2022-05-05T11:31:12-05:00 2021-06-30 ERNST & YOUNG US LLP 101 E WASHINGTON ST STE 910 PHOENIX AZ 85004 990 2020-07-01 760590551 Christus Health % LEE SONNE CHRI 4692822000 919 Hidden Ridge Drive Irving TX 75038 Randy Safady EXEC VP/CFO 4692822000 2022-05-02 true Randy Safady 999009999 Patrick Shields P01508556 6023223000 3 2020 2022-09-23 18:48:47Z See Schedule O Ernie Sadau 919 HIDDEN RIDGE DRIVE IRVING TX 75038 2362860843 false 0928 X www.christushealth.org X 1999 TX SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 13 6 3998 3 690442 501714 107384641 60002619 831843602 617632378 40687312 156330736 32284447 123930434 1012200002 957896167 3359974 1614568 0 0 477030045 349396614 0 0 208230 414168327 501047450 894558346 852058632 117641656 105837535 2730342875 3027757179 2506240394 2497194199 224102481 530562980 X THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS 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 AS false false 367483723 0 590051216 COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS FORMED IN 1999 WHEN THE SISTERS OF CHARITY HEALTH SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON, AND THE INCARNATE WORD HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, BROUGHT THEIR HEALTH MINISTRIES TOGETHER. THE 2016 AFFILIATION WITH TRINITY MOTHER FRANCES HEALTH SYSTEM RESULTED IN A THIRD SPONSORING CONGREGATION OF CHRISTUS HEALTH, THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN 350 FACILITIES, INCLUDING 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, IOWA, LOUISIANA, GEORGIA AND NEW MEXICO IN THE U.S., CHIHUAHUA, COAHUILA, NUEVO LEN, PUEBLA, SAN LUIS, POTOSI AND TAMAULIPAS IN MEXICO AND IN CHILE. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE -- TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 9,000,000. IN FISCAL YEAR 2021 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 823,708 VISITS TO OUR EMERGENCY DEPARTMENTS; 40,777 INPATIENT SURGERY PROCEDURES; 95,582 OUTPATIENT SURGERY PROCEDURES; 179,683 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 2,788,283 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHENING THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS OF AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. CLINICAL TRIALS TO ADVANCE CARE AND PROVIDE CURES FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. 106976845 0 151164022 OTHER GOVERNMENT SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS INCLUDING MEDICARE, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. 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. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR APPROXIMATELY 15,000 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME. 1871427 0 0 COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS, FEDERALLY QUALIFIED HEALTH CENTERS, RURAL HEALTH PROVIDERS ACROSS EAST AND NORTHEAST TEXAS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2021, 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 CONSTITUENTS WE SERVE. 1614568 476331995 true false false true false false false false false false true true true true true true false true false false true false false false false false false true false true true true false true false false false false false true false false false false false true true true true false false true X 3777 0 true 3998 true true true true CI CJ MX CO false false false false false false false false true false X 13 6 false false false false true true true true true false false true true true true true true true true true true X LEE SONNE 4692822000 919 HIDDEN RIDGE DRIVE IRVING TX 75038 ERNIE SADAU PRESIDENT & CEO 39.0 1.0 X 11319916 0 5696802 JEFFREY M PUCKETT EVP/COO 39.0 1.0 X 6066691 0 3013219 RANDY SAFADY EVP/ CHIEF FINANCIAL OFFICER 39.0 1.0 X 5297881 0 1971381 PAUL D GENERALE EVP/Chief Strategy Officer 39.0 1.0 X 4543164 0 2202316 MARTY MARGETTS EVP/CAO 39.0 1.0 X 4421833 0 2140437 GERARD F HEELEY SR VP MISSION AND ETHICS 39.0 1.0 X 2896839 0 1134263 SAM BAGCHI MD EVP/CMO 39.0 1.0 X 2342048 0 513834 CHRISTOPHER KARAM SR VP & REG CEO 39.0 1.0 X 1677078 0 560510 JEANNIE FREY SVP CHIEF LEGAL OFFICER 39.0 1.0 X 1318582 0 253800 J CHRIS GLENNEY SVP GROUP OPERATIONS NETX 39.0 1.0 X 1186012 0 324724 DOMINIC DOMINGUEZ SVP-GROUP OPERATIONS SO TX 39.0 1.0 X 1248943 0 199437 STEVEN KEUER MD TMF CHIEF FINANCIAL OFFICER 39.0 1.0 X 1173300 0 181951 MARK ANDERSON CMO, CRP TMF Health System 39.0 1.0 X 1012964 0 275635 CHARLES T HANKINS SVP Pediatrics and CMO, CHOSA 39.0 1.0 X 1094363 0 182003 GEORGE S CONKLIN SVP-CIO (THRU 12/2019) 0.0 0.0 X 1061322 0 214903 FADI NASRALLAH SVP CMO TRINITY CLINIC 39.0 1.0 X 1033705 0 191947 SCOTT SMITH SVP TRINITY CLINIC 39.0 1.0 X 997431 0 159258 JON MANIS SVP CIO 40.0 0.0 X 962241 0 179654 CRIS C DASKEVICH SVP Maternal Svcs & CEO, CHOSA 39.0 1.0 X 933337 0 184168 M SHANNON STANSBURY SVP POPULATION HEALTH 39.0 1.0 X 935425 0 165420 OSBERT BLOW PRESIDENT/ CMO CHRISTUS SPOHN 39.0 1.0 X 885885 0 198124 KIM REYNOLDS SVP FINANCE 40.0 0.0 X 814933 0 245530 ALEJANDRO CANAVATI CEO, CRP CHILE OPERATIONS 40.0 0.0 X 902474 0 122331 DEBRA PASLEY SVP, CNO 40.0 0.0 X 793503 0 126512 TINA BARKER SVP STRATEGY MARKETING & DIG 40.0 0.0 X 764087 0 138053 KIMBERLY KING WEBB SVP CHIEF HR OFFICER 40.0 0.0 X 703200 0 192355 JOHN A GILLEAN MD EVP/CHIEF MEDICAL OFFICER 0.0 0.0 X 869392 0 6242 LINDA K MCCLUNG EVP/CAO (THRU 8/2019) 0.0 0.0 X 864727 0 5617 RYAN THOMPSON SVP REVENUE CYCLE 40.0 0.0 X 665464 0 193451 GABRIELA SAENZ SVP Corp Services 40.0 0.0 X 693366 0 122486 STEPHEN WRIGHT PRES/CEO-LA MINS (THRU 10/18) 0.0 0.0 X 711838 0 15976 IRMA PENALOZA Asst. Corp Sec 40.0 0.0 X 423085 0 83484 J LINDSEY BRADLEY JR Director 1.0 0.0 X 435151 0 0 MARIA ESTELA CHAPA CCTO SPOHN 40.0 0.0 X 375518 0 403 NANCY RODILL DIR OF GOV, ACS (EFF 3/2020) 40.0 0.0 X 160850 0 7864 KAREN OLIVER ASST. CORP SEC 40.0 0.0 X 93222 0 11545 KELLY KLIBERT DIR. OF GOVERNANCE (THRU 2/20) 8.0 32.0 X 24178 0 1366 DAVID STRONG DIRECTOR/VICE CHAIR 1.0 0.0 X X 17508 0 0 MARICELA SIEWCZYNSKI MOORE DIRECTOR/CHAIR 1.0 0.0 X X 17458 0 0 BILL CHEN Director 1.0 0.0 X 15133 0 0 CLARENCE R WILLIAMS Board Director (thru 12/2020) 1.0 0.0 X 13258 0 0 GEORGE BO-LINN MD Director (thru 12/2020) 1.0 0.0 X 12967 0 0 CHERYL ALSTON Director 1.0 0.0 X 12508 0 0 Alide Chase Director 1.0 0.0 X 12508 0 0 FATHER STEPHEN WORSLEY Director 1.0 0.0 X 12133 0 0 J LYNN BRITTON Director (thru 12/2020) 1.0 0.0 X 11842 0 0 KEVIN J ROY DBA Director 1.0 0.0 X 9883 0 0 ARTHUR SOUTHAM MD DIRECTOR 1.0 0.0 X 5608 0 0 PATRICIO DONOSO IBANEZ Director (thru 01/2021) 1.0 0.0 X 5270 0 0 SISTER CHRISTINA MURPHY DIRECTOR 1.0 0.0 X 0 0 0 SISTER LORETTA FELICI DIRECTOR 1.0 0.0 X 0 0 0 SISTER YOLANDA TARANGO DIRECTOR 1.0 0.0 X 0 0 0 55683957 0 20576212 742 true true false HOSPITAL HOUSEKEEPING SYSTEM 12495 Silver Creek Rd DRIPPING SPRINGS TX 78620 HOUSEKEEPING SVCS 64901626 SOUND PHYSICIANS 2020 N Central Ave PHOENIX AZ 85004 PHYSICIANS SVCS 37944312 DELOITTE CONSULTING LLP 30 ROCKEFELLER PLAZA NEW YORK NY 10112 CONSULTING SERVICES 17910309 MAXOR NATIONAL PHARMACY SERVICES CO 320 S Polk St 200 AMARILLO TX 79101 PHARMACY SVCS 13909562 GJERSET AND LORENZ LLP 2801 Va Fortuna 500 AUSTIN TX 78746 LEGAL SVCS 11675815 727 60000000 2619 60002619 INFORMATION SERVICE 900099 210322305 210322305 SYSTEM OFFICE FEE 900099 138395976 138395976 INSURANCE PREMIUM 900099 132564625 132564625 CAPITATION REVENUE 621400 49872021 49872021 MANAGEMENT FEES 900099 30709303 30709303 55768148 55077706 690442 617632378 100365428 100365428 0 178872 178872 0 0 0 0 0 1460585748 1404620440 55965308 55965308 55965308 0 0 0 0 0 0 512938 344236 168702 168702 PATIENT FINANCIAL SERVICES 900099 52199849 52199849 ALL OTHER REVENUE 900099 71383011 71383011 123582860 957896167 740524796 690442 156678310 X 1614568 1614568 0 0 0 77287275 33754128 43478942 54205 5779754 2524226 3251474 4054 238019357 103951598 133900825 166934 5891268 5821920 69348 0 4142751 3445224 727421 -29894 18276209 9443874 8819837 12498 0 3680175 211032 3469143 4729669 4271899 457770 891894 891894 0 2627848 2627848 155840651 119446747 36393904 0 0 103987985 68873718 35114258 9 0 0 7809976 6320324 1489652 4957835 1323681 3634040 114 0 2040663 94142 1946521 6409424 4020756 2388668 0 23624081 5800825 17823256 102609463 105906178 -3296715 SWAP FINANCING COST 13337960 0 13337960 MEDICAL 544728 217603 326815 310 LOSS CONTINGENCY RESERVE 49918207 49918207 TAX EXPENSE 13743105 13743105 4293786 -710448 5004234 852058632 476331995 375518407 208230 X 669526031 690598152 0 0 0 0 405981596 49887585 0 0 0 0 15747346 101027428 2744218 5069132 55319062 54509079 328128722 179795900 139817466 148332822 895033417 890737131 205792437 307367200 182676989 616776985 19319130 1859927 138385183 161591738 2730342875 3027757179 343482667 420459979 0 0 161389541 86971173 1614823289 1573455556 0 0 0 0 0 0 0 0 386544897 416307491 2506240394 2497194199 X 208497437 514881059 15605044 15681921 224102481 530562980 2730342875 3027757179 X 105837535 -403952364 604575328 X false true X true true true X 0 0 0 107384641 60002619 167387260 558957681 840475716 651778407 831153160 617632378 3499997342 3218597 4954555 3178662 2274612 512938 14139364 0 0 562176278 845430271 654957069 940812413 678147935 3681523966 0 0 0 3681523966 61875646 96385207 46501443 31465870 100544300 336772466 569668 595523 574001 581914 501879 2822985 62445314 96980730 47075444 32047784 101046179 339595451 0 6601746 17515312 20324706 25564972 123582860 193589596 631223338 959926313 722357219 998425169 902776974 4214709013 0.87349 0.91890 0.08057 0.06390 X false true false false false false true 73633 false true 818261 891894 false LOBBYING DESCRIPTION PART 1(B): PAID STAFF AND MANAGEMENT: WITH APPROXIMATELY FOUR PAID STAFF MEMBERS FOR THE CHRISTUS HEALTH SYSTEM THAT SERVE THE ADVOCACY AND PUBLIC AND POLICY DEPARTMENT. THE DEPARTMENT REPRESENTS THE ORGANIZATION BEFORE STATE AND FEDERAL LEGISLATIVE BODIES, THE EXECUTIVE BRANCHES, AND REGULATORY AGENCIES. PART 1 (G) DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS AND LEGISLATIVE BODIES FOR ISSUES RELATED TO: EMAILS, LETTERS VIRTUAL MEETINGS AND DIRECT CONTACT TO MEMBERS OF CONGRESSIONAL AND STATE LAWMAKERS IN TX, LA, NM, AND AR TO DISCUSS: SOLE COMMUNITY PROVIDER PROGRAM, TAX REFORM, DISPROPORTIONATE SHARE HOSPITAL FUNDING, CRITICAL ACCESS HOSPITAL FUNDING, RURAL HOSPITAL ISSUES, 1115 WAIVER MEDICAID PROPOSALS, UNIFORM HOSPITAL RATE INCREASE PROGRAM, MEDICAID MANAGED CARE, HEALTH INFORMATION TECHNOLOGY AND INTEROPERABILITY, AFFORDABLE CARE ACT, FEDERAL EMERGENCY PREPAREDNESS, COVID-19, 340B DRUG PRICING PROGRAM, PRESCRIPTION DRUG PRICING, SCHOOL BASED HEALTH CLINICS, MEDICAID PROGRAM, MILITARY HEALTH, PALLIATIVE CARE, HOSPITAL PROVIDER FEES, HOSPITAL-RELATED TAX ISSUES, TRAUMA FUNDING, PEDIATRIC HOSPITAL ISSUES, ACE KIDS ACT, GRADUATE MEDICAL EDUCATION, MATERNAL HEALTH CARE, OPIOID ABUSE, ADVANCE DIRECTIVES LEGISLATION, BEHAVIORAL HEALTH ISSUES, MEDICAL MALPRACTICE CAPS AND TORT REFORM, FOSTER CARE REFORM, MEDICARE ADVANCED PAYMENTS, BOND ISSUERS, SURPRISE BILLING AND INSURANCE REFORM, STATE HOSPITAL REFORMS, COVID-19 ANTIBODY TESTING, CARES FUNDING, LIABILITY REFORM, THE FEDERAL BUREAU OF PRISONS AND VETERANS AFFAIRS UNREIMBURSED CLAIMS. PART 1 (I) OTHER ACTIVITY INCLUDES: ANNUAL FEE TO CAPWIZ TO ADMINISTER ACTION ALERT SERVER HOSTING FEE. LOBBYING FEES AS PORTION TO DUES FOR TRADE ASSOCIATIONS INCLUDING: 340B HEALTH, ACCC, AHA, ARKANSAS HOSPITAL ASSOCIATION, CHA (CHILDREN'S), CHAUSA, CHILDREN'S HOSPITAL ASSOCIATION OF TEXAS, HEALTH PLAN ALLIANCE, LALA, LHA, LNHA, NMHA PERSONAL CONNECT, PICARD GROUP (ALLIANCE), TEXAS ASSOCIATION BUSINESS, TEXAS ASSOCIATION VOLUNTARY HOSPITAL, TEXAS E-HEALTH ALLIANCE, TEXAS HOSPITAL ASSOCIATION, TEACHING HOSPITAL OF TEXAS, US FAMILY HEALTH . IN ADDITION, PAID LOBBYISTS AND CONSULTANTS TO SUPPORT THE ISSUES DESCRIBED ABOVE. Total Hours 289 executive/director level, 1.5 hours Director/Associate, 10 OTHER. 32091451 32091451 105900469 56574939 49325530 17612069 12582603 5029466 139222539 107323070 31899469 33302194 3315288 29986906 148332822 HEDGE FUNDS 307367200 F 307367200 INVESTMENT IN CONSOL SUBS 616776985 F 616776985 DEFERRED COMPENSATION 55291660 14303-DC SERP ASSETS 45673204 PREPAIDS 33956441 RIGHT OF USE ASSETS 11447141 EXECUTIVE BENEFIT PLAN ASSET 6622382 OTHER ASSETS 5475055 DEPOSITS 3125855 161591738 0 OTHER LIABILITIES 222465398 DEFERRED COMPENSATION 57756755 DC SERP LIABILITIES 45673204 LT PENSION LIABILITY 31024652 DEFERRED PAYROLL TAX 31346550 LEASE LIABILITY 18308606 FEDERAL INCOME TAXES PAYABLE 10421993 INVENTORY ADJUSTMENT 7000000 OTHER TAXES PAYABLE 636692 BOND ISSUE COSTS -8326359 416307491 X UNCERTAIN TAX POSITIONS UNDER ASC 740 FORM 990, SCHEDULE D, PART X, LINE 2 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2021 AND 2020. true South America 0 0 Program Services Program/Bus Travel 11650 North America 0 0 Program Services Program/Bus Travel 21888 Europe (Including Iceland and Greenland) 0 0 Program Services Program/Bus Travel 6627 Central America and the Caribbean 0 0 Program Services Program/Bus Travel 1462 East Asia and the Pacific 0 0 Program Services Program/Bus Travel 7975 Middle East and North Africa 0 0 Program Services Program/Bus Travel 657 0 0 0 0 50259 50259 true false true false false false ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS OUTSIDE THE US FORM 990, SCHEDULE F, PART I, LINE 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. true St Joseph Community Foundation PO BOX 6427 Paris TX 75461 311016570 501(c)(3) 15000 DONATION National Center For Missing & Exploited Children 8668 Spicewood Spring Road Austin TX 78759 521328557 501(c)(3) 10000 NCMEC PROGRAMS AND SERVICES The Halo Impact Fund 3963 Maple Ave Suite 390 Dallas TX 75219 455396591 501(c)(3) 100000 CATHOLIC FUNDRAISER Catholic Charities Of Dallas Inc 1421 Mockingbird Lane Dallas TX 75247 752745221 501(c)(3) 60000 University Of The Incarnate Word 4301 Broadway CPO 317 San Antonio TX 78209 741109661 501(c)(3) 15000 Swing in 2021 Event North Texas Food Bank 3677 Mapleshade Lane Plano TX 75075 751785357 501(c)(3) 20000 CHRISTUS DAY CELEBRATION Sisters Of Charity Of The Incarnate Word 4503 Broadway Street San Antonio TX 78209 237152879 501(c)(3) 100000 COLLABORATIVE MINISTRY INITIATIVE Family Counseling Service 3833 South Staples Suite S203 Corpus Christi TX 78411 741321308 501(c)(3) 25000 MENTAL HEALTH CARE SERVICES Martin Luther King Health Center 865 Olive Street Shreveport LA 71104 721079721 501(c)(3) 50000 HEALTHY WOMEN HEALTH FAMILIES PROGRAM Womens Shelter Of South Texas AKA The Purple Door PO Box 3368 Corpus Christi TX 78463 741943398 501(c)(3) 20000 SHELTER AND SUPPORTIVE SERVICES PROGRAM Central Louisiana Homeless Coalition 1515 Jackson St Alexandria LA 71301 721247718 501(c)(3) 50000 HOUSING RESOURCE CENTER PROGRAM Catholic Charities Of Southeast Texas 3959 Gulfway Drive Port Arthur TX 77642 741900345 501(c)(3) 100000 MARKET TO HOPE PROGRAM David Raines Community Health Center Inc 3041 Martin Luther King JR Drive Shreveport LA 71107 582000630 501(c)(3) 50000 MOBILE MEDICAL CLINIC Texas State Aquarium 2710 North Shoreline Corpus Christi TX 78402 237044950 501(c)(3) 50000 PROGRAM SUPPORT Casa Of Northeast Texas Inc PO Box 1546 Texarkana TX 75504 752352271 501(c)(3) 50000 SANE PROGRAM EXPANSION San Antonio Food Bank 5200 Enrique M Barrera Parkway San Antonio TX 78227 742122979 501(c)(3) 100000 PROGRAM SUPPORT Louisiana Public Health Institute 1515 Poydras Street Suite 1200 New Orleans LA 70112 721379921 501(c)(3) 50000 PROGRAM SUPPORT Central Louisiana Economic Development Alliance 900 Fourth Street Suite 300 Alexandria LA 71301 651267691 501(c)(3) 100000 PROGRAM SUPPORT Coastal Bend Center For Independent Living 1537 Seventh Street Corpus Christi TX 78404 742878070 501(c)(3) 100000 MOBILITY OPTIONS PROGRAM Friendship Club 1316 Apache Avenue Santa Fe NM 87505 850324089 501(c)(3) 50000 PROGRAM SUPPORT Neighbor For Neighbor Inc 505 East 36th Street North Tulsa OK 74106 730776404 501(c)(3) 50000 NUTRITION, OBESITY, AND FOOD INSECURITY PROGRAM Esperanza Shelter For Battered PO Box 5701 Santa Fe NM 87502 850313174 501(c)(3) 100000 TRANSITIONAL HOUSING PROGRAM Carevide (Community Health Service Agency) PO Box 1908 Greenville TX 75403 751528614 501(c)(3) 100000 HEALTHY HOPKINS' KIDS INITIATIVE The New Mexico Suicide Intervention Project PO Box 6004 Santa Fe NM 87502 850427990 501(c)(3) 50000 PROGRAM SUPPORT The Food Bank Of Central Louisiana 3223 Baldwin Avenue Alexandria LA 71301 721154072 501(c)(3) 50000 GOOD FOOD PROJECT Ark-Tex Council Of Governments 4808 Elizabeth Street Texarkana TX 75503 751293383 501(c)(3) 60000 PROGRAM SUPPORT Dallas Area Interfaith Sponsoring Committee 1104 Lupo Dr Dallas TX 75207 752409130 501(c)(3) 100000 HEALTHCARE FOR LOW-INCOME RESIDENTS Heart House Dallas PO Box 823162 Dallas TX 75382 752898097 501(c)(3) 35000 HEAD, HEART & HANDS PROGRAM E Tx Veterans Community Council Camp V PO Box 392 Flint TX 75762 824140973 501(c)(3) 50000 VETERAN WELLNESS PROGRAM Twelve Way Foundation PO Box 607 Marshall TX 75671 412131469 501(c)(3) 50000 OUTPATIENT PROGRAM Family Service 702 San Pedro San Antonio TX 78212 741117341 501(c)(3) 50000 KIDSHARE SAFEHAVEN PROGRAM Sabine Valley Regional Mhmr Center Dba Community H 107 Woodbine Longview TX 75601 751724017 501(c)(3) 50000 PROGRAM SUPPORT Path People Attempting To Help 402 W Front Street Tyler TX 75702 752033113 501(c)(3) 50000 PRESCRIPTION MEDICATION ASSISTANCE Catholic Charities Of The Archdiocese Of Galveston 202 West French Place San Antonio TX 78212 741109733 501(c)(3) 100000 HOMELESS PREVENTION PROGRAM East Texas Border Health Clinic (Genesis Primecare PO Box 1326 Marshall TX 75671 030538912 501(c)(3) 50000 PROGRAM SUPPORT Community Renewal International Inc PO Box 4678 Shreveport LA 71134 721213057 501(c)(3) 100000 FRIENDSHIP HOUSES Longview Arboretum & Nature Center 706 W Cotton Street Longview TX 75604 461383538 501(c)(3) 50000 PROGRAM SUPPORT Longview Community Ministries Information and Serv PO Box 1023 Longview TX 75606 752043348 501(c)(3) 100000 FOOD INSECURITY PROGRAM CHRISTUS FOUNDATION FOR HEALTHCARE 2615 FANNIN STREET HOUSTON TX 77002 611500100 501(C)(3) 25996 2020 NUN RUN ST FRANCIS CABRINI HOSPITAL FOUNDATION OF A 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720998302 501(C)(3) 15000 CABRINI GIVING CAMPA CHRISTUS ST MICHAEL FOUNDATION 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 471655865 501(C)(3) 10000 2020 FOUNDATION GALA PROGRAM HOPKINS COUNTY HEALTH CARE FOUNDATION 115 AIRPORT ROAD SULPHUR SPRINGS TX 75482 752845157 501(C)(3) 20000 DONATION SCREENINGS CHRISTUS OCHSNER SOUTHWESTERN LOUISIANA FOUNATION 524 Dr Michael Debakey Dr Lake Charles LA 70601 471496376 501(C)(3) 20000 DONATION PROGRAM CHRISTUS SANTA ROSA FRIENDS FOUNDATION 100 NORTHEAST LOOP 410 STE 706 San Antonio TX 78216 741109665 501(C)(3) 10000 FUNDRAISING EVENT PROGRAM CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER AVENUE BEAUMONT TX 77702 741461326 501(C)(3) 10000 HEALTH GRANT CENTER PROGRAMS 38 Description of Organization's Procedures for Monitoring the Use of Grants Form 990, Schedule I, Part I, LINE 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. X X X true true X X X X true true false false false false false false false ERNIE SADAU PRESIDENT & CEO 6022558 0 4843001 0 454357 0 5688034 0 8768 0 17016718 0 0 0 J LINDSEY BRADLEY JR Director 13508 0 0 0 421643 0 0 0 0 0 435151 0 0 0 STEVEN KEUER MD TMF CHIEF FINANCIAL OFFICER 657385 0 344310 0 171605 0 173065 0 8886 0 1355251 0 0 0 RANDY SAFADY EVP/ CHIEF FINANCIAL OFFICER 3225439 0 2070967 0 1475 0 1951057 0 20324 0 7269262 0 0 0 GEORGE S CONKLIN SVP-CIO (THRU 12/2019) 223878 0 196560 0 640884 0 214387 0 516 0 1276225 0 0 0 JOHN A GILLEAN MD EVP/CHIEF MEDICAL OFFICER 0 0 0 0 869392 0 6242 0 0 0 875634 0 0 0 GERARD F HEELEY SR VP MISSION AND ETHICS 1478443 0 1100228 0 318168 0 1128310 0 5953 0 4031102 0 0 0 MARTY MARGETTS EVP/CAO 2636929 0 1692659 0 92245 0 2122507 0 17930 0 6562270 0 0 0 JEFFREY M PUCKETT EVP/COO 3561985 0 2200456 0 304250 0 3000239 0 12980 0 9079910 0 0 0 LINDA K MCCLUNG EVP/CAO (THRU 8/2019) 0 0 0 864727 0 5279 0 338 0 870344 0 0 0 PAUL D GENERALE EVP/Chief Strategy Officer 2619435 0 1734975 0 188754 0 2191452 0 10864 0 6745480 0 0 0 STEPHEN WRIGHT PRES/CEO-LA MINS (THRU 10/18) 0 0 0 0 711838 0 15976 0 0 0 727814 0 0 0 CHRISTOPHER KARAM SR VP & REG CEO 1118010 0 292267 0 266801 0 551737 0 8773 0 2237588 0 0 0 DOMINIC DOMINGUEZ SVP-GROUP OPERATIONS SO TX 709284 0 394349 0 145310 0 190137 0 9300 0 1448380 0 0 0 M SHANNON STANSBURY SVP POPULATION HEALTH 468157 0 284034 0 183234 0 157710 0 7710 0 1100845 0 0 0 ALEJANDRO CANAVATI CEO, CRP CHILE OPERATIONS 495361 0 259000 0 148113 0 116167 0 6164 0 1024805 0 0 0 CHARLES T HANKINS SVP Pediatrics and CMO, CHOSA 573906 0 362886 0 157571 0 162424 0 19579 0 1276366 0 0 0 CRIS C DASKEVICH SVP Maternal Svcs & CEO, CHOSA 570451 0 362886 0 0 0 162424 0 21744 0 1117505 0 0 0 DEBRA PASLEY SVP, CNO 425320 0 248620 0 119563 0 0 0 6349 0 799852 0 0 0 FADI NASRALLAH SVP CMO TRINITY CLINIC 674591 0 359114 0 0 0 178858 0 13089 0 1225652 0 0 0 GABRIELA SAENZ SVP Corp Services 392348 0 229881 0 71137 0 114634 0 7852 0 815852 0 0 0 IRMA PENALOZA Asst. Corp Sec 288900 0 133535 0 650 0 65754 0 17730 0 506569 0 0 0 J CHRIS GLENNEY SVP GROUP OPERATIONS NETX 837158 0 348204 0 650 0 311373 0 13351 0 1510736 0 0 0 JEANNIE FREY SVP CHIEF LEGAL OFFICER 918264 0 400318 0 0 0 243469 0 10331 0 1572382 0 0 0 JON MANIS SVP CIO 605203 0 355162 0 1876 0 166772 0 12882 0 1141895 0 0 0 KIM REYNOLDS SVP FINANCE 504539 0 253947 0 56447 0 239489 0 6041 0 1060463 0 0 0 KIMBERLY KING WEBB SVP CHIEF HR OFFICER 421561 0 249138 0 32501 0 120466 0 71889 0 895555 0 0 0 MARIA ESTELA CHAPA CCTO SPOHN 0 0 0 0 375518 0 403 0 0 0 375921 0 0 0 MARK ANDERSON CMO, CRP TMF Health System 738524 0 262691 0 11749 0 202519 0 73116 0 1288599 0 0 0 NANCY RODILL DIR OF GOV, ACS (EFF 3/2020) 115266 0 15000 0 30584 0 1866 0 5998 0 168714 0 0 0 OSBERT BLOW PRESIDENT/ CMO CHRISTUS SPOHN 612746 0 272489 0 650 0 177249 0 20875 0 1084009 0 0 0 RYAN THOMPSON SVP REVENUE CYCLE 440482 0 221981 0 3001 0 177101 0 16350 0 858915 0 0 0 SAM BAGCHI MD EVP/CMO 941560 0 1399264 0 1224 0 497725 0 16109 0 2855882 0 0 0 SCOTT SMITH SVP TRINITY CLINIC 635755 0 346176 0 15500 0 140903 0 18355 0 1156689 0 0 0 TINA BARKER SVP STRATEGY MARKETING & DIG 421996 0 249827 0 92264 0 125679 0 12374 0 902140 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, QUESTION 1A & SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. FIRST CLASS TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A CERTAIN EXECUTIVES AND BOARD MEMBERS WERE REIMBURSED UNDER AN ACCOUNTABLE PLAN FOR FIRST CLASS TRAVEL. COMPANION TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. DETERMINATION OF CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 3 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 A BI-ANNUAL COMPENSATION SURVEY. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION. SEVERANCE PAYMENTS FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUAL(S) RECEIVED A SEVERANCE PAYMENT: JOHN A. GILLEAN, M.D. - $ 868,400 LINDA K. MCCLUNG - $ 864,994 George S. Conklin - $ 637,560 Stephen F. Wright - $ 536,157 J. LINDSEY BRADLEY - $ 421,643 Maria E. Chapla - $ 367,334 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. BONUS AND INCENTIVE COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2020. DEFERRED COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 FORM 990, SCHEDULE J, PART II, COLUMN (F) THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE THE PAYMENTS REPORTED AS REPORTABLE COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) TO THE EXTENT THAT SUCH PAYMENTS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE A RESULT OF PARTICIPATION IN THE FOLLOWING NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS: PENSION RESTORATION PLAN, DEFERRED INCOME ACCOUNT AND SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN. A HARRIS COUNTY HEALTH FACILITIES DEV CORP 521284201 41315RFV1 2005-11-08 360620000 SEE SCH K, PART VI true false false B HARRIS COUNTY HEALTH FACILITIES DEV CORP 521284201 41315RHY3 2010-12-09 96654505 SEE SCH K, PART VI false false false C COASTAL BEND HEALTH FACILITIES DEV CORP 742352502 19042FAB2 2005-11-08 61300000 SEE SCH K, PART VI false false false D LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546399HA7 2018-10-30 70942111 SEE SCH K, PART VI false false false A 234095000 7875000 320968858 0 0 0 1687416 4733000 0 3624407 310924036 0 2009 false true true true B 70175000 0 96654505 0 0 0 0 0 4505 0 96650000 0 true false true true C 22125000 0 62858342 0 0 0 337093 914000 393273 18182274 43031702 0 2009 true false true true D 2730000 0 72147582 0 0 0 0 0 0 27043423 30942111 14162048 true false false true A false false true true true true 0.00100 0.00000 0.00100 false false false true B false false true true true true 0.00000 0.00000 0.00000 false false false true C false false true true true true 0.00100 0.00000 0.00100 false false false true D false false true true true true 0.00100 0.00000 0.00100 false false false true A false false false true true false 0 false 0 false true B false false false true false false 0 false 0 true true C false false false true true false 0 false 0 true true D false true false false false false 0 false 0 false true A true B true C true D true SCHEDULE K, PART I FORM 990, SCHEDULE K, PART I, PAGE 1 A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. FORM 990, SCHEDULE K, PART I, PAGE 2 A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). B. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (AUGUST 12, 2009). FORM 990, SCHEDULE K, PART I, PAGE 3 A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH INCLUDE ONE OR MORE ACUTE CARE HOSPITALS. FORM 990, SCHEDULE K PART II, PAGE 1 A. LINE 3. INVESTMENT EARNINGS = $348,878 C. LINE 3. INVESTMENT EARNINGS = $1,558,342 D. LINE 3. INVESTMENT EARNINGS = $1,205,471 FORM 990, SCHEDULE K, PART II, PAGE 2 A. LINE 3. INVESTMENT EARNINGS = $1,094,058 B. LINE 3. INVESTMENT EARNINGS = $3,100,962 C. LINE 3. INVESTMENT EARNINGS = $971 D. LINE 3. INVESTMENT EARNINGS = $7,003 LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS. FORM 990, SCHEDULE K PART IV, PAGE 1 A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23, 2019. B. LINE 2C - REBATE COMPUTATION PERFORMED MARCH 16, 2021. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23, 2019. FORM 990, SCHEDULE K PART IV, PAGE 2 A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 1, 2019. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 22, 2019. D. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2020. A LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546398C71 2009-08-12 231654638 SEE SCH K, PART VI false false false B Tarrant County Cultural Education Fac Fin Corp 043833551 87638TGN7 2018-10-30 481651366 SEE SCH K, PART VI false false false C Tarrant County Cultural Education Fac Fin Corp 043833551 87638TDF7 2008-12-19 268560000 SEE SCH K, PART VI false false false D Louisiana Public Facilities Authority 720895871 546399GC4 2019-04-02 53021204 SEE SCH K, PART VI false false false A 167200000 0 232748696 0 0 0 0 0 4138 0 232744558 0 true false true true B 17460000 0 484752328 0 0 0 0 0 0 341244062 121651366 21856900 true false false true C 109350000 0 268560971 0 0 0 1638195 235297 0 0 266687479 0 true false true true D 0 0 53021204 0 0 0 0 0 0 0 53021204 0 true false true true A false true true true true true 0.00100 0.00000 0.00100 false false false true B false false true true true true 0.00100 0.00000 0.00100 false false false true C false true true true true true 0.00200 0.00000 0.00200 false false false true D false true true true true true 0.00300 0.00000 0.00300 false false false true A false false false true true false 0 false 0 true true B false true false false false false 0 false 0 true true C false false false true true true Citibank 39.7 false false false 0 true true D false true false false false false 0 false 0 false true A true B true C true D true A TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 000000000 2016-10-03 174304000 SEE SCH K, PART VI false false false A 32325000 0 174304000 0 0 0 0 0 0 174165274 138726 0 2016 false false true true A false true false true true 0.03600 0.00000 0.03600 false false false true A false false false true true false 0 false 0 false true A true Roy Alston Husband of Cheryl Alston 333039 See Part V false SCHEDULE L, PART IV, COLUMN D BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS ROY ALSTON IS AN EMPLOYEE OF CHRISTUS HEALTH. HIS WIFE, CHERYL ALSTON IS A DIRECTOR OF CHRISTUS HEALTH. FORM 990, PAGE 1, ITEM C Doing Business As: Christus Health Service Center CHRISTUS Health System CHRISTUS Healthy Living Spa CHRISTUS Innovations Institute CHRISTUS Institute for Innovation and Advanced Clinical Care CHRISTUS St. Joseph Village CHRISTUS St. Michael Simulation Center CIIACC Marketplace Solutions Texas Health Information Network Collaborative TLRA Uniformed Services Family Health Plan US Family Health Plan USFHP DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D COMMUNITY SERVICES - POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2020 WAS $0. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO ADDRESS PREVENTION AND WELLNESS STRATEGIES FOR THE UNINSURED AND UNDERINSURED BY PROVIDING RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTH COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLE'S LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY21, $2,090,000 OF GRANT FUNDS WERE DISTRIBUTED FROM THE CHRISTUS FUND. DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, LINE 2 Officers Ernie Sadau and Randy Safady, and Key Employee John Gillean, MD have a business relationship as each served as a director on the board of Emerald Assurance Cayman, Ltd. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO, CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON, AND ONE SISTER OF THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO, CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON, and ONE SISTER OF THE Sisters of the Holy Family of Nazareth. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN-CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM PARTICIPANT WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM PARTICIPANT THAT OWNS DESIGNATED MINISTRY PROPERTY OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM PARTICIPANT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE EITHER (A) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY OR (B) THE TYPE OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2022 VIA A WEB PORTAL POLLING TOOL BY THE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C A conflict of interest questionnaire was distributed to the organization's officers and key employees during the fiscal year. The organization's Human Resources department 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. A conflict of interest questionnaire was distributed to the organization's officers, key employees and directors during the next fiscal year by the organization's Corporate Secretary. The organization's board of directors is responsible for enforcement of the conflict of interest policy of the organization. COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, LINES 15A & 15B 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. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. 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. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. 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. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 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. FUNCTIONAL EXPENSE, LINE 8, PENSION PLAN CONTRIBUTIONS FORM 990, PART IX REPORTED IN PENSION PLAN CONTRIBUTIONS IS THE PENSION EXPENSE INCURRED BY THE FILING ORGANIZATION NETTED WITH THE PENSION EXPENSE ALLOCATED TO THE FILING ORGANIZATION'S SUBSIDIARIES. PENSION EXPENSE ALLOCATED EXCEEDED THE PENSION EXPENSE INCURRED FOR FISCAL YEAR ENDING JUNE 30, 2021. CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS FORM 990, PART X, LINE 1 AND 2 OTHER ASSETS, FORM 990, PART X, LINE 15 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 INTERCOMPANY EQUITY ADJUSTMENT $ 462,749,851 RESTRICTED CONT & CHANGE IN PENSION LIABILITIES $ 105,508,543 UNRESTRICTED EQUITY IN CONSOLIDATED SUBS $ 52,311,295 CONTRIBUTED CAPITAL $ 3,514,966 UNRESTRICTED SPONSORSHIP FEES $ 549,333 NET ASSETS BOND FUNDING $ (811,464) NONCONTROLLING INTERST A $ (19,247,196) ---------------- LINE 9 TOTAL $ 604,575,328 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIR & MAINTENANCE SVCS TOTAL FEES:73999202 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:52846901 FORM 990 PART IX LINE 11G DESCRIPTION:MARKETING & CONSULTING TOTAL FEES:27141692 FORM 990 PART IX LINE 11G DESCRIPTION:LINE OF CREDIT FEES TOTAL FEES:1118659 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:734197 CH SANTA ROSA QUALITY CARE ALLIANCE LLC 919 HIDDEN RIDGE DR IRVING TX 75038 474580155 ACO TX 0 0 CH CHRISTUS LOUISIANA ACO LLC 919 HIDDEN RIDGE DR IRVING TX 75038 474592015 ACO LA 0 0 CH CH ARK-LA-TEX QUALITY CARE ALLIANCE LLC 919 HIDDEN RIDGE DR IRVING TX 75038 474599144 ACO TX 0 0 CH CHRISTUS QUALITY CARE ALLIANCE LLC 919 HIDDEN RIDGE DR IRVING TX 75038 474607533 ACO TX 0 0 CH PROMPTU IMAGING OF CORPUS CHRISTI 919 HIDDEN RIDGE DR IRVING TX 75038 813074600 IMAGING CTR. TX 0 0 ASPG PROMPTU IMAGING PLLC 919 HIDDEN RIDGE DR IRVING TX 75038 352564814 IMAGING CTR. TX 0 0 ASPG CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(C)(3) 12-TYPE II CH true CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 71101 720408982 HLTHCARE SVCS LA 501(C)(3) 3 CH true Christus Spohn Health System Corporation 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 Calder Street BEAUMONT TX 77726 760591590 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DR LAKE CHARLES LA 70601 720411322 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS Continuing Care 1700 W LOOP SOUTH SUITE 1100 HOUSTON TX 77027 742898615 HLTHCARE SVCS TX 501(C)(3) 3 CH true CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HLTHCARE SVCS TX 501(C)(3) 12-TYPE 1 CH true CHRISTUS HEALTH FOUNDATION 919 HIDDEN RIDGE DRIVE IRVING TX 75038 611500100 SUPP HTH SVCS TX 501(C)(3) 12-TYPE 1 CH true ST FRANCES CABRINI HPL FDN OF ALEXANDRIA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720998302 SUPP HTH SVCS LA 501(C)(3) 7 CNLA true CHRISTUS FOUNDATION FOR HEALTHCARE PO BOX 1919 HOUSTON TX 77251 746074210 SUPP HTH SVCS TX 501(C)(3) 7 CH true CHRISTUS FOUNDATION SHREVEPORT-BOSSIER ONE ST MARY PLACE SHREVEPORT LA 71101 721219280 SUPP HTH SVCS LA 501(C)(3) 7 NOLA true CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FD 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741906005 SUPP HTH SVCS TX 501(C)(3) 7 SPOHN HS true CHRISTUS HEALTH FDN OF SOUTHEAST TX 2830 CALDER BEAUMONT TX 77702 760136274 SUPP HTH SVCS TX 501(C)(3) 12-TYPE 1 SETX true FRIENDS OF SANTA ROSA FOUNDATION 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 742723391 SUPP HTH SVCS TX 501(C)(3) 12-TYPE 1 CSRHCC true SANTA ROSA FAMILY HEALTH CENTER 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 742806531 HLTHCARE SVCS TX 501(C)(3) 10 CSRHCC true CHRISTUS HEALTH PLAN 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 452106295 Health Plan TX 501(C)(4) CSHSC true ST FRANCES CABRINI HOSPITAL AUXILIARY 3330 MASONIC DRIVE ALEXANDRIA LA 71301 237255175 SUPP HTH SVCS LA 501(C)(3) 10 CNLA true Christus Santa Rosa Med Ctr Auxiliary 2827 Babock Road San Antonio TX 78229 731655493 SUPP HTH SVCS TX 501(C)(3) 10 CSRHCC true CHRISTUS Health Strategic Growth 919 hidden ridge drive irving TX 75038 462798043 supp hth svcs TX 501(c)(3) 12-type I CH true Christus Health Plan Louisiana 919 Hidden Ridge Dr Irving TX 75038 464617988 Medicaid HMO LA 501(c)(4) CH true Christus Pediatric Physician Group 919 Hidden Ridge Dr Irving TX 75038 465203505 Hlthcare Svcs TX 501(c)(3) 3 CH true Christus Health Latin America 919 hidden ridge drive irving TX 75038 462816604 spt hlth svcs TX 501(C)(3) 12-type 1 CH Stra Grth true Christus HEALTH International 919 hidden RIDGE drive irving TX 75038 462811167 spt hlth svcs TX 501(C)(3) 12-type 1 CH Stra Grth true CHRISTUS ST MICHAEL FOUNDATION 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 471655865 SPT HLTH SVCS TX 501(c)(3) 7 ALT true CHRISTUS ST PATRICK FOUNDATION 524 DR MICHAEL DEBAKEY DR LAKE CHARLES LA 70601 471496376 SPT HLTH SVCS LA 501(C)(3) 7 SWLA true CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS TX 75482 811708177 HLTHCARE SVCS TX 501(c)(3) 3 ch true MOTHER FRANCES HOSPITAL - 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