CHRISTUS GOOD SHEPHERD MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS GOOD SHEPHERD MEDICAL CENTER (EIN 75-0974351)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-07
IRS object ID: 202431289349303728
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-07T17:43:21+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	750974351	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTUS Good Shepherd Medical Center	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TODD HANCOCK	PersonNm
Person Title	SYSTEM PRESIDENT/CEO	PersonTitleTxt
Signature	2024-05-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MICHAEL	PersonFirstNm
Person Last	CHEEK	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

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$624,478,069	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTUSHEALTH.ORG/GOOD-SHEPHERD/LONGVIEW	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION REGARDLESS OF RACE, SEX, CREED, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3246	TotalEmployeeCnt
Total Volunteers	25	TotalVolunteersCnt
Total Gross UBI	$111,764	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,252,237	PYContributionsGrantsAmt
CY Contributions Grants	$153,333	CYContributionsGrantsAmt
PY Program Service Revenue	$542,044,830	PYProgramServiceRevenueAmt
CY Program Service Revenue	$614,015,683	CYProgramServiceRevenueAmt
PY Investment Income	$4,951	PYInvestmentIncomeAmt
CY Investment Income	$337,134	CYInvestmentIncomeAmt
PY Other Revenue	$43,708,120	PYOtherRevenueAmt
CY Other Revenue	$1,638,502	CYOtherRevenueAmt
PY Total Revenue	$587,010,138	PYTotalRevenueAmt
CY Total Revenue	$616,144,652	CYTotalRevenueAmt
PY Grants And Similar Paid	$229,303	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$291,016	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$204,358,426	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$196,393,436	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$181,933	CYTotalFundraisingExpenseAmt
PY Other Expenses	$362,118,822	PYOtherExpensesAmt
CY Other Expenses	$351,482,721	CYOtherExpensesAmt
PY Total Expenses	$566,706,551	PYTotalExpensesAmt
CY Total Expenses	$548,167,173	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,303,587	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$67,977,479	CYRevenuesLessExpensesAmt
Total Assets BOY	$293,895,704	TotalAssetsBOYAmt
Total Assets EOY	$365,007,073	TotalAssetsEOYAmt
Total Liabilities BOY	$90,711,288	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$122,751,387	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$203,184,416	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$242,255,686	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$224,360,302	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$201,934,166	RevenueAmt
Desc	See schedule O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$153,788,911	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$320,648,761	RevenueAmt
Desc	See schedule O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$63,071,122	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$91,432,756	RevenueAmt
Desc	See schedule O	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	GrantGrantAmt	DescDesc
$2,081,338	$60,502	Broader Community
$392,600	$28,730	Poor & Underserved
	$201,784	Additional Grants

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$2,473,938	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$291,016	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$443,694,273	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	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3246	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	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	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4692822000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Shannon Dacus
Board Director / Chairperson	11.0	29.0	Yes (X)	Yes (X)	$0	$0	$0
Todd Hancock
System President/CEO	17.0	23.0	Yes (X)	Yes (X)	$0	$865,919	$269,993
Andria Cardinalli-Stein MD
Board Director	8.0	32.0	Yes (X)		$0	$476,507	$12,200
Bill Chen PhD
Board Director	1.0	10.0	Yes (X)		$0	$19,699	$0
Chris Glenney
Board Director	20.0	20.0	Yes (X)		$0	$1,403,929	$446,039
Dick Stone
Board Director	10.0	30.0	Yes (X)		$0	$0	$0
Fred Harris Jr
Board Director	10.0	30.0	Yes (X)		$0	$0	$0
Jean Coleman
Board Director	8.0	32.0	Yes (X)		$0	$0	$0
Jeb Jones
Board Director	10.0	30.0	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	30.0	Yes (X)		$0	$0	$0
Joe Bob Joyce
Board Director (THRU 12/21/2022)	0.0	0.0	Yes (X)		$0	$0	$0
Mark Anderson MD
Board Director	11.0	29.0	Yes (X)		$0	$933,102	$271,882
Michael Hallum
Board Director	4.0	36.0	Yes (X)		$0	$0	$0
Preston Smith
Board Director	11.0	29.0	Yes (X)		$0	$0	$0
Randy Childress
Board Director	4.0	36.0	Yes (X)		$0	$0	$0
Sister Guadalupe Ruiz
Board Director	4.0	36.0	Yes (X)		$0	$0	$0
Sister Rita Fanning
Board Director	2.0	38.0	Yes (X)		$0	$0	$0
Sister Rosanne Popp
Board Director	4.0	36.0	Yes (X)		$0	$231,978	$2,672
Sonja Yates Hubbard
Board Director	8.0	32.0	Yes (X)		$0	$0	$0
Steven Keuer MD
Board Director	10.0	30.0	Yes (X)		$0	$1,293,583	$226,672
Amanda Smith
Corporate Secretary	20.0	20.0		Yes (X)	$0	$48,820	$10,141
James Brogan
VP Mission Integration	40.0	0.0			$0	$155,460	$20,501	Yes (X)
Jim Gaton
VP Operations	40.0	0.0			$0	$259,757	$8,710	Yes (X)
Suhel Patel
CMO	40.0	0.0			$0	$608,884	$103,515	Yes (X)
Teresa Halcomb
CNO Longview	40.0	0.0			$0	$393,211	$81,271	Yes (X)
DANIEL D SMITH
CRNA	40.0	0.0			$334,484	$0	$24,922		Yes (X)
Joseph Mcree
CRNA	40.0	0.0			$307,354	$0	$19,484		Yes (X)
LEE A HOLLADAY
CRNA TEAM LEAD	40.0	0.0			$316,247	$0	$30,155		Yes (X)
RICHARD KLIMA
CRNA	40.0	0.0			$383,049	$0	$25,084		Yes (X)
ZACKARY G LISTER
CRNA TEAM LEAD	40.0	0.0			$357,969	$0	$24,574		Yes (X)
Jamie DOWELL
Secretary	2.0	38.0			$135,657	$0	$7,592			Yes (X)
Jason Adams
COO (THRU 10/2019)	0.0	40.0			$0	$674,084	$144,917			Yes (X)
Ken Cunningham
VP Gen Counsel (Thru 12/2020)	0.0	40.0			$0	$564,773	$78,364			Yes (X)
Michael Cheek
CFO	40.0	0.0			$0	$495,760	$72,748			Yes (X)
Scott Smith MD
FORMER DIRECTOR (TERM 11/18/2021)	0.0	40.0			$0	$621,000	$23,620			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,834,760	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$15,595,232	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,331,565	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	276	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$133,333	RelatedOrganizationsAmt
Government Grants	$20,000	GovernmentGrantsAmt
Total Contributions	$153,333	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621990	$552,201,132	$552,201,132
Physician Support Service	900099	$44,371,872	$44,371,872
Life Wellness Center	713940	$2,469,466	$2,469,466
I/C Shared Service OH Revenue	900099	$102,998	$102,998

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,870,215	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,870,215	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$614,015,683	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,525	TotalRevenueColumnAmt
Exclusion	$59,525	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,046,579	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$7,819,543	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,227,036	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,227,036	TotalRevenueColumnAmt
Unrelated Business Revenue	$59,614	UnrelatedBusinessRevenueAmt
Exclusion	$1,167,422	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$791,483	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$513,874	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$277,609	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$277,609	TotalRevenueColumnAmt
Unrelated Business Revenue	$52,150	UnrelatedBusinessRevenueAmt
Exclusion	$225,459	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Purchase Discounts	900099	$36,397	$36,397
Spa Revenue	900099	$5,083	$5,083

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$369,986	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$369,986	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$411,466	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$616,144,652	TotalRevenueColumnAmt
Related Or Exempt Func Income	$614,015,683	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$111,764	UnrelatedBusinessRevenueAmt
Exclusion	$1,863,872	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	$291,016	TotalAmt
Program Services	$291,016	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$143,249	TotalAmt
Program Services	$134,325	ProgramServicesAmt
Management And General	$8,827	ManagementAndGeneralAmt
Fundraising	$97	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$163,507,550	TotalAmt
Program Services	$153,321,449	ProgramServicesAmt
Management And General	$10,075,850	ManagementAndGeneralAmt
Fundraising	$110,251	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,331,767	TotalAmt
Program Services	$3,242,407	ProgramServicesAmt
Management And General	$87,008	ManagementAndGeneralAmt
Fundraising	$2,352	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,524,227	TotalAmt
Program Services	$17,627,846	ProgramServicesAmt
Management And General	$879,667	ManagementAndGeneralAmt
Fundraising	$16,714	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,886,643	TotalAmt
Program Services	$10,704,053	ProgramServicesAmt
Management And General	$176,579	ManagementAndGeneralAmt
Fundraising	$6,011	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,328	TotalAmt
Program Services	$1,328	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$444,410	TotalAmt
Program Services	$60,057	ProgramServicesAmt
Management And General	$384,353	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,152	TotalAmt
Management And General	$2,152	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$156,490,914	TotalAmt
Program Services	$95,838,723	ProgramServicesAmt
Management And General	$60,652,627	ManagementAndGeneralAmt
Fundraising	-$436	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$713,081	TotalAmt
Program Services	$713,081	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,650,193	TotalAmt
Program Services	$17,887,341	ProgramServicesAmt
Management And General	$755,361	ManagementAndGeneralAmt
Fundraising	$7,491	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$23,847,752	TotalAmt
Management And General	$23,847,752	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$23,117,637	TotalAmt
Program Services	$22,527,067	ProgramServicesAmt
Management And General	$590,570	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$188,581	TotalAmt
Program Services	$163,817	ProgramServicesAmt
Management And General	$24,338	ManagementAndGeneralAmt
Fundraising	$426	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$201,688	TotalAmt
Program Services	$157,568	ProgramServicesAmt
Management And General	$13,032	ManagementAndGeneralAmt
Fundraising	$31,088	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,903,279	TotalAmt
Program Services	$5,904,005	ProgramServicesAmt
Management And General	-$726	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,991,176	TotalAmt
Program Services	$19,991,176	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,373,960	TotalAmt
Program Services	$2,510,924	ProgramServicesAmt
Management And General	$1,863,036	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$84,470,022	$84,468,526	$707	$789
Bad Debts	-$5,249,967	-$5,249,967
Tax and Fees	$16,674,336	$11,762,713	$4,911,623
Rental	$1,440,490	$1,431,954	$8,418	$118

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$221,689	TotalAmt
Program Services	$204,864	ProgramServicesAmt
Management And General	$9,793	ManagementAndGeneralAmt
Fundraising	$7,032	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$548,167,173	TotalAmt
Program Services	$443,694,273	ProgramServicesAmt
Management And General	$104,290,967	ManagementAndGeneralAmt
Fundraising	$181,933	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,733,649	BOYAmt
EOY	$4,718,334	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,023,103	BOYAmt
EOY	$5,082,658	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$61,094,482	BOYAmt
EOY	$50,899,528	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$816,396	BOYAmt
EOY	$554,178	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,973,058	BOYAmt
EOY	$10,997,316	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,507,351	BOYAmt
EOY	$21,920,691	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$252,735,836	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$90,853,332	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$150,077,290	BOYAmt
EOY	$161,882,504	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$43,670,375	BOYAmt
EOY	$108,951,864	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$293,895,704	BOYAmt
EOY	$365,007,073	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$18,291,703	BOYAmt
EOY	$16,797,094	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$14,241,466	BOYAmt
EOY	$916,461	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$58,178,119	BOYAmt
EOY	$105,037,832	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$90,711,288	BOYAmt
EOY	$122,751,387	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	$203,102,416	BOYAmt
EOY	$242,128,686	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$82,000	BOYAmt
EOY	$127,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$203,184,416	BOYAmt
EOY	$242,255,686	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$293,895,704	BOYAmt
EOY	$365,007,073	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$67,977,479	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$28,906,208	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	$2,153	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$2,153	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1g LOBBYING DESCRIPTION	FormAndLineReferenceDesc
Explanation	AT THE FEDERAL LEVEL, CHRISTUS 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. 8 EXECUTIVE HOURS. CHRISTUS GOOD SHEPHERD MEDICAL CENTER DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-23.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,254,821	OtherCostOrOtherBasisAmt
Book Value	$11,254,821	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$72,430,442	OtherCostOrOtherBasisAmt
Depreciation	$20,725,836	DepreciationAmt
Book Value	$51,704,606	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,270,002	OtherCostOrOtherBasisAmt
Depreciation	$2,211,640	DepreciationAmt
Book Value	$10,058,362	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$140,503,595	OtherCostOrOtherBasisAmt
Depreciation	$67,886,776	DepreciationAmt
Book Value	$72,616,819	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,276,976	OtherCostOrOtherBasisAmt
Depreciation	$29,080	DepreciationAmt
Book Value	$16,247,896	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$161,882,504	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
ROU TRANSACTIONS	$104,007,245
OTHERS	$750,894
ASSET CLEARING	$3,966,900
INTERCOMPANY ACCOUNTS PAYABLE	$226,825

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$108,951,864	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Operating Lease Liability	$82,926,447
ROU Operating Accum Amortization	$22,111,385
Intercompany Accounts Payable
Error Suspense

Field	Value	IRS element (for citing)
Total Liability	$105,037,832	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2023 AND 2022.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$40,449,960	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,449,960	NetCommunityBenefitExpnsAmt
Total Expense	0.0731	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$63,071,122	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,432,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$103,521,082	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,432,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,449,960	NetCommunityBenefitExpnsAmt
Total Expense	0.0731	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	201770	PersonsServedCnt
Total Community Benefit Expns	$1,829,467	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,829,467	NetCommunityBenefitExpnsAmt
Total Expense	0.0033	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	9844	PersonsServedCnt
Total Community Benefit Expns	$620,275	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$620,275	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	2289	PersonsServedCnt
Total Community Benefit Expns	$91,232	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,232	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	213903	PersonsServedCnt
Total Community Benefit Expns	$2,540,974	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,538,974	NetCommunityBenefitExpnsAmt
Total Expense	0.0046	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	213903	PersonsServedCnt
Total Community Benefit Expns	$106,062,056	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,434,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,988,934	NetCommunityBenefitExpnsAmt
Total Expense	0.0777	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$24,196	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,196	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$24,196	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,196	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	-$5,249,967	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$100,157,565	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$94,300,262	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,857,303	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	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	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CHRISTUS GOOD SHEPHERD MED CTR-LNGVW
1	700 E MARSHALL AVE	LONGVIEW	TX	75601	https://www.christushealth.org/locations/longview-hospital	000020	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CHRISTUS GOOD SHEPHERD MED CTR-MRSHLL
2	811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	https://www.christushealth.org/locations/marshall-hospital	000020	Yes (X)	Yes (X)		Yes (X)	A

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	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	Longview hospital: https://www.christushealth.org/-/media/christus-health/connect-with-christus/file	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
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See supplemental information	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See supplemental information	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See supplemental information	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. 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, CGSMC WORKED WITH METOPIO, A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. CGSMC CONDUCTED ITS CHNA USING AN ADAPTED PROCESS FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK. PRIMARY DATA WAS COLLECTED TROUGH FOUR CHANNELS: 1. COMMUNITY RESIDENT SURVEYS: 683 RESIDENT SURVEYS WERE RETURNED. THE 26-QUESTION SURVEY--AVAILABLE ONLINE AND IN PAPER FORM, IN ENGLISH AND IN SPANISH-SOUGHT INPUT FROM TYPICALLY UNREPRESENTED GROUPS. IT SOLICITED DATA REGARDING: DEMOGRAPHICS OF RESPONDENTS, HEALTH NEEDS OF COMMUNITY FOR DIFFERENT AGE GROUPS, PERCEPTION OF COMMUNITY STRENGTHS, AND UTILIZATION AND PERCEPTION OF LOCAL HEALTH SERVICES. 2. COMMUNITY RESIDENT FOCUS GROUPS: 2 LOCAL IN-PERSON GROUPS ADDRESSING ADULT HEALTH AND MATERNAL AND CHILD HEALTH. FOCUS GROUPS LASTED 90 MINUTES AND HAD UP TO 15 COMMUNITY MEMBERS INCLUDING UNDERSERVED POPULATIONS. COMMUNITY MEMBERS INCLUDED AN ADMINISTRATOR AND PARENTS FROM PINE TREE INDEPENDENT SCHOOL DISTRICT, SEXUAL ASSUAL NURSE EXAMINER (SANE) NURSE, ADMINISTRATOR AND CLIENTS FROM COMMUNITY HEALTH CORE, ADMINISTRATOR AND CLIENTS FROM LONGVIEW COMMUNITY MINISTRIES, OUTREACH WORKERS FROM WOMEN'S CENTER OF EAST TEXAS, AND A RESIDENT OF BUCKNER CHILDREN AND FAMILY SERVICES. 3. HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS: TWO CHRISTUS HEALTH SYSTEM-WIDE FOCUS GROUPS COMPRISED OF BEHAVIORAL HEALTH PROVIDERS AND CASE MANAGERS / SOCIAL WORKERS. 4. KEY INFORMANT INTERVIEWS: 10 KEY INFORMANTS WERE INTERVIEWED VIRTUALLY ONE-ON-ONE. EACH INTERVIEW WAS 30 MINUTES. PARTICIPANTS WERE LEADERS OF GOVERNMENT, HEALTH OR SOCIAL SERVICE AGENCIES SERVING LOW-INCOME GROUPS OR UNDERREPRESENTED GROUPS, INCLUDING: CITY OF LONGVIEW COMMUNITY SERVICES, EMS, AND POLICE PUBLIC SERVICE TEAM; COMMUNITY HEALTHCORE; MARSHALL-HARRISON COUNTY HEALTH DISTRICT; GENESIS PRIME CARE (AN FQHC); AND LONGVIEW COMMUNITY MINISTRIES. SECONDARY DATA FOR THE CHNA WERE 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 11 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. BASED ON COMMUNITY INPUT AND ANALYSIS OF A MYRIAD OF DATA, THE PRIORITIES FOR THE COMMUNITIES SERVED BY CGSMC FOR FISCAL YEARS 2023 - 2025 FALL INTO TWO DOMAINS UNDERNEATH AN OVERARCHING GOAL OF ACHIEVING HEALTH EQUITY. THE TWO DOMAINS AND CORRESPONDING HEALTH NEEDS ARE: DOMAIN I: ADVANCE HEALTH AND WELLBEING A. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT: DIABETES, OBESITY, HEART DISEASE 1. PROVIDE SCREENING AND EDUCATION OPPORTUNITIES ABOUT HEART DISEASE, DIABETES, AND OBESITY. 2. EMPOWER COMMUNITY MEMBERS TO MANAGE THEIR HEART DISEASE, DIABETES, AND/OR HEART DISEASE. HIGHLIGHTS FOR SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT: Wellness Scholarships for Institute for Health Living Health educations/screenings: MLK family festival, Homeless Resource Day, Buckner family resource fair Heart to Heart Seminar Grant to Ministry in Music "Your Best Care Day" fostering Breast Cancer awareness Lives impacted: 1,585 B. BEHAVIORAL HEALTH: MENTAL HEALTH, SUBSTANCE ABUSE 1. INCREASE ACCESS TO MENTAL HEALTH RESOURCES. 2. DEVELOP COMMUNITY CONNECTIONS FOR MENTAL HEALTH SERVICES. 3. INCREASE ACCESS TO SUBSTANCE ABUSE TREATMENT. HIGHLIGHTS FOR BEHAVIORAL HEALTH: Community HealthCore Transportation for uninsured patients to behavioral health inpatient facilities. Grant to Heartsway Hospice for the Lewy Body Dementia ($500) lecture Grant to Longview Museum of Fine Arts - Art of Well Being Exhibit Greater Longview Optimal Wellness (GLOW): GLOW is a community collaborative to identify under-resourced individuals who often rely on 911 services (EMS, Emergency Departments) for non-emergent needs. GLOW then works to connect those individuals with the appropriate health or community resource, including behavioral health resources. CGS is a partner member. Lives impacted: 653 C. PRIMARY CARE 1. INCREASE ACCESS TO PRIMARY CARE. 2. REDUCE INEQUITIES CAUSED BY CULTURAL BARRIERS TO CARE OR SOCIAL DETERMINANTS OF HEALTH. HIGHLIGHTS FOR PRIMARY CARE: Sports Medicine/Athletic Trainers Free Saturday Morning Injury Clinic Free Sports Participation Exams Lives impacted: 112,251 D. EDUCATION 1. PROVIDE EDUCATION OPPORTUNITIES FOR CURRENT AND POTENTIAL HEALTHCARE STUDENTS. HIGHLIGHTS FOR EDUCATION: Nursing Education Allied Health Education High School/Non-Collegiate Allied Health Education Lives impacted: 10,044 CHRISTUS HEALTH WILL CONTINUE TO INVEST IN CARE DELIVERY INNOVATIONS AND EXPAND PROGRAMS THAT ADDRESS PREVENTION FOR HEART DISEASE, OBESITY, DIABETES AND IMPROVE ACCESS TO CARE. KEY PARTNERS THAT MAY SUPPORT THESE INITIATIVES ARE WELLNESS POINTE (FQHC), GENESIS PRIME CARE (FQHC), SECONDARY SCHOOLS AND AREA COLLEGES AND UNIVERSITIES WITH HEALTHCARE PROGRAMS, CHAMBERS OF COMMERCE, OUR CHRISTUS TRINITY CLINICS AND CHRISTUS HEALTH DIETICIANS AND EDUCATORS, CATHOLIC CHARITIES PARISH NURSES, AND EVENT SPONSORS WHO SUPPORT PUBLIC HEALTH EDUCATION. CHRISTUS HEALTH WILL FOCUS ON BUILDING A COALITION TO ADDRESS BEHAVIORAL HEALTH ISSUES IN THE SERVICE AREA WITH POTENTIAL PARTNERS: GREGG AND HARRISON COUNTIES; CITIES OF LONGVIEW AND MARSHALL; COMMUNITY HEALTHCORE; OCEANS; GREATER LONGVIEW OPTIMAL WELLNESS; TWELVE WAY; AND BEHAVIORAL HEALTH PARTNER AGENCIES OF THE GREATER LONGVIEW UNITED WAY. DOMAIN II: BUILD RESILENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS A. IMPROVE FOOD ACCESS 1. CULTIVATE AND MAINTAIN PARTNERSHIPS TO IMPROVE ACCESS TO HEALTH FOOD IN FOOD DESERTS. 2. PROVIDE NUTRITION EDUCATION FOR INDIVIDUALS, PATIENTS AND FAMILIES. HIGHLIGHTS FOR IMPROVE FOOD ACCESS: Greater Longview United Way Day of Action Lives impacted: 150 B. REDUCE SMOKING AND VAPING 1. CONTRIBUTE TO COMMUNITY-BASED SMOKING CESSATION EFFORTS. 2. PARTNER WITH SCHOOLS TO REDUCE VAPING AMONG STUDENTS. CHRISTUS HEALTH WILL CONTINUE TO INVEST IN CARE DELIVERY INNOVATIONS AND EXPAND PROGRAMS THAT ADDRESS THE SOCIAL DETERMNANTS OF HEALTH. KEY PARTNERS THAT SUPPORT THESE INITIATIVES ARE GREATER LONGVIEW OPTIMAL WELLNESS, LONGVIEW COMMUNITY MINISTRIES AND OTHER GREATER LONGVIEW UNITED WAY AGENCIES, EAST TEXAS FOOD BANK, CATHOLIC CHARITIES AND PARISH NURSES, AREA INDEPENDENT SCHOOL DISTRICTS, AND MISSION MARSHALL. NEEDS NOT ADDRESSED DURING THE FIRST TAX YEAR OF THE NEW CHNA, CGS INITIATED OR CONTINUED STRATEGIES TO ADDRESS EACH OF THE GOALS TO ADVANCE HEALTH AND WELLBEING (DOMAIN I) AND BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS (DOMAIN II), EXCEPT TO REDUCE SMOKING AND VAPING UNDER DOMAIN II. IN ORDER TO BEST STEWARD RESOURCES AND BUILD UPON PARNERSHIPS WITH AREA SECONDARY SCHOOLS, PLANS TO REDUCE SMOKING AND VAPING ARE SET TO BE DEVELOPED IN TAX YEAR 2023.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300 OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300 OF THE FEDERAL POVERTY GUIDELINE WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300 AND 400 OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB.
Schedule H, Part V, Section B, Line 15 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. IN AN EFFORT TO MORE WIDELY PUBLICIZE OUR FINANCIAL ASSISTANCE WITHIN OUR COMMUNITY, INCLUDING PERSONS MORE LIKELY TO REQUIRE FINANCIAL ASSISTANCE, WE SUBMITTED A COPY OF OUR PLAIN LANGUAGE FINANCIAL ASSISTANCE POLICY TO A NUMBER OF ORGANIZATIONS THAT INTERACT WITH POOR POPULATION GROUPS. THESE ORGANIZATIONS INCLUDE COUNTY HEALTH DEPARTMENTS, FQHCS, VARIOUS NON-PROFITS AND MINISTRIES SUPPORTED BY THE UNITED WAY AND OTHER AGENCIES SERVING THE POOR, AND AREA CHURCHES.
Schedule H, Part V, Section B, Line 20 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
INSTITUTE FOR HEALTHY LIVING
3133 GOOD SHEPHERD WAY	LONGVIEW	TX	76505	PHYSICAL THERAPY, SPEECH PATHOLOGY, OCCUPATIONAL THERAPY, CARDIAC REHAB CENTER
PERFORMANCE REHAB
2220 H G MOSLEY PARKWAY	LONGVIEW	TX	76504	PHYSICAL THERAPY
KILGORE EMERGENCY DEPARTMENT
323 E HAWKINGS PARKWAY	LONGVIEW	TX	76505	EMERGENCY SERVICES
NORTHPARK EMERGENCY DEPARTMENT
323 E HAWKINGS PARKWAY	LONGVIEW	TX	76505	EMERGENCY SERVICES
CHRISTUS GOOD SHEPHERD HOMECARE - LNGVW
103 W LOOP 281	LONGVIEW	TX	76501	HOME HEALTH
CHRISTUS GOOD SHEPHERD LIFECENTER
612 S GROVE ST	MARSHALL	TX	75670	HEALTH CLINIC
CHRISTUS GOOD SHEPHERD HOME CARE
401 S BOLIVAR ST	MARSHALL	TX	75670	HOME HEALTH

Supplemental Information Detail SupplementalInformationDetail (30 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 22 DETERMINE THE MAX AMOUNTS THAT CAN BE CHARGED TO FAP	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 THE CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL), OR RECEIVED FREE CARE (INCOMES BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.
Schedule H, Part I, Line 3c CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE	THE HOSPITAL FOLLOWS FINANCIAL ASSISTANCE POLICIES OF CHRISTUS HEALTH. THE QUALIFICATION THRESHOLD FOR FINANCIAL ASSISTANCE IS 400 PERCENT OF FPG. ELIGIBILITY FOR FREE CARE (100 PERCENT DISCOUNTS) IS AT OR BELOW 300 PERCENT FPG.
Schedule H, Part I, Line 5a BUDGETED CHARITY CARE	THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES.
Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT	A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES.
Schedule H, Part I, Line 7 ALLOCATION OF MEDICAID SUPPLEMENTAL PAYMENTS	DURING THE CURRENT REPORTING PERIOD, THE STATE OF TEXAS PARTICIPATED IN A SPECIAL 1115 MEDICAID WAIVER WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). VARIOUS SUPPLEMENTAL PAYMENTS UNDER THE WAIVER ARE INTENDED TO HELP HOSPITALS OFFSET MEDICAID AND UNINSURED LOSSES AND/OR CREATE NEW PROGRAMS DESIGNED TO IMPROVE THE PATIENT CARE EXPERIENCE, ENHANCE HEALTH OUTCOMES AND REDUCE COSTS FOR THESE SAME PATIENT POPULATIONS. SUPPLEMENTAL PAYMENTS ARE CAPPED BY MEDICAID AND UNINSURED LOSSES DETERMINED FROM A SPECIAL UNCOMPENSATED CARE (UC) TOOL DESIGNED BY THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC). CHRISTUS GOOD SHEPHERD MEDICAL CENTER RECOGNIZED $7,108,222 OF MEDICAID SUPPLEMENTAL PAYMENT INCOME IN 2022. THERE WERE $4,297,736 OF EXPENDITURES RECOGNIZED IN 2022 RELATED TO PROVIDER TAXES USED TO GENERATE THE NON-FEDERAL SHARE OF MEDICAID SUPPLEMENTAL PAYMENTS, RESULTING IN A NET P&L BENEFIT OF $2,810,486 RELATED TO MEDICAID SUPPLEMENTAL PAYMENTS UNDER THE TEXAS MEDICAID WAIVER. FOR PURPOSES OF IRS FORM 990 SCHEDULE H REPORTING, CONSISTENT WITH CHRISTUS HEALTH POLICY, 100 OF NET MEDICAID SUPPLEMENTAL PAYMENTS ARE REPORTED AS MEDICAID DIRECT OFFSETING REVENUE.
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 V, Section B, Line 18 Line 18f	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part I, Line 7	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15	CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	A COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HOSPITAL SYSTEM EACH YEAR AND IS SUBMITTED ALONG WITH AN AHA SURVEY TO THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES WITH A COPY PROVIDED TO HARRISON COUNTY AND GREGG COUNTY.
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/V2FINANCIAL-ASSISTANCE-APPLICATION.ASHX
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language- documents/2021plainlanguagesummaryhospitalenglish.ashx
Schedule H, Part V, Section B, Line 7 HOSPITAL FACILITY'S WEBSITE (LIST URL)	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/good-shepherd-marshall/gshs_marshall_chna_2023.ashx
Schedule H, Part V, Section B, Line 10 IF "YES", (LIST URL)	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/good-shepherd-marshall/gshs_marshall_chip_2023.ashx
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE HERE	https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/financial-assistance-policy-english.ashx
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	-5249967
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 RECOGNIZES 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 CHARACTERISTIC OF OTHERS 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 0.508 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. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; AND THE PROVISIONS FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAY LIMIT, DISPROPORTIONATE SHARE MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLANS; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS, INCLUDING ASSETS ACQUIRED; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE SOURCE OF INFORMATION ON LINES 5 AND 6 IS THE FYE JUNE 30, 2023 MEDICARE COST REPORT. THE REVENUES WERE DERIVED FROM COST REPORT WORKSHEETS E PART A, E PART B AND E-3, PART III. COST INFORMATION WAS OBTAINED BY SUMMING OF MEDICARE PART A ALLOWABLE COSTS REPORTED ON WORKSHEET D-1, PART II (FOR BOTH INPATIENT ACUTE PPS AND INPATIENT REHAB FACILITY) AND WORKSHEET DV, COLUMNS 5.00 THROUGH 7.00 FOR MEDICARE OUTPATIENT PPS SERVICES. SINCE ALLOWABLE COSTS ARE NOT DETERMINED FOR SERVICES RENDERED TO MEDICARE PATIENTS ENROLLED IN MEDICARE ADVANTAGE (MEDICARE PART C) OR FOR PHYSICIAN SERVICES BILLED UNDER MEDICARE PART B, NEITHER THE REVENUES OR COSTS RELATED TO THESE SERVICES HAVE BEEN INCLUDED ON LINES 5 OR 6. THE COST REPORT USES FINANCIAL AND STATISTICAL DATA TO DEVELOP PER DIEMS AND COST TO CHARGE RATIOS THAT ULTIMATELY DETERMINE ALLOWABLE MEDICARE INPATIENT AND OUTPATIENT COSTS. (NOTE: EFFECTIVE AUGUST 1, 2017, THE LICENSE AND MEDICARE PROVIDER NUMBER OF GOOD SHEPHERD MEDICAL CENTER - LONGVIEW AND GOOD SHEPHERD MEDICAL CENTER - MARSHALL WERE COMBINED. THIS MERGER RESULTED IN ONE COST REPORT FOR THE COMBINED HOSPITALS.)
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
Schedule H, Part V, Section B, Line 16a FAP website	A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16a URL: See supplemental information;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16b URL: See supplemental information;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16c URL: See supplemental information;
Schedule H, Part VI, Line 2 Needs assessment	NO NEED ASSESSMENT OTHER THAN CHNA CONDUCTED IN FY23.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	CHRISTUS GOOD SHEPHERD MEDICAL CENTER MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.
Schedule H, Part VI, Line 4 Community information	CHRISTUS GOOD SHEPHERD HEALTH SYSTEM (CGSHS) IS A NON-PROFIT HOSPITAL SYSTEM SERVING THE UPPER EAST TEXAS REGION AND INCLUDES TWO MEDICAL CENTERS ALONG WITH A NUMBER OF OUTPATIENT CENTERS AND MEDICAL CLINICS. CHRISTUS GOOD SHEPHERD MEDICAL CENTER - LONGVIEW IS A LEVEL III TRAUMA CENTER WITH 425 LICENSED BEDS SERVING MEDICAL/SURGICAL PATIENTS, NURSING UNITES AND INPATIENT REHABILITATION. THE MEDICAL CENTER IN LONGVIEW ALSO OPERATES ONE OF THE FIRST NICU'S IN THE REGION. THE LONGVIEW MEDICAL CENTER ALSO HOSTS LEVEL III MATERNAL CARE WHICH INCLUDES A DEDICATED OBSTETRIC EMERGENCY DEPARTMENT. CHRISTUS GOOD SHEPHERD MEDICAL CENTER - MARSHALL IS A 149-BED FACILITY WITH ENDOSCOPY, SURGICAL SERVICES, AN INTERMEDIATE CARE UNIT, A 24-HOUR LEVEL IV TRAUMA CENTER, AND A MEDICAL UNIT UTILIZED FOR OVERFLOW. THE NURSING UNITS SERVE MEDICAL/SURGICAL PATIENTS. IT IS THE ONLY HOSPITAL LOCATED IN HARRISON AND MARION COUNTIES. FOLLOWING IRS GUIDELINES, 501(R) RULES AS REQUIRED BY THE AFFORDABLE CARE ACT, CHRISTUS GOOD SHEPHERD'S PRIMARY SERVICE AREA (PSA) INCLUDES 15 ZIP CODES COVERING 240,000 INDIVIDUALS. THE PSA IS THE GEOGRAPHIC REGION WITH 80% OF HOSPITAL UTILIZATION. THE PSA ZIP CODES ARE LOCATED IN THE FOLLOWING COUNTIES: GREGG, HARRISON, MARION, PANOLA, AND UPSHUR. THE OVERALL POPULATION OF THE PSA HAS GROWN SLIGHTLY (3.5%) OVER THE DECADE 2010-2020, MUCH LOWER THAN THE OVERALL TEXAS POPULATION (15.9%). THE DEMOGRAPHICS OF THE PSA ARE 61.9% NON-HISPANIC WHITE, 18.4% NON-HISPANIC BLACKS, 15.8% HISPANICS/LATINOS, 2.6% OF TWO OR MORE RACES, AND 1.0% ASIAN OR PACIFIC ISLANDER. FEMALES MAKE UP 51.3% OF THE POPULATION AND MALES 48.7%. MEDIAN AGE IS 37.6 YEARS OLD, HIGHER THAN TEXAS OVERALL (34.8 YEARS OLD). ONLY 2.8% OF RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY, AND 15.0% HAVE A DISABILITY. EARNINGS AND EDUCATION ARE TWO IMPORTANT SOCIAL DETERMINANTS OF HEALTH. THE POVERTY RATE FOR THE CGSHS PSA IS 16.7%, HIGHER THAN TEXAS OVERALL (14.2%). NON-HISPANIC BLACKS HAVE A DISPROPORTIONATELY LOWER MEDIAN INCOME ($40,301) COMPARED TO THE OVERALL PSA ($55,870) AND TEXAS OVERALL ($67,267). HIGH SCHOOL GRADUATION RATES (85.3%) ARE SLIGHTLY HIGHER THAN TEXAS (84.4%), BUT THE RATE FOR HISPANICS/LATINOS IN THE PSA IS 58.2%. HIGHER DEGREE RATES IN THE PSA (28.4%) ARE SIGNIFICANTLY LOWER THAN THE STATE (38.1%). THE UNINSURED RATE IN THE CGS PSA IS 17.0%, SIMILAR TO THE STATE (17.3%). HOWEVER THE RATE FOR HISPANICS/LATINOS IS MUCH HIGHER (31.1%). 18.8% OF RESIDENTS IN THE PSA ARE COVERED BY MEDICAID, SLIGHTLY HIGHER THAN THE STATE (16.5%). WHEN COMBINED WITH UNINSURED, OVER 35% OF RESIDENTS IN THE PSA HAVE EITHER NO COVERAGE OR LIMITED COVERAGE THROUGH MEDICAID.
Schedule H, Part VI, Line 5 Promotion of community health	THE MEDICAL CENTERS, INSTITUTES, AND CLINICS OF THE CHRISTUS GOOD SHEPHERD HEALTH SYSTEM WORK TOGETHER TO SERVE THE PEOPLE OF OUR COMMUNITY. THE COUNTIES WE SERVE ARE URBAN BUT ALSO RURAL. TWO GROUPS THAT INCLUDE PUBLIC MEMBERS ARE THE LEADERSHIP COUNCILS OF BOTH MEDICAL CENTERS AND THE COMMUNITY BENEFIT ADVISORY COUNCIL SERVING CGS. THESE GROUPS MEET QUARTERLY. THEY INFLUENCE WHERE FUNDING IS ALLOCATED AS THEY RECEIVE INFORMATION ON GOALS AND OUTCOMES, INCLUDING HEALTH EQUITY STRATEGIES. COMMUNITY HEALTH PROMOTION ACTIVITIES INCLUDE OUR WELLNESS CENTER AND THE PROGRAMS WE OFFER TO KEEP OUR COMMUNITY HEALTHY. THE WELLNESS CENTER IS THE HUB OF OUR PROGRAM OFFERING FITNESS AND WELLNESS PROGRAMS FOR INDIVIDUALS, FAMILIES AND BUSINESSES IN OUR COMMUNITY, INCLUDING HOSPITAL EMPLOYEES AND THEIR FAMILIES. WE ALSO OFFER A VARIETY OF WATER AEROBICS, ADULT AEROBIC CLASSES, SENIOR EXERCISE CLASSES, SPECIALTY CLASSES SUCH AS ZUMBA, CARDIAC REHAB, ETC. WE ALSO OFFER ACUTE, CHRONIC AND PREVENTATIVE EDUCATIONAL PROGRAMS TO OUR COMMUNITY. WE PROVIDE COMMUNITY EDUCATIONAL SERVICES AND PROGRAMS, SUCH AS CERTIFIED DIABETIC EDUCATION PROGRAMS, WOUND CARE EDUCATION AND PREVENTION, AND NUTRITION EDUCATION. WE OFFER HEALTH EDUCATION AT PUBLIC EVENTS THAT PROVIDE BASIC SCREENING EXAMS AT NO COST TO OUR COMMUNITY. OUR CASE MANAGEMENT AND SOCIAL SERVICES PROGRAM OFFERS THE AVAILABILITY OF EXTERNAL SOURCES AND PROGRAMS TO ASSIST PATIENTS AND THEIR FAMILIES, SUCH AS WIC AND OTHER GOVERNMENT AND PRIVATE PROGRAMS. CGS DEDICATES SURPLUS FUNDS TO PROVIDE COMMUNITY BENEFIT GRANTS TO COMMUNITY PARTNERS ADDRESSING THE HEALTH AND SOCIAL DETERMINANT NEEDS IDENTIFIED IN OUR CHNA. CHRISTUS HEALTH, THE SYSTEM SPONSOR OF CGS, AWARDED $275,000 IN CHRISTUS COMMUNITY IMPACT FUND GRANTS TO FOUR PROGRAMS IN THE CGS PSA INCREASING ACCESS TO EDUCATION, HEALTHY FOOD, AND BEHAVIORAL HEALTH SERVICES SPONSORED BY BUCKNER FAMILY SERVICES, EAST TEXAS FOOD BANK, NEWGATE MISSION, AND TWELVE WAY.
Schedule H, Part VI, Line 6 Affiliated health care system	CGSMC IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH-BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG-TERM CARE AFFILIATED HEALTH CARE SYSTEM FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, LOUISIANA, NEW MEXICO, TEXAS, AND IN SIX PROVINCES OF MEXICO, COLOMBIA AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CGSMC, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM-WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CGSMC, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Longview Museum of Fine Arts
215 E Tyler St	Longview	TX	75601	237196379	501(c)3	$10,000	Quality of life/well-being
Good Shepherd Foundation
700 E Marshall Ave	Longview	TX	75601	752056700	501(c)3	$275,016	Operational support

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	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 (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Todd Hancock
System President/CEO	$0	$618,406	$0	$246,863	$0	$650	$0	$250,042	$0	$19,951	$0	$1,135,912	$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
Chris Glenney
Board Director	$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	$0	$684,551	$0	$410,841	$0	$198,191	$0	$209,400	$0	$17,272	$0	$1,520,255	$0	$0
Mark Anderson MD
Board Director	$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
Board Director	$0	$209,944	$0	$3,500	$0	$18,534	$0	$317	$0	$2,355	$0	$234,650	$0	$0
Teresa Halcomb
CNO Longview	$0	$298,363	$0	$94,848	$0	$0	$0	$73,614	$0	$7,657	$0	$474,482	$0	$0
Suhel Patel
CMO	$0	$385,044	$0	$223,840	$0	$0	$0	$98,190	$0	$5,325	$0	$712,399	$0	$0
Jim Gaton
VP Operations	$0	$201,915	$0	$57,842	$0	$0	$0	$0	$0	$8,710	$0	$268,467	$0	$0
James Brogan
VP Mission Integration	$0	$112,102	$0	$42,968	$0	$390	$0	$6,706	$0	$13,795	$0	$175,961	$0	$0
DANIEL D SMITH
CRNA	$296,005	$0	$9,775	$0	$28,704	$0	$12,200	$0	$12,722	$0	$359,406	$0	$0	$0
ZACKARY G LISTER
CRNA TEAM LEAD	$301,652	$0	$37,739	$0	$18,578	$0	$12,200	$0	$12,374	$0	$382,543	$0	$0	$0
LEE A HOLLADAY
CRNA TEAM LEAD	$261,787	$0	$36,777	$0	$17,683	$0	$12,200	$0	$17,955	$0	$346,402	$0	$0	$0
RICHARD KLIMA
CRNA	$295,774	$0	$36,500	$0	$50,775	$0	$12,200	$0	$12,884	$0	$408,133	$0	$0	$0
Joseph Mcree
CRNA	$259,358	$0	$23,725	$0	$24,271	$0	$12,200	$0	$7,284	$0	$326,838	$0	$0	$0
Jason Adams
COO (THRU 10/2019)	$0	$445,694	$0	$228,006	$0	$384	$0	$121,795	$0	$23,122	$0	$819,001	$0	$0
Ken Cunningham
VP Gen Counsel (Thru 12/2020)	$0	$363,170	$0	$140,893	$0	$60,710	$0	$58,603	$0	$19,761	$0	$643,137	$0	$0
Jamie DOWELL
Secretary	$118,392	$0	$16,634	$0	$631	$0	$5,493	$0	$2,099	$0	$143,249	$0	$0	$0
Scott Smith MD
FORMER DIRECTOR (TERM 11/18/2021)	$0	$310,500	$0	$0	$0	$310,500	$0	$7,444	$0	$16,176	$0	$644,620	$0	$0
Michael Cheek
CFO	$0	$302,540	$0	$129,936	$0	$63,284	$0	$61,054	$0	$11,694	$0	$568,508	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE FILING ORGANIZATION'S PRESIDENT/CEO IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING THE PRESIDENT/CEO COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: SCOTT SMITH, M.D. $300,000.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. STEVE KEUER RECEIVED $196,267 DURING CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. KEN CUNNINGHAM RECEIVED $60,710 DURING CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. Michael Cheek RECEIVED $63,284 DURING CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN.
Schedule J, Part II	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 CALENDAR 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% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a	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 125,608 VISITS TO OUR EMERGENCY DEPARTMENTS, 3,477 INPATIENT SURGERY PROCEDURES, 11,044 OUTPATIENT SURGERY PROCEDURES, 17,391 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND 364,159 PATIENTS WHO RECEIVED OUTPATIENT CARE.
Form 990, Part III, Line 1	THE CORPORATION'S MISSION SHALL BE TO "EXTEND THE HEALING MINISTRY OF JESUS CHRIST, CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES, AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH. THE CORPORATIONS PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED.
Form 990, Part III, Line 4c	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 20 SCHOOLS AND 10,000 ATHLETES IN THE GREGG, HARRISON 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 WITH X-RAY AND FREE PREPARTICIPATION SCREENINGS, ARE OFFERED TO ANY PLAYER REGARDLESS OF THEIR ABILITY TO PAY. 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 NEEDS FOLLOW-UP CARE, ADVANCED IMAGING, A SURGERY, OR ADDITIONAL VISITS, WE ACCEPT THE SCHOOL INSURANCE AS PAID IN FULL. SO, THIS PROGRAM IS SUBSIDIZED HEAVILY BY THE HEALTH SYSTEM. THIS PAST YEAR IN THE CHRISTUS GOOD SHEPHERD REGIONAL ALONE, OVER 2,295 PRE-PARTICIPATION PHYSICALS WERE CONDUCTED FREE OF CHARGE TO STUDENTS FROM ACROSS THE AREA. OF THOSE, 11% 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.
Form 990, Part III, Line 4b	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 CHRISTUS GOOD SHEPHERD MINISTRY. CGS IS ONE OF THE LARGEST SITES FOR STUDENTS PURSING HEALTH CARE CAREERS, PROVIDING CLINICAL SETTINGS AND INTERNSHIPS FOR NURSES, PHYSICAL THERAPISTS, SPEECH THERAPISTS, RESPIRATORY THERAPISTS, EMT, AND LAB. EDUCATION IS PROVIDED AT BOTH LONGVIEW AND MARSHALL CAMPUSES. IN THE FISCAL PERIOD ENDED 06/30/2023, CGSMC PROVIVDED 10,044 TRAINING ENCOUNTERS FOR NURSING/ALLIED HEALTH STUDENTS AT A COST OF $620,275. CGSMC TRAINED 36 INTERNAL MEDICINE RESIDENTS DURING THE FISCAL PERIOD ENDED 06/30/2023. TOTAL DIRECT COST (RESIDENT STIPENDS AND BENEFITS AND OTHER CHARGES FROM THE ACADEMIC PROGRAM SPONSOR) PLUS OVERHEAD ALLOCATIONS ON THE MEDICARE COST REPORT TOTALED $4,297,736 WITH OFFSETTING MEDICARE GRADUATE MEDICAL EDUCATION PAYMENTS OF $7,108,222, RESULTING IN A NET COMMUNITY BENEFIT OF $2,810,486.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 2,081,338 including grants of $ 60,502) Broader Community
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 392,600 including grants of $ 28,730) Poor & Underserved
Form 990, Part III, Line 4d Description of other program services	(Expenses $ including grants of $ 201,784) Additional Grants
Form 990, Part VI, Line 1a DELEGATION OF AUTHORITY	THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF THE ORGANIZATION IS CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 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 EITHER MEETING, CONFERENCE CALL OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
Form 990, Part VI, Line 12c Conflict of interest policy	AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION IS PAID BY A RELATED ORGANIZATION; THEREFORE, THE FILING ORGANIZATION WAS NOT INVOLVED IN THE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. THE RELATED ORGANIZATION DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE RELATED ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE RELATED ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE EXECUTIVE DIRECTOR'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. THE EXECUTIVE DIRECTOR'S SALARY IS SPLIT BETWEEN THE FILING ORGANIZATION AND THE RELATED ORGANIZATION.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION IS PAID BY A RELATED ORGANIZATION; THEREFORE, THE FILING ORGANIZATION WAS NOT INVOLVED IN THE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. THE RELATED ORGANIZATION DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE RELATED ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE RELATED ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE EXECUTIVE DIRECTOR'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. THE EXECUTIVE DIRECTOR'S SALARY IS SPLIT BETWEEN THE FILING ORGANIZATION AND THE RELATED ORGANIZATION.
Form 990, Part VI, Line 18 How forms are made available to the public	CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 19 Required documents available to the public	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Shared Savings - Total Revenue: 207624, Related or Exempt Function Revenue: 207624, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Community Benefit Revenue - Total Revenue: 12895168, Related or Exempt Function Revenue: 12895168, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; 340b Retail Pharmacy Program Rev - Total Revenue: 1677396, Related or Exempt Function Revenue: 1677396, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contract Service Revenue - Total Revenue: 90027, Related or Exempt Function Revenue: 90027, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other Revenue - Total Revenue: 369986, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 369986;
Form 990, Part IX, Line 11g Other Fees	Physician Fees - Total Expense: XXX-XX-XXXX, Program Service Expense: 92180650, Management and General Expenses: 54451977, Fundraising Expenses: ; Maintenance - Total Expense: 2284207, Program Service Expense: 2130898, Management and General Expenses: 153745, Fundraising Expenses: -436; Marketing - Total Expense: 36421, Program Service Expense: 36421, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 657714, Program Service Expense: 566814, Management and General Expenses: 90900, Fundraising Expenses: ; Billing - Total Expense: 122937, Program Service Expense: 122937, Management and General Expenses: , Fundraising Expenses: ; Collection - Total Expense: 5035, Program Service Expense: 5035, Management and General Expenses: , Fundraising Expenses: ; Other Fees - Total Expense: 6120609, Program Service Expense: 162693, Management and General Expenses: 5957916, Fundraising Expenses: ; Medical Fees - Total Expense: 633275, Program Service Expense: 633275, Management and General Expenses: , Fundraising Expenses: ; Lobbying Expense - Total Expense: -1911, Program Service Expense: , Management and General Expenses: -1911, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - -28951208; RESTRICTED CONTRIBUTIONS - 45000;
FORM 990, BOX C DOING BUSINESS AS	DOING BUSINESS AS CHRISTUS GOOD SHEPHERD MEDICAL CENTER OPERATES UNDER THE FOLLOWING NAMES: ACUITY DIAGNOSTICS CHRISTUS GOOD SHEPHERD CHRISTUS Good Shepherd Breast Center CHRISTUS Good Shepherd Health System CHRISTUS Good Shepherd Healthy Living Spa CHRISTUS Good Shepherd Heart & Vascular Institute CHRISTUS Good Shepherd Hospital - NorthPark CHRISTUS Good Shepherd Institute for Healthy Living CHRISTUS Good Shepherd Medical Center - Longview CHRISTUS Good Shepherd Medical Center - Marshall CHRISTUS Good Shepherd Surgery Center CHRISTUS Ortho & Sports Medicine Institute CHRISTUS Orthopedics & Sports Medicine Institute Good Shepherd Medical Center Good Shepherd Occupational Medicine Marshall Life Center Wound Healing Center - MARSHALL (FOR CLIA REGISTRATION ONLY)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (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
MARSHALL HOSPITAL FOUNDATION
811 S WASHINGTON AVE	MARSHALL	TX	75670	752605699	SUPPORT	TX	501(c)(3)	Type II	GSMC	Yes (true)
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	751041154	HEALTHCARE	TX	501(c)(3)	3	GSMC	Yes (true)
GSHS ADMINISTRATIVE SERVICES ORG INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	861132471	ADMIN SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
GOOD SHEPHERD MEDICAL CENTER - LINDEN INC
404 N KAUFMAN STREET	LINDEN	TX	75563	010829282	HEALTHCARE	TX	501(c)(3)	3	GSMC	Yes (true)
GSMC - LINDEN FOUNDATION INC
404 N KAUFMAN STREET	LINDEN	TX	75563	200845127	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
CHRISTUS HEALTH
5101 N OConnor Blvd	IRVING	TX	75039	760590551	SUPT HLTH SVC	TX	501(c)(3)	10	NA	false
GOOD SHEPHERD FOUNDATION
700 E MARSHALL AVE	LONGVIEW	TX	75601	752056700	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HLTHCARE SVCS	TX	501(c)(3)	3	CNTHSC	Yes (true)
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(c)(3)	3	CNTHSC	Yes (true)
CHRISTUS NORTHEAST TX HEALTH SYSTEM CORP
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HEALTHCARE	TX	501(c)(3)	Type II	CH	false
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	HEALTHCARE SVCS	TX	501(c)(3)	10	CNTHSC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	GSHS CUSTOMER SERVICE BUILDING I LTD	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	020636726	EIN
Primary Activities	CUSTOMER SVC	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
GSHS ENTERPRISES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027162	HEALTHCARE	TX	GSMC	C Corporation	-$4,572	-$1,006,951	1	Yes (true)
MARSHALL PHYSICIAN HOSPITAL ORGANIZATION
700 E MARSHALL AVE	LONGVIEW	TX	75602	752580689	INACTIVE	TX	GSMC	C Corporation	$0	$0	1	Yes (true)
GSHS CUSTOMER SERVICE BUILDING LLC
700 E MARSHALL AVE	LONGVIEW	TX	75603	710896055	CUSTOMER SERVICES	DE	GSMC	C Corporation	$0	$0	1	Yes (true)
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVE	LONGVIEW	TX	75604	752554695	INACTIVE	TX	GSH INC	C Corporation	$0	$0	1	Yes (true)
SERVICE ORGANIZATION OF GOOD SHEPHERD
700 E MARSHALL AVE	LONGVIEW	TX	75605	383914883	MEDICAL SERVICES	TX	GSMC	C Corporation	$0	$0	1	Yes (true)
TRINCARE INC
1315 DOCTORS DRIVE	Tyler	TX	75071	752161369	RETAIL HEALTH	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	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHRISTUS HEALTH PLAN
M	$103,198	ACCRUAL
CHRISTUS TRINITY MOTHER FRANCES FOUNDATION
B	$400,000	ACCRUAL
CHRISTUS TRINITY MOTHER FRANCES FOUNDATION
C	$400,000	ACCRUAL
GOOD SHEPHERD FOUNDATION INC
B	$323,437	ACCRUAL
GOOD SHEPHERD FOUNDATION INC
C	$133,333	ACCRUAL
GOOD SHEPHERD NORTH PARK LP
A	$1,359,919	ACCRUAL
GOOD SHEPHERD NORTH PARK LP
J	$55,928	ACCRUAL
GOOD SHEPHERD NORTH PARK LP
K	$1,415,847	ACCRUAL
GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC
M	$217,040	ACCRUAL
GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC
O	$6,935,074	ACCRUAL
GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC
P	$34,781,222	ACCRUAL
GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC
Q	$776,256	ACCRUAL
ST VINCENT HOSPITAL
L	$222,804	ACCRUAL
TRINCARE INC
L	$107,033	ACCRUAL
TRINCARE INC
M	$107,033	ACCRUAL
TRINITY CLINIC
L	$97,096,494	ACCRUAL
TRINITY CLINIC
M	$47,902,139	ACCRUAL