CHRISTUS GOOD SHEPHERD MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS GOOD SHEPHERD MEDICAL CENTER (EIN 75-0974351)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-03
IRS object ID: 202311239349302406
Schema version: 2021v4.2
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-03T19:30:09+00:00	ReturnTs
Tax Period End	2022-06-30	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 SUITE 2000	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750974351	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	GOOD	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	2023-05-03	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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Stephanie Lew	PreparerPersonNm
PTIN	P01080011	PTIN
Phone	2149698000	PhoneNum
Preparation	2023-04-27	PreparationDt

Field	Value	IRS element (for citing)
Tax	2021	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	$598,906,986	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	21	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	2957	TotalEmployeeCnt
Total Volunteers	5	TotalVolunteersCnt
Total Gross UBI	$64,980	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$589,068	PYContributionsGrantsAmt
CY Contributions Grants	$1,252,237	CYContributionsGrantsAmt
PY Program Service Revenue	$491,414,892	PYProgramServiceRevenueAmt
CY Program Service Revenue	$542,044,830	CYProgramServiceRevenueAmt
PY Investment Income	$2,530	PYInvestmentIncomeAmt
CY Investment Income	$4,951	CYInvestmentIncomeAmt
PY Other Revenue	$47,884,577	PYOtherRevenueAmt
CY Other Revenue	$43,708,120	CYOtherRevenueAmt
PY Total Revenue	$539,891,067	PYTotalRevenueAmt
CY Total Revenue	$587,010,138	CYTotalRevenueAmt
PY Grants And Similar Paid	$90,373	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$229,303	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$189,411,838	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$204,358,426	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$122,202	CYTotalFundraisingExpenseAmt
PY Other Expenses	$332,682,710	PYOtherExpensesAmt
CY Other Expenses	$362,118,822	CYOtherExpensesAmt
PY Total Expenses	$522,184,921	PYTotalExpensesAmt
CY Total Expenses	$566,706,551	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,706,146	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,303,587	CYRevenuesLessExpensesAmt
Total Assets BOY	$267,546,547	TotalAssetsBOYAmt
Total Assets EOY	$293,895,704	TotalAssetsEOYAmt
Total Liabilities BOY	$114,565,483	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$90,711,288	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$152,981,064	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$203,184,416	NetAssetsOrFundBalancesEOYAmt
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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$484,176,530	ExpenseAmt
Grant	$229,303	GrantAmt
Revenue	$542,044,830	RevenueAmt
Desc	See Schedule O	Desc
Total Program Service Expenses	$484,176,530	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	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	2957	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	21	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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

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	919 HIDDEN RIDGE	AddressLine1Txt
City	IRVING	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	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
Preston Smith
Board Director / Chairperson	19.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Shannon Dacus
Board Director / Vice-Chair	7.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Todd Hancock
System President/CEO	17.0	23.0	Yes (X)	Yes (X)	$0	$969,435	$343,859
Andria Cardinalli-Stein MD
Board Director (As of 01/2022)	14.0	26.0	Yes (X)		$0	$387,346	$18,616
Bill Chen PhD
Board Director	12.0	0.0	Yes (X)		$0	$14,016	$0
Chris Glenney
Board Director	24.0	16.0	Yes (X)		$0	$1,487,204	$575,666
Dick Stone
Board Director	14.0	0.0	Yes (X)		$0	$0	$0
Fred Harris Jr
Board Director	24.0	0.0	Yes (X)		$0	$0	$0
Jean Coleman
Board Director	12.0	0.0	Yes (X)		$0	$0	$0
Jeb Jones
Board Director	17.0	0.0	Yes (X)		$0	$0	$0
Jeff Puckett
Board Director	11.0	29.0	Yes (X)		$0	$7,055,993	$3,578,707
Joe Bob Burgin
Board Director	15.0	0.0	Yes (X)		$0	$0	$0
Joe Bob Joyce
Board Director	6.0	0.0	Yes (X)		$0	$0	$0
Mark Anderson MD
Board Director	12.0	28.0	Yes (X)		$0	$924,511	$31,563
Michael Hallum
Board Director	5.0	0.0	Yes (X)		$0	$0	$0
Randy Childress
Board Director	9.0	0.0	Yes (X)		$0	$0	$0
SCOTT SMITH
Board Director (Thru 11/2021)	24.0	16.0	Yes (X)		$0	$1,743,327	$43,130
Sister Guadalupe Ruiz
Board Director	9.0	0.0	Yes (X)		$0	$0	$0
Sister Rita Fanning
Board Director	8.0	0.0	Yes (X)		$0	$0	$0
Sister Rosanne Popp
Board Director (As of 01/2022)	2.0	0.0	Yes (X)		$0	$0	$0
Sonja Yates Hubbard
Board Director	11.0	0.0	Yes (X)		$0	$0	$0
Steven Keuer MD
Board Director	18.0	22.0	Yes (X)		$0	$1,252,278	$208,728
Amanda Smith
Corporate Secretary	25.0	15.0		Yes (X)	$0	$47,627	$9,902
Brett Kinman
Administrator - Marshall	40.0	0.0			$0	$318,842	$36,269	Yes (X)
Shelly Johnson
VP Operations	40.0	0.0			$0	$355,026	$57,440	Yes (X)
Teresa Halcomb
CNO Longview	40.0	0.0			$0	$350,345	$26,957	Yes (X)
DANIEL D SMITH
CRNA	40.0	0.0			$337,561	$0	$22,323		Yes (X)
DOUGLAS WHITLOW
CRNA	40.0	0.0			$301,644	$0	$17,616		Yes (X)
LEE A HOLLADAY
CRNA TEAM LEAD	40.0	0.0			$318,355	$0	$24,186		Yes (X)
RICHARD KLIMA
CRNA	40.0	0.0			$306,968	$0	$23,073		Yes (X)
ZACKARY G LISTER
CRNA TEAM LEAD	40.0	0.0			$326,843	$0	$22,080		Yes (X)
Jamie DOWELL
Secretary	2.0	38.0			$143,197	$0	$7,629			Yes (X)
Jason Adams
COO (THRU 10/2019)	0.0	40.0			$0	$619,681	$100,384			Yes (X)
John McDonald DO
Medical Staff (Thru 12/2016)	0.0	40.0			$40,236	$293,971	$11,600			Yes (X)
Ken Cunningham
VP Gen Counsel (Thru 12/2020)	0.0	40.0			$0	$554,123	$78,232			Yes (X)
Michael Cheek
CFO (Thru 12/2020)	0.0	40.0			$0	$489,108	$145,504			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,774,804	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$16,862,833	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,383,464	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	262	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
Government Grants	$1,250,000	GovernmentGrantsAmt
All Other Contributions	$2,237	AllOtherContributionsAmt
Total Contributions	$1,252,237	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621990	$538,724,958	$538,724,958
I/C Shared Service OH Revenue	900099	$26,554	$26,554
Life Wellness Center	713940	$3,036,187	$3,036,187

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$257,131	TotalRevenueColumnAmt
Related Or Exempt Func Income	$257,131	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$542,044,830	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,951	TotalRevenueColumnAmt
Exclusion	$4,951	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$13,763,692	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$11,896,848	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,866,844	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,866,844	TotalRevenueColumnAmt
Unrelated Business Revenue	$64,980	UnrelatedBusinessRevenueAmt
Exclusion	$1,801,864	ExclusionAmt

Gain Or Loss GainOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Physician Support Service	900099	$41,757,232	$41,757,232
Food Service	722221	$5,186	$5,186
General Merchandise Revenue	900099	$1,349	$1,349

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$77,509	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$77,509	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$41,841,276	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$587,010,138	TotalRevenueColumnAmt
Related Or Exempt Func Income	$542,044,830	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$64,980	UnrelatedBusinessRevenueAmt
Exclusion	$43,648,091	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	$229,303	TotalAmt
Program Services	$229,303	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$192,650	TotalAmt
Program Services	$171,908	ProgramServicesAmt
Management And General	$20,645	ManagementAndGeneralAmt
Fundraising	$97	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$175,297,683	TotalAmt
Program Services	$156,423,880	ProgramServicesAmt
Management And General	$18,785,576	ManagementAndGeneralAmt
Fundraising	$88,227	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,833,127	TotalAmt
Program Services	$17,936,854	ProgramServicesAmt
Management And General	$881,641	ManagementAndGeneralAmt
Fundraising	$14,632	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,034,966	TotalAmt
Program Services	$9,871,564	ProgramServicesAmt
Management And General	$156,202	ManagementAndGeneralAmt
Fundraising	$7,200	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$12,431	TotalAmt
Program Services	$12,431	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$326,607	TotalAmt
Program Services	$66,928	ProgramServicesAmt
Management And General	$259,679	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$7,856	TotalAmt
Management And General	$7,856	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$97,868,256	TotalAmt
Program Services	$85,223,643	ProgramServicesAmt
Management And General	$12,644,613	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$312,806	TotalAmt
Program Services	$310,863	ProgramServicesAmt
Management And General	$1,943	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,517,006	TotalAmt
Program Services	$15,118,232	ProgramServicesAmt
Management And General	$1,388,224	ManagementAndGeneralAmt
Fundraising	$10,550	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$18,877,145	TotalAmt
Management And General	$18,877,145	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$27,769,085	TotalAmt
Program Services	$27,358,538	ProgramServicesAmt
Management And General	$410,348	ManagementAndGeneralAmt
Fundraising	$199	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$124,057	TotalAmt
Program Services	$115,102	ProgramServicesAmt
Management And General	$8,955	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$105,368	TotalAmt
Program Services	$97,610	ProgramServicesAmt
Management And General	$7,758	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,263,931	TotalAmt
Program Services	$5,706,293	ProgramServicesAmt
Management And General	-$442,362	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,832,980	TotalAmt
Program Services	$16,832,980	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$24,989,119	TotalAmt
Program Services	$2,890,520	ProgramServicesAmt
Management And General	$22,098,599	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$79,294,589	$79,269,481	$24,966	$142
Bad Debts	$51,276,805	$51,276,805
Tax and Fees	$17,640,933	$10,402,798	$7,237,739	$396
Community Benefit Exp	$3,251,020	$3,251,020

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,648,828	TotalAmt
Program Services	$1,609,777	ProgramServicesAmt
Management And General	$38,292	ManagementAndGeneralAmt
Fundraising	$759	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$566,706,551	TotalAmt
Program Services	$484,176,530	ProgramServicesAmt
Management And General	$82,407,819	ManagementAndGeneralAmt
Fundraising	$122,202	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$30,103,299	BOYAmt
EOY	$4,733,649	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,018,152	BOYAmt
EOY	$5,023,103	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,666,735	BOYAmt
EOY	$61,094,482	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	$1,300,296	BOYAmt
EOY	$816,396	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,121,611	BOYAmt
EOY	$9,973,058	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,349,815	BOYAmt
EOY	$18,507,351	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$224,649,242	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$74,571,952	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$130,790,814	BOYAmt
EOY	$150,077,290	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	$44,195,825	BOYAmt
EOY	$43,670,375	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$267,546,547	BOYAmt
EOY	$293,895,704	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$34,320,468	BOYAmt
EOY	$18,291,703	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$37,565,578	BOYAmt
EOY	$14,241,466	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	$42,679,437	BOYAmt
EOY	$58,178,119	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$114,565,483	BOYAmt
EOY	$90,711,288	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	$152,899,064	BOYAmt
EOY	$203,102,416	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$152,981,064	BOYAmt
EOY	$203,184,416	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$267,546,547	BOYAmt
EOY	$293,895,704	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,303,587	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$29,899,765	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 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	$7,856	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$7,856	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 state level, had direct contact with members of the Texas Legislature and their respective staff through emails, letters, telephone calls, virtual meetings and meetings on issues related to Medicaid reimbursement, access to health care and state funding for safety net providers, emergency preparedness, COVID-19 response, graduate medical education, trauma network and services, local provider participation funds, opioid abuse, the Public Information Act, maternal health, children's health issues, behavioral health, Medicaid managed care, prescription drugs costs, pharmacy and prescribing authority, rural hospitals, physician relations, surprise billing, foster care reform, Medicaid directed payment programs, COVID-19 testing and treatment, CARES Act Funding, American Rescue Plan funding, health care staffing, price transparency, and the 1115 waiver program. 30 EXECUTIVE HOURS. CHRISTUS GOOD SHEPHERD MEDICAL CENTER DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-22.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,621,373	OtherCostOrOtherBasisAmt
Book Value	$11,621,373	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,531,461	OtherCostOrOtherBasisAmt
Depreciation	$17,510,365	DepreciationAmt
Book Value	$53,021,096	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,902,874	OtherCostOrOtherBasisAmt
Depreciation	$1,386,158	DepreciationAmt
Book Value	$3,516,716	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$120,591,001	OtherCostOrOtherBasisAmt
Depreciation	$55,675,429	DepreciationAmt
Book Value	$64,915,572	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,002,533	OtherCostOrOtherBasisAmt
Book Value	$17,002,533	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$150,077,290	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
ROU OPERATING ACC AMORTIZATION
ASSET CLEARING
SALES TAX PAYABLE
ROU Operating	$41,406,517
ASSET CLEARING	$2,263,858

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$43,670,375	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DEFERRED MEDICARE PAYABLE
OPERATING LEASE LIABILITY
Operating Lease Liability	$25,768,691
ROU Operating Acc Amortization	$15,823,845
Intercompany Accounts Payable	$16,585,583

Field	Value	IRS element (for citing)
Total Liability	$58,178,119	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, 2022 AND 2021.	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	$36,248,021	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,248,021	NetCommunityBenefitExpnsAmt
Total Expense	0.0703	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$56,375,247	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,527,110	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	$92,623,268	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,527,110	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,248,021	NetCommunityBenefitExpnsAmt
Total Expense	0.0703	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	121671	PersonsServedCnt
Total Community Benefit Expns	$1,060,932	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,060,932	NetCommunityBenefitExpnsAmt
Total Expense	0.0021	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	7390	PersonsServedCnt
Total Community Benefit Expns	$488,380	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$488,380	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	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	7	ActivitiesOrProgramsCnt
Persons Served	1275	PersonsServedCnt
Total Community Benefit Expns	$3,296,224	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,296,224	NetCommunityBenefitExpnsAmt
Total Expense	0.0064	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	130336	PersonsServedCnt
Total Community Benefit Expns	$4,845,536	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,845,536	NetCommunityBenefitExpnsAmt
Total Expense	0.0094	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	130336	PersonsServedCnt
Total Community Benefit Expns	$97,468,804	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,527,110	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,093,557	NetCommunityBenefitExpnsAmt
Total Expense	0.0797	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$23,143	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,143	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$357	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$357	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$23,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,500	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$51,276,805	BadDebtExpenseAmt
Bad Debt Expense Attributable	$275,877	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$102,058,827	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$94,238,946	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$7,819,881	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/marshall-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/longview-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	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.christushealth.org/-/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	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.christushealth.org/plan-care/bill-pay/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SUPPLEMENTAL INFO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SUPPLEMENTAL INFO	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. CHRISTUS GOOD SHEPHERD MEDICAL CENTER (CGSMC) ENGAGED TEXAS HEALTH INSTITUTE (THI), A NON-PROFIT, NON-PARTISAN PUBLIC HEALTH INSTITUTE, TO CONDUCT A CHNA. FIRST, THI CONDUCTED KEY INFORMANT INTERVIEWS OF RESIDENTS LIVING IN THE REPORT AREA AND WHO POSSESS KNOWLEDGE ABOUT THE REGION'S HEALTH-RELATED CHALLENGES. FOR EXAMPLE, KEY STAKEHOLDERS INCLUDED NONPROFIT LEADERS, HEALTH DEPARTMENT AUTHORITIES, UNIVERSITY AND COLLEGE LEADERS, HEALTHCARE PROVIDERS OR LEADERS, HUMAN SERVICES PROVIDERS, LOCAL AND STATE AGENCIES, PEOPLE REPRESENTING DISTINCT GEOGRAPHIC AREAS AND PEOPLE REPRESENTING DIVERSE RACIAL/ETHNIC GROUPS. ALL INTERVIEWS WERE CONDUCTED USING A STANDARD QUESTIONNAIRE DEVELOPED BY THI. FOLLOWING THE KEY INFORMANT INTERVIEWS, A FOCUS GROUP WAS DEVELOPED TO OBTAIN CLARITY AROUND NEEDS AND CONCEPTS PROPOSED FOR INCLUSION IN THE CHNA. THE FOCUS GROUP REPRESENTED DIVERSE POPULATION GROUPS, OCCUPATIONS, AND HEALTHCARE OR RELATED SERVICE PROVIDERS (E.G., CLINICS, COMMUNITY ORGANIZATIONS AND SOCIAL SERVICE AGENCIES). THE GROUP FOLLOWED A SEMI-STRUCTURED PROTOCOL INTENDED TO ELICIT RESPONSES ALIGNED WITH THE FOLLOWING OBJECTIVES: 1. IDENTIFY SIGNIFICANT HEALTH NEEDS 2. IDENTIFY COMMUNITY RESOURCES TO MEET ITS HEALTH NEEDS 3. IDENTIFY BARRIERS AND REASONS FOR UNMET NEEDS 4. IDENTIFY SUPPORTS, PROGRAMS, AND SERVICES THAT WOULD HELP IMPROVE THE NEEDS OR ISSUES
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. GOOD SHEPHERD HEALTH SYSTEM OPERATES HOSPITALS IN LONGVIEW AND MARSHALL. THE CHNA WAS CONDUCTED TO INCLUDE BOTH OF THE FOLLOWING SYSTEM HOSPITAL FACILITIES: THE GOOD SHEPHERD HOSPITAL, INC. (D/B/A GOOD SHEPHERD MEDICAL CENTER) HARRISON COUNTY HOSPITAL ASSOCIATION (D/B/A GOOD SHEPHERD MEDICAL CENTER - MARSHALL)
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. THE FOLLOWING PRIORITIZED COMMUNITY NEEDS WERE IDENTIFIED THROUGH THE CHNA: 1. MENTAL HEALTH 2. PRIMARY CARE ACCESS 3. HEALTH SYSTEMS PERFORMANCE 4. HOMELESSNESS 5. EMPLOYMENT SPECIFIC HOSPITAL SERVICES AND PROGRAMS IN PLACE DURING 2022 TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS ARE AS FOLLOWS: 1) MENTAL HEALTH MENTAL HEALTH IS CONSIDERED THE NUMBER ONE COMMUNITY NEED IN NORTHEAST TEXAS, MUCH LIKE THE REST OF THE STATE OF TEXAS. SERVICES FOR PATIENTS AND THEIR FAMILIES HAVE LONG WAIT TIMES FOR APPOINTMENTS, SCARCE INPATIENT CARE OPTIONS AND AVAILABILITY, AND INSUFFICIENT MENTAL HEALTH PROFESSIONALS IN THE REGION. THE CHNA REPORT AREA ALSO HAS A GROWING NUMBER OF YOUNG PEOPLE AND AGING ADULTS WHO REQUIRE SERVICES WITH VERY LITTLE ACCESS OR AVAILABILITY. WITHIN THE RURAL COMMUNITIES THERE IS A RECURRING THEME OF DRUG ABUSE, PARTICULARLY WITH METHAMPHETAMINES AND OPIOIDS. HOSPITAL EMERGENCY PSYCHIATRIC EVALUATION AND STABILIZATION SERVICES EMPLOY A FULL-TIME PSYCHIATRIST AND ADMINISTRATIVE DIRECTOR OF BEHAVIORAL HEALTH TO LEAD PSYCHIATRIC TRAINED REGISTERED NURSES AND BEHAVIORAL HEALTH TECHNICIANS STAFFED IN THE EMERGENCY DEPARTMENT. TOGETHER THIS TEAM PROVIDES CARE FOR PATIENTS PRESENTING TO THE HOSPITAL FOR EMERGENT PSYCHIATRIC CARE. THE HOSPITAL PSYCHIATRIST AND CONTRACTED TELEHEALTH PSYCHIATRISTS CONDUCT PSYCHIATRIC EVALUATIONS. THE REGISTERED NURSES IN CONCERT WITH COMMUNITY HEALTH CORE ASSIGNED SOCIAL WORKERS AND/OR THERAPISTS ARRANGE PLACEMENT FOR NEXT LEVELS OF CARE. MENTAL HEALTH EMERGENCY PATIENTS - CONTINUED UTILIZATION OF PREFERRED PSYCHIATRIC ROOMS IN THE EMERGENCY ROOM. THERE ARE DESIGNATED INPATIENT PREFERRED ROOMS FOR PSYCHIATRIC PATIENTS ON W300 MEDICAL UNIT (W338, W339, W340 AND W341). - CONTRACTED WITH TELEPSYCHIATRY SERVICES THROUGH FOREFRONT FOR AFTER-HOURS BEHAVIORAL HEALTH SCREENINGS AND EVALUATIONS. PSYCHIATRIC TRANSPORT SERVICES FY 2022 PROVIDED $327,127 IN SUPPORT OF TRANSPORTATION TO SHORT-TERM REGIONAL PSYCHIATRIC STAYS AT REGIONAL CRISIS STABILIZATION UNIT (RCSU), AND OTHER SHORT-TERM INPATIENT PSYCHIATRIC FACILITIES. IN FY 2022 THERE WERE 495 PATIENTS TRANSPORTED. OUTPATIENT PSYCHIATRIC SERVICES INTERNALLY REFERRED PATIENTS RECEIVED TREATMENT FROM A PSYCHIATRIST WITHIN OUR INTERNAL MEDICINE CLINIC. A TOTAL OF 835 PATIENTS WERE SEEN IN THE CLINIC IN FY 2022, UP FROM 627 IN 2021. THERE WERE 1331 ACTUAL PATIENT VISITS IN FY 2022 COMPARED TO 1347 IN FY 2021. 20 PERCENT BEING MEDICAID OR UNINSURED PATIENTS IN FY 2022, 3.4 percent points lower than THE PERCENTAGE OF FY 2021. ALL PATIENTS WERE SEEN WITHIN 30 DAYS; IN OUR REGION A TYPICAL WAIT FOR A MENTAL HEALTH PROVIDER IS 6-12 MONTHS. OTHER MENTAL HEALTH INITIATIVES - COST OF STAFF TIME ON AN IN-PERSON AND VIRTUAL PROGRAM FOR REMEMBERING BABIES LOST IN PREGNANCY AND INFANCY TOTALED $866. TOTAL ATTENDEES: 109. - COST OF STAFF TIME ON Sexual Assault Nurse Examiner presentation to the Women's Center of East Texas TOTALED $157. TOTAL ATTENDEES: 15. - COST OF STAFF TIME ON Homeless Resource Day TOTALED $3,066. TOTAL ATTENDEES: 250. - COST OF STAFF TIME ON Mental Health Education to Marshall Extension Office TOTALED $1,410. TOTAL ATTENDEES: 25. 2) PRIMARY CARE ACCESS THIS PRIORITY IS BASED ON THE OBSERVATION THAT EVEN INSURED INDIVIDUALS IN THE REPORT AREA LACK A MEDICAL HOME, A CONTINUUM OF CARE, ROUTINE PREVENTATIVE CARE, AND CARE COORDINATION. DURING 2022 CGSMC REFERRED UNINSURED OR UNDERINSURED PATIENTS LACKING A MEDICAL HOME TO FQHCS THAT OFFER PRIMARY AND PREVENTATIVE SERVICES AT SLIDING SCALE RATES. SPORTS MEDICINE ATHLETIC TRAINERS FOR FY22, SPORTS MEDICINE ATHLETIC TRAINERS WERE PROVIDED TO AREAS SCHOOLS SERVING 87,768 STUDENT ATHLETES AT A COST OF $420,397. WE ALSO OFFER A FREE SATURDAY MORNING SPORTS MEDICINE CLINIC FROM AUGUST TO NOVEMBER FOR SPORTS-RELATED INJURIES. FOR FY22 THE SALARY COST WAS $9,097 SERVING 130 STUDENTS. OUR ATHLETIC TRAINERS ALSO OFFERED FREE SPORTS PHYSICAL EXAMS TO 1,096 STUDENTS IN AREA SCHOOLS AT A COST OF $18,932. INSTITUTE FOR HEALTHY LIVING (IHL) SCHOLARSHIPS TO IMPROVE HEALTH ACCESS, THE IHL OFFERS SCHOLARSHIPS TO COVER MEMBERSHIP DUES OF FINANCIALLY-ELIGIBLE PERSONS WITH POOR HEALTH WHO WOULD BENEFIT FROM THE USE OF WELLNESS FACILITIES. IN 2022, THE IHL PROVIDED SCHOLARSHIPS TO 9 INDIVIDUALS TOTALING $2,609. PRIMARY CARE CLINICS CHRISTUS GOOD SHEPHERD'S INTERNAL MEDICINE RESIDENCY PROGRAM OPERATES A PRIMARY CARE CLINIC SO THE RESIDENTS ARE ABLE TO FOLLOW THEIR OWN INPATIENT POPULATION IN AN OUTPATIENT CONTINUITY CLINIC. THIS IS A TRAINING ENVIRONMENT FOR THE RESIDENTS TO DEVELOP SKILLS AND COMPETENCIES FOR IMPLEMENTING COORDINATED MULTIDISCIPLINARY CARE INTO THEIR FUTURE PRACTICE. IT IS WELL RECOGNIZED THAT PATIENT POPULATIONS WITH THIS LEVEL OF CHRONIC DISEASE MORBIDITY MAY EXPERIENCE FRAGMENTED AND UNCOORDINATED CARE IN THE CURRENT HEALTHCARE ENVIRONMENT. THIS PROJECT HELPS EXPAND PRIMARY CARE ACCESS TO THE LEVEL OF COORDINATED CARE WHICH THE PCMH OFFERS. THIS INITIATIVE AIMS TO ELIMINATE FRAGMENTED AND UNCOORDINATED CARE, WHICH CAN LEAD TO EMERGENCY DEPARTMENT AND HOSPITAL OVER-UTILIZATION. DURING FISCAL YEAR 2022, 5,080 PATIENTS WERE SEEN IN THE INTERNAL MEDICINE RESIDENT CLINIC WITH 19 PERCENT OF THOSE PATIENTS BEING EITHER MEDICAID OR UNINSURED. IN ADDITION TO THE RESIDENT CLINIC, GSMC AND TRINITY CLINICS AFFILIATED WITH CHRISTUS HEALTH ALSO PROVIDE FAMILY MEDICINE, INTERNAL MEDICINE, URGENT CARE, OB/GYN AND PEDIATRIC PRIMARY CARE SERVICES AT FOUR HOSPITAL BASED AND SEVEN FREE-STANDING CLINICS IN LONGVIEW, MARSHALL AND SURROUNDING CITIES. TELEMEDICINE VISITS/COVID-19 RESPONSE IN RESPONSE TO THE COVID-19 PANDEMIC, CGSMC AND TRINITY CLINICS DRASTICALLY EXPANDED TELEHEALTH SERVICES AND ONLINE SCREENING TOOLS WITH THE LAUNCH OF SECURE VIDEO AND TELEPHONE VISITS. THESE SERVICES PROVIDED BOTH CONTINUED ACCESS AND PATIENT SAFETY DURING THE PANDEMIC. TO FURTHER ENHANCE PATIENT ACCESS AND SAFETY, DRIVE-THROUGH EMERGENCY SERVICES, INCLUDING REDUCED COST COVID-19 SCREENING, WERE AVAILABLE AT OUR EMERGENCY CENTERS IN NORTH LONGVIEW AND KILGORE. TRANSPORTATION ASSISTANCE CGSMC PROVIDED TAXI TRANSPORTATION TO HOME UPON DISCHARGE FOR 388 FINANCIALLY-ELIGIBLE PATIENTS AT A COST OF $11,063.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. 3) HEALTH SYSTEM PERFORMANCE STAKEHOLDERS STATED THE NEED FOR INCREASED COORDINATION AMONG LOCAL ORGANIZATIONS TO PROVIDE INTEGRATED CARE AND INCREASED ACCESS TO SERVICES. INCREASING THE COORDINATION WITHIN HEALTH SYSTEMS WILL IMPROVE ACCESS TO CARE AND REDUCE OVERUTILIZATION OF THE EMERGENCY DEPARTMENT. SPECIFIC ACTIONS TAKEN BY CGSMC INCLUDED: HEALTH PROFESSIONALS EDUCATION & TRAINING PRIMARY AND SPECIALTY CARE ACCESS CANNOT BE MAINTAINED WITHOUT AVAILABLE TRAINED PROFESSIONALS TO PROVIDE PATIENT CARE. CGSMC IS A LEADER IN THE NORTHEAST TEXAS REGION IN PROVIDING HEALTH PROFESSIONALS TRAINING AND EDUCATION. DURING FISCAL YEAR 2022, GSMC PROVIDED THE FOLLOWING TRAINING AT THE LONGVIEW AND MARSHALL CAMPUSES: - TRAINED 36 INTERNAL MEDICINE RESIDENTS AND ONE EMERGENCY MEDICINE RESIDENT AT A NET COST OF $794,862. (SINCE INCEPTION OF THE RESIDENCY TRAINING PROGRAM IN 2012 OVER 100 RESIDENTS HAVE COMPLETED TRAINING WITH SEVEN PROGRAM GRADUATES CHOOSING CAREERS AT CGSMC AND MANY OTHERS CHOOSING TO TAKE POSITIONS WITHIN THE EAST TEXAS REGION.) - PROVIDED OVER 5,112 NURSING STUDENT TRAINING ENCOUNTERS (USUALLY 8 TO 10 HOURS EACH) AT A COST OF $347,987. - PROVIDED 2,120 TRAINING ENCOUNTERS FOR THERAPISTS AND OTHER ALLIED HEALTH PROFESSIONAL STUDENTS AT A COST OF $140,393. - IN A PARTNERSHIP WITH THE UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER - FT. WORTH, TRAINED SIX THIRD YEAR AND FOUR FOURTH YEAR MEDICAL STUDENTS WHO ARE INTERESTED IN BECOMING RURAL PHYSICIANS. SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM SEXUAL ASSAULT SURVIVORS HAVE ACCESS TO SEXUAL ASSAULT EXAMINATIONS AND EVIDENCE COLLECTION THROUGH CHRISTUS GOOD SHEPHERD MEDICAL CENTER'S SANE PROGRAM. THE PROGRAM HAS OPERATED SINCE 2020. WE HAVE A SANE COORDINATOR, AND OTHER AS NEEDED SANE STAFF WHO ROTATE CALL AND CONDUCT EXAMINATIONS AND EVIDENCE COLLECTION. THE COMMUNITY BENEFIT IS IMPROVED ACCESS TO INDIVIDUALS IN THIS COMMUNITY, AND A DECREASED NEED FOR INDIVIDUALS TO SEEK CARE IN DISTANT CITIES. SOME TURNOVER OF STAFF OCCURRED IN THE PAST YEAR, AND AN ADDITIONAL NURSE IS CURRENTLY IN TRAINING. ADDITIONAL VOLUNTEERS ARE NEEDED TO RECEIVE TRAINING AND ENGAGE IN THE SANE PROGRAM, AND RECRUITMENT IS UNDERWAY. BESIDES PROVIDING SANE FORENSIC EXAMS, A CGSMC INTERNAL MEDICINE CLINIC ALSO PROVIDES SURVIVORS ACCESS TO MENTAL HEALTH SERVICES FOR POST-TRAUMATIC STRESS CAUSED BY THE ASSAULT. CGSMC OFFERS THE ONLY SANE PROGRAM IN GREGG AND HARRISON COUNTIES. COMMUNITY EDUCATION & OUTREACH - COST OF STAFF TIME ON Stop the Bleed training - Marshall Independent School District TOTALED $1,301. TOTAL ATTENDEES: 415. - COST OF STAFF TIME ON Stroke Education to Marshall Rotary Club TOTALED $1,082. TOTAL ATTENDEES: 25. - COST OF STAFF TIME ON Heart Disease Education to Marshall Rotary Club, Red Dress Luncheon and Retired Teachers District TOTALED $6,395. TOTAL ATTENDEES: 242. SUPPORT FOR COMMUNITY AGENCIES & NOT-FOR-PROFIT GROUPS - CGSMC EMPLOYEES PROVIDE THEIR TIME AND EXPERTISE SERVING ON VARIOUS COMMITTEES AND ATTENDING MEETINGS OF COMMUNITY AGENCIES AND NOT-FOR-PROFIT GROUPS. THE VALUE OF TIME SPENT SERVING THE COMMUNITY THROUGH THESE ACTIVITIES IN 2022 WAS $7,660. - HOSPITAL SPACE WITH A RENTAL VALUE OF $2,856 WAS PROVIDED TO COMMUNITY GROUPS AT NO CHARGE. GRANTS TO COMMUNITY ORGANIZATIONS CGSMC PROVIDES GRANTS TO LOCAL ORGANIZATIONS WHO ADDRESS COMMUNITY HEALTH NEEDS, PARTICULARLY THE PRIORITIES OF THE CHNA, OR WHO ADDRESS SOCIAL DETERMINANTS OF HEALTH. IN FY22, CGSMC PROVIDED GRANTS TO: - Hope Mommies - grant for $1,000 to assemble Hope Boxes that are given to moms/parents when they are unable to take their babies home. Monies will also be used for scholarship money to send moms to the annual retreat. - The Pines Catholic Camp - grant for $2,666 for the purchase of two automated external defibrillators for use at the campus in Big Sandy, Texas. This rural facility has approximately 8,000 visitors annually and is located approximately 27 miles (41 minutes) from the closest medical facility. Food Insecurity The Covid pandemic exacerbated food insecurity in our region. To address this need, CGS donated $12,452 in food to local shelters and food pantries. COMMUNITY NEEDS THAT CANNOT BE ADDRESSED NEED PRIORITIES 4) AND 5) WERE HOMELESSNESS AND EMPLOYMENT WE RECOGNIZE BOTH HOMELESSNESS AND EMPLOYMENT ARE SIGNIFICANT ISSUES WITHIN THE COMMUNITIES WE SERVE. ULTIMATELY, CGSMC ELECTED NOT TO INCLUDE THESE CHNA PRIORITIES WITHIN OUR COMMUNITY HEALTH IMPLEMENTATION PLAN. CGSMC IS NOT OPTIMALLY POSITIONED TO SUPPORT THESE MAJOR COMMUNITY NEEDS. HOWEVER, CGSMC REMAINS COMMITTED TO SUPPORTING AGENCIES AND PROGRAMS THAT DIRECTLY ADDRESS THESE NEEDS BY PARTICIPATING IN the city of longview. ANNUAL HOMELESSNESS RESOURCE DAY, AND COMMUNITY JOB FAIRS. ADDITIONALLY, CGSMC SERVES AS THE LARGEST EMPLOYER IN GREGG COUNTY.
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 (27 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 6/30/22 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 $37,860,605 OF MEDICAID SUPPLEMENTAL PAYMENT INCOME IN 2022. THERE WERE $22,271,638 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 $15,588,967 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 I, Line 7f BAD DEBT EXPENSE	BAD DEBT IN THE AMOUNT OF $51,276,805, WAS NOT INCLUDED IN TOTAL EXPENSE USED TO COMPUTE THE PERCENTAGE REPORTED IN PART I, LINE 7 COL (F).
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 2022, 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 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, 2022, 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, 2022. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.538 PERCENT OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2022 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, 2022 MEDICARE COST REPORT. THE REVENUES WERE DERIVED FROM COST REPORT WORKSHEETS E PART A, E PART B AND E-3, PART III. COST INFORMATION WAS OBTAINED BY SUMMING OF MEDICARE PART A ALLOWABLE COSTS REPORTED ON WORKSHEET D-1, PART II (FOR BOTH INPATIENT ACUTE PPS AND INPATIENT REHAB FACILITY) AND WORKSHEET DV, COLUMNS 5.00 THROUGH 7.00 FOR MEDICARE OUTPATIENT PPS SERVICES. SINCE ALLOWABLE COSTS ARE NOT DETERMINED FOR SERVICES RENDERED TO MEDICARE PATIENTS ENROLLED IN MEDICARE ADVANTAGE (MEDICARE PART C) OR FOR PHYSICIAN SERVICES BILLED UNDER MEDICARE PART B, NEITHER THE REVENUES OR COSTS RELATED TO THESE SERVICES HAVE BEEN INCLUDED ON LINES 5 OR 6. THE COST REPORT USES FINANCIAL AND STATISTICAL DATA TO DEVELOP PER DIEMS AND COST TO CHARGE RATIOS THAT ULTIMATELY DETERMINE ALLOWABLE MEDICARE INPATIENT AND OUTPATIENT COSTS. (NOTE: EFFECTIVE AUGUST 1, 2017, THE LICENSE AND MEDICARE PROVIDER NUMBER OF GOOD SHEPHERD MEDICAL CENTER - LONGVIEW AND GOOD SHEPHERD MEDICAL CENTER - MARSHALL WERE COMBINED. THIS MERGER RESULTED IN ONE COST REPORT FOR THE COMBINED HOSPITALS.)
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
Schedule H, Part V, Section B, Line 16a FAP website	A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16a URL: https://www.christushealth.org/plan-care/bill-pay/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16b URL: SEE SUPPLEMENTAL INFO;
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 INFO;
Schedule H, Part VI, Line 2 Needs assessment	NO NEED ASSESSMENT OTHER THAN CHNA CONDUCTED IN FY20.
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 MEDICAL CENTER - MARSHALL IS LOCATED IN THE PINEY WOOD OF EAST TEXAS AND SERVICES A RURAL COMMUNITY WHICH INCLUDES HARRISON, NORTHERN PANALO AND SOUTHERN MARION COUNTIES. THE POPULATION IN EACH OF THESE COUNTIES IS DIVERSE IN INCOME AND ETHNICITY. HARRISON COUNTY, ESTABLISHED IN 1839, IS LOCATED IN NORTHEASTERN TEXAS ALONG THE LOUISIANA BORDER AND COMPRISES 900 SQUARE MILES. MARSHALL, THE COUNTY SEAT, IS LOCATED 152 MILES EAST OF DALLAS AND 39 MILES WEST OF SHREVEPORT. ACCORDING TO THE 2019 CENSUS ESTIMATES, 14.7 PERCENT OF HARRISON COUNTY POPULATION LIVES IN POVERTY. 17.4 PERCENT OF HARRISON COUNTY RESIDENTS ARE AGE 65 OR OLDER. THE CENSUS BUREAU REPORTS THAT ONLY 19.1 PERCENT OF ADULTS HOLD A COLLEGE DEGREE OR HIGHER LEVEL OF EDUCATION. EDUCATION LEVEL IMPACTS THE TYPES OF AVAILABLE JOBS AND BENEFIT LEVELS, INCLUDING HEALTHCARE COVERAGE. IN OTHER SERVICE LOCATIONS, MARION COUNTY HAS A MEDIAN ANNUAL INCOME OF $37,283 AND 21.9 PERCENT OF ITS RESIDENTS LIVE IN POVERTY. PANOLA COUNTY HAS A MEDIAN ANNUAL HOUSEHOLD INCOME OF $51,569 AND 15.7 PERCENT OF ITS RESIDENTS LIVE IN POVERTY. UNEMPLOYMENT RATES DURING THE 2020 COVID-19 PANDEMIC HAVE INCREASED AND LIKELY WORSENED POVERTY LEVELS. (SOURCE: U.S. CENSUS BUREAU) GOOD SHEPHERD MEDICAL CENTER - LONGVIEW IS ALSO LOCATED IN NORTHEAST TEXAS AND SERVES AN 11-COUNTY REGION INCLUDING THE FOLLOWING COUNTIES: GREGG, HARRISON, MARION, MORRIS, PANOLA, RUSK, UPSHUR, CAMP, CASS, WOOD AND TITUS. THE PROJECTED 2019 PRIMARY 6 COUNTIES POPULATIONS SERVED BY BOTH HOSPITALS ARE GREGG 123,945, HARRISON 66,553, MARION 9,854, UPSHUR 41,753, RUSK 54,406 AND PANOLA 23,194 AND TOTAL 319,705. GREGG, THE LARGEST COUNTY IN THE SERVICE AREA, HAS A POVERTY RATE OF 15.1 PERCENT AND 15.7 PERCENT OF THE POPULATION IS OVER 65 (SOURCE: U.S. CENSUS BUREAU). WITHIN THE AREA SERVED THERE ARE MANY OBSTACLES TO OVERCOME REGARDING HEALTH CARE COVERAGE. MANY FIND IT DIFFICULT TO AFFORD THE COST OF HEALTHCARE BOTH IN BASIC PREVENTION AND IN TREATMENT OF EXISTING CONDITIONS. CHRISTUS GOOD SHEPHERD MEDICAL CENTERS IN LONGVIEW AND MARSHALL OFFER A TRUE SYSTEM OF HEALTHCARE THAT ENCOMPASSES THE REACH OF OUR REGION.
Schedule H, Part VI, Line 5 Promotion of community health	THE COMMUNITY BUILDING ACTIVITIES INCLUDE OUR WELLNESS CENTER AND THE PROGRAMS WE OFFER TO KEEP OUR COMMUNITY HEALTHY. ALTHOUGH, THE COVID PANDEMIC HAS REQUIRED REDUCED OFFERINGS, 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 CPR, CERTIFIED DIABETIC EDUCATION PROGRAMS, WOUND CARE EDUCATION AND PREVENTION, SEATBELT AWARENESS, tobacco cessation, and nutrition education. WE OFFER HEALTH FAIRS 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.
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

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SHEPHERD FOUNDATION	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)
Recipient EIN	752056700	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$227,215	CashGrantAmt
Purpose Of Grant	operational support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	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 CFO 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 (20 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	$693,803	$0	$238,982	$0	$36,650	$0	$330,636	$0	$13,223	$0	$1,313,294	$0	$0
Jeff Puckett
Board Director	$0	$4,245,808	$0	$2,574,500	$0	$235,685	$0	$3,565,173	$0	$13,534	$0	$10,634,700	$0	$0
Chris Glenney
Board Director	$0	$1,076,553	$0	$409,936	$0	$715	$0	$556,004	$0	$19,662	$0	$2,062,870	$0	$0
Steven Keuer MD
Board Director	$0	$672,285	$0	$391,209	$0	$188,784	$0	$200,061	$0	$8,667	$0	$1,461,006	$0	$0
Mark Anderson MD
Board Director	$0	$589,101	$0	$241,892	$0	$93,518	$0	$21,442	$0	$10,121	$0	$956,074	$0	$0
Andria Cardinalli-Stein MD
Board Director (As of 01/2022)	$0	$373,219	$0	$1,500	$0	$12,627	$0	$18,557	$0	$59	$0	$405,962	$0	$0
SCOTT SMITH
Board Director (Thru 11/2021)	$0	$1,042,012	$0	$471,250	$0	$230,065	$0	$28,761	$0	$14,369	$0	$1,786,457	$0	$0
Shelly Johnson
VP Operations	$0	$264,014	$0	$90,997	$0	$15	$0	$51,594	$0	$5,846	$0	$412,466	$0	$0
Teresa Halcomb
CNO Longview	$0	$258,912	$0	$91,433	$0	$0	$0	$24,698	$0	$2,259	$0	$377,302	$0	$0
Brett Kinman
Administrator - Marshall	$0	$234,408	$0	$84,434	$0	$0	$0	$24,667	$0	$11,602	$0	$355,111	$0	$0
DANIEL D SMITH
CRNA	$279,103	$0	$52,038	$0	$6,420	$0	$11,600	$0	$10,723	$0	$359,884	$0	$0	$0
ZACKARY G LISTER
CRNA TEAM LEAD	$287,455	$0	$35,238	$0	$4,150	$0	$11,600	$0	$10,480	$0	$348,923	$0	$0	$0
LEE A HOLLADAY
CRNA TEAM LEAD	$277,628	$0	$32,438	$0	$8,289	$0	$11,601	$0	$12,585	$0	$342,541	$0	$0	$0
DOUGLAS WHITLOW
CRNA	$262,699	$0	$34,550	$0	$4,395	$0	$11,600	$0	$6,016	$0	$319,260	$0	$0	$0
RICHARD KLIMA
CRNA	$247,931	$0	$53,450	$0	$5,587	$0	$11,600	$0	$11,473	$0	$330,041	$0	$0	$0
Jason Adams
COO (THRU 10/2019)	$0	$369,235	$0	$166,883	$0	$83,563	$0	$92,742	$0	$7,642	$0	$720,065	$0	$0
Ken Cunningham
VP Gen Counsel (Thru 12/2020)	$0	$356,078	$0	$138,008	$0	$60,037	$0	$59,277	$0	$18,955	$0	$632,355	$0	$0
John McDonald DO
Medical Staff (Thru 12/2016)	$40,236	$293,971	$0	$0	$0	$0	$1,588	$10,012	$0	$0	$41,824	$303,983	$0	$0
Jamie DOWELL
Secretary	$116,450	$0	$26,330	$0	$417	$0	$5,782	$0	$1,847	$0	$150,826	$0	$0	$0
Michael Cheek
CFO (Thru 12/2020)	$0	$362,087	$0	$127,021	$0	$0	$0	$134,394	$0	$11,110	$0	$634,612	$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. $52,500.
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 $188,784 DURING CALENDAR YEAR 2021 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. KEN CUNNINGHAM RECEIVED $60,037 DURING CALENDAR YEAR 2021 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. Mark Anderson RECEIVED $93,518 DURING CALENDAR YEAR 2021 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SCOTT SMITH M.D. RECEIVED $175,365 DURING CALENDAR YEAR 2021 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 2021.
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 (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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)
Form 990, Part III, Line 4a	HELPING PREPARE FUTURE HEALTHCARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HOSPITALS AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS GOOD SHEPHERD MEDICAL CENTER (CGSMC) ASSISTS IN THE EDUCATION OF HEALTHCARE PROFESSIONALS BY PROVIDING RESIDENCIES FOR PHYSICIANS. WE TRAINED 36 INTERNAL MEDICINE RESIDENTS DURING THE FISCAL PERIOD ENDED 06/30/22. TOTAL DIRECT COST (RESIDENT STIPENDS AND BENEFITS AND OTHER CHARGES FROM THE ACADEMIC PROGRAM SPONSOR) PLUS OVERHEAD ALLOCATIONS ON THE MEDICARE COST REPORT TOTALED $794,862 WITH OFFSETTING MEDICARE GRADUATE MEDICAL EDUCATION PAYMENTS OF $746,945, RESULTING IN A NET COMMUNITY BENEFIT OF $47,917. ALSO, EACH YEAR CGSMC ASSISTS IN THE EDUCATION OF NURSES AND ALLIED HEALTHCARE PROFESSIONALS BY PROVIDING CLINICAL SETTINGS AND INTERNSHIPS FOR NURSES, PHYSICAL THERAPISTS, SPEECH THERAPISTS, RESPIRATORY THERAPISTS, EMT, AND LAB. EDUCATION IS PROVIDED AT BOTH THE LONGVIEW AND MARSHALL CAMPUSES. IN THE FISCAL PERIOD ENDED 06/30/22, CGSMC PROVIDED 7,444 TRAINING ENCOUNTERS FOR NURSING/ALLIED HEALTH STUDENTS AT A COST OF $482,348. DURING THE YEAR, GSMC HAD 114,725 ED VISITS, 3,182 IN-PATIENT SURGERIES, 9,045 OUT-PATIENT SURGERIES, ADMITTED 17,708 PATIENTS, PROVIDED 343,339 WITH OUT-PATIENT CARE, and delivered 1,235 babies.
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	A NUMBER OF DECISIONS OF THE ORGANIZATION ARE SUBJECT TO APPROVAL OF THE MEMBER OF THE ORGANIZATION. THESE RESERVED POWERS ARE STATED BELOW: A. THE APPOINTMENT OF ONE MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, AND THE APPROVAL OF THE REMAINING DIRECTORS FOLLOWING THE NOMINATION PROCESS AND SUBJECT TO THE PROVISIONS GOVERNING STAFF DIRECTOR; B. THE REMOVAL OF A MEMBER OF THE ORGANIZATION'S BOARD AND ALSO THE APPROVAL OF REMOVAL AND APPOINTMENTS TO FILL VACANCIES ON THE BOARD AND SET THE SIZE OF THE BOARD; C. APPROVE THE ELECTION AND REMOVAL OF OFFICERS OF THE ORGANIZATION AND ESTABLISH, TERMINATE, AND/OR REVISE ALL EMPLOYMENT CONTRACTS, COMPENSATION, AND BENEFIT PACKAGES OF THE OFFICERS OF THE ORGANIZATION REGARDLESS OF WHICH ENTITY ACTUALLY PAYS SUCH COMPENSATION OR BENEFITS; D. DESIGNATE THE FISCAL YEAR; E. APPROVE THE SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, OUTSIDE GENERAL LEGAL COUNSEL, AND OUTSIDE INVESTMENT ADVISORS; F. AMEND THE ARTICLES OF INCORPORATION; G. APPROVE ALL MERGERS, ACQUISITIONS, CONSOLIDATIONS, OR AFFILIATIONS WITH OTHER ENTITIES, THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE SALE, MORTGAGE, OR ENCUMBRANCE OF ANY REAL PROPERTY OWNED BY THE CORPORATION; H. APPROVE THE DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION; I. APPROVE CAPITAL PLANS, STRATEGIC PLANS, AND ANNUAL OPERATING AND CAPITAL BUDGETS; J. APPROVE ANY EXCEPTION TO THE CAPITAL BUDGET FOR A SINGLE ITEM OR RELATED ITEM THAT EXCEEDS $100,000 AND/OR APPROVE ANY AGGREGATE ANNUAL EXPENDITURES THAT EXCEEDS THE BUDGET BY $50,000; K. SELECT OFFICIAL DEPOSITORIES FOR THE ORGANIZATION'S FUNDS; L. CREATE OR INVEST IN ANY SUBSIDIARY ENTITY OR ENTER INTO ANY PARTNERSHIP OR JOINT VENTURE; M. AUTHORIZE ANY LOANS, GUARANTEES, OR INCURRENCE OF DEBT; N. AUTHORIZE THE COMMENCEMENT OF ANY LITIGATION OR OTHER LEGAL PROCEEDING, OR THE SETTLEMENT, DISPOSITION, OR TERMINATION OF ANY SUCH LITIGATION OR OTHER LEGAL PROCEEDING OR OF ANY CLAIM OR THREAT OF LITIGATION OR OTHER LEGAL PROCEEDING NOT FULLY COVERED BY INSURANCE; AND O. APPROVE THE ADMISSION OF ADDITIONAL MEMBERS OF THE ORGANIZATION.
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 PERPARATION 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 2023 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 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	ALL OTHER PROGRAM SERVICE REVENUE - Total Revenue: 257131, Related or Exempt Function Revenue: 257131, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , 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: 77509, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 77509; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Physician Fees - Total Expense: 92578442, Program Service Expense: 81702853, Management and General Expenses: 10875589, Fundraising Expenses: ; Maintenance - Total Expense: 3150227, Program Service Expense: 2952248, Management and General Expenses: 197979, Fundraising Expenses: ; Marketing - Total Expense: 35309, Program Service Expense: 35309, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 543989, Program Service Expense: 207945, Management and General Expenses: 336044, Fundraising Expenses: ; Billing - Total Expense: 132918, Program Service Expense: 132918, Management and General Expenses: , Fundraising Expenses: ; Collection - Total Expense: 280529, Program Service Expense: , Management and General Expenses: 280529, Fundraising Expenses: ; Medical Fees - Total Expense: 80955, Program Service Expense: 80955, Management and General Expenses: , Fundraising Expenses: ; OTHER FEES - Total Expense: 1065887, Program Service Expense: 111415, Management and General Expenses: 954472, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - 24052220; RECLASS FOR GAAP FOR DONATIONS/GRANTS TO UNRNA - 5847546; ROUNDING - -1;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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)	7	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
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	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	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 SERV	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 (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
GSHS ENTERPRISES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027162	HEALTHCARE	TX	GSMC	C Corporation	Yes (true)
MARSHALL PHYSICIAN HOSPITAL ORGANIZATION
700 E MARSHALL AVE	LONGVIEW	TX	75602	752580689	INACTIVE	TX	GSMC	C Corporation	Yes (true)
GSHS CUSTOMER SERVICE BUILDING LLC
700 E MARSHALL AVE	LONGVIEW	TX	75603	710896055	CUSTOMER SERVICES	DE	GSMC	C Corporation	Yes (true)
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVE	LONGVIEW	TX	75604	752554695	INACTIVE	TX	GSH INC	C Corporation	Yes (true)	$0	$0	1
SERVICE ORGANIZATION OF GOOD SHEPHERD
700 E MARSHALL AVE	LONGVIEW	TX	75605	383914883	MEDICAL SERVICES	TX	GSMC	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	false	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 (31 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GOOD SHEPHERD FOUNDATION INC
B	$227,215	Accrual
GOOD SHEPHERD NORTH PARK LP
A	$70,389	Accrual
GOOD SHEPHERD NORTH PARK LP
J	$75,797	Accrual
GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC
A	$543,152	Accrual
GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC
J	$657,362	Accrual
GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC
K	$135,605	Accrual
GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC
P	$150,200	Accrual
GSHS ENTERPRISES HOLDINGS INC
A	$32,451	Accrual
GSHS ENTERPRISES INC
A	$2,226,056	Accrual
GSHS ENTERPRISES INC
R	$2,226,056	Accrual
TRINITY CLINIC
A	$104,622	Accrual
TRINITY CLINIC
J	$104,622	Accrual
CHRISTUS HEALTH PLAN
M	$97,785	Accrual
CHRISTUS HEALTH NETWORKS LLC
L	$180,574	Accrual
CHRISTUS HEALTH NETWORKS LLC
M	$74,859	Accrual
GOOD SHEPHERD FOUNDATION INC
B	$227,369	Accrual
GOOD SHEPHERD NORTH PARK LP
A	$1,431,705	Accrual
GOOD SHEPHERD NORTH PARK LP
J	$205,704	Accrual
GOOD SHEPHERD NORTH PARK LP
K	$1,637,409	Accrual
GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC
O	$1,706,415	Accrual
GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC
P	$276,559,290	Accrual
GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC
Q	$143,611	Accrual
GSHS ENTERPRISES HOLDINGS INC
A	$542,703	Accrual
GSHS ENTERPRISES HOLDINGS INC
J	$1,775,704	Accrual
GSHS ENTERPRISES HOLDINGS INC
K	$1,775,704	Accrual
GSHS ENTERPRISES HOLDINGS INC
P	$542,703	Accrual
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
B	$60,000	Accrual
TRINCARE INC
L	$117,767	Accrual
TRINCARE INC
M	$117,767	Accrual
TRINITY CLINIC
L	$148,580,026	Accrual
TRINITY CLINIC
M	$112,798,135	Accrual