MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER (EIN 75-0818167)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-09
IRS object ID: 202401319349300000
Schema version: 2022v5.0
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-09T22:51:48+00:00	ReturnTs
Tax Period End	2023-06-30	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	2323 VICTORY AVENUE	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750818167	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mother Frances Hospital Regional Health Care Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MOTH	BusinessNameControlTxt
Phone	9036065639	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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRIS GLENNEY	PersonNm
Person Title	SVP	PersonTitleTxt
Phone	9036065639	PhoneNum
Signature	2024-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ERIC	PersonFirstNm
Person Last	GARRISON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

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	Stephanie Lew	PreparerPersonNm
PTIN	P01080011	PTIN
Phone	2149698000	PhoneNum
Preparation	2024-05-03	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

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	CHRIS GLENNEY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 E DAWSON	AddressLine1Txt
City	TYLER	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,279,294,653	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTUSHEALTH.ORG/TRINITY/TYLER	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1958	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	6560	TotalEmployeeCnt
Total Volunteers	158	TotalVolunteersCnt
Total Gross UBI	$3,047,085	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$4,956	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$212,241	PYContributionsGrantsAmt
CY Contributions Grants	$569,402	CYContributionsGrantsAmt
PY Program Service Revenue	$1,103,496,306	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,244,957,045	CYProgramServiceRevenueAmt
PY Investment Income	$5,999,462	PYInvestmentIncomeAmt
CY Investment Income	$3,199,898	CYInvestmentIncomeAmt
PY Other Revenue	$57,657,935	PYOtherRevenueAmt
CY Other Revenue	$15,748,676	CYOtherRevenueAmt
PY Total Revenue	$1,167,365,944	PYTotalRevenueAmt
CY Total Revenue	$1,264,475,021	CYTotalRevenueAmt
PY Grants And Similar Paid	$441,044	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$604,359	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$330,512,535	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$319,298,840	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,587,777	CYTotalFundraisingExpenseAmt
PY Other Expenses	$784,491,480	PYOtherExpensesAmt
CY Other Expenses	$856,733,580	CYOtherExpensesAmt
PY Total Expenses	$1,115,445,059	PYTotalExpensesAmt
CY Total Expenses	$1,176,636,779	CYTotalExpensesAmt
PY Revenues Less Expenses	$51,920,885	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$87,838,242	CYRevenuesLessExpensesAmt
Total Assets BOY	$782,893,773	TotalAssetsBOYAmt
Total Assets EOY	$805,325,330	TotalAssetsEOYAmt
Total Liabilities BOY	$125,280,635	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$101,213,064	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$657,613,138	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$704,112,266	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,051,115,067	ExpenseAmt
Grant	$604,359	GrantAmt
Revenue	$1,247,626,678	RevenueAmt
Desc	THE HOSPITAL'S OPERATING PLAN INCORPORATES PROVISIONS FOR INDIVIDUALS WHO DO NOT POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES TO RECEIVE SERVICES AT THE SAME LEVEL AS ANY OTHER PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. OUR COMMITMENT TO OUR COMMUNITY EXTENDS TO FREE OR SUBSIDIZED INDIVIDUAL CARE, SUBSIDIZED EDUCATION OF HEALTHCARE PROFESSIONALS, DISCOUNTED FEES FOR PARTICIPANTS IN GOVERNMENT PROGRAMS, COMMUNITY HEALTH EDUCATIONS AND TO OTHER COMMUNITY AGENCIES. SPECIFIC COMMUNITY SERVICES AND PROGRAMS INCLUDE: WELLNESS AND PREVENTION EDUCATION PROGRAMS, COMMUNITY DIAGNOSTIC SCREENING PROGRAMS, SENIOR CITIZEN HEALTH AWARENESS PROGRAMS, AWARENESS OF BEHAVIORAL HEALTH NEEDS AND PROGRAMS FOR YOUTH AND ADULTS AT RISK AND AWARENESS PROGRAMS FOR PERSONS WITH SPECIAL PHYSICAL OR MENTAL NEEDS. INDIVIDUALS SERVED INCLUDED 154,847 VISITS TO OUR EMERGENCY DEPARTMENTS, 7,462 INPATIENT SURGERY PROCEDURES, 20,135 OUTPATIENT SURGERY PROCEDURES, 31,439 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND 497,400 PATIENTS WHO RECEIVED OUTPATIENT CARE. AS PART OF THE EDUCATIONAL FOCUS AREA OF THE CURRENT CHNA, PROVIDING EDUCATIONAL OPPORTUNITIES WITH HOSPITAL AND CLINICAL ROTATIONS FOR MULTIPLE PROGRAMS ACROSS EAST TEXAS IS ONE OF THE LARGE PROGRAMS IN THE TYLER MINISTRY. MOTHER FRANCES REGIONAL HEALTH CARE CENTER IS NOT AN ACADEMIC MEDICAL CENTER NOR DOES IT HAVE ANY MEDICAL SCHOOLS LOCATED WITHIN ITS SERVICE AREA AT THIS TIME. YET, IT IS ONE OF THE LARGEST TRAINING SITES FOR STUDENTS PURSING DEGREES IN NURSING, ALLIED HEALTH, ADVANCE PRACTICE NURSING AND MEDICINE. MOTHER FRANCES REGIONAL HEALTH CARE CENTER ASSOCIATES SERVE AS FORMAL PRECEPTORS FOR THESE STUDENTS WHILE ON SITE. ASSOCIATE PRECEPTORS INCLUDE REGISTERED NURSES, ADVANCE PRACTICE REGISTERED NURSES, RADIOLOGIC TECHNOLOGISTS AND PHYSICIANS. GME PROGRAMS ARE NOT INCLUDED. THE SPORTS MEDICINE PROGRAM ALIGNS WITH OUR FOCUS TO IMPROVE ACCESS TO PRIMARY CARE AND TO ADDRESS SPECIALTY NEEDS. BY PROVIDING ATHLETIC TRAINERS ON THE CAMPUSES OF OVER 15 SCHOOLS IN THE SMITH AND SURROUNDING COUNTIES, THE PROGRAM PROVIDES HEALTH CARE ACCESS TO MANY STUDENTS WHO DO NOT HAVE A PRIMARY CARE PROVIDER NOR THE MEANS TO BE SEEN BY A PROVIDER. WHAT BEGAN AS A WAY TO HELP STUDENTS HEAL FULLY BEFORE ENTERING THE SCHOOL SPORTS PROGRAMS TO EARLY HAS GROWN TO A SERVICE TO HELP STUDENTS STAY HEALTHY. FREE SATURDAY MORNING SPORTS INJURY CLINICS AND FREE PREPARTICIPATION SCREENINGS, ARE OFFERED TO ANY PLAYER REGARDLESS OF THEIR ABILITY TO PAY. NOW, ALL X-RAYS, CT SCANS, AND MRIS ARE DONE WITHOUT CHARGE. ALSO, THE PROGRAM HELPS TO: -PREVENT INJURIES AND QUICKLY EVALUATE AND DIAGNOSE INJURIES -DIRECT RAPID REFERRAL TO SPECIALIST PHYSICIANS -REHABILITATION AND FASTER RETURN TO NORMAL LIFE. IT IS THE STUDENT'S FAMILY DECISION WHERE THEY GO FOR CLINICAL CARE BUT INFORMATION ABOUT THE INJURIES IS SHARED WITH ALL PROVIDERS ON EPIC. IF IT IS DETERMINED THE STUDENT NEED FOLLOW-UP CARE, A SURGERY, OR ADDITIONAL VISITS, THE ONLY PAYMENT IS WHAT THE SCHOOL INSURANCE COVERS WHICH IS A ONE-TIME MINIMAL PAYMENT. SO, THIS PROGRAM IS SUBSIDIZED HEAVILY BY THE HEALTH SYSTEM. THIS PAST YEAR IN THE MOTHER FRANCES REGIONAL HEALTH CARE REGIONAL ALONE, OVER 2,300 PRE-PARTICIPATION PHYSICALS WERE DONE FREE OF CHARGE TO STUDENTS FROM ACROSS THE AREA. OF THOSE, 415 WERE REFERRED TO A PRIMARY CARE OR PEDIATRICIAN FOR A FULL PHYSICAL WITH EMPHASIS ON POTENTIAL HEART ISSUES PRIOR TO THEIR BEING ABLE TO PARTICIPATE IN ANY SPORTS PROGRAMS. THESE SAME ATHLETIC TRAINERS REGULARLY ADDRESS HEALTH EATING AND DIABETES ISSUES FOR THESE STUDENTS.	Desc
Total Program Service Expenses	$1,051,115,067	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	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
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	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	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	6560	EmployeeCnt
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	20	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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
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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

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 (44 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
Chris Glenney
Board Director/SVP NETX Group Operations	20.0	20.0	Yes (X)	Yes (X)	$0	$1,403,929	$446,039
JASON PROCTOR
PRESIDENT/CEO	13.0	27.0	Yes (X)	Yes (X)	$0	$843,803	$261,492
Shannon Dacus
DIRECTOR/CHAIRPERSON	11.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
STEVEN KEUER MD
Board Director Ex-Officio	10.0	30.0	Yes (X)	Yes (X)	$0	$1,293,583	$226,672
Andria Cardinalli-Stein MD
Board Director	8.0	32.0	Yes (X)		$0	$476,507	$12,200
Bill Chen PH D
BOARD DIRECTOR	1.0	10.0	Yes (X)		$0	$19,699	$0
Dick Stone
BOARD DIRECTOR	10.0	0.0	Yes (X)		$0	$0	$0
Fred Harris JR
BOARD DIRECTOR	10.0	0.0	Yes (X)		$0	$0	$0
Jean Coleman
BOARD DIRECTOR	8.0	0.0	Yes (X)		$0	$0	$0
Jeb Jones
BOARD DIRECTOR	10.0	0.0	Yes (X)		$0	$0	$0
JEFF PUCKETT
BOARD DIRECTOR	13.0	27.0	Yes (X)		$0	$6,548,766	$2,426,509
Joe Bob Burgin
Board Director	10.0	0.0	Yes (X)		$0	$0	$0
Joe Bob Joyce
BOARD DIRECTOR (TERM 12/22)	0.0	0.0	Yes (X)		$0	$0	$0
MARK ANDERSON MD
Director/CMO	11.0	29.0	Yes (X)		$0	$933,102	$271,882
Michael Hallum
Board Director	4.0	0.0	Yes (X)		$0	$0	$0
Preston Smith
BOARD DIRECTOR	11.0	0.0	Yes (X)		$0	$0	$0
Randy Childress
Board Director	4.0	0.0	Yes (X)		$0	$0	$0
Sister Guadalupe Ruiz
Board Director	4.0	0.0	Yes (X)		$0	$0	$0
Sister Rita Fanning
Board Director	2.0	0.0	Yes (X)		$0	$0	$0
Sister Rosanne Popp MD
Board Director	4.0	0.0	Yes (X)		$0	$231,978	$2,672
Sonja Yates Hubbard
Board Director	8.0	0.0	Yes (X)		$0	$0	$0
Amanda Smith
Corporate Secretary	20.0	20.0		Yes (X)	$48,820	$0	$10,141
ELIZABETH PULLIAM
CFO (TERM 04/23)	12.0	28.0		Yes (X)	$0	$585,994	$97,191
JACLYNN HARRISON
CFO (AS OF 04/2023)	40.0	0.0		Yes (X)	$0	$406,579	$62,394
Ali Birjandi
VP	40.0	0.0			$0	$406,042	$49,607	Yes (X)
Andy Navarro
VP MISSION INTEGRATION	40.0	0.0			$0	$343,850	$91,200	Yes (X)
Anne Pileggi
COO	40.0	0.0			$0	$414,978	$51,129	Yes (X)
Becky Western
VP	38.0	2.0			$0	$248,918	$12,406	Yes (X)
BRIAN D MATSON
VP, STRATEGY-BUS DEVELOPMENT	0.0	40.0			$0	$471,082	$95,234	Yes (X)
Deborah Chelette
VP CARDIAC SERVICES	40.0	0.0			$0	$368,868	$12,200	Yes (X)
Mary Elizabeth Jackson
VP ADVOCACY - GOVT AFFAIRS	40.0	0.0			$0	$321,789	$16,488	Yes (X)
REBECCA HOWELL
ASSOCIATE CIO	40.0	0.0			$0	$229,080	$9,538	Yes (X)
Scott Fossey
VP OF DEVELOPMENT	10.0	30.0			$0	$442,851	$39,303	Yes (X)
Shelly Welch
CHIEF NURSING OFFICER	40.0	0.0			$0	$479,028	$48,825	Yes (X)
SOBHA FULLER
CNO	40.0	0.0			$0	$152,867	$4,138	Yes (X)
DONALD J MITCHELL
CRNA	40.0	0.0			$385,251	$0	$20,503		Yes (X)
DUSTIN J VIDRINE
CRNA	40.0	0.0			$450,284	$0	$26,114		Yes (X)
Ranferi Valle
CRNA	40.0	0.0			$360,227	$0	$21,838		Yes (X)
ROBERT W BIENERT
CRNA	40.0	0.0			$540,722	$0	$14,533		Yes (X)
TIMOTHY M CLARK
CRNA	40.0	0.0			$373,469	$0	$26,104		Yes (X)
ANDY KIRKPATRICK MD
Former Dir/Chairperson (Term 12/20)	3.0	37.0			$0	$683,777	$43,563			Yes (X)
Fadi Nasrallah
Former CMO (Term 8/19)	0.0	40.0			$0	$1,325,282	$485,036			Yes (X)
FAGG SANFORD MD
FMR BOARD DIRECTOR/SECRETARY (THRU 6/30/2022	0.0	40.0			$0	$770,276	$47,246			Yes (X)
SCOTT SMITH MD
BOARD DIRECTOR (Term 11/2021)/EX-OFFICIO	9.0	31.0			$0	$621,000	$23,620			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,158,773	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$20,023,628	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,955,817	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	559	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	$569,402	RelatedOrganizationsAmt
Total Contributions	$569,402	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621110	$978,311,769	$978,311,769
Lab Testing Revenue	900099	$806,732	$806,732
Uncon Sub Revenue	900099	$5,070,730	$5,070,730
Education and Wellness	900099	$2,893,356	$2,893,356
Alloc Chargeout Phys Non Contract Rev	900099	$131,179,118	$131,179,118

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$126,695,340	TotalRevenueColumnAmt
Related Or Exempt Func Income	$126,695,340	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,244,957,045	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$486,387	TotalRevenueColumnAmt
Exclusion	$486,387	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,339,824	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,339,824	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,339,824	TotalRevenueColumnAmt
Exclusion	$4,339,824	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$17,533,143	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$14,819,632	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,713,511	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,713,511	TotalRevenueColumnAmt
Exclusion	$2,713,511	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Air Methods Program	900099	$5,692,134	$5,692,134
ALL OTHER REVENUE	900099	$5,716,718	$0	$2,669,633	$3,047,085

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	$11,408,852	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,264,475,021	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,247,626,678	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,047,085	UnrelatedBusinessRevenueAmt
Exclusion	$13,231,856	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	$604,359	TotalAmt
Program Services	$604,359	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$58,961	TotalAmt
Program Services	$57,805	ProgramServicesAmt
Management And General	$1,004	ManagementAndGeneralAmt
Fundraising	$152	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$264,082,983	TotalAmt
Program Services	$258,906,656	ProgramServicesAmt
Management And General	$4,495,606	ManagementAndGeneralAmt
Fundraising	$680,721	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,978,991	TotalAmt
Program Services	$35,430,778	ProgramServicesAmt
Management And General	$1,409,185	ManagementAndGeneralAmt
Fundraising	$139,028	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,177,905	TotalAmt
Program Services	$17,879,327	ProgramServicesAmt
Management And General	$244,909	ManagementAndGeneralAmt
Fundraising	$53,669	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$34,922,076	TotalAmt
Program Services	$34,922,076	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$414,254	TotalAmt
Program Services	$79,773	ProgramServicesAmt
Management And General	$334,481	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,383	TotalAmt
Management And General	$5,383	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$126,110	TotalAmt
Program Services	$126,110	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$340,928,168	TotalAmt
Program Services	$268,702,557	ProgramServicesAmt
Management And General	$72,027,908	ManagementAndGeneralAmt
Fundraising	$197,703	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$413,896	TotalAmt
Program Services	$413,896	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$92,967,187	TotalAmt
Program Services	$90,054,044	ProgramServicesAmt
Management And General	$2,583,990	ManagementAndGeneralAmt
Fundraising	$329,153	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$41,087,079	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$41,087,079	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,330,128	TotalAmt
Program Services	$18,125,073	ProgramServicesAmt
Management And General	$205,055	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$677,812	TotalAmt
Program Services	$618,245	ProgramServicesAmt
Management And General	$35,287	ManagementAndGeneralAmt
Fundraising	$24,280	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$242,246	TotalAmt
Program Services	$194,038	ProgramServicesAmt
Management And General	$23,928	ManagementAndGeneralAmt
Fundraising	$24,280	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,866,550	TotalAmt
Program Services	$7,866,550	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$47,122,513	TotalAmt
Program Services	$46,974,287	ProgramServicesAmt
Management And General	$148,226	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,606,593	TotalAmt
Program Services	$4,497,772	ProgramServicesAmt
Management And General	$3,108,821	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$231,029,855	$230,721,211	$298,804	$9,840
PROVISION FOR UNCOLLECTABLE ACCOUNTS	$6,673,360	$6,673,360	$0	$0
LPPF Tax	$23,714,131	$23,714,131	$0	$0
TLRA COLLECTION FEE	$1,048,855		$1,048,855

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,557,384	TotalAmt
Program Services	$4,553,019	ProgramServicesAmt
Management And General	-$3,124,586	ManagementAndGeneralAmt
Fundraising	$128,951	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,176,636,779	TotalAmt
Program Services	$1,051,115,067	ProgramServicesAmt
Management And General	$123,933,935	ManagementAndGeneralAmt
Fundraising	$1,587,777	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$170,271	BOYAmt
EOY	$243,283	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$392	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$104,936,656	BOYAmt
EOY	$103,220,744	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,291,916	BOYAmt
EOY	$8,727,252	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,893,494	BOYAmt
EOY	$9,754,233	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$22,035,327	BOYAmt
EOY	$21,881,813	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$718,973,320	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$214,282,538	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$495,201,387	BOYAmt
EOY	$504,690,782	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,919,735	BOYAmt
EOY	-$1,727,204	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$10,829,363	BOYAmt
EOY	$5,483,808	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$23,337,099	BOYAmt
EOY	$9,508,087	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$160,578	BOYAmt
EOY	$25,685,313	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$115,117,555	BOYAmt
EOY	$117,857,219	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$782,893,773	BOYAmt
EOY	$805,325,330	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,818,694	BOYAmt
EOY	$35,888,054	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$35,609,023	BOYAmt
EOY	$8,485,737	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$171,219	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,681,699	BOYAmt
EOY	$56,839,273	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$125,280,635	BOYAmt
EOY	$101,213,064	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	$656,793,219	BOYAmt
EOY	$703,522,310	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$819,919	BOYAmt
EOY	$589,956	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$657,613,138	BOYAmt
EOY	$704,112,266	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$782,893,773	BOYAmt
EOY	$805,325,330	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$87,838,242	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$41,339,114	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
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	$5,383	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$5,383	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 CONTACT WITH GOVERNMENT OFFICIALS AND THEIR STAFFS:	FormAndLineReferenceDesc
Explanation	AT THE FEDERAL LEVEL, CHRISTUS HEALTH TEXAS LEADERSHIP HAD DIRECT CONTACT WITH MEMBERS OF THE CONGRESS AND ADMINISTRATION OFFICIALS THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND MEETINGS 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 ADVANCED PAYMENTS, VALUE-BASED PAYMENT MODELS, FOREIGN HEALTH CARE WORKERS, CHILDREN'S HEALTH ISSUES, CHGME, MEDICAID, SUPPLEMENTAL PAYMENT PROGRAMS, RURAL HEALTH PROGRAM REAUTHORIZATION, AND HEALTH CARE FOR VETERANS. AT THE STATE LEVEL, CHRISTUS HEALTH TEXAS LEADERSHIP HAD DIRECT CONTACT WITH MEMBERS OF THE TEXAS LEGISLATURE AND ADMINISTRATION OFFICIALS THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND MEETINGS TO DISCUSS ISSUES IMPORTANT TO OUR MINISTRY. THESE ISSUES INCLUDE, BUT ARE NOT LIMITED TO ISSUES RELATED TO MEDICAID REIMBURSEMENT, ACCESS TO HEALTH CARE AND STATE FUNDING FOR SAFETY NET PROVIDERS, EMERGENCY PREPAREDNESS, WORKPLACE VIOLENCE, COVID-19 RESPONSE, 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. EXECUTIVE HRS: 20 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-2023.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,587,177	BeginningYearBalanceAmt
Contributions	$856,276	ContributionsAmt
Investment Earnings Or Losses	$340,534	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$434	GrantsOrScholarshipsAmt
End Year Balance	$5,783,553	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,606,929	BeginningYearBalanceAmt
Contributions	$122,490	ContributionsAmt
Investment Earnings Or Losses	-$123,917	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$18,325	GrantsOrScholarshipsAmt
End Year Balance	$4,587,177	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,951,360	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$708,623	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$53,054	GrantsOrScholarshipsAmt
End Year Balance	$4,606,929	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,883,058	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$83,627	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$15,325	GrantsOrScholarshipsAmt
End Year Balance	$3,951,360	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,676,633	BeginningYearBalanceAmt
Contributions	$10,000	ContributionsAmt
Investment Earnings Or Losses	$206,545	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$10,120	GrantsOrScholarshipsAmt
End Year Balance	$3,883,058	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.423	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.577	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,934,018	OtherCostOrOtherBasisAmt
Book Value	$17,934,018	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$361,551,075	OtherCostOrOtherBasisAmt
Depreciation	$64,669,986	DepreciationAmt
Book Value	$296,881,089	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,566,063	OtherCostOrOtherBasisAmt
Depreciation	$4,473,736	DepreciationAmt
Book Value	$6,092,327	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$295,013,657	OtherCostOrOtherBasisAmt
Depreciation	$143,225,471	DepreciationAmt
Book Value	$151,788,186	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,908,507	OtherCostOrOtherBasisAmt
Depreciation	$1,913,345	DepreciationAmt
Book Value	$31,995,162	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$504,690,782	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
ROU Transactions	$48,083,614
Trade Names Purchased	$46,077,333
Asset Clearing	$11,883,548
Other Designated Assets	$58,574
Business Federal Inc Tax Receivable
Pension Receivable	$11,722,691
Other Long Term Assets	$19,107
FIN 45 Assets	$12,352

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$117,857,219	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Error Suspense	$22,990
Asset Retirement Obligations	$999,151
LT Portion Capital Lease Bldg/Hosp	$46,001,998
CP Lease Liability	$4,780,444
Business State Sales Tax Payable	$18,311
NonPatron Collections Payable	$121,669
Intercompany Payable	$4,894,710

Field	Value	IRS element (for citing)
Total Liability	$56,839,273	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2023 AND 2022.

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
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,692,177	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,692,177	NetCommunityBenefitExpnsAmt
Total Expense	0.0442	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,049,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,262,458	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
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	$121,741,286	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,262,458	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,692,177	NetCommunityBenefitExpnsAmt
Total Expense	0.0442	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	246302	PersonsServedCnt
Total Community Benefit Expns	$3,033,826	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,033,826	NetCommunityBenefitExpnsAmt
Total Expense	0.0026	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	10486	PersonsServedCnt
Total Community Benefit Expns	$814,747	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,745	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$811,002	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
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	8	ActivitiesOrProgramsCnt
Persons Served	77911	PersonsServedCnt
Total Community Benefit Expns	$2,437,932	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$207,427	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,230,505	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	334699	PersonsServedCnt
Total Community Benefit Expns	$6,286,505	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$211,172	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,075,333	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	334699	PersonsServedCnt
Total Community Benefit Expns	$128,027,791	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,473,630	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,767,510	NetCommunityBenefitExpnsAmt
Total Expense	0.0494	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
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
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
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	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,349	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,349	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,288	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,288	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
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	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$54,683	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,683	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	5706	PersonsServedCnt
Total Community Benefit Expns	$759,414	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$759,414	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
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	5	ActivitiesOrProgramsCnt
Persons Served	5706	PersonsServedCnt
Total Community Benefit Expns	$824,734	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$824,734	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,673,360	BadDebtExpenseAmt
Bad Debt Expense Attributable	$30,528	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$206,878,688	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$177,634,904	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$29,243,784	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Tyler Rehab Associates LP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Rehabilitation services	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.5	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
MOTHER FRANCES REG HEALTHCARE CENTER
1	800 EAST DAWSON	TYLER	TX	75701	https://www.christushealth.org/locations/tyler-hospital	000286	Yes (X)	Yes (X)	Yes (X)	A
TYLER REHAB ASSOCIATES LP
2	3131 TROUP HIGHWAY	TYLER	TX	75701	WWW.ENCOMPASSHEALTH.COM/CTMFREHABHOSPITAL	000692	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)
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	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	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/locations/tyler-hospital	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE SUPPLEMENTAL INFO	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	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 INFO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SUPPLEMENTAL INFO	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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	ADVANCE HEALTH & WELL-BEING 1. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT - OBESITY - HEART DISEASE - DIABETES - CANCER 2. BEHAVIORAL HEALTH - MENTAL HEALTH - SUBSTANCE ABUSE 3. PRIMARY CARE 4. EDUCATION BUILD RESILENT COMMUNITIES & IMPROVED SOCIAL DETERMINANTS 5. IMPROVE FOOD ACCESS 6. REDUCE SMOKING AND VAPING
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. THE CHNA PROCESS INVOLVED ENGAGEMENT WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLECT, CURATE, AND INTERPRET PRIMARY AND SECONDARY DATA. THE DATA WAS THEN USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. FOR THIS COMPONENT, CTMFHS WORKED WITH METOPIO, A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. CTMFHS CONDUCTED ITS CHNA USING AN ADAPTED PROCESS FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK. PRIMARY DATA WAS COLLECTED THROUGH FOUR CHANNELS: 1.COMMUNITY RESIDENT SURVEYS (1,365 RESIDENT SURVEYS RETURNED) 2.COMMUNITY RESIDENT FOCUS GROUPS (2 LOCAL GROUPS COVERING ADULT HEALTH, TWO ON MATERNAL AND CHILD HEALTH, AND JOINED WITH TWO SYSTEMWIDE FOCUS GROUPS ON HEALTH CARE AND SOCIAL SERVICE PROVIDERS AND BEHAVIORAL HEALTH. FOCUS GROUPS LASTED 90 MINUTES AND HAD UP TO 15 COMMUNITY MEMBERS. EXAMPLES OF COMMUNITY MEMBERS INCLUDED ALZHEIMER'S ALLIANCE, BETHESDA CLINIC, TYLER JUNIOR COLLEGE, TYLER LEGACY HS, FAMILY CIRCLE OF CARE - FQHC, ST. PAUL'S FOUNDATION, JACKSONVILLE CHAMBER OF COMMERCE, TEXAS A & M AGRI-LIFE EXTENSION SERVICE, CAN HELP, CUMBY FOOD BANK, EAST TEXAS FOOD BANK, HEART OF HOPE, WINNSBORO ISD, PILOT CLUB, AND MANY MORE. THESE TYPES OF ENTITIES WERE USED FOR THE GROUP BELOW ALSO BUT NOT DUPLICATED. 3.HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS. 4.KEY INFORMANT INTERVIEWS (20 KEY INFORMANTS WERE INTERVIEWED ONE-ON-ONE. EACH INTERVIEW WAS 30 MINUTES EACH.) PARTICIPANTS EITHER LIVED IN OR SERVED LOW-INCOME GROUPS OR UNDERREPRESENTED GROUPS. SECONDARY DATA FOR THE CHNA WAS AGGREGATED ON A DATA PLATFORM AND INCLUDED: 1.HOSPITAL UTILIZATION DATA 2.SECONDARY SOURCES INCLUDING, BUT NOT LIMITED TO, THE AMERICAN COMMUNITY SURVEY, THE DECENNIAL CENSUS, THE CENTERS FOR DISEASE CONTROL, THE ENVIRONMENTAL PROTECTION AGENCY, HOUSING AND URBAN DEVELOPMENT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. CHRISTUS MOTHER FRANCES HOSPITAL, CHRISTUS MOTHER FRANCES HOSPITAL - JACKSONVILLE, CHRISTUS MOTHER FRANCES HOSPITAL - WINNSBORO, CHRISTUS HOPKINS HEALTH ALLIANCE
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. BASED ON COMMUNITY INPUT AND ANALYSIS OF A MYRIAD OF DATA, THE PRIORITIES FOR THE COMMUNITIES SERVED BY CTMFHS 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: A. ADVANCE HEALTH AND WELLBEING 1. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT - OBESITY - HEART DISEASE - DIABETES - CANCER A. PROVIDE SCREENING AND EDUCATION OPPORTUNITIES ABOUT HEART DISEASE, DIABETES, AND OBESITY. B. PROVIDE SPECIALTY CARE IN CONJUNCTION WITH SCHOOLS, EVENTS, AND COMMUNITY REQUESTS FOR SUPPORT. C. PROVIDE EDUCATION, SCREENINGS, AND CARE FOR CANCER DISEASE. 2.BEHAVIORAL HEALTH A. EXPAND AND SUPPORT BEHAVIORAL HEALTH SERVICES IN THE COMMUNITIES SERVED FOR INDIVIDUALS AND FAMILIES. B. CREATE COMMUNITY CONNECTIONS FOR MENTAL HEALTH SERVICES. C. DEVELOP A COMMUNITY WORKGROUP TO COLLECT INFORMATION ON SUBSTANCE ABUSE IN BOTH ADOLESCENTS AND ADULTS. 3.PRIMARY CARE A. ACCESS TO PRIMARY CARE. B. REDUCE INEQUITIES CAUSED BY CULTURAL BARRIERS TO CARE. C. DEVELOP, PARTICIPATE, AND EXPAND COMMUNITY COLLABORATION TO INCREASE ACCESS AND FOLLOW-UP CARE. 4.EDUCATION A. COLLABORATE WITH COMMUNITY HEALTH EDUCATION ACCESS POINTS. B. COLLABORATE WITH COMMUNITY GROUPS TO ENHANCE FUNDING FOR STUDENT SCHOLARSHIPS. C. COLLABORATE ON COMMUNITY LEADERSHIP BUILDING PROGRAMS. B. BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS 1. IMPROVING FOOD ACCESS A. EXPAND AND SHARE INFORMATION ON FOOD INSECURITIES TO BETTER SERVE TARGETED POPULATIONS. B. IMPROVE/EXPAND EDUCATION ON THE IMPORTANCE OF HEALTHY EATING AND RESOURCES. 2.REDUCING SMOKING AND VAPING A. EVALUATE AND EXPAND SMOKING CESSATION PROGRAMS TO PREVENT RISK OF DISEASES. ALL FOCUS AREAS HAD PROJECTS OR PROGRAM SUPPORT, BUT NOT ALL TASKS HAD ACTIVITIES. KEY TO 2024 WILL BE TO IMPROVE ON SOCIAL DETERMINANTS OF HEALTH AND TASK UNDER ALL AREAS.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. 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 GUIDELINES 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 - SEE SCHEDULE, H, PART V, SECTION A. 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 - SEE SCHEDULE, H, PART V, SECTION A. 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 ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING 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.
Schedule H, Part V, Section B, Line 20 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. 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. WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MFH OUTPATIENT SURGERY CENTER
415 SOUTH FLEISHEL	TYLER	TX	75702	AMBULATORY SURGICAL CENTER
CTMF ENDOSCOPY CENTER
1720 S BECKHAM AVENUE	TYLER	TX	75701	AMBULATORY SURGICAL CENTER

Supplemental Information Detail SupplementalInformationDetail (31 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 17	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 18	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	THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/23 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 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 (FOR INCOMES AT OR BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.
Schedule H, Part I, Line 3c	FACTORS OTHER THAN THE FPG DETERMINING FREE OR DISCOUNTED CARE THE HOSPITAL USES THE FOLLOWING FACTORS IN ITS DETERMINATION: 1) ASSET LEVEL 2) MEDICAL INDIGENCY 3) INSURANCE STATUS 4) UNDERSINSURANCE STATUS 5) GREATER THAN 400% UNDER THE CATASTROPHIC CAP PROVISION 6) RESIDENCY
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 7f PERCENT OF TOTAL EXPENSE	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $1,176,636,779. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $6,673,360. THIS LEAVES A TOTAL EXPENSE OF $1,169,963,419 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
Schedule H, Part I, Line 7f FIN ASSISTANCE/OTHER BENEFITS AS PERCENTAGE OF COST	THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 10.94 PERCENT, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE.
Schedule H, Part I, Line 7i CASH AND IN-KIND CONTRIBUTIONS	MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE MADE OVER $2,437,932 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2023. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE.
Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15	CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCATION 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 COMMUNITY BENEFIT REPORT	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. 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 2015. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE.
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: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7C: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7H: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
Schedule H, Part V, Section B, Line 7 OTHER WEBSITE	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/trinity-mother-frances-tyler/tmf_tyler_chna_2023.ashx
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 7 Bad Debt Expense excluded from financial assistance calculation	6673360
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 2023, 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	THE FILING ORGANIZATION RECOGNIZED THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30 PERCENT OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERSTIC OF OTHER WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2023, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73 PERCENT OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2023. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.4575 PERCENT OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2023 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011.
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 AT THE DATE OF THE CONSOLIDATED FINANCIAL STATEMENTS. 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 MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE SHORTFALL ON PART III, LINE 7 IS NOT COUNTED AS A COMMUNITY BENEFIT. THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF (XXXXXX) IF TOTAL EXPENSES ALLOWABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6.
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 - MOTHER FRANCES REG. HEALTHCARE CENTER: 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 - MOTHER FRANCES REG. HEALTHCARE CENTER: Line 16b URL: SEE SUPPLEMENTAL INFO;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - MOTHER FRANCES REG. HEALTHCARE CENTER: Line 16c URL: SEE SUPPLEMENTAL INFO;
Schedule H, Part VI, Line 2 Needs assessment	THE HOSPITAL'S COMMUNITY HEALTH PROFILES PROVIDE A SNAPSHOT OF SUBURBAN, URBAN, AND RURAL SERVICE AREAS WITHIN TEXAS USING KEY HEALTH INDICATORS, WHICH FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND OVER TIME. COMMUNITY HEALTH PROFILES ARE INTENDED TO ASSIST INTERNAL STAKEHOLDERS, COMMUNITY HEALTH COUNCIL MEMBERS, AND THE COMMUNITY HEALTH IMPROVEMENT DEPARTMENT IN DECIDING WHERE 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 HEALTH INEQUALITIES AND TO EMPOWER THE GREATER COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	MOTHER FRANCIS HOSPITAL - TYLER 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 ASSITANCE.
Schedule H, Part VI, Line 4 Community information	SERVING EAST TEXAS SINCE MARCH 18, 1937, CHRISTUS MOTHER FRANCES HOSPITAL - TYLER IS A 561-BED ACUTE CARE FACILITY LOCATED IN THE HEART OF TYLER, TEXAS, OFFERING A WIDE RANGE OF SERVICES INCLUDING EMERGENCY AND TRAUMA CARE, MEDICAL AND SURGICAL CARE, TYLER'S ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT, LEVEL III MATERNAL UNIT, PEDIATRICS, ADVANCED NEUROSURGICAL, ORTHOPEDIC, AND CARDIAC CARE. THIS HOSPITAL ALSO HAS THE ONLY HEART HOSPITAL WITH A TOTAL BED COUNT OF 96. FOLLOWING IRS GUIDELINES, RULES AS REQUIRED BY THE AFFORDABLE CARE ACT, CTMFHS' TOTAL PRIMARY SERVICE AREA INCLUDES 38 ZIP CODES COVERING OVER 475,000 INDIVIDUALS. THE PRIMARY SERVICE AREA (PSA) IS THE GEOGRAPHIC REGION WITH 80% HOSPITAL UTILIZATION. THE PRIMARY SERVICE AREA INCLUDES THESE COUNTIES: ANDERSON, CHEROKEE, DELTA, FRANKLIN, HENDERSON, HOPKINS, RAINS, RUSK, SMITH, VAN ZANDT, AND WOOD. THE DEMOGRAPHICS OF THE PSA ARE 65.8% NON-HISPANIC WHITE, 17.9% HISPANIC/LATINO AND 12.9% NON-HISPANIC BLACKS MAKE UP THE REST OF THE POPULATION. FEMALES MAKE UP 50.5% AND MALES 49.5%. THE MEDIAN AGE IS 39.1 YEARS OLD. IN THE CTMFHS PSA 3.9 % OF THE RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY AND 14.5% IN THE PSA HAVE SOME DISABILITY. OVER THE PAST DECADE, THE COMMUNITIES SERVED BY CTMFHS HAVE EXPERIENCED A MODERATE CHANGE IN POPULATION. THE PSA GREW BY 7.9% OVER THE DECADE (2010-2020).
Schedule H, Part VI, Line 5 Promotion of community health	CHRISTUS MOTHER FRANCES HOSPITAL TYLER AND ITS AFFILIATED FACILITES ALL WORK TOGETHER TO SERVE THE PEOPLE NOT ONLY IN ITS PRIMARY AND SECONDARY SERVICE AREA BUT ALL OF NORTHEAST TEXAS, WHICH COVERS OVER 2O COUNTIES IN NORTHEAST TEXAS. THOSE COUNTIES ARE BOTH RURAL AND SMALL URBAN, BUT MOSTLY RURAL. KEY HEALTH INDICATORS FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND THE STATE. TWO GROUPS THAT INCLUDE PUBLIC MEMBERS ARE THE LEADERSHIP COUNCIL OF THE HOSPITALS AND THE COMMUNITY BENEFIT ADVISORY COUNCIL OF EACH HOSPITAL. BOTH OF THESE MEET QUARTERLY. THEY INFLUENCE WHERE FUNDING IS ALLOCATED AS THEY RECEIVE INFORMATION ON GOALS AND OUTCOMES.HEALTH EQUITY IS ONE OF THE OTHER TOPICS INCLUDED IN THEIR MEETINGS. IN EACH MARKET, OUR FACILITIES ARE THE ONLY NON-PROFIT HEALTHCARE ENTITIES IN THIS MINISTRY AND ARE SEEN AS THE GO-TO FOR ASSISTANCE AND SUPPORT TO CARE FOR THOSE WHO DO NOT HAVE RESOURCES. THE REGIONAL BOARD AT EVERY MEETING IS PROVIDED A REPORT ON ALL MINISTRIES IN THE REGION FOR FUNDING LEVEL EXPENDITURES, HOW THE AREAS FUNDS ARE BEING SPENT IN ACCORDANCE WITH THE CHNA, AND INFORMATION ON HOW ASSOCIATES ARE VOLUNTEERING WITH NOT-FOR-PROFITS TO FURTHER EXPAND THE REACH FOR OUR CHNA GOALS. SAMPLES OF KEY PROGRAMS AND PROJECTS ARE INCLUDED, BUT ARE NOT LIMITED TO, THOSE LISTED BELOW: 1. ROSS BREAST CENTER MOBILE UNIT DESCRIPTION: ROSS BREAST CENTER MOBILE MAMMOGARPHY UNIT GOES OUT IN THE NORTHEAST TEXAS REGIONAL COMMUNITY. THE MOBILE MAMOGRAPHY IS SET UP STRATEGICALLY ACROSS NORTHEAST TEXAS AND ALSO IN RURAL AREAS TO ACCOMMODATE LOW INCOME MEDICAID WOMEN WHO MAY NOT OTHERWISE HAVE MEANS OF TRANSPORTATION. THE MOBILE UNIT IS SET UP FOR APPOINTMENTS AND FOR WALK-IN AVAILABILITY. 2. UNITED WAY DESCRIPTION: OUR EMPLOYEES PROVIDED FINANCIAL SUPPORT TO ASSIST WITH THE DESIGN, DEVELOPMENT, FUNDING, AND MISSION DEVELOPMENT OF OVER 30 NON-PROFIT AGENCIES IN THE COMMUNITY PROVIDING SERVICES TO CHILDREN AND FAMILIES AT-RISK REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. THE HOSPITAL PROVIDES AN ADDITIONAL DONATION TO THE UNITED WAY TO SHOW HOSPITAL SUPPORT FOR OUR ASSOCIATE'S EFFORTS AND TO FURTHER FUND PROGRAMS OF THE UNITED WAY. 3. COMMUNITY PARTNERSHIPS DESCRIPTION: ASSISTANCE WAS PROVIDED BOTH FINANCIALLY AND WITH STAFFING FOR GROUPS AND ORGANIZATIONS TO PROVIDE COLLABORATIVE PROGRAMS, SERVICES, AND HEALTH INFORMATION IN COLLABORATIONS WITH OVER 75 OPPORTUNITIES, INCLUDING SCHOOL-BASED PROGRAMS, YOUTH PROGRAMS, AND GENERAL PUBLIC EVENTS, TO PROVIDE ASSISTANCE AND SUPPORT AND TO EDUCATE THE PUBLIC ON PROGRAMS OFFERED BY AMERICAN HEART ASSOCIATION, AMERICAN CANCER ASSOCIATION, ALZHEIMER'S ALLIANCE, BOY SCOUTS, NURSING PROGRAMS, CHAMPIONS FOR CHILDRENS, MOSAIC COUNSELING, AND PUBLIC AND PRIVATE SCHOOLS TO LIST A FEW. 4. EMERGENCY EDUCATION DESCRIPTION: DETAILED INSTRUCTION AND HANDS ON PARTICIPATION IS OFFERED FOR CERTIFICATION IN AREAS INCLUDING CPR, FIRST AID, STOP THE BLEED, AND AED USE. COURSES ARE OFFERED TO SCHOOL DISTRICTS AND SPONSORS FOR UIL PROGRAMS ON AN AS-NEEDED BASIS. HUNDREDS OF PEOPLE WERE TRAINED ACROSS MULTIPLE COUNTIES, ISDS, CHURCHES, AND ATHLETIC PROGRAMS. 5. TYLER FAMILY CIRCLE OF CARE - WOMEN'S SERVICES/CHILDREN'S SERVICES/FAMILY AND SPECIAL NEEDS CLINIC DESCRIPTION: THESE CLINICS PROVIDE MEDICAL CARE SERVICES TO ALL AGES OF PATIENTS. THE CLINICS SEE MEDICAID AND MEDICARE, CHIP/CHIP PERINATE, SELF-PAY, UNINSURED/UNDERSERVED, THOSE WITHOUT THE ABILITY TO PAY REGARDLESS OF THEIR COUNTRY OR RESIDENCE. A COMMUNITY BENEFIT IS PAID TO COVER THE COSTS OF 65% OF THE IT SERVICES AT ALL THEIR FACILITIES. 6. HEALTH EDUCATION/SCREENING PROGRAMS DESCRIPTION: COMMUNITY EDUCATION FOR HEALTH LIFESTYLES WAS OFFERED THROUGHOUT THE REGION FOR A VARIETY OF CONDITIONS, VARIOUS WALKS ARE INCLUDED, AS WELL AS STRESS MANAGEMENT, DIBETES EDUCATION, HEART HEALTH, CANCER AWARENESS, AND HEALTHY EATING. THE WOMEN WITH HEART PROGRAM WAS TRANSITIONED TO A COMMUNITY EDUCATION EVENT AT A PUBLIC BUILDING. 7. SCHOOL ASSISTANCE DESCRIPTION: OVER 7,500 JUNIOR HIGH AND HIGH SCHOOL PRE-PARTICIPATION EXAMS WERE DONE AT NO COST TO THE SCHOOLS. ADDITIONALLY, OVER 225 STUDENT ATHLETES WERE SEEN FOR FREE INJURY SATURDAY SPORTS CLINICS. ALL PROGRAMS ARE OPEN TO ANYONE TO PARTICIPATE PROVIDED THEY HAVE PARENTAL APPROVAL AND SUPPORT FROM THE ON-SITE TRAINERS. ALL SERVICES ARE FREE AND NOT BILLED TO THE STUDENT OR PARENT. 8. JOB SHADOWING DESCRIPTIONS: CHRISTUS NORTHEAST TEXAS MADE A DECISION TO PARTICIPATE AND LEAD THE WAY ON HELPING TO DEVELOP SKILLS CHILDREN NEED TO LEARN AND BECOME INTERESTED IN HEALTH CARE CAREERS. THROUGH OUR VOLUNTEER SERVICES PROGRAM TRAINING, JOB SHADOWING, STUDENT PROGRAMS, ETC., WE OFFER INDIVIDUALS, SCHOOLS, COMMUNITY COLLEGES, AND FOUR-YEAR-INSTITUTIONS, NOT ONLY IN OUR MAIN HOSPITALS, BUT IN CLINICS THROUGHOUT THE SERVICE AREA A CHANCE TO SEE WHAT HEALTHCARE IS ALL ABOUT. 9. BEHAVIORAL HEALTH ASSISTANCE DESCRIPTION: THROUGH SUPPORT FOR DIRECT PATIENT SERVICES, FUNDING, AND SPECIAL EVENTS WITH ASSOCIATE VOLUNTEERS, FREE MUSIC CONCERTS IN THE PARK, PET THERAPY, OR PROGRAMS FOR SPEICAL NEEDS CHILDREN, CTMFHS IS WORKING TO EXPAND OPPORTUNITIES FOR BEHAVIOR HEALTH SERVICES TO INDIVIDUALS AND FAMILIES OF ALL AGES. SUPPORT FOR GROUPS INCLUDED, BUT WAS NOT LIMITED TO, ALZHEIMER'S, CAMP V - VETERANS, HOMELESS MUSIC OPPORTUNITY, A DAY OF WORK IN A CITY PARK CLEAN-UP PROJECT/QUARTERLY, FOR THE SILENT/HUMAN TRAFFICIKNG, AND A VARIETY OF RUNS.
Schedule H, Part VI, Line 6 Affiliated health care system	MOTHER FRANCES HOSPITAL-TYLER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM COROPORATION. CHRISTUS NORTHEAST TEXAS IS A FAITH-BASED ORGANIZATION DEDICATED TO CREATING HEALTHY LIVES FOR PEOPLE AND COMMUNITIES. MFH-TYLER AND ITS AFFILIATES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING ACUTE CARE FACILITIES AND CRITICAL ACCESS FACILITIES WHOSE OPERATIONS CONSIST PRIMARILY OF PROVIDING INPATIENT AND OUTPATIENT ACUTE CARE AND MEDICAL SERVICES TO PATIENTS RESIDING IN EAST TEXAS.
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 (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
The Miracle League of Tyler Inc
1919 S Donnybrook	Tyler	TX	75701	750884075	501(C)(3)	$125,000	FY23 Program Grant - Recreational Activities for Children w/disabilities
UNITED WAY OF SMITH COUNTY
PO Box 10029	Tyler	TX	75711	750957331	501(C)(3)	$50,000	FY23 Grant - support community pillar
AMERICAN CANCER SOCIETY
PO Box 140069	Dallas	TX	75214	131788491	501(C)(3)	$46,900	FY23 Grant - ($50,000 - 80% fund transportation needs for cancer patients, cancer research and increase screening & early detection / 20% marketing expense); FY 23 Donation - $4370 to cost and $2,530 addtl support ot help fund transportation needs for cancer patients, cancer research and increase screening & early detection).
TEXAS ROSE FESTIVAL
PO BOX 8224	Tyler	TX	75711	751171774	501(C)(4)	$25,000	Donation
Woody Williams Foundation Inc
12123 Shelbyville Rd	Louiseville	KY	40243	061840409	501(c)(3)	$25,000	Gold Star Family Memorial	Suite 100
ALL SAINTS EPISCOPAL SCHOOL
2695 SSW Loop 323	Tyler	TX	75701	751520564	501(C)(3)	$20,000	FY23 Grant - Program Education grant
WHITEHOUSE HIGH SCHOOL
106 Wildcat Drive	Whitehouse	TX	75791	756002764	501(c)(3)	$20,000	FY23 Grant Yr 4 of 4 for Technology grant
JUNIOR LEAGUE OF TYLER INC
1619 S Donnybrook	Tyler	TX	75701	750884075	501(C)(3)	$11,905	FY23 - (2) Grants - 1) Annual Program to help support local non-profits; 2) educational grant
BOY SCOUTS OF AMERICA
1331 East Fifth Street	Tyler	TX	75701	750808767	501(C)(3)	$10,000	FY23 - (2) Grants - 1) Annual Program to support local boy scouts; 2) 80% educational grant/20% marketing
The Children's Park of Tyler
5380 Old Bullard Road	Tyler	TX	75703	043665297	501(C)(3)	$10,000	FY23 - (2) Grants - program grant	Suite 600-122
CHILDRENS ADVOCACY CENTER
2210 Frankston Hwy	Tyler	TX	75701	752748697	501(C)(3)	$10,000	FY23 Program Grant
ALZHEIMERS ALLIANCE OF NORTHEAST TEXAS INC
211 Winchester Dr	Tyler	TX	75701	752486061	501(C)(3)	$8,800	FY23 Program Grant
BROOKSHIRE GROCERY COMPANY
1600 WSW Loop 323	Tyler	TX	75701	750865842		$7,500	FY23 Program Grant (Split)
LINDALE AREA CHAMBER OF
PO Box 670	Lindale	TX	75771	752218487	501(C)(6)	$6,670	(3) Program Grants (4) donations
MOSAIC COUNSELING CENTERS OF EAST TEXAS INC
218 N College Ave	Tyler	TX	75771	452047833	501(C)(3)	$6,000	FY23 program grant
DIOCESE OF TYLER
1015 ESE Loop 323	Tyler	TX	75701	752152475	501(C)(3)	$6,000	(2) Program Grant		$85,475	FMV	Office building
TYLER AREA CHAMBER OF COMMERCE
315 N Broadway	Tyler	TX	75702	750624670	501(C)(6)	$5,700	Donations
CATHOLIC CHARITIES DIOCESE OF TYLER
PO Box 2016	Tyler	TX	75710	202766724	501(C)(3)	$5,103	FY23 Program Grant
EAST TEXAS SYMPHONY ORCHESTRA ASSOCIATION
107 E Erwin	Tyler	TX	75702	756013387	501(C)(3)	$5,000	FY23 Program Grant
EAST TEXAS TRIATHLETES
PO Box 7558	Tyler	TX	75703	261808251	501(C)(3)	$5,000	FY23 Program Grant (Split)
ZETA PHI BETA SORORITY INC
PO Box 4844	Tyler	TX	75712	756055219	501(c)(3)	$5,000	FY 23 Educational Program Grant
SMITH COUNTY AREA GO TEXAN
PO Box 94	Troup	TX	75789	463950806	501(c)(3)	$5,000	FY23 Educational Program Grant
TYLER HISPANIC BUSINESS ALLIANCE
315 North Broadway	Tyler	TX	75702	462342893	501(c)(3)	$5,000	(2) FY23 Educational Program Grant
MENTORING ALLIANCE
1909 South Braodway	Tyler	TX	75701	752541408	501(C)(3)	$5,000	FY23 Educational Program Grant
SPORTYLER
315 N Broadway	Tyler	TX	75702	752401978	501(C)(3)	$5,000	FY23 Educational Program Grant
TYLER ISD FOUNDATION
807 W Glenwood Blvd	Tyler	TX	75701	752366991	501(C)(3)	$5,000	FY23 Educational Program Grant (split)
TYLER AREA BUSINESS EDUCATION COUNCIL
315 N Broadway	Tyler	TX	75702	271665584	501(C)(3)	$5,000	FY23 Educational Program Grant
E TX VETERANS COMMUNITY COUNCIL
3212 W Front Street	Tyler	TX	75702	824140973	501(C)(3)	$5,000	FY23 Program Grant

Field	Value	IRS element (for citing)
Total501c3 Org	24	Total501c3OrgCnt
Total Other Org	4	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	GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	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 (29 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
Chris Glenney
Board Director/SVP NETX Group Operations	$0	$956,519	$0	$446,760	$0	$650	$0	$431,192	$0	$14,847	$0	$1,849,968	$0	$0
STEVEN KEUER MD
Board Director Ex-Officio	$0	$684,551	$0	$410,841	$0	$198,191	$0	$209,400	$0	$17,272	$0	$1,520,255	$0	$0
JASON PROCTOR
PRESIDENT/CEO	$0	$595,280	$0	$247,873	$0	$650	$0	$239,075	$0	$22,417	$0	$1,105,295	$0	$0
JEFF PUCKETT
BOARD DIRECTOR	$0	$3,121,353	$0	$2,702,700	$0	$724,713	$0	$2,412,440	$0	$14,069	$0	$8,975,275	$0	$0
MARK ANDERSON MD
Director/CMO	$0	$683,470	$0	$249,632	$0	$0	$0	$199,056	$0	$72,826	$0	$1,204,984	$0	$0
Andria Cardinalli-Stein MD
Board Director	$0	$381,927	$0	$94,130	$0	$450	$0	$12,200	$0	$0	$0	$488,707	$0	$0
Sister Rosanne Popp MD
Board Director	$0	$209,944	$0	$3,500	$0	$18,534	$0	$317	$0	$2,355	$0	$234,650	$0	$0
ELIZABETH PULLIAM
CFO (TERM 04/23)	$0	$356,837	$0	$154,939	$0	$74,218	$0	$89,333	$0	$7,858	$0	$683,185	$0	$0
JACLYNN HARRISON
CFO (AS OF 04/2023)	$0	$269,549	$0	$136,350	$0	$680	$0	$51,346	$0	$11,048	$0	$468,973	$0	$0
Shelly Welch
CHIEF NURSING OFFICER	$0	$315,639	$0	$116,021	$0	$47,368	$0	$39,636	$0	$9,189	$0	$527,853	$0	$0
Scott Fossey
VP OF DEVELOPMENT	$0	$325,194	$0	$116,707	$0	$950	$0	$17,800	$0	$21,503	$0	$482,154	$0	$0
Anne Pileggi
COO	$0	$279,359	$0	$100,448	$0	$35,171	$0	$46,713	$0	$4,416	$0	$466,107	$0	$0
Ali Birjandi
VP	$0	$293,893	$0	$111,499	$0	$650	$0	$32,701	$0	$16,906	$0	$455,649	$0	$0
Andy Navarro
VP MISSION INTEGRATION	$0	$258,399	$0	$84,801	$0	$650	$0	$73,817	$0	$17,383	$0	$435,050	$0	$0
Deborah Chelette
VP CARDIAC SERVICES	$0	$265,207	$0	$103,661	$0	$0	$0	$12,200	$0	$0	$0	$381,068	$0	$0
Mary Elizabeth Jackson
VP ADVOCACY - GOVT AFFAIRS	$0	$238,190	$0	$82,949	$0	$650	$0	$12,200	$0	$4,288	$0	$338,277	$0	$0
Becky Western
VP	$0	$185,054	$0	$56,308	$0	$7,556	$0	$10,049	$0	$2,357	$0	$261,324	$0	$0
BRIAN D MATSON
VP, STRATEGY-BUS DEVELOPMENT	$0	$305,639	$0	$116,345	$0	$49,098	$0	$60,043	$0	$35,191	$0	$566,316	$0	$0
SOBHA FULLER
CNO	$0	$71,388	$0	$0	$0	$81,479	$0	$0	$0	$4,138	$0	$157,005	$0	$0
REBECCA HOWELL
ASSOCIATE CIO	$0	$175,530	$0	$53,550	$0	$0	$0	$3,729	$0	$5,809	$0	$238,618	$0	$0
ROBERT W BIENERT
CRNA	$222,706	$0	$26,637	$0	$291,379	$0	$12,201	$0	$2,332	$0	$555,255	$0	$0	$0
DUSTIN J VIDRINE
CRNA	$195,938	$0	$24,567	$0	$229,779	$0	$12,201	$0	$13,913	$0	$476,398	$0	$0	$0
DONALD J MITCHELL
CRNA	$190,811	$0	$500	$0	$193,940	$0	$12,200	$0	$8,303	$0	$405,754	$0	$0	$0
TIMOTHY M CLARK
CRNA	$202,341	$0	$500	$0	$170,628	$0	$12,200	$0	$13,904	$0	$399,573	$0	$0	$0
Ranferi Valle
CRNA	$177,598	$0	$500	$0	$182,129	$0	$12,200	$0	$9,638	$0	$382,065	$0	$0	$0
FAGG SANFORD MD
FMR BOARD DIRECTOR/SECRETARY (THRU 6/30/2022	$0	$489,746	$0	$18,250	$0	$262,280	$0	$32,625	$0	$14,621	$0	$817,522	$0	$0
Fadi Nasrallah
Former CMO (Term 8/19)	$0	$893,157	$0	$432,125	$0	$0	$0	$403,115	$0	$81,921	$0	$1,810,318	$0	$0
SCOTT SMITH MD
BOARD DIRECTOR (Term 11/2021)/EX-OFFICIO	$0	$310,500	$0	$0	$0	$310,500	$0	$7,444	$0	$16,176	$0	$644,620	$0	$0
ANDY KIRKPATRICK MD
Former Dir/Chairperson (Term 12/20)	$0	$624,510	$0	$0	$0	$59,267	$0	$32,000	$0	$11,563	$0	$727,340	$0	$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS.
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING RECEIVED SEVERANCE PAYMENTS DURING 2022: SCOTT SMITH, M.D. RECEIVED $300,000 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2022. SOBHA FULLER RECEIVED $74,601 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2022.
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 EARNING 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. STEVE KEUER RECEIVED $196,367 DURING THE CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. ANNE PILEGGI RECEIVED $34,771 DURING THE CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. ELIZABETH PULLIAM RECEIVED $73,568 DURING THE CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SHELLY WELCH RECEIVED $47,368 DURING THE CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. BRIAN MATSON RECEIVED $48,998 DURING THE CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN.
Schedule J, Part I, Line 3 RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION	THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR 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 METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR 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 II	DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
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)	BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDER YEAR 2022.
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 PERCENT 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LEAH M SMITH
Daughter of Director	$707	LEAH M. SMITH IS AN EMPLOYEE OF CHRISTUS HEALTH. HER FATHER, SCOTT SMITH, M.D. IS A DIRECTOR OF CHRISTUS HEALTH.	false
KINLIE ANDERSON
Daughter in Law of Director	$26,102	KINLIE ANDERSON IS AN EMPLOYEE OF CHRISTUS HEALTH. HER FATHER IN LAW, MARK ANDERSON, M.D. IS A DIRECTOR OF CHRISTUS HEALTH.	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	THE CORPORATIONS' MISSION SHALL BE TO "EXTEND THE HEALING MINISTRY OF JESUS CHRIST", AND 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 VI, Line 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	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 ORGANIZATIONS 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 6 Classes of members or stockholders	CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE MEMBER, CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD.
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 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 2024 VIA 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 COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
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	Rebates - Total Revenue: 7323508, Related or Exempt Function Revenue: 7323508, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Phys Revenue Medical Director - Total Revenue: 4227, Related or Exempt Function Revenue: 4227, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Shared Savings - Total Revenue: 738035, Related or Exempt Function Revenue: 738035, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Care Coordination Fees - Total Revenue: -45, Related or Exempt Function Revenue: -45, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Community Benefit Revenue - Total Revenue: 5270534, Related or Exempt Function Revenue: 5270534, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Retail Pharmacy Revenue - Total Revenue: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Patient Financial Serv. - Total Expense: 35825218, Program Service Expense: 0, Management and General Expenses: 35825218, Fundraising Expenses: 0; System Office Fee - Total Expense: 35302466, Program Service Expense: 423671, Management and General Expenses: 34878795, Fundraising Expenses: 0; Professional Fees - Total Expense: 947651, Program Service Expense: 588362, Management and General Expenses: 359289, Fundraising Expenses: 0; Charge Out Fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 0, Fundraising Expenses: 0; Medical Services - Total Expense: 8890224, Program Service Expense: 8563224, Management and General Expenses: 327000, Fundraising Expenses: 0; Repairs & Maintenance - Total Expense: 13348037, Program Service Expense: 13249474, Management and General Expenses: 98487, Fundraising Expenses: 76; Billings & Collections - Total Expense: 208032, Program Service Expense: 208032, Management and General Expenses: 0, Fundraising Expenses: 0; Purchased Services - Total Expense: 6480147, Program Service Expense: 5743401, Management and General Expenses: 539119, Fundraising Expenses: 197627; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - -46938100; RESTRICTED CONTRIBUTIONS - -229964; CHANGE IN PENSION LIABILITIES - 2555216; RECLASS FOR GAAP FOR DONATIONS/GRANTS TO UNRNA - 3273734;
FORM 990, PAGE 1, BOX C DOING BUSINESS AS	MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS HUMAN PERFORMANCE CENTER CHRISTUS MOTHER FRANCES HOSPITAL CHRISTUS MOTHER FRANCES HOSPITAL - ATHENS CHRISTUS MOTHER FRANCES HOSPITAL - CANTON CHRISTUS MOTHER FRANCES HOSPITAL - LINDALE CHRISTUS MOTHER FRANCES HOSPITAL - SOUTH TYLER CHRISTUS MOTHER FRANCES HOSPITAL - TYLER CHRISTUS MOTHER FRANCES HOSPITAL CARDIOLOGY SERVICES CHRISTUS SPECIALTY PHARMACY CHRISTUS TRINITY MOTHER FRANCES - ATHENS CHRISTUS TRINITY MOTHER FRANCES DEHAVEN SURGERY CENTER - TYLER CHRISTUS TRINITY MOTHER FRANCES ENDOSCOPY CENTER FLIGHT FOR LIFE MOTHER FRANCES HOSPITAL OUTPATIENT SURGERY CENTER TRINITY MOTHER FRANCES ENDOSCOPY CENTER TYLER SQUARE AMBULATORY SERVICES CENTER

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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
MOTHER FRANCES HOSPITAL-WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(c)(3)	3	CNTHSC	Yes (true)
CHRISTUS-TRINITY MOTHER FRANCES FDN
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(c)(3)	Type I	CNTHSC	Yes (true)
CHRISTUS NORTHEAST TX HEALTH SYSTEM CORP
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	SUPPORT	TX	501(c)(3)	Type II	CH	false
MOTHER FRANCES HOSPITAL - JACKSONVILLE
5101 N OCONNOR BLVD	IRVING	TX	75039	751976930	HOSPITAL	TX	501(c)(3)	3	CNTHSC	Yes (true)
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE	TYLER	TX	75701	465720165	HEALTHCARE	TX	501(c)(3)	3	MFH REG	Yes (true)
CHRISTUS HEALTH
5101 N OCONNOR BLVD	IRVING	TX	75039	760590551	SUPP HTH SVCS	TX	501(c)(3)	10	NA	false
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(c)(3)	3	CNTHSC	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HLTHCARE SVCS	TX	501(c)(3)	3	CNTHSC	Yes (true)
CHAMPION EMS
2201 S MOBBERLY AVE	LONGVIEW	TX	75602	752747708	HLTHCARE SVCS	TX	501(c)(3)	10	MFH REG	Yes (true)
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
700 E MARSHALL AVE	LONGVIEW	TX	75601	750974351	HEALTHCARE	TX	501(c)(3)	3	CNTHSC	Yes (true)
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	HEALTHCARE SVCS	TX	501(c)(3)	10	CNTHSC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636832	THIRD PARTY ADMIN	TX	CNTHSC	C Corporation	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	CNTHSC	C Corporation	Yes (true)
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	RETAIL HEALTH SVC	TX	CNTHSC	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	false	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 (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHRISTUS HEALTH PLAN
L	$161,027	ACCRUAL
CHRISTUS HEALTH PLAN
M	$322,055	ACCRUAL
CHRISTUS TRINITY MOTHER FRANCES FOUNDATION
B	$60,404	ACCRUAL
CHRISTUS TRINITY MOTHER FRANCES FOUNDATION
C	$569,402	ACCRUAL
MOTHER FRANCES HOSPITAL JACKSONVILLE
A	$1,988,584	ACCRUAL
MOTHER FRANCES HOSPITAL JACKSONVILLE
J	$1,988,584	ACCRUAL
MOTHER FRANCES HOSPITAL JACKSONVILLE
M	$64,149	ACCRUAL
TRINCARE INC
L	$199,952	ACCRUAL
TRINCARE INC
M	$199,952	ACCRUAL
TRINITY CLINIC
A	$804,008	ACCRUAL
TRINITY CLINIC
B	$160,500	ACCRUAL
TRINITY CLINIC
J	$823,586	ACCRUAL
TRINITY CLINIC
K	$235,937	ACCRUAL
TRINITY CLINIC
L	$276,366,421	ACCRUAL
TRINITY CLINIC
M	$144,819,788	ACCRUAL
TRINITY CLINIC
Q	$170,195	ACCRUAL
MOTHER FRANCES HOSPITAL WINNSBORO
A	$2,990	ACCRUAL
TRINCARE INC
A	$9,943	ACCRUAL