISSOLUTION OF THE ORGANIZATION, PARTICIPATE IN THE MINISTRIES AND ADVOCACY EFFORTS SPONSORED BY THE ORGANIZATION, ENCOURAGE CONGREGATION MEMBERS TO SERVE ON COMMITTEES OF THE BOARD OF STEWARDSHIP TRUSTEES AND LOCAL LEVELS WHERE PERMITTED AND APPROPRIATE, ATTEND NATIONAL EVENTS OF THE ORGANIZATION, AND PARTICIPATE THROUGH THEIR REPRESENTATIVES IN MEETINGS HELD AT LEAST ONCE A YEAR WITH SPECIFIC ORGANIZATION STAFF AND/OR THE BOARD OF STEWARDSHIP TRUSTEES. (SECTION 4.1.1 OF THE BYLAWS OF COMMONSPIRIT HEALTH.) IN ADDITION TO THE PARTICIPATING CONGREGATIONS, CATHOLIC HEALTH CARE FEDERATION ("CHCF"), COMMONSPIRIT'S SUPPORTED ORGANIZATION RETAINS CERTAIN APPROVAL RIGHTS WITH RESPECT TO COMMONSPIRIT ACTIONS AS FOLLOWS: EXCEPT AS OTHERWISE PROVIDED BY LAW, THE ARTICLES OF INCORPORATION, OR THE BYLAWS, CHCF SHALL RETAIN THE FOLLOWING RESERVED RIGHTS WITH RESPECT TO CERTAIN ACTIONS AND DECISIONS TO BE TAKEN BY BOARD OF STEWARDSHIP TRUSTEES: - APPROVAL OF THE MEMBERS OF THE BOARD OF STEWARDSHIP TRUSTEES; - REMOVAL OF ANY MEMBERS OF THE BOARD OF STEWARDSHIP TRUSTEES; - ALIENATION, WITHIN THE MEANING OF CANON LAW, OF PROPERTY CONSIDERED STABLE PATRIMONY OF CHCF (STABLE PATRIMONY OWNED BY CATHOLIC ORGANIZATIONS CONTROLLED BY COMMONSPIRIT HEALTH); AND - VETO ANY CHANGES OR AMENDMENTS TO THE STATEMENT OF COMMON VALUES THAT ARE PRESENTED TO CHCF BY THE BOARD OF STEWARDSHIP TRUSTEES, PROVIDED THAT CHCF MUST EXERCISE SUCH VETO WITHIN THIRTY (30) DAYS OF THE DATE THAT THE PROPOSED CHANGES OR AMENDMENTS ARE PRESENTED TO CHCF BY THE BOARD OF STEWARDSHIP TRUSTEES. (SECTION 3.1 OF THE BYLAWS OF COMMONSPIRIT HEALTH.)
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S VICE PRESIDENTS OF THE CONTROLLER'S OFFICE, THE TAX DIRECTOR AND TAX MANAGER REVIEWED THE FINAL DRAFT OF THE FORM 990. THE SVP/FINANCE AND CORPORATE CONTROLLER REVIEWED THE FORM 990 WITH THE SEVP/CHIEF FINANCIAL OFFICER. THE REVIEW INCLUDED AN EXPLANATION OF EACH SCHEDULE OF THE FORM 990 AND THE PERTINENT INFORMATION CONTAINED ON EACH SCHEDULE. THE VP AND DEPUTY GENERAL COUNSEL, NATIONAL SERVICES AND BUSINESS LINES COE, REVIEWED THE GOVERNANCE SCHEDULES AND THE EVP/CHIEF COMPLIANCE OFFICER REVIEWED THE CONFLICT OF INTEREST SCHEDULES. THE COMPENSATION SCHEDULES AND DISCLOSURES WERE REVIEWED WITH THE SEVP/CHIEF HUMAN RESOURCES OFFICER AND THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THE COMPLETE COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS BEFORE THE RETURN WAS FILED.
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 COVERED PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. THE POLICY APPLIES TO THE FOLLOWING COMMONSPIRIT PERSONS ("COVERED PERSONS"): MEMBERS OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES ("BOARD") AND ITS COMMITTEES; COMMONSPIRIT CORPORATE OFFICERS; EMPLOYEES; AND RESEARCH PERSONNEL. DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS WHICH INCLUDES THE FOLLOWING: A. DISCLOSURE OBLIGATIONS: EACH COVERED 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 A COVERED 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. B. CONFLICTS REVIEW: REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY COMMONSPIRIT LEGAL OR COMPLIANCE TEAM MEMBERS. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT OF INTEREST MAY EXIST, SUCH ISSUES ARE ELEVATED TO AN APPROPRIATE REVIEW BODY OR INDIVIDUAL, DEPENDING ON THE DISCLOSER'S ORGANIZATIONAL ROLE, FOR DETERMINATION AS TO THE EXISTENCE OF A CONFLICT AND, IF/AS NEEDED, FOR CONFLICT MANAGEMENT: -THE COMMONSPIRIT BOARD CHAIR OR DESIGNEE (E.G., BOARD AUDIT & COMPLIANCE COMMITTEE) - FOR COMMONSPIRIT BOARD, COMMITTEE, AND OFFICER CONFLICTS. -OTHER COMMONSPIRIT CONFLICT OF INTEREST MULTI-DISCIPLINARY REVIEW BODIES OR INDIVIDUALS - IN THE CASE OF OTHER CONFLICTS. C. CONFLICTS DETERMINATION AND MANAGEMENT: SHOULD A CONFLICT OF INTEREST BE DETERMINED TO EXIST, THE APPLICABLE REVIEW BODY OR INDIVIDUAL WILL DETERMINE WHETHER THE CONFLICT CAN BE MANAGED AND, IF SO, WILL IMPLEMENT A CONFLICT MANAGEMENT AND MONITORING PLAN TO PROTECT COMMONSPIRIT'S INTERESTS. IF THE CONFLICT CANNOT BE MANAGED, COMMONSPIRIT MAY REQUIRE THE COVERED PERSON TO ALTER OR END THE RELATIONSHIP THAT CREATES THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR APPROVING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF STEWARDSHIP TRUSTEES. 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.
FORM 990, PART VI, SECTION C, LINE 19	COMMONSPIRIT HEALTH'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE COLORADO SECRETARY OF STATE WEBSITE. COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE COMMONSPIRIT WEBSITE AT WWW.COMMONSPIRIT.ORG. COMMONSPIRIT HEALTH'S BYLAWS AND CONFLICT OF INTEREST POLICY ARE NOT PUBLICLY AVAILABLE.
FORM 990, PART VI, SECTION B, LINE 16B:	COMMONSPIRIT HEALTH HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, COMMONSPIRIT HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; AND (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.
FORM 990, PART VII, SECTION A, COLUMN (A)	PRESENTING COMPLETE NAMES AND TITLES OF CERTAIN INDIVIDUALS FROM PART VII. (2) KEVIN LOFTON, FACHE CHIEF EXECUTIVE OFFICER (THROUGH 6/30/20) (3) MARVIN O'QUINN PRESIDENT AND CHIEF OPERATING OFFICER (5) DANIEL J MORISSETTE, CPA SEVP, CHIEF FINANCIAL OFFICER/TREASURER (7) DEAN SWINDLE, CPA FORMER PRESIDENT OF ENTERPRISE BUSINESS LINES (THROUGH 12/31/19) AND CFO/TREASURER (THROUGH 12/3/18) (10) KETUL PATEL SVP DIVISIONAL OPERATIONS AND CHIEF EXECUTIVE OFFICER, CHI FRANCISCAN HEALTH (12) LAWRENCE SCHUMACHER SVP DIVISIONAL OPERATIONS AND CHIEF EXECUTIVE OFFICER, CHI MEMORIAL (13) ELIZABETH I KEITH EVP/SPONSORSHIP/MISSION INTEGRATION, PHILANTHROPY (14) CLIFF ROBERTSON, MD SVP DIVISIONAL OPERATIONS AND CHIEF EXECUTIVE OFFICER, CHI HEALTH (15) LISA GAMSHAD (ZUCKERMAN) SYSTEM SVP TREASURY AND STRATEGIC INVESTMENTS (16) CHERYL HARELSTAD SYSTEM SVP SUPPLY CHAIN MGMT (THROUGH 5/19/19) (17) T. DOUGLAS LAWSON, PHD SVP DIVISIONAL OPERATIONS AND CHIEF EXECUTIVE OFFICER OF CHI ST. LUKE'S HEALTH (19) JEFFREY W LAND SYSTEM SVP NATIONAL REAL ESTATE SERVICES (23) ROBERT WEIL, MD SVP AND CHIEF MEDICAL OFFICER (THROUGH 6/30/19) (24) FREDERICK MEADORS CARDIOVASCULAR SURGEON (SOUTHEAST DIVISION) (25) BENJIE M LOANZON SYSTEM SVP FINANCE AND CORPORATE CONTROLLER (26) FRANK BAUER CARDIOTHORACIC SURGEON (SOUTHEAST DIVISION) (29) TAMMARA WILCOX SYSTEM SVP PAYER STRATEGY & RELATIONSHIPS (33) MICHAEL COVERT FORMER SVP DIVISIONAL OPERATIONS/MBO CEO (THROUGH 1/31/18) (36) RUTH WILLIAMS BRINKLEY FORMER SVP/MBO PRESIDENT AND CEO (THROUGH 11/15/17) (37) JOYCE ROSS FORMER SVP COMMUNICATIONS/ASSISTANT SECRETARY (THROUGH 3/31/19) (38) MICHAEL O'ROURKE FORMER SVP AND CHIEF INFORMATION OFFICER (THROUGH 4/3/17)
FORM 990, PART IX, LINE 11G	CONSULTING: PROGRAM SERVICE EXPENSES 1,656,526. MANAGEMENT AND GENERAL EXPENSES 43,858,656. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,515,182. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,227. MANAGEMENT AND GENERAL EXPENSES 567,464. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 572,691. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,024,208. MANAGEMENT AND GENERAL EXPENSES 38,531,412. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,555,620. REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 517,247,080. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 517,247,080. NATIONAL FOOD PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 72,076,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,076,200.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO/FROM AFFILIATES -792,611. QUALCHOICE CAPITAL CONTRIBUTIONS -2,000,000. PENSION ADJUSTMENT -396,969,745. RETURNED GRANTS 127,397. CAPITAL RESOURCE POOL CONTRIBUTIONS 68,711,024. PRECISION MEDICINE ALLIANCE CAPITAL CONTRIBUTIONS -350,000. WRITE-OFF OF INVESTMENT - KENTUCKYONE HEALTH -817,119,380. DISSOLUTION OF CAPTIVE MANAGEMENT INITIATIVES, LTD -32,302. ASC 842 ADOPTION ADJUSTMENT 1,563,373. EQUITY CHANGES IN UNCONSOLIDATED ORGS 11,549,974.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

COMMONSPIRIT HEALTH

Employer identification number

47-0617373

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) CHI HOUSING INITIATIVES LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-3867953	RESIDENTIAL REAL ESTATE RENTALS	CO	698,054	9,440,218	CSH
(2) CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-2945938	INACTIVE	CO	0	0	CSH

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA,NE68154 47-0765154	HOSPITAL	NE	501(C)(3)	LINE 3	ACH	Yes
(2)ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA,NE68154 47-0757164	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(3)ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA,NE68124 47-0484764	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(4)ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY,IA51555 42-0776568	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(5)ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA,NE68122 47-0376615	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(6)ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER,NE68661 47-0399853	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(7)ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING,IA50841 42-0782518	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(8)ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS,MN56345 41-1351177	LTERM CARE	MN	501(C)(3)	LINE 10	CSH	Yes
(9)APPLETREE COURT 601 OAK ST BRECKENRIDGE,MN56520 41-1850500	SENIOR LIVING	MN	501(C)(3)	LINE 10	SFH	Yes
(10)ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE,CA93420 20-3256066	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(11)BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD,CA93301 95-1802779	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	Yes
(12)BARROW NEUROLOGICAL FOUNDATION 350 WEST THOMAS ROAD PHOENIX,AZ85013 86-0174371	FUNDRAISING	AZ	501(C)(3)	LINE 7	DH		No
(13)BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS,TX77384 27-4499340	PHYSICIANS	TX	501(C)(3)	LINE 12A, I	SLCHS	Yes
(14)BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0458535	PHYSICIANS	TX	501(C)(3)	LINE 3	SLHS	Yes
(15)BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2187242	HEALTHCARE	PA	501(C)(3)	LINE 12A, I	CSH	Yes
(16)BRAZOSPORT HEALTH FOUNDATION INC 1 WEST WAY CT LAKE JACKSON,TX77566 76-0080110	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 12A, I	BRHS	Yes
(17)BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON,TX77566 80-0240261	PHYSICIANS	TX	501(C)(3)	LINE 3	BRHS	Yes
(18)BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2759890	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	Yes
(19)BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2913931	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC	Yes
(20)CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES,CA90015 95-4000909	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	Yes
(21)CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON,ND58421 45-0227311	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(22)CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL,CO80112 84-0405257	HOSPITAL	CO	501(C)(3)	LINE 3	CSH	Yes
(23)CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES,IA50314 42-0680448	HOSPITAL	IA	501(C)(3)	LINE 3	CSH	Yes
(24)CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS,CO80920 84-0902211	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 7	CHIC	Yes
(25)CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS,CO80920 27-0930004	HEALTHCARE	CO	501(C)(3)	LINE 12A, I	CSH	Yes
(26)CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-0992796	PHYSICIANS	CO	501(C)(3)	LINE 12A, I	CHINS	Yes
(27)CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG,OR97471 26-3946191	SURGERY CENTER	OR	501(C)(3)	LINE 10	MMC	Yes
(28)CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD,CA93311 84-4171789	CLINIC	CA	501(C)(3)	LINE 3	DCC	Yes
(29)CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND,KS67530 48-0543724	HOSPITAL	KS	501(C)(3)	LINE 3	CSH	Yes
(30)CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO,ND58104 27-1966847	HOME HEALTH	MN	501(C)(3)	LINE 10	CSH	Yes
(31)CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA,NE68154 47-0648586	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	ACH	Yes
(32)CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER,KY41018 20-2741651	INVESTMENTS	KY	501(C)(3)	LINE 12A, I	CSH	Yes
(33)CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO,OH43623 34-1892096	SENIOR LIVING	OH	501(C)(3)	LINE 12A, I	SFH	Yes
(34)CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE,GA30742 82-2748395	HOSPITAL	GA	501(C)(3)	LINE 3	MHCS	Yes
(35)CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-1261716	HEALTHCARE	CO	501(C)(3)	LINE 10	CHI NS	Yes
(36)CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-2532084	HEALTHCARE	CO	501(C)(3)	LINE 12A, I	CSH	Yes
(37)CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA,NE68510 36-3233121	HEALTHCARE	NE	501(C)(3)	LINE 12A, I	CSH	Yes
(38)CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER,PA17602 23-2342997	HEALTHCARE	PA	501(C)(3)	LINE 12A, I	CSH	Yes
(39)CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE,NM87102 71-0897107	COMMUNITY	NM	501(C)(3)	LINE 12A, I	CSH	Yes
(40)CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 71-0236913	HOSPITAL	AR	501(C)(3)	LINE 3	CHISVHS	Yes
(41)CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 26-1125064	HOLDING CO	AR	501(C)(3)	LINE 12A, I	SVIMC	Yes
(42)CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 26-1125131	PHYSICIANS	AR	501(C)(3)	LINE 3	CHISVHS	Yes
(43)COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 85-0919176	INVESTMENTS	CA	501(C)(3)	LINE 12A, I	CSH	Yes
(44)COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-1050565	HEALTHCARE	CO	501(C)(3)	LINE 12A, I	CSH	Yes
(45)COMMUNITY HOSPITAL OF SAN BERNARDINO 1805 MEDICAL CENTER DRIVE SAN BERNARDINO,CA92411 95-1643373	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	Yes
(46)COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 23-7419853	HOLDING CO	OH	501(C)(4)	N\A	GSH	Yes
(47)COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY,IA51555 42-1294399	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AH-CMHMV	Yes
(48)CONTINUING CARE HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON,KY40504 61-1400619	HOSPITAL	KY	501(C)(3)	LINE 3	SJHS	Yes
(49)DIGNITY COMMUNITY CARE 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 81-5009488	HOSPITAL	CO	501(C)(3)	LINE 3	CSH	Yes
(50)DIGNITY HEALTH 185 BERRY STREET STE 200 SAN FRANCISCO,CA94107 94-1196203	HOSPITAL	CA	501(C)(3)	LINE 3	CSH	Yes
(51)DIGNITY HEALTH CONNECTED LIVING 200 MERCY OAKS DRIVE REDDING,CA96003 23-7115371	SENIOR CENTER SERVICES	CA	501(C)(3)	LINE 7	DH	Yes
(52)DIGNITY HEALTH FOUNDATION 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 46-2037641	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(53)DIGNITY HEALTH FOUNDATION - INLAND EMPIRE 2101 N WATERMAN AVENUE SAN BERNARDINO,CA92404 23-7440086	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(54)DIGNITY HEALTH FOUNDATION EAST VALLEY 475 SOUTH DOBSON ROAD CHANDLER,AZ85224 74-2418514	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DH	Yes
(55)DIGNITY HEALTH HPL SELF-INSURANCE TRUST 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 94-3006034	SELF INSURANCE	CA	501(C)(3)	LINE 12A, I	DH	Yes
(56)DIGNITY HEALTH INSURANCE NEVADA LTD 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 81-3800752	SELF INSURANCE	NV	501(C)(3)	LINE 12A, I	DH	Yes
(57)DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA,CA95670 68-0220314	MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC	CA	501(C)(3)	LINE 12A, I	DCC	Yes
(58)DIGNITY HEALTH WORKERS COMP SELF-INSURANCE TRUST 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 94-6612446	SELF INSURANCE	CA	501(C)(3)	LINE 12A, I	DH	Yes
(59)DOMINICAN HEALTH SERVICES 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 77-0056778	COMMUNITY HEALTH SYSTEM	CA	501(C)(3)	LINE 12A, I	DH	Yes
(60)DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 94-2450442	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(61)DOMINICAN OAKS CORPORATION 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 77-0127719	OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS	CA	501(C)(3)	LINE 10	DHS	Yes
(62)EAST TEXAS CLINICAL SERVICES 2801 VIA FORTUNA SUITE 500 AUSTIN,TX78746 45-4736213	HEALTHCARE	TX	501(C)(3)	LINE 12A, I	SLHS	Yes
(63)ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW,WA98022 91-0715805	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	Yes
(64)FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 61-1345363	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	Yes
(65)FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 56-2351341	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	FH	Yes
(66)FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO,OH43623 34-1931806	HEALTHCARE	OH	501(C)(3)	LINE 10	CHILC	Yes
(67)FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA,WA98405 91-1145592	FUNDRAISING FOUNDATION	WA	501(C)(3)	LINE 10	FHS	Yes
(68)FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA,WA98405 91-0564491	HOSPITAL	WA	501(C)(3)	LINE 3	CSH	Yes
(69)FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA,WA98402 43-1882377	PHYSICIANS	MO	501(C)(3)	LINE 10	CSH	Yes
(70)FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA,WA98402 91-1939739	HEALTHCARE	WA	501(C)(3)	LINE 10	FHS	Yes
(71)FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE,WI53172 39-1093829	HEALTHCARE	WI	501(C)(3)	LINE 10	CSH	Yes
(72)FRENCH HOSPITAL MEDICAL CENTER FOUNDATION 1911 JOHNSON AVENUE SAN LUIS OBISPO,CA93401 20-3256125	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	Yes
(73)GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON,ND58540 45-0227752	HOSPITAL	ND	501(C)(3)	LINE 3	SAMC	Yes
(74)GLENDALE MEMORIAL HEALTH FOUNDATION 1420 SOUTH CENTRAL AVENUE GLENDALE,CA91204 95-3625651	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	Yes
(75)GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 20-1536108	MINISTRIES	CO	501(C)(3)	LINE 12A, I	CSH	Yes
(76)GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 31-1778403	EDUCATION	OH	501(C)(3)	LINE 2	GSH	Yes
(77)GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 31-1206047	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	GSH	Yes
(78)GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY,NE68848 47-0379755	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(79)GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY,NE68847 47-0659443	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	GSH	Yes
(80)HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON,WA98310 91-0565546	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	Yes
(81)HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON,WA98310 91-1197626	FUNDRAISING FOUNDATION	WA	501(C)(3)	LINE 7	HMC	Yes
(82)HEALTH FOUNDATION OF KENTUCKYONE INC 1451 HARRODSBURG RD STE D-308 LEXINGTON,KY40504 83-2170324	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	KOH	Yes
(83)HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 76-0761782	FUNDRAISING FOUNDATION	MN	501(C)(3)	LINE 12A, I	SFMC	Yes
(84)HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN,WA98166 91-0712166	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	Yes
(85)HOUSE OF MERCY 1111 6TH AVE DES MOINES,IA50314 42-1323808	SHELTER	IA	501(C)(3)	LINE 7	CHI-IA CORP	Yes
(86)JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 250 E LIBERTY ST STE 500 LOUISVILLE,KY40202 61-1029768	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	Yes
(87)KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E LIBERTY ST STE 800 LOUISVILLE,KY40202 61-1352729	HEALTHCARE	KY	501(C)(3)	LINE 10	JHSMH	Yes
(88)KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202 61-1029769	HEALTHCARE	KY	501(C)(3)	LINE 12A, I	CSH	Yes
(89)LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE,MN56623 41-0758434	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	Yes
(90)LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE,MN56623 41-1893795	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	LHC	Yes
(91)LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON,ND58054 82-0558836	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(92)LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN,TX75901 82-0563768	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	MHSET	Yes
(93)MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2761145	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	Yes
(94)MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS,KY51017 61-0654635	LIVING ASSIST	KY	501(C)(3)	LINE 10	CHILC	Yes
(95)MARIAN REGIONAL MEDICAL CENTER FOUNDATION 1400 E CHURCH STREET SANTA MARIA,CA93454 95-3818027	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(96)MARK TWAIN MEDICAL CENTER 768 MOUNTAIN RANCH ROAD SAN ANDREAS,CA95249 68-0127677	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	Yes
(97)MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA,TN37404 62-1839548	FUNDRAISING FOUNDATION	TN	501(C)(3)	LINE 7	MHCS	Yes
(98)MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA,TN37404 62-0532345	HOSPITAL	TN	501(C)(3)	LINE 3	CSH	Yes
(99)MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA,TN37411 03-0417049	HEALTHCARE	TN	501(C)(3)	LINE 10	MHCS	Yes
(100)MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN,TX75902 75-0755367	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	Yes
(101)MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN,TX75902 76-0436439	HOSPITAL	TX	501(C)(3)	LINE 3	MHSET	Yes
(102)MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN,TX75902 75-2663904	HOSPITAL	TX	501(C)(3)	LINE 3	MHSET	Yes
(103)MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN,TX95904 75-2721155	PHYSICIANS	TX	501(C)(3)	LINE 12A, I	MHSET	Yes
(104)MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN,TX95902 75-2492741	HOSPITAL	TX	501(C)(3)	LINE 3	MHSET	Yes
(105)MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES,IA50314 42-6076069	AUXILIARY	IA	501(C)(3)	LINE 12A, I	MF-DM IA	Yes
(106)MERCY CLINICS INC 1111 6TH AVE DES MOINES,IA50314 42-1193699	PHYSICIANS	IA	501(C)(3)	LINE 10	CHI-IA CORP	Yes
(107)MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES,IA50314 42-1511682	EDUCATION	IA	501(C)(3)	LINE 2	CHI-IA CORP	Yes
(108)MERCY FOUNDATION BAKERSFIELD PO BOX 119 BAKERSFIELD,CA93302 77-0201321	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(109)MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES,IA50314 23-7358794	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 7	CHI-IA CORP	Yes
(110)MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG,OR97471 93-6088946	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 7	MMC	Yes
(111)MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING,IA50841 42-1461064	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHMH-CORNING	Yes
(112)MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0435338	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MHVC	Yes
(113)MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS,IA51503 42-1178204	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHBMHS	Yes
(114)MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE,ND58301 45-0227012	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(115)MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE,ND58301 35-2367360	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	MHDL	Yes
(116)MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0226553	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(117)MERCY MCMAHON TERRACE 3865 J STREET SACRAMENTO,CA95816 68-0117340	SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES	CA	501(C)(3)	LINE 10	DH	Yes
(118)MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON,ND58801 45-0231183	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(119)MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE,IA52544 42-0680308	HOSPITAL	IA	501(C)(3)	LINE 3	CHI-IA CORP	Yes
(120)MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER 204 N 4TH AVE E NEWTON,IA50314 42-1470935	HOSPITAL	IA	501(C)(3)	LINE 3	CHI-IA CORP	Yes
(121)MERCY MEDICAL CENTER MERCED FOUNDATION 301 E 13TH STREET MERCED,CA95340 77-0035928	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(122)MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG,OR97471 93-0386868	HOSPITAL	OR	501(C)(3)	LINE 3	CSH	Yes
(123)MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON,ND58801 45-0381803	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MMC	Yes
(124)NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN,NE68526 39-2031968	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(125)NORTHLAND HEALTHCARE ALLIANCE 2223 EAST ROSSER AVENUE BISMARCK,ND58501 91-1845296	MANAGEMENT	ND	501(C)(3)	LINE 7	NCHA	Yes
(126)NORTHRIDGE HOSPITAL FOUNDATION 18300 ROSCOE BLVD NORTHRIDGE,CA91328 23-7444901	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	Yes
(127)OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES,ND58474 45-0231675	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(128)OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES,ND58474 71-0966606	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	OCH	Yes
(129)PACIFIC CENTRAL COAST HEALTH CENTERS 1400 E CHURCH STREET SANTA MARIA,CA93454 77-0447575	CLINIC	CA	501(C)(3)	LINE 3	DCC	Yes
(130)PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN,TX75902 75-2493116	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	MHSET	Yes
(131)PORT CITY OPERATING COMPANY LLC 3400 DATA DRIVE RANCHO CORDOVA,CA95670 46-5322209	HOSPITAL	CA	501(C)(3)	LINE 3	DH	Yes
(132)PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY,OH44870 34-1658625	HEALTHCARE	OH	501(C)(3)	LINE 10	CHILC	Yes
(133)PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY,OH44870 34-1826099	HOLDING CO	OH	501(C)(3)	LINE 12A, I	CHILC	Yes
(134)PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1896807	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	Yes
(135)PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO,CO81004 84-1234295	COMMUNITY	CO	501(C)(3)	LINE 7	CHIC	Yes
(136)REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 16251 SYLVESTER ROAD SW BURIEN,WA98166 91-1170040	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	Yes
(137)SET OF COLORADO SPRINGS INC 9100 E MINERAL CIRCLE CENTENNIAL,CO80112 84-1183335	SENIOR CENTER SERVICES	CO	501(C)(3)	LINE 7	CHIC	Yes
(138)SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE,NJ07834 22-2876836	HEALTHCARE	NJ	501(C)(3)	LINE 10	SCHS	Yes
(139)SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE,NJ07834 22-3639733	MANAGEMENT	NJ	501(C)(3)	LINE 10	CSH	Yes
(140)SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE,NJ07834 22-3319886	HEALTHCARE	NJ	501(C)(3)	LINE 3	SCHS	Yes
(141)SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN,NE68510 47-0625523	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SERMC	Yes
(142)SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN,NE68510 36-3233120	HOSPITAL	NE	501(C)(3)	LINE 3	SERMC	Yes
(143)SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN,NE68510 47-0379836	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(144)SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND,NE68803 47-0376601	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(145)SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND,NE68802 47-0630267	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SFMC	Yes
(146)SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE STREET SAN FRANCISCO,CA94109 94-1156295	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	Yes
(147)SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA,KY40403 26-0152877	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	Yes
(148)SAINT JOSEPH HEALTH SYSTEM INC 200 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202 61-1334601	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	Yes
(149)SAINT JOSEPH HOSPITAL FOUNDATION INC 701 BOB OLINK DR 200 LEXINGTON,KY40504 61-1159649	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	SJHS	Yes
(150)SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON,KY40741 26-0438748	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	Yes
(151)SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING,KY40353 27-2884584	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	Yes
(152)SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 FAIRWAY STREET DICKINSON,ND58601 36-3418207	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	SJHHC	Yes
(153)SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION 438 WEST LAS TUNAS DRIVE SAN GABRIEL,CA91776 95-3430341	INACTIVE	CA	501(C)(3)	LINE 12A, I	DH	Yes
(154)SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER,NE68661 36-3630014	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 12A, I	AHMHS	Yes
(155)SIERRA NEVADA MEMORIAL-MINERS HOSPITAL 155 GLASSON WAY GRASS VALLEY,CA95945 94-1439787	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	Yes
(156)SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 44-0545809	HOSPITAL	MO	501(C)(3)	LINE 3	CSH	Yes
(157)ST FRANCIS FOUNDATION OF SANTA BARBARA 2323 DE LA VINA ST SUITE 104 SANTA BARBARA,CA93105 23-7137119	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(158)ST FRANCIS HOSPITAL SUPPORT CORPORATION 601 E MICHELTORENA STREET SANTA BARBARA,CA93103 77-0022302	INACTIVE	CA	501(C)(3)	LINE 12A, I	DH	Yes
(159)ST JOHNS HEALTHCARE FOUNDATION 1600 NORTH ROSE AVENUE OXNARD,CA93030 20-2865781	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(160)ST JOSEPHS FOUNDATION (PHOENIX) 350 WEST THOMAS ROAD PHOENIX,AZ85013 94-2941245	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DH	Yes
(161)ST JOSEPHS FOUNDATION OF SAN JOAQUIN 1800 N CALIFORNIA STREET STOCKTON,CA95204 51-0432777	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(162)ST MARY MEDICAL CENTER FOUNDATION 1050 LINDEN AVENUE LONG BEACH,CA90813 23-7153876	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(163)ST MARY PROFESSIONAL BUILDING INC 1050 LINDEN AVENUE LONG BEACH,CA90813 23-7373088	INACTIVE	CA	501(C)(3)	LINE 12A, I	DH	Yes
(164)ST MARYS MEDICAL CENTER FOUNDATION 450 STANYAN STREET SAN FRANCISCO,CA94117 94-3336143	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(165)ST ROSE DOMINICAN HEALTH FOUNDATION 3001 ST ROSE PARKWAY HENDERSON,NV89052 88-0349432	FUNDRAISING FOUNDATION	NV	501(C)(3)	LINE 12A, I	DH	Yes
(166)ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK,ND58501 45-0226711	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(167)ST ANTHONY HOSPITAL 2801 ST ANTHONY WAY PENDLETON,OR97801 93-0391614	HOSPITAL	OR	501(C)(3)	LINE 3	CSH	Yes
(168)ST ANTHONY HOSPITAL FOUNDATION 2801 ST ANTHONY WAY PENDLETON,OR97801 93-0992727	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 12A, I	SAH	Yes
(169)ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON,AR72110 71-0245507	HOSPITAL	AR	501(C)(3)	LINE 3	SVIMC	Yes
(170)ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY,KS67846 48-0543721	HOSPITAL	KS	501(C)(3)	LINE 3	CSH	Yes
(171)ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY,KS67846 20-0598702	FUNDRAISING FOUNDATION	KS	501(C)(3)	LINE 12A, I	SCH	Yes
(172)ST CLARE COMMONS 12469 FIVE POINT ROAD TOLEDO,OH43551 27-0163752	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	Yes
(173)ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 93-0433692	HEALTHCARE	OR	501(C)(4)	N\A	CSH	Yes
(174)ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0729978	LTERM CARE	MN	501(C)(3)	LINE 10	CSH	Yes
(175)ST FRANCIS LIFE CARE CORPORATION 19 POCONO RD DENVILLE,NJ07834 22-2536017	ELDERLY CARE	NJ	501(C)(3)	LINE 8	SCHS	Yes
(176)ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0695598	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	Yes
(177)ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2351158	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 12A, I	SJSC	Yes
(178)ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2847594	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC	Yes
(179)ST JOSEPH MEDICAL CENTER INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY,MD21030 52-0591461	HOSPITAL	MD	501(C)(3)	LINE 3	CSH	Yes
(180)ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN,TX77802 20-3159302	PHYSICIANS	TX	501(C)(3)	LINE 3	SJSC	Yes
(181)ST JOSEPH PHYSICIAN ENTERPRISE INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY,MD21030 52-1311775	PHYSICIANS	MD	501(C)(3)	LINE 12A, I	SJMC	Yes
(182)ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-1282696	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	Yes
(183)ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN,TX77802 45-4088170	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	Yes
(184)ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN,TX77802 46-3265423	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC	Yes
(185)ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2455161	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	SLHS	Yes
(186)ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS,MN56470 41-0695603	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	Yes
(187)ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 FAIRWAY ST DICKINSON,ND58601 45-0226429	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(188)ST LEONARD 8100 CLYO ROAD CENTERVILLE,OH45458 34-1940863	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	Yes
(189)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC 6624 FANNIN ST STE 2505 HOUSTON,TX77030 27-3733278	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	Yes
(190)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-1947374	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	Yes
(191)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-0335902	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	Yes
(192)ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0536234	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	Yes
(193)ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON,TX77004 45-3811485	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 7	SLHS	Yes
(194)ST LUKE'S HEALTH SYSTEM CORPORATION PO BOX 20269 HOUSTON,TX77225 76-0536232	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	CSH	Yes
(195)ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-3734606	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	Yes
(196)ST LUKE'S PROPERTIES CORPORATION 1213 HERMANN DRIVE STE 855 HOUSTON,TX77004 76-0531716	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLHS	Yes
(197)ST LUKE'S SUGAR LAND PROPERTIES CORPORATION 6624 FANNIN ST STE 2505 HOUSTON,TX77030 45-4120549	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLCDC-SL	Yes
(198)ST MARY'S COMMUNITY HOSPITAL 1301 GRUNDMAN BOULEVARD NEBRASKA CITY,NE68410 47-0443636	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(199)ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVE NEBRASKA CITY,NE68410 47-0707604	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SMCH	Yes
(200)ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 51-0169537	FUNDRAISING FOUNDATION	AR	501(C)(3)	LINE 12A, I	SVIMC	Yes
(201)ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0236917	HOSPITAL	AR	501(C)(3)	LINE 3	CSH	Yes
(202)ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0830696	HEALTHCARE	AR	501(C)(3)	LINE 10	SVIMC	Yes
(203)SYLVANIA FRANCISCAN HEALTH 1715 INDIAN WOOD CIR 200 MAUMEE,OH43537 34-1412964	HEALTHCARE	OH	501(C)(3)	LINE 12A, I	CSH	Yes
(204)SYLVANIA FRANCISCAN HEALTH FOUNDATION 1715 INDIAN WOOD CIR 200 MAUMEE,OH43537 45-5357161	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	SFH	Yes
(205)THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1826097	ASSIST LIVING	OH	501(C)(3)	LINE 10	CHILC	Yes
(206)THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON,TX77566 74-1385192	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	Yes
(207)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 31-0537486	HOSPITAL	OH	501(C)(3)	LINE 3	CSH	Yes
(208)THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN,NE68503 47-0780857	PHYSICIANS	NE	501(C)(3)	LINE 12A, I	CHI NEBRASKA	Yes
(209)TOTAL HEALTHCARE 9100 E MINERAL CIRCLE CENTENNIAL,CO80112 84-0927232	HOSPITAL	CO	501(C)(3)	LINE 3	CHIC	Yes
(210)TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE,OH43952 31-1329423	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	THS	Yes
(211)TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE,OH43952 34-1818681	HEALTHCARE	OH	501(C)(3)	LINE 12A, I	N/A	Yes
(212)TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON,OH44621 27-5401105	HOSPITAL	OH	501(C)(3)	LINE 3	THS	Yes
(213)TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE,OH43952 34-1522484	ASSIST LIVING	OH	501(C)(3)	LINE 7	THS	Yes
(214)UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS,MN56345 41-0721642	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	Yes
(215)VILLA NAZARETH INC 801 PAGE DR FARGO,ND58103 45-0226714	LTERM CARE	ND	501(C)(3)	LINE 10	CSH	Yes
(216)VISITING NURSE ASSOCIATION OF ST CLARE'S INC 191 WOODPORT RD SPARTA,NJ07871 22-1768334	HOME HEALTH	NJ	501(C)(3)	LINE 10	SCHS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) AMERICAN MERCY HOME CARE LLC 1700 EDISON DR MILFORD,OH45150 83-0486150	HOME HEALTH	OH	N/A	RELATED	4,842,368	3,864,862		No		Yes		50.000 %
(2) ARIZONA CARE NETWORK - NEXT LLC 350 W THOMAS RD PHOENIX,AZ85018 47-4696671	CARE NETWORK	AZ	DCC	RELATED	4,447,583	5,754,133		No		Yes		50.000 %
(3) ARIZONA CARE NETWORK LLC (ACN LLC) 350 W THOMAS RD PHOENIX,AZ85013 45-4494682	CARE NETWORK	AZ	DCC	RELATED	-2,323,617	875,652		No		Yes		50.000 %
(4) AUDUBON LAND COMPANY LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS,CO80906 84-1513085	REAL ESTATE	CO	CHIC	RELATED	352,091	9,938,252		No			No	72.690 %
(5) AVON EMERGENCY AND URGENT CARE CENTER LLC 9100 E MINERAL CIRCLE CENTENNIAL,CO80112 81-1727282	HEALTHCARE SRVC	CO	CHIC	RELATED	-1,039,021	14,252,861		No		Yes		90.000 %
(6) BAYLOR CHI ST LUKES HEALTH SERVICES LLC 6624 FANNIN ST STE 1100 HOUSTON,TX77030 47-2079184	HEALTHCARE SRVC	TX	SLHS	RELATED		3,250,000		No		Yes		65.000 %
(7) BERGAN MERCY SURGERY CENTER LLC 7710 MERCY RD STE 200 OMAHA,NE68124 20-8671994	AMBUL SURG CTR	NE	ACH	RELATED	327,620	238,810		No			No	53.490 %
(8) BERYWOOD OFFICE PROPERTIES LLC 2501 CITICO AVENUE CHATTANOGA,TN37404 62-1875199	PHYS OFFICE	TN	MHCS	RELATED	134,710	851,473		No		Yes		63.000 %
(9) BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD 709 WING ON PLAZA 62 MODY ROAD TS HONG KONG CH	HEALTH SERVICES	CH	DHI LLC	RELATED				No		Yes		50.000 %
(10) BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON,KY40504 61-1386736	DIAGNOSTIC IMAGING	KY	SJHS	RELATED	219,296	3,128,658		No			No	65.000 %
(11) CBCC OUTSMARTING CANCER LLC 6501 TRUXTUN AVENUE BAKERSFIELD,CA93309 46-1602286	RADIATION / ONCOLOGY INCLUDING CYBERKNIFE	CA	DH	RELATED	-1,310,037	11,539,015		No		Yes		51.000 %
(12) CENTRAL NEBRASKA REHABILITATION SERVICES LLC 3004 W FAIDLEY AVENUE GRAND ISLAND,NE68803 81-0653461	PHYSICAL THERAPY	NE	SFMC	RELATED	4,233,136	2,768,007		No			No	51.000 %
(13) CENTURA-SCA HOLDINGS LLC 569 BROOK VILLAGE STE 901 BIRMINGHAM,AL35209 47-4823023	OP SURGERY CENTER	AL	CHIC	RELATED	2,063,538	2,810,827		No		Yes		65.240 %
(14) CHI OPERATING INVESTMENT PROGRAM LP 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 47-0727942	INVESTMENTS	CO	CSH	EXCLUDED	18,923,606	595,695,075		No	76,574	Yes		5.110 %
(15) CHICAMSURG SURGERY CENTERS LLC 1A BURTON HILLS BLVD NASHVILLE,TN37215 46-5683027	SURGERY CENTER	CO	CHIC	RELATED	47,079	138,327		No			No	51.000 %
(16) COLORADO SPRINGS CK LEASING LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS,CO80906 26-2982714	REAL ESTATE	CO	CHIC	RELATED	833,106	-166,195		No		Yes		52.000 %
(17) COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD LLC 1700 EDISON DR MILFORD,OH45150 31-1746556	HOME HEALTH	OH	N/A	RELATED	1,114,669	950,857		No		Yes		33.330 %
(18) DE JV LLC 8686 NEW TRAILS DRIVE THE WOODLANDS,TX77381 32-0496548	EMERGENCY CARE	NV	DH	RELATED	2,275,046	7,845,001		No			No	51.000 %
(19) DHHP SURGERY CENTERS LLC 1513 S GRAND AVENUE STE 350 LOS ANGELES,CA90015 83-1847466	SURGERY	CA	DCC	RELATED	-2,161	304,006		No		Yes		50.500 %
(20) DHRT HOLDINGS LLC 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 35-2484591	HOLDING COMPANY	DE	DHHC	RELATED	26,686,020	220,449,545		No		Yes		33.870 %
(21) DIGNITY- GOHEALTHURGENT CARE MANAGEMENT LLC 5555 GLENRIDGE CONNECTOR SUITE 700 ATLANTA,GA30342 35-2548698	MANAGEMENT SERVICES	DE	DCC	RELATED	-4,898,786	13,826,532		No			No	50.100 %
(22) DIGNITY HEALTH AT HOME LLC 1700 EDISON DR MILFORD,OH45150 82-4674115	HEALTHCARE SRVC	DE	N/A	RELATED	111,576	2,096,964		No			No	100.000 %
(23) DIGNITY HEALTH SPECIALTY PHARMACY LLC 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 32-0589462	SPECIALTY PHARMACY SERVICES	DE	DCC	RELATED	-760,399	775,364		No		Yes		67.000 %
(24) DIGNITY HOME RECOVERY CARE LLC 49 MUSIC SQUARE WEST SUITE 401 NASHVILLE,TN37203 83-2832522	HOME RECOVERY PROGRAM	DE	DCC	RELATED	-274,155	30,800		No			No	50.100 %
(25) DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON,TX75001 20-2999237	SURGERY	TX	DCC	RELATED	2,113,702	10,574,105		No			No	50.100 %
(26) DIGNITYUSP NORCAL SURGERY CENTERS LLC 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON,TX75001 20-2468509	SURGERY	TX	DHMF	RELATED	4,014,218	39,196,320		No			No	50.100 %
(27) DIGNITYUSP PHOENIX SURGERY CENTERS LLC 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON,TX75001 13-4248908	SURGERY	TX	DCC	RELATED	5,277,157	28,625,686		No			No	50.100 %
(28) DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON,TX75001 35-2584991	SURGERY	TX	DHMF	RELATED	912,787	6,716,724		No			No	50.100 %
(29) DIGNITY-ABRAZO HEALTH NETWORK LLC 3030 N CENTRAL AVENUE SUITE 1402 PHOENIX,AZ85012 46-5477985	MANAGEMENT SERVICES	AZ	DCC	RELATED	-600,276	4,206,615		No			No	50.000 %
(30) DOMINICAN MAGNETIC RESONANCE IMAGING CENTER 1545 SOQUEL DRIVE SANTA CRUZ,CA94065 77-0095477	IMAGING CENTER	CA	DH	RELATED	-281,486	193,878		No		Yes		80.000 %
(31) ECCS ACQUISITION COMPANY LLC 2940 NORTH CIRCLE DRIVE COLORADO SPRINGS,CO80909 35-2656413	AMBUL SURG CTR	CO	CHIC	RELATED	-33,293	9,307,615		No			No	51.000 %
(32) FOLSOM SIERRA ENDOSCOPY CENTER LP 1650 CREEKSIDE DRIVE 1600 FOLSOM,CA95630 68-0482416	ENDOSCOPY	CA	DH	RELATED	-37,564	458,816		No		Yes		51.000 %
(33) FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC 6622 WOLLOCHET DR NW GIG HARBOR,WA98335 46-3494108	REAL ESTATE	WA	N/A	RELATED	283,872	8,374,542		No		Yes		50.000 %
(34) FRANCISCAN SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE,KY40202 81-3725123	HEALTHCARE SRVC	WA	FHS	RELATED	2,120,962	6,526,904		No		Yes		51.000 %
(35) GOOD SAMARITAN HOME CARE SERVICES OF VINCENNE IN LLC 1700 EDISON DR MILFORD,OH45150 20-1792869	HOME HEALTH	OH	N/A	RELATED	716,955	695,565		No		Yes		50.000 %
(36) HC SL VINTAGE I LLC 18000 W SARAH LANE STE 250 BROOKFIELD,WI53045 27-0453767	PROPERTY HOLDING	WI	SL HOSP-VINTAGE	RELATED	2,081,519	51,013,700		No			No	51.000 %
(37) HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND,NE68802 72-1546196	LAUNDRY	NE	N/A	RELATED		228		No			No	100.000 %
(38) HEARTLAND ONCOLOGY LLC 2337 E CRAWFORD ST SALINA,KS67401 46-4265403	ONCOLOGY	KS	SCH	RELATED	-542,622	974,105		No			No	51.000 %
(39) LAKESIDE AMBULATORY SURGICAL CENTER LLC 17031 LAKESIDE HILLS DR OMAHA,NE68130 20-4267902	AMBUL SURG CTR	NE	ACH	RELATED	2,719,484	1,066,712		No			No	63.370 %
(40) LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA,NE68130 20-5544496	ENDOSCOPY SRVC	NE	ACH	RELATED	1,004,656	278,465		No			No	51.020 %
(41) LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET LINCOLN,NE68510 26-2496856	REAL ESTATE	NE	SERMC	RELATED	1,033,650	231,227		No			No	53.760 %
(42) MEMORIAL MEDICAL PLAZA 3838 SAN DIMAS SUITE B 201 BAKERSFIELD,CA93301 36-4510880	REAL ESTATE	CA	BMH	RELATED	181,150	3,550,223		No		Yes		21.440 %
(43) MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC 2740 M STREET MERCED,CA95340 94-3358445	MANAGEMENT OF CANCER CENTER	CA	DH	RELATED	2,657,322	8,626,425		No		Yes		50.000 %
(44) MERCY REHABILITATION HOSPITAL LLC 680 SOUTH FOURTH STREET LOUISVILLE,KY40202 81-4437201	HEALTHCARE SRVC	TX	CHI IA	RELATED	1,591,574	3,846,446		No			No	51.000 %
(45) MILITARY ROAD PROPERTIES LLC 181 S 333RD STREET STE 250 FEDERAL WAY,WA98003 91-2067879	REAL ESTATE	WA	N/A	RELATED	60,982	272,702		No		Yes		50.000 %
(46) NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA,NE68122 27-0263191	SPINE HOSPITAL	NE	ACH	RELATED	13,458,726	24,153,768		No			No	51.000 %
(47) NICU OPERATING CO OF SANTA CRUZ LLC 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 46-0502935	NEONATAL HEALTHCARE	CA	DH	RELATED	2,891,064	12,096,915		No			No	51.000 %
(48) NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD,AR72120 71-0799771	AMBUL SURG CTR	AR	SVIMC	RELATED	172,884	1,381,780		No			No	67.500 %
(49) NORTHERN PLAINS LABORATORY LLC 401 N 9 STREET BISMARK,ND58501 84-1641341	DIAGNOSTIC SERVICES	ND	SAMC	RELATED	1,595,374	3,343,579		No		Yes		50.000 %
(50) NSC CHANNEL ISLANDS LLC 3000 RIVERCHASE GALLERIA SUITE 500 BIRMINGHAM,AL35244 77-0418197	AMBULATORY SURGICAL CENTER	CA	DCC	RELATED	472,907	1,951,258		No		Yes		51.000 %
(51) OMG ARIZONA LLC 130 SUTTER STREET 2ND FLR SAN FRANCISCO,CA94104 47-1708588	MEDICAL OFFICE	AZ	DCC	RELATED	-1,094,707	3,035,265		No			No	56.900 %
(52) ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD,CO80228 37-1577105	ORTHO HOSPITAL	CO	CHIC	RELATED	20,303,101	-2,878,850		No			No	60.000 %
(53) PARK RAPIDS AREA HEALTH CARE 600 PLEASANT AVENUE S PARK RAPIDS,MN56470 20-4926259	HEALTHCARE SRVC	MN	N/A	RELATED	230,360	2,986,556		No		Yes		50.000 %
(54) PASADENA URGENCY CENTER LLC 4600 E SAM HOUSTON PKWY SOUTH PASADENA,TX77505 81-2482854	URGENT CARE	TX	SLHS	RELATED	-31,174			No			No	56.900 %
(55) PATIENT TRANSPORT SERVICES OF COLUMBUS INC 1700 EDISON DR MILFORD,OH45150 26-4601285	AMBULANCE	OH	N/A	RELATED	-204,490	1,479,915		No		Yes		50.000 %
(56) PENINSULA RADIATION ONCOLOGY LLC 314 MLK JR WAY STE 11 TACOMA,WA98405 87-0808610	HEALTHCARE SRVC	WA	FHS	RELATED	804,153	1,224,770		No			No	60.000 %
(57) PENRAD IMAGING LLC 1390 KELLY JOHNSON BLVD COLORADO SPRINGS,CO80920 84-1072619	MEDICAL IMAGING	CO	CHIC	RELATED	1,719,106	1,982,944		No			No	70.000 %
(58) PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SVSC LLC 19625 62ND AVENUE SOUTH STE 101 KENT,WA98032 45-2901632	HOLDING COMPANY	WA	N/A	RELATED	3,750,000	10,115		No		Yes		50.000 %
(59) PLAZA SURGERY CENTER LP 525 E PLAZA DRIVE SUITE 100 SANTA MARIA,CA93454 77-0573567	SURGERY	CA	HSPCC INC	RELATED				No		Yes		62.110 %
(60) PMC HOSPITAL LLC 3100 MAIN ST STE 500 HOUSTON,TX77002 27-3280598	HOSPITAL	TX	SLHS	RELATED	1,847,506	79,619,926		No		Yes		51.000 %
(61) PRECISION MEDICINE ALLIANCE LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 35-2569159	DIAGNOSTIC SERVICES	CO	N/A	RELATED	-1,328,617	700,418		No			No	100.000 %
(62) PUEBLO AMBULATORY SURGERY CENTER LLC 25 MONTEBELLO RD PUEBLO,CO81003 62-1488737	SURGERY CENTER	CO	CHIC	RELATED	-83,883			No			No	51.000 %
(63) RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY 1700 N ROSE AVENUE SUITE 120 OXNARD,CA93030 77-0191706	IMAGING	CA	DH	RELATED	282,153	807,013		No		Yes		50.000 %
(64) RBR MANAGEMENT LLC 91 CORPORATE PARK DRIVE SUITE 120 HENDERSON,NV89074 27-1466450	AMBULANCE	NV	DH	RELATED	811,382	3,142,282		No			No	50.100 %
(65) REID-ANC HOME CARE SERVICES LLC 1700 EDISON DR MILFORD,OH45150 37-1454747	HOME HEALTH	IN	N/A	RELATED	687,980	830,453		No		Yes		50.000 %
(66) SAINT JOSEPH - SCA HOLDINGS LLC 1451 HARRODSBURG RD LEXINGTON,KY40503 45-3801157	OP SURGERY	DE	SJHS	RELATED				No		Yes		51.000 %
(67) SAINT JOSEPH-ANC HOME CARE SERVICES 1700 EDISON DR MILFORD,OH45150 26-3330545	HOME HEALTH	KY	CHINHC	RELATED	9,846,857	30,986,226		No		Yes		100.000 %
(68) SANTA CRUZ COMPREHENSIVE IMAGING LLC 1661 SOQUEL DRIVE SUITE G SANTA CRUZ,CA95065 01-0550623	IMAGING	CA	DH	RELATED	136,593	447,152		No		Yes		50.000 %
(69) SANTA CRUZ LAND & BUILDING LP 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 77-0285236	REAL ESTATE	CA	DHS	RELATED	18,508	2,372,793		No		Yes		86.210 %
(70) SANTA CRUZ SURGERY CENTER LLC 3003 PAUL SWEET ROAD SANTA CRUZ,CA95065 77-0194916	SURGERY	CA	DH	RELATED	17,906	131,743		No		Yes		50.000 %
(71) SOUTHEASTERN HOME CARE LLC 1700 EDISON DR MILFORD,OH45150 27-1219638	HOME HEALTH	OH	N/A	RELATED	301,792	361,290		No		Yes		60.000 %
(72) ST JOSEPH'S SURGERY CENTER LP 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON,TX75001 20-1019390	SURGERY	TX	PORT CITY OP	RELATED	1,512,847	4,298,927		No		Yes		70.180 %
(73) ST ELIZABETH HOME CARE SERVICES LLC 1700 EDISON DR MILFORD,OH45150 26-1236191	HOME HEALTH	KY	N/A	RELATED	1,604,436	1,248,587		No		Yes		50.000 %
(74) ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS,CO80918 26-3134100	REAL ESTATE	CO	CHIC	RELATED	264,564	12,697,795		No		Yes		58.790 %
(75) ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON,TX77030 71-0959365	DIAGNOSTICS	TX	SLHS HOLDINGS	RELATED	383,753	355,866		No		Yes		48.350 %
(76) ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON,TX77030 30-0427437	HOSPITAL	TX	SL CDC-W	RELATED	2,743,794	37,867,963		No		Yes		51.000 %
(77) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC 6624 FANNIN STE 800 HOUSTON,TX77030 46-2795726	DIAGNOSTICS	TX	SLHSH	RELATED	-72,691	1,140,241		No		Yes		51.000 %
(78) TEMPLETON SURGERY CENTER LLC 1310 LAS TABLAS ROAD SUITE 104 TEMPLETON,CA94365 20-2246616	SURGERY	CA	DCC	RELATED	300,943	1,516,788		No		Yes		62.650 %
(79) THE MEDICAL PAVILION AT ST JOHN'S 1700 ROSE AVENUE OXNARD,CA93030 77-0332349	REAL ESTATE	CA	DH	RELATED	-68,581	1,364,140		No		Yes		25.000 %
(80) THREE SPRING IMAGING LLC 1 MERCADO ST STE 200A DURANGO,CO81301 81-3571570	HEALTHCARE SRVC	CO	CHIC	RELATED	157,822	124,574		No		Yes		51.000 %
(81) VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC 18330 ROSCOE BLVD NORTHRIDGE,CA91328 80-0864336	SURGERY	CA	DCC	RELATED	-324,891	953,578		No		Yes		45.370 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC 12809 WEST DODGE RD OMAHA,NE68154 47-0802396	MANAGED CARE	NE	CHI NEBRASKA	C	21,533,899	66,384,386	100.000 %	Yes
(2) ALL SAINTS INSURANCE COMPANY SPC LTD PO BOX 10073 APO GEORGETOWN,GRAND CAYMAN CJ 98-0556913	INSURANCE	CJ	CSH	C			100.000 %	Yes
(3) ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2466914	HEALTHCARE	TX	SJSC	C	333,093	872,457	100.000 %	Yes
(4) ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC 3900 OLYMPIC BLVD STE 400 ERLANGER,KY41018 84-1112049	MANAGEMENT SERVICES	CO	CSH	C	5,227	12,041,372	100.000 %	Yes
(5) AMERICAN NURSING CARE INC 1700 EDISON DR MILFORD,OH45150 31-1085414	HOME HEALTH	OH	CHS	C	91,404,012	79,670,680	100.000 %	Yes
(6) AMERIMED INC 1700 EDISON DR MILFORD,OH45150 31-1158699	HOME HEALTH	OH	ANC	C	13,253,093	27,858,298	100.000 %	Yes
(7) BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE,KY40215 31-1542851	FITNESS CLUB	KY	JHSMH	C			100.000 %	Yes
(8) BRAZOSPORT HEALTH ALLIANCE 1 WEST WAY COURT LAKE JACKSON,TX77566 76-0518376	HEALTH CARE	TX	BRHS	C	200,800	61,280	100.000 %	Yes
(9) CADUCEUS MEDICAL ASSOCIATES INC 5600 BRAINERD ROAD STE 500 CHATTANOOGA,TN37411 62-1570736	HEALTHCARE	TN	MHCS	C		1,008	100.000 %	Yes
(10) CAPTIVE MANAGEMENT INITIATIVES LTD PO BOX 10073 APO GEORGETOWN,GRAND CAYMAN CJ 98-0663022	CAPTIVE MANAGEMENT	CJ	CSH	C	3,500		100.000 %	Yes
(11) CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-2269511	RESEARCH	CO	CSHRI	C	565,788	1,957,014	100.000 %	Yes
(12) CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC 1201 W FRANK AVE LUFKIN,TX75904 83-4184717	CONDO ASSOC	TX	MHSET	C			100.000 %	Yes
(13) CLEARRIVER HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4495960	INSURANCE	TN	QCHPS	C	57,364		100.000 %	Yes
(14) COASTAL SURGICAL SPECIALISTS INC 921 OAK PARK BLVD SUITE 101 PISMO BEACH,CA93449 74-3000596	HEALTHCARE	CA	DCC	S	1,182,974	3,104,085	50.380 %	Yes
(15) COMCARE SERVICES INC 5570 DTC PARKWAY ENGLEWOOD,CO80111 84-0904813	INACTIVE	CO	CHIC	C			100.000 %	Yes
(16) CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD,OH45150 31-1378212	HOME HEALTH	OH	CSH	C	6,843,384	71,112,938	100.000 %	Yes
(17) DES MOINES MEDICAL CENTER INC 1111 6TH AVE DES MOINES,IA50314 42-0837382	REAL ESTATE	IA	CHI-IA CORP	C	36,675	1,125,556	92.980 %	Yes
(18) DIGNITY HEALTH HOLDING CORPORATION 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 46-0675371	HOLDING CO	NV	DCC	C	21,838,737	532,938,234	100.000 %	Yes
(19) DIGNITY HEALTH INSURANCE LTD (CAYMAN ISLAND CORPORATION) PO BOX 1051 KY1-1102 GRAND CAYMAN ISLANDS,GRAND CAYMAN CJ 98-1065338	INSURANCE	CJ	DH	C	-576,908	72,583,023	100.000 %	Yes
(20) DIGNITY HEALTH PROVIDER RESOURCES INC 185 BERRY STREET SUITE 200 SAN FRANCISCO,CA94107 47-3366764	HEALTH PLAN	CA	DCC	C	182,788,482	9,944,499	100.000 %	Yes
(21) DIVERSIFIED HEALTH RESOURCES INC 100 MEDICAL DRIVE LAKE JACKSON,TX77566 76-0222679	HEALTH CARE	TX	BRHS	C	18,821	165,857	100.000 %	Yes
(22) FIRST INITIATIVES INSURANCE LTD PO BOX 10073 APO GEORGETOWN,GRAND CAYMAN CJ 98-0203038	INSURANCE	CJ	CSH	C			100.000 %	Yes
(23) FRANCISCAN CITY URGENT CARE SERVICES PS C/O CPGUSA 1345 AVE OF THE AMERICAS NEW YORK,NY10105 81-2174959	HEALTHCARE	NY	FHS	C	16,798,892	5,339,616	100.000 %	Yes
(24) FRANCISCAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2487967	HEALTHCARE	CO	CSH	C		9,018,732	100.000 %	Yes
(25) GOOD SAMARITAN OUTREACH SERVICES PO BOX 1990 KEARNEY,NE68848 47-0659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C	30,018	186,977	100.000 %	Yes
(26) HARVESTPLAINS HEALTH OF IOWA 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 47-3451750	INSURANCE	WA	QCHPS	C	74,927	3,197,246	100.000 %	Yes
(27) HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC 1400 E CHURCH STREET SANTA MARIA,CA93454 77-0074057	HEALTHCARE	CA	DCC	C	313,143	1,292,545	100.000 %	Yes
(28) HEALTH SYSTEMS ENTERPRISES INC PO BOX 1990 KEARNEY,NE68848 47-0664558	MGMT	NE	GSH	C	9,450	1,215,906	100.000 %	Yes
(29) HEALTHCARE MGMT SERVICES ORGANIZATION INC 1149 MARKET ST TACOMA,WA98402 91-1865474	HEALTH ORG.	WA	FHS	C			100.000 %	Yes
(30) HEARTLANDPLAINS HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4368223	INSURANCE	NE	QCHPS	C	77,387	3,792,588	100.000 %	Yes
(31) HIGHLINE MEDICAL GROUP 1717 S J STREET TACOMA,WA98405 91-1407026	MEDICAL SERVICES	WA	HMC	C			100.000 %	Yes
(32) INTEGRATED MEDICAL SERVICES 9250 N 3RD STREET SUITE 4010 PHOENIX,AZ85020 86-0783428	MULTI-SPECIALTY PHYSICIANS GROUP	AZ	DCC	C	59,013,858	10,672,045	53.700 %	Yes
(33) KOMG-LOUISVILLE REGION INC 201 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202 83-2481198	HEALTHCARE	KY	JHSMH	C	40,274,693	5,121	100.000 %	Yes
(34) MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC 300 WERNER ST HOT SPRINGS,AR71913 71-0720429	REAL ESTATE	AR	CHI-SVHS	C	270,828	139,705	77.000 %	Yes
(35) MEDQUEST 1301 15TH AVENUE WEST WILLISTON,ND58801 45-0392137	SALE OF DME	ND	MMC WILLISTON	C	589,705	570,562	100.000 %	Yes
(36) MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC 1201 W FRANK AVE LUFKIN,TX75904 46-3622849	HEATH CARE	TX	MHSET	C			100.000 %	Yes
(37) MERCY PARK APARTMENTS LTD 1111 6TH AVE DES MOINES,IA50314 42-1202422	HOUSING	IA	CHI-IA CORP	C			100.000 %	Yes
(38) MERCY SERVICES CORP 2700 STEWART PARKWAY ROSEBURG,OR97471 93-0824308	RETAIL SALES	OR	MMC	C	33,552	20,458	100.000 %	Yes
(39) MHI CLINICAL SERVICES 1201 W FRANK AVE LUFKIN,TX75904 46-1967952	HEALTHCARE	TX	MHSET	C	175,280	18,318	100.000 %	Yes
(40) MILLENNIUM SURGERY CENTER INC 9300 STOCKDALE HWY 200 BAKERSFIELD,CA93311 77-0513445	HEALTHCARE	CA	BMH	S	2,177,641	3,102,401	57.770 %	Yes
(41) MOUNTAIN MANAGEMENT SERVICES INC 6028 SHALLOWFORD RD CHATTANOOGA,TN37421 62-1570739	MGMT SVC ORG	TN	MHCS	C	17,832,708	7,355,317	100.000 %	Yes
(42) NORTH CENTRAL HEALTH CARE ALLIANCE PO BOX 5538 BISMARK,ND58506 45-0439894	HEALTHCARE	ND	SAMC	C	138,548	272,631	75.000 %	Yes
(43) PATIENT TRANSPORT SERVICES INC 1700 EDISON DR MILFORD,OH45150 31-1100798	HOME HEALTH	OH	ANC	C	9,647,299	6,815,487	100.000 %	Yes
(44) QUALCHOICE ADVANTAGE 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 47-3433912	INSURANCE	WA	QCHPS	C	105,623	3,675,676	100.000 %	Yes
(45) QUALCHOICE HEALTH PLAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-1224037	ADMIN SERVICES	CO	QCHI	C	62,090,018	245,416	100.000 %	Yes
(46) QUALCHOICE HEALTH INC (FKA COLLABHEALTH MANAGED SOLUTIONS INC) 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-1222808	HOLDING CO	CO	CSH	C	546,322	-118,372,644	100.000 %	Yes
(47) QUALCHOICE HOLDINGS INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-4075520	HOLDING CO	AR	QCHPS	C	17,431,982	33,631,118	100.000 %	Yes
(48) QUALCHOICE OF NEBRASKA 2401 S 73RD ST OMAHA,NE68124 81-0738827	INACTIVE	NE	QCHPS	C			100.000 %	Yes
(49) RIVERLINK HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4380824	INSURANCE	OH	QCHPS	C	113,050	5,509,449	100.000 %	Yes
(50) RIVERLINK HEALTH OF KENTUCKY INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4828332	INSURANCE	KY	QCHPS	C	92,744	5,237,755	100.000 %	Yes
(51) ROSS PARK PHARMACY INC 380 SUMMIT AVE STEUBENVILLE,OH43952 34-1832654	PHARMACY	OH	TSHS	C	639,603	2,300,035	100.000 %	Yes
(52) SAINT CLARE'S PRIMARY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-2441202	BILLING SERVICES	NJ	SCCC	C			100.000 %	Yes
(53) SJH SERVICES CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2307408	HEALTHCARE	CO	FSI	C		1,598,610	100.000 %	Yes
(54) SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 LEXINGTON,KY40503 27-0164198	MGMT	KY	SJHS	C			100.000 %	Yes
(55) SOUNDPATH HEALTH INC 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 42-1720801	INSURANCE	WA	QCHPS	C	16,103,105	48,588,681	100.000 %	Yes
(56) ST MARY HEALTH VENTURES INC 1050 LINDEN AVENUE LONG BEACH,CA90813 95-1912528	RETAIL PHARMACY	CA	DH	C	1,827,586	4,869,598	100.000 %	Yes
(57) ST ANTHONY DEVELOPMENT COMPANY 1415 SOUTHGATE PENDLETON,OR97801 93-1216943	ATHLETIC CLUB	OR	SAH	C	1,395,799	1,839,276	100.000 %	Yes
(58) ST JOSEPH DEVELOPMENT COMPANY INC 1717 SOUTH J ST TACOMA,WA98405 91-1480569	RENTAL	WA	FSI	C	-407,680	14,455,303	100.000 %	Yes
(59) ST LUKE'S HEALTH SYSTEM HOLDINGS INC 6624 FANNIN STE 800 HOUSTON,TX77030 76-0637138	HOLDING CO	TX	SLHS	C	994,212	22,659,791	100.000 %	Yes
(60) ST VINCENT COMMUNITY HEALTH SERVICES INC TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0710785	HEALTHCARE	AR	SVIMC	C	7,150,709	28,557,594	100.000 %	Yes
(61) STE HOLDINGS 12809 WEST DODGE RD OMAHA,NE68154 82-2383629	HOLDING CO	NE	SERMC	C	1,030,898	3,782,235	100.000 %	Yes
(62) SUGAR LAND DOCTOR GROUP 1317 LAKE POINT PARKWAY SUGAR LAND,TX77478 45-4270163	MEDICAL CLINIC	TX	SLCDC-SL	C			100.000 %	Yes
(63) TOWSON MANAGEMENT INC 7601 OSLER DR TOWSON,MD21204 52-1710750	MGMT SERVICES	MD	FSI	C			100.000 %	Yes
(64) TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE,OH43952 34-1471026	MGMT SERVICES	OH	THS	C		121,333	100.000 %	Yes

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

Yes

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ALVERNA APARTMENTS	A	28,263	SEE STATEMENT - SCH. R PART VII
(2) CATHOLIC HEALTH INITIATIVES-COLORADO	A	8,889,082	SEE STATEMENT - SCH. R PART VII
(3) CATHOLIC HEALTH INITIATIVES-IOWA CORP	A	4,405,159	SEE STATEMENT - SCH. R PART VII
(4) CHI HEALTH CONNECT AT HOME - FARGO	A	102,315	SEE STATEMENT - SCH. R PART VII
(5) CHI LIVING COMMUNITIES	A	520,974	SEE STATEMENT - SCH. R PART VII
(6) CHI ST JOSEPH'S CHILDREN	A	48,879	SEE STATEMENT - SCH. R PART VII
(7) FLAGET HEALTHCARE	A	103,917	SEE STATEMENT - SCH. R PART VII
(8) HARRISON MEDICAL CENTER	A	3,829,300	SEE STATEMENT - SCH. R PART VII
(9) HIGHLINE MEDICAL CENTER	A	4,809,606	SEE STATEMENT - SCH. R PART VII
(10) JEWISH HOSPITAL & ST MARY'S HEALTHCARE	A	4,292,940	SEE STATEMENT - SCH. R PART VII
(11) LAKEWOOD HEALTH CENTER	A	3,005	SEE STATEMENT - SCH. R PART VII
(12) MEMORIAL HEALTH CARE SYSTEM INC	A	9,030,659	SEE STATEMENT - SCH. R PART VII
(13) MEMORIAL HEALTH SYSTEM OF EAST TEXAS	A	4,418,756	SEE STATEMENT - SCH. R PART VII
(14) MERCY MEDICAL CENTER	A	857,877	SEE STATEMENT - SCH. R PART VII
(15) MERCY MEDICAL CENTER	A	291,071	SEE STATEMENT - SCH. R PART VII
(16) OAKES COMMUNITY HOSPITAL	A	193,595	SEE STATEMENT - SCH. R PART VII
(17) PROVIDENCE CARE CENTER	A	155,299	SEE STATEMENT - SCH. R PART VII
(18) PROVIDENCE RESIDENTIAL COMMUNITY	A	252,766	SEE STATEMENT - SCH. R PART VII
(19) SAINT JOSEPH HEALTH SYSTEM INC	A	9,275,173	SEE STATEMENT - SCH. R PART VII
(20) ST ALEXIUS MEDICAL CENTER	A	3,405,489	SEE STATEMENT - SCH. R PART VII
(21) ST CATHERINE HOSPITAL	A	507,328	SEE STATEMENT - SCH. R PART VII
(22) ST FRANCIS MEDICAL CENTER	A	206,321	SEE STATEMENT - SCH. R PART VII
(23) ST JOSEPH REGIONAL HEALTH CENTER	A	1,147,258	SEE STATEMENT - SCH. R PART VII
(24) ST JOSEPH'S AREA HEALTH SERVICES	A	1,977	SEE STATEMENT - SCH. R PART VII
(25) ST JOSEPH'S HOSPITAL AND HEALTH CENTER	A	4,344,101	SEE STATEMENT - SCH. R PART VII
(26) ST LEONARD	A	314,993	SEE STATEMENT - SCH. R PART VII
(27) ST LUKE'S HEALTH SYSTEM CORPORATION	A	27,255,991	SEE STATEMENT - SCH. R PART VII
(28) ST VINCENT INFIRMARY MEDICAL CENTER	A	6,942,881	SEE STATEMENT - SCH. R PART VII
(29) THE COMMONS OF PROVIDENCE	A	218,794	SEE STATEMENT - SCH. R PART VII
(30) THE COMMUNITY HOSPITAL OF BRAZOSPORT	A	1,743,362	SEE STATEMENT - SCH. R PART VII
(31) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH	A	2,095,801	SEE STATEMENT - SCH. R PART VII
(32) UNITY FAMILY HEALTHCARE	A	478,551	SEE STATEMENT - SCH. R PART VII
(33) QUALCHOICE HEALTH INC & SUBSIDIARIES	B	2,000,000	SEE STATEMENT - SCH. R PART VII
(34) PRECISION MEDICINE ALLIANCE LLC	B	350,000	SEE STATEMENT - SCH. R PART VII
(35) CHI OPERATING INVESTMENT PROGRAM LP	B	180,093	SEE STATEMENT - SCH. R PART VII
(36) CHI LIVING COMMUNITIES	B	197,770	SEE STATEMENT - SCH. R PART VII
(37) PROVIDENCE CARE CENTER	D	3,849,088	SEE STATEMENT - SCH. R PART VII
(38) THE COMMONS OF PROVIDENCE	D	5,422,804	SEE STATEMENT - SCH. R PART VII
(39) PROVIDENCE RESIDENTIAL COMMUNITY	D	6,264,792	SEE STATEMENT - SCH. R PART VII
(40) ST LEONARD	D	31,382,155	SEE STATEMENT - SCH. R PART VII
(41) CHI LIVING COMMUNITIES	D	3,314,913	SEE STATEMENT - SCH. R PART VII
(42) FIRST INITIATIVES INSURANCE LTD	F	30,000,000	SEE STATEMENT - SCH. R PART VII
(43) ALEGENT CREIGHTON CLINIC	L	3,314,856	SEE STATEMENT - SCH. R PART VII
(44) ALEGENT CREIGHTON HEALTH	L	170,726,674	SEE STATEMENT - SCH. R PART VII
(45) ALEGENT HEALTH - IMMANUEL MEDICAL CENTER	L	5,746,220	SEE STATEMENT - SCH. R PART VII
(46) ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM	L	13,421,471	SEE STATEMENT - SCH. R PART VII
(47) ALEGENT HEALTH-COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY	L	254,785	SEE STATEMENT - SCH. R PART VII
(48) ALEGENT HEALTH-MEMORIAL HOSPITAL SCHUYLER	L	204,127	SEE STATEMENT - SCH. R PART VII
(49) ALEGENT HEALTH-MERCY HOSPITAL CORNING IA	L	371,786	SEE STATEMENT - SCH. R PART VII
(50) BAKERSFIELD MEMORIAL HOSPITAL	L	358,685	SEE STATEMENT - SCH. R PART VII
(51) BAYLOR ST LUKES MEDICAL GROUP	L	242,414	SEE STATEMENT - SCH. R PART VII
(52) BURLESON ST JOSEPH HEALTH CENTER	L	241,538	SEE STATEMENT - SCH. R PART VII
(53) CARRINGTON HEALTH CENTER	L	3,997,707	SEE STATEMENT - SCH. R PART VII
(54) CATHOLIC HEALTH INITIATIVES-COLORADO	L	40,197,233	SEE STATEMENT - SCH. R PART VII
(55) CATHOLIC HEALTH INITIATIVES-IOWA CORP	L	109,821,349	SEE STATEMENT - SCH. R PART VII
(56) CENTRAL NEBRASKA REHABILITATION SERVICES LLC	L	169,498	SEE STATEMENT - SCH. R PART VII
(57) CHI HEALTH CONNECT AT HOME - FARGO	L	367,512	SEE STATEMENT - SCH. R PART VII
(58) CHI LIVING COMMUNITIES	L	5,900,027	SEE STATEMENT - SCH. R PART VII
(59) CHI MEMORIAL HOSPITAL - GEORGIA	L	1,060,314	SEE STATEMENT - SCH. R PART VII
(60) CHI NATIONAL HOME CARE	L	2,324,210	SEE STATEMENT - SCH. R PART VII
(61) CHI ST ALEXIUS HEALTH GARRISON	L	239,752	SEE STATEMENT - SCH. R PART VII
(62) CHI ST JOSEPH'S CHILDREN	L	332,331	SEE STATEMENT - SCH. R PART VII
(63) CHI ST VINCENT HOSPITAL HOT SPRINGS	L	8,006,144	SEE STATEMENT - SCH. R PART VII
(64) COMMUNITY HOSPITAL OF SAN BERNARDINO	L	89,411	SEE STATEMENT - SCH. R PART VII
(65) CONSOLIDATED HEALTH SERVICES	L	6,659,452	SEE STATEMENT - SCH. R PART VII
(66) CONTINUING CARE HOSPITAL	L	1,005,020	SEE STATEMENT - SCH. R PART VII
(67) DIGNITY COMMUNITY CARE	L	249,133	SEE STATEMENT - SCH. R PART VII
(68) DIGNITY HEALTH	L	11,673,399	SEE STATEMENT - SCH. R PART VII
(69) DIGNITY HEALTH HPL SELF-INSURANCE TRUST	L	3,765,788	SEE STATEMENT - SCH. R PART VII
(70) DIGNITY HEALTH MEDICAL FOUNDATION	L	768,672	SEE STATEMENT - SCH. R PART VII
(71) EAST TEXAS CLINICAL SERVICES	L	267,939	SEE STATEMENT - SCH. R PART VII
(72) ENUMCLAW REGIONAL HOSPITAL ASSOCIATION	L	1,306,114	SEE STATEMENT - SCH. R PART VII
(73) FLAGET HEALTHCARE	L	7,017,538	SEE STATEMENT - SCH. R PART VII
(74) FRANCISCAN CARE CENTER	L	75,998	SEE STATEMENT - SCH. R PART VII
(75) FRANCISCAN HEALTH SYSTEM	L	248,705,755	SEE STATEMENT - SCH. R PART VII
(76) FRANCISCAN MEDICAL GROUP	L	9,329,789	SEE STATEMENT - SCH. R PART VII
(77) GOOD SAMARITAN HOSPITAL	L	4,960,710	SEE STATEMENT - SCH. R PART VII
(78) HARRISON MEDICAL CENTER	L	13,211,840	SEE STATEMENT - SCH. R PART VII
(79) HIGHLINE MEDICAL CENTER	L	5,980,644	SEE STATEMENT - SCH. R PART VII
(80) JEWISH HOSPITAL & ST MARY'S HEALTHCARE	L	34,719,833	SEE STATEMENT - SCH. R PART VII
(81) KYONE HEALTH MEDICAL GROUP (FKA JEWISH PHYSICIAN GROUP)	L	5,515,146	SEE STATEMENT - SCH. R PART VII
(82) LAKEWOOD HEALTH CENTER	L	2,840,541	SEE STATEMENT - SCH. R PART VII
(83) LISBON AREA HEALTH SERVICES	L	2,452,543	SEE STATEMENT - SCH. R PART VII
(84) MADISON ST JOSEPH HEALTH CENTER	L	274,604	SEE STATEMENT - SCH. R PART VII
(85) MADONNA MANOR INC	L	83,992	SEE STATEMENT - SCH. R PART VII
(86) MARK TWAIN MEDICAL CENTER	L	66,306	SEE STATEMENT - SCH. R PART VII
(87) MEMORIAL HEALTH CARE SYSTEM INC	L	66,974,898	SEE STATEMENT - SCH. R PART VII
(88) MEMORIAL HEALTH PARTNERS FOUNDATION	L	747,870	SEE STATEMENT - SCH. R PART VII
(89) MEMORIAL HEALTH SYSTEM OF EAST TEXAS	L	24,719,168	SEE STATEMENT - SCH. R PART VII
(90) MEMORIAL MEDICAL CENTER LIVINGSTON	L	1,560,637	SEE STATEMENT - SCH. R PART VII
(91) MEMORIAL MEDICAL CENTER OF SAN AUGUSTINE	L	481,677	SEE STATEMENT - SCH. R PART VII
(92) MERCY CLINICS INC	L	69,323	SEE STATEMENT - SCH. R PART VII
(93) MERCY HOSPITAL OF DEVILS LAKE	L	4,713,358	SEE STATEMENT - SCH. R PART VII
(94) MERCY HOSPITAL OF VALLEY CITY	L	3,002,892	SEE STATEMENT - SCH. R PART VII
(95) MERCY MEDICAL CENTER	L	20,855,269	SEE STATEMENT - SCH. R PART VII
(96) MERCY MEDICAL CENTER	L	15,896,806	SEE STATEMENT - SCH. R PART VII
(97) MERCY MEDICAL CENTER - CENTERVILLE	L	564,218	SEE STATEMENT - SCH. R PART VII
(98) MERCY MEDICAL CENTER - NEWTON	L	2,476,143	SEE STATEMENT - SCH. R PART VII
(99) NEBRASKA HEART HOSPITAL	L	1,411,143	SEE STATEMENT - SCH. R PART VII
(100) NEBRASKA SPINE HOSPITAL LLC	L	51,647	SEE STATEMENT - SCH. R PART VII
(101) NORTHLAND HEALTHCARE ALLIANCE	L	104,301	SEE STATEMENT - SCH. R PART VII
(102) OAKES COMMUNITY HOSPITAL	L	2,508,517	SEE STATEMENT - SCH. R PART VII
(103) PMC HOSPITAL LLC	L	1,467,233	SEE STATEMENT - SCH. R PART VII
(104) PORT CITY OPERATING COMPANY LLC	L	621,163	SEE STATEMENT - SCH. R PART VII
(105) PROVIDENCE CARE CENTER	L	192,714	SEE STATEMENT - SCH. R PART VII
(106) QUALCHOICE HEALTH INC & SUBSIDIARIES	L	1,387,932	SEE STATEMENT - SCH. R PART VII
(107) REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE	L	201,594	SEE STATEMENT - SCH. R PART VII
(108) SAINT ELIZABETH REGIONAL MEDICAL CENTER	L	5,739,775	SEE STATEMENT - SCH. R PART VII
(109) SAINT FRANCIS MEDICAL CENTER	L	3,500,106	SEE STATEMENT - SCH. R PART VII
(110) SAINT FRANCIS MEMORIAL HOSPITAL	L	140,737	SEE STATEMENT - SCH. R PART VII
(111) SAINT JOSEPH HEALTH SYSTEM INC	L	65,740,768	SEE STATEMENT - SCH. R PART VII
(112) SIERRA NEVADA MEMORIAL-MINERS HOSPITAL	L	342,985	SEE STATEMENT - SCH. R PART VII
(113) ST MARY'S COMMUNITY HOSPITAL	L	793,601	SEE STATEMENT - SCH. R PART VII
(114) ST ALEXIUS MEDICAL CENTER	L	29,282,173	SEE STATEMENT - SCH. R PART VII
(115) ST ANTHONY HOSPITAL	L	7,498,120	SEE STATEMENT - SCH. R PART VII
(116) ST ANTHONY'S HOSPITAL ASSOCIATION	L	346,733	SEE STATEMENT - SCH. R PART VII
(117) ST CATHERINE HOSPITAL	L	2,745,600	SEE STATEMENT - SCH. R PART VII
(118) ST CLARE COMMONS	L	122,690	SEE STATEMENT - SCH. R PART VII
(119) ST FRANCIS MEDICAL CENTER	L	5,603,825	SEE STATEMENT - SCH. R PART VII
(120) CHI ST JOSEPH CHILDREN'S HEALTH	L	298,922	SEE STATEMENT - SCH. R PART VII
(121) ST JOSEPH HOSPITAL FOUNDATION	L	89,461	SEE STATEMENT - SCH. R PART VII
(122) ST JOSEPH REGIONAL HEALTH CENTER	L	6,968,187	SEE STATEMENT - SCH. R PART VII
(123) ST JOSEPH SERVICES CORPORATION DBA ST JOSEPH HEALTH SYSTEM	L	34,984,104	SEE STATEMENT - SCH. R PART VII
(124) ST JOSEPH'S AREA HEALTH SERVICES	L	8,404,080	SEE STATEMENT - SCH. R PART VII
(125) ST JOSEPH'S HOSPITAL AND HEALTH CENTER	L	10,622,613	SEE STATEMENT - SCH. R PART VII
(126) ST LEONARD	L	496,118	SEE STATEMENT - SCH. R PART VII
(127) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND	L	1,807,503	SEE STATEMENT - SCH. R PART VII
(128) ST LUKE'S COMMUNITY DEVELOPMENT CORPORTION - THE WOODLANDS	L	5,498,988	SEE STATEMENT - SCH. R PART VII
(129) ST LUKE'S HEALTH SYSTEM CORPORATION	L	11,905,687	SEE STATEMENT - SCH. R PART VII
(130) ST LUKE'S HOSPITAL AT THE VINTAGE (FKA CDC-VINTAGE)	L	2,198,974	SEE STATEMENT - SCH. R PART VII
(131) ST LUKE'S LAKESIDE HOSPITAL LLC	L	1,178,211	SEE STATEMENT - SCH. R PART VII
(132) ST VINCENT INFIRMARY MEDICAL CENTER	L	69,756,644	SEE STATEMENT - SCH. R PART VII
(133) THE COMMUNITY HOSPITAL OF BRAZOSPORT	L	2,061,652	SEE STATEMENT - SCH. R PART VII
(134) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH	L	16,232,118	SEE STATEMENT - SCH. R PART VII
(135) THE PHYSICIAN NETWORK	L	1,595,783	SEE STATEMENT - SCH. R PART VII
(136) TRINITY HEALTH SYSTEM	L	8,717,574	SEE STATEMENT - SCH. R PART VII
(137) TRINITY HOSPITAL TWIN CITY	L	652,301	SEE STATEMENT - SCH. R PART VII
(138) UNITY FAMILY HEALTHCARE	L	10,321,570	SEE STATEMENT - SCH. R PART VII
(139) VILLA NAZARETH INC	L	730,731	SEE STATEMENT - SCH. R PART VII
(140) CAPTIVE MANAGEMENT INITIATIVES	M	131,250	SEE STATEMENT - SCH. R PART VII
(141) FIRST INITIATIVES INSURANCE LTD	M	5,693,199	SEE STATEMENT - SCH. R PART VII
(142) ALEGENT CREIGHTON HEALTH	S	14,816,656	SEE STATEMENT - SCH. R PART VII
(143) ALVERNA APARTMENTS	S	133,900	SEE STATEMENT - SCH. R PART VII
(144) CARRINGTON HEALTH CENTER	S	170,872	SEE STATEMENT - SCH. R PART VII
(145) CATHOLIC HEALTH INITIATIVES-COLORADO	S	6,275,454	SEE STATEMENT - SCH. R PART VII
(146) CATHOLIC HEALTH INITIATIVES-IOWA CORP	S	11,891,982	SEE STATEMENT - SCH. R PART VII
(147) CHI HEALTH CONNECT AT HOME - FARGO	S	191,239	SEE STATEMENT - SCH. R PART VII
(148) CHI LIVING COMMUNITIES	S	765,699	SEE STATEMENT - SCH. R PART VII
(149) CHI ST JOSEPH'S CHILDREN	S	120,816	SEE STATEMENT - SCH. R PART VII
(150) FLAGET HEALTHCARE	S	2,056,818	SEE STATEMENT - SCH. R PART VII
(151) FRANCISCAN HEALTH SYSTEM	S	7,845,576	SEE STATEMENT - SCH. R PART VII
(152) HARRISON MEDICAL CENTER	S	4,476,007	SEE STATEMENT - SCH. R PART VII
(153) HIGHLINE MEDICAL CENTER	S	4,222,310	SEE STATEMENT - SCH. R PART VII
(154) KENTUCKYONE HEALTH INC	S	8,845,896	SEE STATEMENT - SCH. R PART VII
(155) LAKEWOOD HEALTH CENTER	S	216,201	SEE STATEMENT - SCH. R PART VII
(156) LISBON AREA HEALTH SERVICES	S	68,120	SEE STATEMENT - SCH. R PART VII
(157) MEMORIAL HEALTH CARE SYSTEM INC	S	13,236,602	SEE STATEMENT - SCH. R PART VII
(158) MEMORIAL HEALTH SYSTEM OF EAST TEXAS	S	3,555,079	SEE STATEMENT - SCH. R PART VII
(159) MERCY HOSPITAL OF DEVILS LAKE	S	1,081,240	SEE STATEMENT - SCH. R PART VII
(160) MERCY HOSPITAL OF VALLEY CITY	S	231,144	SEE STATEMENT - SCH. R PART VII
(161) MERCY MEDICAL CENTER	S	4,149,456	SEE STATEMENT - SCH. R PART VII
(162) MERCY MEDICAL CENTER	S	2,146,867	SEE STATEMENT - SCH. R PART VII
(163) OAKES COMMUNITY HOSPITAL	S	258,047	SEE STATEMENT - SCH. R PART VII
(164) PROVIDENCE CARE CENTER	S	149,682	SEE STATEMENT - SCH. R PART VII
(165) PROVIDENCE RESIDENTIAL COMMUNITY	S	243,622	SEE STATEMENT - SCH. R PART VII
(166) SAINT JOSEPH HEALTH SYSTEM INC	S	15,919,780	SEE STATEMENT - SCH. R PART VII
(167) ST ALEXIUS MEDICAL CENTER	S	2,322,967	SEE STATEMENT - SCH. R PART VII
(168) ST ANTHONY HOSPITAL	S	1,702,352	SEE STATEMENT - SCH. R PART VII
(169) ST CATHERINE HOSPITAL	S	1,093,519	SEE STATEMENT - SCH. R PART VII
(170) ST FRANCIS MEDICAL CENTER	S	1,156,083	SEE STATEMENT - SCH. R PART VII
(171) ST JOSEPH REGIONAL HEALTH CENTER	S	2,810,781	SEE STATEMENT - SCH. R PART VII
(172) ST JOSEPH'S AREA HEALTH SERVICES	S	800,823	SEE STATEMENT - SCH. R PART VII
(173) ST JOSEPH'S HOSPITAL AND HEALTH CENTER	S	2,192,884	SEE STATEMENT - SCH. R PART VII
(174) ST LEONARD	S	260,323	SEE STATEMENT - SCH. R PART VII
(175) ST LUKE'S HEALTH SYSTEM CORPORATION	S	11,877,291	SEE STATEMENT - SCH. R PART VII
(176) ST VINCENT INFIRMARY MEDICAL CENTER	S	10,053,517	SEE STATEMENT - SCH. R PART VII
(177) THE COMMONS OF PROVIDENCE	S	210,879	SEE STATEMENT - SCH. R PART VII
(178) THE COMMUNITY HOSPITAL OF BRAZOSPORT	S	880,085	SEE STATEMENT - SCH. R PART VII
(179) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH	S	4,689,353	SEE STATEMENT - SCH. R PART VII
(180) TRINITY HEALTH SYSTEM	S	1,463,008	SEE STATEMENT - SCH. R PART VII
(181) UNITY FAMILY HEALTHCARE	S	1,378,267	SEE STATEMENT - SCH. R PART VII
(182) VILLA NAZARETH INC	S	360,024	SEE STATEMENT - SCH. R PART VII

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference

Explanation

SCHEDULE R, PART V - COLUMN (D)

PART V, LINE 1A - COMMONSPIRIT HEALTH PROVIDES LOANS TO RELATED ORGANIZATIONS (HOSPITALS AND OTHER CHARITABLE ORGANIZATIONS) TO SUPPORT THE HEALTHCARE MISSION IN THE COMMUNITIES IT SERVES. AMOUNTS REPORTED AS TRANSACTION TYPE "A" REPRESENT THE INTEREST PAYMENTS CHARGED FOR THESE LOANS. PART V, LINE 1B - COMMONSPIRIT HEALTH PROVIDES CAPITAL CONTRIBUTIONS TO RELATED ORGANIZATIONS. AMOUNTS REPORTED AS TRANSACTION TYPE "B" REPRESENT CONTRIBUTIONS MADE DURING THE YEAR. COMMONSPIRIT HEALTH DONATED NON-CASH ITEMS TO RELATED ORGANIZATIONS DURING THE YEAR TO SUPPORT THEM IN THEIR FIGHT AGAINST THE COVID-19 PANDEMIC. AMOUNTS REPORTED AS TRANSACTION TYPE "B" REPRESENT THE FAIR MARKET VALUE OF THE NON-CASH ITEMS GIVEN. PART V, LINE 1D - COMMONSPIRIT HEALTH PROVIDES LOANS TO RELATED ORGANIZATIONS (HOSPITALS AND OTHER CHARITABLE ORGANIZATIONS) TO SUPPORT THE HEALTHCARE MISSION IN THE COMMUNITIES IT SERVES. AMOUNTS REPORTED AS TRANSACTION TYPE "D" REPRESENT THE FAIR MARKET VALUE OF THE LOANS ISSUED DURING THE YEAR. PART V, LINE 1F - COMMONSPIRIT HEALTH RECEIVES DIVIDENDS FROM RELATED CORPORATIONS DURING THE YEAR. AMOUNTS REPORTED AS TRANSACTION TYPE "F" REPRESENT THE DIVIDENDS RECEIVED. PART V, LINE 1L - COMMONSPIRIT HEALTH SERVES AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS, CHARITABLE ORGANIZATIONS, AND OTHER RELATED ORGANIZATIONS BY PROVIDING STRATEGIC PLANNING, MANAGEMENT AND SHARED SERVICES, INCLUDING ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN TO RELATED ORGANIZATIONS. PROVIDING THESE CENTRALIZED "SHARED SERVICES" ALLOWS FOR ECONOMIES OF SCALE AND PURCHASING POWER. AMOUNTS REPORTED AS TRANSACTION TYPE "L" REPRESENT THE PAYMENTS RECEIVED FOR THESE SERVICES. PART V, LINE 1M - RELATED ORGANIZATIONS OCCASIONALLY PROVIDE SERVICES TO COMMONSPIRIT HEALTH. AMOUNTS REPORTED AS TRANSACTION TYPE "M" REPRESENT PAYMENTS MADE BY COMMONSPIRIT HEALTH FOR THESE SERVICES. PART V, LINE 1S - COMMONSPIRIT HEALTH PROVIDES LOANS TO RELATED ORGANIZATIONS (HOSPITALS AND OTHER CHARITABLE ORGANIZATIONS) TO SUPPORT THE HEALTHCARE MISSION IN THE COMMUNITIES IT SERVES. AMOUNTS REPORTED AS TRANSACTION TYPE "S" REPRESENT THE PRINCIPAL REPAYMENTS RECEIVED BY COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH PROVIDES FUNDING TO SUPPORT BROAD STRATEGIC INITIATIVES THROUGH THE CAPITAL RESOURCE POOL. RELATED ORGANIZATIONS THROUGHOUT THE SYSTEM PROVIDE CONTRIBUTIONS TO THE CAPITAL RESOURCE POOL. AMOUNTS REPORTED AS TRANSACTION TYPE "S" REPRESENT CONTRIBUTIONS RECEIVED BY THE CAPITAL RESOURCE POOL.

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: COMMONSPIRIT HEALTH IS A NATIONAL FAITH-BASED NON-PROFIT HEALTHCARE ORGANIZATION. COMMONSPIRIT SERVES AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER HEALTHCARE PROVIDERS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	2,844
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	28,026,957
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	22,248,557

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	16,418	197,770
9	Program service revenue (Part VIII, line 2g) .........	2,304,446,823	2,325,098,697
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	173,099,868	43,641,811
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	27,084,391	36,078,411
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,504,647,500	2,405,016,689
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,849,371	5,563,525
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	347,913,967	432,132,922
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	2,743,999,823	2,786,956,260
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,098,763,161	3,224,652,707
19	Revenue less expenses. Subtract line 18 from line 12.......	-594,115,661	-819,636,018
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,076,173,607	5,870,141,161
21	Total liabilities (Part X, line 26).............	11,243,495,753	14,097,590,241
22	Net assets or fund balances. Subtract line 21 from line 20.....	-6,167,322,146	-8,227,449,080

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,542,400,038 including grants of $ 5,563,525 ) (Revenue $ 2,325,098,697 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,542,400,038

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	39,134,839	48,127,420	8,536,373

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	197,770

g	Noncash contributions included in lines 1a - 1f:$		1g	197,770

h Total. Add lines 1a-1f.......		197,770

		Business Code
2a	ASSESSMENTS	900099	2,203,901,803	2,203,901,803
b	RELATED INTEREST	900099	100,171,485	100,171,485
c	AFFILIATES' IBNR	900099	15,904,558	15,904,558
d	PREMIUMS	900099	5,120,851	5,120,851
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		2,325,098,697

3 Investment income (including dividends, interest, and othersimilar amounts) ......			37,542,904		76,574	37,466,330
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			23,764			23,764
		(ii) Personal	(i) Real
6a	Gross rents		694,947	6a
b	Less: rental expenses		726,450	6b
c	Rental income or (loss)		-31,503	6c
d	Net rental income or (loss).......			-31,503		-31,503
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	265,883	5,833,024	7a
b	Less: cost or other basis and sales expenses	0	0	7b
c	Gain or (loss)	265,883	5,833,024	7c
d	Net gain or (loss).........			6,098,907			6,098,907
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	REVENUE CYCLE SERVICES		900099	25,012,418		25,012,418
b	EPAYABLES REBATE		900099	7,636,322			7,636,322
c	UNRELATED SERVICES		900099	2,960,495		2,960,495
d	All other revenue ....			476,915		8,973	467,942
e	Total. Add lines 11a–11d ......			36,086,150
12	Total revenue. See instructions.....			2,405,016,689	2,325,098,697	28,026,957	51,693,265

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	5,285,270	5,285,270
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	43,500	43,500
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	234,755	234,755
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	35,942,070	14,493,576	21,448,494
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	329,807,263	132,994,198	196,813,065
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	13,959,250	6,677,528	7,281,722
9	Other employee benefits .......	33,019,612	15,689,325	17,330,287
10	Payroll taxes ...........	19,404,727	10,129,844	9,274,883
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	154,210	136,816	17,394
c	Accounting ...........	3,614,773		3,614,773
d	Lobbying ...........	100,000	100,000
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	681,966,773	599,009,241	82,957,532
12	Advertising and promotion ....	1,914,038	16,611	1,897,427
13	Office expenses .......	1,263,619	21,737,301	-20,473,682
14	Information technology ......	330,239,950	324,743,291	5,496,659
15	Royalties ..
16	Occupancy ...........	12,019,221	1,510,389	10,508,832
17	Travel ............	6,798,719	2,354,053	4,444,666
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,666,065	149,676	1,516,389
20	Interest ...........	330,386,481	330,386,481
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	145,856,273	58,690,162	87,166,111
23	Insurance ...	182,657,272	182,657,272
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	GROUP BENEFIT COSTS	668,587,968	668,587,968
b	REPAIRS AND MAINTENANCE	189,764,952	160,600,429	29,164,523
c	DEBT EXTINGUISHMENT	112,305,930		112,305,930
d	UNRELATED BUSINESS TAX	4,513,260		4,513,260
e	All other expenses	113,146,756	6,172,352	106,974,404
25	Total functional expenses. Add lines 1 through 24e	3,224,652,707	2,542,400,038	682,252,669	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			9,217,260	1	67,454,246
2	Savings and temporary cash investments .........			539,287,301	2	1,553,396,815
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			9,746,612	4	30,537,381
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			2,392,423,535	7	2,411,188,536
8	Inventories for sale or use ............			0	8	9,539,889
9	Prepaid expenses and deferred charges ......			112,591,506	9	122,717,557
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,461,329,868
b	Less: accumulated depreciation	10b	974,707,830	599,491,569	10c	486,622,038
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			239,517,317	12	254,088,728
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			9,900,000	14	7,700,000
15	Other assets. See Part IV, line 11 ...........			1,163,998,507	15	926,895,971
16	Total assets. Add lines 1 through 15 (must equal line 33)...			5,076,173,607	16	5,870,141,161

17	Accounts payable and accrued expenses .....	1,259,188,801	17	2,081,062,844
18	Grants payable ...	0	18	0
19	Deferred revenue .........	390,041,937	19	359,733,567
20	Tax-exempt bond liabilities .........	4,154,008,615	20	3,360,074,782
21	Escrow or custodial account liability. Complete Part IV of Schedule D	2,850	21	2,342
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	943,499,998	23	553,494,000
24	Unsecured notes and loans payable to unrelated third parties ..	2,690,000,000	24	5,280,110,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,806,753,552	25	2,463,112,706
26	Total liabilities. Add lines 17 through 25..	11,243,495,753	26	14,097,590,241

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	-6,167,763,599	27	-8,227,891,517
28	Net assets with donor restrictions ...........	441,453	28	442,437
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	-6,167,322,146	32	-8,227,449,080
33	Total liabilities and net assets/fund balances ........	5,076,173,607	33	5,870,141,161

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No