TY 2024 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) WRIGHT LASSITER III MHA...................................................................... CHIEF EXECUTIVE OFFICER AND CORPORATE PRESIDENT	30.00 ................. 20.00	X	X		0	14,076,171	99,148
(2) TAMMARA WILCOX...................................................................... SYSTEM SVP, PAYER STRATEGY & RELATIONSHIPS (THROUG	30.00 ................. 20.00			X	0	6,467,716	2,774,407
(3) TERIKA RICHARDSON MPH FACHE...................................................................... SEVP, CHIEF OPERATING OFFICER	30.00 ................. 20.00		X		7,764,970	0	580,120
(4) JULIE SPRENGEL...................................................................... PRESIDENT, CALIFONIA REGION	10.00 ................. 40.00			X	0	6,655,764	418,829
(5) JOHN E PETERSDORF...................................................................... SYSTEM SVP, OPERATIONAL FINANCE	30.00 ................. 20.00			X	0	3,765,894	2,099,029
(6) KETUL PATEL...................................................................... PRESIDENT, NORTHWEST REGION	40.00 ................. 10.00			X	5,665,901	0	88,958
(7) THOMAS MCGINN MD MPH...................................................................... SEVP, CHIEF PHYSICIAN EXECUTIVE OFFICER	30.00 ................. 20.00			X	5,200,696	0	338,934
(8) DANIEL J MORISSETTE CPA MBA...................................................................... SEVP, CHIEF FINANCIAL OFFICER/TREASURER	20.00 ................. 30.00		X		0	5,048,102	125,735
(9) DANIEL BARCHI MEM...................................................................... SEVP, CHIEF INFORMATION OFFICER	30.00 ................. 20.00			X	4,514,498	0	405,348
(10) MITCH MELFI ESQ JD...................................................................... SEVP, CHIEF LEGAL OFFICER/SECRETARY	30.00 ................. 20.00		X		4,621,788	0	45,113
(11) ROBERT WIEBE MD...................................................................... EVP, CHIEF MEDICAL OFFICER (THROUGH 1/10/25)	30.00 ................. 20.00			X	0	4,046,414	128,360
(12) PETER BANKO...................................................................... PRESIDENT, MOUNTAIN REGION (THROUGH 2/17/24)	10.00 ................. 40.00			X	0	3,848,349	107,380
(13) T DOUGLAS LAWSON PHD...................................................................... PRESIDENT, SOUTH REGION (THROUGH 2/21/25)	40.00 ................. 10.00			X	3,774,957	0	101,450
(14) SHERI SHAPIRO MBA...................................................................... SEVP, CHIEF STRATEGY OFFICER	30.00 ................. 20.00			X	3,470,987	0	341,875
(15) MICHELLE JOHNSON-TIDJANI JD MBA...................................................................... SEVP, CHIEF ADMINISTRATIVE OFFICER	30.00 ................. 20.00		X		3,465,242	0	326,929
(16) LILICIA BAILEY PHD MBA...................................................................... SEVP, CHIEF PEOPLE OFFICER	30.00 ................. 20.00			X	3,070,139	0	31,767
(17) LISA ZUCKERMAN...................................................................... SYSTEM SVP, TREASURY AND STRATEGIC INVESTMENTS	30.00 ................. 20.00			X	0	2,834,370	263,007

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) KATHLEEN SANFORD DBA RN FAAN........................................................................ SEVP, CHIEF NURSING OFFICER	30.00 .......................20.00			X		2,984,531	0	54,602
(19) TIM BRICKER........................................................................ PRESIDENT, CENTRAL REGION	30.00 .......................20.00			X		0	2,600,816	288,935
(20) BENJIE M LOANZON........................................................................ SYSTEM SVP, FINANCE AND CORPORATE CONTROLLER	20.00 .......................30.00			X		0	2,618,765	195,623
(21) THOMAS KOPFENSTEINER STD........................................................................ SEVP, CHIEF MISSION OFFICER	30.00 .......................20.00			X		2,776,232	0	34,912
(22) SHELLY SCHLENKER........................................................................ EVP, CHIEF ADVOCACY OFFICER	30.00 .......................20.00			X		0	1,808,590	801,245
(23) ROSALYN CARPENTER........................................................................ SYSTEM SVP, DIVERSITY AND INCLUSION (THROUGH 2/1/2	50.00 .......................0.00				X	2,515,500	0	33,589
(24) LAWRENCE SCHUMACHER........................................................................ EXECUTIVE CONSULTANT	48.00 .......................2.00				X	2,504,033	0	10,402
(25) DANIELLE WEBER........................................................................ SYSTEM SVP, REVENUE CYCLE	30.00 .......................20.00			X		2,416,672	0	80,858
(26) ANDREW GAASCH........................................................................ PRESIDENT, MOUNTAIN REGION (EFFECTIVE 5/27/24)	40.00 .......................10.00			X		1,748,245	398,185	284,176
(27) MATTHEW BROWN........................................................................ INTERIM PRESIDENT, SOUTH REGION (EFFECTIVE 2/21/25	40.00 .......................10.00			X		1,825,312	0	176,408
(28) KEVIN MURPHY........................................................................ SYSTEM SVP MISSION INNOVATION ETHICS THEOLOGY	50.00 .......................0.00				X	1,839,984	0	130,389
(29) JOHN FLYNN........................................................................ SYSTEM SVP, PHYSICIAN ENTERPRISE OPERATIONS - SOUT	50.00 .......................0.00				X	1,699,076	0	167,087
(30) ANTHONY HOUSTON........................................................................ MARKET PRESIDENT ARIZONA	30.00 .......................20.00				X	1,345,172	357,305	64,890
(31) PATRICK STEELE........................................................................ BOARD OF STEWARDSHIP TRUSTEES VICE CHAIR	6.00 .......................0.00	X	X			151,000	0	0
(32) CHRISTOPHER LOWNEY........................................................................ BOARD OF STEWARDSHIP TRUSTEES CHAIR	7.00 .......................0.00	X	X			150,500	0	0
(33) PETER G HANELT CPA........................................................................ TRUSTEE	3.00 .......................0.00	X				136,875	0	0
(34) ANTOINETTE HARDY-WALLER MJ BSN RN........................................................................ TRUSTEE	3.00 .......................0.00	X				130,625	0	0
(35) LINDA MEDLER........................................................................ TRUSTEE	3.00 .......................0.00	X				121,250	0	0
(36) PHOEBE YANG........................................................................ TRUSTEE	3.00 .......................0.00	X				121,250	0	0
(37) GARY YATES MD........................................................................ TRUSTEE	4.00 .......................0.00	X				121,250	0	0
(38) ANGELA ARCHON........................................................................ TRUSTEE	2.00 .......................0.00	X				115,000	0	0
(39) GARY KAPLAN MD FACP FACMPE FACPE........................................................................ TRUSTEE	2.00 .......................0.00	X				115,000	0	0
(40) CAROLINA REYES MD........................................................................ TRUSTEE	2.00 .......................0.00	X				115,000	0	0
(41) ELLEN DAUWER SC PHD........................................................................ TRUSTEE	3.00 .......................0.00	X				0	0	0
(42) BARBARA HAGEDORN SC........................................................................ TRUSTEE	2.00 .......................0.00	X				0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
CONIFER HEALTH SOLUTIONS LLC 3560 DALLAS PARKWAY FRISCO,TX75034	REVENUE CYCLE SERVICES	636,793,506
POLSINELLI PC PO BOX 878681 KANSAS CITY,MO64187	LEGAL SERVICES	43,750,679
MCKINSEY & COMPANY INC 140 FOUNTAIN PARKWAY N STE 800 ST PETERSBURG,FL33176	CONSULTING	38,350,000
SIEMENS MEDICAL SOLUTIONS USA 40 LIBERTY BOULEVARD MALVERN,PA19355	CLINICAL ENGINEERING	26,634,435
GE PRECISION HEALTHCARE LLC 120 WEST OPUS DRIVE MILWAUKEE,WI53154	CLINICAL ENGINEERING	18,687,313
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 301

- TIN:

SCHEDULE A
(Form 990)

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.
right arrow

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

OMB No. 1545-0047

2024

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 5 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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 on 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 5 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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2024

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2024

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 0.015 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 0.035	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) 2024

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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 ("COMMONSPIRIT") 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 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) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

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 ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization COMMONSPIRIT HEALTH

Part I	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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2024

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2024

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 right arrow

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 right arrow

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

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

(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? ...........................................................................................................

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

639

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

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

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

Yes

49,868

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

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

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

50,507

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:	COMMONSPIRIT HEALTH ("COMMONSPIRIT") HAS ONE SENIOR-LEVEL EMPLOYEE ENGAGED IN ADVOCACY WHO SPENDS VARYING PORTIONS OF TIME ON LOBBYING ACTIVITIES: SYSTEM VICE PRESIDENT REGULATORY AFFAIRS AND STATE RELATIONS. COMMONSPIRIT ENGAGED IN LETTER-WRITING CAMPAIGNS, CO-SPONSORSHIP CAMPAIGNS, AND OTHER LOBBYING ACTIVITIES AIMED AT INFLUENCING PUBLIC POLICY. DRAFT LETTERS WERE PROVIDED TO OUR ADVOCACY TEAMS AND LEADERSHIP ON COMMONSPIRIT ADVOCACY PRIORITIES; REGION-EMPLOYED ADVOCACY LEADERS WERE ABLE TO CREATE THEIR OWN ADVOCACY LETTERS AS WELL. MOST COMMUNICATIONS WITH CONGRESS OCCUR THROUGH EMAIL AND PHONE. COMMONSPIRIT ADVOCACY ACTIVITIES INVOLVED COMMUNICATIONS ON ORGANIZATIONAL ADVOCACY PRIORITIES, INCLUDING ISSUES RELATED TO ACCESS AND COVERAGE FOR ALL, HOSPITAL AND HEALTH PROVIDER REIMBURSEMENT, PROTECTING MEDICAID, AND COMMUNITY HEALTH ISSUES (E.G. ENVIRONMENTAL STEWARDSHIP, HOUSING). CENTRAL TO THE COMMONSPIRIT 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. COMMONSPIRIT ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE COMMONSPIRIT 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 PUBLIC POLICY AGENDA INCLUDES BOTH TRADITIONAL HEALTH CARE POLICIES (E.G., PAYMENT ISSUES, QUALITY AND SAFETY, ETC.) AS WELL AS SOCIAL JUSTICE POLICIES.

Return Reference

Explanation

PART II-B, LINE 1:

COMMONSPIRIT HEALTH ("COMMONSPIRIT") HAS ONE SENIOR-LEVEL EMPLOYEE ENGAGED IN ADVOCACY WHO SPENDS VARYING PORTIONS OF TIME ON LOBBYING ACTIVITIES: SYSTEM VICE PRESIDENT REGULATORY AFFAIRS AND STATE RELATIONS. COMMONSPIRIT ENGAGED IN LETTER-WRITING CAMPAIGNS, CO-SPONSORSHIP CAMPAIGNS, AND OTHER LOBBYING ACTIVITIES AIMED AT INFLUENCING PUBLIC POLICY. DRAFT LETTERS WERE PROVIDED TO OUR ADVOCACY TEAMS AND LEADERSHIP ON COMMONSPIRIT ADVOCACY PRIORITIES; REGION-EMPLOYED ADVOCACY LEADERS WERE ABLE TO CREATE THEIR OWN ADVOCACY LETTERS AS WELL. MOST COMMUNICATIONS WITH CONGRESS OCCUR THROUGH EMAIL AND PHONE. COMMONSPIRIT ADVOCACY ACTIVITIES INVOLVED COMMUNICATIONS ON ORGANIZATIONAL ADVOCACY PRIORITIES, INCLUDING ISSUES RELATED TO ACCESS AND COVERAGE FOR ALL, HOSPITAL AND HEALTH PROVIDER REIMBURSEMENT, PROTECTING MEDICAID, AND COMMUNITY HEALTH ISSUES (E.G. ENVIRONMENTAL STEWARDSHIP, HOUSING). CENTRAL TO THE COMMONSPIRIT 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. COMMONSPIRIT ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE COMMONSPIRIT 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 PUBLIC POLICY AGENDA INCLUDES BOTH TRADITIONAL HEALTH CARE POLICIES (E.G., PAYMENT ISSUES, QUALITY AND SAFETY, ETC.) AS WELL AS SOCIAL JUSTICE POLICIES.

Schedule C (Form 990) 2024

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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 right arrow

Permanent endowment right arrow

Term endowment right arrow

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 ....	58,888,335	27,164,863	31,723,472
c	Leasehold improvements	9,408,253	8,951,031	457,222
d	Equipment ....	1,512,476,840	1,439,142,501	73,334,339
e	Other .....	674,757,849	72,180	674,685,669
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				790,193,774

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other 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 (A) POOLED INVESTMENTS	999,062,959	F
(B) US EQUITY	62,498,412	F
(C) HEDGE FUND	180,447,977	F
(D) NON-US EQUITY	95,472,227	F
(E) US FIXED INCOME	50,222,158	F
(F) FIXED INCOME	28,666,906	F
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,416,370,639

Part VIII

Investments - Program 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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)INVESTMENTS IN UNCONSOLIDATED ORGS				1,375,899,254
(2)DEPOSITS				2,772,810
(3)DEFERRED COMPENSATION				586,275,645
(4)INFORMATION TECHNOLOGY SERVICE LONG-TERM PREPAID				2,658,041
(5)PROJECTS IN PROGRESS - INTERNAL USE SOFTWARE				6,996,412
(6)RIGHT-OF-USE FINANCE LEASE				37,317
(7)RIGHT-OF-USE OPERATING LEASE				6,368,068
(8)LONG-TERM REINSURANCE RECOVERABLE				72,371,000
(9)PENSION ASSET				6,491,689
(10)INTERNAL USE SOFTWARE				19,429,467
(11)DEFERRED ACQUISITION COSTS				4,094,618
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				2,083,394,321

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
PENSION LIABILITY	598,813,157
SELF-INSURANCE RESERVES AND CLAIMS	1,151,500,001
INTEREST RATE SWAPS	-9,457,711
CHI WELFARE BENEFIT TRUST IBNR	72,365,401
INTERCOMPANY PAYABLES	3,897,061,022
LEGACY GIFT - TEXAS HEART INSTITUTE	44,153,285
UNCLAIMED PROPERTY	9,730,602
MISSION AND MINISTRY LOAN	25,000,000
OPERATING LEASE LIABILITY	6,991,137
FINANCE LEASE LIABILITY	38,765
OTHER DEFERRED COMPENSATION LIABILITY	570,417,152
SELF-INSURANCE IBNR	329,305,577
ACCRUED CONTINGENT LIABILITIES	23,325,000
RETAINAGE FOR CIP	4,994,077
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	6,724,237,465
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) (Rev. 1-2025)

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 ("COMMONSPIRIT") ACTS AS A PAYING AGENT FOR THE EMPLOYEE FINANCIAL ASSISTANCE FUND, AN EMPLOYEE FUNDED 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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

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 arrow

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

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	GRANTMAKING		58,480
	NORTH AMERICA (CANADA & MEXICO ONLY)	0	0	GRANTMAKING		150,000
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS		326,467,516
	EUROPE	0	0	INVESTMENTS		91,147,050
	EUROPE	0	1	PROGRAM SERVICES	INDEPENDENT CONTRACTORS	27,458
	NORTH AMERICA (CANADA & MEXICO ONLY)	0	6	PROGRAM SERVICES	INDEPENDENT CONTRACTORS	492,527
	SOUTH AMERICA	0	1	PROGRAM SERVICES	INDEPENDENT CONTRACTORS	102,510
	CENTRAL AMERICA AND THE CARIBBEAN	0	1	PROGRAM SERVICES	SELF-INSURANCE	1,983,874
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	BOARD MEETINGS		180,945
	NORTH AMERICA (CANADA & MEXICO ONLY)	0	0	BOARD MEETINGS		143,198







3a	Sub-total ....	0	9			420,429,415
b	Total from continuation sheets to Part I ...	0	0			324,143
c	Totals (add lines 3a and 3b)	0	9			420,753,558

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

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	(g) Amount of noncash assistance
CENTRAL AMERICA AND THE CARIBBEAN	COMMUNITY HEALTH	29,000	ACH	0
CENTRAL AMERICA AND THE CARIBBEAN	COMMUNITY HEALTH	29,480	ACH	0
NORTH AMERICA	SUPPORT FOR HEALTHCARE PROVIDERS	150,000	ACH	0

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) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 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) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

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 ("COMMONSPIRIT") 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. 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 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 COUNTRIES. THE COMMONSPIRIT-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 EUROPE: ACCRUAL NORTH AMERICA (CANADA & MEXICO ONLY): ACCRUAL SOUTH AMERICA: ACCRUAL PART I, LINE 3(F) - DESCRIPTION OF ACCOUNTING METHOD FOR COSTS IN REGION: 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). INVESTMENT ACTIVITY: FIRST INITIATIVES INSURANCE, LTD., A WHOLLY OWNED OFFSHORE CAPTIVE INSURANCE VEHICLE WHICH IS DISREGARDED FOR TAX PURPOSES, HOLDS VARIOUS INVESTMENTS IN CENTRAL AMERICA AND THE CARIBBEAN AND EUROPE. PROGRAM SERVICE ACTIVITIES: COMMONSPIRIT PAYS VARIOUS FOREIGN INDEPENDENT CONTRACTORS FOR PROGRAM RELATED SERVICES. PROGRAM SERVICE ACTIVITIES: THE EXPENDITURES OF FIRST INITIATIVES INSURANCE, LTD, A WHOLLY OWNED OFFSHORE CAPTIVE SELF-INSURANCE VEHICLE. BOARD MEETINGS ACTIVITIES: SEVERAL COMMONSPIRIT EMPLOYEES SERVE ON THE BOARD OF THE OFFSHORE CAPTIVE OF COMMONSPIRIT. COMMONSPIRIT ALLOCATED A PORTION OF THE SALARIES OF THESE INDIVIDUALS TO THIS ACTIVITY. PART II, LINE 1 (ACCOUNTING METHOD): CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL NORTH AMERICA (CANADA & MEXICO ONLY): ACCRUAL

Schedule F (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

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	(h) Purpose of grant or assistance
(1) ALEGENT CREIGHTON HEALTH 12809 WEST DODGE ROAD OMAHA,NE68154	47-0757164	501(C)(3)	1,200,627	COMMUNITY HEALTH
(2) ALEGENT HEALTH-IMMANUEL MEDICAL CENTER 6901 NORTH 72ND STREET OMAHA,NE68122	47-0376615	501(C)(3)	194,812	COMMUNITY HEALTH
(3) ALEGENT HEALTH-MERCY HOSPITAL CORNING IA 603 ROSARY DRIVE CORNING,IA50841	42-0782518	501(C)(3)	53,300	COMMUNITY HEALTH
(4) CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 E MINERAL AVE CENTENNIAL,CO80112	84-0902211	501(C)(3)	937,292	COMMUNITY HEALTH
(5) DIGNITY COMMUNITY CARE 3033 N 3RD AVE PHOENIX,AZ85013	81-5009488	501(C)(3)	520,785	COMMUNITY HEALTH
(6) DIGNITY HEALTH 3033 N 3RD AVE PHOENIX,AZ85013	94-1196203	501(C)(3)	820,134	COMMUNITY HEALTH
(7) DIGNITY HEALTH 3033 N 3RD AVE PHOENIX,AZ85013	94-1196203	501(C)(3)	173,504	VIOLENCE PREVENTION
(8) DOMINICAN SISTERS OF PEACE 2320 AIRPORT DR COLUMBUS,OH43219	26-3550703	501(C)(3)	303,000	COMMUNITY HEALTH
(9) FLAGET MEMORIAL HOSPITAL FOUNDATION 1451 HARRODSBURG ROAD D-308 LEXINGTON,KY40504	56-2351341	501(C)(3)	189,206	COMMUNITY HEALTH
(10) FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA,WA98405	91-1145592	501(C)(3)	849,370	COMMUNITY HEALTH
(11) FRANCISCAN SHELTERS DBA BETHANY HOUSE PO BOX 5930 TOLEDO,OH43613	34-1612437	501(C)(3)	44,387	COMMUNITY HEALTH
(12) GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST STREET KEARNEY,NE68847	47-0659443	501(C)(3)	73,652	COMMUNITY HEALTH
(13) GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202	31-1206047	501(C)(3)	113,607	COMMUNITY HEALTH
(14) MEMORIAL HEALTH CARE SYSTEM INC 2525 DESALES AVENUE CHATTANOOGA,TN37404	62-0532345	501(C)(3)	146,432	COMMUNITY HEALTH
(15) MERCY FOUNDATION INC 2700 NW STEWART PARKWAY ROSEBURG,OR97471	93-6088946	501(C)(3)	170,226	COMMUNITY HEALTH
(16) MERCY HOUSING NORTHWEST 1600 BROADWAY SUITE 2000 DENVER,CO80202	91-1546525	501(C)(3)	150,000	COMMUNITY HEALTH
(17) MERCY HOUSING SOUTHWEST 1600 BROADWAY SUITE 2000 DENVER,CO80202	86-0743192	501(C)(3)	18,750	COMMUNITY HEALTH
(18) MERCY MEDICAL CENTER 1301 15TH AVE W WILLISTON,ND58801	45-0231183	501(C)(3)	620,231	COMMUNITY HEALTH
(19) PORT CITY OPERATING COMPANY LLC 3400 DATA DRIVE RANCHO CORDOVA,CA95670	46-5322209	501(C)(3)	95,492	COMMUNITY HEALTH
(20) SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN,NE68510	47-0379836	501(C)(3)	380,644	COMMUNITY HEALTH
(21) SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND,NE68803	47-0376601	501(C)(3)	125,748	COMMUNITY HEALTH
(22) SAINT JOSEPH BEREA HOSPITAL FOUNDATION 1451 HARRODSBURG ROAD D-308 LEXINGTON,KY40504	26-0152877	501(C)(3)	188,766	COMMUNITY HEALTH
(23) SAINT JOSEPH LONDON FOUNDATION INC 1451 HARRODSBURG ROAD D-308 LEXINGTON,KY40504	26-0438748	501(C)(3)	207,703	COMMUNITY HEALTH
(24) SAINT JOSEPH MOUNT STERLING FOUNDATION 1451 HARRODSBURG ROAD D-308 LEXINGTON,KY40504	27-2884584	501(C)(3)	57,103	COMMUNITY HEALTH
(25) SAMARITAN BEHAVIORAL HEALTH INC 110 N MAIN ST 500 DAYTON,OH45402	02-0633634	501(C)(3)	264,985	COMMUNITY HEALTH
(26) SIERRA NEVADA MEMORIAL-MINERS HOSPITAL 3033 N 3RD AVE PHOENIX,AZ85013	94-1439787	501(C)(3)	99,715	COMMUNITY HEALTH
(27) SISTERS OF CHARITY OF NAZARETH INC PO BOX 21 NAZARETH,KY40048	75-3124022	501(C)(3)	99,971	COMMUNITY HEALTH
(28) SISTERS OF ST FRANCIS 6832 CONVENT BLVD SYLVANIA,OH43560	34-4450609	501(C)(3)	200,000	COMMUNITY HEALTH
(29) SISTERS OF ST FRANCIS FOUNDATION OF THE SISTERS OF ST FRANCIS OF PHILADEL 609 S CONVENT RD ASTON,PA19014	23-2784568	501(C)(3)	183,125	COMMUNITY HEALTH
(30) ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK,ND58501	45-0226711	501(C)(3)	199,304	COMMUNITY HEALTH
(31) ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK,ND58501	45-0226711	501(C)(3)	193,589	VIOLENCE PREVENTION
(32) ST ANTHONY HOSPITAL 2801 ST ANTHONY WAY PENDLETON,OR97801	93-0391614	501(C)(3)	308,915	COMMUNITY HEALTH
(33) ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DRIVE BRECKENRIDGE,MN56520	41-0695598	501(C)(3)	74,916	COMMUNITY HEALTH
(34) ST JOSEPH HOSPITAL FOUNDATION INC 1451 HARRODSBURG ROAD D-308 LEXINGTON,KY40504	61-1159649	501(C)(3)	568,400	COMMUNITY HEALTH
(35) ST JOSEPH'S HOSPITAL & HEALTH CENTER 2500 FAIRWAY STREET DICKINSON,ND58601	45-0226429	501(C)(3)	134,450	COMMUNITY HEALTH
(36) ST LUKE'S FOUNDATION 1213 HERMANN DRIVE 855 HOUSTON,TX77004	45-3811485	501(C)(3)	8,585	COMMUNITY HEALTH
(37) ST VINCENT FOUNDATION 2 ST VINCENT CIRCLE LITTLE ROCK,AR72205	51-0169537	501(C)(3)	288,950	COMMUNITY HEALTH
(38) VILLA NAZARETH INC 801 PAGE DR FARGO,ND58103	45-0226714	501(C)(3)	85,000	COMMUNITY HEALTH
(39) YAVAPAI COMMUNITY HOSPITAL ASSOCIATION 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301	86-0098923	501(C)(3)	15,300	COMMUNITY HEALTH
(40) ST MARY'S COMMUNITY HOSPITAL 1301 GRUNDMAN BOULEVARD NEBRASKA CITY,NE68410	47-0443636	501(C)(3)	167,104	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) Rev. 1-2025

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)
(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 ("COMMONSPIRIT") 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. 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 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 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) Rev. 1-2025

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

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) (Rev. 1-2025)

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1WRIGHT LASSITER III MHA CHIEF EXECUTIVE OFFICER AND CORPORAT	(i) (ii)	0 ------------- 2,871,082	0 ------------- 10,901,250	0 ------------- 303,839	0 ------------- 75,420	0 ------------- 23,728	0 ------------- 14,175,319	0 ------------- 0
2TAMMARA WILCOX SYSTEM SVP, PAYER STRATEGY & RELATIO	(i) (ii)	0 ------------- 500,115	0 ------------- 1,834,460	0 ------------- 4,133,141	0 ------------- 2,744,956	0 ------------- 29,451	0 ------------- 9,242,123	0 ------------- 2,661,926
3TERIKA RICHARDSON MPH FACHE SEVP, CHIEF OPERATING OFFICER	(i) (ii)	2,196,630 ------------- 0	5,532,500 ------------- 0	35,840 ------------- 0	550,000 ------------- 0	30,120 ------------- 0	8,345,090 ------------- 0	0 ------------- 0
4JULIE SPRENGEL PRESIDENT, CALIFONIA REGION	(i) (ii)	0 ------------- 1,842,854	0 ------------- 4,797,820	0 ------------- 15,090	0 ------------- 413,939	0 ------------- 4,890	0 ------------- 7,074,593	0 ------------- 0
5JOHN E PETERSDORF SYSTEM SVP, OPERATIONAL FINANCE	(i) (ii)	0 ------------- 734,757	0 ------------- 1,868,174	0 ------------- 1,162,963	0 ------------- 2,048,138	0 ------------- 50,891	0 ------------- 5,864,923	0 ------------- 1,148,724
6KETUL PATEL PRESIDENT, NORTHWEST REGION	(i) (ii)	1,399,822 ------------- 0	4,002,957 ------------- 0	263,122 ------------- 0	74,757 ------------- 0	14,201 ------------- 0	5,754,859 ------------- 0	0 ------------- 0
7THOMAS MCGINN MD MPH SEVP, CHIEF PHYSICIAN EXECUTIVE OFFI	(i) (ii)	1,164,410 ------------- 0	3,693,282 ------------- 0	343,004 ------------- 0	297,884 ------------- 0	41,050 ------------- 0	5,539,630 ------------- 0	0 ------------- 0
8DANIEL J MORISSETTE CPA MBA SEVP, CHIEF FINANCIAL OFFICER/TREASU	(i) (ii)	0 ------------- 1,702,910	0 ------------- 3,332,550	0 ------------- 12,642	0 ------------- 91,553	0 ------------- 34,182	0 ------------- 5,173,837	0 ------------- 0
9DANIEL BARCHI MEM SEVP, CHIEF INFORMATION OFFICER	(i) (ii)	1,390,381 ------------- 0	2,711,475 ------------- 0	412,642 ------------- 0	367,951 ------------- 0	37,397 ------------- 0	4,919,846 ------------- 0	0 ------------- 0
10MITCH MELFI ESQ JD SEVP, CHIEF LEGAL OFFICER/SECRETARY	(i) (ii)	1,121,560 ------------- 0	3,181,925 ------------- 0	318,303 ------------- 0	18,925 ------------- 0	26,188 ------------- 0	4,666,901 ------------- 0	0 ------------- 0
11ROBERT WIEBE MD EVP, CHIEF MEDICAL OFFICER (THROUGH	(i) (ii)	0 ------------- 1,250,613	0 ------------- 2,446,579	0 ------------- 349,222	0 ------------- 122,358	0 ------------- 6,002	0 ------------- 4,174,774	0 ------------- 348,094
12PETER BANKO PRESIDENT, MOUNTAIN REGION (THROUGH	(i) (ii)	0 ------------- 288,437	0 ------------- 2,000,000	0 ------------- 1,559,912	0 ------------- 10,405	0 ------------- 96,975	0 ------------- 3,955,729	0 ------------- 0
13T DOUGLAS LAWSON PHD PRESIDENT, SOUTH REGION (THROUGH 2/2	(i) (ii)	1,454,915 ------------- 0	1,885,572 ------------- 0	434,470 ------------- 0	78,342 ------------- 0	23,108 ------------- 0	3,876,407 ------------- 0	170,364 ------------- 0
14SHERI SHAPIRO MBA SEVP, CHIEF STRATEGY OFFICER	(i) (ii)	1,114,850 ------------- 0	2,187,900 ------------- 0	168,237 ------------- 0	300,825 ------------- 0	41,050 ------------- 0	3,812,862 ------------- 0	0 ------------- 0
15MICHELLE JOHNSON-TIDJANI JD MBA SEVP, CHIEF ADMINISTRATIVE OFFICER	(i) (ii)	1,144,280 ------------- 0	2,242,500 ------------- 0	78,462 ------------- 0	287,500 ------------- 0	39,429 ------------- 0	3,792,171 ------------- 0	0 ------------- 0
16LILICIA BAILEY PHD MBA SEVP, CHIEF PEOPLE OFFICER	(i) (ii)	976,783 ------------- 0	1,714,167 ------------- 0	379,189 ------------- 0	12,075 ------------- 0	19,692 ------------- 0	3,101,906 ------------- 0	0 ------------- 0
17LISA ZUCKERMAN SYSTEM SVP, TREASURY AND STRATEGIC I	(i) (ii)	0 ------------- 764,967	0 ------------- 2,059,703	0 ------------- 9,700	0 ------------- 192,068	0 ------------- 70,939	0 ------------- 3,097,377	0 ------------- 0
18KATHLEEN SANFORD DBA RN FAAN SEVP, CHIEF NURSING OFFICER	(i) (ii)	914,805 ------------- 0	1,792,752 ------------- 0	276,974 ------------- 0	18,925 ------------- 0	35,677 ------------- 0	3,039,133 ------------- 0	0 ------------- 0
19TIM BRICKER PRESIDENT, CENTRAL REGION	(i) (ii)	0 ------------- 1,070,057	0 ------------- 1,518,117	0 ------------- 12,642	0 ------------- 261,781	0 ------------- 27,154	0 ------------- 2,889,751	0 ------------- 0
20BENJIE M LOANZON SYSTEM SVP, FINANCE AND CORPORATE CO	(i) (ii)	0 ------------- 733,143	0 ------------- 1,876,193	0 ------------- 9,429	0 ------------- 161,427	0 ------------- 34,196	0 ------------- 2,814,388	0 ------------- 0
21THOMAS KOPFENSTEINER STD SEVP, CHIEF MISSION OFFICER	(i) (ii)	850,967 ------------- 0	1,657,500 ------------- 0	267,765 ------------- 0	20,325 ------------- 0	14,587 ------------- 0	2,811,144 ------------- 0	0 ------------- 0
22SHELLY SCHLENKER EVP, CHIEF ADVOCACY OFFICER	(i) (ii)	0 ------------- 609,218	0 ------------- 1,191,653	0 ------------- 7,719	0 ------------- 760,626	0 ------------- 40,619	0 ------------- 2,609,835	0 ------------- 0
23ROSALYN CARPENTER SYSTEM SVP, DIVERSITY AND INCLUSION	(i) (ii)	604,338 ------------- 0	1,899,876 ------------- 0	11,286 ------------- 0	18,925 ------------- 0	14,664 ------------- 0	2,549,089 ------------- 0	0 ------------- 0
24LAWRENCE SCHUMACHER EXECUTIVE CONSULTANT	(i) (ii)	13,240 ------------- 0	0 ------------- 0	2,490,793 ------------- 0	8,737 ------------- 0	1,665 ------------- 0	2,514,435 ------------- 0	0 ------------- 0
25DANIELLE WEBER SYSTEM SVP, REVENUE CYCLE	(i) (ii)	625,002 ------------- 0	1,722,859 ------------- 0	68,811 ------------- 0	57,043 ------------- 0	23,815 ------------- 0	2,497,530 ------------- 0	0 ------------- 0
26ANDREW GAASCH PRESIDENT, MOUNTAIN REGION (EFFECTIV	(i) (ii)	649,371 ------------- 393,712	1,096,839 ------------- 0	2,035 ------------- 4,473	228,250 ------------- 8,050	26,332 ------------- 21,543	2,002,827 ------------- 427,778	0 ------------- 0
27MATTHEW BROWN INTERIM PRESIDENT, SOUTH REGION (EFF	(i) (ii)	852,685 ------------- 0	969,173 ------------- 0	3,454 ------------- 0	138,435 ------------- 0	37,973 ------------- 0	2,001,720 ------------- 0	0 ------------- 0
28KEVIN MURPHY SYSTEM SVP MISSION INNOVATION ETHICS	(i) (ii)	501,037 ------------- 0	1,329,625 ------------- 0	9,322 ------------- 0	92,529 ------------- 0	37,860 ------------- 0	1,970,373 ------------- 0	0 ------------- 0
29JOHN FLYNN SYSTEM SVP, PHYSICIAN ENTERPRISE OPE	(i) (ii)	768,170 ------------- 0	915,862 ------------- 0	15,044 ------------- 0	132,387 ------------- 0	34,700 ------------- 0	1,866,163 ------------- 0	0 ------------- 0
30ANTHONY HOUSTON MARKET PRESIDENT ARIZONA	(i) (ii)	358,810 ------------- 354,856	695,650 ------------- 0	290,712 ------------- 2,449	24,088 ------------- 0	32,238 ------------- 8,564	1,401,498 ------------- 365,869	0 ------------- 0
31PATRICK STEELE BOARD OF STEWARDSHIP TRUSTEES VICE C	(i) (ii)	0 ------------- 0	0 ------------- 0	151,000 ------------- 0	0 ------------- 0	0 ------------- 0	151,000 ------------- 0	0 ------------- 0
32CHRISTOPHER LOWNEY BOARD OF STEWARDSHIP TRUSTEES CHAIR	(i) (ii)	0 ------------- 0	0 ------------- 0	150,500 ------------- 0	0 ------------- 0	0 ------------- 0	150,500 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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 EIGHT TRUSTEES, TWO TRUSTEES/OFFICERS, THREE OFFICERS, FIVE KEY EMPLOYEES AND ONE HIGHEST COMPENSATED EMPLOYEE. NO AMOUNT WAS INCLUDED AS REPORTABLE COMPENSATION AS THE TRAVEL WAS INCURRED FOR A BUSINESS PURPOSE. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: CLUB DUES HAVE BEEN PAID BY COMMONSPIRIT FOR BUSINESS USE BY ONE OFFICER AND ONE KEY EMPLOYEE. NO AMOUNTS HAVE BEEN REPORTED AS INCOME AS NO CLUB DUES HAVE BEEN REIMBURSED FOR PERSONAL PURPOSES. COMMONSPIRIT DOES NOT PAY OR REIMBURSE FOR ANY HEALTH CLUB MEMBERSHIPS.
PART I, LINE 3	DURING CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS PAID BY DIGNITY HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) PEOPLE AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OF STEWARDSHIP TRUSTEES OR COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION. IN JUNE OF 2025, COMMONSPIRIT OBTAINED AN INDEPENDENT, OUTSIDE REVIEW OF THE APPROPRIATE ANNUAL STIPEND TO BE PROVIDED TO ITS BOARD OF STEWARDSHIP TRUSTEES AND COMMITTEE MEMBERS. THE REVIEW INCLUDED COMPARABILITY DATA AND A REPORT-OUT ON REASONABLE AND APPROPRIATE STIPEND RANGES. THE SPONSORSHIP AND GOVERNANCE COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES CONSIDERED THE DATA AND RANGES AND APPROVED REASONABLE AND APPROPRIATE STIPEND LEVELS BASED UPON THE STIPEND RANGES. COMMONSPIRIT PLANS TO REVIEW BOARD OF STEWARDSHIP TRUSTEES STIPEND LEVELS AT THE EARLIER OF EVERY THREE YEARS OR AS ADJUSTMENTS TO COMPENSATION ARE PROPOSED.
PART I, LINES 4A-B	PART I, 4A: IN ACCORDANCE WITH AN EXECUTIVE SEVERANCE POLICY, COMMONSPIRIT'S LISTED PERSONS ARE PROVIDED WITH MARKET-STANDARD COMPENSATION RANGING FROM PAYMENTS OF 9-24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM DIGNITY HEALTH OR COMMONSPIRIT DURING THE 2024 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): L. SCHUMACHER, $2,488,602 AND T. WILCOX, $1,460,367. CERTAIN LISTED PERSONS EMPLOYED BY COMMONSPIRIT MOUNTAIN REGION ARE COVERED BY A MANAGEMENT SEVERANCE POLICY THAT PROVIDES COMPENSATION, BASED ON THE FACILITY OF EMPLOYMENT, 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 DURING THE 2024 CALENDAR YEAR PURSUANT TO THIS POLICY, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): P. BANKO, $1,557,847. PART I, 4B: CERTAIN LISTED PERSONS PARTICIPATE IN THE COMMONSPIRIT SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A NONQUALIFIED RETIREMENT PLAN DESIGNED TO PROVIDE DEFERRED COMPENSATION TO KEY EXECUTIVES WHO HAVE CONTRIBUTED MATERIALLY TO THE SUCCESS OF OUR MINISTRY. THE SERP IS INTENDED TO PROVIDE HIGHLY COMPENSATED INDIVIDUALS WITH ADDITIONAL RETIREMENT INCOME TO HELP OFFSET REGULATORY LIMITS IN PLACE ON QUALIFIED RETIREMENT PLANS AND SOCIAL SECURITY. EACH ANNUAL CONTRIBUTION IS SUBJECT TO A FOUR-YEAR VESTING OR RETENTION PERIOD. UPON COMPLETION OF THE APPLICABLE FOUR-YEAR RETENTION PERIOD FOR EACH ANNUAL CONTRIBUTION, VESTING WILL OCCUR, AND ANY ACCUMULATED BENEFIT UNDER THE PLAN WILL BE RECEIVED. ON THE FIRST DAY OF THE CALENDAR MONTH AFTER THE FOURTH ANNIVERSARY OF THE SERP BENEFIT, THE ANNUAL CONTRIBUTION AND ITS ASSOCIATED INVESTMENT GAINS OR LOSSES BECOME 100% VESTED. IN ADDITION, THE PARTICIPANT'S SERP BENEFIT BECOMES 100% VESTED UPON ANY OF THE FOLLOWING EVENTS: 1) REACHING THE AGE OF 65 (THE PLAN'S NORMAL RETIREMENT AGE), OR 2) DEATH, OR BECOME DISABLED UNDER THE LONG-TERM DISABILITY PLAN OR SOCIAL SECURITY. SHOULD EMPLOYMENT END FOR ANY REASON OTHER THAN TERMINATION WITH SEVERANCE, RETIREMENT AT AGE 65 OR OLDER, DISABILITY, OR DEATH, UNVESTED SERP FUNDS ARE FORFEITED. IF EMPLOYMENT IS TERMINATED WITH SEVERANCE, THE TERMS AND CONDITIONS OUTLINED WITHIN THE SERP, AND NOT THOSE OF ANY SEVERANCE AGREEMENT, WILL CONTROL AND GOVERN PAYMENT ENTITLEMENT UNDER THE SERP. CERTAIN ELIGIBLE LISTED PERSONS RECEIVED AN ADDITIONAL PAYMENT DURING 2024 DUE TO A DELAY IN THE START DATE OF THE SERP. DURING 2024 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: L. BAILEY, $342,650; D. BARCHI, $400,000; M. JOHNSON-TIDJANI, $71,700; T. KOPFENSTEINER, $42,500; T. MCGINN, $323,600; M. MELFI, $55,947; T. RICHARDSON, $31,600; K. SANFORD, $82,742 AND S. SHAPIRO, $161,400. CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN THE CATHOLIC HEALTH INITIATIVES SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR REGION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2024 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: T. KOPFENSTEINER, $536; T. LAWSON, $172,166; M. MELFI, $954 AND L. SCHUMACHER, $316. DUE TO THE "SUPER" VESTING RULES UNDER THE DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, A COMBINATION OF AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION, ARE ELIGIBLE TO RECEIVE THEIR 2024 CONTRIBUTIONS IN CASH. DURING 2024, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: A. HOUSTON, $65,214; T. KOPFENSTEINER, $173,191; T. LAWSON, $238,262; M. MELFI, $224,064; K. PATEL, $244,754; K. SANFORD, $158,357 AND D. WEBER, $61,174. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH 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. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT FOR ONE KEY EMPLOYEE OCCURRED DURING 2024 INCLUDE: T. WILCOX, $388,745. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH 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. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR THREE KEY EMPLOYEES OCCURRED DURING 2024 INCLUDE J. PETERSDORF, $1,148,724; R. WIEBE, $348,094; T. WILCOX, $2,273,181. 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)).
SCHEDULE J, PART II:	COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE PEOPLE AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2024.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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

OMB No. 1545-0047

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	KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD	61-0600439	49126PJCT	11-18-2004	94,575,000	BOND A: CUSIP 49126PJCT - SEE PART VI		X		X		X
B	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	52-1298872	162410CB8	11-18-2004	58,900,000	BOND B: CUSIP 162410CB8 - SEE PART VI		X		X		X
C	KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB	61-0600439	49126PDF4	11-10-2009	133,269,543	BOND C: CUSIP 49126PDF4 - SEE PART VI		X		X		X
D	COUNTY OF MONTGOMERY OHIO 2009 AB	31-6000172	613549HX5	11-10-2009	263,401,078	BOND D: CUSIP 613549HX5 - SEE PART VI	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2013C	84-0752932	000000000	12-19-2013	100,000,000	BOND E: COHFA 2013C - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2019A1 2019A2 2019B1 2019B2	84-0752932	19648FKT0	08-21-2019	2,357,725,342	BOND F: CUSIP 19648FKT0 - SEE PART VI		X		X		X
	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 2019A2	52-1298872	162410FF6	08-21-2019	317,329,944	BOND G: CUSIP 162410FF6 - SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2019A1 2019A2 2019B1 2019B2 & B3	91-1108929	93978HVB8	08-21-2019	774,448,531	BOND H: CUSIP 93978HVB8 - SEE PART VI		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTH 2019A1 2019A2	61-0600439	49126PGX2	08-21-2019	209,746,688	BOND I: CUSIP 49126PGX2 - SEE PART VI		X		X		X
	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2020A	52-1643828	13032UXF0	10-28-2020	644,028,782	BOND J: CUSIP 13032UXF0 - SEE PART VI	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2022A	84-0752932	19648FWU4	10-25-2022	506,442,138	BOND K: CUSIP 19648FWU4 - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTORITY 2024A	84-0752932	19648FXU3	03-20-2024	820,497,318	BOND L: CUSIP 19648FXU3 - SEE PART VI		X		X		X
	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2024A	52-1643828	13032US82	03-20-2024	319,177,981	BOND M: CUSIP 13032US82 - SEE PART VI		X		X		X
	DEVELOPMENT AUTHORITY OF CATOOSA COUNTY GA 2025A	52-1286294		02-26-2025	40,000,000	BOND N: CUSIP NONE - SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2017 (VMMC)	91-1108929	93978HSS5	08-17-2017	287,837,574	BOND O: CUSIP 93978HSS5 - SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	56,775,000		585,000		119,075,000		256,745,000
2 Amount of bonds legally defeased ..............			6,125,000
3 Total proceeds of issue ..................	96,850,606		59,737,305		133,269,639		263,401,373
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	428,619		152,050		1,380,211		2,530,978
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	21,850		40,015		49		111
10 Capital expenditures from proceeds .............	96,421,987		59,585,255		131,889,379		37,461,940
11 Other spent proceeds .............	123,580,474		1,113,785,393		21,297,479		223,408,344
12 Other unspent proceeds .............					1,789
13 Year of substantial completion .............	2006		2006		2009		2009
	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 2020, 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 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

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
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 ....	0.740 %		0.650 %		0.520 %
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 .........	0.020 %		0.150 %
6 Total of lines 4 and 5 .............	0.760 %		0.650 %		0.520 %
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. ..	0.080 %		1.170 %				0.070 %
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

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D DATE THE REBATE COMPUTATION WAS PERFORMED: 03/08/2025 ISSUER NAME: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C DATE THE REBATE COMPUTATION WAS PERFORMED: 03/08/2025 ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B DATE THE REBATE COMPUTATION WAS PERFORMED: 04/02/2025 ISSUER NAME: COUNTY OF MONTGOMERY, OHIO 2009 A/B DATE THE REBATE COMPUTATION WAS PERFORMED: 06/10/2025
BOND A: CUSIP 49126PJCT KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2004C	PART I, COLUMN (A) - LINE A AND B: THE BONDS DESCRIBED ON LINES A (KY 2004C) AND B (TN 2004C) ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004C COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 03/08/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND B: CUSIP 162410CB8 CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	PART I, COLUMN (A) - LINE A AND B: THE BONDS DESCRIBED ON LINES A (KY 2004C) AND B (TN 2004C) ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004C COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 03/08/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND C: CUSIP 49126PDF4 KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009A/B	PART I, COLUMN (A) - ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTH, 2009A/B, CUSIP 49126PDF4 AND COUNTY OF MONTGOMERY, OHIO 2009, CUSIP 613549HX5 - THESE BONDS 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, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. PART II, LINE 1 - RETIRED BONDS: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2009B BONDS $60M WERE REDEEMED IN DECEMBER 2021. PART III, LINE 4-6 - PRIVATE USE: PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES THE 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B - EXCEPTION TO REBATE? A PORTION OF THE COMPOSITE ISSUE SATISFIED THE TWO YEAR EXCEPTION TO REBATE AND REMAINDER OF THE COMPOSITE ISSUE SATISFIED THE SIX MONTH EXCEPTION TO REBATE. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 04/02/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND D: CUSIP 613549HX5 COUNTY OF MONTGOMERY, OHIO 2009A	PART I, COLUMN (A) - ISSUER NAME: COUNTY OF MONTGOMERY, OHIO 2009, CUSIP 613549HX5 AND KENTUCKY ECONOMIC DEV. FINANCE AUTH, 2009A/B, CUSIP 49126PDF4 - THESE BONDS 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, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART I, COLUMN(F) - DESCRIPTION OF PURPOSE: $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMERY, 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 MONTGOMERY, 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. PART II, LINE 1 - AMOUNT OF BONDS RETIRED: FOR FISCAL YEARS 2019 AND PRIOR REPORTING, $79,880,000 OF OH 2009B BONDS WERE INCLUDED ON LINE 2, AMOUNT OF BONDS LEGALLY DEFEASED. IN FURTHER REVIEW OF THE SCHEDULE K INSTRUCTIONS, SINCE THESE BONDS HAVE BEEN PARTIALLY CALLED, THE $54,885,000 IS REPORTED WITHIN LINE 1 BONDS RETIRED. PART III, LINE 4-6 - PRIVATE BUSINESS USE: PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES THE 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B- EXCEPTION TO REBATE? A PORTION OF THE COMPOSITE ISSUE SATISFIED THE TWO YEAR EXCEPTION TO REBATE AND REMAINDER OF THE COMPOSITE ISSUE SATISFIED THE SIX MONTH EXCEPTION TO REBATE. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 06/10/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND E: COLORADO HEALTH FACILITIES AUTHORITY 2013C	PART I, COLUMN (F) - DESCRIPTION OF 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? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B - EXCEPTION TO REBATE? COLORADO HEALTH FACILITIES AUTHORITY 2013C SATISFIED THE SIX MONTH EXCEPTION TO REBATE. THE MOST RECENT REBATE COMPUTATION DATE WAS 1/15/2024, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND F: CUSIP 19648FKT0 - COLORADO HEALTH FACILITIES AUTHORITY 2019A & B	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF 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 ISSUANCE 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). PART III, LINE 4-6 - PRIVATE USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? COLORADO HEALTH FACILITIES AUTHORITY 2019AB SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND G: CUSIP 162410FF6 CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 &	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND H: CUSIP 93978HVB8 - WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019AB SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND I: CUSIP 49126PGX2 KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND J: CUSIP 13032UXF0 - CALIFORNIA HEALTH FACILITIES FINANCING AUTH 2020A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2020A BONDS. ALTHOUGH THE PROCEEDS WERE USED BY DIGNITY HEALTH, A RELATED ORGANIZATION TO COMMONSPIRIT HEALTH, CONSISTENT WITH THE INSTRUCTIONS FOR SCHEDULE K, THE SERIES 2020A BOND ISSUE IS REPORTED ON THIS COMMONSPIRIT SCHEDULE K, AND NOT REPORTED ON DIGNITY HEALTH'S SCHEDULE K. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2020A - REFINANCE THE CHFFA 2004K, CHFFA 2009H (FORMERLY CHFFA 2004J), CHFFA 2005H AND CHFFA 2005I BONDS. PROCEEDS WERE USED TO FINANCE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND K: CUSIP 19648FWU4 - COLORADO HEALTH FACILITIES AUTHORITY SERIES 2022A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2022A BONDS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2022A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND L: CUSIP 19648FXU3 - COLORADO HEALTH FACILITIES AUTHORITY SERIES 2024A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2024A BONDS. PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2024A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. THE PROCEEDS WERE ALSO USED TO REFINANCE (1) EXISTING TAXABLE LOANS USED FOR ACQUISITION OF STEWARD HEALTH CARE SYSTEM LLC AND (2) TAX EXEMPT DEBT-IDAC OF YAVAPAI HOSPITAL SERIES 2013A BONDS. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND M: CUSIP 13032US82 - CALIFORNIA HEALTH FACILITIES FIN AUTHORITY 2024A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2024A BONDS. PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2024A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND N: CUSIP NONE - DEVELOPMENT AUTHORITY OF CATOOSA COUNTY - GA 2025	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2025 BONDS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CHI MEMORIAL HOSPITAL - GA 2025 - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND O: CUSIP 93978HSS5-WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2017VMM	PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF TAX-EXEMPT DEBT PART II LINE 3 TOTAL PROCEEDS OF ISSUE - DIFFERENCE THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE PROCEEDS OF THE BOND ISSUE IS DUE TO THE INVESTMENT EARNINGS. PART II LINE 7 ISSUANCE COSTS FROM PROCEEDS - DIFFERENCE THE DIFFERENCE BETWEEN PART II LINE 7 AND FORM 8038 LINE 24 IS DUE TO LOWER ISSUANCE COSTS THAN THE ESTIMATED COST INCLUDED IN THE PROCEEDS. ON MARCH 31, 2025, COMMONSPIRIT HEALTH SUBSTITUTED THE MASTER NOTE ISSUED UNDER THE VIRGINIA MASON MASTER TRUST INDENTURE FOR AN OBLIGATION ISSUED BY IT UNDER THE COMMONSPIRIT MASTER TRUST INDENTURE, AND THE OBLIGATIONS FOR THE REPAYMENT OF THE BONDS ARE NOW THE JOINT AND SEVERAL OBLIGATIONS OF THE COMMONSPIRIT OBLIGATED GROUP. THE BONDS ARE NOW REPORTED ON COMMONSPIRIT HEALTH'S SCHEDULE K AS PART OF THE COMMONSPIRIT OBLIGATED GROUP.

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

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	KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD	61-0600439	49126PJCT	11-18-2004	94,575,000	BOND A: CUSIP 49126PJCT - SEE PART VI		X		X		X
B	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	52-1298872	162410CB8	11-18-2004	58,900,000	BOND B: CUSIP 162410CB8 - SEE PART VI		X		X		X
C	KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB	61-0600439	49126PDF4	11-10-2009	133,269,543	BOND C: CUSIP 49126PDF4 - SEE PART VI		X		X		X
D	COUNTY OF MONTGOMERY OHIO 2009 AB	31-6000172	613549HX5	11-10-2009	263,401,078	BOND D: CUSIP 613549HX5 - SEE PART VI	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2013C	84-0752932	000000000	12-19-2013	100,000,000	BOND E: COHFA 2013C - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2019A1 2019A2 2019B1 2019B2	84-0752932	19648FKT0	08-21-2019	2,357,725,342	BOND F: CUSIP 19648FKT0 - SEE PART VI		X		X		X
	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 2019A2	52-1298872	162410FF6	08-21-2019	317,329,944	BOND G: CUSIP 162410FF6 - SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2019A1 2019A2 2019B1 2019B2 & B3	91-1108929	93978HVB8	08-21-2019	774,448,531	BOND H: CUSIP 93978HVB8 - SEE PART VI		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTH 2019A1 2019A2	61-0600439	49126PGX2	08-21-2019	209,746,688	BOND I: CUSIP 49126PGX2 - SEE PART VI		X		X		X
	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2020A	52-1643828	13032UXF0	10-28-2020	644,028,782	BOND J: CUSIP 13032UXF0 - SEE PART VI	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2022A	84-0752932	19648FWU4	10-25-2022	506,442,138	BOND K: CUSIP 19648FWU4 - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTORITY 2024A	84-0752932	19648FXU3	03-20-2024	820,497,318	BOND L: CUSIP 19648FXU3 - SEE PART VI		X		X		X
	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2024A	52-1643828	13032US82	03-20-2024	319,177,981	BOND M: CUSIP 13032US82 - SEE PART VI		X		X		X
	DEVELOPMENT AUTHORITY OF CATOOSA COUNTY GA 2025A	52-1286294		02-26-2025	40,000,000	BOND N: CUSIP NONE - SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2017 (VMMC)	91-1108929	93978HSS5	08-17-2017	287,837,574	BOND O: CUSIP 93978HSS5 - SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	56,775,000		585,000		119,075,000		256,745,000
2 Amount of bonds legally defeased ..............			6,125,000
3 Total proceeds of issue ..................	96,850,606		59,737,305		133,269,639		263,401,373
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	428,619		152,050		1,380,211		2,530,978
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	21,850		40,015		49		111
10 Capital expenditures from proceeds .............	96,421,987		59,585,255		131,889,379		37,461,940
11 Other spent proceeds .............	123,580,474		1,113,785,393		21,297,479		223,408,344
12 Other unspent proceeds .............					1,789
13 Year of substantial completion .............	2006		2006		2009		2009
	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 2020, 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 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

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
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 ....	0.740 %		0.650 %		0.520 %
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 .........	0.020 %		0.150 %
6 Total of lines 4 and 5 .............	0.760 %		0.650 %		0.520 %
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. ..	0.080 %		1.170 %				0.070 %
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

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D DATE THE REBATE COMPUTATION WAS PERFORMED: 03/08/2025 ISSUER NAME: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C DATE THE REBATE COMPUTATION WAS PERFORMED: 03/08/2025 ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B DATE THE REBATE COMPUTATION WAS PERFORMED: 04/02/2025 ISSUER NAME: COUNTY OF MONTGOMERY, OHIO 2009 A/B DATE THE REBATE COMPUTATION WAS PERFORMED: 06/10/2025
BOND A: CUSIP 49126PJCT KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2004C	PART I, COLUMN (A) - LINE A AND B: THE BONDS DESCRIBED ON LINES A (KY 2004C) AND B (TN 2004C) ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004C COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 03/08/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND B: CUSIP 162410CB8 CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	PART I, COLUMN (A) - LINE A AND B: THE BONDS DESCRIBED ON LINES A (KY 2004C) AND B (TN 2004C) ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004C COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 03/08/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND C: CUSIP 49126PDF4 KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009A/B	PART I, COLUMN (A) - ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTH, 2009A/B, CUSIP 49126PDF4 AND COUNTY OF MONTGOMERY, OHIO 2009, CUSIP 613549HX5 - THESE BONDS 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, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. PART II, LINE 1 - RETIRED BONDS: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2009B BONDS $60M WERE REDEEMED IN DECEMBER 2021. PART III, LINE 4-6 - PRIVATE USE: PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES THE 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B - EXCEPTION TO REBATE? A PORTION OF THE COMPOSITE ISSUE SATISFIED THE TWO YEAR EXCEPTION TO REBATE AND REMAINDER OF THE COMPOSITE ISSUE SATISFIED THE SIX MONTH EXCEPTION TO REBATE. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 04/02/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND D: CUSIP 613549HX5 COUNTY OF MONTGOMERY, OHIO 2009A	PART I, COLUMN (A) - ISSUER NAME: COUNTY OF MONTGOMERY, OHIO 2009, CUSIP 613549HX5 AND KENTUCKY ECONOMIC DEV. FINANCE AUTH, 2009A/B, CUSIP 49126PDF4 - THESE BONDS 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, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART I, COLUMN(F) - DESCRIPTION OF PURPOSE: $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMERY, 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 MONTGOMERY, 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. PART II, LINE 1 - AMOUNT OF BONDS RETIRED: FOR FISCAL YEARS 2019 AND PRIOR REPORTING, $79,880,000 OF OH 2009B BONDS WERE INCLUDED ON LINE 2, AMOUNT OF BONDS LEGALLY DEFEASED. IN FURTHER REVIEW OF THE SCHEDULE K INSTRUCTIONS, SINCE THESE BONDS HAVE BEEN PARTIALLY CALLED, THE $54,885,000 IS REPORTED WITHIN LINE 1 BONDS RETIRED. PART III, LINE 4-6 - PRIVATE BUSINESS USE: PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES THE 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B- EXCEPTION TO REBATE? A PORTION OF THE COMPOSITE ISSUE SATISFIED THE TWO YEAR EXCEPTION TO REBATE AND REMAINDER OF THE COMPOSITE ISSUE SATISFIED THE SIX MONTH EXCEPTION TO REBATE. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 06/10/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND E: COLORADO HEALTH FACILITIES AUTHORITY 2013C	PART I, COLUMN (F) - DESCRIPTION OF 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? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B - EXCEPTION TO REBATE? COLORADO HEALTH FACILITIES AUTHORITY 2013C SATISFIED THE SIX MONTH EXCEPTION TO REBATE. THE MOST RECENT REBATE COMPUTATION DATE WAS 1/15/2024, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND F: CUSIP 19648FKT0 - COLORADO HEALTH FACILITIES AUTHORITY 2019A & B	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF 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 ISSUANCE 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). PART III, LINE 4-6 - PRIVATE USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? COLORADO HEALTH FACILITIES AUTHORITY 2019AB SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND G: CUSIP 162410FF6 CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 &	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND H: CUSIP 93978HVB8 - WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019AB SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND I: CUSIP 49126PGX2 KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND J: CUSIP 13032UXF0 - CALIFORNIA HEALTH FACILITIES FINANCING AUTH 2020A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2020A BONDS. ALTHOUGH THE PROCEEDS WERE USED BY DIGNITY HEALTH, A RELATED ORGANIZATION TO COMMONSPIRIT HEALTH, CONSISTENT WITH THE INSTRUCTIONS FOR SCHEDULE K, THE SERIES 2020A BOND ISSUE IS REPORTED ON THIS COMMONSPIRIT SCHEDULE K, AND NOT REPORTED ON DIGNITY HEALTH'S SCHEDULE K. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2020A - REFINANCE THE CHFFA 2004K, CHFFA 2009H (FORMERLY CHFFA 2004J), CHFFA 2005H AND CHFFA 2005I BONDS. PROCEEDS WERE USED TO FINANCE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND K: CUSIP 19648FWU4 - COLORADO HEALTH FACILITIES AUTHORITY SERIES 2022A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2022A BONDS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2022A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND L: CUSIP 19648FXU3 - COLORADO HEALTH FACILITIES AUTHORITY SERIES 2024A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2024A BONDS. PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2024A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. THE PROCEEDS WERE ALSO USED TO REFINANCE (1) EXISTING TAXABLE LOANS USED FOR ACQUISITION OF STEWARD HEALTH CARE SYSTEM LLC AND (2) TAX EXEMPT DEBT-IDAC OF YAVAPAI HOSPITAL SERIES 2013A BONDS. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND M: CUSIP 13032US82 - CALIFORNIA HEALTH FACILITIES FIN AUTHORITY 2024A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2024A BONDS. PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2024A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND N: CUSIP NONE - DEVELOPMENT AUTHORITY OF CATOOSA COUNTY - GA 2025	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2025 BONDS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CHI MEMORIAL HOSPITAL - GA 2025 - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND O: CUSIP 93978HSS5-WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2017VMM	PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF TAX-EXEMPT DEBT PART II LINE 3 TOTAL PROCEEDS OF ISSUE - DIFFERENCE THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE PROCEEDS OF THE BOND ISSUE IS DUE TO THE INVESTMENT EARNINGS. PART II LINE 7 ISSUANCE COSTS FROM PROCEEDS - DIFFERENCE THE DIFFERENCE BETWEEN PART II LINE 7 AND FORM 8038 LINE 24 IS DUE TO LOWER ISSUANCE COSTS THAN THE ESTIMATED COST INCLUDED IN THE PROCEEDS. ON MARCH 31, 2025, COMMONSPIRIT HEALTH SUBSTITUTED THE MASTER NOTE ISSUED UNDER THE VIRGINIA MASON MASTER TRUST INDENTURE FOR AN OBLIGATION ISSUED BY IT UNDER THE COMMONSPIRIT MASTER TRUST INDENTURE, AND THE OBLIGATIONS FOR THE REPAYMENT OF THE BONDS ARE NOW THE JOINT AND SEVERAL OBLIGATIONS OF THE COMMONSPIRIT OBLIGATED GROUP. THE BONDS ARE NOW REPORTED ON COMMONSPIRIT HEALTH'S SCHEDULE K AS PART OF THE COMMONSPIRIT OBLIGATED GROUP.

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

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	KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD	61-0600439	49126PJCT	11-18-2004	94,575,000	BOND A: CUSIP 49126PJCT - SEE PART VI		X		X		X
B	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	52-1298872	162410CB8	11-18-2004	58,900,000	BOND B: CUSIP 162410CB8 - SEE PART VI		X		X		X
C	KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB	61-0600439	49126PDF4	11-10-2009	133,269,543	BOND C: CUSIP 49126PDF4 - SEE PART VI		X		X		X
D	COUNTY OF MONTGOMERY OHIO 2009 AB	31-6000172	613549HX5	11-10-2009	263,401,078	BOND D: CUSIP 613549HX5 - SEE PART VI	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2013C	84-0752932	000000000	12-19-2013	100,000,000	BOND E: COHFA 2013C - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2019A1 2019A2 2019B1 2019B2	84-0752932	19648FKT0	08-21-2019	2,357,725,342	BOND F: CUSIP 19648FKT0 - SEE PART VI		X		X		X
	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 2019A2	52-1298872	162410FF6	08-21-2019	317,329,944	BOND G: CUSIP 162410FF6 - SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2019A1 2019A2 2019B1 2019B2 & B3	91-1108929	93978HVB8	08-21-2019	774,448,531	BOND H: CUSIP 93978HVB8 - SEE PART VI		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTH 2019A1 2019A2	61-0600439	49126PGX2	08-21-2019	209,746,688	BOND I: CUSIP 49126PGX2 - SEE PART VI		X		X		X
	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2020A	52-1643828	13032UXF0	10-28-2020	644,028,782	BOND J: CUSIP 13032UXF0 - SEE PART VI	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2022A	84-0752932	19648FWU4	10-25-2022	506,442,138	BOND K: CUSIP 19648FWU4 - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTORITY 2024A	84-0752932	19648FXU3	03-20-2024	820,497,318	BOND L: CUSIP 19648FXU3 - SEE PART VI		X		X		X
	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2024A	52-1643828	13032US82	03-20-2024	319,177,981	BOND M: CUSIP 13032US82 - SEE PART VI		X		X		X
	DEVELOPMENT AUTHORITY OF CATOOSA COUNTY GA 2025A	52-1286294		02-26-2025	40,000,000	BOND N: CUSIP NONE - SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2017 (VMMC)	91-1108929	93978HSS5	08-17-2017	287,837,574	BOND O: CUSIP 93978HSS5 - SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	56,775,000		585,000		119,075,000		256,745,000
2 Amount of bonds legally defeased ..............			6,125,000
3 Total proceeds of issue ..................	96,850,606		59,737,305		133,269,639		263,401,373
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	428,619		152,050		1,380,211		2,530,978
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	21,850		40,015		49		111
10 Capital expenditures from proceeds .............	96,421,987		59,585,255		131,889,379		37,461,940
11 Other spent proceeds .............	123,580,474		1,113,785,393		21,297,479		223,408,344
12 Other unspent proceeds .............					1,789
13 Year of substantial completion .............	2006		2006		2009		2009
	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 2020, 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 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

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
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 ....	0.740 %		0.650 %		0.520 %
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 .........	0.020 %		0.150 %
6 Total of lines 4 and 5 .............	0.760 %		0.650 %		0.520 %
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. ..	0.080 %		1.170 %				0.070 %
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

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D DATE THE REBATE COMPUTATION WAS PERFORMED: 03/08/2025 ISSUER NAME: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C DATE THE REBATE COMPUTATION WAS PERFORMED: 03/08/2025 ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B DATE THE REBATE COMPUTATION WAS PERFORMED: 04/02/2025 ISSUER NAME: COUNTY OF MONTGOMERY, OHIO 2009 A/B DATE THE REBATE COMPUTATION WAS PERFORMED: 06/10/2025
BOND A: CUSIP 49126PJCT KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2004C	PART I, COLUMN (A) - LINE A AND B: THE BONDS DESCRIBED ON LINES A (KY 2004C) AND B (TN 2004C) ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004C COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 03/08/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND B: CUSIP 162410CB8 CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	PART I, COLUMN (A) - LINE A AND B: THE BONDS DESCRIBED ON LINES A (KY 2004C) AND B (TN 2004C) ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004C COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 03/08/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND C: CUSIP 49126PDF4 KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009A/B	PART I, COLUMN (A) - ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTH, 2009A/B, CUSIP 49126PDF4 AND COUNTY OF MONTGOMERY, OHIO 2009, CUSIP 613549HX5 - THESE BONDS 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, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. PART II, LINE 1 - RETIRED BONDS: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2009B BONDS $60M WERE REDEEMED IN DECEMBER 2021. PART III, LINE 4-6 - PRIVATE USE: PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES THE 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B - EXCEPTION TO REBATE? A PORTION OF THE COMPOSITE ISSUE SATISFIED THE TWO YEAR EXCEPTION TO REBATE AND REMAINDER OF THE COMPOSITE ISSUE SATISFIED THE SIX MONTH EXCEPTION TO REBATE. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 04/02/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND D: CUSIP 613549HX5 COUNTY OF MONTGOMERY, OHIO 2009A	PART I, COLUMN (A) - ISSUER NAME: COUNTY OF MONTGOMERY, OHIO 2009, CUSIP 613549HX5 AND KENTUCKY ECONOMIC DEV. FINANCE AUTH, 2009A/B, CUSIP 49126PDF4 - THESE BONDS 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, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART I, COLUMN(F) - DESCRIPTION OF PURPOSE: $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMERY, 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 MONTGOMERY, 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. PART II, LINE 1 - AMOUNT OF BONDS RETIRED: FOR FISCAL YEARS 2019 AND PRIOR REPORTING, $79,880,000 OF OH 2009B BONDS WERE INCLUDED ON LINE 2, AMOUNT OF BONDS LEGALLY DEFEASED. IN FURTHER REVIEW OF THE SCHEDULE K INSTRUCTIONS, SINCE THESE BONDS HAVE BEEN PARTIALLY CALLED, THE $54,885,000 IS REPORTED WITHIN LINE 1 BONDS RETIRED. PART III, LINE 4-6 - PRIVATE BUSINESS USE: PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES THE 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B- EXCEPTION TO REBATE? A PORTION OF THE COMPOSITE ISSUE SATISFIED THE TWO YEAR EXCEPTION TO REBATE AND REMAINDER OF THE COMPOSITE ISSUE SATISFIED THE SIX MONTH EXCEPTION TO REBATE. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 06/10/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND E: COLORADO HEALTH FACILITIES AUTHORITY 2013C	PART I, COLUMN (F) - DESCRIPTION OF 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? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B - EXCEPTION TO REBATE? COLORADO HEALTH FACILITIES AUTHORITY 2013C SATISFIED THE SIX MONTH EXCEPTION TO REBATE. THE MOST RECENT REBATE COMPUTATION DATE WAS 1/15/2024, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND F: CUSIP 19648FKT0 - COLORADO HEALTH FACILITIES AUTHORITY 2019A & B	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF 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 ISSUANCE 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). PART III, LINE 4-6 - PRIVATE USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? COLORADO HEALTH FACILITIES AUTHORITY 2019AB SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND G: CUSIP 162410FF6 CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 &	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND H: CUSIP 93978HVB8 - WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019AB SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND I: CUSIP 49126PGX2 KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND J: CUSIP 13032UXF0 - CALIFORNIA HEALTH FACILITIES FINANCING AUTH 2020A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2020A BONDS. ALTHOUGH THE PROCEEDS WERE USED BY DIGNITY HEALTH, A RELATED ORGANIZATION TO COMMONSPIRIT HEALTH, CONSISTENT WITH THE INSTRUCTIONS FOR SCHEDULE K, THE SERIES 2020A BOND ISSUE IS REPORTED ON THIS COMMONSPIRIT SCHEDULE K, AND NOT REPORTED ON DIGNITY HEALTH'S SCHEDULE K. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2020A - REFINANCE THE CHFFA 2004K, CHFFA 2009H (FORMERLY CHFFA 2004J), CHFFA 2005H AND CHFFA 2005I BONDS. PROCEEDS WERE USED TO FINANCE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND K: CUSIP 19648FWU4 - COLORADO HEALTH FACILITIES AUTHORITY SERIES 2022A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2022A BONDS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2022A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND L: CUSIP 19648FXU3 - COLORADO HEALTH FACILITIES AUTHORITY SERIES 2024A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2024A BONDS. PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2024A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. THE PROCEEDS WERE ALSO USED TO REFINANCE (1) EXISTING TAXABLE LOANS USED FOR ACQUISITION OF STEWARD HEALTH CARE SYSTEM LLC AND (2) TAX EXEMPT DEBT-IDAC OF YAVAPAI HOSPITAL SERIES 2013A BONDS. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND M: CUSIP 13032US82 - CALIFORNIA HEALTH FACILITIES FIN AUTHORITY 2024A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2024A BONDS. PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2024A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND N: CUSIP NONE - DEVELOPMENT AUTHORITY OF CATOOSA COUNTY - GA 2025	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2025 BONDS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CHI MEMORIAL HOSPITAL - GA 2025 - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND O: CUSIP 93978HSS5-WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2017VMM	PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF TAX-EXEMPT DEBT PART II LINE 3 TOTAL PROCEEDS OF ISSUE - DIFFERENCE THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE PROCEEDS OF THE BOND ISSUE IS DUE TO THE INVESTMENT EARNINGS. PART II LINE 7 ISSUANCE COSTS FROM PROCEEDS - DIFFERENCE THE DIFFERENCE BETWEEN PART II LINE 7 AND FORM 8038 LINE 24 IS DUE TO LOWER ISSUANCE COSTS THAN THE ESTIMATED COST INCLUDED IN THE PROCEEDS. ON MARCH 31, 2025, COMMONSPIRIT HEALTH SUBSTITUTED THE MASTER NOTE ISSUED UNDER THE VIRGINIA MASON MASTER TRUST INDENTURE FOR AN OBLIGATION ISSUED BY IT UNDER THE COMMONSPIRIT MASTER TRUST INDENTURE, AND THE OBLIGATIONS FOR THE REPAYMENT OF THE BONDS ARE NOW THE JOINT AND SEVERAL OBLIGATIONS OF THE COMMONSPIRIT OBLIGATED GROUP. THE BONDS ARE NOW REPORTED ON COMMONSPIRIT HEALTH'S SCHEDULE K AS PART OF THE COMMONSPIRIT OBLIGATED GROUP.

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

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	KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD	61-0600439	49126PJCT	11-18-2004	94,575,000	BOND A: CUSIP 49126PJCT - SEE PART VI		X		X		X
B	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	52-1298872	162410CB8	11-18-2004	58,900,000	BOND B: CUSIP 162410CB8 - SEE PART VI		X		X		X
C	KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB	61-0600439	49126PDF4	11-10-2009	133,269,543	BOND C: CUSIP 49126PDF4 - SEE PART VI		X		X		X
D	COUNTY OF MONTGOMERY OHIO 2009 AB	31-6000172	613549HX5	11-10-2009	263,401,078	BOND D: CUSIP 613549HX5 - SEE PART VI	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2013C	84-0752932	000000000	12-19-2013	100,000,000	BOND E: COHFA 2013C - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2019A1 2019A2 2019B1 2019B2	84-0752932	19648FKT0	08-21-2019	2,357,725,342	BOND F: CUSIP 19648FKT0 - SEE PART VI		X		X		X
	CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 2019A2	52-1298872	162410FF6	08-21-2019	317,329,944	BOND G: CUSIP 162410FF6 - SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTH 2019A1 2019A2 2019B1 2019B2 & B3	91-1108929	93978HVB8	08-21-2019	774,448,531	BOND H: CUSIP 93978HVB8 - SEE PART VI		X		X		X
	KENTUCKY ECONOMIC DEV FINANCE AUTH 2019A1 2019A2	61-0600439	49126PGX2	08-21-2019	209,746,688	BOND I: CUSIP 49126PGX2 - SEE PART VI		X		X		X
	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2020A	52-1643828	13032UXF0	10-28-2020	644,028,782	BOND J: CUSIP 13032UXF0 - SEE PART VI	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY 2022A	84-0752932	19648FWU4	10-25-2022	506,442,138	BOND K: CUSIP 19648FWU4 - SEE PART VI		X		X		X
	COLORADO HEALTH FACILITIES AUTORITY 2024A	84-0752932	19648FXU3	03-20-2024	820,497,318	BOND L: CUSIP 19648FXU3 - SEE PART VI		X		X		X
	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2024A	52-1643828	13032US82	03-20-2024	319,177,981	BOND M: CUSIP 13032US82 - SEE PART VI		X		X		X
	DEVELOPMENT AUTHORITY OF CATOOSA COUNTY GA 2025A	52-1286294		02-26-2025	40,000,000	BOND N: CUSIP NONE - SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2017 (VMMC)	91-1108929	93978HSS5	08-17-2017	287,837,574	BOND O: CUSIP 93978HSS5 - SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	56,775,000		585,000		119,075,000		256,745,000
2 Amount of bonds legally defeased ..............			6,125,000
3 Total proceeds of issue ..................	96,850,606		59,737,305		133,269,639		263,401,373
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	428,619		152,050		1,380,211		2,530,978
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	21,850		40,015		49		111
10 Capital expenditures from proceeds .............	96,421,987		59,585,255		131,889,379		37,461,940
11 Other spent proceeds .............	123,580,474		1,113,785,393		21,297,479		223,408,344
12 Other unspent proceeds .............					1,789
13 Year of substantial completion .............	2006		2006		2009		2009
	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 2020, 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 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

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
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 ....	0.740 %		0.650 %		0.520 %
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 .........	0.020 %		0.150 %
6 Total of lines 4 and 5 .............	0.760 %		0.650 %		0.520 %
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. ..	0.080 %		1.170 %				0.070 %
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

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D DATE THE REBATE COMPUTATION WAS PERFORMED: 03/08/2025 ISSUER NAME: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C DATE THE REBATE COMPUTATION WAS PERFORMED: 03/08/2025 ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B DATE THE REBATE COMPUTATION WAS PERFORMED: 04/02/2025 ISSUER NAME: COUNTY OF MONTGOMERY, OHIO 2009 A/B DATE THE REBATE COMPUTATION WAS PERFORMED: 06/10/2025
BOND A: CUSIP 49126PJCT KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2004C	PART I, COLUMN (A) - LINE A AND B: THE BONDS DESCRIBED ON LINES A (KY 2004C) AND B (TN 2004C) ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004C COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 03/08/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND B: CUSIP 162410CB8 CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C	PART I, COLUMN (A) - LINE A AND B: THE BONDS DESCRIBED ON LINES A (KY 2004C) AND B (TN 2004C) ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004C COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 03/08/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND C: CUSIP 49126PDF4 KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009A/B	PART I, COLUMN (A) - ISSUER NAME: KENTUCKY ECONOMIC DEV. FINANCE AUTH, 2009A/B, CUSIP 49126PDF4 AND COUNTY OF MONTGOMERY, OHIO 2009, CUSIP 613549HX5 - THESE BONDS 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, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. PART II, LINE 1 - RETIRED BONDS: KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2009B BONDS $60M WERE REDEEMED IN DECEMBER 2021. PART III, LINE 4-6 - PRIVATE USE: PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES THE 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B - EXCEPTION TO REBATE? A PORTION OF THE COMPOSITE ISSUE SATISFIED THE TWO YEAR EXCEPTION TO REBATE AND REMAINDER OF THE COMPOSITE ISSUE SATISFIED THE SIX MONTH EXCEPTION TO REBATE. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 04/02/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND D: CUSIP 613549HX5 COUNTY OF MONTGOMERY, OHIO 2009A	PART I, COLUMN (A) - ISSUER NAME: COUNTY OF MONTGOMERY, OHIO 2009, CUSIP 613549HX5 AND KENTUCKY ECONOMIC DEV. FINANCE AUTH, 2009A/B, CUSIP 49126PDF4 - THESE BONDS 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, COLUMN (E) - ISSUE PRICE: THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART I, COLUMN(F) - DESCRIPTION OF PURPOSE: $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMERY, 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 MONTGOMERY, 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. PART II, LINE 1 - AMOUNT OF BONDS RETIRED: FOR FISCAL YEARS 2019 AND PRIOR REPORTING, $79,880,000 OF OH 2009B BONDS WERE INCLUDED ON LINE 2, AMOUNT OF BONDS LEGALLY DEFEASED. IN FURTHER REVIEW OF THE SCHEDULE K INSTRUCTIONS, SINCE THESE BONDS HAVE BEEN PARTIALLY CALLED, THE $54,885,000 IS REPORTED WITHIN LINE 1 BONDS RETIRED. PART III, LINE 4-6 - PRIVATE BUSINESS USE: PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES THE 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B- EXCEPTION TO REBATE? A PORTION OF THE COMPOSITE ISSUE SATISFIED THE TWO YEAR EXCEPTION TO REBATE AND REMAINDER OF THE COMPOSITE ISSUE SATISFIED THE SIX MONTH EXCEPTION TO REBATE. PART IV, LINE 2C - NO REBATE DUE? THE MOST RECENT REBATE COMPUTATION DATE WAS 06/10/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND E: COLORADO HEALTH FACILITIES AUTHORITY 2013C	PART I, COLUMN (F) - DESCRIPTION OF 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? COMMONSPIRIT HEALTH 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. PART IV, LINE 2B - EXCEPTION TO REBATE? COLORADO HEALTH FACILITIES AUTHORITY 2013C SATISFIED THE SIX MONTH EXCEPTION TO REBATE. THE MOST RECENT REBATE COMPUTATION DATE WAS 1/15/2024, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND F: CUSIP 19648FKT0 - COLORADO HEALTH FACILITIES AUTHORITY 2019A & B	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF 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 ISSUANCE 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). PART III, LINE 4-6 - PRIVATE USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? COLORADO HEALTH FACILITIES AUTHORITY 2019AB SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND G: CUSIP 162410FF6 CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1 &	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND H: CUSIP 93978HVB8 - WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019AB SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND I: CUSIP 49126PGX2 KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2	PART I, COLUMN (A) - ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A1, 2019A2, CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2019A1, 2019A2 AND WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2019A1, 2019A2, 2019B1, 2019B2, 2019B3 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, COLUMN (F) - DESCRIPTION OF PURPOSE: 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). PART III, LINE 4-6 - PRIVATE BUSINESS USE: 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. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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. PART IV - LINE 2B - EXCEPTION TO REBATE? KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2019A SATISFIED THE SIX MONTH EXCEPTION TO REBATE.
BOND J: CUSIP 13032UXF0 - CALIFORNIA HEALTH FACILITIES FINANCING AUTH 2020A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2020A BONDS. ALTHOUGH THE PROCEEDS WERE USED BY DIGNITY HEALTH, A RELATED ORGANIZATION TO COMMONSPIRIT HEALTH, CONSISTENT WITH THE INSTRUCTIONS FOR SCHEDULE K, THE SERIES 2020A BOND ISSUE IS REPORTED ON THIS COMMONSPIRIT SCHEDULE K, AND NOT REPORTED ON DIGNITY HEALTH'S SCHEDULE K. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2020A - REFINANCE THE CHFFA 2004K, CHFFA 2009H (FORMERLY CHFFA 2004J), CHFFA 2005H AND CHFFA 2005I BONDS. PROCEEDS WERE USED TO FINANCE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III, LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND K: CUSIP 19648FWU4 - COLORADO HEALTH FACILITIES AUTHORITY SERIES 2022A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2022A BONDS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2022A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND L: CUSIP 19648FXU3 - COLORADO HEALTH FACILITIES AUTHORITY SERIES 2024A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2024A BONDS. PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2024A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. THE PROCEEDS WERE ALSO USED TO REFINANCE (1) EXISTING TAXABLE LOANS USED FOR ACQUISITION OF STEWARD HEALTH CARE SYSTEM LLC AND (2) TAX EXEMPT DEBT-IDAC OF YAVAPAI HOSPITAL SERIES 2013A BONDS. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND M: CUSIP 13032US82 - CALIFORNIA HEALTH FACILITIES FIN AUTHORITY 2024A	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2024A BONDS. PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2024A - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 - DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND N: CUSIP NONE - DEVELOPMENT AUTHORITY OF CATOOSA COUNTY - GA 2025	PART I - COLUMN (A) - COMMONSPIRIT HEALTH IS THE BORROWER OF THE SERIES 2025 BONDS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CHI MEMORIAL HOSPITAL - GA 2025 - NEW MONEY PROCEEDS WERE USED TO FINANCE, PAY OR REIMBURSE THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, INSTALLATION AND EQUIPMENT. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? COMMONSPIRIT HEALTH 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.
BOND O: CUSIP 93978HSS5-WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2017VMM	PART I, COLUMN (E) - THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF TAX-EXEMPT DEBT PART II LINE 3 TOTAL PROCEEDS OF ISSUE - DIFFERENCE THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE PROCEEDS OF THE BOND ISSUE IS DUE TO THE INVESTMENT EARNINGS. PART II LINE 7 ISSUANCE COSTS FROM PROCEEDS - DIFFERENCE THE DIFFERENCE BETWEEN PART II LINE 7 AND FORM 8038 LINE 24 IS DUE TO LOWER ISSUANCE COSTS THAN THE ESTIMATED COST INCLUDED IN THE PROCEEDS. ON MARCH 31, 2025, COMMONSPIRIT HEALTH SUBSTITUTED THE MASTER NOTE ISSUED UNDER THE VIRGINIA MASON MASTER TRUST INDENTURE FOR AN OBLIGATION ISSUED BY IT UNDER THE COMMONSPIRIT MASTER TRUST INDENTURE, AND THE OBLIGATIONS FOR THE REPAYMENT OF THE BONDS ARE NOW THE JOINT AND SEVERAL OBLIGATIONS OF THE COMMONSPIRIT OBLIGATED GROUP. THE BONDS ARE NOW REPORTED ON COMMONSPIRIT HEALTH'S SCHEDULE K AS PART OF THE COMMONSPIRIT OBLIGATED GROUP.

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

COMMONSPIRIT HEALTH

Employer identification number

47-0617373

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) (Rev. 1-2025)

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) BRIAN WEBER	FAMILY MEMBER OF D. WEBER, KEY EMPLOYEE	532,123	EMPLOYEMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 ("COMMONSPIRIT") IS CONTINUING THESE LEGACIES BY ACTIVELY ADVOCATING FOR POSITIVE SOCIAL CHANGE. AT COMMONSPIRIT, WE STRIVE TO BUILD MORE RESILIENT COMMUNITIES, ADVOCATE FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATE HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE OUR HOSPITALS AND OUT IN OUR COMMUNITIES. COMMONSPIRIT IS COMMITTED TO A MISSION OF SERVING ALL PEOPLE, ESPECIALLY THOSE WHO ARE VULNERABLE. AS THE NATION'S LEADING PROVIDER OF MEDICAID SERVICES, COMMONSPIRIT WORKS TO ENSURE THOSE IN NEED HAVE ACCESS TO QUALITY CARE THROUGH A RANGE OF COMMUNITY HEALTH PROGRAMS, RESEARCH PROGRAMS, VIRTUAL CARE SERVICES, AND HOME HEALTH PROGRAMS THAT ADDRESS THE ROOT CAUSES OF POOR HEALTH SUCH AS ACCESS TO QUALITY CARE, AFFORDABLE HOUSING, SAFE NEIGHBORHOODS, AND A HEALTHY ENVIRONMENT. COMMONSPIRIT OWNS AND OPERATES HEALTHCARE FACILITIES IN 24 STATES AND IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 138 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2025, COMMONSPIRIT, WITH ITS CONSOLIDATED ENTITIES, PROVIDED MORE THAN $3 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $5.1 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. COMMONSPIRIT PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES, AS WELL AS CENTRALIZED SERVICES, TO ITS REGIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES, INCLUDING AREAS SUCH AS ACCOUNTING, LEGAL, RISK MANAGEMENT, HUMAN RESOURCES, PAYROLL, SUPPLY CHAIN, PUBLIC RELATIONS, CASH, DEBT AND INVESTMENT MANAGEMENT, AND MISSION SERVICES PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE REGIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT'S CENTRALIZATION ENABLES REGIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. COMMONSPIRIT IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION. COMMONSPIRIT 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 1A	COMMONSPIRIT'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 CHIEF EXECUTIVE OFFICER OF COMMONSPIRIT, AND FIVE ADDITIONAL TRUSTEES (THREE ADDITIONAL TRUSTEES PRIOR TO 8/21/2024). PURSUANT TO THE COMMONSPIRIT 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 HAVE BUSINESS RELATIONSHIPS. BELOW ARE REPORTABLE INDIVIDUALS WHO SERVE AS MEMBERS OF THE BOARDS OF DIRECTORS OF COMMONSPIRIT FOR-PROFIT SUBSIDIARIES OR JOINT VENTURES: 1. FRANCISCAN SERVICES, INC. - M. MELFI, T. KOPFENSTEINER 2. OPUSVI UK LTD. - D. MORISSETTE, K. SANFORD, L. BAILEY 3. DIGNITY HEALTH HOLDING CORPORATION - D. MORISSETTE, M. MELFI, M. JOHNSON-TIDJANI, T. RICHARDSON, S. SHAPIRO 4. STRATEGIC AND PHYSICIANS INSURANCE, LTD - M. MELFI, D. MORISSETTE, J. SPRENGEL, R. WIEBE, A. HARDY-WALLER, T. RICHARDSON 5. TOPTOLIFE, LLC - M. MELFI, D. MORISSETTE, S. SHAPIRO, T. RICHARDSON 6. CONIFER HEALTH SOLUTIONS, LLC - D. BARCHI, M. JOHNSON-TIDJANI 7. NEXIFY HEALTH - S. SHAPIRO, K. SANFORD, D. BARCHI 8. DIGNITY HEALTH BIOLIFE HOLDING - S. SHAPIRO, B. LOANZON
FORM 990, PART VI, SECTION A, LINE 4	SIGNIFICANT CHANGES TO FILING ORGANIZATION'S BYLAWS: EFFECTIVE 6/18/25, THE CEO WILL ASSUME THE PRESIDENT'S DUTIES AND AUTHORITY.
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.)
FORM 990, PART VI, SECTION A, LINE 7A	COMMONSPIRIT, 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.) 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 THE 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); 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.)
FORM 990, PART VI, SECTION B, LINE 11B	THE SVP/FINANCE AND CORPORATE CONTROLLER OF COMMONSPIRIT REVIEWED THE DRAFT OF THIS 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 EVP/CHIEF COMPLIANCE OFFICER REVIEWED THE CONFLICT OF INTEREST SCHEDULES. THE ORGANIZATION'S SYSTEM VICE PRESIDENT OF FINANCE, ASSISTANT CORPORATE CONTROLLER REVIEWED THE COMPENSATION SCHEDULES AND DISCLOSURES WITH THE SEVP, CHIEF PEOPLE OFFICER AND THE COMMONSPIRIT BOARD PEOPLE AND COMPENSATION COMMITTEE (FORMERLY KNOWN AS 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 IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS FURTHER DESCRIBED BELOW. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. STANDARD MANAGEMENT APPROACHES PER COI POLICY ARE APPLIED TO DISCLOSED CONFLICTS. DISCLOSURES THAT IDENTIFY PERCEIVED, POTENTIAL, OR ACTUAL COIS THAT REQUIRE IMMEDIATE MATERIAL ACTION TO RESOLVE, WILL BE IDENTIFIED, AND, A CONFLICT OF INTEREST MANAGEMENT PLAN DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO.
FORM 990, PART VI, SECTION B, LINE 15B	COMMONSPIRIT'S CHIEF EXECUTIVE OFFICER AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES ARE EMPLOYEES OF DIGNITY HEALTH, HOWEVER, COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT MEMBERS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). THE PEOPLE 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 PEOPLE AND COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT CONSULTANT 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'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE COLORADO SECRETARY OF STATE WEBSITE. COMMONSPIRIT'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE COMMONSPIRIT WEBSITE AT WWW.COMMONSPIRIT.ORG. COMMONSPIRIT'S BYLAWS AND CONFLICT OF INTEREST POLICY ARE NOT PUBLICLY AVAILABLE.
FORM 990, PART VI, SECTION B, LINE 16B:	COMMONSPIRIT HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, COMMONSPIRIT'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. (1) WRIGHT LASSITER III, MHA CHIEF EXECUTIVE OFFICER AND CORPORATE PRESIDENT (2) TAMMARA WILCOX SYSTEM SVP, PAYER STRATEGY & RELATIONSHIPS (THROUGH 9/6/24) (7) THOMAS MCGINN, MD, MPH SEVP, CHIEF PHYSICIAN EXECUTIVE OFFICER (8) DANIEL J MORISSETTE, CPA, MBA SEVP, CHIEF FINANCIAL OFFICER/TREASURER (11) ROBERT WIEBE, MD EVP, CHIEF MEDICAL OFFICER (THROUGH 1/10/25) (12) PETER BANKO PRESIDENT MOUNTAIN REGION (THROUGH 2/17/24) (13) T. DOUGLAS LAWSON, PHD PRESIDENT SOUTH REGION (THROUGH 2/21/25) (15) MICHELLE JOHNSON-TIDJANI, JD, MBA SEVP, CHIEF ADMINISTRATIVE OFFICER (17) LISA ZUCKERMAN SYSTEM SVP, TREASURY AND STRATEGIC INVESTMENTS (20) BENJIE M LOANZON SYSTEM SVP, FINANCE AND CORPORATE CONTROLLER (23) ROSALYN CARPENTER SYSTEM SVP, DIVERSITY AND INCLUSION (THROUGH 2/1/25) (26) ANDREW GAASCH PRESIDENT MOUNTAIN REGION (EFFECTIVE 5/27/24) (27) MATTHEW BROWN INTERIM PRESIDENT SOUTH REGION (EFFECTIVE 2/21/25)/SYSTEM SVP, ANCILLARY SERVICES OPERATIONS/INTERIM PRESIDENT MOUNTAIN REGION (EFFECTIVE 2/18/24-5/26/24) (28) KEVIN MURPHY SYSTEM SVP MISSION INNOVATION ETHICS THEOLOGY (29) JOHN FLYNN SYSTEM SVP, PHYSICIAN ENTERPRISE OPERATIONS - SOUTH REGION (31) PATRICK STEELE BOARD OF STEWARDSHIP TRUSTEES VICE CHAIR (34) ANTOINETTE HARDY-WALLER, MJ, BSN, RN TRUSTEE (39) GARY KAPLAN, MD, FACP, FACMPE, FACPE TRUSTEE
FORM 990, PART IX, LINE 11G	CONSULTING: PROGRAM SERVICE EXPENSES 1,321,145. MANAGEMENT AND GENERAL EXPENSES 29,140,860. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,462,005. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 288,474. MANAGEMENT AND GENERAL EXPENSES 3,080,594. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,369,068. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 16,699,259. MANAGEMENT AND GENERAL EXPENSES 69,334,757. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,034,016. REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 582,025,642. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 582,025,642.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO/FROM AFFILIATES 29,269,373. PENSION ADJUSTMENT 144,406,541. EQUITY CHANGES IN UNCONSOLIDATED ORGS 72,904,192. WRITE OFF INVESTMENTS FOR RESTRUCTURED ORGANIZATIONS -48,833,640. LOSS FROM DISCONTINUED OPERATIONS 1,341,918. REVERSAL OF GRANT REVENUE ACCRUAL -7,936. RETURNED GRANTS 36,389.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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

OMB No. 1545-0047

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	895,779	7,129,179	CSH
(2) CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-2945938	INACTIVE	CO	0	0	CSH
(3) FIRST INITIATIVES INSURANCE LTD PO BOX 30611 - 23 LIME TREE BAY AVE GRAND CAYMAN KY1-1203 CJ 98-0203038	SELF-INSURANCE	CJ	525,035,947	1,887,360,285	CSH
(4) DIGNITY HEALTH PURCHASING NETWORK LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-5555133	GROUP PURCHASING	CO	20,698,125	12,751,374	CSH
(5) COMMONSPIRIT HEALTH VENTURES FUND LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 88-3771406	INVESTMENTS	DE	72,635,616	228,676,149	CSH
(6) COMMONSPIRIT LOCUMS AND TRAVELER NETWORK LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 92-3213352	TRAVELING STAFF	DE	8,206,077	-300	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 - COMM MEM HOSPITAL OF 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)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	SLHS	Yes
(13)BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0458535	PHYSICIANS	TX	501(C)(3)	LINE 3	BSLHV	Yes
(14)BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 9TH AVE SEATTLE,WA98101 91-0653422	RESEARCH	WA	501(C)(3)	LINE 4	VMFH	Yes
(15)BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2187242	INACTIVE	PA	501(C)(3)	LINE 12A, I	CSH	Yes
(16)BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2759890	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	Yes
(17)BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2913931	REHABILITATION	TX	501(C)(3)	LINE 10	SJSC	Yes
(18)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
(19)CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON,ND58421 45-0227311	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(20)CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL,CO80112 84-0405257	HOSPITAL	CO	501(C)(3)	LINE 3	CSH	Yes
(21)CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL AVE CENTENNIAL,CO80112 84-0902211	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 7	CHIC	Yes
(22)CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS,CO80920 27-0930004	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 12A, I	CSH	Yes
(23)CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-0992796	TELEHEALTH	CO	501(C)(3)	LINE 12A, I	CSH	Yes
(24)CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG,OR97471 26-3946191	SURGERY CENTER	OR	501(C)(3)	LINE 10	CS OR	Yes
(25)CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD,CA93311 84-4171789	CLINIC	CA	501(C)(3)	LINE 3	DCC	Yes
(26)CENTRAL KANSAS MEDICAL CENTER 9100 E MINERAL CIRCLE CENTENNIAL,CO80112 48-0543724	INACTIVE	KS	501(C)(3)	LINE 3	CSH	Yes
(27)CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO,ND58104 27-1966847	SENIOR LIVING	MN	501(C)(3)	LINE 10	CSH	Yes
(28)CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA,NE68154 47-0648586	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	ACH	Yes
(29)CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER,KY41018 20-2741651	INVESTMENTS	KY	501(C)(3)	LINE 12A, I	CSH	Yes
(30)CHI LIVING COMMUNITIES 930 S WYNN ROAD OREGON,OH43616 34-1892096	SENIOR LIVING	OH	501(C)(3)	LINE 12A, I	SFH-OH	Yes
(31)CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE,GA30742 82-2748395	HOSPITAL	GA	501(C)(3)	LINE 3	MHCS	Yes
(32)CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA,NE68510 36-3233121	HOLDING CO	NE	501(C)(3)	LINE 12A, I	CSH	Yes
(33)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
(34)CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE,NM87102 71-0897107	COMMUNITY	NM	501(C)(3)	LINE 12A, I	CSH	Yes
(35)CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 71-0236913	HOSPITAL	AR	501(C)(3)	LINE 3	CHI-SVHS	Yes
(36)CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 26-1125064	HOLDING CO	AR	501(C)(3)	LINE 12A, I	SVIMC	Yes
(37)CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 26-1125131	PHYSICIANS	AR	501(C)(3)	LINE 3	CHI-SVHS	Yes
(38)COMMONSPIRIT HEALTH DIVERSIFIED HOLDINGS 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 42-1178204	REHABILITATION	IA	501(C)(3)	LINE 12A, I	CSH	Yes
(39)COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 85-3374038	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 7	CSH	Yes
(40)COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 3033 N 3RD AVENUE PHOENIX,AZ85013 85-0919176	OPERATING INVESTMENTS	DE	501(C)(3)	LINE 12A, I	CSH	Yes
(41)COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-1050565	RESEARCH	CO	501(C)(3)	LINE 12A, I	CSH	Yes
(42)COMMONSPIRIT KANSAS INC 401 EAST SPRUCE ST GARDEN CITY,KS67846 48-0543721	HOSPITAL	KS	501(C)(3)	LINE 3	CSH	Yes
(43)COMMONSPIRIT MOUNTAIN REGION 9100 EAST MINERAL CIRCLE CENTENNIAL,CO80112 84-1335382	MANAGEMENT COMPANY	CO	501(C)(3)	LINE 12A, I	CHIC	Yes
(44)COMMONSPIRIT OREGON 2700 STEWART PKWY ROSEBURG,OR97471 93-0386868	HOSPITAL	OR	501(C)(3)	LINE 3	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)(2)		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 3033 N 3RD AVENUE PHOENIX,AZ85013 81-5009488	HOSPITAL	CO	501(C)(3)	LINE 3	CSH	Yes
(50)DIGNITY HEALTH 3033 N 3RD AVENUE PHOENIX,AZ85013 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 3033 N 3RD AVENUE PHOENIX,AZ85013 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 MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA,CA95670 68-0220314	MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC	CA	501(C)(3)	LINE 12A, I	DCC	Yes
(56)DOMINICAN HEALTH SERVICES 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 77-0056778	COMMUNITY HEALTH SYSTEM	CA	501(C)(3)	LINE 12A, I	DH	Yes
(57)DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 94-2450442	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(58)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
(59)ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW,WA98022 91-0715805	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	Yes
(60)FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 61-1345363	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	Yes
(61)FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 56-2351341	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	FH	Yes
(62)FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO,OH43623 34-1931806	HEALTHCARE	OH	501(C)(3)	LINE 10	CHILC	Yes
(63)FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA,WA98405 91-1145592	FUNDRAISING FOUNDATION	WA	501(C)(3)	LINE 10	FHS	Yes
(64)FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA,WA98405 91-0564491	HOSPITAL	WA	501(C)(3)	LINE 3	CSH	Yes
(65)FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA,WA98402 91-1939739	PHYSICIANS	WA	501(C)(3)	LINE 10	FHS	Yes
(66)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
(67)GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON,ND58540 45-0227752	HOSPITAL	ND	501(C)(3)	LINE 3	SAMC	Yes
(68)GLENDALE MEMORIAL HEALTH FOUNDATION 1420 SOUTH CENTRAL AVENUE GLENDALE,CA91204 95-3625651	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	Yes
(69)GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 20-1536108	INACTIVE	CO	501(C)(3)	LINE 12A, I	CSH	Yes
(70)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
(71)GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY,NE68848 47-0379755	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(72)GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY,NE68847 47-0659443	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	GSH-KN	Yes
(73)GOOD SAMARITAN HOSPITAL 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
(74)HARRISON MEDICAL CENTER 1800 NW MYHRE RD SILVERDALE,WA98383 91-0565546	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	Yes
(75)HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 76-0761782	FUNDRAISING FOUNDATION	MN	501(C)(3)	LINE 12A, I	SFMC-MN	Yes
(76)JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC ONE SAINT JOSEPH DRIVE LEXINGTON,KY40504 61-1029768	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	Yes
(77)KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E LIBERTY ST STE 800 LOUISVILLE,KY40202 61-1352729	PHYSICIANS	KY	501(C)(3)	LINE 10	KOH	Yes
(78)KENTUCKYONE HEALTH INC ONE SAINT JOSEPH DRIVE LEXINGTON,KY40504 61-1029769	HEALTHCARE	KY	501(C)(3)	LINE 12A, I	CSH	Yes
(79)LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE,MN56623 41-0758434	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	Yes
(80)LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE,MN56623 41-1893795	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	LHC	Yes
(81)LEGACY FOUNDATION OF KENTUCKIANA INC 1451 HARRODSBURG RD STE D-308 LEXINGTON,KY40504 83-2170324	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	KOH	Yes
(82)LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON,ND58054 82-0558836	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(83)LONGMONT UNITED HOSPITAL 1950 MOUNTAIN VIEW AVE LONGMONT,CO80501 84-0460697	HOSPITAL	CO	501(C)(3)	LINE 3	CHIC	Yes
(84)MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2761145	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	Yes
(85)MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS,KY51017 61-0654635	ASSISTED LIVING	KY	501(C)(3)	LINE 10	CHILC	Yes
(86)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
(87)MARK TWAIN MEDICAL CENTER 768 MOUNTAIN RANCH ROAD SAN ANDREAS,CA95249 68-0127677	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	Yes
(88)MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA,TN37404 62-1839548	FUNDRAISING FOUNDATION	TN	501(C)(3)	LINE 7	MHCS	Yes
(89)MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA,TN37404 62-0532345	HOSPITAL	TN	501(C)(3)	LINE 3	CSH	Yes
(90)MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA,TN37411 03-0417049	HEALTHCARE	TN	501(C)(3)	LINE 10	MHCS	Yes
(91)MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN,TX75902 75-0755367	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	Yes
(92)MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN,TX75902 76-0436439	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	Yes
(93)MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN,TX75902 75-2663904	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	Yes
(94)MERCY FOUNDATION BAKERSFIELD PO BOX 119 BAKERSFIELD,CA93302 77-0201321	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(95)MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG,OR97471 93-6088946	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 7	CS OR	Yes
(96)MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING,IA50841 42-1461064	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHMH-CORNING	Yes
(97)MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0435338	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MHVC	Yes
(98)MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE,ND58301 45-0227012	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(99)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
(100)MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0226553	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(101)MERCY MCMAHON TERRACE 3865 J STREET SACRAMENTO,CA95816 68-0117340	SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES	CA	501(C)(3)	LINE 10	DH	Yes
(102)MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON,ND58801 45-0231183	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(103)MERCY MEDICAL CENTER MERCED FOUNDATION 301 E 13TH STREET MERCED,CA95340 77-0035928	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(104)MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON,ND58801 45-0381803	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MMC WILLISTON	Yes
(105)NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN,NE68526 39-2031968	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(106)NORTHLAND HEALTHCARE ALLIANCE 2223 EAST ROSSER AVENUE BISMARCK,ND58501 91-1845296	DIAGNOSTIC SERVICES	ND	501(C)(3)	LINE 7	SAMC	Yes
(107)NORTHLAND PACE PROGRAM 2223 EAST ROSSER AVENUE BISMARCK,ND58501 26-1689193	HEALTHCARE	ND	501(C)(3)	LINE 10	NHA	Yes
(108)NORTHRIDGE HOSPITAL FOUNDATION 18300 ROSCOE BLVD NORTHRIDGE,CA91328 23-7444901	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	Yes
(109)OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES,ND58474 45-0231675	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(110)OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES,ND58474 71-0966606	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	OCH	Yes
(111)PACIFIC CENTRAL COAST HEALTH CENTERS 1414 E MAIN STREET SUITE 201 SANTA MARIA,CA93454 77-0447575	CLINIC	CA	501(C)(3)	LINE 3	DCC	Yes
(112)PORT CITY OPERATING COMPANY LLC 3400 DATA DRIVE RANCHO CORDOVA,CA95670 46-5322209	HOSPITAL	CA	501(C)(3)	LINE 3	DH	Yes
(113)PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY,OH44870 34-1658625	LTERM CARE	OH	501(C)(3)	LINE 10	CHILC	Yes
(114)PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1896807	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	Yes
(115)SAINT CLARE'S COMMUNITY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-2876836	INACTIVE	NJ	501(C)(3)	LINE 12B, II	SCHS	Yes
(116)SAINT CLARE'S HEALTH SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-3639733	INACTIVE	NJ	501(C)(3)	LINE 10	CSH	Yes
(117)SAINT CLARE'S HOSPITAL INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-3319886	INACTIVE	NJ	501(C)(3)	LINE 3	SCHS	Yes
(118)SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN,NE68510 47-0625523	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SERMC	Yes
(119)SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN,NE68510 47-0379836	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(120)SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND,NE68803 47-0376601	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(121)SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND,NE68802 47-0630267	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SFMC-NE	Yes
(122)SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE STREET SAN FRANCISCO,CA94109 94-1156295	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	Yes
(123)SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA,KY40403 26-0152877	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	Yes
(124)SAINT JOSEPH HEALTH SYSTEM INC ONE ST JOSEPHS DRIVE LEXINGTON,KY40504 61-1334601	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	Yes
(125)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
(126)SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON,KY40741 26-0438748	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	Yes
(127)SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING,KY40353 27-2884584	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	Yes
(128)SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 FAIRWAY STREET DICKINSON,ND58601 36-3418207	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	SJHHC	Yes
(129)SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER,NE68661 36-3630014	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 12A, I	AHMHS	Yes
(130)SIERRA NEVADA MEMORIAL-MINERS HOSPITAL 155 GLASSON WAY GRASS VALLEY,CA95945 94-1439787	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	Yes
(131)SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 44-0545809	INACTIVE	MO	501(C)(3)	LINE 3	CSH	Yes
(132)ST FRANCIS HOSPITAL SUPPORT CORPORATION 601 E MICHELTORENA STREET SANTA BARBARA,CA93103 77-0022302	INACTIVE	CA	501(C)(3)	LINE 12A, I	DH	Yes
(133)ST JOHN'S HEALTHCARE FOUNDATION 1600 NORTH ROSE AVENUE OXNARD,CA93030 20-2865781	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(134)ST JOSEPH'S FOUNDATION (PHOENIX) 350 WEST THOMAS ROAD PHOENIX,AZ85013 94-2941245	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DH	Yes
(135)ST JOSEPH'S FOUNDATION OF SAN JOAQUIN 1800 N CALIFORNIA STREET STOCKTON,CA95204 51-0432777	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(136)ST MARY MEDICAL CENTER FOUNDATION 1050 LINDEN AVENUE LONG BEACH,CA90813 23-7153876	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(137)ST MARY PROFESSIONAL BUILDING INC 1050 LINDEN AVENUE LONG BEACH,CA90813 23-7373088	INACTIVE	CA	501(C)(3)	LINE 12A, I	DH	Yes
(138)ST MARY'S MEDICAL CENTER FOUNDATION 450 STANYAN STREET SAN FRANCISCO,CA94117 94-3336143	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	Yes
(139)ST ROSE DOMINICAN HEALTH FOUNDATION 3001 ST ROSE PARKWAY HENDERSON,NV89052 88-0349432	FUNDRAISING FOUNDATION	NV	501(C)(3)	LINE 12A, I	DH	Yes
(140)ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK,ND58501 45-0226711	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(141)ST ANNE OC 1145 BROADWAY PLAZA STE 1200 TACOMA,WA98402 86-3590968	INACTIVE	WA	501(C)(3)	LINE 10	FHS	Yes
(142)ST ANTHONY HOSPITAL 2801 ST ANTHONY WAY PENDLETON,OR97801 93-0391614	HOSPITAL	OR	501(C)(3)	LINE 3	CSH	Yes
(143)ST ANTHONY HOSPITAL FOUNDATION 2801 ST ANTHONY WAY PENDLETON,OR97801 93-0992727	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 12A, I	SAH	Yes
(144)ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON,AR72110 71-0245507	HOSPITAL	AR	501(C)(3)	LINE 3	SVIMC	Yes
(145)ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY,KS67846 20-0598702	FUNDRAISING FOUNDATION	KS	501(C)(3)	LINE 12A, I	CS KS	Yes
(146)ST CLARE COMMONS 12469 FIVE POINT ROAD TOLEDO,OH43551 27-0163752	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	Yes
(147)ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 93-0433692	INVESTMENTS	OR	501(C)(4)		CSH	Yes
(148)ST ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN,NE68510 36-3233120	INACTIVE	NE	501(C)(3)	LINE 3	SERMC	Yes
(149)ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0729978	LTERM CARE	MN	501(C)(3)	LINE 10	CSH	Yes
(150)ST FRANCIS LIFE CARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-2536017	INACTIVE	NJ	501(C)(3)	LINE 8	SCHS	Yes
(151)ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0695598	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	Yes
(152)ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2847594	LTERM CARE	TX	501(C)(3)	LINE 10	SJSC	Yes
(153)ST JOSEPH MEDICAL CENTER INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 52-0591461	INACTIVE	MD	501(C)(3)	LINE 3	CSH	Yes
(154)ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN,TX77802 20-3159302	PHYSICIANS	TX	501(C)(3)	LINE 3	SJSC	Yes
(155)ST JOSEPH PHYSICIAN ENTERPRISE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 52-1311775	INACTIVE	MD	501(C)(3)	LINE 12A, I	SJMC	Yes
(156)ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-1282696	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	Yes
(157)ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN,TX77802 45-4088170	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	Yes
(158)ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN,TX77802 46-3265423	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC	Yes
(159)ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2455161	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	SLHS	Yes
(160)ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS,MN56470 41-0695603	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	Yes
(161)ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 FAIRWAY STREET DICKINSON,ND58601 45-0226429	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	Yes
(162)ST LEONARD 8100 CLYO ROAD CENTERVILLE,OH45458 34-1940863	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	Yes
(163)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-1947374	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	Yes
(164)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
(165)ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0536234	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	Yes
(166)ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON,TX77004 45-3811485	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 7	SLHS	Yes
(167)ST LUKE'S HEALTH CLINICAL OPERATIONS 6624 FANNIN ST STE 2505 HOUSTON,TX77030 27-3733278	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	Yes
(168)ST LUKE'S HEALTH SYSTEM CORPORATION PO BOX 20269 HOUSTON,TX77225 76-0536232	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	CSH	Yes
(169)ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-3734606	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	Yes
(170)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
(171)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
(172)ST MARY'S COMMUNITY HOSPITAL 1301 GRUNDMAN BOULEVARD NEBRASKA CITY,NE68410 47-0443636	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes
(173)ST MARY'S HOSPITAL FOUNDATION 1301 GRUNDMAN BLVD NEBRASKA CITY,NE68410 47-0707604	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SMCH	Yes
(174)ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 51-0169537	FUNDRAISING FOUNDATION	AR	501(C)(3)	LINE 12A, I	SVIMC	Yes
(175)ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0236917	HOSPITAL	AR	501(C)(3)	LINE 3	CSH	Yes
(176)ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0830696	PHYSICIANS	AR	501(C)(3)	LINE 10	SVIMC	Yes
(177)SYLVANIA FRANCISCAN HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 34-1412964	HOLDING CO	OH	501(C)(3)	LINE 12A, I	CSH	Yes
(178)SYLVANIA FRANCISCAN HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-5357161	INACTIVE	OH	501(C)(3)	LINE 12A, I	SFH-OH	Yes
(179)THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1826097	ASSISTED LIVING	OH	501(C)(3)	LINE 10	CHILC	Yes
(180)THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON,TX77566 74-1385192	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	Yes
(181)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
(182)THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN,NE68503 47-0780857	PHYSICIANS	NE	501(C)(3)	LINE 12A, I	CHI NEBRASKA	Yes
(183)TOTAL HEALTHCARE 9100 E MINERAL CIRCLE CENTENNIAL,CO80112 84-0927232	INACTIVE	CO	501(C)(3)	LINE 3	CHIC	Yes
(184)TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE,OH43952 31-1329423	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	THS	Yes
(185)TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE,OH43952 34-1818681	HEALTHCARE	OH	501(C)(3)	LINE 12A, I	N/A	Yes
(186)TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON,OH44621 27-5401105	HOSPITAL	OH	501(C)(3)	LINE 3	THS	Yes
(187)TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE,OH43952 34-1522484	ASSISTED LIVING	OH	501(C)(3)	LINE 7	THS	Yes
(188)UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS,MN56345 41-0721642	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	Yes
(189)VILLA NAZARETH INC 801 PAGE DR FARGO,ND58103 45-0226714	LTERM CARE	ND	501(C)(3)	LINE 10	CSH	Yes
(190)VIRGINIA MASON FRANCISCAN HEALTH TACOMA FINANCIAL CENTER BUILDING 11 TACOMA,WA98402 86-1332353	HOLDING CO	WA	501(C)(3)	LINE 12A, I	CSH	Yes
(191)VIRGINIA MASON INSTITUTE 1100 9TH AVE SEATTLE,WA98101 26-3763656	EDUCATION	WA	501(C)(3)	LINE 10	VMMC	Yes
(192)VIRGINIA MASON MEDICAL CENTER 1100 9TH AVE SEATTLE,WA98101 91-0565539	HOSPITAL	WA	501(C)(3)	LINE 3	VMFH	Yes
(193)VISITING NURSE ASSOCIATION OF ST CLARE'S INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-1768334	INACTIVE	NJ	501(C)(3)	LINE 10	SCHS	Yes
(194)YAVAPAI COMMUNITY HOSPITAL ASSOCIATION 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301 86-0098923	HOSPITAL	AZ	501(C)(3)	LINE 3	DCC	Yes
(195)YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION 1003 WILLOW CREEK ROAD PRESCOTT,AZ86301 86-1038463	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	YRMC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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	(k) Percentage ownership
(1) AMERICAN MERCY HOME CARE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 83-0486150	HOME HEALTH	OH	HAHH	RELATED	2,887,126	4,018,728		No		Yes		50.000 %
(2) ARIZONA CARE NETWORK - NEXT LLC 4222 E THOMAS RD STE 400 PHOENIX,AZ85018 47-4696671	CARE NETWORK	AZ	DCC	RELATED	2,705,947	19,792,216		No		Yes		50.000 %
(3) ARIZONA CARE NETWORK LLC 4222 E THOMAS RD STE 400 PHOENIX,AZ85018 45-4494682	CARE NETWORK	AZ	DCC	RELATED	-93,336	18,274,366		No		Yes		50.000 %
(4) ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC 1510 COTNER AVENUE LOS ANGELES,CA90025 85-1067265	IMAGING CENTER	DE	DH	RELATED	-5,274,759	-3,413,403		No			No	51.000 %
(5) AUDUBON LAND COMPANY LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS,CO80906 84-1513085	REAL ESTATE	CO	CHIC	RELATED	838,805	9,715,264		No			No	72.690 %
(6) BAPTIST DEACONESS MADISON HOME CARE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45140 93-3197463	HOME HEALTH	KY	HAHH	RELATED	704,396	978,972		No		Yes		50.000 %
(7) BAYLOR CHI ST LUKE'S HEALTH SERVICES LLC 3100 MAIN STE 566 HOUSTON,TX77002 47-2079184	HEALTHCARE SERVICES	TX	SLHS	RELATED		3,250,000		No		Yes		65.000 %
(8) BERGAN MERCY SURGERY CENTER LLC 7500 MERCY RD STE 4300 OMAHA,NE68124 20-8671994	AMBUL SURG CTR	NE	ACH	RELATED	1,127,890	4,164,069		No			No	63.660 %
(9) BERYWOOD OFFICE PROPERTIES LLC 2501 CITICO AVENUE CHATTANOOGA,TN37404 62-1875199	HEALTHCARE SERVICES	TN	MHCS	RELATED	210,629	768,392		No			No	63.000 %
(10) BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD 709 WING ON PLAZA 62 MODY ROAD TS HONG KONG CH	HEALTH SERVICES	CH	CSHI LLC	RELATED				No		Yes		50.000 %
(11) BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON,KY40504 61-1386736	DIAGNOSTIC SERVICES	KY	SJHS	RELATED	202,542	3,068,348		No			No	65.000 %
(12) CBCC OUTSMARTING CANCER LLC 6501 TRUXTUN AVENUE BAKERSFIELD,CA93309 46-1602286	RADIATION / ONCOLOGY	CA	DH	RELATED	-795,047	4,505,263		No		Yes		51.000 %
(13) CENTURA SUMMIT ORTHOPEDICS LLC 68 SCHOOL RD FRISCO,CO80443 87-1308304	DIAGNOSTIC SERVICES	CO	CHIC	RELATED	-2,276,499	14,726,078		No			No	65.000 %
(14) CHER LLC 8610 EXPLORER DR 302 COLORADO SPRINGS,CO80902 20-5633472	DIAGNOSTIC SERVICES	CO	CHIC	RELATED	8,079,137	29,061,075		No			No	56.000 %
(15) CHICAMSURG SURGERY CENTERS LLC 1A BURTON HILLS BLVD NASHVILLE,TN37215 46-5683027	SURGERY CENTER	CO	CHIC	RELATED	-43,217	582,879		No			No	51.000 %
(16) COLORADO SPRINGS CK LEASING LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS,CO80906 26-2982714	REAL ESTATE	CO	CHIC	RELATED	612,339	-272,337		No			No	52.000 %
(17) COMMUNITY HEALTH AT HOME - INFUSION LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45140 83-3517309	HOME HEALTH	IN	HAHH	RELATED	534,129	2,230,094		No		Yes		50.000 %
(18) COMMUNITY HEALTH AT HOME LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45140 83-3536760	HOME HEALTH	IN	HAHH	RELATED	2,231,650	4,678,686		No		Yes		50.000 %
(19) COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 31-1746556	HOME HEALTH	OH	HAHH	RELATED	1,087,582	1,144,845		No		Yes		33.330 %
(20) DE JV LLC 8686 NEW TRAILS DRIVE THE WOODLANDS,TX77381 32-0496548	EMERGENCY CARE	NV	DH	RELATED	13,223,688	19,963,517		No			No	51.000 %
(21) DEACONESS HOME HEALTH LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45140 84-3167946	HOME HEALTH	IN	HAHH	RELATED	1,534,105	2,836,605		No		Yes		50.000 %
(22) DH GLOBAL EDUCATION LTD (AKA OPUSVI LTD) 3 MORE LONDON RIVERSIDE 4TH FLOOR LONDON UK	HEALTH SERVICES	UK	DHHC	RELATED				No		Yes		60.620 %
(23) DH PACIFICLINKAGE HEALTH INT'L LTD RMS 1318-20 HOLLYWOOD PLAZA 610 NA HONG KONG CH	HEALTH SERVICES	CH	CSHI LLC	RELATED				No			No	50.000 %
(24) DHHP SURGERY CENTERS LLC 1401 S GRAND AVENUE LOS ANGELES,CA90015 83-1847466	SURGERY	DE	DCC	RELATED	-467,911	6,268,966		No		Yes		50.500 %
(25) DHRT HOLDINGS LLC 3033 N 3RD AVENUE PHOENIX,AZ85013 35-2484591	HOLDING COMPANY	DE	DHHC	RELATED	2,810,580	51,588,921		No		Yes		66.660 %
(26) DIGITAL MEDICAL IMAGING LLC 1310 LAS TABLAS ROAD SUITE 206 TEMPLETON,CA93465 87-4209407	IMAGING	CA	PACIFIC CENTRAL COAST HEALTH CENTERS	RELATED				No		Yes		95.850 %
(27) DIGNITY HEALTH AT HOME LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 82-4674115	DIAGNOSTIC SERVICES	DE	N/A	RELATED	854,509	2,075,681		No			No	100.000 %
(28) DIGNITY HOME RECOVERY CARE LLC 3854 AMERICAN WAY SUITE A BATON ROUGE,LA70816 83-2832522	HOME RECOVERY PROGRAM	DE	DCC	RELATED	-109,190	727,474		No			No	50.100 %
(29) DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS,TX75254 20-2999237	SURGERY	TX	DCC	RELATED	2,466,275	14,969,446		No			No	50.100 %
(30) DIGNITYUSP NORCAL SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS,TX75254 20-2468509	SURGERY	TX	DHMF	RELATED	11,294,849	61,492,274		No			No	50.100 %
(31) DIGNITYUSP PHOENIX SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS,TX75254 13-4248908	SURGERY	TX	DCC	RELATED	-480,794	606,660		No			No	50.100 %
(32) DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC 14201 DALLAS PARKWAY DALLAS,TX75254 35-2584991	SURGERY	TX	DHMF	RELATED	2,253,664	9,535,287		No			No	50.100 %
(33) DIGNITY-ABRAZO HEALTH NETWORK LLC 4222 E THOMAS RD STE 400 PHOENIX,AZ85018 46-5477985	MANAGEMENT SERVICES	AZ	DCC	RELATED	-1,005,536	26,817,426		No			No	50.000 %
(34) DOMINICAN MAGNETIC RESONANCE IMAGING CENTER PO BOX 880 APTOS,CA95001 77-0095477	IMAGING CENTER	CA	DH	RELATED	-101,789	70,941		No		Yes		80.000 %
(35) ECCS ACQUISITION COMPANY LLC 2940 NORTH CIRCLE DRIVE COLORADO SPRINGS,CO80909 35-2656413	AMBUL SURG CTR	CO	CHIC	RELATED	2,508,159	6,065,344		No			No	51.000 %
(36) ENDOSCOPY CENTER OF ARKANSAS 1024 NORTH UNIVERSITY AVE LITTLE ROCK,AR72207 20-1337002	DIAGNOSTIC SERVICES	AR	SVIMC	RELATED	374,805	1,012,278		No			No	68.170 %
(37) FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC 6622 WOLLOCHET DR NW GIG HARBOR,WA98335 46-3494108	REAL ESTATE	WA	FHS	RELATED	672,418	8,248,109		No		Yes		50.000 %
(38) FRANCISCAN SPECIALTY CARE LLC 330 SEVEN SPRINGS WAY BRENTWOOD,TN37027 81-3725123	DIAGNOSTIC SERVICES	WA	FHS	RELATED	4,795,761	2,601,407		No			No	51.000 %
(39) GO PHYSICAL THERAPY LLC 3004 WEST FAIDLEY AVENUE GRAND ISLAND,NE68803 81-0653461	PHYSICAL THERAPY	NE	SFMC-NE	RELATED	5,726,984	5,805,014		No		Yes		51.000 %
(40) GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 20-1792869	HOME HEALTH	OH	HAHH	RELATED	386,796	721,388		No		Yes		50.000 %
(41) HC SL VINTAGE I LLC 1400 N WATER ST STE 500 MILWAUKEE,WI53202 27-0453767	PROPERTY HOLDING	WI	SL HOSP-VINTAGE	RELATED	3,235,500	34,855,064		No			No	51.000 %
(42) HEALTH AT HOME HOLDCO LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45140 92-0827634	HOME HEALTH	CO	HAHB	RELATED	13,448,264	203,026,316		No		Yes		100.000 %
(43) HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND,NE68802 72-1546196	INACTIVE	NE	N/A	RELATED				No			No	100.000 %
(44) HEARTLAND ONCOLOGY LLC 2337 E CRAWFORD ST SALINA,KS67402 46-4265403	ONCOLOGY	KS	CS KS	RELATED	261,601	5,065,137		No			No	51.000 %
(45) INTUITIVE HEALTH OF PUGET SOUND LLC 3033 N 3RD AVE PHOENIX,AZ85013 88-0771168	INACTIVE	WA	VMFH	RELATED				No			No	51.000 %
(46) LAKESIDE AMBULATORY SURGICAL CENTER LLC 17030 LAKESIDE HILLS PLAZA STE 110 OMAHA,NE68130 20-4267902	AMBUL SURG CTR	NE	ACH	RELATED	5,327,438	7,485,785		No			No	60.510 %
(47) LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA,NE68130 20-5544496	ENDOSCOPY	NE	ACH	RELATED	869,440	98,679		No			No	51.020 %
(48) LEXINGTON MBO PARTNERS LTD 4600 SOUTH SYRACUSE ST STE 500 DENVER,CO80237 65-1132855	REAL ESTATE	CO	SJHS	UNRELATED	180,254	746,865		No	180,254		No	78.750 %
(49) LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET LINCOLN,NE68510 26-2496856	REAL ESTATE	NE	SERMC	RELATED		-126,824		No		Yes		53.760 %
(50) LONGMONT UNITED HOSPITAL ORTHOPEDIC AND SPINE 1950 MOUNTAIN VIEW AVE LONGMONT,CO80501 45-4432224	ORTHOPEDIC SERVICES	CO	LUH	RELATED	121,472	86,437		No		Yes		38.340 %
(51) MEMORIAL MEDICAL PLAZA 3838 SAN DIMAS SUITE B 201 BAKERSFIELD,CA93301 36-4510880	REAL ESTATE	CA	BMH	RELATED	184,012	3,039,167		No		Yes		21.430 %
(52) MOUNTAIN MEDICAL IMAGING LLC 9100 EAST MINERAL CIRCLE CENTENNIAL,CO80112 87-0687391	MEDICAL IMAGING	TX	CHIC	RELATED				No		Yes		99.000 %
(53) NATIONAL PURCHASING PARTNERS LLC 17930 INTERNATIONAL BLVD STE 900 SEATAC,WA98188 20-3470995	GROUP PURCHASING	WA	VMMC	UNRELATED	13,116,120	12,206,312		No	12,819,019	Yes		50.000 %
(54) NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA,NE68122 27-0263191	SPINE HOSPITAL	NE	ACH	RELATED	15,750,832	18,140,093		No			No	51.000 %
(55) NEXIFY HEALTH PRIVATE LIMITED 9TH FL MSR BLOCK KRISHE SAPPHIRE HYDERABAD IN	IT SERVICES	IN	DHHC	RELATED				No		Yes		50.000 %
(56) NICU OPERATING CO OF SANTA CRUZ LLC 1555 SOQUEL DRIVE SANTA CRUZ,CA95065 46-0502935	NEONATAL HEALTHCARE	CA	DH	RELATED	4,133,959	23,320,301		No			No	51.100 %
(57) NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD,AR72120 71-0799771	AMBUL SURG CTR	AR	SVCHS	RELATED	459,299	971,113		No			No	63.530 %
(58) NORTHERN PLAINS LABORATORY LLC 401 N 9 STREET BISMARCK,ND58501 84-1641341	DIAGNOSTIC SERVICES	ND	SAMC	UNRELATED	2,267,245	4,112,308		No	2,244,977	Yes		50.000 %
(59) NSC CHANNEL ISLANDS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 77-0409291	AMBULATORY SURGICAL CENTER	CA	DH	RELATED	167,458	710,940		No		Yes		51.000 %
(60) ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD,CO80228 37-1577105	ORTHO HOSPITAL	CO	CHIC	RELATED	29,079,965	13,808,776		No			No	60.000 %
(61) PARK RAPIDS AREA HEALTH CARE 600 PLEASANT AVENUE S PARK RAPIDS,MN56470 20-4926259	HEALTHCARE SERVICES	MN	SJAHS	RELATED	244,194	4,163,093		No		Yes		50.000 %
(62) PARKVIEW HEALTH AT HOME LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45140 99-1995656	HOME HEALTH	IN	HAHH	RELATED	361,505	2,658,205		No		Yes		50.000 %
(63) PEAK ONE SURGERY CENTER LLC PO BOX 4460 FRISCO,CO80443 20-1620230	SURGERY CENTER	CO	CHIC	RELATED	1,449,155	4,396,481		No			No	81.000 %
(64) PENINSULA RADIATION ONCOLOGY CENTER LLC 4230 BRIDGEPORT WAY W STE B UNIVERSITY PLACE,WA98466 87-0808610	HEALTHCARE SERVICES	WA	FHS	RELATED	489,691	3,396,581		No			No	60.000 %
(65) PENRAD IMAGING LLC 1390 KELLY JOHNSON BLVD COLORADO SPRINGS,CO80920 84-1072619	MEDICAL IMAGING	CO	CHIC	RELATED	1,629,041	2,742,539		No			No	70.000 %
(66) PLAZA SURGERY CENTER LP 525 E PLAZA DRIVE SUITE 100 SANTA MARIA,CA93454 77-0573567	SURGERY	CA	DH	RELATED	378,678	1,820,210		No		Yes		54.040 %
(67) PMC HOSPITAL LLC 4600 E SAM HOUSTON PKWY SOUTH PASADENA,TX77505 27-3280598	HOSPITAL	TX	SLHS	RELATED	-16,086,241	56,623,208		No			No	51.000 %
(68) PRECISION MEDICINE ALLIANCE LLC 3033 N 3RD AVE PHOENIX,AZ85013 35-2569159	DIAGNOSTIC SERVICES	CO	N/A	RELATED	-87,740	753,521		No			No	50.000 %
(69) RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY 1700 N ROSE AVENUE SUITE 120 OXNARD,CA93030 77-0191706	IMAGING	CA	DH	RELATED	164,857	420,458		No		Yes		50.000 %
(70) RBR MANAGEMENT LLC 91 CORPORATE PARK DRIVE SUITE 120 HENDERSON,NV89074 27-1466450	AMBULANCE	NV	DH	RELATED	2,151,583	11,277,279		No			No	50.100 %
(71) REID-ANC HOME CARE SERVICES LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 37-1454747	HOME HEALTH	IN	HAHH	RELATED	341,389	702,644		No		Yes		50.000 %
(72) SAINT JOSEPH - SCA HOLDINGS LLC 1451 HARRODSBURG RD LEXINGTON,KY40503 45-3801157	INACTIVE	DE	SJHS	RELATED				No		Yes		51.000 %
(73) SAINT JOSEPH HEALTH ASC LLC ONE SAINT JOSEPH DRIVE LEXINGTON,KY40504 85-2155230	SURGERY	KY	SJHS	RELATED	-2,162,279	3,722,308		No		Yes		90.000 %
(74) SANTA CRUZ COMPREHENSIVE IMAGING LLC PO BOX 880 APTOS,CA95001 01-0550623	IMAGING	CA	DH	RELATED	-76,223	272,235		No		Yes		50.000 %
(75) SANTA CRUZ SURGERY CENTER LLC 3003 PAUL SWEET ROAD SANTA CRUZ,CA95065 77-0194916	SURGERY	CA	DH	RELATED	136,857	291,322		No		Yes		50.000 %
(76) SANTA MARIA MRI LLC 1310 LAS TABLAS ROAD SUITE 206 TEMPLETON,CA93465 77-0554581	IMAGING	CA	PACIFIC CENTRAL COAST HEALTH CENTERS	RELATED				No			No	55.310 %
(77) SEVEN OAKS SURGERY CENTER LLC 1801 ORANGE TREE LANE SUITE 200 REDLANDS,CA92374 85-1559544	SURGERY	CA	DH	RELATED	103,859	437,146		No		Yes		25.000 %
(78) SOUTHEASTERN HOME CARE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 27-1219638	HOME HEALTH	OH	HAHH	RELATED	367,946	128,136		No		Yes		60.000 %
(79) ST JOSEPH'S SURGERY CENTER LP 14201 DALLAS PARKWAY DALLAS,TX75254 20-1019390	SURGERY	TX	PORT CITY	RELATED	205,306	3,287,782		No		Yes		65.990 %
(80) ST ELIZABETH HOME CARE SERVICES LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 26-1236191	HOME HEALTH	KY	HAHH	RELATED	2,971,437	4,163,432		No		Yes		50.000 %
(81) ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS,CO80918 26-3134100	REAL ESTATE	CO	CHIC	RELATED	6,809,609			No			No
(82) ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON,TX77030 71-0959365	DIAGNOSTIC SERVICES	TX	SLHS HOLDINGS	RELATED	-11,484	1,450,629		No		Yes		57.910 %
(83) ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON,TX77030 30-0427437	HOSPITAL	TX	SL CDC-W	RELATED	3,553,631	40,920,131		No		Yes		51.000 %
(84) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC PO BOX 4717 HOUSTON,TX77210 46-2795726	DIAGNOSTIC SERVICES	TX	SLHS HOLDINGS	RELATED	-69,417	505,762		No		Yes		51.000 %
(85) THE MEDICAL PAVILION AT ST JOHN'S 1600 ROSE AVENUE OXNARD,CA93030 77-0332349	REAL ESTATE	CA	DH	RELATED	36,911	908,315		No		Yes		25.000 %
(86) THREE SPRING IMAGING LLC 1 MERCADO ST STE 200A DURANGO,CO81301 81-3571570	HEALTHCARE SERVICES	CO	CHIC	RELATED	199,998	834,698		No			No	51.000 %
(87) TIA ARIZONA LLC 15051 N KIERLAND BLVD SUITE 200 SCOTTSDALE,AZ85254 86-3158670	CLINIC	AZ	DCC	RELATED	-844,757	2,346,405		No			No	65.000 %
(88) TOPTOLIFE LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 87-2868634	RETAIL	CO	CSH	UNRELATED	5,244,797	12,000,084		No	5,792,401	Yes		50.000 %
(89) UCSF HEALTH- GOHEALTH URGENT CARE MGMT LLC 5555 GLENRIDGE CONNECTOR SUITE 700 ATLANTA,GA30342 35-2548698	MANAGEMENT SERVICES	DE	DCC	RELATED	-2,902,322			No			No	50.100 %
(90) VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC 18330 ROSCOE BLVD NORTHRIDGE,CA91328 80-0864336	SURGERY	CA	DCC	RELATED	1,774,118	4,126,635		No		Yes		100.000 %

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	(h) Percentage ownership	Yes	No
(1) ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC 12809 WEST DODGE RD OMAHA,NE68154 47-0802396	MANAGED CARE	NE	CHI NEBRASKA	C	8,550,258	107,563,177	100.000 %	Yes
(2) ALLIANCE HEALTH PROVIDER OF BRAZOS VALLEY INC 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2466914	HEALTHCARE	TX	SJSC	C	110,055	478,937	100.000 %	Yes
(3) ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 84-1112049	MANAGEMENT SERVICES	CO	CSH	C	3,053	12,261,836	100.000 %	Yes
(4) BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE,KY40215 31-1542851	INACTIVE	KY	JHSMH	C			100.000 %	Yes
(5) BRAZOSPORT HEALTH ALLIANCE 100 MEDICAL DRIVE LAKE JACKSON,TX77566 76-0518376	HEALTHCARE	TX	TCHB	C	15	205,143	100.000 %	Yes
(6) CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH 3033 N 3RD AVE PHOENIX,AZ85013 27-2269511	LAB SERVICES	CO	CSHRI	C	-89,955		100.000 %	Yes
(7) CENTER FOR INTEGRATIVE MEDICINE AT VIRGINIA MASON PC 1100 9TH AVE SEATTLE,WA98101 83-1583223	MEDICAL SERVICES	WA	VMMC	C	367,282	61,929	100.000 %	Yes
(8) 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
(9) COASTAL SURGICAL SPECIALISTS INC 921 OAK PARK BLVD SUITE 101 PISMO BEACH,CA93449 74-3000596	AMBULATORY SURGERY CENTER	CA	DH	S	2,780,549	6,133,016	50.080 %	Yes
(10) DIGNITY HEALTH HOLDING CORPORATION 3033 N 3RD AVENUE PHOENIX,AZ85013 46-0675371	HOLDING CO	NV	DCC	C	20,472,440	212,111,896	100.000 %	Yes
(11) DIGNITY HEALTH PROVIDER RESOURCES INC 3033 N 3RD AVENUE PHOENIX,AZ85013 47-3366764	HEALTH PLAN	CA	DCC	C	195,307,113	7,445,924	100.000 %	Yes
(12) DIVERSIFIED HEALTH RESOURCES INC 100 MEDICAL DRIVE LAKE JACKSON,TX77566 76-0222679	HEALTHCARE	TX	TCHB	C		216,555	100.000 %	Yes
(13) FRANCISCAN SERVICES INC 3033 N 3RD AVE PHOENIX,AZ85013 23-2487967	HOLDING CO	CO	CSH	C		8,221,800	100.000 %	Yes
(14) GALLERIA PAVILION OWNERS' ASSOCIATION 800 N GIBSON RD HENDERSON,NV89011 82-4275367	REAL ESTATE	NV	DH	C	303,813	32,639	65.440 %	Yes
(15) GOOD SAMARITAN OUTREACH SERVICES 3033 N 3RD AVE PHOENIX,AZ85013 47-0659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C		143,249	100.000 %	Yes
(16) HARVESTPLAINS HEALTH OF IOWA 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 47-3451750	INACTIVE	WA	QCHPS	C			100.000 %	Yes
(17) HEALTH AT HOME BLOCKER LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND,OH45150 88-4220080	HOME HEALTH	CO	CSH	C	8,500,258	107,563,177	100.000 %	Yes
(18) HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC 1400 E CHURCH STREET SANTA MARIA,CA93454 77-0074057	HEALTH SERVICES	DE	DCC	C			100.000 %	Yes
(19) HEALTH SYSTEMS ENTERPRISES INC 3033 N 3RD AVE PHOENIX,AZ85013 47-0664558	INACTIVE	NE	GSH-KH	C			100.000 %	Yes
(20) HEALTHCARE MGMT SERVICES ORGANIZATION INC 1149 MARKET ST TACOMA,WA98402 91-1865474	INACTIVE	WA	FHS	C			100.000 %	Yes
(21) HIGHLINE MEDICAL GROUP 1717 S J STREET TACOMA,WA98405 91-1407026	MEDICAL SERVICES	WA	FHS	C			100.000 %	Yes
(22) MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC 300 WERNER ST HOT SPRINGS,AR71913 71-0720429	REAL ESTATE	AR	CHI-SVHS	C	295,649	87,193	77.280 %	Yes
(23) MEDQUEST 1602 11TH ST W WILLISTON,ND58801 45-0392137	SALE OF DME	ND	MMC WILLISTON	C	775,062	1,171,713	100.000 %	Yes
(24) MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC 1201 W FRANK AVE LUFKIN,TX75904 46-3622849	INACTIVE	TX	MHSET	C			100.000 %	Yes
(25) MERCY SERVICES CORP 2700 STEWART PARKWAY ROSEBURG,OR97471 93-0824308	INACTIVE	OR	CS OR	C			100.000 %	Yes
(26) MHI CLINICAL SERVICES 1201 W FRANK AVE LUFKIN,TX75904 46-1967952	HEALTHCARE	TX	MHSET	C		18,677	100.000 %	Yes
(27) MILLENNIUM SURGERY CENTER INC 9300 STOCKDALE HWY 200 BAKERSFIELD,CA93311 77-0513445	OUTPATIENT SURGERY SERVICES	CA	BMH	S	3,181,700	5,312,237	60.440 %	Yes
(28) MOUNTAIN MANAGEMENT SERVICES INC 3033 N 3RD AVE PHOENIX,AZ85013 62-1570739	MANAGEMENT SERVICES	TN	MHCS	C	35,673,441	6,421,190	100.000 %	Yes
(29) NORTH CENTRAL HEALTH CARE ALLIANCE PO BOX 5538 BISMARK,ND58506 45-0439894	HEALTHCARE	ND	SAMC	C	9,874	177,062	75.000 %	Yes
(30) NORTHLAND MANAGEMENT SERVICES INC 2223 EAST ROSSER AVENUE BISMARCK,ND58501 45-0452840	MEDICAL EQUIPMENT	ND	NHA	C	177,068	397,880	100.000 %	Yes
(31) QUALCHOICE HEALTH PLAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-1224037	ADMIN SERVICES	CO	CSH	C		3,573,539	100.000 %	Yes
(32) QUALCHOICE HEALTH INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-1222808	HOLDING CO	CO	QCHI	C		103,244,450	100.000 %	Yes
(33) RIVERLINK HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-4380824	INSURANCE	OH	QCHPS	C			100.000 %	Yes
(34) ROSS PARK PHARMACY INC 3033 N 3RD AVE PHOENIX,AZ85013 34-1832654	PHARMACY	OH	TSHS	C	246,821	1,019,450	100.000 %	Yes
(35) SAINT CLARE'S PRIMARY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-2441202	INACTIVE	NJ	SCCC	C			100.000 %	Yes
(36) SJH SERVICES CORPORATION 3033 N 3RD AVE PHOENIX,AZ85013 23-2307408	INACTIVE	CO	FSI	C		1,598,610	100.000 %	Yes
(37) SJL PHYSICIAN MANANGEMENT SERVICES INC 3033 N 3RD AVE PHOENIX,AZ85013 27-0164198	INACTIVE	KY	SJHS	C			100.000 %	Yes
(38) ST MARY HEALTH VENTURES INC 1050 LINDEN AVENUE LONG BEACH,CA90813 95-1912528	RETAIL PHARMACY	CA	DH	C	2,577,516	11,057,538	100.000 %	Yes
(39) ST ANTHONY DEVELOPMENT COMPANY 3033 N 3RD AVE PHOENIX,AZ85013 93-1216943	ATHLETIC CLUB	OR	SAH	C	1,450,239	1,350,232	100.000 %	Yes
(40) ST JOSEPH DEVELOPMENT COMPANY INC 3033 N 3RD AVE PHOENIX,AZ85013 91-1480569	RENTAL	WA	FSI	C	590,024	13,654,755	100.000 %	Yes
(41) ST LUKE'S HEALTH SYSTEM HOLDINGS INC 6624 FANNIN STE 800 HOUSTON,TX77030 76-0637138	HOLDING CO	TX	SLHS	C	854,986	23,543,365	100.000 %	Yes
(42) ST VINCENT COMMUNITY HEALTH SERVICES INC TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0710785	HEALTHCARE	AR	SVIMC	C	11,604,414	64,320,620	100.000 %	Yes
(43) STE HOLDINGS 3033 N 3RD AVE PHOENIX,AZ85013 82-2383629	HOLDING CO	NE	SERMC	C		25,697	100.000 %	Yes
(44) STRATEGIC AND PHYSICIANS INSURANCE LTD PO BOX 1051 GRAND CAYMAN ISL GRAND CAYMAN ISL CJ 98-1065338	CAPTIVE INSURANCE	CJ	DH	C	5,498,210	48,810,524	100.000 %	Yes
(45) TOWSON MANAGEMENT INC 3033 N 3RD AVE PHOENIX,AZ85013 52-1710750	INACTIVE	MD	FSI	C			100.000 %	Yes
(46) TRINITY MANAGEMENT SERVICES ORGANIZATION 3033 N 3RD AVE PHOENIX,AZ85013 34-1471026	MGMT SERVICES	OH	THS	C		91,705	100.000 %	Yes
(47) UNITED MEDICAL BUILDING CONDOMINIUM ASSOCIATION 1950 MOUNTAIN VIEW AVE LONGMONT,CO80501 84-1526130	REAL ESTATE	CO	LUH	C	751,321	3,520,833	89.000 %	Yes

Schedule R (Form 990) (Rev. 1-2025)

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) ............................

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) ............................

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) ............................

Yes

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) ALEGENT CREIGHTON HEALTH	A	605,063	SEE STATEMENT - SCH. R PART VII
(2) ALEGENT HEALTH - IMMANUEL MEDICAL CENTER	A	682,985	SEE STATEMENT - SCH. R PART VII
(3) CATHOLIC HEALTH INITIATIVES-COLORADO	A	58,468,535	SEE STATEMENT - SCH. R PART VII
(4) CHI HEALTH CONNECT AT HOME - FARGO	A	57,047	SEE STATEMENT - SCH. R PART VII
(5) CHI LIVING COMMUNITIES	A	859,687	SEE STATEMENT - SCH. R PART VII
(6) CHI MEMORIAL HOSPITAL - GEORGIA	A	695,625	SEE STATEMENT - SCH. R PART VII
(7) COMMONSPIRIT KANSAS	A	239,578	SEE STATEMENT - SCH. R PART VII
(8) COMMONSPIRIT OREGON	A	540,861	SEE STATEMENT - SCH. R PART VII
(9) FRANCISCAN HEALTH SYSTEM	A	4,099,066	SEE STATEMENT - SCH. R PART VII
(10) GOOD SAMARITAN HOSPITAL	A	397,399	SEE STATEMENT - SCH. R PART VII
(11) HARRISON MEDICAL CENTER	A	2,932,978	SEE STATEMENT - SCH. R PART VII
(12) LONGMONT UNITED HOSPITAL	A	2,806,165	SEE STATEMENT - SCH. R PART VII
(13) MEMORIAL HEALTH CARE SYSTEM INC	A	6,794,298	SEE STATEMENT - SCH. R PART VII
(14) MEMORIAL HEALTH SYSTEM OF EAST TEXAS	A	3,861,921	SEE STATEMENT - SCH. R PART VII
(15) OAKES COMMUNITY HOSPITAL	A	140,773	SEE STATEMENT - SCH. R PART VII
(16) PROVIDENCE CARE CENTER	A	147,613	SEE STATEMENT - SCH. R PART VII
(17) PROVIDENCE RESIDENTIAL COMMUNITY	A	240,026	SEE STATEMENT - SCH. R PART VII
(18) SAINT FRANCIS MEDICAL CENTER	A	346,469	SEE STATEMENT - SCH. R PART VII
(19) SAINT JOSEPH HEALTH SYSTEM INC	A	6,194,633	SEE STATEMENT - SCH. R PART VII
(20) ST ALEXIUS MEDICAL CENTER	A	3,099,576	SEE STATEMENT - SCH. R PART VII
(21) ST CLARE COMMONS	A	1,179,194	SEE STATEMENT - SCH. R PART VII
(22) ST FRANCIS MEDICAL CENTER	A	7,419	SEE STATEMENT - SCH. R PART VII
(23) ST JOSEPH REGIONAL HEALTH CENTER	A	1,000,843	SEE STATEMENT - SCH. R PART VII
(24) ST JOSEPH'S HOSPITAL AND HEALTH CENTER	A	3,655,529	SEE STATEMENT - SCH. R PART VII
(25) ST LEONARD	A	1,273,735	SEE STATEMENT - SCH. R PART VII
(26) ST LUKE'S HEALTH SYSTEM CORPORATION	A	26,780,344	SEE STATEMENT - SCH. R PART VII
(27) ST VINCENT INFIRMARY MEDICAL CENTER	A	5,379,182	SEE STATEMENT - SCH. R PART VII
(28) THE COMMONS OF PROVIDENCE	A	207,965	SEE STATEMENT - SCH. R PART VII
(29) THE COMMUNITY HOSPITAL OF BRAZOSPORT	A	1,677,799	SEE STATEMENT - SCH. R PART VII
(30) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH	A	1,365,798	SEE STATEMENT - SCH. R PART VII
(31) TRINITY HOSPITAL HOLDING CO	A	3,423,866	SEE STATEMENT - SCH. R PART VII
(32) UNITY FAMILY HEALTHCARE	A	225,988	SEE STATEMENT - SCH. R PART VII
(33) VIRGINIA MASON MEDICAL CENTER	A	5,718,527	SEE STATEMENT - SCH. R PART VII
(34) ALEGENT CREIGHTON HEALTH	D	1,608,387	SEE STATEMENT - SCH. R PART VII
(35) ALEGENT HEALTH - IMMANUEL MEDICAL CENTER	D	7,229,506	SEE STATEMENT - SCH. R PART VII
(36) CATHOLIC HEALTH INITIATIVES-COLORADO	D	23,860,896	SEE STATEMENT - SCH. R PART VII
(37) CHI MEMORIAL HOSPITAL - GEORGIA	D	40,000,000	SEE STATEMENT - SCH. R PART VII
(38) VIRGINIA MASON MEDICAL CENTER	D	392,525,000	SEE STATEMENT - SCH. R PART VII
(39) ALEGENT CREIGHTON CLINIC	L	5,772,123	SEE STATEMENT - SCH. R PART VII
(40) ALEGENT CREIGHTON HEALTH	L	290,515,455	SEE STATEMENT - SCH. R PART VII
(41) ALEGENT HEALTH - IMMANUEL MEDICAL CENTER	L	4,556,772	SEE STATEMENT - SCH. R PART VII
(42) ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM	L	13,769,166	SEE STATEMENT - SCH. R PART VII
(43) ALEGENT HEALTH-COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY	L	503,903	SEE STATEMENT - SCH. R PART VII
(44) ALEGENT HEALTH-MEMORIAL HOSPITAL SCHUYLER	L	271,344	SEE STATEMENT - SCH. R PART VII
(45) ALEGENT HEALTH-MERCY HOSPITAL CORNING IA	L	492,967	SEE STATEMENT - SCH. R PART VII
(46) BAKERSFIELD MEMORIAL HOSPITAL	L	10,545,954	SEE STATEMENT - SCH. R PART VII
(47) BURLESON ST JOSEPH HEALTH CENTER	L	197,102	SEE STATEMENT - SCH. R PART VII
(48) CARRINGTON HEALTH CENTER	L	2,133,609	SEE STATEMENT - SCH. R PART VII
(49) CATHOLIC HEALTH INITIATIVES-COLORADO	L	67,668,103	SEE STATEMENT - SCH. R PART VII
(50) CENTENNIAL MEDICAL GROUP	L	601,860	SEE STATEMENT - SCH. R PART VII
(51) CHI HEALTH CONNECT AT HOME - FARGO	L	399,684	SEE STATEMENT - SCH. R PART VII
(52) CHI LIVING COMMUNITIES	L	3,118,039	SEE STATEMENT - SCH. R PART VII
(53) CHI MEMORIAL HOSPITAL - GEORGIA	L	987,047	SEE STATEMENT - SCH. R PART VII
(54) CHI ST ALEXIUS HEALTH GARRISON	L	798,066	SEE STATEMENT - SCH. R PART VII
(55) CHI ST JOSEPH'S CHILDREN	L	85,512	SEE STATEMENT - SCH. R PART VII
(56) CHI ST JOSEPH CHILDREN'S HEALTH	L	179,889	SEE STATEMENT - SCH. R PART VII
(57) CHI ST VINCENT HOSPITAL HOT SPRINGS	L	5,832,142	SEE STATEMENT - SCH. R PART VII
(58) COMMONSPIRIT KANSAS	L	4,322,966	SEE STATEMENT - SCH. R PART VII
(59) COMMONSPIRIT MOUNTAIN REGION	L	178,641,628	SEE STATEMENT - SCH. R PART VII
(60) COMMONSPIRIT OREGON	L	49,564,558	SEE STATEMENT - SCH. R PART VII
(61) COMMUNITY HOSPITAL OF SAN BERNARDINO	L	8,822,414	SEE STATEMENT - SCH. R PART VII
(62) CONTINUING CARE HOSPITAL	L	734,457	SEE STATEMENT - SCH. R PART VII
(63) DH CONNECTED LIVING	L	126,911	SEE STATEMENT - SCH. R PART VII
(64) DH PROVIDER RESOURCES INC	L	288,244	SEE STATEMENT - SCH. R PART VII
(65) DIGNITY COMMUNITY CARE	L	76,589,222	SEE STATEMENT - SCH. R PART VII
(66) DIGNITY HEALTH HOLDING CORP	L	430,569	SEE STATEMENT - SCH. R PART VII
(67) DIGNITY HEALTH MEDICAL FOUNDATION	L	14,105,689	SEE STATEMENT - SCH. R PART VII
(68) DIGNITYUSP PHOENIX SURGERY CENTERS II LLC (SW)	L	456,402	SEE STATEMENT - SCH. R PART VII
(69) EAST TEXAS CLINICAL SERVICES	L	207,661	SEE STATEMENT - SCH. R PART VII
(70) ENUMCLAW REGIONAL HOSPITAL ASSOCIATION	L	1,263,831	SEE STATEMENT - SCH. R PART VII
(71) FLAGET HEALTHCARE	L	13,178,075	SEE STATEMENT - SCH. R PART VII
(72) FRANCISCAN CARE CENTER	L	154,993	SEE STATEMENT - SCH. R PART VII
(73) FRANCISCAN HEALTH SYSTEM	L	402,951,123	SEE STATEMENT - SCH. R PART VII
(74) FRANCISCAN MEDICAL GROUP	L	12,768,998	SEE STATEMENT - SCH. R PART VII
(75) GO PHYSICIAL THERAPY LLC	L	157,284	SEE STATEMENT - SCH. R PART VII
(76) GOOD SAMARITAN HOSPITAL	L	4,241,103	SEE STATEMENT - SCH. R PART VII
(77) HARRISON MEDICAL CENTER	L	13,088,082	SEE STATEMENT - SCH. R PART VII
(78) HEALTH AT HOME HOLDCO LLC	L	6,917,774	SEE STATEMENT - SCH. R PART VII
(79) JEWISH HOSPITAL & ST MARY'S HEALTHCARE	L	8,826,755	SEE STATEMENT - SCH. R PART VII
(80) KENTUCKYONE HEALTH MEDICAL GROUP	L	7,481,255	SEE STATEMENT - SCH. R PART VII
(81) KENTUCKYONE HEALTH INC	L	12,195,207	SEE STATEMENT - SCH. R PART VII
(82) LAKEWOOD HEALTH CENTER	L	3,008,730	SEE STATEMENT - SCH. R PART VII
(83) LISBON AREA HEALTH SERVICES	L	1,832,592	SEE STATEMENT - SCH. R PART VII
(84) LONGMONT UNITED HOSPITAL	L	3,214,284	SEE STATEMENT - SCH. R PART VII
(85) MADISON ST JOSEPH HEALTH CENTER	L	256,749	SEE STATEMENT - SCH. R PART VII
(86) MADONNA MANOR INC	L	224,202	SEE STATEMENT - SCH. R PART VII
(87) MARK TWAIN MEDICAL CENTER	L	1,749,240	SEE STATEMENT - SCH. R PART VII
(88) MEMORIAL HEALTH CARE SYSTEM INC	L	119,313,938	SEE STATEMENT - SCH. R PART VII
(89) MEMORIAL HEALTH SYSTEM OF EAST TEXAS	L	38,644,245	SEE STATEMENT - SCH. R PART VII
(90) MEMORIAL MEDICAL CENTER LIVINGSTON	L	1,133,647	SEE STATEMENT - SCH. R PART VII
(91) MEMORIAL MEDICAL CENTER OF SAN AUGUSTINE	L	312,652	SEE STATEMENT - SCH. R PART VII
(92) MERCY HOSPITAL OF DEVILS LAKE	L	4,420,877	SEE STATEMENT - SCH. R PART VII
(93) MERCY HOSPITAL OF VALLEY CITY	L	2,351,434	SEE STATEMENT - SCH. R PART VII
(94) MERCY MCMAHON TERRACE	L	242,407	SEE STATEMENT - SCH. R PART VII
(95) MERCY MEDICAL CENTER	L	14,024,369	SEE STATEMENT - SCH. R PART VII
(96) NEBRASKA HEART HOSPITAL	L	1,562,099	SEE STATEMENT - SCH. R PART VII
(97) NEBRASKA SPINE HOSPITAL LLC	L	57,967	SEE STATEMENT - SCH. R PART VII
(98) NORTHLAND HEALTHCARE ALLIANCE	L	54,666	SEE STATEMENT - SCH. R PART VII
(99) OAKES COMMUNITY HOSPITAL	L	1,741,689	SEE STATEMENT - SCH. R PART VII
(100) PACIFIC CENTRAL COAST HEALTH CENTERS	L	3,589,599	SEE STATEMENT - SCH. R PART VII
(101) PMC HOSPITAL LLC	L	1,843,385	SEE STATEMENT - SCH. R PART VII
(102) PORT CITY OPERATING COMPANY LLC	L	5,149,604	SEE STATEMENT - SCH. R PART VII
(103) PROVIDENCE CARE CENTER	L	208,269	SEE STATEMENT - SCH. R PART VII
(104) SAINT ELIZABETH REGIONAL MEDICAL CENTER	L	17,694,833	SEE STATEMENT - SCH. R PART VII
(105) SAINT FRANCIS MEDICAL CENTER	L	3,130,591	SEE STATEMENT - SCH. R PART VII
(106) SAINT FRANCIS MEMORIAL HOSPITAL	L	1,385,456	SEE STATEMENT - SCH. R PART VII
(107) SAINT JOSEPH HEALTH SYSTEM INC	L	135,985,977	SEE STATEMENT - SCH. R PART VII
(108) SIERRA NEVADA MEMORIAL-MINERS HOSPITAL	L	5,547,029	SEE STATEMENT - SCH. R PART VII
(109) ST JOSEPH'S BEHAVIORAL HEALTH CENTER	L	390,724	SEE STATEMENT - SCH. R PART VII
(110) ST JOSEPH'S MEDICAL CENTER STOCKTON	L	9,935,694	SEE STATEMENT - SCH. R PART VII
(111) ST MARY'S COMMUNITY HOSPITAL	L	742,270	SEE STATEMENT - SCH. R PART VII
(112) ST ALEXIUS MEDICAL CENTER	L	62,339,863	SEE STATEMENT - SCH. R PART VII
(113) ST ANTHONY HOSPITAL	L	13,599,112	SEE STATEMENT - SCH. R PART VII
(114) ST ANTHONY'S HOSPITAL ASSOCIATION	L	829,435	SEE STATEMENT - SCH. R PART VII
(115) ST CLARE COMMONS	L	131,293	SEE STATEMENT - SCH. R PART VII
(116) ST FRANCIS HOME	L	58,450	SEE STATEMENT - SCH. R PART VII
(117) ST FRANCIS MEDICAL CENTER	L	4,157,015	SEE STATEMENT - SCH. R PART VII
(118) ST JOSEPH REGIONAL HEALTH CENTER	L	6,347,366	SEE STATEMENT - SCH. R PART VII
(119) ST JOSEPH SERVICES CORPORATION DBA ST JOSEPH HEALTH SYSTEM	L	68,245,333	SEE STATEMENT - SCH. R PART VII
(120) ST JOSEPH'S AREA HEALTH SERVICES	L	7,795,128	SEE STATEMENT - SCH. R PART VII
(121) ST JOSEPH'S HOSPITAL AND HEALTH CENTER	L	11,051,605	SEE STATEMENT - SCH. R PART VII
(122) ST LEONARD	L	525,898	SEE STATEMENT - SCH. R PART VII
(123) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND	L	2,728,389	SEE STATEMENT - SCH. R PART VII
(124) ST LUKES COMMUNITY HEALTH SERVICES	L	6,711,972	SEE STATEMENT - SCH. R PART VII
(125) ST LUKE'S HEALTH SYSTEM CORPORATION	L	70,868,583	SEE STATEMENT - SCH. R PART VII
(126) ST LUKE'S HOSPITAL AT THE VINTAGE (FKA CDC-VINTAGE)	L	2,471,766	SEE STATEMENT - SCH. R PART VII
(127) ST LUKE'S LAKESIDE HOSPITAL LLC	L	995,935	SEE STATEMENT - SCH. R PART VII
(128) ST VINCENT INFIRMARY MEDICAL CENTER	L	172,052,388	SEE STATEMENT - SCH. R PART VII
(129) THE COMMONS OF PROVIDENCE	L	123,245	SEE STATEMENT - SCH. R PART VII
(130) THE COMMUNITY HOSPITAL OF BRAZOSPORT	L	2,172,995	SEE STATEMENT - SCH. R PART VII
(131) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH	L	19,403,028	SEE STATEMENT - SCH. R PART VII
(132) THE PHYSICIAN NETWORK	L	300,393	SEE STATEMENT - SCH. R PART VII
(133) TRINITY HEALTH SYSTEM	L	21,506,814	SEE STATEMENT - SCH. R PART VII
(134) TRINITY HOSPITAL TWIN CITY	L	472,187	SEE STATEMENT - SCH. R PART VII
(135) UNITY FAMILY HEALTHCARE	L	12,418,308	SEE STATEMENT - SCH. R PART VII
(136) VILLA NAZARETH INC	L	1,052,435	SEE STATEMENT - SCH. R PART VII
(137) VIRGINIA MASON MEDICAL CENTER	L	84,736,680	SEE STATEMENT - SCH. R PART VII
(138) YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER	L	9,376,518	SEE STATEMENT - SCH. R PART VII
(139) DIGNITY HEALTH	M	261,200	SEE STATEMENT - SCH. R PART VII
(140) STRATEGIC AND PHYSICIANS INSURANCE LIMITED	M	12,324,292	SEE STATEMENT - SCH. R PART VII
(141) FRANCISCAN HEALTH SYSTEM	R	11,000,000	SEE STATEMENT - SCH. R PART VII
(142) MEMORIAL HEALTH CARE SYSTEM INC	R	2,000,000	SEE STATEMENT - SCH. R PART VII
(143) ST LUKE'S HEALTH SYSTEM CORPORATION	R	6,000,000	SEE STATEMENT - SCH. R PART VII
(144) TRINITY HEALTH SYSTEM	R	1,000,000	SEE STATEMENT - SCH. R PART VII
(145) VIRGINIA MASON MEDICAL CENTER	R	22,522,042	SEE STATEMENT - SCH. R PART VII
(146) ALEGENT CREIGHTON HEALTH	S	600,000	SEE STATEMENT - SCH. R PART VII
(147) ALEGENT HEALTH - IMMANUEL MEDICAL CENTER	S	677,270	SEE STATEMENT - SCH. R PART VII
(148) CATHOLIC HEALTH INITIATIVES-COLORADO	S	58,576,541	SEE STATEMENT - SCH. R PART VII
(149) CHI HEALTH CONNECT AT HOME - FARGO	S	242,067	SEE STATEMENT - SCH. R PART VII
(150) CHI LIVING COMMUNITIES	S	1,000,000	SEE STATEMENT - SCH. R PART VII
(151) CHI MEMORIAL HOSPITAL - GEORGIA	S	666,667	SEE STATEMENT - SCH. R PART VII
(152) COMMONSPIRIT KANSAS	S	1,388,031	SEE STATEMENT - SCH. R PART VII
(153) COMMONSPIRIT OREGON	S	1,212,824	SEE STATEMENT - SCH. R PART VII
(154) FRANCISCAN HEALTH SYSTEM	S	5,234,932	SEE STATEMENT - SCH. R PART VII
(155) GOOD SAMARITAN HOSPITAL	S	423,468	SEE STATEMENT - SCH. R PART VII
(156) HARRISON MEDICAL CENTER	S	5,600,305	SEE STATEMENT - SCH. R PART VII
(157) LONGMONT UNITED HOSPITAL	S	4,877,635	SEE STATEMENT - SCH. R PART VII
(158) MEMORIAL HEALTH CARE SYSTEM INC	S	11,217,896	SEE STATEMENT - SCH. R PART VII
(159) MEMORIAL HEALTH SYSTEM OF EAST TEXAS	S	4,393,958	SEE STATEMENT - SCH. R PART VII
(160) OAKES COMMUNITY HOSPITAL	S	315,670	SEE STATEMENT - SCH. R PART VII
(161) PROVIDENCE CARE CENTER	S	222,734	SEE STATEMENT - SCH. R PART VII
(162) PROVIDENCE RESIDENTIAL COMMUNITY	S	362,751	SEE STATEMENT - SCH. R PART VII
(163) SAINT FRANCIS MEDICAL CENTER	S	343,570	SEE STATEMENT - SCH. R PART VII
(164) SAINT JOSEPH HEALTH SYSTEM INC	S	12,825,996	SEE STATEMENT - SCH. R PART VII
(165) ST ALEXIUS MEDICAL CENTER	S	2,852,929	SEE STATEMENT - SCH. R PART VII
(166) ST CLARE COMMONS	S	1,414,856	SEE STATEMENT - SCH. R PART VII
(167) ST FRANCIS MEDICAL CENTER	S	482,778	SEE STATEMENT - SCH. R PART VII
(168) ST JOSEPH REGIONAL HEALTH CENTER	S	1,021,302	SEE STATEMENT - SCH. R PART VII
(169) ST JOSEPH'S HOSPITAL AND HEALTH CENTER	S	3,894,849	SEE STATEMENT - SCH. R PART VII
(170) ST LEONARD	S	1,728,443	SEE STATEMENT - SCH. R PART VII
(171) ST LUKE'S HEALTH SYSTEM CORPORATION	S	14,306,673	SEE STATEMENT - SCH. R PART VII
(172) ST VINCENT INFIRMARY MEDICAL CENTER	S	9,737,751	SEE STATEMENT - SCH. R PART VII
(173) THE COMMONS OF PROVIDENCE	S	313,799	SEE STATEMENT - SCH. R PART VII
(174) THE COMMUNITY HOSPITAL OF BRAZOSPORT	S	1,066,736	SEE STATEMENT - SCH. R PART VII
(175) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH	S	3,658,724	SEE STATEMENT - SCH. R PART VII
(176) TRINITY HOSPITAL HOLDING CO	S	3,648,475	SEE STATEMENT - SCH. R PART VII
(177) UNITY FAMILY HEALTHCARE	S	1,309,298	SEE STATEMENT - SCH. R PART VII
(178) VIRGINIA MASON MEDICAL CENTER	S	5,473,750	SEE STATEMENT - SCH. R PART VII
(179) DIGNITY HEALTH	S	21,965,620	SEE STATEMENT - SCH. R PART VII
(180) QUALCHOICE HEALTH INC & SUBSIDIARIES	S	9,990,500	SEE STATEMENT - SCH. R PART VII

Schedule R (Form 990) (Rev. 1-2025)

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

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 ("COMMONSPIRIT") 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 1D - COMMONSPIRIT 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 1L - COMMONSPIRIT 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, LEGAL, RISK MANAGEMENT, 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. AMOUNTS REPORTED AS TRANSACTION TYPE "M" REPRESENT PAYMENTS MADE BY COMMONSPIRIT FOR THESE SERVICES. PART V, LINE 1R - AMOUNTS REPORTED AS TRANSACTION TYPE "R" REPRESENT ERISA FUNDS TRANSFERRED TO RELATED ORGANIZATIONS DURING THE YEAR. AMOUNTS REPORTED AS TRANSACTION TYPE "R" REPRESENT FUNDS TRANSFERRED TO A RELATED ORGANIZATION DURING THE YEAR DUE TO THE ASSUMPTION OF BOND LIABILITIES BY COMMONSPIRIT. PART V, LINE 1S - COMMONSPIRIT 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. CERTAIN RELATED ORGANIZATIONS TRANSFERRED INVESTMENTS TO COMMONSPIRIT. AMOUNTS REPORTED AS TRANSACTION TYPE "S" REPRESENT INVESTMENTS TRANSFERRED DURING THE YEAR.

Schedule R (Form 990) (Rev. 1-2025)

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	13
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 2024 (Part V, line 2a) ......	5	5,462
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	34,292,245
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	27,498,821

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,268,030	299,193
9	Program service revenue (Part VIII, line 2g) .........	3,237,791,919	3,480,921,627
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	73,287,838	150,211,550
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	130,911,014	160,962,708
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,443,258,801	3,792,395,078
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	10,531,703	10,736,060
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)	686,170,786	822,632,342
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)....	3,017,657,159	3,036,439,723
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,714,359,648	3,869,808,125
19	Revenue less expenses. Subtract line 18 from line 12.......	-271,100,847	-77,413,047
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	9,895,564,163	12,141,187,856
21	Total liabilities (Part X, line 26).............	15,553,696,621	17,540,569,063
22	Net assets or fund balances. Subtract line 21 from line 20.....	-5,658,132,458	-5,399,381,207

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,133,627,392 including grants of $ 10,736,060 ) (Revenue $ 3,480,921,627 )
	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 expenses3,133,627,392

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	64,481,685	54,526,441	10,599,505

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	230,536

f	All other contributions, gifts, grants, and similar amounts not included above		1f	68,657

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

h Total. Add lines 1a-1f.......		299,193

		Business Code
2a	ASSESSMENTS	900099	3,333,193,827	3,333,193,827
b	RELATED INTEREST	900099	145,106,486	145,106,486
c	PREMIUMS	900099	2,621,314	2,621,314
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		3,480,921,627

3 Investment income (including dividends, interest, and othersimilar amounts) ......			61,292,915			61,292,915
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			5,105			5,105
			(i) Real	(ii) Personal
6a	Gross rents	6a	867,984
b	Less: rental expenses	6b	649,291
c	Rental income or (loss)	6c	218,693
d	Net rental income or (loss).......			218,693
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	89,895,748	11,066
b	Less: cost or other basis and sales expenses	7b	0	988,179
c	Gain or (loss)	7c	89,895,748	-977,113
d	Net gain or (loss).........			88,918,635			88,918,635
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
11a	PATRONAGE DIVIDEND		900099	46,926,551			46,926,551
b	EMPLOYEE RETENTION CRE		900099	42,671,445			42,671,445
c	REVENUE CYCLE JV		900099	23,997,322		23,997,322
d	All other revenue ....			47,143,592		10,076,230	37,067,362
e	Total. Add lines 11a–11d ......			160,738,910
12	Total revenue. See instructions.....			3,792,395,078	3,480,921,627	34,292,245	276,882,013

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	10,527,580	10,527,580
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	208,480	208,480
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	55,905,375	22,362,150	33,543,225
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........	617,589,709	248,954,326	368,635,383
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	29,261,583	15,657,975	13,603,608
9	Other employee benefits .......	63,549,690	21,251,846	42,297,844
10	Payroll taxes ...........	56,325,985	34,907,319	21,418,666
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,238,697		1,238,697
c	Accounting ...........	40,800		40,800
d	Lobbying ...........
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)	701,890,731	600,334,520	101,556,211
12	Advertising and promotion ....	371,779	19,898	351,881
13	Office expenses .......	56,223,882	45,500,846	10,723,036
14	Information technology ......	57,781,470	49,098,437	8,683,033
15	Royalties ..
16	Occupancy ...........	6,341,897	3,483,161	2,858,736
17	Travel ............	12,936,597	5,261,081	7,675,516
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,397,532	261,100	1,136,432
20	Interest ...........	371,870,205	371,870,205
21	Payments to affiliates .......	2,322		2,322
22	Depreciation, depletion, and amortization ..	59,652,988	34,154,878	25,498,110
23	Insurance ...	364,082,953	363,531,485	551,468
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	991,323,698	991,323,698
b	REPAIRS AND MAINTENANCE	236,687,952	210,555,907	26,132,045
c	GROUP LEGAL COST	64,233,398	64,233,398
d	UNRELATED BUSINESS TAX	4,011,700		4,011,700
e	All other expenses	106,351,122	40,129,102	66,222,020
25	Total functional expenses. Add lines 1 through 24e	3,869,808,125	3,133,627,392	736,180,733	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 ........			61,343,031	1	69,877,080
2	Savings and temporary cash investments .........			2,320,324,636	2	3,669,778,178
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			154,111,911	4	153,006,770
5	Loans and other receivables from 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 .......
					5
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) ...
					6
7	Notes and loans receivable, net ...........			2,718,907,226	7	3,013,083,820
8	Inventories for sale or use ............			3,958,010	8	2,484,115
9	Prepaid expenses and deferred charges ......			116,429,126	9	102,020,423
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,265,524,349
b	Less: accumulated depreciation	10b	1,475,330,575	530,852,712	10c	790,193,774
11	Investments—publicly traded securities .			700,833,510	11	830,979,435
12	Investments—other securities. See Part IV, line 11 .....			1,414,380,764	12	1,416,370,639
13	Investments—program-related. See Part IV, line 11 ..			41,822,964	13	9,999,301
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			1,832,600,273	15	2,083,394,321
16	Total assets. Add lines 1 through 15 (must equal line 33)...			9,895,564,163	16	12,141,187,856

17	Accounts payable and accrued expenses .....	790,516,665	17	732,537,326
18	Grants payable ...		18
19	Deferred revenue .........	242,168,173	19	212,873,661
20	Tax-exempt bond liabilities .........	4,111,927,275	20	4,121,624,684
21	Escrow or custodial account liability. Complete Part IV of Schedule D	14,262	21	16,927
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 .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	306,543,000	23	766,543,000
24	Unsecured notes and loans payable to unrelated third parties ..	4,352,466,000	24	4,982,736,000
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	5,750,061,246	25	6,724,237,465
26	Total liabilities. Add lines 17 through 25..	15,553,696,621	26	17,540,569,063

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	-5,658,580,219	27	-5,399,830,471
28	Net assets with donor restrictions ...........	447,761	28	449,264
	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 ...........	-5,658,132,458	32	-5,399,381,207
33	Total liabilities and net assets/fund balances ........	9,895,564,163	33	12,141,187,856

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