2024-05-09T22:51:48+00:00 2023-06-30 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE DALLAS TX 75219 990 2022-07-01 750818167 Mother Frances Hospital Regional Health Care Center MOTH 9036065639 5101 N OCONNOR BLVD IRVING TX 75039 CHRIS GLENNEY SVP 9036065639 2024-05-10 true ERIC GARRISON 999009999 true Stephanie Lew P01080011 2149698000 2024-05-03 2022 2023-04-26 12:10:37Z X SEE SCHEDULE O CHRIS GLENNEY 800 E DAWSON TYLER TX 75701 1279294653 false X WWW.CHRISTUSHEALTH.ORG/TRINITY/TYLER X 1958 TX 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. 20 12 6560 158 3047085 4956 212241 569402 1103496306 1244957045 5999462 3199898 57657935 15748676 1167365944 1264475021 441044 604359 0 330512535 319298840 0 1587777 784491480 856733580 1115445059 1176636779 51920885 87838242 782893773 805325330 125280635 101213064 657613138 704112266 SEE SCHEDULE O false false 1051115067 604359 1247626678 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. 1051115067 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false true true false false false false false false true true true false false true 0 0 6560 true true false false false false false false false false false false false X 20 12 false false false false true true true true true false false true true true true true true true true true true X LEE SONNE 4692822000 5101 N OCONNOR BLVD IRVING TX 75039 Chris Glenney Board Director/SVP NETX Group Operations 20.0 20.0 X X 0 1403929 446039 JASON PROCTOR PRESIDENT/CEO 13.0 27.0 X X 0 843803 261492 Shannon Dacus DIRECTOR/CHAIRPERSON 11.0 0.0 X X 0 0 0 STEVEN KEUER MD Board Director Ex-Officio 10.0 30.0 X X 0 1293583 226672 Andria Cardinalli-Stein MD Board Director 8.0 32.0 X 0 476507 12200 Bill Chen PH D BOARD DIRECTOR 1.0 10.0 X 0 19699 0 Dick Stone BOARD DIRECTOR 10.0 0.0 X 0 0 0 Fred Harris JR BOARD DIRECTOR 10.0 0.0 X 0 0 0 Jean Coleman BOARD DIRECTOR 8.0 0.0 X 0 0 0 Jeb Jones BOARD DIRECTOR 10.0 0.0 X 0 0 0 JEFF PUCKETT BOARD DIRECTOR 13.0 27.0 X 0 6548766 2426509 Joe Bob Burgin Board Director 10.0 0.0 X 0 0 0 Joe Bob Joyce BOARD DIRECTOR (TERM 12/22) 0.0 0.0 X 0 0 0 MARK ANDERSON MD Director/CMO 11.0 29.0 X 0 933102 271882 Michael Hallum Board Director 4.0 0.0 X 0 0 0 Preston Smith BOARD DIRECTOR 11.0 0.0 X 0 0 0 Randy Childress Board Director 4.0 0.0 X 0 0 0 Sister Guadalupe Ruiz Board Director 4.0 0.0 X 0 0 0 Sister Rita Fanning Board Director 2.0 0.0 X 0 0 0 Sister Rosanne Popp MD Board Director 4.0 0.0 X 0 231978 2672 Sonja Yates Hubbard Board Director 8.0 0.0 X 0 0 0 Amanda Smith Corporate Secretary 20.0 20.0 X 48820 0 10141 ELIZABETH PULLIAM CFO (TERM 04/23) 12.0 28.0 X 0 585994 97191 JACLYNN HARRISON CFO (AS OF 04/2023) 40.0 0.0 X 0 406579 62394 Ali Birjandi VP 40.0 0.0 X 0 406042 49607 Andy Navarro VP MISSION INTEGRATION 40.0 0.0 X 0 343850 91200 Anne Pileggi COO 40.0 0.0 X 0 414978 51129 Becky Western VP 38.0 2.0 X 0 248918 12406 BRIAN D MATSON VP, STRATEGY-BUS DEVELOPMENT 0.0 40.0 X 0 471082 95234 Deborah Chelette VP CARDIAC SERVICES 40.0 0.0 X 0 368868 12200 Mary Elizabeth Jackson VP ADVOCACY - GOVT AFFAIRS 40.0 0.0 X 0 321789 16488 REBECCA HOWELL ASSOCIATE CIO 40.0 0.0 X 0 229080 9538 Scott Fossey VP OF DEVELOPMENT 10.0 30.0 X 0 442851 39303 Shelly Welch CHIEF NURSING OFFICER 40.0 0.0 X 0 479028 48825 SOBHA FULLER CNO 40.0 0.0 X 0 152867 4138 DONALD J MITCHELL CRNA 40.0 0.0 X 385251 0 20503 DUSTIN J VIDRINE CRNA 40.0 0.0 X 450284 0 26114 Ranferi Valle CRNA 40.0 0.0 X 360227 0 21838 ROBERT W BIENERT CRNA 40.0 0.0 X 540722 0 14533 TIMOTHY M CLARK CRNA 40.0 0.0 X 373469 0 26104 ANDY KIRKPATRICK MD Former Dir/Chairperson (Term 12/20) 3.0 37.0 X 0 683777 43563 Fadi Nasrallah Former CMO (Term 8/19) 0.0 40.0 X 0 1325282 485036 FAGG SANFORD MD FMR BOARD DIRECTOR/SECRETARY (THRU 6/30/2022 0.0 40.0 X 0 770276 47246 SCOTT SMITH MD BOARD DIRECTOR (Term 11/2021)/EX-OFFICIO 9.0 31.0 X 0 621000 23620 2158773 20023628 4955817 559 true true false 0 569402 569402 Net Patient Service Revenue 621110 978311769 978311769 Lab Testing Revenue 900099 806732 806732 Uncon Sub Revenue 900099 5070730 5070730 Education and Wellness 900099 2893356 2893356 Alloc Chargeout Phys Non Contract Rev 900099 131179118 131179118 126695340 126695340 0 0 1244957045 486387 486387 4339824 4339824 0 4339824 4339824 17533143 14819632 2713511 0 2713511 2713511 Air Methods Program 900099 5692134 5692134 ALL OTHER REVENUE 900099 5716718 2669633 3047085 0 0 0 0 0 11408852 1264475021 1247626678 3047085 13231856 X 604359 604359 58961 57805 1004 152 264082983 258906656 4495606 680721 0 0 0 0 36978991 35430778 1409185 139028 18177905 17879327 244909 53669 34922076 34922076 0 0 414254 79773 334481 0 0 0 0 5383 5383 0 0 0 126110 126110 0 0 340928168 268702557 72027908 197703 413896 413896 0 0 92967187 90054044 2583990 329153 41087079 0 41087079 0 0 0 0 0 18330128 18125073 205055 0 677812 618245 35287 24280 0 0 0 0 242246 194038 23928 24280 7866550 7866550 0 0 0 0 0 0 47122513 46974287 148226 0 7606593 4497772 3108821 0 Medical Supplies 231029855 230721211 298804 9840 PROVISION FOR UNCOLLECTABLE ACCOUNTS 6673360 6673360 0 0 LPPF Tax 23714131 23714131 0 0 TLRA COLLECTION FEE 1048855 1048855 1557384 4553019 -3124586 128951 1176636779 1051115067 123933935 1587777 170271 243283 392 0 104936656 103220744 0 0 1291916 8727252 7893494 9754233 22035327 21881813 718973320 214282538 495201387 504690782 1919735 -1727204 10829363 5483808 23337099 9508087 160578 25685313 115117555 117857219 782893773 805325330 29818694 35888054 35609023 8485737 0 171219 59681699 56839273 125280635 101213064 X 656793219 703522310 819919 589956 657613138 704112266 782893773 805325330 X 87838242 -41339114 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 5383 false false 5383 false Schedule C, Part II-B, Line 1g CONTACT WITH GOVERNMENT OFFICIALS AND THEIR STAFFS: 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. 4587177 856276 340534 434 5783553 4606929 122490 -123917 18325 4587177 3951360 0 708623 53054 4606929 3883058 0 83627 15325 3951360 3676633 10000 206545 10120 3883058 0.0 0.423 0.577 false false 17934018 17934018 361551075 64669986 296881089 10566063 4473736 6092327 295013657 143225471 151788186 33908507 1913345 31995162 504690782 ROU Transactions 48083614 Trade Names Purchased 46077333 Asset Clearing 11883548 Other Designated Assets 58574 Business Federal Inc Tax Receivable Pension Receivable 11722691 Other Long Term Assets 19107 FIN 45 Assets 12352 117857219 Error Suspense 22990 Asset Retirement Obligations 999151 LT Portion Capital Lease Bldg/Hosp 46001998 CP Lease Liability 4780444 Business State Sales Tax Payable 18311 NonPatron Collections Payable 121669 Intercompany Payable 4894710 56839273 X 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. true true X true X 300 true X true true false true true 51692177 51692177 0.0442 70049109 95262458 0 0.0 0 0.0 0 0 121741286 95262458 51692177 0.0442 15 246302 3033826 3033826 0.0026 3 10486 814747 3745 811002 0.0007 0 0 0.0 0 0 0.0 8 77911 2437932 207427 2230505 0.0019 26 334699 6286505 211172 6075333 0.0052 26 334699 128027791 95473630 57767510 0.0494 0 0 0 0 0.0 0 0 0 0 0.0 0 0 0 0 0.0 1 7349 0 7349 0.0000 1 3288 0 3288 0.0000 0 0 0 0 0.0 2 54683 0 54683 0.0000 1 5706 759414 0 759414 0.0006 0 0 0.0 5 5706 824734 0 824734 0.0007 true 6673360 30528 206878688 177634904 29243784 X true true Tyler Rehab Associates LP Rehabilitation services 0.5 0.5 2 1 MOTHER FRANCES REG HEALTHCARE CENTER 800 EAST DAWSON TYLER TX 75701 https://www.christushealth.org/locations/tyler-hospital 000286 X X X A 2 TYLER REHAB ASSOCIATES LP 3131 TROUP HIGHWAY TYLER TX 75701 WWW.ENCOMPASSHEALTH.COM/CTMFREHABHOSPITAL 000692 X A A false false true X X X X X X X X X 22 true true false true X https://www.christushealth.org/locations/tyler-hospital X SEE SUPPLEMENTAL INFO X true 22 true https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve false true X 300.0 400.0 X X X X X true true X X X X X true X https://www.christushealth.org/plan-care/bill-pay/financial-assistance X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X X true X false X X X X X true X false false 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. 2 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 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 true The Miracle League of Tyler Inc 1919 S Donnybrook Tyler TX 75701 750884075 501(C)(3) 125000 FY23 Program Grant - Recreational Activities for Children w/disabilities UNITED WAY OF SMITH COUNTY PO Box 10029 Tyler TX 75711 750957331 501(C)(3) 50000 FY23 Grant - support community pillar AMERICAN CANCER SOCIETY PO Box 140069 Dallas TX 75214 131788491 501(C)(3) 46900 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) 25000 Donation Woody Williams Foundation Inc 12123 Shelbyville Rd Suite 100 Louiseville KY 40243 061840409 501(c)(3) 25000 Gold Star Family Memorial ALL SAINTS EPISCOPAL SCHOOL 2695 SSW Loop 323 Tyler TX 75701 751520564 501(C)(3) 20000 FY23 Grant - Program Education grant WHITEHOUSE HIGH SCHOOL 106 Wildcat Drive Whitehouse TX 75791 756002764 501(c)(3) 20000 FY23 Grant Yr 4 of 4 for Technology grant JUNIOR LEAGUE OF TYLER INC 1619 S Donnybrook Tyler TX 75701 750884075 501(C)(3) 11905 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) 10000 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 Suite 600-122 Tyler TX 75703 043665297 501(C)(3) 10000 FY23 - (2) Grants - program grant CHILDRENS ADVOCACY CENTER 2210 Frankston Hwy Tyler TX 75701 752748697 501(C)(3) 10000 FY23 Program Grant ALZHEIMERS ALLIANCE OF NORTHEAST TEXAS INC 211 Winchester Dr Tyler TX 75701 752486061 501(C)(3) 8800 FY23 Program Grant BROOKSHIRE GROCERY COMPANY 1600 WSW Loop 323 Tyler TX 75701 750865842 7500 FY23 Program Grant (Split) LINDALE AREA CHAMBER OF PO Box 670 Lindale TX 75771 752218487 501(C)(6) 6670 (3) Program Grants (4) donations MOSAIC COUNSELING CENTERS OF EAST TEXAS INC 218 N College Ave Tyler TX 75771 452047833 501(C)(3) 6000 FY23 program grant DIOCESE OF TYLER 1015 ESE Loop 323 Tyler TX 75701 752152475 501(C)(3) 6000 85475 FMV Office building (2) Program Grant TYLER AREA CHAMBER OF COMMERCE 315 N Broadway Tyler TX 75702 750624670 501(C)(6) 5700 Donations CATHOLIC CHARITIES DIOCESE OF TYLER PO Box 2016 Tyler TX 75710 202766724 501(C)(3) 5103 FY23 Program Grant EAST TEXAS SYMPHONY ORCHESTRA ASSOCIATION 107 E Erwin Tyler TX 75702 756013387 501(C)(3) 5000 FY23 Program Grant EAST TEXAS TRIATHLETES PO Box 7558 Tyler TX 75703 261808251 501(C)(3) 5000 FY23 Program Grant (Split) ZETA PHI BETA SORORITY INC PO Box 4844 Tyler TX 75712 756055219 501(c)(3) 5000 FY 23 Educational Program Grant SMITH COUNTY AREA GO TEXAN PO Box 94 Troup TX 75789 463950806 501(c)(3) 5000 FY23 Educational Program Grant TYLER HISPANIC BUSINESS ALLIANCE 315 North Broadway Tyler TX 75702 462342893 501(c)(3) 5000 (2) FY23 Educational Program Grant MENTORING ALLIANCE 1909 South Braodway Tyler TX 75701 752541408 501(C)(3) 5000 FY23 Educational Program Grant SPORTYLER 315 N Broadway Tyler TX 75702 752401978 501(C)(3) 5000 FY23 Educational Program Grant TYLER ISD FOUNDATION 807 W Glenwood Blvd Tyler TX 75701 752366991 501(C)(3) 5000 FY23 Educational Program Grant (split) TYLER AREA BUSINESS EDUCATION COUNCIL 315 N Broadway Tyler TX 75702 271665584 501(C)(3) 5000 FY23 Educational Program Grant E TX VETERANS COMMUNITY COUNCIL 3212 W Front Street Tyler TX 75702 824140973 501(C)(3) 5000 FY23 Program Grant 24 4 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X true true true true false false false false false false false Chris Glenney Board Director/SVP NETX Group Operations 0 956519 0 446760 0 650 0 431192 0 14847 0 1849968 0 0 STEVEN KEUER MD Board Director Ex-Officio 0 684551 0 410841 0 198191 0 209400 0 17272 0 1520255 0 0 JASON PROCTOR PRESIDENT/CEO 0 595280 0 247873 0 650 0 239075 0 22417 0 1105295 0 0 JEFF PUCKETT BOARD DIRECTOR 0 3121353 0 2702700 0 724713 0 2412440 0 14069 0 8975275 0 0 MARK ANDERSON MD Director/CMO 0 683470 0 249632 0 0 0 199056 0 72826 0 1204984 0 0 Andria Cardinalli-Stein MD Board Director 0 381927 0 94130 0 450 0 12200 0 0 0 488707 0 0 Sister Rosanne Popp MD Board Director 0 209944 0 3500 0 18534 0 317 0 2355 0 234650 0 0 ELIZABETH PULLIAM CFO (TERM 04/23) 0 356837 0 154939 0 74218 0 89333 0 7858 0 683185 0 0 JACLYNN HARRISON CFO (AS OF 04/2023) 0 269549 0 136350 0 680 0 51346 0 11048 0 468973 0 0 Shelly Welch CHIEF NURSING OFFICER 0 315639 0 116021 0 47368 0 39636 0 9189 0 527853 0 0 Scott Fossey VP OF DEVELOPMENT 0 325194 0 116707 0 950 0 17800 0 21503 0 482154 0 0 Anne Pileggi COO 0 279359 0 100448 0 35171 0 46713 0 4416 0 466107 0 0 Ali Birjandi VP 0 293893 0 111499 0 650 0 32701 0 16906 0 455649 0 0 Andy Navarro VP MISSION INTEGRATION 0 258399 0 84801 0 650 0 73817 0 17383 0 435050 0 0 Deborah Chelette VP CARDIAC SERVICES 0 265207 0 103661 0 0 0 12200 0 0 0 381068 0 0 Mary Elizabeth Jackson VP ADVOCACY - GOVT AFFAIRS 0 238190 0 82949 0 650 0 12200 0 4288 0 338277 0 0 Becky Western VP 0 185054 0 56308 0 7556 0 10049 0 2357 0 261324 0 0 BRIAN D MATSON VP, STRATEGY-BUS DEVELOPMENT 0 305639 0 116345 0 49098 0 60043 0 35191 0 566316 0 0 SOBHA FULLER CNO 0 71388 0 0 0 81479 0 0 0 4138 0 157005 0 0 REBECCA HOWELL ASSOCIATE CIO 0 175530 0 53550 0 0 0 3729 0 5809 0 238618 0 0 ROBERT W BIENERT CRNA 222706 0 26637 0 291379 0 12201 0 2332 0 555255 0 0 0 DUSTIN J VIDRINE CRNA 195938 0 24567 0 229779 0 12201 0 13913 0 476398 0 0 0 DONALD J MITCHELL CRNA 190811 0 500 0 193940 0 12200 0 8303 0 405754 0 0 0 TIMOTHY M CLARK CRNA 202341 0 500 0 170628 0 12200 0 13904 0 399573 0 0 0 Ranferi Valle CRNA 177598 0 500 0 182129 0 12200 0 9638 0 382065 0 0 0 FAGG SANFORD MD FMR BOARD DIRECTOR/SECRETARY (THRU 6/30/2022 0 489746 0 18250 0 262280 0 32625 0 14621 0 817522 0 0 Fadi Nasrallah Former CMO (Term 8/19) 0 893157 0 432125 0 0 0 403115 0 81921 0 1810318 0 0 SCOTT SMITH MD BOARD DIRECTOR (Term 11/2021)/EX-OFFICIO 0 310500 0 0 0 310500 0 7444 0 16176 0 644620 0 0 ANDY KIRKPATRICK MD Former Dir/Chairperson (Term 12/20) 0 624510 0 0 0 59267 0 32000 0 11563 0 727340 0 0 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. 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 26102 KINLIE ANDERSON IS AN EMPLOYEE OF CHRISTUS HEALTH. HER FATHER IN LAW, MARK ANDERSON, M.D. IS A DIRECTOR OF CHRISTUS HEALTH. false 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 MOTHER FRANCES HOSPITAL-WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(c)(3) 3 CNTHSC true CHRISTUS-TRINITY MOTHER FRANCES FDN 1315 DOCTORS DRIVE TYLER TX 75701 752028241 SUPPORT TX 501(c)(3) Type I CNTHSC 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 true ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER TX 75701 465720165 HEALTHCARE TX 501(c)(3) 3 MFH REG 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 true CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS TX 75482 811708177 HLTHCARE SVCS TX 501(c)(3) 3 CNTHSC true CHAMPION EMS 2201 S MOBBERLY AVE LONGVIEW TX 75602 752747708 HLTHCARE SVCS TX 501(c)(3) 10 MFH REG true CHRISTUS GOOD SHEPHERD MEDICAL CENTER 700 E MARSHALL AVE LONGVIEW TX 75601 750974351 HEALTHCARE TX 501(c)(3) 3 CNTHSC true TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 HEALTHCARE SVCS TX 501(c)(3) 10 CNTHSC true HEALTHPLAN OF TEXAS INC 1315 DOCTORS DRIVE TYLER TX 75701 752636832 THIRD PARTY ADMIN TX CNTHSC C Corporation true THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX CNTHSC C Corporation true TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX CNTHSC C Corporation true true true true false false false false false false true true true true false false true true true true CHRISTUS HEALTH PLAN L 161027 ACCRUAL CHRISTUS HEALTH PLAN M 322055 ACCRUAL CHRISTUS TRINITY MOTHER FRANCES FOUNDATION B 60404 ACCRUAL CHRISTUS TRINITY MOTHER FRANCES FOUNDATION C 569402 ACCRUAL MOTHER FRANCES HOSPITAL JACKSONVILLE A 1988584 ACCRUAL MOTHER FRANCES HOSPITAL JACKSONVILLE J 1988584 ACCRUAL MOTHER FRANCES HOSPITAL JACKSONVILLE M 64149 ACCRUAL TRINCARE INC L 199952 ACCRUAL TRINCARE INC M 199952 ACCRUAL TRINITY CLINIC A 804008 ACCRUAL TRINITY CLINIC B 160500 ACCRUAL TRINITY CLINIC J 823586 ACCRUAL TRINITY CLINIC K 235937 ACCRUAL TRINITY CLINIC L 276366421 ACCRUAL TRINITY CLINIC M 144819788 ACCRUAL TRINITY CLINIC Q 170195 ACCRUAL MOTHER FRANCES HOSPITAL WINNSBORO A 2990 ACCRUAL TRINCARE INC A 9943 ACCRUAL