MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER (EIN 75-0818167)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-13
IRS object ID: 202521339349307147
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-13T14:54:08+00:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 N WACKER DRIVE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750818167	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRIS GLENNEY	PersonNm
Person Title	SVP	PersonTitleTxt
Phone	9036065639	PhoneNum
Signature	2025-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristen Farr Capizzi	PreparerPersonNm
PTIN	P02176875	PTIN
Phone	3128792000	PhoneNum
Preparation	2025-05-02	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,447,691,114	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTUSHEALTH.ORG/TRINITY/TYLER	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1958	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	6710	TotalEmployeeCnt
Total Volunteers	169	TotalVolunteersCnt
Total Gross UBI	$3,090,039	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$569,402	PYContributionsGrantsAmt
CY Contributions Grants	$480,870	CYContributionsGrantsAmt
PY Program Service Revenue	$1,244,957,045	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,421,201,286	CYProgramServiceRevenueAmt
PY Investment Income	$3,199,898	PYInvestmentIncomeAmt
CY Investment Income	$4,033,325	CYInvestmentIncomeAmt
PY Other Revenue	$15,748,676	PYOtherRevenueAmt
CY Other Revenue	$9,561,178	CYOtherRevenueAmt
PY Total Revenue	$1,264,475,021	PYTotalRevenueAmt
CY Total Revenue	$1,435,276,659	CYTotalRevenueAmt
PY Grants And Similar Paid	$604,359	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$646,258	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$319,298,840	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$339,661,472	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,511,222	CYTotalFundraisingExpenseAmt
PY Other Expenses	$856,733,580	PYOtherExpensesAmt
CY Other Expenses	$1,001,853,014	CYOtherExpensesAmt
PY Total Expenses	$1,176,636,779	PYTotalExpensesAmt
CY Total Expenses	$1,342,160,744	CYTotalExpensesAmt
PY Revenues Less Expenses	$87,838,242	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$93,115,915	CYRevenuesLessExpensesAmt
Total Assets BOY	$805,325,330	TotalAssetsBOYAmt
Total Assets EOY	$853,341,334	TotalAssetsEOYAmt
Total Liabilities BOY	$101,213,064	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$101,868,706	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$704,112,266	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$751,472,628	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$594,906,077	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$890,569,413	RevenueAmt
Desc	COMMUNITY BENEFIT ACTIVITIES INCLUDED ARE ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH, EDUCATIONAL PROGRAMS, SUBSIDIZED CLINICAL SERVICES OPERATING AT A LOSS, RESEARCH, CASH AND IN-KIND DONATIONS, COMMUNITY BUILDING ACTIVITIES, AND COMMUNITY BENEFIT OPERATIONS AS ALLOWED FOR ALL THESE CATEGORIES UNDER THE GUIDELINES OF THE CATHOLIC HEALTH ASSOCIATION. THESE PROGRAMS MOST OFTEN SUPPORT THE CHNA/CHIP AND HAVE APPROPRIATE DOCUMENTATION ENSURE THEY ARE MEETING THE STANDARDS AND SUPPORTING OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$546,488,254	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$445,513,868	RevenueAmt
Desc	OTHER GOVERNMENT PROGRAMS IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVER UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE AND TRICARE FOR EXAMPLE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$62,147,680	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$90,208,386	RevenueAmt
Desc	CHARITY CARE FINANCIAL ASSISTANCE IS FREE OR DISCOUNTED HEALTH CARE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ELIGIBILITY CRITERIA IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (fap). FOR COMMUNITY BENEFIT PURPOSES, FINANCIAL ASSISTANCE IS REPORTED IN TERMS OF COSTS, NOT CHARGES, FINANCIAL ASSISTANCE DOES NOT INCLUDE BAD DEBT AND DISCOUNTS NOT DESCRIBED BY THE FAP (FOR EXAMPLE, DISCOUNTS PROVIDED TO SELF-PAY PATIENTS AND/OR SERVICES INELIGIBLE FOR FINANCIAL ASSISTANCE).	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$7,942,233	$0	$0	Broader community
$1,297,267	$0	$0	Poor & Underserved
$0	$646,258	$0	Additional grants

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$9,239,500	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$646,258	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$1,212,781,511	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	6710	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4692822000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jason Proctor
CEO & President	13.0	27.0	Yes (X)	Yes (X)	$0	$860,935	$174,138
Shannon Dacus
Director /Chairperson	11.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Andria Cardinalli-Stein MD
Director	8.0	32.0	Yes (X)		$0	$479,399	$35,701
Bill Chen PhD
Director	4.0	7.0	Yes (X)		$0	$22,661	$0
Chris Glenney
SVP NETX Group Operations	20.0	20.0	Yes (X)		$0	$1,499,959	$290,217
Dick Stone
Director	10.0	0.0	Yes (X)		$0	$0	$0
Fred Harris Jr
Director	10.0	0.0	Yes (X)		$0	$0	$0
Jean Coleman
Director	8.0	0.0	Yes (X)		$0	$0	$0
Jeb Jones
Director	10.0	0.0	Yes (X)		$0	$0	$0
Jeffrey Puckett
Director	13.0	27.0	Yes (X)		$0	$8,785,568	$100,417
Joe Bob Burgin
Director	10.0	0.0	Yes (X)		$0	$0	$0
Mark Anderson MD
Director	11.0	29.0	Yes (X)		$0	$933,072	$79,472
Michael Hallum
Director	4.0	0.0	Yes (X)		$0	$0	$0
Preston Smith
Director	11.0	0.0	Yes (X)		$0	$0	$0
Randy Childress
Director	4.0	0.0	Yes (X)		$0	$0	$0
Sister Guadalupe Ruiz
Director	4.0	0.0	Yes (X)		$0	$0	$0
Sister Rita Fanning
Director	2.0	0.0	Yes (X)		$0	$0	$0
Sister Rosanne Popp MD
Director	4.0	0.0	Yes (X)		$0	$248,191	$3,185
Sonja Yates Hubbard
Director	8.0	0.0	Yes (X)		$0	$0	$0
Steven Keuer MD
Director Ex-Officio	10.0	30.0	Yes (X)		$0	$1,281,567	$254,184
Amanda Smith
Corporate Secretary (TERM 03/24)	20.0	20.0		Yes (X)	$55,166	$0	$11,031
Eric Garrison
CFO	40.0	0.0		Yes (X)	$0	$267,643	$46,592
JANNA GARCIA-CHAPA
CORPORATE SECRETARY (EFF 03/24)	20.0	20.0		Yes (X)	$0	$0	$0
Ali Birjandi
VP	40.0	0.0			$0	$418,179	$81,480	Yes (X)
Andy G Navarro
VP MISSION INTEGRATION	40.0	0.0			$0	$334,727	$59,485	Yes (X)
Anne Pileggi
COO	40.0	0.0			$0	$436,354	$84,525	Yes (X)
Becky Western
VP (Term 09/23)	38.0	2.0			$0	$200,008	$30,156	Yes (X)
Brian D Matson
VP, STRATEGY-BUS DEVELOPMENT	0.0	40.0			$0	$545,217	$153,721	Yes (X)
Deborah Chelette
VP CARDIAC SERVICES	40.0	0.0			$0	$396,466	$45,476	Yes (X)
Jaclynn Harrison
NETX/NLA Health System CFO	10.0	40.0			$0	$563,183	$88,267	Yes (X)
Mary Elizabeth Jackson
VP ADVOCACY - GOVT AFFAIRS	40.0	0.0			$0	$306,993	$47,019	Yes (X)
Rebecca Howell
ASSOCIATE CIO	40.0	0.0			$0	$239,042	$20,602	Yes (X)
Scott Fossey
VP OF DEVELOPMENT	10.0	30.0			$0	$450,125	$73,801	Yes (X)
Shelly Birmingham
CNE	40.0	0.0			$0	$468,526	$61,285	Yes (X)
DONALD J MITCHELL
CRNA	40.0	0.0			$462,690	$0	$44,467		Yes (X)
DUSTIN J VIDRINE
CRNA	40.0	0.0			$504,854	$0	$50,682		Yes (X)
RANFERI VALLE
CRNA	40.0	0.0			$401,689	$0	$46,446		Yes (X)
ROBERT W BIENERT
CRNA	40.0	0.0			$622,172	$0	$43,419		Yes (X)
TIMOTHY M CLARK
CRNA	40.0	0.0			$421,359	$0	$58,402		Yes (X)
ANDY KIRKPATRICK MD
Former Dir/Chairperson (Term 12/20)	0.0	40.0			$0	$672,460	$73,605			Yes (X)
Elizabeth Pulliam
Former CFO (TERM 04/23)	0.0	0.0			$0	$257,850	$197,334			Yes (X)
Fadi Nasrallah
Former CMO (Term 8/19)	0.0	40.0			$0	$1,419,838	$280,019			Yes (X)
FAGG SANFORD MD
FORMER DIRECTOR/SECRETARY (TERM 6/22)	0.0	40.0			$0	$860,070	$81,132			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,467,930	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$21,948,033	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,616,260	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	506	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$480,870	RelatedOrganizationsAmt
Total Contributions	$480,870	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$1,083,551,881	$1,083,551,881
UNCON SUB REVENUE	900099	$6,383,735	$6,383,735
REBATES	900099	$3,236,722	$3,236,722
EDUCATION AND WELLNESS	900099	$4,179,825	$4,179,825
ALLOC CHARGEOUT PHYS NON CONTRACT REV	900099	$323,849,123	$323,849,123

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,421,201,286	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$239,780	TotalRevenueColumnAmt
Exclusion	$239,780	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,380,758	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,380,758	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,380,758	TotalRevenueColumnAmt
Exclusion	$1,380,758	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$16,208,000	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$12,414,455	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,793,545	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,793,545	TotalRevenueColumnAmt
Exclusion	$3,793,545	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Contract Service Revenue	900099	$498,209	$498,209
Gen Merchandise Rev	900099	$384,878	$384,878
Spa Revenue	900099	$60,586	$60,586

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,236,747	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,146,708	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,090,039	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,180,420	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,435,276,659	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,426,291,667	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,090,039	UnrelatedBusinessRevenueAmt
Exclusion	$5,414,083	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$646,258	TotalAmt
Program Services	$646,258	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$65,685	TotalAmt
Program Services	$63,997	ProgramServicesAmt
Management And General	$1,525	ManagementAndGeneralAmt
Fundraising	$163	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$278,247,139	TotalAmt
Program Services	$271,098,089	ProgramServicesAmt
Management And General	$6,458,662	ManagementAndGeneralAmt
Fundraising	$690,388	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$41,867,083	TotalAmt
Program Services	$40,364,617	ProgramServicesAmt
Management And General	$1,361,098	ManagementAndGeneralAmt
Fundraising	$141,368	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,481,565	TotalAmt
Program Services	$19,183,617	ProgramServicesAmt
Management And General	$242,748	ManagementAndGeneralAmt
Fundraising	$55,200	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$35,983,292	TotalAmt
Program Services	$35,983,292	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$52,694	TotalAmt
Program Services	$51,221	ProgramServicesAmt
Management And General	$1,473	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,031	TotalAmt
Management And General	$3,031	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$61,692	TotalAmt
Program Services	$61,692	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$371,752,392	TotalAmt
Program Services	$308,492,252	ProgramServicesAmt
Management And General	$63,118,716	ManagementAndGeneralAmt
Fundraising	$141,424	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$189,245	TotalAmt
Program Services	$189,245	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$127,645,915	TotalAmt
Program Services	$125,039,160	ProgramServicesAmt
Management And General	$2,248,070	ManagementAndGeneralAmt
Fundraising	$358,685	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$48,882,911	TotalAmt
Management And General	$48,882,911	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,152,397	TotalAmt
Program Services	$20,926,091	ProgramServicesAmt
Management And General	$226,306	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$821,851	TotalAmt
Program Services	$757,652	ProgramServicesAmt
Management And General	$47,038	ManagementAndGeneralAmt
Fundraising	$17,161	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$353,344	TotalAmt
Program Services	$267,382	ProgramServicesAmt
Management And General	$55,823	ManagementAndGeneralAmt
Fundraising	$30,139	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,364,663	TotalAmt
Program Services	$8,239,803	ProgramServicesAmt
Management And General	-$875,140	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$41,064,924	TotalAmt
Program Services	$41,052,572	ProgramServicesAmt
Management And General	$12,352	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,522,698	TotalAmt
Program Services	$5,042,938	ProgramServicesAmt
Management And General	$3,479,760	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$278,586,797	$278,483,296	$103,501
LPPF Tax Expense	$42,628,865	$42,628,865
Provision for Uncollectable Accounts	$13,025,734	$13,025,734
TLRA Collection Fee	$2,275,289		$2,275,289

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,485,280	TotalAmt
Program Services	$1,183,738	ProgramServicesAmt
Management And General	$224,848	ManagementAndGeneralAmt
Fundraising	$76,694	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,342,160,744	TotalAmt
Program Services	$1,212,781,511	ProgramServicesAmt
Management And General	$127,868,011	ManagementAndGeneralAmt
Fundraising	$1,511,222	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$243,283	BOYAmt
EOY	$67,176	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$103,220,744	BOYAmt
EOY	$128,380,823	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$8,727,252	BOYAmt
EOY	$5,398,865	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,754,233	BOYAmt
EOY	$8,617,463	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$21,881,813	BOYAmt
EOY	$34,932,242	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$775,981,523	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$248,112,279	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$504,690,782	BOYAmt
EOY	$527,869,244	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	-$1,727,204	BOYAmt
EOY	-$2,908,195	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$5,483,808	BOYAmt
EOY	$3,811,324	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$9,508,087	BOYAmt
EOY	$9,752,221	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,685,313	BOYAmt
EOY	$25,685,313	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$117,857,219	BOYAmt
EOY	$111,734,858	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$805,325,330	BOYAmt
EOY	$853,341,334	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$35,888,054	BOYAmt
EOY	$37,749,802	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$8,485,737	BOYAmt
EOY	$697,836	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,839,273	BOYAmt
EOY	$63,421,068	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$101,213,064	BOYAmt
EOY	$101,868,706	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$703,522,310	BOYAmt
EOY	$750,942,154	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$589,956	BOYAmt
EOY	$530,474	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$704,112,266	BOYAmt
EOY	$751,472,628	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$805,325,330	BOYAmt
EOY	$853,341,334	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$93,115,915	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$45,755,553	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$3,031	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$3,031	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1g CONTACT WITH GOVERNMENT OFFICIALS AND THEIR STAFFS:	FormAndLineReferenceDesc
Explanation	At the federal level, CHRISTUS Health Texas leadership had direct contact with members of the Congress and administration officials, through written and in-person communications, to discuss issues important to our ministry. These issues include, but are not limited to, issues related to safety-net providers, access to care, health care reform proposals, quality program implementation, rural hospitals, remote medical technology, 340B Drug Pricing Program, site neutral payments, community project funding, freestanding emergency departments, Medicare payments, value-based payment models, children's health issues, CHGME, Medicaid, supplemental payment programs, rural health program reauthorization, violence against healthcare workers, women's health, and health care for veterans, service members, and their families. At the state level, CHRISTUS Health Texas leadership communicated verbally and in writing regarding vaccine mandates. Executive hours: 11 Mother Frances Hospital Regional Health Care did not substantially lobby during the fiscal year ending 6-30-2024.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,783,553	BeginningYearBalanceAmt
Contributions	$500,025	ContributionsAmt
Investment Earnings Or Losses	$1,077,616	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$100,663	GrantsOrScholarshipsAmt
End Year Balance	$7,260,531	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,587,177	BeginningYearBalanceAmt
Contributions	$856,276	ContributionsAmt
Investment Earnings Or Losses	$340,534	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$434	GrantsOrScholarshipsAmt
End Year Balance	$5,783,553	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,951,360	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$708,623	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$53,054	GrantsOrScholarshipsAmt
End Year Balance	$4,606,929	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,883,058	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$83,627	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$15,325	GrantsOrScholarshipsAmt
End Year Balance	$3,951,360	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.4141	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.5859	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,479,160	OtherCostOrOtherBasisAmt
Book Value	$22,479,160	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$391,898,653	OtherCostOrOtherBasisAmt
Depreciation	$76,362,843	DepreciationAmt
Book Value	$315,535,810	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,677,404	OtherCostOrOtherBasisAmt
Depreciation	$5,903,450	DepreciationAmt
Book Value	$8,773,954	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$324,484,103	OtherCostOrOtherBasisAmt
Depreciation	$163,301,569	DepreciationAmt
Book Value	$161,182,534	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,442,203	OtherCostOrOtherBasisAmt
Depreciation	$2,544,417	DepreciationAmt
Book Value	$19,897,786	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$527,869,244	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (13 entries)

DescDesc	Book ValueBookValueAmt
ROU Transactions
Trade Names Purchased
Asset Clearing
Other Designated Assets
Pension Receivable
Other Long Term Assets
FIN 45 Assets
ROU Transactions	$42,719,688
Trade Names Purchased	$46,000,000
Asset Clearing	$4,524,762
Other Designated Assets	$41,590
Pension Receivable	$18,397,853
Other Long Term Assets	$50,965

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$111,734,858	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
Error Suspense	$137,441
Asset Retirement Obligations	$999,151
LT Portion Capital Lease Bldg/Hosp	$42,199,299
CP Lease Liability	$3,647,913
Business State Sales Tax Payable	$19,489
NonPatron Collections Payable	$121,669
Intercompany Payable	$4,772,636
Business Federal Inc Tax Payable	-$1,000
Other Supplemental Payable	$11,524,470

Field	Value	IRS element (for citing)
Total Liability	$63,421,068	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2024 AND 2023.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,022,691	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$47,022,691	NetCommunityBenefitExpnsAmt
Total Expense	0.0354	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,147,680	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,208,386	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$109,170,371	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,208,386	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,022,691	NetCommunityBenefitExpnsAmt
Total Expense	0.0354	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	245941	PersonsServedCnt
Total Community Benefit Expns	$3,709,630	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,709,630	NetCommunityBenefitExpnsAmt
Total Expense	0.0028	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	209	PersonsServedCnt
Total Community Benefit Expns	$50,633	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,633	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1659	PersonsServedCnt
Total Community Benefit Expns	$2,888,513	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,888,513	NetCommunityBenefitExpnsAmt
Total Expense	0.0022	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	71598	PersonsServedCnt
Total Community Benefit Expns	$1,860,874	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$146,362	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,714,512	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	319407	PersonsServedCnt
Total Community Benefit Expns	$8,509,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$146,362	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,363,288	NetCommunityBenefitExpnsAmt
Total Expense	0.0063	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	319407	PersonsServedCnt
Total Community Benefit Expns	$117,680,021	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,354,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,385,979	NetCommunityBenefitExpnsAmt
Total Expense	0.0417	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,158	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,158	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$62,713	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$62,713	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	5709	PersonsServedCnt
Total Community Benefit Expns	$811,341	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$811,341	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	5709	PersonsServedCnt
Total Community Benefit Expns	$876,212	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$876,212	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$13,025,734	BadDebtExpenseAmt
Bad Debt Expense Attributable	$57,832	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$197,973,220	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$194,880,513	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,092,707	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

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

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	2	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.christushealth.org/locations/tyler-hospital	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE SUPPLEMENTAL INFO	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.christushealth.org/plan-care/bill-pay/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SUPPLEMENTAL INFO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SUPPLEMENTAL INFO	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	ADVANCE HEALTH & WELL-BEING 1. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT - OBESITY - HEART DISEASE - DIABETES - CANCER 2. BEHAVIORAL HEALTH - MENTAL HEALTH - SUBSTANCE ABUSE 3. PRIMARY CARE 4. EDUCATION BUILD RESILIENT COMMUNITIES & IMPROVED SOCIAL DETERMINANTS 5. IMPROVE FOOD ACCESS 6. REDUCE SMOKING AND VAPING
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. THE CHNA PROCESS INVOLVED ENGAGEMENT WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLECT, CURATE, AND INTERPRET PRIMARY AND SECONDARY DATA. THE DATA WAS THEN USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. FOR THIS COMPONENT, CTMFHS WORKED WITH METOPIO, A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. CTMFHS CONDUCTED ITS CHNA USING AN ADAPTED PROCESS FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK. PRIMARY DATA WAS COLLECTED THROUGH FOUR CHANNELS: 1.COMMUNITY RESIDENT SURVEYS (1,365 RESIDENT SURVEYS RETURNED) 2.COMMUNITY RESIDENT FOCUS GROUPS (2 LOCAL GROUPS COVERING ADULT HEALTH, TWO ON MATERNAL AND CHILD HEALTH, AND JOINED WITH TWO SYSTEMWIDE FOCUS GROUPS ON HEALTH CARE AND SOCIAL SERVICE PROVIDERS AND BEHAVIORAL HEALTH. FOCUS GROUPS LASTED 90 MINUTES AND HAD UP TO 15 COMMUNITY MEMBERS. EXAMPLES OF COMMUNITY MEMBERS INCLUDED ALZHEIMER'S ALLIANCE, BETHESDA CLINIC, TYLER JUNIOR COLLEGE, TYLER LEGACY HS, FAMILY CIRCLE OF CARE - FQHC, ST. PAUL'S FOUNDATION, JACKSONVILLE CHAMBER OF COMMERCE, TEXAS A & M AGRI-LIFE EXTENSION SERVICE, CAN HELP, CUMBY FOOD BANK, EAST TEXAS FOOD BANK, HEART OF HOPE, WINNSBORO ISD, PILOT CLUB, AND MANY MORE. THESE TYPES OF ENTITIES WERE USED FOR THE GROUP BELOW ALSO BUT NOT DUPLICATED. 3.HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS. 4.KEY INFORMANT INTERVIEWS (20 KEY INFORMANTS WERE INTERVIEWED ONE-ON-ONE. EACH INTERVIEW WAS 30 MINUTES EACH.) PARTICIPANTS EITHER LIVED IN OR SERVED LOW-INCOME GROUPS OR UNDERREPRESENTED GROUPS. SECONDARY DATA FOR THE CHNA WAS AGGREGATED ON A DATA PLATFORM AND INCLUDED: 1.HOSPITAL UTILIZATION DATA 2.SECONDARY SOURCES INCLUDING, BUT NOT LIMITED TO, THE AMERICAN COMMUNITY SURVEY, THE DECENNIAL CENSUS, THE CENTERS FOR DISEASE CONTROL, THE ENVIRONMENTAL PROTECTION AGENCY, HOUSING AND URBAN DEVELOPMENT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. CHRISTUS MOTHER FRANCES HOSPITAL, CHRISTUS MOTHER FRANCES HOSPITAL - JACKSONVILLE, CHRISTUS MOTHER FRANCES HOSPITAL - WINNSBORO, CHRISTUS HOPKINS HEALTH ALLIANCE
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. BASED ON COMMUNITY INPUT AND ANALYSIS OF A MYRIAD OF DATA, THE PRIORITIES FOR THE COMMUNITIES SERVED BY CTMFHS FOR FISCAL YEARS 2023 - 2025 FALL INTO TWO DOMAINS UNDERNEATH AN OVERARCHING GOAL OF ACHIEVING HEALTH EQUITY. THE TWO DOMAINS AND CORRESPONDING HEALTH NEEDS ARE: A. ADVANCE HEALTH AND WELLBEING 1. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT - OBESITY - HEART DISEASE - DIABETES - CANCER A. PROVIDE SCREENING AND EDUCATION OPPORTUNITIES ABOUT HEART DISEASE, DIABETES, AND OBESITY. B. PROVIDE SPECIALTY CARE IN CONJUNCTION WITH SCHOOLS, EVENTS, AND COMMUNITY REQUESTS FOR SUPPORT. C. PROVIDE EDUCATION, SCREENINGS, AND CARE FOR CANCER DISEASE. 2.BEHAVIORAL HEALTH A. EXPAND AND SUPPORT BEHAVIORAL HEALTH SERVICES IN THE COMMUNITIES SERVED FOR INDIVIDUALS AND FAMILIES. B. CREATE COMMUNITY CONNECTIONS FOR MENTAL HEALTH SERVICES. C. DEVELOP A COMMUNITY WORKGROUP TO COLLECT INFORMATION ON SUBSTANCE ABUSE IN BOTH ADOLESCENTS AND ADULTS. 3.PRIMARY CARE A. ACCESS TO PRIMARY CARE. B. REDUCE INEQUITIES CAUSED BY CULTURAL BARRIERS TO CARE. C. DEVELOP, PARTICIPATE, AND EXPAND COMMUNITY COLLABORATION TO INCREASE ACCESS AND FOLLOW-UP CARE. 4.EDUCATION A. COLLABORATE WITH COMMUNITY HEALTH EDUCATION ACCESS POINTS. B. COLLABORATE WITH COMMUNITY GROUPS TO ENHANCE FUNDING FOR STUDENT SCHOLARSHIPS. C. COLLABORATE ON COMMUNITY LEADERSHIP BUILDING PROGRAMS. B. BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS 1. IMPROVING FOOD ACCESS A. EXPAND AND SHARE INFORMATION ON FOOD INSECURITIES TO BETTER SERVE TARGETED POPULATIONS. B. IMPROVE/EXPAND EDUCATION ON THE IMPORTANCE OF HEALTHY EATING AND RESOURCES. 2.REDUCING SMOKING AND VAPING A. EVALUATE AND EXPAND SMOKING CESSATION PROGRAMS TO PREVENT RISK OF DISEASES. ALL FOCUS AREAS HAD PROJECTS OR PROGRAM SUPPORT, BUT NOT ALL TASKS HAD ACTIVITIES. THE BIGGEST CHALLENGE REMAINS ON THE SDOH FOR SMOKING AND VAPING. THE AMOUNT OF MONEY INCREASED FOR PROGRAMS.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY GUIDELINES WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB.
Schedule H, Part V, Section B, Line 15 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE. (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE.) EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS.
Schedule H, Part V, Section B, Line 20 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN. WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MFH OUTPATIENT SURGERY CENTER
415 SOUTH FLEISHEL	TYLER	TX	75702	AMBULATORY SURGICAL CENTER
CTMF ENDOSCOPY CENTER
1720 S BECKHAM AVENUE	TYLER	TX	75701	AMBULATORY SURGICAL CENTER

Supplemental Information Detail SupplementalInformationDetail (31 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS	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 ACTIONS REGARDING ELIGIBILITY UNDER FAP	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 FAP-ELIGIBLE EMERGENCY OR OTHER MEDICAL CARE	THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/24 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 ASSISTANCE ELIGIBILITY CRITERIA	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) UNDER INSURANCE 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 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 9.14 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 $1,860,874 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2024. 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 ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	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. 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.
Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED 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 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/trinity-mother-frances-tyler/tmf_tyler_chna_2023.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 I, Line 7f PERCENT OF TOTAL EXPENSE	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $1,342,160,744. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $13,025,734. THIS LEAVES A TOTAL EXPENSE OF $1,329,135,010 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	13025734
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 2024, 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 CHARACTERISTIC 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, 2024, 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, 2024. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.444 PERCENT OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2024 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 (91,679,362) 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;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - MOTHER FRANCES REG. HEALTHCARE CENTER: Line 16b URL: SEE SUPPLEMENTAL INFO;
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;
Schedule H, Part VI, Line 2 Needs assessment	ONE OF THE KEY AREAS USED TO GET INPUT FROM OUR COMMUNITIES IS TO HAVE ASSOCIATES SERVE ON LOCAL BOARDS AND ATTEND COMMUNITY PARTNER MEETING TO HEAR FIRSTHAND WHAT THEIR ISSUES ARE AND HOW THEY ARE TRYING TO ADDRESS THEM. OUR HOSPITAL COMMUNITY BENEFIT ADVISORY COUNCIL HOLDS 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 EVALUATES THE PERFORMANCE OF THE HOSPITAL IN THE CURRENT YEAR. AWARDS ARE GIVEN TO GROUPS WHO HAVE EXCELLED IN A SPECIFIC AREA. THE COMMUNITY BENEFIT TEAM ALSO HOSTS ROUND TABLE DISCUSSIONS DURING THE YEAR TO GET INPUT ON ISSUES OR CHANGES THAT OCCUR FROM THE COMMUNITY. THE HOSPITAL ADVISORY COUNCIL AND THE COMMUNITY BENEFITS ADVISORY COUNCIL MEMBERS HAVE INFLUENCE ON 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 GREATER COMMUNITY. CMFH-SS WORKED ON GROWING THEIR PRESENCE IN THE COMMUNITY THIS YEAR ABOVE AND BEYOND TARGETED PROGRAMS.
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 ASSISTANCE.
Schedule H, Part VI, Line 4 Community information	SERVING EAST TEXAS SINCE MARCH 18, 1937, CHRISTUS MOTHER FRANCES HOSPITAL - TYLER IS A 561-BED ACUTE CARE FACILITY LOCATED IN THE HEART OF TYLER, TEXAS, OFFERING A WIDE RANGE OF SERVICES INCLUDING EMERGENCY AND TRAUMA CARE, MEDICAL AND SURGICAL CARE, TYLER'S ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT, LEVEL III MATERNAL UNIT, PEDIATRICS, ADVANCED NEUROSURGICAL, ORTHOPEDIC, AND CARDIAC CARE. THIS HOSPITAL ALSO HAS THE ONLY HEART HOSPITAL WITH A TOTAL BED COUNT OF 96. FOLLOWING IRS GUIDELINES, RULES AS REQUIRED BY THE AFFORDABLE CARE ACT, CTMFHS' TOTAL PRIMARY SERVICE AREA INCLUDES 38 ZIP CODES COVERING OVER 475,000 INDIVIDUALS. THE PRIMARY SERVICE AREA (PSA) IS THE GEOGRAPHIC REGION WITH 80% HOSPITAL UTILIZATION. THE PRIMARY SERVICE AREA INCLUDES THESE COUNTIES: ANDERSON, CHEROKEE, DELTA, FRANKLIN, HENDERSON, HOPKINS, RAINS, RUSK, SMITH, TITUS, VAN ZANDT, AND WOOD. THE DEMOGRAPHICS OF THE PSA ARE 65.8% NON-HISPANIC WHITE, 17.9% HISPANIC/LATINO AND 12.9% NON-HISPANIC BLACKS MAKE UP THE REST OF THE POPULATION. FEMALES MAKE UP 50.5% AND MALES 49.5%. THE MEDIAN AGE IS 39.1 YEARS OLD. IN THE CTMFHS PSA 3.9 % OF THE RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY AND 14.5% IN THE PSA HAVE SOME DISABILITY. OVER THE PAST DECADE, THE COMMUNITIES SERVED BY CTMFHS HAVE EXPERIENCED A MODERATE CHANGE IN POPULATION. THE PSA GREW BY 7.9% OVER THE DECADE (2010-2020).
Schedule H, Part VI, Line 5 Promotion of community health	CHRISTUS MOTHER FRANCES HOSPITAL TYLER AND ITS AFFILIATED FACILITES ALL WORK TOGETHER TO SERVE THE PEOPLE NOT ONLY IN ITS PRIMARY AND SECONDARY SERVICE AREA BUT ALL OF NORTHEAST TEXAS, WHICH COVERS OVER 20 COUNTIES IN NORTHEAST TEXAS. THOSE COUNTIES ARE BOTH RURAL AND SMALL URBAN, BUT MOSTLY RURAL. KEY HEALTH INDICATORS FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND THE STATE. TWO GROUPS THAT INCLUDE PUBLIC MEMBERS ARE THE LEADERSHIP COUNCIL OF THE HOSPITALS AND THE COMMUNITY BENEFIT ADVISORY COUNCIL OF EACH HOSPITAL. BOTH OF THESE MEET QUARTERLY. THEY INFLUENCE WHERE FUNDING IS ALLOCATED AS THEY RECEIVE INFORMATION ON GOALS AND OUTCOMES. HEALTH EQUITY IS ONE OF THE OTHER TOPICS INCLUDED IN THEIR MEETINGS. IN EACH MARKET, OUR FACILITIES ARE THE ONLY NON-PROFIT HEALTHCARE ENTITIES IN THIS MINISTRY AND ARE SEEN AS THE GO-TO FOR ASSISTANCE AND SUPPORT TO CARE FOR THOSE WHO DO NOT HAVE RESOURCES. THE REGIONAL BOARD AT EVERY MEETING IS PROVIDED A REPORT ON ALL MINISTRIES IN THE REGION FOR FUNDING LEVEL EXPENDITURES, HOW THE AREAS FUNDS ARE BEING SPENT IN ACCORDANCE WITH THE CHNA, AND INFORMATION ON HOW ASSOCIATES ARE VOLUNTEERING WITH NOT-FOR-PROFITS TO FURTHER EXPAND THE REACH FOR OUR CHNA GOALS. SAMPLES OF KEY PROGRAMS AND PROJECTS ARE INCLUDED, BUT ARE NOT LIMITED TO, THOSE LISTED BELOW: 1. 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. 2. 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 TO SHOW HOSPITAL SUPPORT FOR OUR ASSOCIATE'S EFFORTS AND TO FURTHER FUND PROGRAMS OF THE UNITED WAY. 3. COMMUNITY PARTNERSHIPS DESCRIPTION: ASSISTANCE WAS PROVIDED BOTH FINANCIALLY AND WITH STAFFING FOR GROUPS AND ORGANIZATIONS TO PROVIDE COLLABORATIVE PROGRAMS, SERVICES, AND HEALTH INFORMATION IN COLLABORATIONS WITH OVER 75 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 ASSOCIATION, ALZHEIMER'S ALLIANCE, BOY SCOUTS, NURSING PROGRAMS, CHAMPIONS FOR CHILDREN'S, MOSAIC COUNSELING, AND PUBLIC AND PRIVATE SCHOOLS TO LIST A FEW. 4. EMERGENCY EDUCATION DESCRIPTION: DETAILED INSTRUCTION AND HANDS ON PARTICIPATION IS OFFERED FOR CERTIFICATION IN AREAS INCLUDING CPR, FIRST AID, STOP THE BLEED, AND AED USE. COURSES ARE OFFERED TO SCHOOL DISTRICTS AND SPONSORS FOR UIL PROGRAMS ON AN AS-NEEDED BASIS. HUNDREDS OF PEOPLE WERE TRAINED ACROSS MULTIPLE COUNTIES, ISDS, CHURCHES, AND ATHLETIC PROGRAMS. 5. TYLER FAMILY CIRCLE OF CARE - WOMEN'S SERVICES/CHILDREN'S SERVICES/FAMILY AND SPECIAL NEEDS CLINIC DESCRIPTION: THESE CLINICS PROVIDE MEDICAL CARE SERVICES TO ALL AGES OF PATIENTS. THE CLINICS SEE MEDICAID AND MEDICARE, CHIP/CHIP PERINATE, SELF-PAY, UNINSURED/UNDERSERVED, THOSE WITHOUT THE ABILITY TO PAY REGARDLESS OF THEIR COUNTRY OR RESIDENCE. A COMMUNITY BENEFIT IS PAID TO COVER THE COSTS OF 65% OF THE IT SERVICES AT ALL THEIR FACILITIES. 6. HEALTH EDUCATION/SCREENING PROGRAMS DESCRIPTION: COMMUNITY EDUCATION FOR HEALTH LIFESTYLES WAS OFFERED THROUGHOUT THE REGION FOR A VARIETY OF CONDITIONS, VARIOUS WALKS ARE INCLUDED, AS WELL AS STRESS MANAGEMENT, DIABETES EDUCATION, HEART HEALTH, CANCER AWARENESS, AND HEALTHY EATING. THE WOMEN WITH HEART PROGRAM WAS TRANSITIONED TO A COMMUNITY EDUCATION EVENT AT A PUBLIC BUILDING. 7. SCHOOL ASSISTANCE DESCRIPTION: OVER 7,500 JUNIOR HIGH AND HIGH SCHOOL PRE-PARTICIPATION EXAMS WERE DONE AT NO COST TO THE SCHOOLS. ADDITIONALLY, OVER 225 STUDENT ATHLETES WERE SEEN FOR FREE INJURY SATURDAY SPORTS CLINICS. ALL PROGRAMS ARE OPEN TO ANYONE TO PARTICIPATE PROVIDED THEY HAVE PARENTAL APPROVAL AND SUPPORT FROM THE ON-SITE TRAINERS. ALL SERVICES ARE FREE AND NOT BILLED TO THE STUDENT OR PARENT. 8. JOB SHADOWING DESCRIPTIONS: 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 HEALTH CARE CAREERS. THROUGH OUR VOLUNTEER SERVICES PROGRAM TRAINING, JOB SHADOWING, STUDENT PROGRAMS, ETC., WE OFFER INDIVIDUALS, SCHOOLS, COMMUNITY COLLEGES, AND FOUR-YEAR-INSTITUTIONS, NOT ONLY IN OUR MAIN HOSPITALS, BUT IN CLINICS THROUGHOUT THE SERVICE AREA A CHANCE TO SEE WHAT HEALTHCARE IS ALL ABOUT. 9. BEHAVIORAL HEALTH ASSISTANCE DESCRIPTION: THROUGH SUPPORT FOR DIRECT PATIENT SERVICES, FUNDING, AND SPECIAL EVENTS WITH ASSOCIATE VOLUNTEERS, FREE MUSIC CONCERTS IN THE PARK, PET THERAPY, OR PROGRAMS FOR SPECIAL NEEDS CHILDREN, CTMFHS IS WORKING TO EXPAND OPPORTUNITIES FOR BEHAVIOR HEALTH SERVICES TO INDIVIDUALS AND FAMILIES OF ALL AGES. SUPPORT FOR GROUPS INCLUDED, BUT WAS NOT LIMITED TO, ALZHEIMER'S, CAMP V - VETERANS, HOMELESS MUSIC OPPORTUNITY, A DAY OF WORK IN A CITY PARK CLEAN-UP PROJECT/QUARTERLY, FOR THE SILENT/HUMAN TRAFFICKING, AND A VARIETY OF RUNS. 10. SCHOLARSHIPS DESCRIPTIONS: A HIGH MAJORITY OF OUR PUBLIC SCHOOLS HAVE A LOW INCOME -HIGH RISK PROFILE. CHRISTUS HEALTH BEGAN WORKING WITH ORGANIZATIONS AND SCHOOL FOUNDATIONS TO DEDICATE FUNDING FOR EVENTS TO HELP RAISE FUNDS FOR SCHOLARSHIP IN A VARIETY OF EDUCATIONAL AREAS. 11. SOCIAL DETERMINANTS OF HEALTH DESCRIPTIONS: CHRISTUS HEALTH RAISED THE FOCUS ON SDOH ACROSS THE ENTIRE SYSTEM AND TIED MUCH OF THE WORK WITH HEART DISEASE. THIS PAST YEAR, THE PROFILE OF THE NEED TO SUPPORT THOSE WHO PROVIDE ACCESS TO SOLUTIONS FOR FOOD INSECURITY WAS HIGH. CONSEQUENTLY, VOLUNTEERS AND DONATIONS WERE BOTH INCLUDED IN MANY INSTANCES.
Schedule H, Part VI, Line 6 Affiliated health care system	MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION. CHRISTUS NORTHEAST TEXAS IS A FAITHBASED ORGANIZATION DEDICATED TO CREATING HEALTHY LIVES FOR PEOPLE AND COMMUNITIES. MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER AND ITS AFFILIATES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING ACUTE CARE FACILITIES AND CRITICAL ACCESS FACILITIES, WHOSE OPERATIONS CONSIST PRIMARILY OF PROVIDING INPATIENT AND OUTPATIENT ACUTE CARE AND MEDICAL SERVICES TO PATIENTS RESIDING IN EAST TEXAS.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (33 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
The Miracle League of Tyler Inc
1919 S Donnybrook	Tyler	TX	75701	750884075	501(C)(3)	$125,000	FY24 Program Grant - Recreational Activities for Children w/disabilities
AMERICAN CANCER SOCIETY
PO Box 140069	Dallas	TX	75214	131788491	501(C)(3)	$51,500	FY24 Program Grant - (80% fund transportation needs for cancer patients, cancer research and increase screening & early detection / 20% marketing expense)	ATTN Tyler SK4ZZ84R
UNITED WAY OF SMITH COUNTY
PO Box 10029	Tyler	TX	75711	750957331	501(C)(3)	$50,000	FY24 Program Grant - support community pillar
CANCER FOUNDATION FOR LIFE INC
PO Box 8257	Tyler	TX	75711	752957440	501(C)(3)	$45,000	FY24 Program Grant - help provide access to medical exercise programs for patients with chronic illness
GREENBERG SMOKED TURKEYS INC
PO Box 4818	Tyler	TX	75712	751328897		$40,224	Annual Thanksgiving giveaway
UT HEALTH SCIENCE CENTER AT TYLER
11937 US Hwy 271	Tyler	TX	75708	756001354		$25,000	FY24 Donation educational program cost of UT Tyler School of Medicine
WOMENS FUND
PO Box 695	Tyler	TX	75711	752666792	501(C)(3)	$22,500	FY24 - program grant to help support other non-profits through education, health and wellness services for women and children in Smith County
TYLER INDEPENDENT SCHOOL DISTRICT
PO Box 2035	Tyler	TX	75710	756002675	GOV'T	$21,000	Donation for equipment purchase
DIOCESE OF TYLER
1015 ESE Loop 323	Tyler	TX	75701	752152475	501(C)(3)	$20,000	FY24 Program grant
CATHEDRAL OF THE IMMACULATE CONCEPTION
426 South Broadway	Tyler	TX	75702	756004616	501(C)(3)	$15,000	FY24 program grant - to help support retired and volunterable population who have or more physical disabilities with transportation
JUNIOR LEAGUE OF TYLER INC
1619 S Donnybrook	Tyler	TX	75701	750884075	501(C)(3)	$13,300	FY24 - Grants - 1) Annual Program to help support local non-profits; 2) educational grant
BETHESDA HEALTH CLINIC
409 W Ferguson	Tyler	TX	75702	260036674	501(C)(3)	$12,500	FY24 grant - to help support behavioral health in pediatrics
MOSAIC COUNSELING CENTERS OF EAST TEXAS INC
218 N College Ave	Tyler	TX	75771	452047833	501(C)(3)	$10,000	FY24 program grant
CHILDRENS ADVOCACY CENTER
2210 Frankston Hwy	Tyler	TX	75701	752748697	501(C)(3)	$10,000	FY24 Program Grant
EAST TEXAS TRIATHLETES
PO Box 7558	Tyler	TX	75703	261808251	501(C)(3)	$10,000	FY24 Program Grant
BROOKSHIRE GROCERY COMPANY
1600 WSW Loop 323	Tyler	TX	75701	750865842		$7,500	FY24 Program Grant
LINDALE AREA CHAMBER OF
PO Box 670	Lindale	TX	75771	752218487	501(C)(6)	$7,350	FY24 Program Grant
EAST TEXAS SYMPHONY ORCHESTRA ASSOCIATION
107 E Erwin	Tyler	TX	75702	756013387	501(C)(3)	$7,000	FY24 Program Grant
TYLER ISD FOUNDATION
807 W Glenwood Blvd	Tyler	TX	75701	752366991	501(C)(3)	$6,500	FY24 Educational Program Grant
AMERICAN COLLEGE OF HEALTHCARE EXECUTIVE
PO Box 6657	Tyler	TX	75711	753032691	501(C)(3)	$6,000	FY24 EDUCATIONAL PROGRAM GRANT
BOY SCOUTS OF AMERICA
1331 East Fifth Street	Tyler	TX	75701	750808767	501(C)(3)	$6,000	FY24 EDUCATIONAL PROGRAM GRANT
LEADERSHIP TYLER
315 N Broadway Ave	Tyler	TX	75702	752340612	501(C)(3)	$5,750	FY24 - Educational program grant	Suite 202
SPORTYLER
315 N Broadway	Tyler	TX	75702	752401978	501(C)(3)	$5,700	FY24 Educational Program Grant
HENDERSON COUNTY UNITED WAY
205 Willowbrook Drive	Tyler	TX	75751	751638907	501(C)(3)	$5,500	FY24 Program Grant and Community Pillar event
ZETA PHI BETA SORORITY INC
PO Box 4844	Tyler	TX	75712	756055219	501(C)(3)	$5,000	FY 24 Educational Program Grant
SMITH COUNTY AREA GO TEXAN
PO Box 94	Troup	TX	75789	463950806	501(C)(3)	$5,000	FY24 Educational Program Grant
The Children's Park of Tyler
5380 Old Bullard Road	Tyler	TX	75703	043665297	501(C)(3)	$5,000	FY24 program grant	Suite 600-122
MENTORING ALLIANCE
1909 South Braodway	Tyler	TX	75701	752541408	501(C)(3)	$5,000	FY24 Educational Program Grant
East Texas Communities Foundation
315 North Broadway	Tyler	TX	75702	752309138	501(C)(3)	$5,000	FY24 Program Grant - chronic diseases	Suite 404
WOMENS SYMPHONY LEAGUE OF TYLER
PO Box 6823	Tyler	TX	75711	756013387	501(C)(3)	$5,000	FY24 donation for education
TYLER HISPANIC BUSINESS ALLIANCE
315 North Broadway	Tyler	TX	75702	462342893	501(C)(3)	$5,000	FY24 Educational Program Grant
TYLER AREA BUSINESS EDUCATION COUNCIL
315 N Broadway	Tyler	TX	75702	271665584	501(C)(3)	$5,000	FY24 Educational Program Grant
EAST TEXAS BAPTIST UNIVERSITY
One Tiger Drive	Marshall	TX	75670	750859801	501(C)(3)	$5,000	FY24 educational program grant

Field	Value	IRS element (for citing)
Total501c3 Org	29	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANDY KIRKPATRICK MD
Former Dir/Chairperson (Term 12/20)	$0	$624,046	$0	$0	$0	$48,414	$0	$63,001	$0	$10,604	$0	$746,065	$0	$0
Jason Proctor
CEO & President	$0	$529,296	$0	$255,612	$0	$76,027	$0	$161,838	$0	$12,300	$0	$1,035,073	$0	$75,067
Fadi Nasrallah
Former CMO (Term 8/19)	$0	$728,008	$0	$521,181	$0	$170,649	$0	$267,539	$0	$12,480	$0	$1,699,857	$0	$167,458
Jeffrey Puckett
Director	$0	$1,555,613	$0	$3,764,956	$0	$3,464,999	$0	$85,694	$0	$14,723	$0	$8,885,985	$0	$3,463,677
Chris Glenney
SVP NETX Group Operations	$0	$785,008	$0	$553,491	$0	$161,460	$0	$274,329	$0	$15,888	$0	$1,790,176	$0	$160,310
Steven Keuer MD
Director Ex-Officio	$0	$697,737	$0	$405,809	$0	$178,021	$0	$243,814	$0	$10,370	$0	$1,535,751	$0	$176,699
Mark Anderson MD
Director	$0	$576,363	$0	$264,127	$0	$92,582	$0	$65,701	$0	$13,771	$0	$1,012,544	$0	$92,082
Andria Cardinalli-Stein MD
Director	$0	$388,433	$0	$89,384	$0	$1,582	$0	$35,701	$0	$0	$0	$515,100	$0	$0
Sister Rosanne Popp MD
Director	$0	$223,677	$0	$0	$0	$24,514	$0	$793	$0	$2,392	$0	$251,376	$0	$0
FAGG SANFORD MD
FORMER DIRECTOR/SECRETARY (TERM 6/22)	$0	$836,596	$0	$16,841	$0	$6,633	$0	$65,701	$0	$15,431	$0	$941,202	$0	$0
Elizabeth Pulliam
Former CFO (TERM 04/23)	$0	$132,346	$0	$75,000	$0	$50,504	$0	$51,351	$0	$145,983	$0	$455,184	$0	$49,878
Eric Garrison
CFO	$0	$214,831	$0	$52,812	$0	$0	$0	$31,118	$0	$15,474	$0	$314,235	$0	$0
Brian D Matson
VP, STRATEGY-BUS DEVELOPMENT	$0	$350,925	$0	$159,250	$0	$35,042	$0	$100,871	$0	$52,850	$0	$698,938	$0	$34,842
Jaclynn Harrison
NETX/NLA Health System CFO	$0	$346,585	$0	$165,396	$0	$51,202	$0	$75,231	$0	$13,036	$0	$651,450	$0	$0
Scott Fossey
VP OF DEVELOPMENT	$0	$330,762	$0	$118,713	$0	$650	$0	$48,801	$0	$25,000	$0	$523,926	$0	$0
Anne Pileggi
COO	$0	$284,803	$0	$116,938	$0	$34,613	$0	$78,525	$0	$6,000	$0	$520,879	$0	$34,513
Shelly Birmingham
CNE	$0	$319,618	$0	$118,463	$0	$30,445	$0	$43,078	$0	$18,207	$0	$529,811	$0	$30,295
Ali Birjandi
VP	$0	$305,613	$0	$111,739	$0	$827	$0	$65,701	$0	$15,779	$0	$499,659	$0	$0
Deborah Chelette
VP CARDIAC SERVICES	$0	$297,629	$0	$98,837	$0	$0	$0	$43,201	$0	$2,275	$0	$441,942	$0	$0
Andy G Navarro
VP MISSION INTEGRATION	$0	$222,047	$0	$87,973	$0	$24,707	$0	$43,201	$0	$16,284	$0	$394,212	$0	$24,057
Mary Elizabeth Jackson
VP ADVOCACY - GOVT AFFAIRS	$0	$233,059	$0	$72,784	$0	$1,150	$0	$42,414	$0	$4,605	$0	$354,012	$0	$0
Rebecca Howell
ASSOCIATE CIO	$0	$184,351	$0	$54,491	$0	$200	$0	$12,300	$0	$8,302	$0	$259,644	$0	$0
Becky Western
VP (Term 09/23)	$0	$145,078	$0	$54,830	$0	$100	$0	$28,254	$0	$1,902	$0	$230,164	$0	$0
ROBERT W BIENERT
CRNA	$248,896	$0	$29,683	$0	$343,593	$0	$41,430	$0	$1,989	$0	$665,591	$0	$0	$0
DUSTIN J VIDRINE
CRNA	$218,367	$0	$27,872	$0	$258,615	$0	$35,701	$0	$14,981	$0	$555,536	$0	$0	$0
DONALD J MITCHELL
CRNA	$222,985	$0	$500	$0	$239,205	$0	$35,700	$0	$8,767	$0	$507,157	$0	$0	$0
TIMOTHY M CLARK
CRNA	$231,633	$0	$5,500	$0	$184,226	$0	$43,201	$0	$15,201	$0	$479,761	$0	$0	$0
RANFERI VALLE
CRNA	$206,433	$0	$500	$0	$194,756	$0	$35,700	$0	$10,746	$0	$448,135	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official'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 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. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR 2023: JEFFREY PUCKETT - $3,463,677 CHRIS GLENNEY - $160,310 FADI NASRALLAH - $170,649 STEVEN KEUER, M.D. - $176,699 JASON PROCTOR - $75,067 MARK ANDERSON, M.D. - $92,082 BRIAN D. MATSON - $34,842 SHELLY BIRMINGHAM - $30,295 ANNE PILEGGI - $34,513 ELIZABETH PULLIAM - $49,878 ANDY G. NAVARRO - $24,057
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 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) SUPPLEMENTAL COMPENSATION INFORMATION	BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2023.
Schedule J, Part II, Column (C) DEFERRED COMPENSATION	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6 PERCENT OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	Daughter in Law of Director	RelationshipDescriptionTxt
Transaction	$9,175	TransactionAmt
Transaction	KINLIE ANDERSON IS AN EMPLOYEE OF CHRISTUS HEALTH. HER FATHER IN LAW, MARK ANDERSON, M.D. IS A DIRECTOR OF CHRISTUS HEALTH.	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	THE CORPORATIONS' 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 CORPORATIONS PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED.
Form 990, Part III, Line 2 SIGNIFICANT NEW PROGRAM SERVICES	MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER CONTINUES TO PROVIDE THE SAME PROGRAM SERVICES AS IN TAX YEAR 2022 BUT IS BREAKING THEM OUT TO SMALLER PROGRAMS ON THE TAX YEAR 2023 RETURN.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 7,942,233 including grants of $ 0)(Revenue $ 0) Broader community
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 1,297,267 including grants of $ 0)(Revenue $ 0) Poor & Underserved
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 0 including grants of $ 646,258)(Revenue $ 0) Additional grants
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 CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 PER MILLION INCURRENCE BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $20 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE TWO SISTERS APPOINTED BY EACH OF THE FOUNDING Sponsoring CONGREGATIONS OF CHRISTUS HEALTH, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, AND ONE SISTER APPOINTED BY THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF CERTIFICATES OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO MEMBER RESERVED POWERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY (EXCEPT IN THE ORDINARY COURSE OF BUSINESS) OR THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING 2025 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 11d Other Miscellaneous Revenue	All Other Revenue - Total Revenue: 7236747, Related or Exempt Function Revenue: 4146708, Unrelated Business Revenue: 3090039, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Patient Financial Serv. - Total Expense: 20418412, Program Service Expense: 0, Management and General Expenses: 20418412, Fundraising Expenses: 0; MCCS Expense - Total Expense: 21309303, Program Service Expense: 21309303, Management and General Expenses: 0, Fundraising Expenses: 0; System Office Fee - Total Expense: 42132426, Program Service Expense: 159502, Management and General Expenses: 41972924, Fundraising Expenses: 0; Professional Fees - Total Expense: 525161, Program Service Expense: 466415, Management and General Expenses: 54946, Fundraising Expenses: 3800; 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: 19719949, Program Service Expense: 19262949, Management and General Expenses: 457000, Fundraising Expenses: 0; R&M - Total Expense: 14592584, Program Service Expense: 14529279, Management and General Expenses: 63265, Fundraising Expenses: 40; Billings & Collections - Total Expense: 2612, Program Service Expense: 2612, Management and General Expenses: 0, Fundraising Expenses: 0; Purchased Services - Total Expense: 5920928, Program Service Expense: 5631175, Management and General Expenses: 152169, Fundraising Expenses: 137584;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - -59583070; RESTRICTED CONTRIBUTIONS - -59482; CHANGE IN PENSION LIABILITIES - -77553; RECLASS FOR GAAP FOR DONATIONS/GRANTS TO UNRNA - 13935799; CHANGE IN UNRESTRICTED NET ASSETS - 28753;
FORM 990, PAGE 1, BOX C DOING BUSINESS AS	MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS Health at Work Jacksonville CHRISTUS Human Performance Center CHRISTUS Mother Frances Hospital CHRISTUS MOTHER FRANCES HOSPITAL - ATHENS CHRISTUS Mother Frances Hospital - Canton CHRISTUS MOTHER FRANCES HOSPITAL - LINDALE CHRISTUS Mother Frances Hospital - South Tyler CHRISTUS Mother Frances Hospital - Tyler CHRISTUS Mother Frances Hospital Cardiology Services CHRISTUS Mother Frances Hospital Outpatient Cath Lab CHRISTUS Specialty Pharmacy CHRISTUS TRINITY MOTHER FRANCES - ATHENS CHRISTUS Trinity Mother Frances DeHaven Surgery Center - Tyler CHRISTUS Trinity Mother Frances Endoscopy Center CHRISTUS Trinity Mother Frances Louis & Peaches Owen Heart Hospital - Tyler Flight for Life Mother Frances Hospital Outpatient Surgery Center Trinity Mother Frances Endoscopy Center Tyler Square Ambulatory Services Center

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (54 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE	TYLER	TX	75701	465720165	HEALTHCARE SERVICES	TX	501(c)(3)	3	MFH REG	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHAMPION EMS
2201 S MOBBERLY AVE	LONGVIEW	TX	75602	752747708	HEALTHCARE SERVICES	TX	501(c)(3)	10	MFH REG	Yes (true)
CHRISTUS CONNECTED CARE NETWORK
5101 N OCONNOR BLVD	IRVING	TX	75039	473403356	SUPP HEALTHCARE SERVICES	TX	501(c)(4)		CH	Yes (true)
CHRISTUS CONTINUING CARE
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	CH	Yes (true)
CHRISTUS FOUNDATION SHREVEPORT-BOSSIER
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721219280	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	NOLA	Yes (true)
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	750974351	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS HEALTH
5101 N OCONNOR BLVD	IRVING	TX	75039	760590551	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	NA	false
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	NETXNL	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH FDN OF SOUTHEAST TX
2830 CALDER	BEAUMONT	TX	77702	760136274	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	SETX	Yes (true)
CHRISTUS HEALTH FOUNDATION
5101 N OCONNOR BLVD	IRVING	TX	75039	611500100	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HEALTHCARE SERVICES	TX	501(c)(3)	7	CH	Yes (true)
CHRISTUS HEALTH INTERNATIONAL
5101 N OCONNOR BLVD	IRVING	TX	75039	462811167	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes (true)
CHRISTUS HEALTH LATIN AMERICA
5101 N OCONNOR BLVD	IRVING	TX	75039	462816604	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	75039	720408982	HEALTHCARE SERVICES	LA	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS HEALTH PLAN
5101 N OCONNOR BLVD	IRVING	TX	75039	452106295	HEALTH PLAN	TX	501(c)(4)		CH	Yes (true)
CHRISTUS HEALTH PLAN LOUISIANA
5101 N OCONNOR BLVD	IRVING	TX	75039	464617988	MEDICAID HMO	LA	501(c)(4)		CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 CALDER STREET	BEAUMONT	TX	77726	760591590	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	720411322	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
5101 N OCONNOR BLVD	IRVING	TX	75039	462798043	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS NORTHEAST TEXAS AND NORTHERN LOUISIANA HEALTH SYSTEM CORPORATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	CH	Yes (true)
CHRISTUS PEDIATRIC PHYSICIAN GROUP
5101 N OCONNOR BLVD	IRVING	TX	75039	465203505	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA FAMILY HEALTH CENTER
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742806531	HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes (true)
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA MED CTR AUXILIARY
2827 BABCOCK ROAD	SAN ANTONIO	TX	78229	731655493	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes (true)
CHRISTUS SANTA ROSA-SAN MARCOS FOUNDATION
PO Box 912	SAN MARCOS	TX	78667	742259907	SUPPORT	TX	501(c)(3)	7	SRHCC	Yes (true)
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FOUNDATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	SPOHN HS	Yes (true)
CHRISTUS ST FRANCES CABRINI HOSPITAL AUXILIARY INC
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	237255175	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	10	CHCL	Yes (true)
CHRISTUS ST MICHAEL FOUNDATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	471655865	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	ALT	Yes (true)
CHRISTUS ST PATRICK FOUNDATION
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	471496376	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	SWLA	Yes (true)
CHRISTUS TRINITY CLINIC
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(c)(3)	Type I	NETXNL	Yes (true)
FRIENDS OF SANTA ROSA FOUNDATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742723391	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CSRHCC	Yes (true)
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752056700	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVE	LONGVIEW	TX	75601	237203364	SUPPORT	TX	501(c)(3)	10	GSH INC	Yes (true)
GOOD SHEPHERD MED CENTER - LINDEN INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	010829282	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes (true)
GOOD SHEPHERD MEDICAL CENTER - LINDEN FOUNDATION INC
404 N KAUFMAN	LINDEN	TX	75563	200845127	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
GSHS ADMINISTRATIVE SERVICES ORG INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	861132471	ADMIN SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
HOPKINS CTY PHYSICIAN SERVICES
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	260637742	CLINIC	TX	501(c)(3)	3	CHHA	Yes (true)
MARSHALL HOSPITAL FOUNDATION INC
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	752605699	HEALTHCARE SERVICES	TX	501(c)(3)	7	GSMC	Yes (true)
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVE	TYLER	TX	75701	751976930	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
OTERO COUNTY HOSPITAL ASSOCIATION
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	850138775	HOSPITAL	NM	501(c)(3)	3	CH	Yes (true)
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752511459	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes (true)
SPECIALTY PHYSICIANS OF CENTRAL TEXAS
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	208814408	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes (true)
ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	CHCL	Yes (true)
ST VINCENT HOSPITAL
PO BOX 2107	SANTA FE	NM	87504	850106941	HOSPITAL	NM	501(c)(3)	3	CH	Yes (true)
ST VINCENT HOSPITAL FOUNDATION
455 ST MICHAELS DRIVE	SANTA FE	NM	87505	850282847	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	SVH	Yes (true)
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	751041154	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes (true)
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	HEALTHCARE SERVICES	TX	501(c)(3)	10	CCC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CENTRAL LOUISIANA SURGICAL HOSPITAL LLC
651 NORTH BOLTON AVE	ALEXANDRIA	LA	71301	264732398	SURGICAL CENTER	LA	NA
CHRISTUS SURGERY CENTER - VILLAGES LLC
1453 E BERT KOUNS	SHREVEPORT	LA	71108	844975265	SURGICAL CENTER	LA	NA
CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC
13525 CENTERBROOK 100	UNIVERSAL CITY	TX	78148	384092858	SURGICAL CENTER	TX	NA
CHRISTUS CENTER FOR SPECIAL SURGERY
14603 HUEBNER RD	SAN ANTONIO	TX	78240	990686547	SURGICAL CENTER	TX	NA
CHRISTUS SURGERY CENTER - WESTOVER HILLS LLC
1927 ROGERS RD	SAN ANTONIO	TX	78251	851975909	SURGICAL CENTER	TX	NA
NEW BRAUNFELS SURGICAL CENTER LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571408	HEALTHCARE SERVICES	TX	NA
CHRISTUS SANTA ROSA AMBULATORY SURGERY CENTERS SAN ANTONIO LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	412092141	HEALTHCARE SERVICES	TX	NA
CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571409	HEALTHCARE SERVICES	TX	NA
GOOD SHEPHERD NORTH PARK LP
700 E MARSHALL AVE	LONGVIEW	TX	75601	464834106	HEALTHCARE SERVICES	TX	NA
GOOD SHEPHERD AMBULATORY SURGICAL LTD
700 E MARSHALL AVE	LONGVIEW	TX	75601	999999999	HEALTHCARE SERVICES	TX	NA
GSHS CUSTOMER SERVICE BUILDING I LTD
700 E MARSHALL AVE	LONGVIEW	TX	75601	020636726	CUSTOMER SERVICES	TX	NA
ST ELIZABETH REHAB PARTNERS LLP
2830 CALDER STREET	BEAUMONT	TX	77702	205657181	HEALTHCARE SERVICES	TX	NA
NORTHERN LOUISIANA CARDIAC SERVICES LLC
1751 IMPERIAL BLVD	LAKE CHARLES	LA	70605	813198914	SURGICAL CENTER	LA	NA
SOUTH RYAN MRI LLC
650 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	743103662	IMAGING SERVICES	LA	NA
ALAMOGORDO IMAGING CENTER LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	201451281	IMAGING SERVICES	NM	NA
ALAMOGORDO SURGERY VENTURE LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	061791828	HEALTHCARE SERVICES	NM	NA
CHAMPION HEALTH CARE LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	850860214	HEALTHCARE SERVICES	NM	NA
GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	611753921	HEALTHCARE SERVICES	NM	NA
WHITE SANDS HEALTH CARE SYSTEMS LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	850438529	HEALTHCARE SERVICES	NM	NA
SANTA FE IMAGING LLC
1640 HOSPITAL DR	SANTA FE	NM	87505	850465936	IMAGING CENTER	NM	NA
SANTA FE MEDICAL PROPERTIES LLC
455 SAINT MICHAELS DR	SANTA FE	NM	87505	201480795	LEASING	NM	NA
IMPERIAL CALCASIEU SURGICAL CENTER LLC
1757 IMPERIAL RD	LAKE CHARLES	LA	70605	205109610	ASC	LA	NA
GSHS CUSTOMER SERVICE BUILDING LLC
700 E MARSHALL AVE	LONGVIEW	TX	75601	710896055	CUSTOMER SERVICES	TX	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Foreign PostalForeignAddress/ForeignPostalCd
CHRISTUS TEXARKANA UNIT OWNERS ASSOCIATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	472486362	BUILDING ASSOCIATION	TX	NA	C Corporation	Yes (true)
CHRISTUS AMBULATORY SERVICES HOLDINGS
5101 N OCONNOR BLVD	IRVING	TX	75039	472897722	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
DEDICATED SYSTEM SUPPORT INC
5101 N OCONNOR BLVD	IRVING	TX	75039	810861043	MANAGEMENT SERVICES	TX	NA	C Corporation	Yes (true)
SAN MARCOS REGIONAL MRI
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	770597968	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
CHRISTUS LOUISIANA QUALITY ALLIANCE
5101 N OCONNOR BLVD	IRVING	TX	75039	474618648	ACO	LA	NA	C Corporation	Yes (true)
CHRISTUS MUGUERZA SAPI DE CV
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	HIDALGO PTE 2525 G40G0	OBISPADO MONTERRE	MX	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		NA	C Corporation	Yes (true)	PO BOX 1051	GRAND CAYMAN	CJ	CJ	KY11102
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911	TEXARKANA	TX	75504	752562459	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
CHRISTUS CHILE SPA
					INVESTING		NA	C Corporation	Yes (true)	MIRAFLORES 222 28TH FLOOR	SANTIAGO	CI	CI	8320198
CHRISTUS SOUTHEAST TEXAS PHO
3010 HARRISON STREET SUITE 202	BEAUMONT	TX	77702	760429902	MEDICAL SERVICES	TX	NA	C Corporation	Yes (true)
HEALTH VENTURES OF SOUTHEAST TEXAS INC
3000 GATES BLVD	PORT ARTHUR	TX	77640	760397263	BUILDING RENT	TX	NA	C Corporation	Yes (true)
AMATISTA FINANCING COMPANY LTD
					FINANCING		NA	C Corporation	Yes (true)	3RD FL1ST CARIBBEAN HOUSE	GEORGETOWN	CJ	CJ	KY11104
OCCUPATIONAL HEALTH SERVICES INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721217389	MEDICAL SERVICES	LA	NA	C Corporation	Yes (true)
SOUTH RYAN DEVELOPMENT CORPORATION
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721183790	LEASING BULDINGS	LA	NA	C Corporation	Yes (true)
SOUTHWESTERN LOUISIANA PHYSICIAN HOSPITAL ORGANIZATION INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HEALTHCARE SERVICES	LA	NA	C Corporation	Yes (true)
CH COLUMBIA SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	CL 70 A 4 41	BOGOTA	CO	CO
CLINICA PALMA REAL SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	CARRERA 28 44 35	CALI	CO	CO
SINERGIA GLOBAL EN SALUD SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	CARRERA 44 A 9 C 67	CALI	CO	CO
HCMH RETAIL CLINIC
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	475417965	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
EVANGELINE CLINICAL SERVICES INC
3330 MASONIC DRIVE	ALEXANDIRA	LA	71301	463977886	HEALTHCARE SERVICES	LA	NA	C Corporation	Yes (true)
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVE	LONGVIEW	TX	75601	752554695	INACTIVE	TX	NA	C Corporation	Yes (true)
GSHS ENTERPRISES HOLDING INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	510412465	HOLDING COMPAY	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES OPERATING 1 INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954772	HEALTHCARE SERVICES	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES OPERATING 2 INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954777	HEALTHCARE SERVICES	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027162	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
MARSHALL PHYSICIAN HOSPITAL ORGANIZATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752580689	INACTIVE	TX	NA	C Corporation	Yes (true)
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636862	THIRD PARTY ADMINISTRATION	TX	NA	C Corporation	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	NA	C Corporation	Yes (true)
SCH MANAGEMENT SOLUTIONS INC
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721270625	MANAGEMENT JOINT VENTURES	LA	NA	C Corporation	Yes (true)
CENTRAL TEXAS PROVIDERS NETWORK
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742827652	PHYSICIAN HOSPITAL	TX	NA	C Corporation	Yes (true)
LTACH CONDOMINIUM UNIT OWNERS ASSOC
600 ELIZABETH STREET	CORPUS CHRISTI	TX	77726	472404808	BUILDING ASSOCIATION	TX	NA	C Corporation	Yes (true)
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HEALTH PLAN	TX	NA	C Corporation	Yes (true)
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	RENTALS	TX	NA	C Corporation	Yes (true)
CENTRAL TX HEALTHCARE COLLABORATIVE
1301 Wonderland Dr	San Marcos	TX	78666	453739929	SUPPORT	TX	NA	C Corporation	Yes (true)
HOSPITAL BUILDING CONDO OWNERS ASSOCIATION INC
5101 N OCONNOR BLVD	IRVING	TX	75039	999999999	SUPPORT	TX	NA	C Corporation	Yes (true)
RELIANCE BENEFITS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752642104	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (19 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHRISTUS ArkLaTex Health System
M	$140,031	ACCRUAL
CHRISTUS EMS
L	$595,304	ACCRUAL
CHRISTUS Health Plan
M	$409,059	ACCRUAL
CHRISTUS Health Plan
L	$183,998	ACCRUAL
Christus Trinity Clinic Texas
M	$174,372,723	ACCRUAL
Christus Trinity Clinic Texas
L	$299,918,590	ACCRUAL
Christus Trinity Clinic Texas
Q	$184,803	ACCRUAL
Christus Trinity Clinic Texas
K	$425,919	ACCRUAL
Christus Trinity Clinic Texas
J	$1,810,298	ACCRUAL
Christus Trinity Clinic Texas
O	$110,850	ACCRUAL
CHRISTUS Trinity Mother Frances Foundation
C	$480,870	ACCRUAL
CHRISTUS Trinity Mother Frances Health System
L	$23,919,662	ACCRUAL
CHRISTUS Trinity Mother Frances Health System
J	$637,829	ACCRUAL
Mother Frances Hospital Jacksonville
Q	$151,931	ACCRUAL
Mother Frances Hospital Jacksonville
A	$165,715	ACCRUAL
Mother Frances Hospital Jacksonville
M	$70,840	ACCRUAL
Mother Frances Hospital Jacksonville
J	$2,194,183	ACCRUAL
Mother Frances Hospital Jacksonville
K	$167,446	ACCRUAL
Trincare Inc
J	$60,550	ACCRUAL