2023-05-04T21:00:19+00:00 2022-06-30 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 75219 990 2021-07-01 811708177 Christus Hopkins Health Alliance CHRI 9038857671 919 HIDDEN RIDGE IRVING TX 75038 PAUL HARVEY PRESIDENT 2023-05-04 true ERIC GARRISON 999009999 Patrick Shields P01508556 2149698000 2021 2023-04-26 12:10:37Z CHRISTUS MOTHER FRANCES HOSPITAL - SULPHUR SPRINGS PAUL HARVEY 919 HIDDEN RIDGE IRVING TX 75038 136537612 false 0928 X https://www.christushealth.org/locations/sulphur-springs-hospital X 2016 TX SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRIES OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 21 15 550 15 0 0 793897 4155078 111421525 129700089 54036 8 6595497 2682437 118864955 136537612 2152 53433 0 27368345 39258611 0 62264 75141127 71957261 102511624 111269305 16353331 25268307 24582931 28524153 34127310 24624150 -9544379 3900003 THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH. THE CORPORATION'S PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. false false 88305817 53433 129700089 CHRISTUS HOPKINS HEALH ALLIANCE IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS, THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON,TEXAS, THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (SAN ANTONIO) AND THE SISTERS OF THE HOLY FAMILY OF NAZARETH, WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH SERVICES AS PROMULGATED AND AMENDED FROM TIME TO TIME BY THE UNITED STATES CATHOLIC CONFERENCE OF BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST AND/OR DISPOSE OF FUNDS OF THE CORPORATION AND THE SYSTEM PARTICIPANTS FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF CHRISTUS, THE SYSTEM, THE CORPORATION, THE SYSTEM PARTICIPANTS AND THE LOCAL ENTITIES. THE CORPORATION'S PURPOSES SHALL ALSO INCLUDE THE MAKING OF GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. THE CORPORATION SHALL ALSO BE AUTHORIZED TO ENGAGE IN SUCH PURSUITS AS MAY BE NECESSARY OR INCIDENTAL, OR WHICH MAY AID OR ASSIST, IN CARRYING OUT THE CORPORATION'S MISSION AND PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF THE PURPOSES AS WELL AS THOSE SYSTEM ENTITIES THAT ARE DESCRIBED IN SECTION 501(C)(3), AND SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR CORRESPONDING PROVISIONS OF ANY SUBSEQUENT FEDERAL TAX LAW (HEREINAFTER THE "CODE"). 88305817 true true false false false false false false false 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 false false false false false false false false true false true false true 0 0 550 true false false false false false false false false false false false false X 21 15 false false false false true true true true true false false true true true true true true true true false X LEE SONNE 4692822000 919 HIDDEN RIDGE IRVING TX 75038 ERIC GARRISON CFO 4.0 36.0 X X 0 208696 13466 JOE BOB BURGIN DIRECTOR / CHAIR 8.0 0.0 X X 0 0 0 PAUL HARVEY PRESIDENT 4.0 36.0 X X 0 304804 39505 PRESTON SMITH DIRECTOR / CHAIR 7.0 33.0 X X 0 0 0 SHANNON DACUS DIRECTOR / VICE CHAIR 5.0 0.0 X X 0 0 0 ANDRIA CARDINALLI- STEIN MD DIRECTOR (EFF. 1/22) 9.0 31.0 X 0 387346 18616 BILL CHEN PHD DIRECTOR (EFF. 5/21) 5.0 0.0 X 0 14016 0 CHRIS GLENNEY DIRECTOR 11.0 29.0 X 0 1487204 575666 DICK STONE DIRECTOR 7.0 0.0 X 0 0 0 FRED HARRIS JR DIRECTOR 5.0 0.0 X 0 0 0 JEAN COLEMAN DIRECTOR 5.0 0.0 X 0 0 0 JEB JONES DIRECTOR 5.0 0.0 X 0 0 0 JEFF PUCKETT DIRECTOR 7.0 33.0 X 0 7055993 3578707 JOE BOB JOYCE DIRECTOR 5.0 0.0 X 0 0 0 MICHAEL HALLUM DIRECTOR 5.0 0.0 X 0 0 0 RANDY CHILDRESS DIRECTOR 5.0 0.0 X 0 0 0 Scott Smith MD DIRECTOR (TERM 11/21) 9.0 31.0 X 0 1743327 43130 SISTER GUADALUPE RUIZ DIRECTOR 5.0 0.0 X 0 0 0 SISTER RITA FANNING DIRECTOR 5.0 0.0 X 0 0 0 SISTER ROSANNE POPP DIRECTOR (EFF. 1/22) 2.0 0.0 X 0 0 0 SONJA YATES HUBBARD DIRECTOR 5.0 0.0 X 0 0 0 STEVEN KEUER MD DIRECTOR 7.0 33.0 X 0 1252278 208728 AMANDA SMITH CORPORATE SECRETARY 5.0 0.0 X 0 47627 9902 ANITHA SANDERSON CNO 40.0 0.0 X 97352 83954 21180 BEAU SHEFFIELD Certified Respiratory Therapist 40.0 0.0 X 175062 0 5366 JEFFREY GRISSOM RN 40.0 0.0 X 170766 0 6726 KEITH KELLEY ADMIN DIR NURSING 40.0 0.0 X 140427 0 9061 MARLEN CORONA RN 40.0 0.0 X 152791 0 6109 RACHEL KILLGORE RN 40.0 0.0 X 154116 0 6165 BARRY LOFQUIST FORMER CFO (TERM 4/2020) 8.0 32.0 X 0 271062 35233 MARK ANDERSON MD FORMER CHAIR (TERM 4/21) 9.0 31.0 X 0 924511 31563 890514 13780818 4609123 34 true true false 0 4155078 4155078 Net Patient Service Revenue 621990 122409917 122409917 RENT RELATED TO EXEMPT PURPOSE 532000 426138 426138 Research Revenue 900099 17075 17075 All Other Program Service Revenue 900099 6846959 6846959 0 0 0 0 129700089 8 8 0 0 0 0 PHYSICIAN SUPPORT SERVICE REVENUE 900099 1547604 1547604 OTHER OPERATING REVENUE 900099 1091182 1091182 FOOD SERVICE REVENUE 452000 18321 18321 25330 0 0 25330 2682437 136537612 129700089 0 2682445 X 53433 53433 106931 102456 4346 129 33625628 32218451 1366650 40527 3445274 3326792 108501 9981 2080778 2001986 76075 2717 337020 337020 133433 133433 27312115 21517385 5794730 0 6706296 6550500 147074 8722 4167673 4167673 3048975 3009446 39529 64539 38768 25771 58040 21913 36127 2617 2617 2132883 2132883 995375 597225 398150 Medical Supplies 12637238 12054478 582760 Provision for Uncollectable Accounts 9757995 9757995 Community Benefit Health 138376 138376 4464686 4204705 259793 188 111269305 88305817 22901224 62264 598934 19128 4239912 9629918 0 0 0 0 2920987 1417708 840181 887759 202801 286029 20973285 11011539 9339572 9961746 0 0 6440544 6321865 24582931 28524153 4793216 4534666 8016702 3803743 119396 0 0 21197996 16285741 34127310 24624150 X -9544379 3900003 -9544379 3900003 24582931 28524153 X 25268307 -11823925 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 392625 392625 5742610 1367551 4375059 0 0 0 13298321 9393878 3904443 1539729 250110 1289619 9961746 DUE TO RELATED ORGANIZATIONS ROU Operating Accum Amortization -5431220 ROU Operating 10938791 Deposits 20326 Asset Clearing 793968 6321865 CAPITAL LEASE NOTES PAYABLE OTHER RESERVES INTERCOMPANY PAYABLES Lease Liability Operating LT Portion 13498162 CP Operating Lease Liability 1337636 Intercompany Payable 1449768 Other Receivables 175 16285741 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2022 OR 2021. true true X true X 300 true X true true true false true true 6668651 6668651 0.0599 7824061 25508248 0 0.0 0 0.0 0 0 14492712 25508248 6668651 0.0599 10 48743 213520 213520 0.0019 2 159 27561 27561 0.0002 0 0.0 0 0.0 4 24098 504708 28464 476244 0.0043 16 73000 745789 28464 717325 0.0064 16 73000 15238501 25536712 7385976 0.0664 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 5349 5349 0.0000 1 181 9813 9813 0.0001 0 0.0 2 181 15162 0 15162 0.0001 true 9757995 45945 28413232 27616521 796711 X true true 1 1 CMF HOSPITAL-SULPHUR SPRINGS 115 AIRPORT ROAD SULPHUR SPRINGS TX 75482 HTTPS://WWW.CHRISTUSHEALTH.ORG/TRINITY/SULPHUR-SPRINGS 15-467446-2 X X X CMF HOSPITAL-SULPHUR SPRINGS 1 false false true X X X X X X X X X 22 true true false true X HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/ABOUT/2020--2022-TMFHS-TYLER-COMMUNITY-HEALTH-NEEDS-ASSESSMEN X SEE SUPPLEMENTAL INFO X true 22 true HTTPS://WWW.CHRISTUSHEALTH.ORG/ABOUT/DONATE/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-I 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 false X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E CHRISTUS HOPKINS HEALTH ALLIANCE IDENTIFIED AND ADDRESSED THE FOLLOWING PRIORITIES THROUGH ITS MOST RECENT 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 , 1 Facility , 1 - CMF HOSPITAL-SULPHUR SPRINGS. REPRESENTATIVES FROM THE COMMUNITY: CHRISTUS HOPKINS HEALTH ALLIANCE CONDUCTED INTERVIEWS WITH THE TWO GROUPS OUTLINED IN THE IRS FINAL REGULATIONS. DURING THESE INTERVIEWS THE HOSPITAL DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUE RELATED TO SPECIFIC POPULATIONS. THE INTERVIEWEES INCLUDED INVIDIVUDALS FROM VARIOUS COMMUNITY ORGANIZATIONS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - CMF HOSPITAL-SULPHUR SPRINGS. OTHER HOSPITAL FACILITIES INCLUDE: 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 , 1 Facility , 1 - CMF HOSPITAL-SULPHUR SPRINGS. NEEDS IDENTIFIED IN CHNA ADDRESSED AND NOT ADDRESSED: CHRISTUS HOPKINS HEALTH ALLIANCE IDENTIFIED AND ADDRESSED THE FOLLOWING PRIORITIES THROUGH ITS MOST RECENT IMPLEMENTATION PLAN: THE NEEDS IDENTIFIED IN THE CHNA: CHRISTUS MOTHER FRANCES HOSPITAL - SULPHUR SPRINGS 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 CTMFHS'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 TO 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 TO 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. PROPOSED COMMUNITY PROGRAMS INCLUDE: 1) SUPPORT FOR EMERGENCY ROOM SERVICES 2) SUPPORTING THE SCHOOL WITH HEALTH EDUCATION AS REQUESTED 3) DEVELOPMENT OF HEALTH EDUCATION PROGRAMS AS NEEDED 4) CHILDREN'S SAFETY PROGRAMS FOR RURAL AREAS 5) SUPPORT LOCAL NON-PROFIT PROGRAMS 6) SUPPORT CARTER BLOOD CENTER 7) SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF THE MEDICAID WAIVER PROJECT 8) SPORTS MEDICINE CLINIC AND TRAINER PROGRAM WITH SCHOOLS LOCATED IN HOPKINS COUNTY 9) SUPPORT LOCAL DINNER BELL PROGRAM PROVIDING FOOD TO THE UNDERSERVED. 10) PHYSICIAN VISITS PROVIDED TO THE LOCAL JAIL FOR INMATES ON A WEEKLY VISIT ALONG WITH PRESCRIPTIONS AS NEEDED. 11) BIBS SUPPORT GROUP FOR NEW MOMS, BREAST FEEDING AND CHILDBIRTH CLASSES. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - CMF HOSPITAL-SULPHUR SPRINGS. DETERMINATION OF ELIGIBILITY FOR DISCOUNTED CARE UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY GUIDELINE WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB. Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - CMF HOSPITAL-SULPHUR SPRINGS. 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 , 1 Facility , 1 - CMF HOSPITAL-SULPHUR SPRINGS. 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 , 1 Facility , 1 - CMF HOSPITAL-SULPHUR SPRINGS. NOTIFICATION OF FINANCIAL ASSISTANCE POLICY 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." 0 Schedule H, Part V, Section B, Line 17 DID THE HOSPITAL FACILITY HAVE IN PLACE DURING THE TAX YEAR A SEPARATE BILLING AND COLLECTIONS POLICY, OR A WRITTEN FINANCIAL ASSISTANCE THAT EXPLAINED ACTION THE HOSPITAL FACILITY MAY TAKE UPON NON-PAYMENT? THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. Schedule H, Part V, Section B, Line 22 DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/09 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% OF THE FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE. Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: INCOME LEVEL; ASSET LEVEL; MEDICAL INDIGENCY; INSURANCE STATUS; UNDERINSURANCE STATUS; AND 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 III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. Schedule H, Part V, Section B, Line 7 OTHER WEBSITE HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/ABOUT/2020--2022-TMFHS-TYLER-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.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/FINANCIAL-ASSISTANCE-POLICY-ENGLISH.ASHX Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/2021PLAINLANGUAGESUMMARYHOSPITALENGLISH.ASHX Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance SCHEDULE H, PART I, LINE 7 TOTAL EXPENSE FROM FROM 990, PART IX, LINE 25, COLUMN (A) IS $111,269,305. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $9,757,995. THIS LEAVES A TOTAL EXPENSE OF $101,511,310 FOR PURPOSES OF CALCULATING LINES 7, COLUMN (F). SCHEDULE H, PART I, LINE 7, COLUMN (F) THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS xx.xx%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K, COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. 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 ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY. THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2021, 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% 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, 2021. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.4708% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2021 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 UNITED STATES GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (US GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS CONSOLIDATED FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES AND THE PROVISION FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAY LIMIT, DISPROPORTIONATE SHARE AND MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLAN; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS, INCLUDING ASSETS ACQUIRED; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENTS 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance COLLECTION POLICY 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 - CMF HOSPITAL-SULPHUR SPRINGS: Line 16a URL: HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - CMF HOSPITAL-SULPHUR SPRINGS: Line 16b URL: SEE SUPPLEMENTAL INFO; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CMF HOSPITAL-SULPHUR SPRINGS: Line 16c URL: SEE SUPPLEMENTAL INFO; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL'S COMMUNITY HEALTH PROFILES PROVIDE A SNAPSHOT OF SUBURBAN, URBAN, AND RURAL SERVICE AREAS WITHIN NORTH TEXAS USING KEY HEALTH INDICATORS, WHICH FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND OVER TIME. 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 INEQUALITIES AND EMPOWER THE GREAT COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance CHRISTUS HOPKINS HEALTH ALLIANCE 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 HOSPITAL, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information CHRISTUS MOTHER FRANCES HOSPITAL - SULPHUR SPRINGS IS A 96-BED ACUTE CARE HOSPITAL. HOPKINS COUNTY, THE PRIMARY SERVICE AREA FOR CMFH - SULPHUR SPRINGS, HAS A POPULATION OF APPROXIMATELY 36,400 RESIDENTS. THE MEDIAN INCOME PER HOUSEHOLD OF HOPKINS COUNTY IS $43,284, WITH 15.9% HOUSEHOLDS LIVE AT OR BELOW THE POVERTY LEVEL AND 39.5% BEING LOW INCOME. THE HOSPITAL'S SERVICE AREA HAS AN UNINSURED RATE OF 31% OF THE POPULATION AND 36% HAVING MENTAL ILLNESS. Schedule H, Part VI, Line 5 Promotion of community health CHRISTUS MOTHER FRANCES HOSPITAL - SULPHUR SPRINGS (CMFH-SS) COMMUNITY HEALTH PROFILES PROVIDE A SNAPSHOT OF SUBURBAN, URBAN, AND RURAL SERVICE AREAS WITHIN NORTH TEXAS USING KEY HEALTH INDICATORS, WHICH FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND OVER TIME. 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 INEQUALITIES AND EMPOWER THE GREAT COMMUNITY. CMFH-SS WORKED ON GROWING THEIR PRESENCE IN THE COMMUNITY THIS YEAR ABOVE AND BEYOND TARGETED PROGRAMS. AS THE ONLY HOSPITAL IN THE AREA, THE COMMUNITY LOOKS TO THE HOSPITAL TO SUPPORT THE GROWING COMMUNITY AS WELL AS, INDIVIDUAL AND FAMILY NEEDS. THE STEERING COMMITTEE IS COMPOSED OF HOSPITAL REPRESENTATIVES, CHRISTUS TRINITY CLINIC MEMBERS AND COMMUNITY PARTNERS. THE LOCAL COMMUNITY BENEFITS STEERING COMMITTEE INCLUDED NOT ONLY QUARTERLY MEETINGS, BUT AN ANNUAL MEETING WITH GUESTS FROM THE AREA COMMUNITIES WHO COULD IMPACT THE NEXT YEAR'S GOALS AND THE ENTIRE GROUP EVALUATED THE PERFORMANCE OF THE HOSPITAL IN THE CURRENT YEAR. 1. BIBS AND CHILD BIRTH MEETINGS DESCRIPTION: MONTHLY SUPPORT GROUP MEETINGS WERE TRANSITIONED TO ZOOM MEETINGS ONCE A MONTH (DUE TO COVID). THESE MEETINGS ALLOWED HOSPITAL AND CLINICAL AREAS TO SUPPORT BREAST FEEDING FOR MOTHERS (BREAST FEEDING IS BEST). DISCUSSIONS ARE FACILITATED BY A LICENSED COUNSELOR AND OTHER LEADERS. CHILD BIRTH CLASSES ARE HELD AS NEEDED AT NO COST. 2. FOOD INSECURITY DESCRIPTION: FOOD INSECURITY IS AN ISSUE IN HOPKINS COUNTY. THE CMFH-SS AND THE FIRST UNITED METHODIST CHURCH (THROUGH THE DINNER BELL PROGRAM) COLLABORATE TO COVER THE COST OF THE WEDNESDAY MEAL SIX TIMES A YEAR (OR EVERY OTHER MONTH) AND PROVIDE STAFF TO HELP COOK AND SERVE THE MEAL. THE DINNER BELL PROGRAM HAS BEEN IN PLACE IN HOPKINS COUNTY SINCE 2012. OVER 22,000 MEALS HAVE BEEN SERVED. DUE TO COVID RESTRICTIONS THE DINNER BELL IMPLEMENTED A DRIVE THROUGH PROCESS FOR FOOD PICK UP AND OUR TEAM ASSISTS WITH THIS EFFORT. 3. HEALTH FAIRS AND COMMUNITY EDUCATION DESCRIPTION: THE CMFH-SS AND CHRISTUS TRINITY CLINIC - SULPHUR SPRINGS PARTICIPATED IN A MINIMAL NUMBER OF HEALTH FAIRS THIS YEAR DUE TO COVID RESTRICTIONS. AT THESE LIMITED EVENTS WE OFFERED COVID VACCINES TO VARIOUS GROUPS/EMPLOYERS IN OUR COMMUNITY. WHEN EVENTS WERE HELD WE PROVIDED HEALTH INFORMATION AND HELP THOSE ATTENDING TO UNDERSTAND THE SERVICES AVAILABLE BY ALL THE PROVIDERS IN THE AREA. SCREENINGS ARE DONE AS REQUESTED. EDUCATION TO THE COMMUNITY INCLUDES BUT IS NOT LIMITED TO AREAS SUCH AS COUNTY EMPLOYEES, SENIOR EXPO, COVID EDUCATION, AND EFFORTS WITH SEVERAL LOCAL CHURCHES IN OUR COMMUNITY. 4. WORK FORCE DEVELOPMENT DESCRIPTION: STUDENTS FROM HIGH SCHOOL AND COLLEGES COME TO HAVE THE OPPORTUNITY TO JOB SHADOW POTENTIAL JOB OPPORTUNITIES IN HEALTH CARE. TRAINING IS PROVIDED TO STUDENTS IN A VARIETY OF SUPPORT, ADMINISTRATIVE, AND PROFESSIONAL AREAS. THE TYPE OF WORK THEY SEE IS OFTEN NOT LIMITED TO OPPORTUNITIES IN HEALTH CARE. SUPPORT IS ALSO GIVEN TO PROGRAMS SUCH AS THE LEAP YOUTH CAREER EXPO ADDITIONALLY, STUDENTS NEEDING ROTATIONS IN RURAL HOSPITALS COME TO SULPHUR SPRINGS FROM SEVERAL COLLEGES BECAUSE OF THE HIGH-QUALITY OUTCOMES IN BOTH INPATIENT AND OUTPATIENT SERVICES. THESE STUDENTS COME FOR NURSING, EMS, TECH SUPPORT SERVICES, LABORATORY, RADIOLOGY, AND PHARMACY ROTATIONS AND ARE NOT PART OF ANY GME PROGRAMS. 5. HOPKINS COUNTY JAIL AND PHARMACY PROGRAM DESCRIPTION: CMFH-SS PROVIDES AT NO COST TO THE COUNTY SUPPORT FOR MEDICAL EVALUATIONS OF INMATES AND IF NEEDED PHARMACY SUPPLIES AND PRESCRIPTIONS. PHYSICIAN VISITS ARE DONE ON A WEEKLY BASIS. 6. UNITED WAY DESCRIPTION: OUR EMPLOYEES PROVIDED FINANCIAL SUPPORT TO ASSIST WITH THE DESIGN DEVELOPMENT, FUNDING, AND MISSION DEVELOPMENT OF LOCAL AGENCIES RECEIVING SUPPORT THROUGH THE UNITED WAY. CMHF-SS SUPPORTED THE FUND RAISING CAMPAIGN WITH VOLUNTEER HOURS, CAMPAIGN PRINTING OF MATERIALS, AND FOOD FOR EVENTS. 7. YOUTH FITNESS AND REHAB SERVICES DESCRIPTION: SPORTS TRAINING PROGRAMS, INJURY PREVENTION AND HEALING ARE ALL PART OF THE PROGRAMS OFFERED TO SCHOOLS THROUGH SUPPORT OF HIGH SCHOOL TRAINERS AND CLINIC PROVIDERS. THE SCHOOLS IN THE AREA ARE FOR THE MOST PART ALL UNDERSERVED AND ECONOMICALLY DISADVANTAGED SCHOOLS. FREE LUNCH PROGRAMS AND EARLY MORNING MEALS PROVIDED TO STUDENTS. CONSEQUENTLY, THE ABILITY TO HAVE ACCESS TO PREVENTIVE INJURY EDUCATION, AND REHAB SERVICES IS GENERALLY NOT EASY TO ACCESS. THE HOSPITAL PROVIDES SUPPORT TO THE LOCAL SCHOOLS FOR EVENTS AND EVERYDAY SCHOOL CLASS OF PHYSICAL EDUCATION AND SPORTS PROGRAMS. FREE SATURDAY MORNING ATHLETIC CLINICS ARE HELD AS REQUESTED BY THE SCHOOLS DURING HIGH IMPACT SEASONS. 8. 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 CASA, I CAN HEALTH BACK TO SCHOOL EVENT, CARTER BLOOD DRIVE AND HEALTHY HEART LUNCH AND LEARN. WE COLLABORATED WITH SULPHUR SPRINGS ISD AND THEIR CHILDREN'S NEEDY FUND TO PROVIDE A GRANT TO ASSIST WITH HOUSING ISSUES FOR STUDENTS AND THEIR FAMILIES. THESE DOLLARS ALLOWED THE SSISD STAFF TO HELP WITH SHORT TERM HOUSING NEEDS FOR STUDENTS AND THEIR FAMILIES. Schedule H, Part VI, Line 6 Affiliated health care system CHRISTUS HOPKINS HEALTH ALLIANCE IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, GEORGIA, IOWA, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS HOPKINS HEALTH ALLIANCE, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS HOPKINS HEALTH ALLIANCE, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. Schedule H, Part VI, Line 7 State filing of community benefit report TX true CITY OF SULPHUR SPRINGS 125 S DAVIS ST SULPHUR SPRINGS TX 75482 756000682 501(C)(3) 30000 exercise and recreation for the general public 1 0 X true true true true false false false false false false false ERIC GARRISON CFO 0 146288 0 44449 0 17959 0 0 0 13466 0 222162 0 0 PAUL HARVEY PRESIDENT 0 228505 0 75599 0 700 0 20396 0 19109 0 344309 0 0 CHRIS GLENNEY DIRECTOR 0 1076553 0 409936 0 715 0 556004 0 19662 0 2062870 0 0 ANDRIA CARDINALLI- STEIN MD DIRECTOR (EFF. 1/22) 0 373219 0 1500 0 12627 0 18557 0 59 0 405962 0 0 STEVEN KEUER MD DIRECTOR 0 672285 0 391209 0 188784 0 200061 0 8667 0 1461006 0 0 JEFF PUCKETT DIRECTOR 0 4245808 0 2574500 0 235685 0 3565173 0 13534 0 10634700 0 0 Scott Smith MD DIRECTOR (TERM 11/21) 0 1042012 0 471250 0 230065 0 28761 0 14369 0 1786457 0 0 ANITHA SANDERSON CNO 78980 66239 17743 17493 629 222 7330 10244 2249 1357 106931 95555 0 0 BEAU SHEFFIELD Certified Respiratory Therapist 140840 0 10150 0 24072 0 4135 0 1231 0 180428 0 0 0 JEFFREY GRISSOM RN 127227 0 24050 0 19489 0 0 0 6726 0 177492 0 0 0 RACHEL KILLGORE RN 112500 0 23809 0 17807 0 6165 0 0 0 160281 0 0 0 MARLEN CORONA RN 126352 0 20000 0 6439 0 6109 0 0 0 158900 0 0 0 BARRY LOFQUIST FORMER CFO (TERM 4/2020) 0 210180 0 60882 0 0 0 22462 0 12771 0 306295 0 0 MARK ANDERSON MD FORMER CHAIR (TERM 4/21) 0 589101 0 241892 0 93518 0 21442 0 10121 0 956074 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 3 Arrangement used to establish the top management official's compensation THE FILING ORGANIZATION'S PRESIDENT/CEO IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING THE PRESIDENT/CEO COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. CHRISTUS HOPKINS HEALTH ALLIANCE RELIED ON CHRISTUS HEALTH, THAT USED THE FOLLOWING METHOD TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: INDEPENDENT AND EXTERNAL CONSULTANT. THE FILING ORGANIZATION DOES NOT HAVE THE AUTHORITY TO DETERMINE AND IMPLEMENT THE METHODS USED TO ESTABLISH SUCH COMPENSATION. ORGANIZATION DOES NOT HAVE THE AUTHORITY TO DERTERMINE AND IMPLEMENT THE METHODS USED TO ESTABLISH SUCH COMPENSATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan COMPENSATION REPORTED AS DEFERRED IN A PRIOR FORM 990 DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. Schedule J, Part I, Line 4 Scott Smith, M.D. received severance of $52,500. Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION 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 FILING ORGANIZATION OR A RELATED ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. 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 BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2021. Schedule J, Part II, Column (C) DEFERRED COMPENSATION DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. Schedule J, Part II, Column (F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION REPORTED AS DEFERRED IN A PRIOR FORM 990 DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. 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 ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VI, Line 6 Classes of members or stockholders CHRISTUS HOPKINS HEALTH ALLIANCE IS 100% OWNED BY CHRISTUS HEALTH (AS OF 05/01/2021). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE ORGANIZATION HAS A SOLE MEMBER, CHRISTUS HEALTH. THE MEMBER HAS THE POWER TO APPOINT 100% OF THE MEMBERS OF THE BOARD OF DIRECTORS. 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, THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO), AND THE SISTERS OF THE HOLY FAMILY OF NAZARETH. 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 MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY. DESIGNATED MINISTRY PROPERTY. THE HOPKINS COUNTY HOSPITAL DISTRICT MEMBERS HAVE THE FOLLOWING POWERS: APPROVE REDUCTIONS IN CORE SERVICES WITHIN THREE YEARS OF THE INITIAL CONTRIBUTIONS, OTHER THAN REDUCTIONS TO ADDRESS PATIENT SAFETY OR QUALITY CONSIDERATIONS (WHETHER SUCH CONSIDERATIONS RELATE TO A LACK OF VOLUME NECESSARY TO SUSTAIN PROFESSIONAL COMPETENCIES OR OTHERWISE); APPROVE ANY MATERIAL CHANGES TO THE COMPANY'S CHARITY CARE POLICY; APPROVE ANY CHANGES TO THE GOVERNING DOCUMENTS OR THE MEMBERSHIP AGREEMENT (PROVIDED, HOWEVER, THAT SUCH CHANGES MUST ALSO BE APPROVED BY THE CHRISTUS HEALTH MEMBERS); AND APPROVE DISSOLUTION, MERGER, CONSOLIDATION, SALE OR LIQUIDATION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OR MEMBERSHIP INTERESTS OF THE COMPANY, OR THE CREATION OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OR MEMBERSHIP INTERESTS OF ANY SUBSIDIARY OF THE COMPANY (PROVIDED, HOWEVER, THAT SUCH ACTIONS MUST ALSO BE APPROVED BY THE CHRISTUS HEALTH MEMBERS). 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 OF 2023 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. Form 990, Part VI, Line 12c Conflict of interest policy AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE 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 CHRISTUS HOPKINS HEALTH ALLIANCE. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. 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 15b Process to establish compensation of other employees 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 CHRISTUS HOPKINS HEALTH ALLIANCE. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. 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 11d Other Miscellaneous Revenue GENERAL MERCHANDISE REVENUE - Total Revenue: 19030, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 19030; MGMT SERVICES - Total Revenue: 6300, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 6300; Form 990, Part IX, Line 11g Other Fees Other Professional Services - Total Expense: 9347102, Program Service Expense: 3680625, Management and General Expenses: 5666477, Fundraising Expenses: ; Marketing Services - Total Expense: 18149, Program Service Expense: 18049, Management and General Expenses: 100, Fundraising Expenses: ; Consulting Services - Total Expense: 65908, Program Service Expense: 55168, Management and General Expenses: 10740, Fundraising Expenses: ; Medical Services - Total Expense: 12584464, Program Service Expense: 12584464, Management and General Expenses: , Fundraising Expenses: ; Physician Services - Total Expense: 3181410, Program Service Expense: 3121660, Management and General Expenses: 59750, Fundraising Expenses: ; Collection Services - Total Expense: -27, Program Service Expense: -27, Management and General Expenses: , Fundraising Expenses: ; Repairs & Maintenance Services - Total Expense: 2115109, Program Service Expense: 2057446, Management and General Expenses: 57663, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part X, Line 1 CASH - NON-BEARING INTEREST CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHERE IN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990. Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY - -11823925; CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 71101 720408982 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER STREET BEAUMONT TX 77726 760591590 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DR LAKE CHARLES LA 70601 720411322 HLTHCARE SVCS LA 501(c)(3) 3 CH true CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100 HOUSTON TX 77027 742898615 HLTHCARE SVCS TX 501(c)(3) 3 CH true CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HLTHCARE SVCS TX 501(c)(3) Type I CH true DUBUIS HEALTH SYSTEM INC 1700 WEST LOOP SOUTH STE 1100A Houston TX 77027 721270964 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS HEALTH FOUNDATION 919 HIDDEN RIDGE DRIVE IRVING TX 75038 611500100 SUPP HTH SVCS TX 501(c)(3) Type I CH true CHRISTUS FOUNDATION FOR HEALTHCARE PO BOX 1919 HOUSTON TX 77251 746074210 SUPP HTH SVCS TX 501(c)(3) 7 CH true CHRISTUS HEALTH STRATEGIC GROWTH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 462798043 SUPP HTH SVCS TX 501(c)(3) Type I CH true CHRISTUS HEALTH PLAN LOUISIANA 919 HIDDEN RIDGE DRIVE IRVING TX 75038 464617988 MEDICAID HMO LA 501(c)(4) CH true CHRISTUS PEDIATRIC PHYSICIAN GROUP 919 HIDDEN RIDGE DRIVE IRVING TX 75038 465203505 HLTHCARE SVCS TX 501(c)(3) 3 CH true CHRISTUS NETX HS 1315 DOCTORS DRIVE TYLER TX 75701 752616975 HLTHCARE SVCS TX 501(c)(3) Type II CH true HOPKINS CTY PHYSICIAN SERVICES 115 AIRPORT RD SULPHUR SPRINGS TX 75482 260637747 HLTHCARE SVCS TX 501(c)(3) Type I CHHA true CHRISTUS HEALTH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 760590551 SPT HLTH SVCS TX 501(c)(3) 10 NA false CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 COL OBISPADO MONTERRE MX 64060 HEALTHCARE SV MX CH C Corporation true EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 CAYMAN ISLAND CJ KY11102 980407545 INSURANCE CJ CH C Corporation true CHRISTUS LOUISIANA QUALITY ALLIANCE 919 HIDDEN RIDGE DR IRVING TX 75038 474618648 ACO TX CH C Corporation true CHRISTUS CONNECTED CARE NETWORK 919 HIDDEN RIDGE DR IRVING TX 75038 473403356 SPT HLTH SVCS TX CH C Corporation true HCMH RETAIL CLINIC 115 AIRPORT RD SULPHUR SPRINGS TX 75482 475417965 HLTHCARE SVCS TX CHHA C Corporation true true false false false false false false false false false false true true false true true true true true TRINITY CLINIC A 125511 accrued TRINITY CLINIC L 13745946 accrued TRINITY CLINIC M 9025445 ACCRUED