CHRISTUS GOOD SHEPHERD MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS GOOD SHEPHERD MEDICAL CENTER (EIN 75-0974351)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-07
IRS object ID: 202641279349303919
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-07T15:35:40+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 N WACKER DRIVE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750974351	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTUS GOOD SHEPHERD MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHRI	BusinessNameControlTxt
Phone	9033154000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E MARSHALL AVE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TODD HANCOCK	PersonNm
Person Title	SYSTEM PRESIDENT/CEO	PersonTitleTxt
Signature	2026-05-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristen Farr Capizzi	PreparerPersonNm
PTIN	P02176875	PTIN
Phone	3128792000	PhoneNum
Preparation	2026-05-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TODD HANCOCK	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E MARSHALL AVE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$706,028,442	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTUSHEALTH.ORG/GOOD-SHEPHERD/LONGVIEW	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION REGARDLESS OF RACE, SEX, CREED, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	3290	TotalEmployeeCnt
Total Volunteers	65	TotalVolunteersCnt
Total Gross UBI	$84,834	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$710,214	PYContributionsGrantsAmt
CY Contributions Grants	$1,832,360	CYContributionsGrantsAmt
PY Program Service Revenue	$695,551,919	PYProgramServiceRevenueAmt
CY Program Service Revenue	$702,330,552	CYProgramServiceRevenueAmt
PY Investment Income	-$14,218	PYInvestmentIncomeAmt
CY Investment Income	$252,285	CYInvestmentIncomeAmt
PY Other Revenue	$420,965	PYOtherRevenueAmt
CY Other Revenue	$635,373	CYOtherRevenueAmt
PY Total Revenue	$696,668,880	PYTotalRevenueAmt
CY Total Revenue	$705,050,570	CYTotalRevenueAmt
PY Grants And Similar Paid	$384,342	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$98,171	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$202,186,097	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$208,699,226	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$137,480	CYTotalFundraisingExpenseAmt
PY Other Expenses	$432,722,935	PYOtherExpensesAmt
CY Other Expenses	$423,162,111	CYOtherExpensesAmt
PY Total Expenses	$635,293,374	PYTotalExpensesAmt
CY Total Expenses	$631,959,508	CYTotalExpensesAmt
PY Revenues Less Expenses	$61,375,506	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$73,091,062	CYRevenuesLessExpensesAmt
Total Assets BOY	$396,813,747	TotalAssetsBOYAmt
Total Assets EOY	$413,379,254	TotalAssetsEOYAmt
Total Liabilities BOY	$133,234,733	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$130,601,866	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$263,579,014	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$282,777,388	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$209,759,127	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$326,943,979	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$218,697,676	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$275,373,823	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$57,516,058	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$71,165,716	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$4,573,738	ExpenseAmt
Grant	$98,171	GrantAmt
Revenue	$0	RevenueAmt
Desc	CHRISTUS GOOD SHEPHERD MEDICAL CENTER also undertook additional activities of comparable importance, including those conducted with volunteer labor or smaller in terms of expenses related to the poor & underserved and broader community. POOR & UNDERSERVED: EXPENSES OF $627,955; GRANTS OF $1,220 BROADER COMMUNITY: EXPENSES OF $3,945,783; GRANTS OF $44,392 ADDITIONAL GRANTS: GRANTS OF $52,559	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$4,573,738	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$98,171	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$490,546,599	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3290	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEE SONNE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4692822000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5101 N OCONNOR BLVD	AddressLine1Txt
City	IRVING	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75039	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Shannon Dacus
Board Director / Chairperson (term 12/24)	11.0	29.0	Yes (X)	Yes (X)	$0	$0	$0
Todd Hancock
System President/Chief Executive Officer	17.0	23.0	Yes (X)	Yes (X)	$0	$848,626	$58,387
Andria Cardinalli-Stein MD
Board Director (TERM 12/24)	8.0	32.0	Yes (X)		$0	$493,316	$16,048
Bill Chen PhD
Board Director (TERM 12/24)	4.0	10.0	Yes (X)		$0	$17,823	$0
Chris Glenney
Board Director/Chairperson (EFF 1/25)	20.0	20.0	Yes (X)		$0	$1,661,685	$88,960
Dick Stone
Board Director (TERM 12/24)	10.0	30.0	Yes (X)		$0	$0	$0
Fred Harris Jr
Board Director (TERM 12/24)	10.0	30.0	Yes (X)		$0	$0	$0
Jean Coleman
Board Director (TERM 12/24)	8.0	32.0	Yes (X)		$0	$0	$0
Jeb Jones
Board Director	10.0	30.0	Yes (X)		$0	$0	$0
Jeffrey Puckett
Board Director (TERM 12/24)	13.0	27.0	Yes (X)		$0	$6,823,352	$56,703
Joe Bob Burgin
Board Director (TERM 12/24)	10.0	30.0	Yes (X)		$0	$0	$0
Mark Anderson MD
Board Director	11.0	29.0	Yes (X)		$0	$942,905	$101,941
Michael Hallum
Board Director (TERM 12/24)	4.0	36.0	Yes (X)		$0	$0	$0
Preston Smith
Board Director (TERM 12/24)	11.0	29.0	Yes (X)		$0	$0	$0
Randy Childress
Board Director (TERM 12/24)	4.0	36.0	Yes (X)		$0	$0	$0
Sister Guadalupe Ruiz
Board Director (TERM 12/24)	4.0	36.0	Yes (X)		$0	$0	$0
Sister Rita Fanning
Board Director	2.0	38.0	Yes (X)		$0	$0	$0
Sister Rosanne Popp
Board Director	4.0	36.0	Yes (X)		$0	$262,179	$7,720
Sonja Yates Hubbard
Board Director (TERM 12/24)	8.0	32.0	Yes (X)		$0	$0	$0
Steve Keuer MD
Board Director	10.0	30.0	Yes (X)		$0	$1,383,326	$63,591
Jaclynn Harrison
NETX/NLA HEALTH SYSTEM Chief Financial Officer	10.0	30.0		Yes (X)	$0	$778,682	$41,356
JANNA GARCIA-CHAPA
CORPORATE SECRETARY (TERM 9/24)	20.0	20.0		Yes (X)	$0	$71,074	$1,509
Michael Cheek
Chief Financial Officer for Christus Good Shepherd Medical Center	40.0	0.0		Yes (X)	$0	$529,536	$110,297
SONIA ACOSTA
CORPORATE SECRETARY (EFF 10/24)	20.0	20.0		Yes (X)	$0	$25,472	$170
James Brogan
Vice President Mission Integration	40.0	0.0			$0	$171,246	$38,697	Yes (X)
Jim Gaton
Vice President Operations	40.0	0.0			$0	$329,963	$9,553	Yes (X)
Kurt DeVaney
Chief Operations Officer	40.0	0.0			$0	$304,477	$16,219	Yes (X)
Roy Finch
Vice President Operations	40.0	0.0			$0	$334,363	$10,158	Yes (X)
Suhel Patel
Chief Marketing Officer	40.0	0.0			$0	$640,662	$47,851	Yes (X)
Teresa Halcomb
Chief Networking Officer Longview	40.0	0.0			$0	$408,870	$109,840	Yes (X)
DANIEL D SMITH
Certified Registered Nurse Anesthetist	40.0	0.0			$495,640	$0	$53,400		Yes (X)
Joseph Mcree
Certified Registered Nurse Anesthetist	40.0	0.0			$411,154	$0	$47,538		Yes (X)
Randy W Young
Certified Registered Nurse Anesthetist	40.0	0.0			$393,729	$0	$35,581		Yes (X)
Richard G Johnson
Certified Registered Nurse Anesthetist	40.0	0.0			$397,976	$0	$29,340		Yes (X)
Tawonda J Felton
Certified Registered Nurse Anesthetist	40.0	0.0			$400,653	$0	$31,597		Yes (X)
Jamie DOWELL
Former Secretary (term 12/20)	0.0	40.0			$0	$173,021	$20,829			Yes (X)
Jason Adams
Chief Operations Officer (TERM 10/19)	0.0	40.0			$0	$780,669	$39,400			Yes (X)
Ken Cunningham
Vice President General Counsel (TERM 12/20)	0.0	40.0			$0	$630,083	$29,295			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,099,152	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$17,611,330	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,065,980	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	276	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,832,360	RelatedOrganizationsAmt
Total Contributions	$1,832,360	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621990	$647,564,917	$647,564,917
PHYSICIAN SUPPORT SERVICE	900099	$51,101,325	$51,101,325
LIFE WELLNESS CENTER	713940	$3,315,348	$3,315,348
I/C SHARED SERVICE OH REVENUE	900099	$140,793	$140,793

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$208,169	TotalRevenueColumnAmt
Related Or Exempt Func Income	$208,169	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$702,330,552	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$253,187	TotalRevenueColumnAmt
Exclusion	$253,187	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,130,275	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$976,970	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$153,305	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$153,305	TotalRevenueColumnAmt
Unrelated Business Revenue	$84,834	UnrelatedBusinessRevenueAmt
Exclusion	$68,471	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$902	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$902	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$902	TotalRevenueColumnAmt
Exclusion	-$902	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
OTHER REVENUE	900099	$461,704	$461,704
Ins Claim Exp Revenue	900099	$14,467	$14,467
SPA REVENUE	900099	$5,897	$5,897

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$482,068	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$705,050,570	TotalRevenueColumnAmt
Related Or Exempt Func Income	$702,330,552	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$84,834	UnrelatedBusinessRevenueAmt
Exclusion	$802,824	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$98,171	TotalAmt
Program Services	$98,171	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$169,858,318	TotalAmt
Program Services	$157,167,813	ProgramServicesAmt
Management And General	$12,637,151	ManagementAndGeneralAmt
Fundraising	$53,354	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,430,276	TotalAmt
Program Services	$3,359,699	ProgramServicesAmt
Management And General	$68,434	ManagementAndGeneralAmt
Fundraising	$2,143	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,118,864	TotalAmt
Program Services	$23,243,506	ProgramServicesAmt
Management And General	$865,710	ManagementAndGeneralAmt
Fundraising	$9,648	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,291,768	TotalAmt
Program Services	$11,143,996	ProgramServicesAmt
Management And General	$143,764	ManagementAndGeneralAmt
Fundraising	$4,008	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	-$1,000	TotalAmt
Program Services	-$1,000	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,364	TotalAmt
Program Services	$9,364	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$858	TotalAmt
Management And General	$858	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$221,681,193	TotalAmt
Program Services	$116,088,664	ProgramServicesAmt
Management And General	$105,588,136	ManagementAndGeneralAmt
Fundraising	$4,393	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,162,983	TotalAmt
Program Services	$1,157,380	ProgramServicesAmt
Management And General	$5,603	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,087,246	TotalAmt
Program Services	$18,505,544	ProgramServicesAmt
Management And General	$526,852	ManagementAndGeneralAmt
Fundraising	$54,850	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,743,331	TotalAmt
Program Services	$15,747,119	ProgramServicesAmt
Management And General	$996,212	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$204,275	TotalAmt
Program Services	$185,274	ProgramServicesAmt
Management And General	$16,302	ManagementAndGeneralAmt
Fundraising	$2,699	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$404,734	TotalAmt
Program Services	$393,209	ProgramServicesAmt
Management And General	$11,001	ManagementAndGeneralAmt
Fundraising	$524	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$801,496	TotalAmt
Program Services	$802,346	ProgramServicesAmt
Management And General	-$850	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,500,309	TotalAmt
Program Services	$19,500,309	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,848,564	TotalAmt
Program Services	$4,312,183	ProgramServicesAmt
Management And General	$2,536,381	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Expense	$102,562,765	$102,549,113	$13,274	$378
LPPF Tax Expense	$46,298,632	$46,298,632
Meals and Entertainment	$161,905	$59,673	$97,756	$4,476
Tax and Fees	-$12,718,952	-$969,970	-$11,748,982

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$414,408	TotalAmt
Program Services	-$257,392	ProgramServicesAmt
Management And General	$670,793	ManagementAndGeneralAmt
Fundraising	$1,007	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$631,959,508	TotalAmt
Program Services	$519,393,633	ProgramServicesAmt
Management And General	$112,428,395	ManagementAndGeneralAmt
Fundraising	$137,480	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,810,026	BOYAmt
EOY	$6,445,713	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$67,941,921	BOYAmt
EOY	$70,985,082	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$494,420	BOYAmt
EOY	$607,422	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,230,703	BOYAmt
EOY	$8,549,291	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$22,277,079	BOYAmt
EOY	$6,019,396	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$326,618,271	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$123,878,918	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$176,013,124	BOYAmt
EOY	$202,739,353	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$5,124,875	BOYAmt
EOY	$5,378,360	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$110,921,599	BOYAmt
EOY	$112,654,637	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$396,813,747	BOYAmt
EOY	$413,379,254	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,875,483	BOYAmt
EOY	$19,878,557	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$128,486	BOYAmt
EOY	$183,379	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$109,230,764	BOYAmt
EOY	$110,539,930	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$133,234,733	BOYAmt
EOY	$130,601,866	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$263,452,014	BOYAmt
EOY	$282,650,388	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$127,000	BOYAmt
EOY	$127,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$263,579,014	BOYAmt
EOY	$282,777,388	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$396,813,747	BOYAmt
EOY	$413,379,254	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$73,091,062	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$53,892,688	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$858	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$858	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1g LOBBYING DESCRIPTION	FormAndLineReferenceDesc
Explanation	At the federal level, CHRISTUS Good Shepherd Medical Center leadership communicated verbally and in writing with members of the Congress and administration officials to discuss issues important to our ministry. These issues include, but are not limited to, issues related to safety-net providers, access to care, health care reform proposals, quality program implementation, rural hospitals, remote medical technology, 340B Drug Pricing Program, site neutral payments, community project funding, freestanding emergency departments, Medicare payments, value-based payment models, children's health issues, CHGME, Medicaid, supplemental payment programs, rural health program reauthorization, violence against healthcare workers, women's health, and health care for veterans, service members, and their families. At the state level, CHRISTUS Good Shepherd Medical Center leadership communicated verbally and in writing with members of the Texas Legislature and administration officials regarding issues important to our ministry. These issues include, but are not limited to, issues related to Medicaid reimbursement, access to health care, state funding for safety net providers, regulatory oversight of operations, emergency preparedness, vaccine mandates, workplace violence, graduate medical education, trauma network and services, local provider participation funds, maternal health, children's health issues, behavioral health, Medicaid managed care, prescription drugs costs, pharmacy and prescribing authority, rural hospitals, physician relations, itemized billing, foster care reform, Medicaid directed payment programs, health care staffing, price transparency, and the 1115 waiver program. 3 EXECUTIVE HOURS CHRISTUS GOOD SHEPHERD MEDICAL CENTER DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-25.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,703,444	OtherCostOrOtherBasisAmt
Book Value	$11,703,444	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$91,667,066	OtherCostOrOtherBasisAmt
Depreciation	$27,394,683	DepreciationAmt
Book Value	$64,272,383	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,836,010	OtherCostOrOtherBasisAmt
Depreciation	$4,279,954	DepreciationAmt
Book Value	$9,556,056	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$193,142,737	OtherCostOrOtherBasisAmt
Depreciation	$91,990,284	DepreciationAmt
Book Value	$101,152,453	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,269,014	OtherCostOrOtherBasisAmt
Depreciation	$213,997	DepreciationAmt
Book Value	$16,055,017	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$202,739,353	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
ROU TRANSACTIONS	$104,115,578
OTHERS	$28
ASSET CLEARING	$7,086,374
INTERCOMPANY ACCOUNTS PAYABLE	$1,452,657

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$112,654,637	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Federal Income Taxes
Operating Lease Liability	$77,146,796
ROU Operating Accum Amortization	$33,422,623
Error Suspense	-$29,489

Field	Value	IRS element (for citing)
Total Liability	$110,539,930	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2025 OR 2024.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$43,651,330	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,651,330	NetCommunityBenefitExpnsAmt
Total Expense	0.06907	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$57,516,058	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,165,716	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$101,167,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,165,716	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,651,330	NetCommunityBenefitExpnsAmt
Total Expense	0.06907	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	157003	PersonsServedCnt
Total Community Benefit Expns	$2,549,080	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,549,080	NetCommunityBenefitExpnsAmt
Total Expense	0.00403	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	14073	PersonsServedCnt
Total Community Benefit Expns	$722,534	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$722,534	NetCommunityBenefitExpnsAmt
Total Expense	0.00114	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1200	PersonsServedCnt
Total Community Benefit Expns	$1,216,172	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,216,172	NetCommunityBenefitExpnsAmt
Total Expense	0.00192	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	662	PersonsServedCnt
Total Community Benefit Expns	$68,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,892	NetCommunityBenefitExpnsAmt
Total Expense	0.00011	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	172938	PersonsServedCnt
Total Community Benefit Expns	$4,556,678	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,556,678	NetCommunityBenefitExpnsAmt
Total Expense	0.00721	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	172938	PersonsServedCnt
Total Community Benefit Expns	$105,724,066	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,165,716	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,208,008	NetCommunityBenefitExpnsAmt
Total Expense	0.07628	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$25,286	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,286	NetCommunityBenefitExpnsAmt
Total Expense	0.00004	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	6875	PersonsServedCnt
Total Community Benefit Expns	$60,666	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,666	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	6875	PersonsServedCnt
Total Community Benefit Expns	$85,952	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$85,952	NetCommunityBenefitExpnsAmt
Total Expense	0.00014	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$109,284,358	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$102,649,172	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$6,635,186	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CHRISTUS GOOD SHEPHERD MED CTR-LNGVW
1	700 E MARSHALL AVE	LONGVIEW	TX	75601	https://www.christushealth.org/locations/longview-hospital	000020	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CHRISTUS GOOD SHEPHERD MED CTR-MRSHLL
2	811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	https://www.christushealth.org/locations/marshall-hospital	000020	Yes (X)	Yes (X)		Yes (X)	A
Good Shepherd Medical Center North Park
3	323 E Hawkins Parkway	Longview	TX	75605		000020	Yes (X)	Yes (X)		Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	3	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	25	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SUPPLEMENTAL INFORMATION	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SUPPLEMENTAL INFORMATION	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITY'S MOST RECENT CHNA REPORT INCLUDED A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT WAS COMPLETED, AND THE MINISTRY CEO/PRESIDENT AND EXECUTIVE LEADERSHIP TEAM REVIEWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025 (COMPLETION DATE), WITH BOARD OF DIRECTORS' RATIFICATION ON July 31, 2025 (RATIFICATION DATE). THE FY2026-2028 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS DESIGNED TO MAXIMIZE INPUT FROM THE COMMUNITY, INCLUDING THOSE WITH EXPERTISE IN HEALTH DATA AND COMMUNITY HEALTH IMPACT. (SEE "CHAPTER 5: CHNA PROCESS" OF THE CHNA FOR FULL DETAIL.) THE PROCESS BEGAN WITH A THOROUGH REVIEW OF DATA FROM PREVIOUS ASSESSMENT CYCLES TO EVALUATE PROGRESS ON THE HEALTH PRIORITIES IDENTIFIED IN EARLIER YEARS. THIS RETROSPECTIVE ANALYSIS HELPED SHAPE THE FOUNDATION FOR A COMPREHENSIVE, FORWARD-LOOKING APPROACH. ALIGNED WITH THE RESULTS-BASED ACCOUNTABILITY (RBA) FRAMEWORK, THE CHNA PROCESS FOCUSED ON OUTCOMES ACROSS THE LIFESPAN AND INTEGRATED INPUT FROM COMMUNITY MEMBERS AND STAKEHOLDERS AT EVERY STEP. RESULTS-BASED ACCOUNTABILITY (RBA) IS A STRUCTURED METHODOLOGY THAT ENABLES ORGANIZATIONS TO TRANSLATE DATA INTO MEANINGFUL ACTION BY FIRST ARTICULATING THE DESIRED COMMUNITY OUTCOMES AND THEN SELECTING CLEAR, MEASURABLE INDICATORS TO MONITOR PROGRESS. IT INTEGRATES A FOCUS ON POPULATION-LEVEL ACCOUNTABILITY, WHICH CONSIDERS BROAD COMMUNITY RESULTS, WITH PERFORMANCE ACCOUNTABILITY FOR SPECIFIC PROGRAMS AND SERVICES, PROMPTING STAKEHOLDERS TO SYSTEMATICALLY ASK, "HOW ARE WE DOING? "WHAT WORKS?" THIS DISCIPLINED APPROACH ENSURES THAT STRATEGIES ARE CONTINUOUSLY EVALUATED AND REFINED, AND THAT RESOURCES ARE DIRECTED TOWARD INTERVENTIONS WITH THE GREATEST IMPACT. TO ENSURE A FULL PICTURE OF COMMUNITY HEALTH NEEDS, CHRISTUS HEALTH COLLECTED BOTH QUANTITATIVE AND QUALITATIVE DATA FROM A VARIETY OF SOURCES, ENGAGING KEY STAKEHOLDERS INCLUDING RESIDENTS, HEALTH CARE PROVIDERS, LOCAL LEADERS AND NONPROFIT ORGANIZATIONS. THIS PROCESS EMPHASIZED THE IMPORTANCE OF LISTENING TO THOSE WHO LIVE AND WORK IN THE COMMUNITY-INDIVIDUALS WITH DEEP INSIGHT INTO THE SOCIAL, ECONOMIC AND ENVIRONMENTAL CONDITIONS THAT IMPACT HEALTH. METOPIO, A DATA PLATFORM DESIGNED FOR COMMUNITY ENGAGEMENT, SUPPORTED THE CHNA BY ENABLING REAL-TIME DATA VISUALIZATION AND EXPLORATION. THROUGH METOPIO, PARTICIPANTS COULD BETTER UNDERSTAND INDICATORS AND PROVIDE MEANINGFUL INPUT ON WHICH ISSUES WERE MOST RELEVANT TO THEIR COMMUNITIES. THE DATA COLLECTION STEPS, INCLUDING BROAD COMMUNITY INVOLVEMENT, INCLUDED THE FOLLOWING: COMMUNITY SURVEY: DISTRIBUTED TO CHRISTUS ASSOCIATES, PATIENTS AND RESIDENTS TO GATHER INSIGHTS ON SOCIAL NEEDS AND HEALTH CHALLENGES. AS PART OF THE 2026-2028 CHNA, CHRISTUS HEALTH AND METOPIO CREATED A COMMUNITY SURVEY TO HEAR DIRECTLY FROM ASSOCIATES, PATIENTS AND RESIDENTS ABOUT THE SOCIAL AND HEALTH-RELATED CHALLENGES THEY FACE. THE SURVEY WAS OFFERED ONLINE AND ON PAPER, IN ENGLISH, SPANISH, VIETNAMESE AND MARSHALLESE, TO REACH AS MANY PEOPLE AS POSSIBLE. IT INCLUDED QUESTIONS ALIGNED WITH CLINICAL SOCIAL NEEDS SCREENING TOOLS - COVERING ISSUES LIKE FOOD, HOUSING, TRANSPORTATION AND THE ABILITY TO PAY FOR CARE. WHILE NOT DESIGNED TO BE STATISTICALLY REPRESENTATIVE, THE SURVEY GAVE A VALUABLE LOOK INTO REAL-LIFE CONCERNS ACROSS DIVERSE COMMUNITIES. THESE INSIGHTS HELP SHAPE A MORE INCLUSIVE IMPLEMENTATION PLAN THAT REFLECTS BOTH THE DATA AND THE VOICES OF THE PEOPLE WE SERVE. CGS RECEIVED 813 RESPONSES TO THE COMMUNITY SURVEY. COMMUNITY INDICATOR WORKGROUPS: ENGAGED STAKEHOLDERS IN IDENTIFYING MEANINGFUL INDICATORS ALIGNED WITH COMMUNITY PRIORITIES. THE COMMUNITY INDICATOR WORKGROUPS BROUGHT TOGETHER 43 RESIDENTS, LOCAL LEADERS AND PARTNERS TO DEFINE WHAT GOOD HEALTH LOOKS LIKE AT EVERY LIFE STAGE-FROM EARLY CHILDHOOD TO OLDER ADULTHOOD. PARTICIPANTS DISCUSSED THE SIGNS, OR INDICATORS, THAT SHOW WHETHER COMMUNITIES ARE MEETING THOSE HEALTH GOALS. TOGETHER, THEY SELECTED THE MOST IMPORTANT INDICATORS BY ASKING: CAN WE TRUST THE DATA? IS IT EASY TO UNDERSTAND AND TALK ABOUT? AND DOES IT REPRESENT SOMETHING BIGGER? THE INDICATORS THAT STOOD OUT WILL GUIDE OUR FOCUS FOR THE NEXT THREE YEARS TO IMPROVE HEALTH WHERE IT MATTERS MOST. DATA DICTIONARY WORK SESSION: REFINED EACH LEADING INDICATOR WITH BOTH LAY AND TECHNICAL DEFINITIONS, ENSURING CLARITY AND ALIGNMENT. THE DATA DICTIONARY WORK SESSION WAS A KEY PART OF THE CHNA PROCESS, WHERE 15 COMMUNITY MEMBERS AND STAKEHOLDERS WITH EXPERTISE IN HEALTH DATA CAME TOGETHER TO MAKE SURE EACH HEALTH MEASURE WAS CLEAR, MEANINGFUL AND EASY TO UNDERSTAND. FOR EVERY LEADING INDICATOR IDENTIFIED, PARTICIPANTS REVIEWED BOTH SIMPLE AND TECHNICAL DEFINITIONS, ALONG WITH GRAPHS AND CHARTS, TO ENSURE THE DATA MADE SENSE AND REFLECTED COMMUNITY PRIORITIES. THESE SESSIONS HELPED CONFIRM THAT THE DATA WE USE IS NOT ONLY ACCURATE BUT ALSO TRULY REPRESENTS THE ISSUES THAT MATTER MOST TO THE PEOPLE WE SERVE-LAYING THE GROUNDWORK FOR DEEPER CONVERSATIONS IN THE FOCUS GROUPS THAT FOLLOWED [SEE CHNA PAGE 41 FOR FULL LIST OF PARTICIPANTS]. COMMUNITY FOCUS GROUPS: BROUGHT TOGETHER DIVERSE VOICES TO CONTEXTUALIZE THE DATA AND VALIDATE FINDINGS THROUGH LIVED EXPERIENCE. TO BETTER UNDERSTAND LOCAL HEALTH NEEDS, CHRISTUS HEALTH HELD EIGHT COMMUNITY FOCUS GROUPS WITH 5-8 PARTICIPANTS EACH INVOLVING PEOPLE FROM ALL WALKS OF LIFE-HOUSEKEEPERS AND FOOD SERVICES ASSOCIATES, PASTORS, CHURCH MEMBERS, COMMUNITY LEADERS, FRONT-LINE STAFF AND RESIDENTS. THESE SESSIONS TOOK PLACE AT FAMILIAR COMMUNITY GATHERINGS TO MAKE PARTICIPATION EASIER AND MORE INCLUSIVE. USING DATA FROM EARLIER WORK SESSIONS AS A STARTING POINT, PARTICIPANTS SHARED HOW HEALTH ISSUES SHOW UP IN THEIR LIVES AND COMMUNITIES. THEIR STORIES ADDED DEPTH AND CONTEXT TO THE NUMBERS, HELPING US SEE THE FULL PICTURE AND ENSURING COMMUNITY VOICES DIRECTLY SHAPED THE HEALTH PRIORITIES MOVING FORWARD. FOCUS GROUPS INCLUDED: CHRISTUS GOOD SHEPHERD HEALTH SYSTEM (CGSHS) COMMUNITY BENEFIT ADVISORY COUNCIL (CBAC), CGSHS ASSOCIATES, DIOCESE OF TYLER - EAST CENTRAL AND NORTHEAST DEANERIES, LONGVIEW AREA INTERDENOMINATIONAL MINISTERIAL ALLIANCE (LAIMA), MARION COUNTY HEALTH AND RESOURCE ALLIANCE, MARSHALL-HARRISON COUNTY JUNETEENTH COMMITTEE, AND MARSHALL MINISTERIAL ALLIANCE. THIS MULTI-STEP, MIXED-METHODS APPROACH WAS DESIGNED TO ENSURE THE CHNA WAS COMMUNITY-INFORMED, DATA-DRIVEN AND ALIGNED WITH LOCAL HEALTH PRIORITIES. TOGETHER, THE FINDINGS SERVE AS A POWERFUL FOUNDATION FOR THE DEVELOPMENT OF TARGETED IMPLEMENTATION STRATEGIES THAT REFLECT THE VOICES AND EXPERIENCES OF THE PEOPLE CHRISTUS HEALTH IS CALLED TO SERVE.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. IN THIS TAX YEAR, CGS ADDRESSED COMMUNITY NEEDS ACCORDING TO THE FY2023-2025 COMMUNITY HEALTH NEED ASSESSMENT AND IMPLEMENTATION PLAN; CGS ALSO CONDUCTED ITS COMMUNITY HEALTH ASSESSMENT AND INITIATED AN IMPLEMENTATION PLAN FOR FY2026-2028. THEREFORE, WE INCLUDE A REPORT OF ACTIVITY ACCORDING TO THE FY2023-2025 CHNA AND CHIP AND INTRODUCE THE STRATEGY FOR THE FY2026-2028 CHNA AND CHIP. FY2023-2025 BASED ON COMMUNITY INPUT AND ANALYSIS OF A MYRIAD OF DATA, THE PRIORITIES FOR THE COMMUNITIES SERVED BY CGSMC FOR FISCAL YEARS 2023 - 2025 FALL INTO TWO DOMAINS UNDERNEATH AN OVERARCHING GOAL OF ACHIEVING HEALTH EQUITY. THE TWO DOMAINS AND CORRESPONDING HEALTH NEEDS ARE: DOMAIN I: ADVANCE HEALTH AND WELLBEING A. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT: DIABETES, OBESITY, HEART DISEASE 1. PROVIDE SCREENING AND EDUCATION OPPORTUNITIES ABOUT HEART DISEASE, DIABETES, AND OBESITY. 2. EMPOWER COMMUNITY MEMBERS TO MANAGE THEIR HEART DISEASE, DIABETES, AND/OR HEART DISEASE. HIGHLIGHTS FOR SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT: - Wellness Scholarships for Institute for Health Living. - Health educations/screenings events: Longview MLK family festival; Longview Homeless Resource Day; Marshall Black History Month Festival; Buckner family resource fair, Your Best Care Day, Juneteenth events in Longview, Marshall, and Jefferson; Marion County Resource Fairs. - Grants to "A Diva's Journey Ministry in Music "Your Best Care Day" fostering Breast Cancer awareness. - PINK RIBBON JOURNEY SUPPORT GROUP FOR CANCER SURVIVORS AND THEIR FAMILIES. - Reduced Cost and free breast Cancer Screenings through Mobile Mammography Unit. - PUBLIC HEALTH AMERICORPS COMMUNITY HEALTH WORKER (HEART PROJECT) TO INCREASE RESOURCE ACCESS FOR PATIENTS LACKING ACCESS TO HEALTHY FOOD. B. BEHAVIORAL HEALTH: MENTAL HEALTH, SUBSTANCE ABUSE 1. INCREASE ACCESS TO MENTAL HEALTH RESOURCES. 2. DEVELOP COMMUNITY CONNECTIONS FOR MENTAL HEALTH SERVICES. 3. INCREASE ACCESS TO SUBSTANCE ABUSE TREATMENT. HIGHLIGHTS FOR BEHAVIORAL HEALTH: - Community HealthCore Transportation for uninsured patients to behavioral health inpatient facilities. - GRANT TO HEARTSWAY HOSPICE FOR LECTURE TO INCREASE AWARENESS OF HOSPICE SERVICES. - Grant to Longview Museum of Fine Arts - Grant to Women's Center of East Texas for Human Trafficking Conference. - Greater Longview Optimal Wellness (GLOW): GLOW is a community collaborative to identify under-resourced individuals who often rely on 911 services (EMS, Emergency Departments) for non-emergent needs. GLOW then works to connect those individuals with the appropriate health or community resource, including behavioral health resources. CGS is a partner member. - SITTER PROGRAM INCREASING SAFETY AND COMPANIONSHIP OF PATIENTS WITH FALL RISK OR BEHAVIORAL HEALTH NEED. C. PRIMARY CARE 1. INCREASE ACCESS TO PRIMARY CARE. 2. REDUCE INEQUITIES CAUSED BY CULTURAL BARRIERS TO CARE OR SOCIAL DETERMINANTS OF HEALTH. HIGHLIGHTS FOR PRIMARY CARE: - Sports Medicine/Athletic Trainers - Free Saturday Morning Injury Clinic - Free Transportation Assistance for Health Care Access - EDUCATION 1. PROVIDE EDUCATION OPPORTUNITIES FOR CURRENT AND POTENTIAL HEALTHCARE STUDENTS. HIGHLIGHTS FOR EDUCATION: - Nursing Education - Allied Health Education - HIGH SCHOOL/NON-COLLEGIATE ALLIED HEALTH EDUCATION - CPR/FIRST AID AND TRAUMA EDUCATION TO NURSING STUDENTS - Grant to City of Longview MLK Celebration CHRISTUS HEALTH WILL CONTINUE TO INVEST IN CARE DELIVERY INNOVATIONS AND EXPAND PROGRAMS THAT ADDRESS PREVENTION FOR HEART DISEASE, OBESITY, DIABETES AND IMPROVE ACCESS TO CARE. KEY PARTNERS THAT MAY SUPPORT THESE INITIATIVES ARE WELLNESS POINTE (FQHC), GENESIS PRIME CARE (FQHC), SECONDARY SCHOOLS AND AREA COLLEGES AND UNIVERSITIES WITH HEALTHCARE PROGRAMS, CHAMBERS OF COMMERCE, OUR CHRISTUS TRINITY CLINICS AND CHRISTUS HEALTH DIETICIANS AND EDUCATORS, CATHOLIC CHARITIES PARISH NURSES, AND EVENT SPONSORS WHO SUPPORT PUBLIC HEALTH EDUCATION. CHRISTUS HEALTH WILL FOCUS ON BUILDING A COALITION TO ADDRESS BEHAVIORAL HEALTH ISSUES IN THE SERVICE AREA WITH POTENTIAL PARTNERS: GREGG AND HARRISON COUNTIES; CITIES OF LONGVIEW AND MARSHALL; COMMUNITY HEALTHCORE; OCEANS; GREATER LONGVIEW OPTIMAL WELLNESS; TWELVE WAY; AND BEHAVIORAL HEALTH PARTNER AGENCIES OF THE GREATER LONGVIEW UNITED WAY. DOMAIN II: BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS A. IMPROVE FOOD ACCESS 1. CULTIVATE AND MAINTAIN PARTNERSHIPS TO IMPROVE ACCESS TO HEALTH FOOD IN FOOD DESERTS. 2. PROVIDE NUTRITION EDUCATION FOR INDIVIDUALS, PATIENTS AND FAMILIES. HIGHLIGHTS FOR IMPROVE FOOD ACCESS: - MISSION MARSHALL REMOTE FOOD LOCKER Lives impacted: 450 B. REDUCE SMOKING AND VAPING 1. CONTRIBUTE TO COMMUNITY-BASED SMOKING CESSATION EFFORTS. 2. PARTNER WITH SCHOOLS TO REDUCE VAPING AMONG STUDENTS. Highlight for REDUCE SMOKING AND VAPING: - INTERNAL MEDICINE RESIDENTS OFFERED HEALTH INFORMATION ON DANGERS OF SMOKING AND VAPING IN HEALTH EDUCATION AT COMMUNITY HEALTH EVENTS. CHRISTUS HEALTH WILL CONTINUE TO INVEST IN CARE DELIVERY INNOVATIONS AND EXPAND PROGRAMS THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. KEY PARTNERS THAT SUPPORT THESE INITIATIVES ARE GREATER LONGVIEW OPTIMAL WELLNESS, LONGVIEW COMMUNITY MINISTRIES AND OTHER GREATER LONGVIEW UNITED WAY AGENCIES, EAST TEXAS FOOD BANK, CATHOLIC CHARITIES AND PARISH NURSES, AREA INDEPENDENT SCHOOL DISTRICTS, AND MISSION MARSHALL. NEEDS NOT ADDRESSED DURING THE THIRD TAX YEAR OF THE NEW CHNA, CGS INITIATED OR CONTINUED STRATEGIES TO ADDRESS EACH OF THE GOALS TO ADVANCE HEALTH AND WELLBEING (DOMAIN I) AND BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS (DOMAIN II). FY2026-2028 DESCRIPTION: TO BETTER UNDERSTAND AND RESPOND TO THE EVOLVING NEEDS OF THE COMMUNITIES WE SERVE, CHRISTUS GOOD SHEPHERD STRUCTURED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) USING A LIFESPAN APPROACH. THIS FRAMEWORK ORGANIZES DATA, PRIORITIES AND STRATEGIES BY KEY STAGES OF LIFE, RECOGNIZING THAT HEALTH NEEDS - AND THE FACTORS THAT INFLUENCE THEM - SHIFT AS INDIVIDUALS GROW, AGE AND MOVE THROUGH DIFFERENT PHASES OF LIFE. CHRISTUS GOOD SHEPHERD IDENTIFIED THREE TO FIVE LEADING HEALTH INDICATORS WITHIN EACH OF THE FOLLOWING FOUR LIFE STAGES: MATERNAL AND EARLY CHILDHOOD (PREGNANCY THROUGH AGE 4) SCHOOL-AGE CHILDREN AND ADOLESCENTS (AGES 5-17) ADULTS (AGES 18-64) OLDER ADULTS (AGES 65-UP) SEGMENTING OUR WORK IN THIS WAY ENSURES THAT INTERVENTIONS ARE AGE-APPROPRIATE, CULTURALLY RESPONSIVE AND ALIGNED WITH THE UNIQUE DEVELOPMENTAL, SOCIAL AND HEALTH NEEDS OF EACH PHASE OF LIFE. AT THE SAME TIME, WE RECOGNIZE THAT HEALTH IS DEEPLY INTERCONNECTED - MATERNAL HEALTH AFFECTS INFANT OUTCOMES, EARLY TRAUMA CAN INFLUENCE LONG-TERM WELL-BEING AND INVESTMENTS IN ONE LIFE STAGE OFTEN RIPPLE INTO THE NEXT. THE LEADING INDICATORS ACROSS LIFESPANS INCLUDE PRIMARY CARE, CHRONIC DISEASE, BEHAVIORAL/MENTAL HEALTH, EDUCATION/WORKFORCE DEVELOPMENT, AND AFFORDABLE HEALTH INSURANCE. THIS PROCESS INCLUDED TOOLS FROM THE RESULTS-BASED ACCOUNTABILITY MODEL, FOCUSING ON USING TREND DATA TO UNDERSTAND WHETHER COMMUNITY CONDITIONS ARE IMPROVING OVER TIME, RATHER THAN FOCUSING ON YEAR-TO-YEAR FLUCTUATIONS. BASED ON THESE DISCUSSIONS EACH WORKGROUP IDENTIFIED 3-5 LEADING HEALTH INDICATORS FOR THEIR RESPECTIVE LIFE STAGES. THEY NOW SERVE AS A SHARED FOCUS FOR CSBHE STRATEGIES, AND PARTNERSHIPS OVER THE NEXT THREE YEARS.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300 OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300 OF THE FEDERAL POVERTY GUIDELINE WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300 AND 400 OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB.
Schedule H, Part V, Section B, Line 15 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY FOR AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY AND ADMISSIONS AREAS. IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE). EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING THE TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS. IN AN EFFORT TO MORE WIDELY PUBLICIZE OUR FINANCIAL ASSISTANCE WITHIN OUR COMMUNITY, INCLUDING PERSONS MORE LIKELY TO REQUIRE FINANCIAL ASSISTANCE, WE SUBMITTED A COPY OF OUR PLAIN LANGUAGE FINANCIAL ASSISTANCE POLICY TO A NUMBER OF ORGANIZATIONS THAT INTERACT WITH POOR POPULATION GROUPS. THESE ORGANIZATIONS INCLUDE COUNTY HEALTH DEPARTMENTS, FQHCS, VARIOUS NON-PROFITS AND MINISTRIES SUPPORTED BY THE UNITED WAY AND OTHER AGENCIES SERVING THE POOR, AND AREA CHURCHES.
Schedule H, Part V, Section B, Line 20 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
INSTITUTE FOR HEALTHY LIVING
3133 GOOD SHEPHERD WAY	LONGVIEW	TX	76505	PHYSICAL THERAPY, SPEECH PATHOLOGY, OCCUPATIONAL THERAPY, CARDIAC REHAB CENTER
KILGORE EMERGENCY DEPARTMENT
323 E HAWKINGS PARKWAY	LONGVIEW	TX	76505	EMERGENCY SERVICES
NORTHPARK EMERGENCY DEPARTMENT
323 E HAWKINGS PARKWAY	LONGVIEW	TX	76505	EMERGENCY SERVICES
CHRISTUS GOOD SHEPHERD HOMECARE - LNGVW
103 W LOOP 281	LONGVIEW	TX	76501	HOME HEALTH
CHRISTUS GOOD SHEPHERD LIFECENTER
612 S GROVE ST	MARSHALL	TX	75670	HEALTH CLINIC
CHRISTUS GOOD SHEPHERD HOME CARE
401 S BOLIVAR ST	MARSHALL	TX	75670	HOME HEALTH

Supplemental Information Detail SupplementalInformationDetail (34 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part V, Section B, Line 22 DETERMINE THE MAX AMOUNTS THAT CAN BE CHARGED TO FAP	THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR 2025 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 40% OF THE CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL), OR RECEIVED FREE CARE (INCOMES BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.
Schedule H, Part I, Line 3c CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE	THE HOSPITAL FOLLOWS FINANCIAL ASSISTANCE POLICIES OF CHRISTUS HEALTH. THE QUALIFICATION THRESHOLD FOR FINANCIAL ASSISTANCE IS 400 PERCENT OF FPG. ELIGIBILITY FOR FREE CARE (100 PERCENT DISCOUNTS) IS AT OR BELOW 300 PERCENT FPG.
Schedule H, Part I, Line 5a BUDGETED CHARITY CARE	THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES.
Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT	A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES.
Schedule H, Part I, Line 7 ALLOCATION OF MEDICAID SUPPLEMENTAL PAYMENTS	DURING THE CURRENT REPORTING PERIOD, THE STATE OF TEXAS PARTICIPATED IN A SPECIAL 1115 MEDICAID WAIVER WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). VARIOUS SUPPLEMENTAL PAYMENTS UNDER THE WAIVER ARE INTENDED TO HELP HOSPITALS OFFSET MEDICAID AND UNINSURED LOSSES AND/OR CREATE NEW PROGRAMS DESIGNED TO IMPROVE THE PATIENT CARE EXPERIENCE, ENHANCE HEALTH OUTCOMES AND REDUCE COSTS FOR THESE SAME PATIENT POPULATIONS. SUPPLEMENTAL PAYMENTS ARE CAPPED BY MEDICAID AND UNINSURED LOSSES DETERMINED FROM A SPECIAL UNCOMPENSATED CARE (UC) TOOL DESIGNED BY THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC). CHRISTUS GOOD SHEPHERD MEDICAL CENTER RECOGNIZED $8,216,837 OF MEDICAID SUPPLEMENTAL PAYMENT INCOME IN FY2025. THERE WERE $6,365,572 OF EXPENDITURES RECOGNIZED IN FY2025 RELATED TO PROVIDER TAXES USED TO GENERATE THE NON-FEDERAL SHARE OF MEDICAID SUPPLEMENTAL PAYMENTS, RESULTING IN A NET P&L BENEFIT OF $1,851,265 RELATED TO MEDICAID SUPPLEMENTAL PAYMENTS UNDER THE TEXAS MEDICAID WAIVER. FOR PURPOSES OF IRS FORM 990 SCHEDULE H REPORTING, CONSISTENT WITH CHRISTUS HEALTH POLICY, 100 PERCENT OF NET MEDICAID SUPPLEMENTAL PAYMENTS ARE REPORTED AS MEDICAID DIRECT OFFSETTING REVENUE.
Schedule H, Part V, Section B, Line 18 ACTIONS REGARDING ELIGIBILITY UNDER FAP	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15	CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	A COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HOSPITAL SYSTEM EACH YEAR AND IS SUBMITTED ALONG WITH AN AHA SURVEY TO THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES WITH A COPY PROVIDED TO HARRISON COUNTY AND GREGG COUNTY.
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/V2FINANCIAL-ASSISTANCE-APPLICATION.ASHX
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language- documents/2021plainlanguagesummaryhospitalenglish.ashx
Schedule H, Part I, Line 7b UNREIMBURSED MEDICAID	THE HOSPITAL REINVESTS SURPLUS FUNDS BACK IN TO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES.
Schedule H, Part VI Rev. Proc. 2015-21 Disclosure	Community Health Needs Assessment (CHNA) Adoption and Public Availability Section 501(r)(3) requires each hospital facility to conduct a CHNA at least once every three years and to make the CHNA report widely available to the public. A CHNA is treated as conducted only after all required steps are completed, including adoption of the CHNA report by an authorized body and making the CHNA report widely available (including via website posting). The hospital's three-year CHNA period ended on June 30, 2025. The CHNA report for the hospital was completed and reviewed by its CEO/President and executive leadership team prior to June 30, 2025. However, formal ratification by the hospital's board of directors of the CHNA report's adoption occurred subsequently on July 31, 2025, and the hospital posted the ratified CHNA report on their websites as soon as practicable thereafter. On September 8, 2025, CHRISTUS Health identified that the hospital's board of directors provided ratification of the CHNA report's adoption, and the corresponding public posting of the ratified CHNA report, occurred after the end of the June 30, 2025 three-year CHNA period. CHRISTUS Health determined that responsible associates had incorrectly assumed that COVID-era IRS relief extending certain §501(r)(3) CHNA-related deadlines continued to apply and permitted additional time to complete the remaining CHNA-related steps. However, Treasury Regs. 1.501(r)-3(a)(2) and 1.501(r)-1(b)(4)(i) require adoption of the CHNA report by the hospital's governing body (or a properly delegated authorized body), and no delegation of authority had been made by the hospital's governing body (its board of directors) for executive leadership to adopt the CHNA report in lieu of the board of directors. Executive leadership approval of the CHNA report was ratified by the hospital's board of directors on July 31, 2025. Upon identification of the timing issue, CHRISTUS Health promptly implemented corrective actions. These actions included confirming that formal governing-body adoption/ratification had occurred, ensuring that the ratified CHNA reports were posted and publicly accessible on the applicable hospital's website, and adding clarifying language within the CHNA report describing the timing of executive leadership review (prior to June 30, 2025) and the date of formal board of director approval (July 31, 2025). All related CHNA implementation strategies were approved by the hospital's board of directors on July 31, 2025, prior to the November 15, 2025 deadline. CHRISTUS Health is not aware of any individuals who were adversely affected by the board of directors' delay in ratifying the adoption of their respective hospital's CHNA report. To prevent recurrence, CHRISTUS Health has enhanced internal compliance procedures for its hospital facilities by establishing formal approval processes and timelines, clarifying responsibility for monitoring Section 501(r) deadlines, and documenting governing-body approvals and any delegated authority for approval of future CHNA reports and implementation strategies.
Schedule H, Part I, Line 7k PERCENT OF TOTAL EXPENSE	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $631,959,508. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $0. THIS LEAVES A TOTAL EXPENSE OF $631,959,508 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
Schedule H, Part I, Line 7k FIN ASSISTANCE/ OTHER BENEFITS AS A PERCENTAGE OF COST	THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE, AS REPORTED IN PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF THE TOTAL EXPENSE, IS 16.73%, WHICH EXCEEDS THE AMOUNT REPORTED IN PART I, LINE 7K, COLUMN (F), WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE.
Schedule H, Part I, Line 7i CASH AND INKIND CONTRIBUTIONS	THE HOSPITAL MADE CASH AND IN-KIND CONTRIBUTIONS DURING THE FISCAL YEAR. THE AMOUNT IS CALCULATED FOLLOWING REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. THIS AMOUNT DIFFERS FROM GRANTS REPORTED IN FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS, AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $305,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS GOOD SHEPHERD MEDICAL CENTER. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT CHRISTUS GOOD SHEPHERD MEDICAL CENTER SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE COMMUNITY.
Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS	THE HOSPITAL DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NONPAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 18 OR 19 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT.
Schedule H, Part II Community Building Activities	THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2025, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE PATIENTS WE SERVE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES ARE IMPROVING ACCESS TO HEALTH SERVICES AND BUILDING COLLABORATIVE RELATIONSHIPS WITH OTHER ORGANIZATIONS SEEKING TO ADDRESS CHRONIC CONDITIONS THAT DISPROPORTIONATELY IMPACT THE POOR AND UNDERSERVED.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	The organization's total bad debt expense (total of all hospital facilities) is in accordance with the organization's financial statements, which is computed as bad debt net of contractual allowance, payments received and recoveries of bad debt previously written off.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	During the taxable year, the hospital facility did not report any bad debt expense. Accordingly, the hospital did not use a methodology to estimate bad debt as a community benefit, and no bad debt was included as community benefit for Schedule H reporting purposes.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; AND THE PROVISIONS FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAY LIMIT, DISPROPORTIONATE SHARE MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLANS; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS, INCLUDING ASSETS ACQUIRED; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE SOURCE OF INFORMATION ON LINES 5 AND 6 IS THE FYE JUNE 30, 2025 MEDICARE COST REPORT. THE REVENUES WERE DERIVED FROM COST REPORT WORKSHEETS E PART A, E PART B AND E-3, PART III. COST INFORMATION WAS OBTAINED BY SUMMING OF MEDICARE PART A ALLOWABLE COSTS REPORTED ON WORKSHEET D-1, PART II (FOR BOTH INPATIENT ACUTE PPS AND INPATIENT REHAB FACILITY) AND WORKSHEET DV, COLUMNS 5.00 THROUGH 7.00 FOR MEDICARE OUTPATIENT PPS SERVICES. SINCE ALLOWABLE COSTS ARE NOT DETERMINED FOR SERVICES RENDERED TO MEDICARE PATIENTS ENROLLED IN MEDICARE ADVANTAGE (MEDICARE PART C) OR FOR PHYSICIAN SERVICES BILLED UNDER MEDICARE PART B, NEITHER THE REVENUES OR COSTS RELATED TO THESE SERVICES HAVE BEEN INCLUDED ON LINES 5 OR 6. THE COST REPORT USES FINANCIAL AND STATISTICAL DATA TO DEVELOP PER DIEMS AND COST TO CHARGE RATIOS THAT ULTIMATELY DETERMINE ALLOWABLE MEDICARE INPATIENT AND OUTPATIENT COSTS. (NOTE: EFFECTIVE AUGUST 1, 2017, THE LICENSE AND MEDICARE PROVIDER NUMBER OF GOOD SHEPHERD MEDICAL CENTER - LONGVIEW AND GOOD SHEPHERD MEDICAL CENTER - MARSHALL WERE COMBINED. THIS MERGER RESULTED IN ONE COST REPORT FOR THE COMBINED HOSPITALS.)
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
Schedule H, Part V, Section B, Line 16a FAP website	A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16a URL: HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16b URL: SEE SUPPLEMENTAL INFORMATION;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16c URL: SEE SUPPLEMENTAL INFORMATION;
Schedule H, Part VI, Line 2 Needs assessment	ONE OF THE KEY AREAS USED TO GET INPUT FROM OUR COMMUNITIES IS TO HAVE ASSOCIATES SERVE ON LOCAL BOARDS AND ATTEND COMMUNITY PARTNER MEETINGS TO HEAR FIRSTHAND THE PARTNER'S ISSUES AND HOW THEY ARE TRYING TO ADDRESS THEM. OUR QUALITY TEAM USES AGGREGATE HOSPITAL AND CMS DATA TO ENSURE CGS ADDRESSES THE MOST SIGNIFICANT HEALTH NEEDS AND TO ASSESS THAT OUR STRATEGIES HAVE IMPACT. THE HOSPITAL ADVISORY COUNCIL AND THE COMMUNITY BENEFITS ADVISORY COUNCIL MEMBERS INFLUENCE DECISIONS TO ALLOCATE RESOURCES AND ADDRESS HEALTH INEQUALITIES. ALL ENTITY ADVOCATES USE NATIONAL, STATE, AND LOCAL SECONDARY AND PRIMARY DATA SOURCES TO PROVIDE A CURRENT OVERVIEW OF LOCAL HEALTH NEEDS, FACTORS IMPACTING DISEASE AND INJURY BURDEN, SOCIOECONOMIC STATUS, ACCESS TO HEALTH CARE, AGE DISTRIBUTION, INDICATORS AND LIFESTYLE BEHAVIORS. THIS DATA IS USED TO GALVANIZE JOINT COMMUNITY HEALTH EFFORTS TO IMPROVE HEALTH AND REDUCE INEQUALITIES AND EMPOWER THE GREATER COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	CHRISTUS GOOD SHEPHERD MEDICAL CENTER MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.
Schedule H, Part VI, Line 4 Community information	FOLLOWING IRS GUIDELINES, 501(R) RULES AS REQUIRED BY THE AFFORDABLE CARE ACT, CHRISTUS GOOD SHEPHERD'S PRIMARY SERVICE AREA (PSA) INCLUDES 15 ZIP CODES COVERING 251,961 INDIVIDUALS. THE PSA IS THE GEOGRAPHIC REGION WITH 80% OF HOSPITAL UTILIZATION. THE PSA ZIP CODES ARE LOCATED IN THE FOLLOWING COUNTIES: GREGG, HARRISON, MARION, RUSK, AND UPSHUR. THE OVERALL POPULATION OF THE PSA GREW SLIGHTLY (3.5%) OVER THE DECADE 2010-2020, MUCH SLOWER THAN THE OVERALL TEXAS POPULATION GROWTH (15.9%). THE DEMOGRAPHICS OF THE PSA ARE 61.4% NON-HISPANIC WHITE, 16.8% NON-HISPANIC BLACKS, 16.6% HISPANICS/LATINOS, 4.1% OF TWO OR MORE RACES, AND 0.9% ASIAN OR PACIFIC ISLANDER. FEMALES MAKE UP 50.3% OF THE POPULATION AND MALES 49.7%. MEDIAN AGE IS 40.1 YEARS OLD, HIGHER THAN TEXAS OVERALL (35.9 YEARS OLD). ONLY 4.2% OF RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY. THE HARDSHIP INDEX MEASURES THE LEVEL OF ECONOMIC DISTRESS IN VARIOUS REGIONS. THE CHRISTUS GOOD SHEPHERD SERVICE AREA HAS A HARDSHIP INDEX OF 61.0, SLIGHTLY HIGHER THAN THE WHOLE STATE OF TEXAS (54.8), AND SIGNIFICANTLY HIGHER THAN THE AVERAGE FOR THE UNITED STATES (48.44). THE HARDSHIP INDEX ISA COMPOSITE SCORE THAT RANKS U.S. COUNTIES BY A COMBINATION OF FACTORS INDICATING ECONOMIC AND SOCIAL HARDSHIP, WITH HIGHER SCORES INDICATING GREATER HARDSHIP. IT IS CALCULATED BY AVERAGING SEVERAL SOCIOECONOMIC INDICATORS, SUCH AS UNEMPLOYMENT, DEPENDENCY (AGE OF POPULATION), EDUCATION, PER CAPITA INCOME, CROWDED HOUSING, AND POVERTY. THESE INDICES HELP COMPARE HARDSHIP ACROSS DIFFERENT COMMUNITIES, CONTEXTUALIZE POLICY ISSUES, AND INFORM RESOURCE ALLOCATION FOR VARIOUS ORGANIZATIONS. EDUCATION IS AN IMPORTANT SOCIAL DETERMINANT OF HEALTH. HIGH SCHOOL GRADUATION RATES (89.4%) ARE SLIGHTLY HIGHER THAN TEXAS (85.7%), BUT THE RATE FOR HISPANICS/LATINOS IN THE PSA IS 62.8%. HIGHER DEGREE RATES IN THE PSA (30.0%) ARE SIGNIFICANTLY LOWER THAN THE STATE (40.8%). THE UNINSURED RATE IN THE CGS PSA IS 15.3%, SLIGHTLY LOWER THAN THE STATE (17.3%), BUT MUCH HIGHER THAN THE NATIONAL AVERAGE (8.6%). THE RATE FOR HISPANICS/LATINOS IS MUCH HIGHER (26.8%). 20.3% OF RESIDENTS IN THE PSA ARE COVERED BY MEDICAID, SLIGHTLY HIGHER THAN THE STATE (16.3%). WHEN COMBINED WITH UNINSURED, OVER 35% OF RESIDENTS IN THE PSA HAVE EITHER NO COVERAGE OR LIMITED COVERAGE THROUGH MEDICAID. SEE CHAPTER 6: "CHNA DATA" OF CGS'S CHNA FOR MORE INFORMATION ON THE DEMOGRAPHICS, COMMUNITY HEALTH DATA, AND SOCIAL DETERMINANTS OF HEALTH FOR THE CGS PRIMARY SERVICE AREA.
Schedule H, Part VI, Line 5 Promotion of community health	THE MEDICAL CENTERS, INSTITUTES, AND CLINICS OF THE CHRISTUS GOOD SHEPHERD HEALTH SYSTEM WORK TOGETHER TO SERVE THE PEOPLE OF OUR COMMUNITY. THE COUNTIES WE SERVE ARE URBAN BUT ALSO RURAL. TWO GROUPS THAT INCLUDE PUBLIC MEMBERS ARE THE LEADERSHIP COUNCILS OF BOTH MEDICAL CENTERS AND THE COMMUNITY BENEFIT ADVISORY COUNCIL SERVING CGS. THESE GROUPS MEET QUARTERLY. THEY INFLUENCE WHERE FUNDING IS ALLOCATED AS THEY RECEIVE INFORMATION ON GOALS AND OUTCOMES, INCLUDING HEALTH EQUITY STRATEGIES. COMMUNITY HEALTH PROMOTION ACTIVITIES INCLUDE OUR WELLNESS CENTER AND THE PROGRAMS WE OFFER TO KEEP OUR COMMUNITY HEALTHY. THE WELLNESS CENTER IS THE HUB OF OUR PROGRAM OFFERING FITNESS AMENITIES FOR INDIVIDUALS, FAMILIES AND CORPORATE ACCOUNTS IN OUR COMMUNITY. WE ALSO SERVE HOSPITAL EMPLOYEES AND THEIR FAMILIES. OUR FACILITY HOUSES A LARGE NUMBER OF STRENGTH AND CARDIO EQUIPMENT, AND WE OFFER SPECIALTY CLASSES SUCH AS YOGA, PILATES, WEIGHTLIFTING, AND AQUA AEROBICS FOR ALL AGES AND FITNESS LEVELS. WE ALSO OFFER ACUTE, CHRONIC AND PREVENTATIVE EDUCATIONAL PROGRAMS TO OUR COMMUNITY. WE PROVIDE COMMUNITY EDUCATIONAL SERVICES AND PROGRAMS, SUCH AS CERTIFIED DIABETIC EDUCATION PROGRAMS, NUTRITION EDUCATION, STROKE AND TRAUMA EDUCATION, AND HEART HEALTH. OUR MATERNAL AND FETAL HEALTH TEAMS PARTICIPATE IN TEXAS AIM AND OFFER LACTATION EDUCATION SEVEN DAYS A WEEK TO INCREASE MATERNAL, FETAL AND EARLY CHILD HEALTH. WE OFFER HEALTH EDUCATION AT PUBLIC EVENTS THAT PROVIDE BASIC SCREENING EXAMS AT NO COST TO OUR COMMUNITY. OUR CASE MANAGEMENT AND SOCIAL SERVICES PROGRAM OFFERS THE AVAILABILITY OF EXTERNAL SOURCES AND PROGRAMS TO ASSIST PATIENTS AND THEIR FAMILIES, SUCH AS WIC AND OTHER GOVERNMENT AND PRIVATE PROGRAMS. CGS DEDICATES SURPLUS FUNDS TO PROVIDE COMMUNITY BENEFIT GRANTS TO COMMUNITY PARTNERS ADDRESSING THE HEALTH AND SOCIAL DETERMINANT NEEDS IDENTIFIED IN OUR CHNA. CHRISTUS HEALTH, THE SYSTEM SPONSOR OF CGS, AWARDED $305,000 IN CHRISTUS COMMUNITY IMPACT FUND GRANTS TO SIX PROGRAMS IN THE CGS PSA INCREASING ACCESS TO EDUCATION, HEALTHY FOOD, THE OUTDOORS, AND BEHAVIORAL HEALTH SERVICES SPONSORED BY ASBURY HOUSE, BUCKNER CHILDREN-FAMILY SERVICES, EAST TEXAS FOOD BANK, LONGVIEW ARBORETUM AND RESOURCES CENTER, NEWGATE MISSION, AND WOMEN'S CENTER OF EAST TEXAS.
Schedule H, Part VI, Line 6 Affiliated health care system	CGSMC IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH-BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG-TERM CARE AFFILIATED HEALTH CARE SYSTEM FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, LOUISIANA, NEW MEXICO, TEXAS, AND IN SIX PROVINCES OF MEXICO, COLOMBIA AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CGSMC, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM-WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CGSMC, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
DIOCESE OF TYLER
1015 E SE LOOP 323	TYLER	TX	75701	752152475	501(C)3	$25,000	Installation of Bishop Greg Kelly as the 5th Bishop of the Diocese of Tyler
LONGVIEW MUSEUM OF FINE ARTS
215 E Tyler St	Longview	TX	75601	237196379	501(C)3	$10,000	Community Benefit
Longview Foundation
700 E MARSHALL	Longview	TX	75601	873513657	501(C)3	$63,171	Foundation Staff Salary and Foundation Shared Services

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	After a need is determined for assistance, a request from the service organization of Good Shepherd is submitted, identifying the funds needed for the program and/or patient. The request is reviewed and approved by the CEO before funds are transferred. A service log is submitted to the CFO to document hours incurred on projects and support use of funds.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Todd Hancock
System President/Chief Executive Officer	$0	$524,148	$0	$231,960	$0	$92,518	$0	$41,208	$0	$17,179	$0	$907,013	$0	$91,868
Jeffrey Puckett
Board Director (TERM 12/24)	$0	$1,659,819	$0	$2,929,083	$0	$2,234,450	$0	$39,670	$0	$17,033	$0	$6,880,055	$0	$1,954,259
Chris Glenney
Board Director/Chairperson (EFF 1/25)	$0	$852,426	$0	$632,259	$0	$177,000	$0	$70,530	$0	$18,430	$0	$1,750,645	$0	$176,296
Steve Keuer MD
Board Director	$0	$712,901	$0	$429,357	$0	$241,068	$0	$51,824	$0	$11,767	$0	$1,446,917	$0	$240,068
Mark Anderson MD
Board Director	$0	$575,731	$0	$268,639	$0	$98,535	$0	$34,301	$0	$67,640	$0	$1,044,846	$0	$0
Andria Cardinalli-Stein MD
Board Director (TERM 12/24)	$0	$397,136	$0	$95,510	$0	$670	$0	$13,800	$0	$2,248	$0	$509,364	$0	$0
Sister Rosanne Popp
Board Director	$0	$225,619	$0	$0	$0	$36,560	$0	$1,026	$0	$6,694	$0	$269,899	$0	$0
Jamie DOWELL
Former Secretary (term 12/20)	$0	$157,082	$0	$15,823	$0	$116	$0	$17,640	$0	$3,189	$0	$193,850	$0	$0
Jaclynn Harrison
NETX/NLA HEALTH SYSTEM Chief Financial Officer	$0	$396,737	$0	$363,741	$0	$18,204	$0	$25,474	$0	$15,882	$0	$820,038	$0	$17,274
Michael Cheek
Chief Financial Officer for Christus Good Shepherd Medical Center	$0	$343,472	$0	$131,848	$0	$54,216	$0	$31,469	$0	$78,828	$0	$639,833	$0	$47,830
Jason Adams
Chief Operations Officer (TERM 10/19)	$0	$467,491	$0	$243,954	$0	$69,224	$0	$23,781	$0	$15,619	$0	$820,069	$0	$69,224
Ken Cunningham
Vice President General Counsel (TERM 12/20)	$0	$379,286	$0	$173,169	$0	$77,628	$0	$13,801	$0	$15,494	$0	$659,378	$0	$76,489
Kurt DeVaney
Chief Operations Officer	$0	$199,308	$0	$60,000	$0	$45,169	$0	$7,754	$0	$8,465	$0	$320,696	$0	$0
Roy Finch
Vice President Operations	$0	$306,223	$0	$28,000	$0	$140	$0	$3,140	$0	$7,018	$0	$344,521	$0	$0
Suhel Patel
Chief Marketing Officer	$0	$393,823	$0	$194,657	$0	$52,182	$0	$38,999	$0	$8,852	$0	$688,513	$0	$51,158
Teresa Halcomb
Chief Networking Officer Longview	$0	$280,940	$0	$92,011	$0	$35,919	$0	$32,669	$0	$77,171	$0	$518,710	$0	$0
Jim Gaton
Vice President Operations	$0	$213,531	$0	$79,203	$0	$37,229	$0	$0	$0	$9,553	$0	$339,516	$0	$0
James Brogan
Vice President Mission Integration	$0	$126,168	$0	$45,078	$0	$0	$0	$16,392	$0	$22,305	$0	$209,943	$0	$0
DANIEL D SMITH
Certified Registered Nurse Anesthetist	$229,678	$0	$500	$0	$265,462	$0	$27,998	$0	$25,402	$0	$549,040	$0	$0	$0
Joseph Mcree
Certified Registered Nurse Anesthetist	$201,869	$0	$500	$0	$208,785	$0	$25,934	$0	$21,604	$0	$458,692	$0	$0	$0
Tawonda J Felton
Certified Registered Nurse Anesthetist	$304,532	$0	$250	$0	$95,871	$0	$31,597	$0	$0	$0	$432,250	$0	$0	$0
Randy W Young
Certified Registered Nurse Anesthetist	$224,269	$0	$500	$0	$168,960	$0	$14,335	$0	$21,246	$0	$429,310	$0	$0	$0
Richard G Johnson
Certified Registered Nurse Anesthetist	$219,803	$0	$500	$0	$177,673	$0	$0	$0	$29,340	$0	$427,316	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE FILING ORGANIZATION'S PRESIDENT/CEO IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING THE PRESIDENT/CEO COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR 2024: Jeffrey Puckett - $2,234,450 Steven Keuer, M.D. - $240,068 Chris Glenney - $176,296 Mark Anderson, M.D. - $98,481 Todd Hancock - $91,868 KEN CUNNINGHAM - $76,489 JASON ADAMS - $69,224 MICHAEL CHEEK - $54,216 SUHEL PATEL - $52,182 TERESA HALCOMB - $35,919 JACLYNN HARRISON - $17,274
Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION	W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.
Schedule J, Part II, Column (B)(ii) SUPPLEMENTAL COMPENSATION INFORMATION	BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2024.
Schedule J, Part II, Column (C) DEFERRED COMPENSATION	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION	PATIENT CARE SERVICES CHRISTUS Good Shepherd Medical Center responds to the health care needs of the community through services provided at 3 campuses: - CHRISTUS Good Shepherd Medical Center - Longview, a 351-bed hospital in Longview - CHRISTUS Good Shepherd Medical Center - Marshall, a 149-bed hospital in Marshall - CHRISTUS Good Shepherd Medical Center - North Park, a 23-bed hospital in Longview Each facility shares the objective of leading the way to a healthier community. CHRISTUS Good Shepherd Medical Center is located in Texas, serving a population of 251,961 individuals in fiscal year 2025. In fiscal year 2025, we served individuals in various ways, including: 126,380 visits to our emergency department 3,756 inpatient surgery procedures 10,970 outpatient surgery procedures 19,936 patients admitted for care 412,977 patients who received outpatient care
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	THE CORPORATION'S MISSION SHALL BE TO "EXTEND THE HEALING MINISTRY OF JESUS CHRIST, CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES, AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH. THE CORPORATIONS PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	CHARITY CARE AND COMMUNITY BENEFIT ACTIVITY In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS Good Shepherd Medical Center provides charity care services in a manner that respects the dignity of the patients and their families. CHRISTUS Good Shepherd Medical Center provides charity care to individuals who are unable to pay for medically necessary services. Charity care includes free or discounted healthcare provided according to the organization's financial assistance policy, which is based on federal poverty guidelines. In FY2025, 23,119 uninsured patients at or below 300% of the Federal Poverty Level (FPL) received care at no cost, while 89 patients between 301% and 400% FPL were charged on a sliding scale and adjusted in compliance with the AGB rates as listed on the entity's financial assistance policy. No patient was refused necessary medical care due to inability to pay. CHRISTUS Good Shepherd Medical Center actively participates in Texas Medicaid programs, which are designed to provide payment for health care services to individuals who meet specific financial and eligibility criteria. These requirements include an evaluation of both assets and income to determine program qualification. CHRISTUS Good Shepherd Medical Center also conducts a variety of community benefit activities to improve health and well-being in the communities it serves. These activities include health education, screenings, subsidized clinical services, research, cash and in-kind donations, and community building. In FY2025, CHRISTUS Good Shepherd Medical Center invested $4,619,350 in community benefit programs, impacting 179,813 individuals.
Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION	OTHER GOVERNMENT PROGRAMS CHRISTUS Good Shepherd Medical Center provides services to individuals covered under government-sponsored programs, including Medicare, TRICARE, and others. The unreimbursed costs of these services are reported to the state but are not included in the community benefit reports. In FY2025, CHRISTUS Good Shepherd Medical Center served 583,274 patients under these programs, with unreimbursed costs totaling $56,676,147 Medicare is the largest single payor classification of patients served by this hospital. The payment rate for inpatient services is on a per-case rate, calculated based on the diagnostic-related group into which the patient is categorized. Medicare reimburses outpatient services based on its fee schedule.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 4,573,738 including grants of $ 98,171)(Revenue $ 0) CHRISTUS GOOD SHEPHERD MEDICAL CENTER also undertook additional activities of comparable importance, including those conducted with volunteer labor or smaller in terms of expenses related to the poor & underserved and broader community. POOR & UNDERSERVED: EXPENSES OF $627,955; GRANTS OF $1,220 BROADER COMMUNITY: EXPENSES OF $3,945,783; GRANTS OF $44,392 ADDITIONAL GRANTS: GRANTS OF $52,559
Form 990, Part VI, Line 1a DELEGATION OF AUTHORITY	THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF THE ORGANIZATION IS CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 MILLION PER INCURRENCE BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $20 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE TWO SISTERS APPOINTED BY EACH OF THE FOUNDING SPONSORING CONGREGATIONS OF CHRISTUS HEALTH, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, AND ONE SISTER APPOINTED BY THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF CERTIFICATES OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO MEMBER RESERVED POWERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY (EXCEPT IN THE ORDINARY COURSE OF BUSINESS) OR THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING 2025 VIA EITHER MEETING, CONFERENCE CALL OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
Form 990, Part VI, Line 12c Conflict of interest policy	AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION IS PAID BY A RELATED ORGANIZATION; THEREFORE, THE FILING ORGANIZATION WAS NOT INVOLVED IN THE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. THE RELATED ORGANIZATION DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE RELATED ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE RELATED ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE EXECUTIVE DIRECTOR'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. THE EXECUTIVE DIRECTOR'S SALARY IS SPLIT BETWEEN THE FILING ORGANIZATION AND THE RELATED ORGANIZATION.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION IS PAID BY A RELATED ORGANIZATION; THEREFORE, THE FILING ORGANIZATION WAS NOT INVOLVED IN THE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. THE RELATED ORGANIZATION DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE RELATED ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE RELATED ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE EXECUTIVE DIRECTOR'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. THE EXECUTIVE DIRECTOR'S SALARY IS SPLIT BETWEEN THE FILING ORGANIZATION AND THE RELATED ORGANIZATION.
Form 990, Part VI, Line 18 How forms are made available to the public	CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 19 Required documents available to the public	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 2f Other Program Service Revenue	61205 - Care Coordination Fees - Total Revenue: -215, Related or Exempt Function Revenue: -215, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contract Service Revenue - Total Revenue: 208384, Related or Exempt Function Revenue: 208384, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Physician Fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 97015774, Fundraising Expenses: 0; Maintenance - Total Expense: 3600691, Program Service Expense: 3470165, Management and General Expenses: 126133, Fundraising Expenses: 4393; Marketing - Total Expense: 18759, Program Service Expense: 18759, Management and General Expenses: 0, Fundraising Expenses: 0; Consulting - Total Expense: 265940, Program Service Expense: 110539, Management and General Expenses: 155401, Fundraising Expenses: 0; Billing - Total Expense: 7280, Program Service Expense: 7280, Management and General Expenses: 0, Fundraising Expenses: 0; Collection - Total Expense: 14182, Program Service Expense: 14182, Management and General Expenses: 0, Fundraising Expenses: 0; Other Fees - Total Expense: 8722446, Program Service Expense: 431618, Management and General Expenses: 8290828, Fundraising Expenses: 0; Medical Fees - Total Expense: 2345053, Program Service Expense: 2345053, Management and General Expenses: 0, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - -53217839; Grant Reclass - -674849; Total - -53892688;
FORM 990, BOX C DOING BUSINESS AS	DOING BUSINESS AS CHRISTUS GOOD SHEPHERD MEDICAL CENTER OPERATES UNDER THE FOLLOWING NAMES: Acuity Diagnostics Christus Emergency Center Henderson CHRISTUS Good Shepherd CHRISTUS Good Shepherd Breast Center CHRISTUS Good Shepherd Health System CHRISTUS Good Shepherd Healthy Living Spa CHRISTUS Good Shepherd Heart & Vascular Institute CHRISTUS Good Shepherd Hospital - NorthPark CHRISTUS Good Shepherd Institute for Healthy Living CHRISTUS Good Shepherd Medical Center - Longview CHRISTUS Good Shepherd Medical Center - Marshall CHRISTUS Good Shepherd Surgery Center CHRISTUS Ortho & Sports Medicine Institute CHRISTUS Orthopedics & Sports Medicine Institute Good Shepherd Medical Center Good Shepherd Occupational Medicine Marshall Life Center Wound Healing Center - Marshall (for CLIA registration only)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (58 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE	TYLER	TX	75701	465720165	HEALTHCARE SERVICES	TX	501(c)(3)	3	MFH REG	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHAMPION EMS
2201 S MOBBERLY AVE	LONGVIEW	TX	75602	752747708	HEALTHCARE SERVICES	TX	501(c)(3)	10	MFH REG	Yes (true)
CHRISTUS CONNECTED CARE NETWORK
5101 N OCONNOR BLVD	IRVING	TX	75039	473403356	SUPP HEALTHCARE SERVICES	TX	501(c)(4)		CH	Yes (true)
CHRISTUS CONTINUING CARE
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	CH	Yes (true)
CHRISTUS FOUNDATION SHREVEPORT-BOSSIER
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721219280	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	NOLA	Yes (true)
CHRISTUS HEALTH
5101 N OCONNOR BLVD	IRVING	TX	75039	760590551	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	NA	false
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	NETXNL	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH FDN OF SOUTHEAST TX
2830 CALDER	BEAUMONT	TX	77702	760136274	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	SETX	Yes (true)
CHRISTUS HEALTH FOUNDATION
5101 N OCONNOR BLVD	IRVING	TX	75039	611500100	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HEALTHCARE SERVICES	TX	501(c)(3)	7	CCC	Yes (true)
CHRISTUS HEALTH INTERNATIONAL
5101 N OCONNOR BLVD	IRVING	TX	75039	462811167	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes (true)
CHRISTUS HEALTH LATIN AMERICA
5101 N OCONNOR BLVD	IRVING	TX	75039	462816604	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	75039	720408982	HEALTHCARE SERVICES	LA	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS HEALTH PLAN
5101 N OCONNOR BLVD	IRVING	TX	75039	452106295	HEALTH PLAN	TX	501(c)(4)		CH	Yes (true)
CHRISTUS HEALTH PLAN LOUISIANA
5101 N OCONNOR BLVD	IRVING	TX	75039	464617988	MEDICAID HMO	LA	501(c)(4)		CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 CALDER STREET	BEAUMONT	TX	77726	760591590	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	720411322	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
5101 N OCONNOR BLVD	IRVING	TX	75039	462798043	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS NORTHEAST TEXAS AND NORTHERN LOUISIANA HEALTH SYSTEM CORPORATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	CH	Yes (true)
CHRISTUS PEDIATRIC PHYSICIAN GROUP
5101 N OCONNOR BLVD	IRVING	TX	75039	465203505	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA FAMILY HEALTH CENTER
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742806531	HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes (true)
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA MED CTR AUXILIARY
2827 BABCOCK ROAD	SAN ANTONIO	TX	78229	731655493	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes (true)
CHRISTUS SANTA ROSA-SAN MARCOS FOUNDATION
PO Box 912	SAN MARCOS	TX	78667	742259907	SUPPORT	TX	501(c)(3)	7	SRHCC	Yes (true)
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FOUNDATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	SPOHN HS	Yes (true)
CHRISTUS ST FRANCES CABRINI HOSPITAL AUXILIARY INC
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	237255175	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	10	CHCL	Yes (true)
CHRISTUS ST MICHAEL FOUNDATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	471655865	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	ALT	Yes (true)
CHRISTUS ST PATRICK FOUNDATION
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	471496376	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	SWLA	Yes (true)
Chritus Trinity Clinic Texas
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(c)(3)	Type I	NETXNL	Yes (true)
FRIENDS OF SANTA ROSA FOUNDATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742723391	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CSRHCC	Yes (true)
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752056700	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVE	LONGVIEW	TX	75601	237203364	SUPPORT	TX	501(c)(3)	10	GSH INC	Yes (true)
GOOD SHEPHERD MED CENTER - LINDEN INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	010829282	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes (true)
GOOD SHEPHERD MEDICAL CENTER - LINDEN FOUNDATION INC
404 N KAUFMAN	LINDEN	TX	75563	200845127	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
GSHS ADMINISTRATIVE SERVICES ORG INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	861132471	ADMIN SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
HOPKINS CTY PHYSICIAN SERVICES
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	260637742	CLINIC	TX	501(c)(3)	3	CHHA	Yes (true)
MARSHALL HOSPITAL FOUNDATION INC
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	752605699	HEALTHCARE SERVICES	TX	501(c)(3)	7	GSMC	Yes (true)
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVE	TYLER	TX	75701	751976930	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
1315 DOCTORS DRIVE	TYLER	TX	75701	750818167	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
OTERO COUNTY HOSPITAL ASSOCIATION
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	850138775	HOSPITAL	NM	501(c)(3)	3	CH	Yes (true)
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752511459	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes (true)
SPECIALTY PHYSICIANS OF CENTRAL TEXAS
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	208814408	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes (true)
ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	CHCL	Yes (true)
ST VINCENT HOSPITAL
PO BOX 2107	SANTA FE	NM	87504	850106941	HOSPITAL	NM	501(c)(3)	3	CH	Yes (true)
ST VINCENT HOSPITAL FOUNDATION
455 ST MICHAELS DRIVE	SANTA FE	NM	87505	850282847	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	SVH	Yes (true)
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	751041154	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes (true)
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	HEALTHCARE SERVICES	TX	501(c)(3)	10	CCC	Yes (true)
Gerald Champion Regional Medical Center Foundation
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	850352051	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	OCHA	Yes (true)
Santa Rosa Children's Hospital Foundation
PO Box 1661	SAN ANTONIO	TX	78296	741224362	FUNDRAISING ACTIVITIES	TX	501(c)(3)	7	SRHCC	Yes (true)
Christus St Joseph Village
5101 N OCONNOR BLVD	IRVING	TX	75039	010829282	Senior living	TX	501(c)(3)	10	GSMC Linden	Yes (true)
Continue Care Hospital of Tyler Inc
7950 Legacy Drive 1000	Plano	TX	75024	200991990	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
CENTRAL LOUISIANA SURGICAL HOSPITAL LLC
651 NORTH BOLTON AVE	ALEXANDRIA	LA	71301	264732398	SURGICAL CENTER	LA	NA
CHRISTUS SURGERY CENTER - VILLAGES LLC
1453 E BERT KOUNS	SHREVEPORT	LA	71108	844975265	SURGICAL CENTER	LA	NA
CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC
13525 CENTERBROOK 100	UNIVERSAL CITY	TX	78148	384092858	SURGICAL CENTER	TX	NA
CHRISTUS CENTER FOR SPECIAL SURGERY
14603 HUEBNER RD	SAN ANTONIO	TX	78240	990686547	SURGICAL CENTER	TX	NA
CHRISTUS SURGERY CENTER - WESTOVER HILLS LLC
1927 ROGERS RD	SAN ANTONIO	TX	78251	851975909	SURGICAL CENTER	TX	NA
NEW BRAUNFELS SURGICAL CENTER LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571408	HEALTHCARE SERVICES	TX	NA
CHRISTUS SANTA ROSA AMBULATORY SURGERY CENTERS SAN ANTONIO LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	412092141	HEALTHCARE SERVICES	TX	NA
CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571409	HEALTHCARE SERVICES	TX	NA
GOOD SHEPHERD NORTH PARK LP
700 E MARSHALL AVE	LONGVIEW	TX	75601	464834106	HEALTHCARE SERVICES	TX	NA
GOOD SHEPHERD AMBULATORY SURGICAL LTD
700 E MARSHALL AVE	LONGVIEW	TX	75601	900259782	HEALTHCARE SERVICES	TX	NA
GSHS CUSTOMER SERVICE BUILDING I LTD
700 E MARSHALL AVE	LONGVIEW	TX	75601	020636726	CUSTOMER SERVICES	TX	GSMC	$0	$0	0.99
ST ELIZABETH REHAB PARTNERS LLP
2830 CALDER STREET	BEAUMONT	TX	77702	205657181	HEALTHCARE SERVICES	TX	NA
NORTHERN LOUISIANA CARDIAC SERVICES LLC
1751 IMPERIAL BLVD	LAKE CHARLES	LA	70605	813198914	SURGICAL CENTER	LA	NA
SOUTH RYAN MRI LLC
650 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	743103662	IMAGING SERVICES	LA	NA
ALAMOGORDO IMAGING CENTER LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	201451281	IMAGING SERVICES	NM	NA
CHAMPION HEALTH CARE LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	850860214	HEALTHCARE SERVICES	NM	NA
WHITE SANDS HEALTH CARE SYSTEMS LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	850438529	HEALTHCARE SERVICES	NM	NA
SANTA FE IMAGING LLC
1640 HOSPITAL DR	SANTA FE	NM	87505	850465936	IMAGING CENTER	NM	NA
SANTA FE MEDICAL PROPERTIES LLC
455 SAINT MICHAELS DR	SANTA FE	NM	87505	201480795	LEASING	NM	NA
IMPERIAL CALCASIEU SURGICAL CENTER LLC
1757 IMPERIAL RD	LAKE CHARLES	LA	70605	205109610	ASC	LA	NA
GSHS CUSTOMER SERVICE BUILDING LLC
700 E MARSHALL AVE	LONGVIEW	TX	75601	720896055	CUSTOMER SERVICES	TX	GSMC	$0	$0	1
Christus Cardiac Surgery Center LLC
5101 N OCONNOR BLVD	IRVING	TX	75039	990803350	SURGICAL CENTER	TX	NA
Christus Latam Hub Center of Excellence and Innovation
5101 N OCONNOR BLVD	IRVING	TX	75039	999999999	HEALTHCARE SERVICES	TX	NA
CHC Community Care LLC
5101 N OCONNOR BLVD	IRVING	TX	75039	371485773	HEALTHCARE SERVICES	TX	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
CHRISTUS TEXARKANA UNIT OWNERS ASSOCIATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	472486362	BUILDING ASSOCIATION	TX	NA	C Corporation	Yes (true)
CHRISTUS AMBULATORY SERVICES HOLDINGS
5101 N OCONNOR BLVD	IRVING	TX	75039	472897722	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
DEDICATED SYSTEM SUPPORT INC
5101 N OCONNOR BLVD	IRVING	TX	75039	810861043	MANAGEMENT SERVICES	TX	NA	C Corporation	Yes (true)
SAN MARCOS REGIONAL MRI
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	770597968	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
CHRISTUS LOUISIANA QUALITY ALLIANCE
5101 N OCONNOR BLVD	IRVING	TX	75039	474618648	ACO	LA	NA	C Corporation	Yes (true)
CHRISTUS MUGUERZA SAPI DE CV
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	HIDALGO PTE 2525 G40G0	OBISPADO MONTERRE	MX	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		NA	C Corporation	Yes (true)	PO BOX 1051	GRAND CAYMAN	CJ	CJ	KY11102
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911	TEXARKANA	TX	75504	752562459	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
CHRISTUS CHILE SPA
					INVESTING		NA	C Corporation	Yes (true)	MIRAFLORES 222 28TH FLOOR	SANTIAGO	CI	CI	8320198
CHRISTUS SOUTHEAST TEXAS PHO
3010 HARRISON STREET SUITE 202	BEAUMONT	TX	77702	760429902	MEDICAL SERVICES	TX	NA	C Corporation	Yes (true)
HEALTH VENTURES OF SOUTHEAST TEXAS INC
3000 GATES BLVD	PORT ARTHUR	TX	77640	760397263	BUILDING RENT	TX	NA	C Corporation	Yes (true)
AMATISTA FINANCING COMPANY LTD
					FINANCING		NA	C Corporation	Yes (true)	3RD FL1ST CARIBBEAN HOUSE	GEORGETOWN	CJ	CJ	KY11104
OCCUPATIONAL HEALTH SERVICES INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721217389	MEDICAL SERVICES	LA	NA	C Corporation	Yes (true)
SOUTH RYAN DEVELOPMENT CORPORATION
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721183790	LEASING BULDINGS	LA	NA	C Corporation	Yes (true)
SOUTHWESTERN LOUISIANA PHYSICIAN HOSPITAL ORGANIZATION INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HEALTHCARE SERVICES	LA	NA	C Corporation	Yes (true)
CH COLUMBIA SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	CL 70 A 4 41	BOGOTA	CO	CO
CLINICA PALMA REAL SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	CARRERA 28 44 35	CALI	CO	CO
SINERGIA GLOBAL EN SALUD SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	CARRERA 44 A 9 C 67	CALI	CO	CO
HCMH RETAIL CLINIC
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	475417965	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
EVANGELINE CLINICAL SERVICES INC
3330 MASONIC DRIVE	ALEXANDIRA	LA	71301	463977886	HEALTHCARE SERVICES	LA	NA	C Corporation	Yes (true)
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVE	LONGVIEW	TX	75601	752554695	INACTIVE	TX	NA	C Corporation	Yes (true)
GSHS ENTERPRISES HOLDING INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	510412465	HOLDING COMPAY	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES OPERATING 1 INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954772	HEALTHCARE SERVICES	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES OPERATING 2 INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954777	HEALTHCARE SERVICES	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027162	HEALTHCARE SERVICES	TX	GSMC	C Corporation	Yes (true)						$1,407,132	$628,920	1
MARSHALL PHYSICIAN HOSPITAL ORGANIZATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752580689	INACTIVE	TX	GSMC	C Corporation	Yes (true)						$0	$0	1
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636862	THIRD PARTY ADMINISTRATION	TX	NA	C Corporation	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	NA	C Corporation	Yes (true)
SCH MANAGEMENT SOLUTIONS INC
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721270625	MANAGEMENT JOINT VENTURES	LA	NA	C Corporation	Yes (true)
CENTRAL TEXAS PROVIDERS NETWORK
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742827652	PHYSICIAN HOSPITAL	TX	NA	C Corporation	Yes (true)
LTACH CONDOMINIUM UNIT OWNERS ASSOC
600 ELIZABETH STREET	CORPUS CHRISTI	TX	77726	472404808	BUILDING ASSOCIATION	TX	NA	C Corporation	Yes (true)
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HEALTH PLAN	TX	NA	C Corporation	Yes (true)
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	RENTALS	TX	NA	C Corporation	Yes (true)
CENTRAL TX HEALTHCARE COLLABORATIVE
1301 Wonderland Dr	San Marcos	TX	78666	453739929	SUPPORT	TX	NA	C Corporation	Yes (true)
HOSPITAL BUILDING CONDO OWNERS ASSOCIATION INC
5101 N OCONNOR BLVD	IRVING	TX	75039	999999999	SUPPORT	TX	NA	C Corporation	Yes (true)
RELIANCE BENEFITS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752642104	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
Otero County Medical Group Inc
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	999999999	HEALTHCARE SERVICES	NM	NA	C Corporation	Yes (true)
Alamogordo Home Health Care and Hospice Inc
PO Drawer 29	ALAMOGORDO	NM	88311	261674556	HEALTHCARE SERVICES	NM	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (19 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHAMPION EMS
L	$283,709	Accrual
CHRISTUS Health Plan
M	$140,793	Accrual
Christus Trinity Clinic Texas
J	$128,777	Accrual
Christus Trinity Clinic Texas
K	$128,777	Accrual
Christus Trinity Clinic Texas
L	$102,561,315	Accrual
Christus Trinity Clinic
M	$58,425,441	Accrual
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
L	$1,314,119	Accrual
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
M	$90,229	Accrual
GOOD SHEPHERD FOUNDATION INC
C	$1,832,360	Accrual
GOOD SHEPHERD FOUNDATION INC
B	$123,171	Accrual
GOOD SHEPHERD NORTH PARK LP
K	$2,303,243	Accrual
GOOD SHEPHERD NORTH PARK LP
A	$2,377,358	Accrual
GSHS ADMINISTRATIVE SERVICES ORG INC
O	$10,240,684	Accrual
GSHS ADMINISTRATIVE SERVICES ORG INC
Q	$1,753,766	Accrual
GSHS ADMINISTRATIVE SERVICES ORG INC
P	$31,286,969	Accrual
TRINCARE INC
L	$1,497,679	Accrual
TRINCARE INC
M	$2,547,865	Accrual
GSHS Administrative Services Organization Inc
M	$523,072	Accrual
Good Shepherd North Park LP
P	$74,115	Accrual