2023-05-03T22:01:36+00:00 2022-06-30 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 75219 990 2021-07-01 750818167 Mother Frances Regional Health Care Center MOTH 9036065639 919 HIDDEN RIDGE IRVING TX 75038 JASON PROCTOR CEO 2023-05-03 true JASON PROCTOR 999009999 Stephanie Lew P01080011 2149698000 2021 2023-04-26 12:10:37Z SEE SCHEDULE O JASON PROCTOR 800 E DAWSON TYLER TX 75701 1172243978 false X WWW.CHRISTUSHEALTH.ORG/TRINITY/TYLER X 1958 TX TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 20 14 6158 145 2566117 576 1265493 212241 842814593 1103496306 5248489 5999462 128641255 57657935 977969830 1167365944 459840 441044 0 268197934 330512535 0 1580735 671899654 784491480 940557428 1115445059 37412402 51920885 711830477 782893773 155097374 125280635 556733103 657613138 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. false false 1030716379 441044 1149423948 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 1030716379 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false true true false false false false false false true true true false false true X 0 0 6158 true true true true CJ false false false false false false false false false false X 20 14 false false false false true true true true true false false true true true true true true true true true true X LEE SONNE 4692822000 919 HIDDEN RIDGE DR IRVING TX 75038 Chris Glenney Board Director/SVP NETX Group Operations 24.0 16.0 X X 0 1487204 575666 Preston Smith DIR/CHAIRPERSN 19.0 0.0 X X 0 0 0 Shannon Dacus DIR/VICE CHAIR 7.0 0.0 X X 0 0 0 STEVEN KEUER MD Board Director Ex-Officio 18.0 22.0 X X 0 1252278 208728 Andria Cardinalli-Stein MD Board Director (AS OF 01/2022) 14.0 26.0 X 0 387346 18616 Bill Chen PH D BOARD DIRECTOR 12.0 0.0 X 0 14016 0 Dick Stone BOARD DIRECTOR 19.0 0.0 X 0 0 0 Fred Harris JR BOARD DIRECTOR 24.0 0.0 X 0 0 0 Jean Coleman BOARD DIRECTOR 12.0 0.0 X 0 0 0 Jeb Jones BOARD DIRECTOR 17.0 0.0 X 0 0 0 JEFF PUCKETT BOARD DIRECTOR 11.0 29.0 X 0 7055993 3578707 Joe Bob Burgin Board Director 15.0 0.0 X 0 0 0 Joe Bob Joyce BOARD DIRECTOR 6.0 0.0 X 0 0 0 MARK ANDERSON MD Board Director 12.0 28.0 X 0 924511 31563 Michael Hallum Board Director 5.0 0.0 X 0 0 0 Randy Childress Board Director 9.0 0.0 X 0 0 0 Scott Smith MD BOARD DIRECTOR (Term 11/2021)/EX-OFFICIO 9.0 31.0 X 0 1743327 43130 Sister Guadalupe Ruiz Board Director 9.0 0.0 X 0 0 0 Sister Rita Fanning Board Director 8.0 0.0 X 0 0 0 Sister Rosanne Popp Board Director 2.0 0.0 X 0 0 0 Sonja Yates Hubbard Board Director 11.0 0.0 X 0 0 0 Amanda Smith Corporate Secretary 25.0 15.0 X 47627 0 9902 ELIZABETH PULLIAM CFO 16.0 24.0 X 0 560135 81422 FAGG SANFORD MD BOARD DIRECTOR/SECRETARY 0.0 11.0 X 0 753987 87209 JASON PROCTOR CEO 19.0 21.0 X 0 776487 223190 Ali Birjandi VP 40.0 0.0 X 0 326305 39373 Andy Navarro VP MISSION INTEGRATION 40.0 0.0 X 0 337329 100836 Anne Pileggi COO 40.0 0.0 X 0 397563 55351 Becky Western VP 38.0 2.0 X 0 236751 20893 Brian D Matson VP, STRATEGY-BUS DEVELOPMENT 0.0 40.0 X 0 401785 84624 Deborah Chelette VP CARDIAC SERVICES 40.0 0.0 X 0 320394 21180 JENNIFER H COLLIER VP REVENUE CYCLE SERVICES 40.0 0.0 X 0 278370 46954 Mary Elizabeth Jackson VP ADVOCACY - GOVT AFFAIRS 40.0 0.0 X 0 309384 25476 Scott Fossey VP OF DEVELOPMENT 10.0 30.0 X 0 391905 44483 Shelly Welch CHIEF NURSING OFFICER 40.0 0.0 X 0 454299 47601 DONALD J MITCHELL CRNA 40.0 0.0 X 334763 0 19528 DUSTIN J VIDRINE CRNA 40.0 0.0 X 406361 0 23961 Ranferi Valle CRNA 40.0 0.0 X 350861 0 19535 ROBERT W BIENERT CRNA 40.0 0.0 X 510724 0 15603 TIMOTHY M CLARK CRNA 40.0 0.0 X 331783 0 22717 Andrew Von Eschenbach CIO/VP REV CYCL MGT(THRU 6/20) 0.0 40.0 X 0 264687 0 ANDY KIRKPATRICK MD Former Dir/Chairperson (Term 12/20) 3.0 37.0 X 0 664546 91245 Fadi Nasrallah Former CMO (Term 8/19) 0.0 40.0 X 0 1227945 219021 John Lindsey Bradley DIRECTOR EX-OFFICIO(RET. 6/17) 0.0 0.0 X 0 12216 0 Todd Hancock FORMER SVP/COO (TERM2/17) 0.0 40.0 X 0 969435 343859 1982119 21548198 6100373 414 true true false 0 212230 11 212241 Net Patient Service Revenue 621110 963111773 963111773 Lab Testing Revenue 900099 5216486 5216486 Uncon Sub Revenue 900099 5873490 5873490 Education and Wellness 900099 330171 330171 ALLOC CHARGEOUT PHYS NON CONTRACT REV 900099 89661039 89661039 39303347 39303347 0 0 1103496306 409974 409974 -1400 -1400 0 0 3030350 3030350 0 3030350 3030350 10468922 4878034 0 5590888 5590888 5590888 Air Methods Program 900099 6133826 6133826 ALL OTHER REVENUE 900099 48493759 45927642 2566117 0 0 0 0 54627585 1167365944 1149423948 2566117 15163638 X 441044 441044 57529 56379 1003 147 280554862 274948051 4890151 716660 0 0 0 0 33189624 31865221 1179503 144900 16710520 16403914 248246 58360 22392434 22392434 0 0 723184 9220 713964 0 0 0 0 0 1047 0 1047 0 0 0 142053 142053 0 0 299027505 259861423 38859227 306855 103176 103176 0 0 39124680 36814379 2070768 239533 33743067 0 33743067 0 0 0 0 0 14969469 14829320 140149 0 559483 520336 30859 8288 0 0 0 0 153491 138213 10611 4667 7818643 8366404 -547761 0 0 0 0 0 41806321 41065607 740714 0 6711839 4044507 2667332 0 Medical Supplies 183752724 186432179 -2687761 8306 Provision for Uncollectable Accounts 92183742 92183742 0 0 LPPF Tax 28880367 28880367 0 0 ALL OTHER EXPENSES 12398255 11218410 1086826 93019 0 0 0 0 1115445059 1030716379 83147945 1580735 3861293 170271 392 392 94842155 104936656 0 0 0 0 46673 1291916 7694029 7893494 10648947 22035327 669415854 174214467 482221601 495201387 2937472 1919735 12084110 10829363 9949417 23337099 992615 160578 86551773 115117555 711830477 782893773 28738054 29818694 59492367 35609023 0 0 0 171219 66866953 59681699 155097374 125280635 X 556161253 656793219 571850 819919 556733103 657613138 711830477 782893773 X 51920885 -3603389 52562539 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 1047 false false 1047 false Schedule C, Part II-B, Line 1g CONTACT WITH GOVERNMENT OFFICIALS AND THEIR STAFFS: 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. 4606929 122490 -123917 18325 4587177 3951360 708623 53054 4606929 3883058 83627 15325 3951360 3676633 10000 206545 10120 3883058 3522036 30000 200996 76399 3676633 0.0 0.5628 0.4372 false false 18013949 18013949 348443212 53114804 295328408 10508015 3853609 6654406 265650577 114093276 151557301 26800101 3152778 23647323 495201387 ROU FINANCING ROU OPERATING BENEFICIAL INTEREST IN SUB ORG ROU Transactions 52394952 Trade Names Purchased 46541333 Asset Clearing 8876474 Other Designated Assets 81622 Business Federal Inc Tax Receivable 177 PENSION RECEIVABLE 7222997 115117555 LEASE LIABILITIES PENSION LIABILITY SALES TAX PAYABLE DEFERRED MEDICARE PAYABLE INTERCOMPANY PAYABLE OTHER LIABILITIES ASSET RETIREMENT OBLIGATIONS COLLECTIONS PAYABLE Error Suspense 30635 Asset Retirement Obligations 999151 LT Portion Capital Lease Bldg/Hosp 50023993 CP Lease Liability 4386020 Business State Sales Tax Payable 25629 NonPatron Collections Payable 121669 Intercompany Payable 4094602 59681699 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2022 AND 2021. true true X true X 300 true X true true false true true 44850409 44850409 0.0438 63477496 58075000 5402496 0.0053 0 0.0 0 0 108327905 58075000 50252905 0.0491 10 192148 1763806 36000 1727806 0.0017 3 9543 797562 4020 793542 0.0008 0 0 0 0 0 0.0 0 0 0 0 0 0.0 5 9884 11785264 162625 11622639 0.0114 18 211575 14346632 202645 14143987 0.0138 18 211575 122674537 58277645 64396892 0.0629 0 0.0 1 784 8142 8142 0.0000 0 0.0 0 0.0 1 281 20196 20196 0.0000 0 0.0 1 41350 41350 0.0000 1 3682 475145 475145 0.0005 0 0.0 4 4747 544833 0 544833 0.0005 true 92183742 448037 205678217 240661531 -34983314 X true true Tyler Rehab Associates LP Rehabilitation services 0.5 0.5 2 1 MOTHER FRANCES REG HEALTHCARE CENTER 800 EAST DAWSON TYLER TX 75701 https://www.christushealth.org/locations/tyler-hospital 000286 X X X A 2 TYLER REHAB ASSOCIATES LP 3131 TROUP HIGHWAY TYLER TX 75701 WWW.ENCOMPASSHEALTH.COM/CTMFREHABHOSPITAL 000692 X A A false false true X X X X X X X X X 22 true true false true X https://www.christushealth.org/locations/tyler-hospital X SEE SUPPLEMENTAL INFO X true 22 true https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve false true X 300.0 400.0 X X X X X true true X X X X X true X https://www.christushealth.org/plan-care/bill-pay/financial-assistance X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E 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. 1 MFH OUTPATIENT SURGERY CENTER 415 SOUTH FLEISHEL TYLER TX 75702 AMBULATORY SURGICAL CENTER Schedule H, Part V, Section B, Line 17 THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. Schedule H, Part V, Section B, Line 18 THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. Schedule H, Part V, Section B, Line 22 THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/22 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 true UNITED WAY OF SMITH COUNTY PO Box 10029 Tyler TX 75711 750957331 501 (C) (3) 71291 (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) 55000 (2) FY22 Program Grant - 1 Tyler/1 Lindale AMERICAN CANCER SOCIETY 250 Williams Street Suite 4B Atlanta GA 30303 131788491 501 (C) (3) 37000 (1) FY22 Program Grant / (1) Donation WHITEHOUSE HIGH SCHOOL 106 Wildcat Drive Whitehouse TX 75791 756002764 501 (C) (3) 21000 (2) FY22 Educational Grant TYLER JUNIOR COLLEGE FOUNDATION 1400 East Fifth St Tyler TX 75701 756046816 501 (C) (3) 20000 FY22 - Program Scholarship Grant TEXAS ROSE FESTIVAL PO BOX 8224 Tyler TX 75711 751171774 501 (C) (3) 20000 Donation Metopio 328 S Jefferson Street Chicago IL 60661 852846627 501 (C) (3) 17280 CHNA Prep/Planning EAST TEXAS TRIATHLETES PO Box 7558 Tyler TX 75703 261808251 501 (C) (3) 15000 FY22 Program Grant (Medical) TYLER AREA CHAMBER OF COMMERCE 315 N Broadway Tyler TX 75702 750624670 501 (C) (3) 10490 (9) Donation ALL SAINTS EPISCOPAL SCHOOL 2695 SSW Loop 323 Tyler TX 75701 751520564 501 (C) (3) 10000 Founders Day Donation JUNIOR LEAGUE OF TYLER INC 1619 S Donnybrook Tyler TX 75701 750884075 501 (C) (3) 10000 (2) FY22 Program Grant DIOCESE OF TYLER 1015 ESE Loop 323 Tyler TX 75701 752152475 501 (C) (3) 10000 FY22 Educational Program Grant GREENBERG SMOKED TURKEYS INC PO Box 4818 Tyler TX 75712 751328897 501 (C) (3) 9202 Turkey donations to feed community ALZHEIMERS ALLIANCE OF SMITH COUNTY 211 Winchester Dr Tyler TX 75701 752486061 501 (C) (3) 8800 FY22 Program Grant to increase services - case management/counseling/respite care LONDON MUSEUM PO Box 477 New London TX 75682 752467715 501 (C) (3) 8500 FY22 Program Educational Grant LINDALE AREA CHAMBER OF PO Box 670 Lindale TX 75771 752218487 501 (C) (3) 7010 (2) Program Educational Grants/(5) Donation SAMARITAN COUNSELING CENTER OF TYLER 218 N College Tyler TX 75702 452047833 501 (C) (3) 6000 FY22 Program Educational Grant DESIGNER GRAPHICS 12404 Highway 155 South Tyler TX 75703 752222265 501 (C) (3) 5344 Provided items for an event TYLER AREA BUSINESS EDUCATION COUNCIL 315 N Broadway Tyler TX 75702 271665584 501 (C) (3) 5000 FY22 Program Grant- Backpack Program BOY SCOUTS OF AMERICA 1331 East Fifth Street Tyler TX 75701 750808767 501 (C) (3) 5000 FY22 Program Grant SPORTYLER 315 N Broadway Tyler TX 75702 752401978 501 (C) (3) 5000 FY22 Program Scholarship Grant EAST TEXAS SYMPHONY ORCHESTRA ASSOCIATION 107 E Erwin Tyler TX 75702 756013387 501 (C) (3) 5000 FY22 Music in the Park Grant HOUSTON TEMPLE CHURCH OF GOD IN CHRIST PO Box 4027 Tyler TX 75712 474419970 501 (C) (3) 5000 FY22 Program Grant SUSAN G KOMEN FOR THE CURE PO Box 6217 Tyler TX 75711 752764235 501 (C) (3) 5000 FY22 Program Grant - Breast cancer screenings LEADERSHIP WOMEN INC 10455 N Central Expw 109-231 Dallas TX 75231 237345926 501 (C) (3) 5000 FY22 Program Educational Grant Support ZETA PHI BETA SORORITY INC PO Box 4844 Tyler TX 75712 756055219 501 (C) (3) 5000 FY22 Program Grant - March of Dimes/March of Babies 26 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY. X true true true true false false false false false false false Chris Glenney Board Director/SVP NETX Group Operations 0 1076553 0 409936 0 715 0 556004 0 19662 0 2062870 0 0 STEVEN KEUER MD Board Director Ex-Officio 0 672285 0 391209 0 188784 0 200061 0 8667 0 1461006 0 0 Scott Smith MD BOARD DIRECTOR (Term 11/2021)/EX-OFFICIO 0 1042012 0 471250 0 230065 0 28761 0 14369 0 1786457 0 0 JEFF PUCKETT BOARD DIRECTOR 0 4245808 0 2574500 0 235685 0 3565173 0 13534 0 10634700 0 0 MARK ANDERSON MD Board Director 0 589101 0 241892 0 93518 0 21442 0 10121 0 956074 0 0 Andria Cardinalli-Stein MD Board Director (AS OF 01/2022) 0 373219 0 1500 0 12627 0 18557 0 59 0 405962 0 0 JASON PROCTOR CEO 0 551622 0 224215 0 650 0 212080 0 11110 0 999677 0 0 ELIZABETH PULLIAM CFO 0 344445 0 140849 0 74841 0 73036 0 8386 0 641557 0 0 FAGG SANFORD MD BOARD DIRECTOR/SECRETARY 0 727092 0 8006 0 18889 0 57100 0 30109 0 841196 0 0 Andy Navarro VP MISSION INTEGRATION 0 256823 0 79856 0 650 0 85689 0 15147 0 438165 0 0 Scott Fossey VP OF DEVELOPMENT 0 307883 0 83372 0 650 0 23867 0 20616 0 436388 0 0 Brian D Matson VP, STRATEGY-BUS DEVELOPMENT 0 280049 0 106369 0 15367 0 67765 0 16859 0 486409 0 0 Shelly Welch CHIEF NURSING OFFICER 0 302927 0 108304 0 43068 0 38588 0 9013 0 501900 0 0 Anne Pileggi COO 0 272033 0 94498 0 31032 0 51522 0 3829 0 452914 0 0 Mary Elizabeth Jackson VP ADVOCACY - GOVT AFFAIRS 0 238046 0 70688 0 650 0 21061 0 4415 0 334860 0 0 Deborah Chelette VP CARDIAC SERVICES 0 251880 0 68414 0 100 0 19238 0 1942 0 341574 0 0 Becky Western VP 0 181347 0 55204 0 200 0 18729 0 2164 0 257644 0 0 Ali Birjandi VP 0 255196 0 69910 0 1199 0 23087 0 16286 0 365678 0 0 JENNIFER H COLLIER VP REVENUE CYCLE SERVICES 0 198111 0 72623 0 7636 0 12981 0 33973 0 325324 0 0 TIMOTHY M CLARK CRNA 196566 0 1000 0 134217 0 11600 0 11117 0 354500 0 0 0 ROBERT W BIENERT CRNA 213143 0 26995 0 270586 0 14240 0 1363 0 526327 0 0 0 DUSTIN J VIDRINE CRNA 187940 0 24936 0 193485 0 11600 0 12361 0 430322 0 0 0 DONALD J MITCHELL CRNA 177060 0 1000 0 156703 0 11600 0 7928 0 354291 0 0 0 Ranferi Valle CRNA 171089 0 750 0 179022 0 11600 0 7935 0 370396 0 0 0 Fadi Nasrallah Former CMO (Term 8/19) 0 687452 0 420003 0 120490 0 207731 0 11290 0 1446966 0 0 Todd Hancock FORMER SVP/COO (TERM2/17) 0 693803 0 238982 0 36650 0 330636 0 13223 0 1313294 0 0 Andrew Von Eschenbach CIO/VP REV CYCL MGT(THRU 6/20) 0 264687 0 0 0 0 0 0 0 0 0 264687 0 0 John Lindsey Bradley DIRECTOR EX-OFFICIO(RET. 6/17) 0 0 0 0 0 12216 0 0 0 0 0 12216 0 0 ANDY KIRKPATRICK MD Former Dir/Chairperson (Term 12/20) 0 661264 0 250 0 3032 0 56047 0 35198 0 755791 0 0 Schedule J, Part I, Line 1a Travel for companions TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING RECEIVED SEVERANCE PAYMENTS DURING 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. Scott Smith MD Daughter of Director 3318 LEAH M. SMITH IS AN EMPLOYEE OF CHRISTUS HEALTH. HER FATHER, SCOTT SMITH, M.D. IS A DIRECTOR OF CHRISTUS HEALTH. false 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; MOTHER FRANCES HOSPITAL-WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(c)(3) 3 CNTHSC true CHRISTUS-TRINITY MOTHER FRANCES FDN 1315 DOCTORS DRIVE TYLER TX 75701 752028241 SUPPORT TX 501(c)(3) Type I CNTHSC true CHRISTUS NORTHEAST TX HEALTH SYSTEM CORP 1315 DOCTORS DRIVE TYLER TX 75701 752616975 SUPPORT TX 501(c)(3) Type II CH false MOTHER FRANCES HOSPITAL - JACKSONVILLE 919 HIDDEN RIDGE IRVING TX 75038 751976930 HOSPITAL TX 501(c)(3) 3 CNTHSC true ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER TX 75701 465720165 HEALTHCARE TX 501(c)(3) 3 MFH REG true CHRISTUS HEALTH 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 true CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS TX 75482 811708177 HLTHCARE SVCS TX 501(c)(3) 3 CNTHSC true CHAMPION EMS 2201 S MOBBERLY AVE LONGVIEW TX 75602 752747708 HLTHCARE SVCS TX 501(c)(3) 10 MFH REG true CHRISTUS GOOD SHEPHERD MEDICAL CENTER 700 E MARSHALL AVE LONGVIEW TX 75601 750974351 HEALTHCARE TX 501(c)(3) 3 CNTHSC true TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX CNTHSC C Corporation 2061391 922778 true HEALTHPLAN OF TEXAS INC 1315 DOCTORS DRIVE TYLER TX 75701 752636832 THIRD PARTY ADMIN TX CNTHSC C Corporation -59186 0 true THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX CNTHSC C Corporation 0 0 true true true true false false false false false false true true true true false true true true true true CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION C 212230 ACCRUAL CHRISTUS GOOD SHEPHERD MEDICAL CENTER C 60000 ACCRUAL CHRISTUS HEALTH CENTRAL LOUISIANA C 60000 ACCRUAL CHRISTUS HEALTH NORTHERN LOUISIANA C 60000 ACCRUAL CHRISTUS HEALTH SOUTHEAST TEXAS C 65000 ACCRUAL CHRISTUS HEALTH SOUTHWESTERN LOUISIANA C 60000 ACCRUAL MOTHER FRANCES HOSPITAL JACKSONVILLE A 1060014 ACCRUAL MOTHER FRANCES HOSPITAL JACKSONVILLE J 1060014 ACCRUAL MOTHER FRANCES HOSPITAL JACKSONVILLE M 72546 ACCRUAL MOTHER FRANCES HOSPITAL WINNSBORO A 5980 ACCRUAL TRINCARE INC L 203736 ACCRUAL TRINCARE INC M 203736 ACCRUAL TRINITY CLINIC B 150000 ACCRUAL TRINITY CLINIC L 256585045 ACCRUAL TRINITY CLINIC M 163730029 ACCRUAL TRINITY CLINIC Q 55538 ACCRUAL