MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER (EIN 75-0818167)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-03
IRS object ID: 202321239349303152
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 B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-03T22:01:36+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	750818167	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 HIDDEN RIDGE	AddressLine1Txt
City	IRVING	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JASON PROCTOR	PersonNm
Person Title	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	JASON	PersonFirstNm
Person Last	PROCTOR	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

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	JASON PROCTOR	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,172,243,978	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTUSHEALTH.ORG/TRINITY/TYLER	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1958	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	6158	TotalEmployeeCnt
Total Volunteers	145	TotalVolunteersCnt
Total Gross UBI	$2,566,117	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$576	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,265,493	PYContributionsGrantsAmt
CY Contributions Grants	$212,241	CYContributionsGrantsAmt
PY Program Service Revenue	$842,814,593	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,103,496,306	CYProgramServiceRevenueAmt
PY Investment Income	$5,248,489	PYInvestmentIncomeAmt
CY Investment Income	$5,999,462	CYInvestmentIncomeAmt
PY Other Revenue	$128,641,255	PYOtherRevenueAmt
CY Other Revenue	$57,657,935	CYOtherRevenueAmt
PY Total Revenue	$977,969,830	PYTotalRevenueAmt
CY Total Revenue	$1,167,365,944	CYTotalRevenueAmt
PY Grants And Similar Paid	$459,840	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$441,044	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$268,197,934	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$330,512,535	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,580,735	CYTotalFundraisingExpenseAmt
PY Other Expenses	$671,899,654	PYOtherExpensesAmt
CY Other Expenses	$784,491,480	CYOtherExpensesAmt
PY Total Expenses	$940,557,428	PYTotalExpensesAmt
CY Total Expenses	$1,115,445,059	CYTotalExpensesAmt
PY Revenues Less Expenses	$37,412,402	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$51,920,885	CYRevenuesLessExpensesAmt
Total Assets BOY	$711,830,477	TotalAssetsBOYAmt
Total Assets EOY	$782,893,773	TotalAssetsEOYAmt
Total Liabilities BOY	$155,097,374	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$125,280,635	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$556,733,103	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$657,613,138	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,030,716,379	ExpenseAmt
Grant	$441,044	GrantAmt
Revenue	$1,149,423,948	RevenueAmt
Desc	THE HOSPITAL'S OPERATING PLAN INCORPORATES PROVISIONS FOR INDIVIDUALS WHO DO NOT POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. OUR COMMITMENT TO OUR COMMUNITY EXTENDS TO FREE OR SUBSIDIZED INDIVIDUAL CARE, SUBSIDIZED EDUCATION OF HEALTHCARE PROFESSIONALS, DISCOUNTED FEES FOR PARTICIPANTS IN GOVERNMENT PROGRAMS, COMMUNITY HEALTH EDUCATION AND TO OTHER COMMUNITY AGENCIES. SPECIFIC COMMUNITY SERVICES AND PROGRAMS INCLUDE: WELLNESS AND PREVENTION EDUCATION PROGRAMS, COMMUNITY DIAGNOSTIC SCREENING PROGRAMS, SENIOR CITIZEN HEALTH AWARENESS PROGRAMS, AWARENESS PROGRAMS FOR YOUTH AT RISK, AND AWARENESS PROGRAMS FOR PERSONS WITH SPECIAL PHYSICAL OR MENTAL NEEDS. INDIVIDUALS SERVED AMOUNTED TO 126,314 VISITS TO OUR EMERGENCY DEPARTMENTS, 6,816 INPATIENT SURGERY PROCEDURES, 18,813 OUTPATIENT SURGERY PROCEDURES, 30,363 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND 602,850 PATIENTS WHO RECEIVED OUTPATIENT CARE. CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION SERVES AS A TRAINING SITE FOR STUDENTS PURSING DEGREES IN NURSING, ALLIED HEALTH, ADVANCE PRACTICE NURSING AND MEDICINE. CNTHSC ASSOCIATES SERVE AS FORMAL PRECEPTORS FOR THESE STUDENT WHILE ON SITE. ASSOCIATE PRECEPTORS INCLUDE REGISTERED NURSES, ADVANCE PRACTICE REGISTERED NURSES, RADIOLOGIC TECHNOLOGISTS AND PHYSICIANS. GME PROGRAMS ARE NOT INCLUDED. THESE PROGRAMS ADDRESS COMMUNITY-WIDE WORKFORCE ISSUES - NOT THE WORKFORCE NEEDS OF THE HEALTH CARE ORGANIZATION. THESE HEALTH CAREER MENTORING PROJECTS INCLUDE JOB SHADOWING. MANY TIMES IT IS ALSO A COMMUNITY COLLABORATION THAT INCLUDES SCHOOLS, COLLEGES, UNIVERSITIES, OR PRIVATE BUSINESSES. IT MAY ALSO INCLUDE SPECIAL NEED STUDENTS. OFFERINGS WILL BE AVAILABLE FOR STUDENTS FROM ALL ECONOMIC AREAS AND NEEDS. HOURS SPENT INTERVIEWING, ORIENTING, SCHEDULING, AND TOURING HIGH SCHOOL AND COLLEGE JOB SHADOW STUDENTS. ORIENTATIONS INCLUDE TRAINING ON OUR HEALTH SYSTEM, CONFIDENTIALITY AND HIPPA, INFECTION CONTROL, HOSPITAL CODES, AND OTHER POLICIES AND PROCEDURES. THE CHRISTUS NORTHEAST TEXAS SPORTS MEDICINE PROGRAM HAS A SOLID MISSION THAT CONTRIBUTES TO THE OVERALL HEALTH OF THE COMMUNITY BY FOCUSING ON THE LONG-TERM PROBLEM OF TYPE II DIABETES AND OBESITY IN SCHOOL AGE CHILDREN. BY PROVIDING GRADUATE ASSISTANT ATHLETIC TRAINERS ON THE CAMPUSES THROUGHOUT THE CHRISTUS TYLER MARKET, FREE SATURDAY MORNING SPORTS INJURY CLINICS AND FREE PRE-PARTICIPATION SCREENINGS, THE PROGRAM HELPS TO: -PREVENT INJURIES AND QUICKLY EVALUATE AND DIAGNOSE INJURIES -DIRECT RAPID REFERRAL TO SPECIALIST PHYSICIANS -REHABILITATION AND FASTER RETURN TO NORMAL LIFE -WORK WITH STUDENT ACCIDENT INSURANCE -KEEP FINANCIAL LOSSES TO A MINIMUM TO ENSURE SCHOOLS CAN AFFORD STUDENT ACCIDENT INSURANCE	Desc
Total Program Service Expenses	$1,030,716,379	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	6158	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	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4692822000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	919 HIDDEN RIDGE DR	AddressLine1Txt
City	IRVING	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75038	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Chris Glenney
Board Director/SVP NETX Group Operations	24.0	16.0	Yes (X)	Yes (X)	$0	$1,487,204	$575,666
Preston Smith
DIR/CHAIRPERSN	19.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Shannon Dacus
DIR/VICE CHAIR	7.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
STEVEN KEUER MD
Board Director Ex-Officio	18.0	22.0	Yes (X)	Yes (X)	$0	$1,252,278	$208,728
Andria Cardinalli-Stein MD
Board Director (AS OF 01/2022)	14.0	26.0	Yes (X)		$0	$387,346	$18,616
Bill Chen PH D
BOARD DIRECTOR	12.0	0.0	Yes (X)		$0	$14,016	$0
Dick Stone
BOARD DIRECTOR	19.0	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 MD
BOARD DIRECTOR (Term 11/2021)/EX-OFFICIO	9.0	31.0	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	2.0	0.0	Yes (X)		$0	$0	$0
Sonja Yates Hubbard
Board Director	11.0	0.0	Yes (X)		$0	$0	$0
Amanda Smith
Corporate Secretary	25.0	15.0		Yes (X)	$47,627	$0	$9,902
ELIZABETH PULLIAM
CFO	16.0	24.0		Yes (X)	$0	$560,135	$81,422
FAGG SANFORD MD
BOARD DIRECTOR/SECRETARY	0.0	11.0		Yes (X)	$0	$753,987	$87,209
JASON PROCTOR
CEO	19.0	21.0		Yes (X)	$0	$776,487	$223,190
Ali Birjandi
VP	40.0	0.0			$0	$326,305	$39,373	Yes (X)
Andy Navarro
VP MISSION INTEGRATION	40.0	0.0			$0	$337,329	$100,836	Yes (X)
Anne Pileggi
COO	40.0	0.0			$0	$397,563	$55,351	Yes (X)
Becky Western
VP	38.0	2.0			$0	$236,751	$20,893	Yes (X)
Brian D Matson
VP, STRATEGY-BUS DEVELOPMENT	0.0	40.0			$0	$401,785	$84,624	Yes (X)
Deborah Chelette
VP CARDIAC SERVICES	40.0	0.0			$0	$320,394	$21,180	Yes (X)
JENNIFER H COLLIER
VP REVENUE CYCLE SERVICES	40.0	0.0			$0	$278,370	$46,954	Yes (X)
Mary Elizabeth Jackson
VP ADVOCACY - GOVT AFFAIRS	40.0	0.0			$0	$309,384	$25,476	Yes (X)
Scott Fossey
VP OF DEVELOPMENT	10.0	30.0			$0	$391,905	$44,483	Yes (X)
Shelly Welch
CHIEF NURSING OFFICER	40.0	0.0			$0	$454,299	$47,601	Yes (X)
DONALD J MITCHELL
CRNA	40.0	0.0			$334,763	$0	$19,528		Yes (X)
DUSTIN J VIDRINE
CRNA	40.0	0.0			$406,361	$0	$23,961		Yes (X)
Ranferi Valle
CRNA	40.0	0.0			$350,861	$0	$19,535		Yes (X)
ROBERT W BIENERT
CRNA	40.0	0.0			$510,724	$0	$15,603		Yes (X)
TIMOTHY M CLARK
CRNA	40.0	0.0			$331,783	$0	$22,717		Yes (X)
Andrew Von Eschenbach
CIO/VP REV CYCL MGT(THRU 6/20)	0.0	40.0			$0	$264,687	$0			Yes (X)
ANDY KIRKPATRICK MD
Former Dir/Chairperson (Term 12/20)	3.0	37.0			$0	$664,546	$91,245			Yes (X)
Fadi Nasrallah
Former CMO (Term 8/19)	0.0	40.0			$0	$1,227,945	$219,021			Yes (X)
John Lindsey Bradley
DIRECTOR EX-OFFICIO(RET. 6/17)	0.0	0.0			$0	$12,216	$0			Yes (X)
Todd Hancock
FORMER SVP/COO (TERM2/17)	0.0	40.0			$0	$969,435	$343,859			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,982,119	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$21,548,198	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,100,373	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	414	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$212,230	RelatedOrganizationsAmt
All Other Contributions	$11	AllOtherContributionsAmt
Total Contributions	$212,241	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621110	$963,111,773	$963,111,773
Lab Testing Revenue	900099	$5,216,486	$5,216,486
Uncon Sub Revenue	900099	$5,873,490	$5,873,490
Education and Wellness	900099	$330,171	$330,171
ALLOC CHARGEOUT PHYS NON CONTRACT REV	900099	$89,661,039	$89,661,039

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,303,347	TotalRevenueColumnAmt
Related Or Exempt Func Income	$39,303,347	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,103,496,306	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$409,974	TotalRevenueColumnAmt
Exclusion	$409,974	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,400	TotalRevenueColumnAmt
Exclusion	-$1,400	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,030,350	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,030,350	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,030,350	TotalRevenueColumnAmt
Exclusion	$3,030,350	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$10,468,922	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$4,878,034	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$5,590,888	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,590,888	TotalRevenueColumnAmt
Exclusion	$5,590,888	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Air Methods Program	900099	$6,133,826	$6,133,826
ALL OTHER REVENUE	900099	$48,493,759		$45,927,642	$2,566,117

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$54,627,585	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,167,365,944	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,149,423,948	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,566,117	UnrelatedBusinessRevenueAmt
Exclusion	$15,163,638	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	$441,044	TotalAmt
Program Services	$441,044	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$57,529	TotalAmt
Program Services	$56,379	ProgramServicesAmt
Management And General	$1,003	ManagementAndGeneralAmt
Fundraising	$147	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$280,554,862	TotalAmt
Program Services	$274,948,051	ProgramServicesAmt
Management And General	$4,890,151	ManagementAndGeneralAmt
Fundraising	$716,660	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

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

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,189,624	TotalAmt
Program Services	$31,865,221	ProgramServicesAmt
Management And General	$1,179,503	ManagementAndGeneralAmt
Fundraising	$144,900	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,710,520	TotalAmt
Program Services	$16,403,914	ProgramServicesAmt
Management And General	$248,246	ManagementAndGeneralAmt
Fundraising	$58,360	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$22,392,434	TotalAmt
Program Services	$22,392,434	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$723,184	TotalAmt
Program Services	$9,220	ProgramServicesAmt
Management And General	$713,964	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,047	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,047	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$142,053	TotalAmt
Program Services	$142,053	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$299,027,505	TotalAmt
Program Services	$259,861,423	ProgramServicesAmt
Management And General	$38,859,227	ManagementAndGeneralAmt
Fundraising	$306,855	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$103,176	TotalAmt
Program Services	$103,176	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,124,680	TotalAmt
Program Services	$36,814,379	ProgramServicesAmt
Management And General	$2,070,768	ManagementAndGeneralAmt
Fundraising	$239,533	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$33,743,067	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$33,743,067	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,969,469	TotalAmt
Program Services	$14,829,320	ProgramServicesAmt
Management And General	$140,149	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$559,483	TotalAmt
Program Services	$520,336	ProgramServicesAmt
Management And General	$30,859	ManagementAndGeneralAmt
Fundraising	$8,288	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$153,491	TotalAmt
Program Services	$138,213	ProgramServicesAmt
Management And General	$10,611	ManagementAndGeneralAmt
Fundraising	$4,667	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,818,643	TotalAmt
Program Services	$8,366,404	ProgramServicesAmt
Management And General	-$547,761	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$41,806,321	TotalAmt
Program Services	$41,065,607	ProgramServicesAmt
Management And General	$740,714	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,711,839	TotalAmt
Program Services	$4,044,507	ProgramServicesAmt
Management And General	$2,667,332	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$183,752,724	$186,432,179	-$2,687,761	$8,306
Provision for Uncollectable Accounts	$92,183,742	$92,183,742	$0	$0
LPPF Tax	$28,880,367	$28,880,367	$0	$0
ALL OTHER EXPENSES	$12,398,255	$11,218,410	$1,086,826	$93,019

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,115,445,059	TotalAmt
Program Services	$1,030,716,379	ProgramServicesAmt
Management And General	$83,147,945	ManagementAndGeneralAmt
Fundraising	$1,580,735	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,861,293	BOYAmt
EOY	$170,271	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$94,842,155	BOYAmt
EOY	$104,936,656	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	$46,673	BOYAmt
EOY	$1,291,916	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,694,029	BOYAmt
EOY	$7,893,494	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,648,947	BOYAmt
EOY	$22,035,327	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$669,415,854	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$174,214,467	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$482,221,601	BOYAmt
EOY	$495,201,387	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,937,472	BOYAmt
EOY	$1,919,735	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$12,084,110	BOYAmt
EOY	$10,829,363	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$9,949,417	BOYAmt
EOY	$23,337,099	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$992,615	BOYAmt
EOY	$160,578	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$86,551,773	BOYAmt
EOY	$115,117,555	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$711,830,477	BOYAmt
EOY	$782,893,773	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$28,738,054	BOYAmt
EOY	$29,818,694	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$59,492,367	BOYAmt
EOY	$35,609,023	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$171,219	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,866,953	BOYAmt
EOY	$59,681,699	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$155,097,374	BOYAmt
EOY	$125,280,635	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	$556,161,253	BOYAmt
EOY	$656,793,219	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$571,850	BOYAmt
EOY	$819,919	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$556,733,103	BOYAmt
EOY	$657,613,138	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$711,830,477	BOYAmt
EOY	$782,893,773	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$51,920,885	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,603,389	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$52,562,539	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$1,047	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$1,047	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1g CONTACT WITH GOVERNMENT OFFICIALS AND THEIR STAFFS:	FormAndLineReferenceDesc
Explanation	AT THE STATE LEVEL, CHRISTUS HAD DIRECT CONTACT WITH MEMBERS AND STAFF OF THE EXECUTIVE BRANCH OF THE TEXAS LEGISLATURE 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, 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, AND THE 1115 WAIVER PROGRAM. AT THE FEDERAL LEVEL, HAD DIRECT CONTACT WITH MEMBERS AND STAFF THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND MEETINGS TO DISCUSS ISSUES RELATED TO SAFETY-NET PROVIDERS, ACCESS TO CARE, HEALTH CARE REFORM PROPOSALS, QUALITY PROGRAM IMPLEMENTATION, RURAL HOSPITALS, REMOTE MEDICAL TECHNOLOGY, 340B DRUG PRICING PROGRAM, COVID-19 ANTIBODY TESTING, MEDICARE ADVANCED PAYMENTS, BOND ISSUERS, VALUE-BASED PAYMENT MODELS, FOREIGN HEALTH CARE WORKERS, CHILDREN'S HEALTH ISSUES, THE ACE KIDS ACT, CHGME, MEDICAID, RURAL HEALTH PROGRAM REAUTHORIZATION, HEALTH CARE FOR VETERANS, COVID-19, CARES FUNDING, LIABILITY REFORM, THE FEDERAL BUREAU OF PRISONS AND VETERANS AFFAIRS UNREIMBURSED CLAIMS. EXECUTIVE HRS: 4 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-2022.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,522,036	BeginningYearBalanceAmt
Contributions	$30,000	ContributionsAmt
Investment Earnings Or Losses	$200,996	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$76,399	GrantsOrScholarshipsAmt
End Year Balance	$3,676,633	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.5628	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.4372	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,013,949	OtherCostOrOtherBasisAmt
Book Value	$18,013,949	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$348,443,212	OtherCostOrOtherBasisAmt
Depreciation	$53,114,804	DepreciationAmt
Book Value	$295,328,408	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,508,015	OtherCostOrOtherBasisAmt
Depreciation	$3,853,609	DepreciationAmt
Book Value	$6,654,406	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$265,650,577	OtherCostOrOtherBasisAmt
Depreciation	$114,093,276	DepreciationAmt
Book Value	$151,557,301	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,800,101	OtherCostOrOtherBasisAmt
Depreciation	$3,152,778	DepreciationAmt
Book Value	$23,647,323	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$495,201,387	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
ROU FINANCING
ROU OPERATING
BENEFICIAL INTEREST IN SUB ORG
ROU Transactions	$52,394,952
Trade Names Purchased	$46,541,333
Asset Clearing	$8,876,474
Other Designated Assets	$81,622
Business Federal Inc Tax Receivable	$177
PENSION RECEIVABLE	$7,222,997

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$115,117,555	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (15 entries)

DescDesc	AmtAmt
LEASE LIABILITIES
PENSION LIABILITY
SALES TAX PAYABLE
DEFERRED MEDICARE PAYABLE
INTERCOMPANY PAYABLE
OTHER LIABILITIES
ASSET RETIREMENT OBLIGATIONS
COLLECTIONS PAYABLE
Error Suspense	$30,635
Asset Retirement Obligations	$999,151
LT Portion Capital Lease Bldg/Hosp	$50,023,993
CP Lease Liability	$4,386,020
Business State Sales Tax Payable	$25,629
NonPatron Collections Payable	$121,669
Intercompany Payable	$4,094,602

Field	Value	IRS element (for citing)
Total Liability	$59,681,699	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2022 AND 2021.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,850,409	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,850,409	NetCommunityBenefitExpnsAmt
Total Expense	0.0438	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,477,496	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,075,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,402,496	NetCommunityBenefitExpnsAmt
Total Expense	0.0053	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$108,327,905	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,075,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,252,905	NetCommunityBenefitExpnsAmt
Total Expense	0.0491	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	192148	PersonsServedCnt
Total Community Benefit Expns	$1,763,806	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,727,806	NetCommunityBenefitExpnsAmt
Total Expense	0.0017	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	9543	PersonsServedCnt
Total Community Benefit Expns	$797,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,020	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$793,542	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	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	5	ActivitiesOrProgramsCnt
Persons Served	9884	PersonsServedCnt
Total Community Benefit Expns	$11,785,264	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$162,625	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,622,639	NetCommunityBenefitExpnsAmt
Total Expense	0.0114	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	211575	PersonsServedCnt
Total Community Benefit Expns	$14,346,632	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$202,645	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,143,987	NetCommunityBenefitExpnsAmt
Total Expense	0.0138	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	211575	PersonsServedCnt
Total Community Benefit Expns	$122,674,537	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,277,645	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$64,396,892	NetCommunityBenefitExpnsAmt
Total Expense	0.0629	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	784	PersonsServedCnt
Total Community Benefit Expns	$8,142	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,142	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	281	PersonsServedCnt
Total Community Benefit Expns	$20,196	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,196	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
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
Total Community Benefit Expns	$41,350	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,350	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	3682	PersonsServedCnt
Total Community Benefit Expns	$475,145	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$475,145	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
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	4	ActivitiesOrProgramsCnt
Persons Served	4747	PersonsServedCnt
Total Community Benefit Expns	$544,833	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$544,833	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$92,183,742	BadDebtExpenseAmt
Bad Debt Expense Attributable	$448,037	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$205,678,217	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$240,661,531	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$34,983,314	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

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

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
MOTHER FRANCES REG HEALTHCARE CENTER
1	800 EAST DAWSON	TYLER	TX	75701	https://www.christushealth.org/locations/tyler-hospital	000286	Yes (X)	Yes (X)	Yes (X)	A
TYLER REHAB ASSOCIATES LP
2	3131 TROUP HIGHWAY	TYLER	TX	75701	WWW.ENCOMPASSHEALTH.COM/CTMFREHABHOSPITAL	000692	Yes (X)			A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.christushealth.org/locations/tyler-hospital	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE SUPPLEMENTAL INFO	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.christushealth.org/plan-care/bill-pay/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SUPPLEMENTAL INFO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SUPPLEMENTAL INFO	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	CHRISTUS MOTHER FRANCES HOSPITAL - TYLER IDENTIFIED AND ADDRESSED THE FOLLOWING PRIORITIES THROUGH ITS IMPLEMENTATION PLAN: 1) BEHAVIORAL HEALTH 2) HIGH EMERGENCY DEPARTMENT USE 3) SPECIALTY CARE AND CHRONIC ILLNESS 4) PRIMARY CARE AND ELDERLY NEEDS 5) EDUCATION
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. IN THE MOST RECENT CHNA PERSONS FROM THE COMMUNITY PARTICIPATED IN FOCUS GROUPS WITH INPUT TO HELP IDENTIFY AND DISCUSS THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. THE INTERVIEWEES INCLUDED BUT WERE NOT LIMITED TO, INDIVIDUALS FORM THE FOLLOWING ORGANIZATIONS: TYLER FAMILY CIRCLE OF CARE, LITERACY COUNCIL OF TYLER, ANDREWS CENTER, NORTHEAST TEXAS PUBLIC HEALTH DISTRICT, CITY OF TYLER, EAST TEXAS HUMAN NEEDS NETWORK, BEHAVIORAL HEALTH LEADERSHIP TEAM, HELPING OTHERS PURSUE ENRICHMENT (HOPE), CHEROKEE COUNTY PUBLIC HEALTH, CITY OF JACKSONVILLE, JACKSONVILLE CHAMBER COMMERCE, RANDY GORHAM, CPA, ALZHEIMER'S ALLIANCE OF SMITH COUNTY, BETHESDA HEALTH CLINIC, CATHOLIC CHARITIES DIOCESE OF TYLER, TYLER JUNIOR COLLEGE, UNIVERSITY OF TEXAS AT TYLER, EAST TEXAS CRISIS CENTER, SAMARITAN COUNSELING CENTER OF EAST TEXAS.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. CHRISTUS MOTHER FRANCES HOSPITAL, LOUIS PEACHES OWEN HEART HOSPITAL, CHRISTUS MOTHER FRANCES HOSPITAL - JACKSONVILLE, CHRISTUS MOTHER FRANCES HOSPITAL - WINNSBORO, CHRISTUS MOTHER FRANCES HOSPITAL - SULPHUR SPRINGS, CHRISTUS MOTHER FRANCES - SOUTH TYLER.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. THE NEEDS IDENTIFIED IN CHNA: MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE IDENTIFIED AND ADDRESSED THE FOLLOWING PRIORITIES THROUGH ITS IMPLEMENTATION PLAN: 1) BEHAVIORAL HEALTH 2) HIGH EMERGENCY DEPARTMENT USE 3) SPECIALTY CARE AND CHRONIC ILLNESS 4) PRIMARY CARE AND ELDERLY NEEDS 5) EDUCATION CNTHSC'S CHIP FOR THE UPCOMING TRIENNIUM REFLECTS THE ORGANIZATION'S ONGOING PURSUIT OF REGIONAL HEALTH EQUITY AND COMMITMENT TO PROMOTE CONDITIONS THAT ALLOW EVERY PERSON TO ATTAIN THE HIGHEST POSSIBLE STANDARD OF HEALTH. 1) BEHAVIORAL HEALTH: - EXPAND AND SUPPORT BEHAVIORAL HEALTH SERVICES IN THE COMMUNITY FOR INDIVIDUALS AND FAMILIES. - ADDRESS SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH. 2) HIGH EMERGENCY DEPARTMENT USE: - EDUCATE THE PUBLIC ON THE APPROPRIATE USE OF THE EMERGENCY DEPARTMENT AND ALTERNATIVE COMMUNITY RESOURCES. - SUPPORT AND EXPAND ACCESS TO FQHC SERVICES AS A SUBSTITUTE FOR INAPPROPRIATE ED USE. - TRACK REFERRALS TO FQHC'S AND INAPPROPRIATE USE OF THE ED. 3) SPECIALTY CARE AND CHRONIC ILLNESS: - SUPPORT ONGOING AND NEW CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION PROGRAMS. - PROVIDE FREE ORTHOPEDIC SERVICES TO LOW INCOME SCHOOLS, INCLUDING (1) ON-SITE SERVICES AND SCREENINGS, AND (2) FREE/SUBSIDIZED ORTHOPEDIC AND SPORTS MEDICINE PROFESSIONALS AS NEEDED. - PROVIDE MAMMOGRAM PROGRAMS AS LOW-INCOME WOMEN IN NEED OF SCREENING IN THE COMMUNITY THROUGH THE MOBILE MAMMOGRAPHY UNIT OR CLINICS. 4) ACCESS TO PRIMARY CARE AND ELDERLY NEEDS: - SUPPORT AND EXPAND ACCESS TO FQHC - PROVIDE COMMUNITY - BASED SCREENING, ASSESSMENTS, AND EDUCATION TO LOW INCOME, UNINSURED, AND SPECIAL REQUEST POPULATIONS. - CONDUCT PRELIMINARY ANALYSIS AND PLANNING TO SECURE VACCINES FOR LOW INCOME PATIENTS AND PARTICIPATE IN COMMUNITY PUBLIC HEALTH ISSUES FOCUSING ON HEALTH DISPARITIES, HYPERTENSION, DIABETES, ETC., AND TO PROVIDE LEADERSHIP AS REQUESTED. 5) EDUCATION: - MAINTAIN AND INCREASE EDUCATION AND TRAINING OPPORTUNITIES FOR HEALTH PROFESSIONALS WHILE ENCOURAGING YOUTH AND YOUNG ADULTS TO ENTER CAREERS AS HEALTH PROFESSIONALS OR PARA-PROFESSIONALS.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY GUIDELINES WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB.
Schedule H, Part V, Section B, Line 15 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE. (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE.) EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS.
Schedule H, Part V, Section B, Line 20 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN. WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MFH OUTPATIENT SURGERY CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	415 SOUTH FLEISHEL	AddressLine1Txt
City	TYLER	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75702	ZIPCd

Field	Value	IRS element (for citing)
Facility	AMBULATORY SURGICAL CENTER	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (30 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 17	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part V, Section B, Line 18	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part V, Section B, Line 22	THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/22 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 CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL) OR RECEIVED FREE CARE (FOR INCOMES AT OR BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.
Schedule H, Part I, Line 3c	FACTORS OTHER THAN THE FPG DETERMINING FREE OR DISCOUNTED CARE THE HOSPITAL USES THE FOLLOWING FACTORS IN ITS DETERMINATION: 1) ASSET LEVEL 2) MEDICAL INDIGENCY 3) INSURANCE STATUS 4) UNDERSINSURANCE STATUS 5) GREATER THAN 400% UNDER THE CATASTROPHIC CAP PROVISION 6) RESIDENCY
Schedule H, Part I, Line 5a BUDGETED CHARITY CARE	THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES.
Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT	A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES.
Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $1,115,445,059. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $92,183,742. THIS LEAVES A TOTAL EXPENSE OF $1,023,261,317 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
Schedule H, Part I, Line 7f FIN ASSISTANCE/OTHER BENEFITS AS PERCENTAGE OF COST	THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 11.99 PERCENT, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE.
Schedule H, Part I, Line 7i CASH AND IN-KIND CONTRIBUTIONS	MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE MADE OVER $11,785,264 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2022. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE.
Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15	CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.
Schedule H, Part VI, Line 7 COMMUNITY BENEFIT REPORT	A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2015. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE.
Schedule H, Part I, Line 7 EXPLANATION OFCOSTING METHODOLOGYUSED FOR CALCULATING LINE 7 TABLE:	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7C: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7H: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
Schedule H, Part V, Section B, Line 7 OTHER WEBSITE	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/implementation-plan-and-needs-assessment/2020_2022_community-health-needs-assessment--tmf-tyler.ashx
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/V2FINANCIAL-ASSISTANCE-APPLICATION.ASHX
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2021plainlanguagesummaryhospitalenglish.ashx
Schedule H, Part 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 III, Line 2 Bad debt expense - methodology used to estimate amount	THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE FILING ORGANIZATION RECOGNIZED THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30 PERCENT OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERSTIC OF OTHER WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 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 0.4860 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 AT THE DATE OF THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE SHORTFALL ON PART III, LINE 7 IS NOT COUNTED AS A COMMUNITY BENEFIT. THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF ($981,725) IF TOTAL EXPENSES ALLOWABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
Schedule H, Part V, Section B, Line 16a FAP website	A - MOTHER FRANCES REG. HEALTHCARE CENTER: Line 16a URL: https://www.christushealth.org/plan-care/bill-pay/financial-assistance; A - TYLER REHAB ASSOCIATES, LP: Line 16a URL: SEE PART V, SECTION C;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - MOTHER FRANCES REG. HEALTHCARE CENTER: Line 16b URL: SEE SUPPLEMENTAL INFO; A - TYLER REHAB ASSOCIATES, LP: Line 16b URL: SEE PART V, SECTION C;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - MOTHER FRANCES REG. HEALTHCARE CENTER: Line 16c URL: SEE SUPPLEMENTAL INFO; A - TYLER REHAB ASSOCIATES, LP: Line 16c URL: SEE PART V, SECTION C;
Schedule H, Part VI, Line 2 Needs assessment	THE HOSPITAL'S COMMUNITY HEALTH PROFILES PROVIDE A SNAPSHOT OF SUBURBAN, URBAN, AND RURAL SERVICE AREAS WITHIN TEXAS USING KEY HEALTH INDICATORS, WHICH FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND OVER TIME. COMMUNITY HEALTH PROFILES ARE INTENDED TO ASSIST INTERNAL STAKEHOLDERS, COMMUNITY HEALTH COUNCIL MEMBERS, AND THE COMMUNITY HEALTH IMPROVEMENT DEPARTMENT IN DECIDING WHERE TO ALLOCATE RESOURCES AND ADDRESS HEALTH INEQUALITIES. ALL ENTITY ADVOCATES USE NATIONAL, STATE, AND LOCAL SECONDARY AND PRIMARY DATA SOURCES TO PROVIDE A CURRENT OVERVIEW OF LOCAL HEALTH NEEDS, FACTORS IMPACTING DISEASE AND INJURY BURDEN, SOCIOECONOMIC STATUS, ACCESS TO HEALTH CARE, AGE DISTRIBUTION, INDICATORS AND LIFESTYLE BEHAVIORS. THIS DATA IS USED TO GALVANIZE JOINT COMMUNITY HEALTH EFFORTS TO IMPROVE HEALTH AND REDUCE HEALTH INEQUALITIES AND TO EMPOWER THE GREATER COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	MOTHER FRANCIS HOSPITAL - TYLER MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSITANCE.
Schedule H, Part VI, Line 4 Community information	THE HOSPITAL OWNS AND OPERATES A 476 LICENSED BED GENERAL ACUTE CARE HOSPITAL AND RELATED HEALTHCARE FACILITIES IN TYLER, TEXAS. THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF SMITH COUNTY WITH A POPULATION OF APPROXIMATELY 225,290 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME FOR THE SERVICE AREA IS $49,364, WITH 16% HOUSEHOLDS LIVE AT OR BELOW THE POVERTY LEVEL AND 34% AT LOW INCOME. THE HOSPITAL'S SERVICE AREA HAS AN UNINSURED RATE OF 33% OF THE POPULATION AND 43% HAVING MENTAL ILLNESS.
Schedule H, Part VI, Line 5 Promotion of community health	1. TYLER FAMILY CIRCLE OF CARE -WOMEN'S SERVICES/CHILDREN'S SERVICES/FAMILY AND SPECIAL NEEDS CLINICS DESCRIPTION: THESE CLINICS PROVIDE MEDICAL CARE SERVICES TO ALL AGES OF PATIENTS. THE CLINICS SEE MEDICAID, MEDICARE, CHIP/CHIP PERINATE, SELF-PAY,UNINSURED/UNDERSERVED, AND SERVING THOSE WITHOUT THE ABILITY TO PAY REGARDLESS OF THEIR COUNTY OF RESIDENCE. A COMMUNITY BENEFIT IS PAID TO COVER THE COSTS OF 60 OF THE IT SERVICES AND SYSTEM. THE PRIMARY OBJECTIVE IS TO REDUCE THE NUMBER OF WOMEN WHO DELIVERED BABIES WITH NO PRENATAL CARE OR CHILDBIRTH EDUCATION AND REDUCE THE NUMBER OF SICK INFANTS BORN. SOCIAL WORKERS HELP CLIENTS BECOME ELIGIBLE FOR MEDICAID, WIC, AND OTHER FINANCIAL ASSISTANCE. THIS FACILITY PROVIDES ACCESS TO WELL-BABY CARE AND SICK BABY CARE FOR NEW MOTHERS WHO WERE PROVIDED CARE AT THE TYLER FAMILY CIRCLE OF CARE - WOMEN'S SERVICE AND FOR THE MEDICALLY UNDERSERVED CHILDREN OF EAST TEXAS. THIS CLINIC HAS THE HIGHEST PERCENTAGE OF AT-RISK ETHNIC GROUPS. 2. EMERGENCY EDUCATION DESCRIPTION: DETAILED INSTRUCTION AND HANDS ON PARTICIPATION IS OFFERED FOR CERTIFICATION IN AREAS INCLUDING CPR, FIRST AID, AND AED USE. COURSES ARE OFFERED TO SCHOOL DISTRICT AND SPONSORS FOR UIL PROGRAMS ON AN ASNEEDED BASIS. HUNDREDS OF PEOPLE WERE TRAINED ACROSS MULTIPLE COUNTIES,SCHOOL DISTRICTS, AND CHURCHES. THE SPORTS TRAINING PROGRAM PROVIDES MANY OF THESE SERVICES. 3. CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM COPORATION WEBSITE DESCRIPTION: THE CNTHSC WEBSITE https://www.christushealth.org/locations/tyler-hospital PROVIDE A LARGE AMOUNT OF INFORMATION ABOUT THE HEALTH SYSTEM, TRINITY PHYSICIANS, UPCOMING CLASSES AND EVENTS AND A WEALTH OF HEALTH INFORMATION. THIS NOW INCLUDES THE IMPLEMENTATION OF MYCHART FOR PERSONAL HEALTH INFORMATION DIRECTLY. 4. COMMUNITY PARTNERSHIPS DESCRIPTION: ASSISTANCE WAS PROVIDED BOTH FINANCIALLY AND WITH STAFFING FOR GROUPS AND ORGANIZATIONS TO PROVIDE COLLABORATIVE PROGRAMS, SERVICES, AND HEALTH INFORMATION. PROJECTS INCLUDED OVER 80 OPPORTUNITIES, INCLUDING SCHOOL-BASED PROGRAMS, YOUTH PROGRAMS, AND GENERAL PUBLIC EVENTS, TO PROVIDE ASSISTANCE AND SUPPORT AND TO EDUCATE THE PUBLIC ON PROGRAMS OFFERED BY, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, ALZHEIMER'S ALLIANCE, BOY SCOUTS, NURSING PROGRAMS, CHAMPIONS FOR CHILDREN'S, SAMARITAN'S COUNSELING, AND PUBLIC AND PRIVATE SCHOOLS. 5. UNITED WAY DESCRIPTION: OUR EMPLOYEES PROVIDED FINANCIAL SUPPORT TO ASSIST WITH THE DESIGN, DEVELOPMENT, FUNDING AND MISSION DEVELOPMENT OF OVER 30 NON-PROFIT AGENCIES IN THE COMMUNITY PROVIDING SERVICES TO CHILDREN AND FAMILIES AT-RISK REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. THE HOSPITAL PROVIDES AN ADDITIONAL DONATION TO THE UNITED WAY IN ADDITION TO THE INDIVIDUAL DONATIONS. 6. HEALTH EDUCATION/SCREENING PROGRAMS DESCRIPTION: COMMUNITY EDUCATION FOR HEALTHY LIFE STYLES WAS OFFERED THROUGHOUT THE REGION FOR A VARIETY OF CONDITIONS. VARIOUS WALKS ARE INCLUDED AS WELL AS STRESS MANAGEMENT, DIABETES EDUCATION, HEART HEALTH, AND CANCER AWARENESS SCREENINGS. THE WOMEN WITH HEART PROGRAM ALSO OFFERED EDUCATION ON HEART DISEASE IN 4 COUNTIES. 7. SCHOOL ASSISTANCE DESCRIPTION: OVER 4,000 HIGH SCHOOL PHYSICALS AND PRE-PARTICIPATIONS EXAMS WERE DONE AT NO COST TO THE SCHOOLS. ADDITIONALLY, OVER 200 STUDENT ATHLETES WERE SEEN FOR FREE IN SATURDAY SPORTS CLINICS. ALL PROGRAMS ARE OPEN TO ANYONE TO PARTICIPATE PROVIDED THEY HAVE PRENATAL APPROVAL. SUPPORT FOR ON-SITE TRAINERS IS ALSO PROVIDED ON AN AS NEEDED BASIS. 8. YOUTH FITNESS DESCRIPTION: SPORTS TRAINING PROGRAM, INJURY PREVENTION AND HEALING, RUNNING CLASSES, WALKING PROGRAMS, AND NUTRITIONAL PROGRAMS WERE OFFERED TO EDUCATE YOUTHS AND YOUNG ADULTS ON THE POTENTIALS FOR INJURIES AND THE LONG-TERM EFFECTS OF NOT CARING FOR THE BODY. EXAMPLES WOULD INCLUDE: TYLER SOCCER ASSOCIATION, SUMMER FOOTBALL WHILE OTHER PROGRAMS WOULD INCLUDE ASSISTANCE WITH LOCAL BASKETBALL, VOLLEYBALL, TRACK, AND OTHER TRADITIONAL GROUP PROGRAMS WITH NON-PROFITS AND SCHOOL DISTRICTS. 9. JOB SHADOWING DESCRIPTION: CHRISTUS NORTHEAST TEXAS MADE A DECISION TO PARTICIPATE AND LEAD THE WAY ON HELPING TO DEVELOP SKILLS CHILDREN NEED TO LEARN AND BECOME INTERESTED IN HEALTHCARE CAREERS. THROUGH OUR VOLUNTEER SERVICES PROGRAM TRAINING, JOB SHADOWING, STUDENT PROGRAMS, ETC. ARE OFFERED TO INDIVIDUALS, SCHOOLS, COMMUNITY COLLEGES AND FOUR YEAR INSTITUTIONS NOT ONLY IN OUR MAIN HOSPITALS BUT IN CLINICS THROUGHOUT OUR SERVICE AREA. 10. ROSS BREAST CENTER MOBILE UNIT DESCRIPTION: ROSS BREAST CENTER MOBILE MAMMOGRAPHY UNIT GOES OUT IN THE NORTHEAST TEXAS REGIONAL COMMUNITY. THE MOBILE MAMMOGRAPHY IS SET UP STRATEGICALLY ACROSS NORTHEAST TEXAS AND ALSO IN RURAL AREAS TO ACCOMMODATE LOW INCOME MEDICAID WOMEN WHO MAY NOT OTHERWISE HAVE MEANS OF TRANSPORTATION. THE MOBILE UNIT IS SET UP FOR APPOINTMENTS AND FOR WALK-IN AVAILABILITY.
Schedule H, Part VI, Line 6 Affiliated health care system	MOTHER FRANCES HOSPITAL-TYLER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM COROPORATION. CHRISTUS NORTHEAST TEXAS IS A FAITH-BASED ORGANIZATION DEDICATED TO CREATING HEALTHY LIVES FOR PEOPLE AND COMMUNITIES. MFH-TYLER AND ITS AFFILIATES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING ACUTE CARE FACILITIES AND CRITICAL ACCESS FACILITIES WHOSE OPERATIONS CONSIST PRIMARILY OF PROVIDING INPATIENT AND OUTPATIENT ACUTE CARE AND MEDICAL SERVICES TO PATIENTS RESIDING IN EAST TEXAS.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
UNITED WAY OF SMITH COUNTY
PO Box 10029	Tyler	TX	75711	750957331	501 (C) (3)	$71,291	(1) FY22 - Program Grant - Annual Campaign / (1) FY22 - Day of Caring
CANCER FOUNDATION FOR LIFE INC
PO Box 8257	Tyler	TX	75701	752957440	501 (C) (3)	$55,000	(2) FY22 Program Grant - 1 Tyler/1 Lindale
AMERICAN CANCER SOCIETY
250 Williams Street Suite 4B	Atlanta	GA	30303	131788491	501 (C) (3)	$37,000	(1) FY22 Program Grant / (1) Donation
WHITEHOUSE HIGH SCHOOL
106 Wildcat Drive	Whitehouse	TX	75791	756002764	501 (C) (3)	$21,000	(2) FY22 Educational Grant
TYLER JUNIOR COLLEGE FOUNDATION
1400 East Fifth St	Tyler	TX	75701	756046816	501 (C) (3)	$20,000	FY22 - Program Scholarship Grant
TEXAS ROSE FESTIVAL
PO BOX 8224	Tyler	TX	75711	751171774	501 (C) (3)	$20,000	Donation
Metopio
328 S Jefferson Street	Chicago	IL	60661	852846627	501 (C) (3)	$17,280	CHNA Prep/Planning
EAST TEXAS TRIATHLETES
PO Box 7558	Tyler	TX	75703	261808251	501 (C) (3)	$15,000	FY22 Program Grant (Medical)
TYLER AREA CHAMBER OF COMMERCE
315 N Broadway	Tyler	TX	75702	750624670	501 (C) (3)	$10,490	(9) Donation
ALL SAINTS EPISCOPAL SCHOOL
2695 SSW Loop 323	Tyler	TX	75701	751520564	501 (C) (3)	$10,000	Founders Day Donation
JUNIOR LEAGUE OF TYLER INC
1619 S Donnybrook	Tyler	TX	75701	750884075	501 (C) (3)	$10,000	(2) FY22 Program Grant
DIOCESE OF TYLER
1015 ESE Loop 323	Tyler	TX	75701	752152475	501 (C) (3)	$10,000	FY22 Educational Program Grant
GREENBERG SMOKED TURKEYS INC
PO Box 4818	Tyler	TX	75712	751328897	501 (C) (3)	$9,202	Turkey donations to feed community
ALZHEIMERS ALLIANCE OF SMITH COUNTY
211 Winchester Dr	Tyler	TX	75701	752486061	501 (C) (3)	$8,800	FY22 Program Grant to increase services - case management/counseling/respite care
LONDON MUSEUM
PO Box 477	New London	TX	75682	752467715	501 (C) (3)	$8,500	FY22 Program Educational Grant
LINDALE AREA CHAMBER OF
PO Box 670	Lindale	TX	75771	752218487	501 (C) (3)	$7,010	(2) Program Educational Grants/(5) Donation
SAMARITAN COUNSELING CENTER OF TYLER
218 N College	Tyler	TX	75702	452047833	501 (C) (3)	$6,000	FY22 Program Educational Grant
DESIGNER GRAPHICS
12404 Highway 155 South	Tyler	TX	75703	752222265	501 (C) (3)	$5,344	Provided items for an event
TYLER AREA BUSINESS EDUCATION COUNCIL
315 N Broadway	Tyler	TX	75702	271665584	501 (C) (3)	$5,000	FY22 Program Grant- Backpack Program
BOY SCOUTS OF AMERICA
1331 East Fifth Street	Tyler	TX	75701	750808767	501 (C) (3)	$5,000	FY22 Program Grant
SPORTYLER
315 N Broadway	Tyler	TX	75702	752401978	501 (C) (3)	$5,000	FY22 Program Scholarship Grant
EAST TEXAS SYMPHONY ORCHESTRA ASSOCIATION
107 E Erwin	Tyler	TX	75702	756013387	501 (C) (3)	$5,000	FY22 Music in the Park Grant
HOUSTON TEMPLE CHURCH OF GOD IN CHRIST
PO Box 4027	Tyler	TX	75712	474419970	501 (C) (3)	$5,000	FY22 Program Grant
SUSAN G KOMEN FOR THE CURE
PO Box 6217	Tyler	TX	75711	752764235	501 (C) (3)	$5,000	FY22 Program Grant - Breast cancer screenings
LEADERSHIP WOMEN INC
10455 N Central Expw 109-231	Dallas	TX	75231	237345926	501 (C) (3)	$5,000	FY22 Program Educational Grant Support
ZETA PHI BETA SORORITY INC
PO Box 4844	Tyler	TX	75712	756055219	501 (C) (3)	$5,000	FY22 Program Grant - March of Dimes/March of Babies

Field	Value	IRS element (for citing)
Total501c3 Org	26	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	GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Chris Glenney
Board Director/SVP NETX Group Operations	$0	$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 Ex-Officio	$0	$672,285	$0	$391,209	$0	$188,784	$0	$200,061	$0	$8,667	$0	$1,461,006	$0	$0
Scott Smith MD
BOARD DIRECTOR (Term 11/2021)/EX-OFFICIO	$0	$1,042,012	$0	$471,250	$0	$230,065	$0	$28,761	$0	$14,369	$0	$1,786,457	$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
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
JASON PROCTOR
CEO	$0	$551,622	$0	$224,215	$0	$650	$0	$212,080	$0	$11,110	$0	$999,677	$0	$0
ELIZABETH PULLIAM
CFO	$0	$344,445	$0	$140,849	$0	$74,841	$0	$73,036	$0	$8,386	$0	$641,557	$0	$0
FAGG SANFORD MD
BOARD DIRECTOR/SECRETARY	$0	$727,092	$0	$8,006	$0	$18,889	$0	$57,100	$0	$30,109	$0	$841,196	$0	$0
Andy Navarro
VP MISSION INTEGRATION	$0	$256,823	$0	$79,856	$0	$650	$0	$85,689	$0	$15,147	$0	$438,165	$0	$0
Scott Fossey
VP OF DEVELOPMENT	$0	$307,883	$0	$83,372	$0	$650	$0	$23,867	$0	$20,616	$0	$436,388	$0	$0
Brian D Matson
VP, STRATEGY-BUS DEVELOPMENT	$0	$280,049	$0	$106,369	$0	$15,367	$0	$67,765	$0	$16,859	$0	$486,409	$0	$0
Shelly Welch
CHIEF NURSING OFFICER	$0	$302,927	$0	$108,304	$0	$43,068	$0	$38,588	$0	$9,013	$0	$501,900	$0	$0
Anne Pileggi
COO	$0	$272,033	$0	$94,498	$0	$31,032	$0	$51,522	$0	$3,829	$0	$452,914	$0	$0
Mary Elizabeth Jackson
VP ADVOCACY - GOVT AFFAIRS	$0	$238,046	$0	$70,688	$0	$650	$0	$21,061	$0	$4,415	$0	$334,860	$0	$0
Deborah Chelette
VP CARDIAC SERVICES	$0	$251,880	$0	$68,414	$0	$100	$0	$19,238	$0	$1,942	$0	$341,574	$0	$0
Becky Western
VP	$0	$181,347	$0	$55,204	$0	$200	$0	$18,729	$0	$2,164	$0	$257,644	$0	$0
Ali Birjandi
VP	$0	$255,196	$0	$69,910	$0	$1,199	$0	$23,087	$0	$16,286	$0	$365,678	$0	$0
JENNIFER H COLLIER
VP REVENUE CYCLE SERVICES	$0	$198,111	$0	$72,623	$0	$7,636	$0	$12,981	$0	$33,973	$0	$325,324	$0	$0
TIMOTHY M CLARK
CRNA	$196,566	$0	$1,000	$0	$134,217	$0	$11,600	$0	$11,117	$0	$354,500	$0	$0	$0
ROBERT W BIENERT
CRNA	$213,143	$0	$26,995	$0	$270,586	$0	$14,240	$0	$1,363	$0	$526,327	$0	$0	$0
DUSTIN J VIDRINE
CRNA	$187,940	$0	$24,936	$0	$193,485	$0	$11,600	$0	$12,361	$0	$430,322	$0	$0	$0
DONALD J MITCHELL
CRNA	$177,060	$0	$1,000	$0	$156,703	$0	$11,600	$0	$7,928	$0	$354,291	$0	$0	$0
Ranferi Valle
CRNA	$171,089	$0	$750	$0	$179,022	$0	$11,600	$0	$7,935	$0	$370,396	$0	$0	$0
Fadi Nasrallah
Former CMO (Term 8/19)	$0	$687,452	$0	$420,003	$0	$120,490	$0	$207,731	$0	$11,290	$0	$1,446,966	$0	$0
Todd Hancock
FORMER SVP/COO (TERM2/17)	$0	$693,803	$0	$238,982	$0	$36,650	$0	$330,636	$0	$13,223	$0	$1,313,294	$0	$0
Andrew Von Eschenbach
CIO/VP REV CYCL MGT(THRU 6/20)	$0	$264,687	$0	$0	$0	$0	$0	$0	$0	$0	$0	$264,687	$0	$0
John Lindsey Bradley
DIRECTOR EX-OFFICIO(RET. 6/17)	$0	$0	$0	$0	$0	$12,216	$0	$0	$0	$0	$0	$12,216	$0	$0
ANDY KIRKPATRICK MD
Former Dir/Chairperson (Term 12/20)	$0	$661,264	$0	$250	$0	$3,032	$0	$56,047	$0	$35,198	$0	$755,791	$0	$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS.
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING RECEIVED SEVERANCE PAYMENTS DURING 2021: SCOTT SMITH, M.D. RECEIVED $52,500 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2021. ANDREW VON ESCHENBACH RECEIVED $264,687 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2021.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6 OF PENSIONABLE EARNING WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. MARK ANDERSON RECEIVED $93,518 DURING THE CALENDAR YEAR 2021 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. STEVE KEUER RECEIVED $188,784 DURING THE CALENDAR YEAR 2021 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. BRIAN D. MATSON RECEIVED $15,367 DURING THE CALENDAR YEAR 2021 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FADI NASRALLAH RECEIVED $120,490 DURING THE CALENDAR YEAR 2021 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. ANNE PILEGGI RECEIVED $30,657 DURING THE CALENDAR YEAR 2021 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. ELIZABETH PULLIAM RECEIVED $74,191 DURING THE CALENDAR YEAR 2021 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SCOTT SMITH, M.D. RECEIVED $175,365 DURING THE CALENDAR YEAR 2021 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SHELLY WELCH RECEIVED $43,068 DURING THE CALENDAR YEAR 2021 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN.
Schedule J, Part I, Line 3 RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION	THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY.
Schedule J, Part II	DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION	W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.
Schedule J, Part II, Column (B)(ii)	BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDER YEAR 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 PERCENT OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Scott Smith MD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Daughter of Director	RelationshipDescriptionTxt
Transaction	$3,318	TransactionAmt
Transaction	LEAH M. SMITH IS AN EMPLOYEE OF CHRISTUS HEALTH. HER FATHER, SCOTT SMITH, M.D. IS A DIRECTOR OF CHRISTUS HEALTH.	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 1, BOX C	MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS HUMAN PERFORMANCE CENTER CHRISTUS MOTHER FRANCES HOSPITAL CHRISTUS MOTHER FRANCES HOSPITAL - CANTON CHRISTUS MOTHER FRANCES HOSPITAL - SOUTH TYLER CHRISTUS MOTHER FRANCES HOSPITAL - TYLER CHRISTUS SPECIALTY PHARMACY CHRISTUS TRINITY MOTHER FRANCES DEHAVEN SURGERY CENTER - TYLER CHRISTUS TRINITY MOTHER FRANCES ENDOSCOPY CENTER FLIGHT FOR LIFE LOUIS & PEACHES OWEN HEART HOSPITAL MOTHER FRANCES HOSPITAL OUTPATIENT SURGERY CENTER TRINITY MOTHER FRANCES ENDOSCOPY CENTER TYLER SQUARE AMBULATORY SERVICES CENTER
Form 990, Part VI, Line 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 6 Classes of members or stockholders	CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE MEMBER, CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE,OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO). THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING 2023 VIA WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
Form 990, Part VI, Line 12c Conflict of interest policy	AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
Form 990, Part VI, Line 19 Required documents available to the public	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 2f Other Program Service Revenue	ALL OTHER PROGRAM - Total Revenue: 39303347, Related or Exempt Function Revenue: 39303347, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Professional Fees - Total Expense: 1195147, Program Service Expense: 544425, Management and General Expenses: 650722, Fundraising Expenses: 0; Charge Out Fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 0, Fundraising Expenses: 0; Medical Services - Total Expense: 7469613, Program Service Expense: 7055263, Management and General Expenses: 414350, Fundraising Expenses: 0; Billings & Collections - Total Expense: 375944, Program Service Expense: 375944, Management and General Expenses: 0, Fundraising Expenses: 0; Repairs and Maintenance - Total Expense: 17799167, Program Service Expense: 17647570, Management and General Expenses: 151597, Fundraising Expenses: 0; Purchase Services - Total Expense: 18780639, Program Service Expense: 17632057, Management and General Expenses: 841727, Fundraising Expenses: 306855; Patient Financial Serv. - Total Expense: 20252592, Program Service Expense: 0, Management and General Expenses: 20252592, Fundraising Expenses: 0; System Office Fee - Total Expense: 18829506, Program Service Expense: 2281267, Management and General Expenses: 16548239, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - 40890920; RESTRICTED CONTRIBUTIONS - -222000; CHANGE IN PENSION LIABILITIES - 4619730; RECLASS FOR GAAP FOR DONATIONS/GRANTS TO UNRNA - 7273889;

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
MOTHER FRANCES HOSPITAL-WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(c)(3)	3	CNTHSC	Yes (true)
CHRISTUS-TRINITY MOTHER FRANCES FDN
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(c)(3)	Type I	CNTHSC	Yes (true)
CHRISTUS NORTHEAST TX HEALTH SYSTEM CORP
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	SUPPORT	TX	501(c)(3)	Type II	CH	false
MOTHER FRANCES HOSPITAL - JACKSONVILLE
919 HIDDEN RIDGE	IRVING	TX	75038	751976930	HOSPITAL	TX	501(c)(3)	3	CNTHSC	Yes (true)
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE	TYLER	TX	75701	465720165	HEALTHCARE	TX	501(c)(3)	3	MFH REG	Yes (true)
CHRISTUS HEALTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	760590551	SUPP HTH SVCS	TX	501(c)(3)	10	NA	false
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(c)(3)	3	CNTHSC	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HLTHCARE SVCS	TX	501(c)(3)	3	CNTHSC	Yes (true)
CHAMPION EMS
2201 S MOBBERLY AVE	LONGVIEW	TX	75602	752747708	HLTHCARE SVCS	TX	501(c)(3)	10	MFH REG	Yes (true)
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
700 E MARSHALL AVE	LONGVIEW	TX	75601	750974351	HEALTHCARE	TX	501(c)(3)	3	CNTHSC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	RETAIL HEALTH SVC	TX	CNTHSC	C Corporation	$2,061,391	$922,778	Yes (true)
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636832	THIRD PARTY ADMIN	TX	CNTHSC	C Corporation	-$59,186	$0	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	CNTHSC	C Corporation	$0	$0	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
C	$212,230	ACCRUAL
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
C	$60,000	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
C	$60,000	ACCRUAL
CHRISTUS HEALTH NORTHERN LOUISIANA
C	$60,000	ACCRUAL
CHRISTUS HEALTH SOUTHEAST TEXAS
C	$65,000	ACCRUAL
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
C	$60,000	ACCRUAL
MOTHER FRANCES HOSPITAL JACKSONVILLE
A	$1,060,014	ACCRUAL
MOTHER FRANCES HOSPITAL JACKSONVILLE
J	$1,060,014	ACCRUAL
MOTHER FRANCES HOSPITAL JACKSONVILLE
M	$72,546	ACCRUAL
MOTHER FRANCES HOSPITAL WINNSBORO
A	$5,980	ACCRUAL
TRINCARE INC
L	$203,736	ACCRUAL
TRINCARE INC
M	$203,736	ACCRUAL
TRINITY CLINIC
B	$150,000	ACCRUAL
TRINITY CLINIC
L	$256,585,045	ACCRUAL
TRINITY CLINIC
M	$163,730,029	ACCRUAL
TRINITY CLINIC
Q	$55,538	ACCRUAL