CHRISTUS GOOD SHEPHERD MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS GOOD SHEPHERD MEDICAL CENTER (EIN 75-0974351)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-04
IRS object ID: 202211249349301916
Schema version: 2020v4.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-04T11:42:09-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2323 VICTORY AVENUE SUITE 2000	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750974351	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christus Good Shepherd Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% LEE SONNE	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	9033154000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E MARSHALL AVE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL CHEEK	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9033151814	PhoneNum
Signature	2022-05-02	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MICHAEL	PersonFirstNm
Person Last	CHEEK	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STEPHANIE F LEW	PreparerPersonNm
PTIN	P01080011	PTIN
Phone	2149698000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	TODD HANCOCK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E MARSHALL AVE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$546,276,642	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTUSHEALTH.ORG/GOOD-SHEPHERD/LONGVIEW	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION REGARDLESS OF RACE, SEX, CREED, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2737	TotalEmployeeCnt
Total Volunteers	127	TotalVolunteersCnt
Total Gross UBI	$2,239,459	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$233,420	PYContributionsGrantsAmt
CY Contributions Grants	$589,068	CYContributionsGrantsAmt
PY Program Service Revenue	$446,973,256	PYProgramServiceRevenueAmt
CY Program Service Revenue	$491,414,892	CYProgramServiceRevenueAmt
PY Investment Income	$24,906	PYInvestmentIncomeAmt
CY Investment Income	$2,530	CYInvestmentIncomeAmt
PY Other Revenue	$8,858,421	PYOtherRevenueAmt
CY Other Revenue	$47,884,577	CYOtherRevenueAmt
PY Total Revenue	$456,090,003	PYTotalRevenueAmt
CY Total Revenue	$539,891,067	CYTotalRevenueAmt
PY Grants And Similar Paid	$161,512	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$90,373	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$155,925,938	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$189,411,838	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$210,367	CYTotalFundraisingExpenseAmt
PY Other Expenses	$274,993,906	PYOtherExpensesAmt
CY Other Expenses	$332,682,710	CYOtherExpensesAmt
PY Total Expenses	$431,081,356	PYTotalExpensesAmt
CY Total Expenses	$522,184,921	CYTotalExpensesAmt
PY Revenues Less Expenses	$25,008,647	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,706,146	CYRevenuesLessExpensesAmt
Total Assets BOY	$133,411,528	TotalAssetsBOYAmt
Total Assets EOY	$267,546,547	TotalAssetsEOYAmt
Total Liabilities BOY	$182,044,435	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$114,565,483	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$48,632,907	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$152,981,064	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION REGARDLESS OF RACE, SEX, CREED, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$442,062,256	ExpenseAmt
Grant	$90,373	GrantAmt
Revenue	$491,414,892	RevenueAmt
Desc	HELPING PREPARE FUTURE HEALTHCARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HOSPITALS AND CONSTITUES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS GOOD SHEPHERD MEDICAL CENTER (CGSMC) ASSISTS IN THE EDUCATION OF HEALTHCARE PROFESSIONALS BY PROVIDING RESIDENCIES FOR PHYSICIANS. WE TRAINED 36 INTERNAL MEDICINE RESIDENTS AND 1 EMERGENCY MEDICINE RESIDENT DURING THE FISCAL PERIOD ENDED 06/30/21. TOTAL DIRECT COST (RESIDENT STIPENDS AND BENEFITS AND OTHER CHARGES FROM THE ACADEMIC PROGRAM SPONSOR) PLUS OVERHEAD ALLOCATIONS ON THE MEDICARE COST REPORT TOTALED $518,586 WITH OFFSETTING MEDICARE GRADUATE MEDICAL EDUCATION PAYMENTS OF $605, RESULTING IN A NET COMMUNITY BENEFIT OF $517,981. ALSO, EACH YEAR CGSMC ASSISTS IN THE EDUCATION OF NURSES AND ALLIED HEALTHCARE PROFESSIONALS BY PROVIDING CLINICAL SETTINGS AND INTERNSHIPS FOR NURSES, PHYSICAL THERAPISTS, SPEECH THERAPISTS, RESPIRATORY THERAPISTS, EMT, AND LAB. EDUCATION IS PROVIDED AT BOTH THE LONGVIEW AND MARSHALL CAMPUSES. IN THE FISCAL PERIOD ENDED 06/30/21, CGSMC PROVIDED 9,214 TRAINING ENCOUNTERS FOR NURSING/ALLIED HEALTH STUDENTS AT A COST OF $518,586. DURING TAX YEAR 2016 CGSMC ENTERED INTO THREE-YEAR TERM AFFILIATION AGREEMENTS WITH A LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC). THE PURPOSE OF THESE AGREEMENTS IS TO PROVIDE ACCESSIBLE, HIGH QUALITY HEALTH CARE SERVICES, AS WELL AS UNCOMPENSATED CARE FOR PATIENTS WITH LITTLE OR NO INSURANCE, WHILE PROMOTING GENERAL PUBLIC HEALTH AND IMPROVING THE HEALTH STATUS OF CITIZENS LIVING IN MARSHALL, TEXAS. AS PART OF THESE AGREEMENTS, GSMC - MARSHALL MADE GRANTS TO COVER OPERATING SHORTFALLS OF FAMILY PRACTICE AND PEDIATRIC CLINICS OF FQHC-OPERATED CLINICS IN MARSHALL. CASH CONTRIBUTIONS TOTALLING $59,621 WERE MADE TO THE FQHC DURING THE CURRENT TAX YEAR TO COVER SUCH LOSSES. IN TAX YEAR 2017 A GRANT AGREEMENT WAS MADE WITH A LONGVIEW FQHC TO PROVIDE GRANTS TO PROVIDE COST-EFFECTIVE WOMEN AND CHILDREN'S SERVICES AND UNCOMPENSATED CARE FOR PATIENTS WITH LITTLE OR NO INSURANCE. PAYMENTS OF $458,965 WERE MADE TO THE LONGVIEW FQHC DURING THE CURRENT YEAR. (THE AFFILIATIONS WITH THE FQHCS HELPED TO ADDRESS COMMUNITY NEED #2 "PRIMARY CARE ACCESS") DURING THE YEAR, GSMC HAD 106,937 ED VISITS, 4,337 IN-PATIENT SURGERIES, 15,312 OUT-PATIENT SURGERIES, ADMITTED 17,637 PATIENTS, AND PROVIDED 335,535 WITH OUT-PATIENT CARE.	Desc
Total Program Service Expenses	$442,062,256	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	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	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	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	179	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2737	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	18	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LEE SONNE	PersonNm
Phone	4692822000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JEFF PUCKETT
BOARD DIRECTOR (AS OF 01/2021)	14.0	26.0	Yes (X)	$0	$6,066,691	$3,013,219
CHRIS GLENNEY
BOARD DIRECTOR (AS OF 01/2021)	12.0	28.0	Yes (X)	$0	$1,186,012	$324,724
STEVEN KEUER MD
BOARD DIRECTOR (AS OF 01/2021)	10.0	30.0	Yes (X)	$0	$1,173,300	$181,951
MARK ANDERSON MD
BOARD DIRECTOR (AS OF 01/2021)	10.0	30.0	Yes (X)	$0	$1,012,965	$275,635
TODD HANCOCK
SYSTEM PRESIDENT/CEO	9.0	31.0	Yes (X)	$0	$825,590	$226,231	Yes (X)
KEN CUNNINGHAM
VP GEN COUNSEL (THRU 12/2020)	0.0	40.0		$0	$508,989	$73,195		Yes (X)
MICHAEL CHEEK
CFO (THRU 12/2020)	0.0	40.0	Yes (X)	$0	$456,944	$100,844	Yes (X)
RICKY A PAUL MD
FORMER BOARD MEMBER	30.0	10.0		$0	$529,097	$22,113			Yes (X)
SHELLY JOHNSON
VP OPERATIONS	40.0	0.0		$0	$363,120	$46,664		Yes (X)
DANIEL D SMITH
CRNA	40.0	0.0		$327,889	$0	$23,557				Yes (X)
BRETT KINMAN
Administrator - Marshall	40.0	0.0		$0	$324,169	$25,813		Yes (X)
TERESA HALCOMB
CNO Longview	40.0	0.0		$0	$325,051	$22,539		Yes (X)
LEE A HOLLADAY
CRNA Team Lead	40.0	0.0		$303,303	$0	$23,224				Yes (X)
ZACKARY G LISTER
CRNA Team Lead	40.0	0.0		$292,642	$0	$21,036				Yes (X)
DOUGLAS WHITLOW
CRNA	40.0	0.0		$280,147	$0	$19,795				Yes (X)
RANDY YOUNG
CRNA	40.0	0.0		$261,509	$0	$22,825				Yes (X)
JOHN MCDONALD DO
MEDICAL STAFF (THRU 12/2016)	0.0	40.0		$0	$240,803	$12,127			Yes (X)
ORAN FERRELL
VP PHYSICIAN SERVICES	30.0	10.0		$0	$212,378	$5,932		Yes (X)
MICHAEL ADAMSON
VP MISSION INTEGRATION	40.0	0.0		$0	$170,835	$0		Yes (X)
JAMIE JACK
SECRETARY (THRU 12/2020)	2.0	38.0		$128,939	$0	$6,999	Yes (X)
VALARIE ALLMAN MD
MED STAFF PRES.	8.0	32.0		$0	$119,347	$8,395		Yes (X)
AMANDA SMITH
CORP SECRTRY (AS OF 01/2021)	14.0	26.0		$0	$51,432	$4,966	Yes (X)
BILL CHEN PhD
BOARD DIRECTOR (AS OF 01/2021)	8.0	0.0	Yes (X)	$0	$15,133	$0
R BLAIR ABNEY
BOARD CHAIRMAN (THRU 12/2020)	10.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
KEITH HONEY
BOARD MEMBER (THRU 12/2020)	11.0	0.0	Yes (X)	$0	$0	$0
TED HUFFHINES
VICE CHAIRMAN (THRU 12/2020)	10.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
MITTIE HUTCHINS
BOARD MEMBER (THRU 12/2020)	12.0	0.0	Yes (X)	$0	$0	$0
HOMER ROCKMORE
BOARD MEMBER (THRU 12/2020)	5.0	0.0	Yes (X)	$0	$0	$0
JULIE SIMMONS
BOARD SECRETARY (THRU 12/2020)	8.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
LINDA THOMAS
BOARD MEMBER (THRU 12/2020)	8.0	0.0	Yes (X)	$0	$0	$0
FABER WHITE MD
MED.STF PRES. (THRU 12/2020)	9.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JOE BOB BURGIN
BOARD DIRECTOR (AS OF 01/2021)	8.0	0.0	Yes (X)	$0	$0	$0
RANDY CHILDRESS
BOARD DIRECTOR (AS OF 01/2021)	8.0	0.0	Yes (X)	$0	$0	$0
JEAN COLEMAN
BOARD DIRECTOR (AS OF 01/2021)	8.0	0.0	Yes (X)	$0	$0	$0
SHANNON DACUS
BOARD DIRECTOR (AS OF 01/2021)	8.0	0.0	Yes (X)	$0	$0	$0
SISTER RITA FANNING
BOARD DIRECTOR (AS OF 01/2021)	8.0	0.0	Yes (X)	$0	$0	$0
MIKE HALLUM
BOARD DIRECTOR (AS OF 01/2021)	1.0	0.0	Yes (X)	$0	$0	$0
FRED HARRIS JR
BOARD DIRECTOR (AS OF 01/2021)	12.0	0.0	Yes (X)	$0	$0	$0
SONJA YATES HUBBARD
BOARD DIRECTOR (AS OF 01/2021)	8.0	0.0	Yes (X)	$0	$0	$0
JEB JONES
BOARD DIRECTOR (AS OF 01/2021)	12.0	0.0	Yes (X)	$0	$0	$0
SISTER GUADALUPE RUIZ
BOARD DIRECTOR (AS OF 01/2021)	8.0	0.0	Yes (X)	$0	$0	$0
PRESTON SMITH
BOARD DIRECTOR (AS OF 01/2021)	14.0	0.0	Yes (X)	$0	$0	$0
DICK STONE
BOARD DIRECTOR (AS OF 01/2021)	14.0	0.0	Yes (X)	$0	$0	$0
KELLYN DRAYER
BOARD MEMBER (THRU 12/2020)	10.0	0.0	Yes (X)	$0	$0	$0
GAYLE ENGLISH
BOARD MEMBER (THRU 12/2020)	11.0	0.0	Yes (X)	$0	$0	$0
THOMAS TIBILETTI
DIRECTOR (THRU 12/2020)	1.0	0.0	Yes (X)	$0	$0	$0
TRUNG NGUYEN MD
MED STAFF VP (THRU 12/2020)	5.0	0.0	Yes (X)	$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,594,429	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,581,856	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,461,784	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	138	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HHS Environmental Services LLC
PO Box 734367	DALLAS	TX	753734367	Housekeeping Service	$2,266,707
OBHG Texas Holdings PA
777 Lowndes Hill Rd Bldg 1	GREENVILLE	SC	29606	Hospitalist Services	$1,819,361
American Physician Partners
5121 Maryland Way Ste 300	BRENTWOOD	TN	37027	ER Physician Service	$1,776,130
Aramark Chicago Lockbox
27310 Network Place	CHICAGO	IL	606731273	Dietary Services	$1,640,114
Renal Treatment Centers - Southeast
PO Box 781607	PHILADELPHIA	PA	191781607	Hemodialysis Service	$1,494,350

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	68	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$338,868	RelatedOrganizationsAmt
Government Grants	$250,200	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$589,068	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621990	$487,406,619	$485,178,989	$2,227,630	$0
IC SHARED SERVICE OH REVENUE	900099	$55,370	$55,370	$0	$0
LIFE WELLNESS CENTER	713940	$1,941,710	$1,929,881	$11,829	$0
ALL OTHER PROGRAM SERVICE REVENUE	900099	$2,011,193	$2,011,193	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$491,414,892	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$752	TotalRevenueColumnAmt
Exclusion	$752	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,387,594	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$6,385,575	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,002,019	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,002,019	TotalRevenueColumnAmt
Exclusion	$1,002,019	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,778	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$1,778	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,778	TotalRevenueColumnAmt
Exclusion	$1,778	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHYSICIAN SUPPORT SERVICE	900099	$44,925,077	$0	$0	$44,925,077
INSURANCE CLAIM EXP REVENUE	900099	$1,121,358	$0	$0	$1,121,358
FOOD SERVICE	722221	$37,943	$0	$0	$37,943

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$798,180	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$798,180	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$46,882,558	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$539,891,067	TotalRevenueColumnAmt
Related Or Exempt Func Income	$489,175,433	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,239,459	UnrelatedBusinessRevenueAmt
Exclusion	$47,887,107	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	$90,373	TotalAmt
Program Services	$90,373	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	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	$135,938	TotalAmt
Program Services	$121,590	ProgramServicesAmt
Management And General	$14,290	ManagementAndGeneralAmt
Fundraising	$58	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$158,764,699	TotalAmt
Program Services	$142,007,543	ProgramServicesAmt
Management And General	$16,688,977	ManagementAndGeneralAmt
Fundraising	$68,179	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,021,464	TotalAmt
Program Services	$2,243,049	ProgramServicesAmt
Management And General	$776,661	ManagementAndGeneralAmt
Fundraising	$1,754	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,256,262	TotalAmt
Program Services	$11,689,825	ProgramServicesAmt
Management And General	$6,566,393	ManagementAndGeneralAmt
Fundraising	$44	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,233,475	TotalAmt
Program Services	$8,229,331	ProgramServicesAmt
Management And General	$998,722	ManagementAndGeneralAmt
Fundraising	$5,422	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$69,765	TotalAmt
Program Services	$69,765	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$153,833	TotalAmt
Program Services	$7,854	ProgramServicesAmt
Management And General	$145,979	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$417	TotalAmt
Program Services	$417	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$119,791,620	TotalAmt
Program Services	$101,990,269	ProgramServicesAmt
Management And General	$17,801,351	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$330,919	TotalAmt
Program Services	$106,213	ProgramServicesAmt
Management And General	$224,706	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,515,943	TotalAmt
Program Services	$11,476,659	ProgramServicesAmt
Management And General	$7,029,205	ManagementAndGeneralAmt
Fundraising	$10,078	FundraisingAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$23,683,401	TotalAmt
Program Services	$14,553,606	ProgramServicesAmt
Management And General	$9,129,809	ManagementAndGeneralAmt
Fundraising	-$14	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$151,678	TotalAmt
Program Services	$120,055	ProgramServicesAmt
Management And General	$31,623	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$101,592	TotalAmt
Program Services	$30,896	ProgramServicesAmt
Management And General	$70,697	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,534,416	TotalAmt
Program Services	$3,274,151	ProgramServicesAmt
Management And General	$260,265	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,340,919	TotalAmt
Program Services	$5,836,234	ProgramServicesAmt
Management And General	$4,504,685	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,778,991	TotalAmt
Program Services	$3,247,296	ProgramServicesAmt
Management And General	$407,178	ManagementAndGeneralAmt
Fundraising	$124,517	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$82,746,444	$78,320,775	$4,425,380	$289
BAD DEBTS	$52,663,479	$52,663,479	$0	$0
COMMUNITY BENEFIT EXPENSE	$4,671,399	$4,669,082	$2,317	$0
TAX AND FEES	$10,437,418	$58,107	$10,379,311	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,710,476	TotalAmt
Program Services	$1,255,687	ProgramServicesAmt
Management And General	$454,749	ManagementAndGeneralAmt
Fundraising	$40	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$522,184,921	TotalAmt
Program Services	$442,062,256	ProgramServicesAmt
Management And General	$79,912,298	ManagementAndGeneralAmt
Fundraising	$210,367	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,836,678	BOYAmt
EOY	$30,103,299	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$5,018,152	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,859,556	BOYAmt
EOY	$39,666,735	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	$402,247	BOYAmt
EOY	$1,300,296	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,723,434	BOYAmt
EOY	$10,121,611	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,232,808	BOYAmt
EOY	$6,349,815	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$187,543,104	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$56,752,290	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$74,773,879	BOYAmt
EOY	$130,790,814	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$132,016	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,450,910	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$44,195,825	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$133,411,528	BOYAmt
EOY	$267,546,547	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$18,839,395	BOYAmt
EOY	$34,320,468	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$45,331,075	BOYAmt
EOY	$37,565,578	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$431,962	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$117,442,003	BOYAmt
EOY	$42,679,437	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$182,044,435	BOYAmt
EOY	$114,565,483	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	-$48,714,907	BOYAmt
EOY	$152,899,064	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$82,000	BOYAmt
EOY	$82,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$48,632,907	BOYAmt
EOY	$152,981,064	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$133,411,528	BOYAmt
EOY	$267,546,547	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$17,706,146	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$25,898,125	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$82,770,066	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$75,239,634	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$417	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$417	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1G	FormAndLineReferenceDesc
Explanation	LOBBYING DESCRIPTION At the state level, had direct contact with members and staff of the Executive branch, and members of the Texas legislature and their respective staff through emails, letters, telephone calls, and meetings on issues related to Medicaid reimbursement, access to health care and state funding for safety net providers, graduate medical education, trauma network and services, local provider participation funds, opioid abuse, the Public Information Act, maternal health, children's health issues, behavioral health, Medicaid managed care, prescription drugs costs, pharmacy and prescribing authority, rural hospitals, physician relations, surprise billing, and the 1115 waiver program. At the federal level, had direct contact with members and staff through emails, letters, telephone calls and meetings to discuss issues related to safety-net providers, access to care, health care reform proposals, quality program implementation, rural hospitals, remote medical technology, 340b drug program, children's health issues, the ACE Kids Act, CHGME, Medicaid, rural health program reauthorization, and health care for veterans. WE HAVE ALSO BEEN ENGAGED WITH OUR LEGISLATORS ON ALL MATTERS RELATED TO COVID-19, WHICH INCLUDE SUCH ISSUES AS STAFFING, REMDESIVIR, EMERGENCY RULES AND ORDERS, TESTING, REPORTING REQUIREMENTS, AND PPE. 3 executive hours. CHRISTUS GOOD SHEPHERD MEDICAL CENTER DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-21.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,621,373	OtherCostOrOtherBasisAmt
Book Value	$11,621,373	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$65,408,397	OtherCostOrOtherBasisAmt
Depreciation	$14,293,014	DepreciationAmt
Book Value	$51,115,383	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,250,645	OtherCostOrOtherBasisAmt
Depreciation	$958,290	DepreciationAmt
Book Value	$3,292,355	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$100,070,772	OtherCostOrOtherBasisAmt
Depreciation	$41,500,986	DepreciationAmt
Book Value	$58,569,786	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,191,917	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$6,191,917	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$130,790,814	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ROU OPERATING ACC AMORTIZATION	$43,445,094
ASSET CLEARING	$746,161
SALES TAX PAYABLE	$4,570

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$44,195,825	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DEFERRED MEDICARE PAYABLE	$2,976,657
OPERATING LEASE LIABILITY	$39,702,780

Field	Value	IRS element (for citing)
Total Liability	$42,679,437	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE D, PART X	FormAndLineReferenceDesc
Explanation	UNCERTAIN TAX POSITIONS UNDER ASC 740 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2021 AND 2020.	ExplanationTxt

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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$35,252,613	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,252,613	NetCommunityBenefitExpnsAmt
Total Expense	0.07510	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,582,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,234,320	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,835,275	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,234,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,252,613	NetCommunityBenefitExpnsAmt
Total Expense	0.07510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	107391	PersonsServedCnt
Total Community Benefit Expns	$848,554	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$848,554	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	9214	PersonsServedCnt
Total Community Benefit Expns	$518,586	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$517,981	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	229	PersonsServedCnt
Total Community Benefit Expns	$7,744,153	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,744,153	NetCommunityBenefitExpnsAmt
Total Expense	0.01650	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	116834	PersonsServedCnt
Total Community Benefit Expns	$9,111,293	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,110,688	NetCommunityBenefitExpnsAmt
Total Expense	0.01940	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	116834	PersonsServedCnt
Total Community Benefit Expns	$86,946,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,234,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,363,301	NetCommunityBenefitExpnsAmt
Total Expense	0.09450	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$29,352	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,352	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$29,352	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,352	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$52,663,479	BadDebtExpenseAmt
Bad Debt Expense Attributable	$266,758	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$106,111,510	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$111,433,390	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,321,880	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
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	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CHRISTUS GOOD SHEPHERD MED CTR-LNGVW
1	700 E MARSHALL AVE	LONGVIEW	TX	75601	www.christushealth.org/good-shepherd	000020	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CHRISTUS GOOD SHEPHERD MED CTR-MRSHLL
2	811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	WWW.CHRISTUSHEALTH.ORG/GOOD-SHEPHERD	000020	Yes (X)	Yes (X)		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	12	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	19	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	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	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.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	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
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	CHRISTUS GOOD SHEPHERD MEDICAL CENTER (CGSMC) ENGAGED TEXAS HEALTH INSTITUTE (THI), A NON-PROFIT, NON-PARTISAN PUBLIC HEALTH INSTITUTE, TO CONDUCT A CHNA. FIRST, THI CONDUCTED KEY INFORMANT INTERVIEWS OF RESIDENTS LIVING IN THE REPORT AREA AND WHO POSSESS KNOWLEDGE ABOUT THE REGION'S HEALTH-RELATED CHALLENGES. FOR EXAMPLE, KEY STAKEHOLDERS INCLUDED NONPROFIT LEADERS, HEALTH DEPARTMENT AUTHORITIES, UNIVERSITY AND COLLEGE LEADERS, HEALTHCARE PROVIDERS OR LEADERS, HUMAN SERVICES PROVIDERS, LOCAL AND STATE AGENCIES, PEOPLE REPRESENTING DISTINCT GEOGRAPHIC AREAS AND PEOPLE REPRESENTING DIVERSE RACIAL/ETHNIC GROUPS. ALL INTERVIEWS WERE CONDUCTED USING A STANDARD QUESTIONNAIRE DEVELOPED BY THI. FOLLOWING THE KEY INFORMANT INTERVIEWS, A FOCUS GROUP WAS DEVELOPED TO OBTAIN CLARITY AROUND NEEDS AND CONCEPTS PROPOSED FOR INCLUSION IN THE CHNA. THE FOCUS GROUP REPRESENTED DIVERSE POPULATION GROUPS, OCCUPATIONS, AND HEALTHCARE OR RELATED SERVICE PROVIDERS (E.G., CLINICS, COMMUNITY ORGANIZATIONS AND SOCIAL SERVICE AGENCIES). THE GROUP FOLLOWED A SEMI-STRUCTURED PROTOCOL INTENDED TO ELICIT RESPONSES ALIGNED WITH THE FOLLOWING OBJECTIVES: 1. IDENTIFY SIGNIFICANT HEALTH NEEDS 2. IDENTIFY COMMUNITY RESOURCES TO MEET ITS HEALTH NEEDS 3. IDENTIFY BARRIERS AND REASONS FOR UNMET NEEDS 4. IDENTIFY SUPPORTS, PROGRAMS, AND SERVICES THAT WOULD HELP IMPROVE THE NEEDS OR ISSUES SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER FACILITIES GOOD SHEPHERD HEALTH SYSTEM OPERATES HOSPITALS IN LONGVIEW AND MARSHALL. THE CHNA WAS CONDUCTED TO INCLUDE BOTH OF THE FOLLOWING SYSTEM HOSPITAL FACILITIES: THE GOOD SHEPHERD HOSPITAL, INC. (D/B/A GOOD SHEPHERD MEDICAL CENTER) HARRISON COUNTY HOSPITAL ASSOCIATION (D/B/A GOOD SHEPHERD MEDICAL CENTER - MARSHALL) SCHEDULE H, PART V, SECTION B, LINE 7A THE FULL CHNA REPORT IS LOCATED AT: https://www.christushealth.org/-/media/files/chip/christus-good-shepherd-l ongview-chna-2019.ashx?la=en SCHEDULE H, PART V, SECTION B, LINE 10A THE FULL CHNA IMPLEMENTATION STRATEGY REPORT IS LOCATED AT: https://www.christushealth.org/-/media/about/christus-good-shepherd-chip 2019.ashx?la=en
SCHEDULE H, PART V, SECTION B, LINE 11	THE FOLLOWING PRIORITIZED COMMUNITY NEEDS WERE IDENTIFIED THROUGH THE CHNA: 1. MENTAL HEALTH 2. PRIMARY CARE ACCESS 3. HEALTH SYSTEMS PERFORMANCE 4. HOMELESSNESS 5. EMPLOYMENT SPECIFIC HOSPITAL SERVICES AND PROGRAMS IN PLACE DURING 2020 TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS ARE AS FOLLOWS: 1) MENTAL HEALTH MENTAL HEALTH IS CONSIDERED THE NUMBER ONE COMMUNITY NEED IN NORTHEAST TEXAS, MUCH LIKE THE REST OF THE STATE OF TEXAS. SERVICES FOR PATIENTS AND THEIR FAMILIES HAVE LONG WAIT TIMES FOR APPOINTMENTS, SCARCE INPATIENT CARE OPTIONS AND AVAILABILITY, AND INSUFFICIENT MENTAL HEALTH PROFESSIONALS IN THE REGION. THE CHNA REPORT AREA ALSO HAS A GROWING NUMBER OF YOUNG PEOPLE AND AGING ADULTS WHO REQUIRE SERVICES WITH VERY LITTLE ACCESS OR AVAILABILITY. WITHIN THE RURAL COMMUNITIES THERE IS A RECURRING THEME OF DRUG ABUSE, PARTICULARLY WITH METHAMPHETAMINES AND OPIOIDS. HOSPITAL EMERGENCY PSYCHIATRIC EVALUATION AND STABILIZATION SERVICES EMPLOY A FULL-TIME PSYCHIATRIST AND ADMINISTRATIVE DIRECTOR OF BEHAVIORAL HEALTH TO LEAD PSYCHIATRIC TRAINED REGISTERED NURSES AND BEHAVIORAL HEALTH TECHNICIANS STAFFED IN THE EMERGENCY DEPARTMENT. TOGETHER THIS TEAM PROVIDES CARE FOR PATIENTS PRESENTING TO THE HOSPITAL FOR EMERGENT PSYCHIATRIC CARE. THE HOSPITAL PSYCHIATRIST AND CONTRACTED TELEHEALTH PSYCHIATRISTS CONDUCT PSYCHIATRIC EVALUATIONS. THE REGISTERED NURSES IN CONCERT WITH COMMUNITY HEALTH CORE ASSIGNED SOCIAL WORKERS AND/OR THERAPISTS ARRANGE PLACEMENT FOR NEXT LEVELS OF CARE. MENTAL HEALTH EMERGENCY PATIENTS - CONTINUED UTILIZATION OF PREFERRED PSYCHIATRIC ROOMS IN THE EMERGENCY ROOM. THERE ARE DESIGNATED INPATIENT PREFERRED ROOMS FOR PSYCHIATRIC PATIENTS ON W300 MEDICAL UNIT (W338, W339, W340 AND W341). - CONTRACTED WITH TELEPSYCHIATRY SERVICES THROUGH FOREFRONT FOR AFTER-HOURS BEHAVIORAL HEALTH SCREENINGS AND EVALUATIONS. PSYCHIATRIC TRANSPORT SERVICES FY 2021 PROVIDED $299,240 IN SUPPORT OF TRANSPORTATION TO SHORT-TERM REGIONAL PSYCHIATRIC STAYS AT REGIONAL CRISIS STABILIZATION UNIT (RCSU), AND OTHER SHORT-TERM INPATIENT PSYCHIATRIC FACILITIES. IN FY 2021 THERE WERE 396 PATIENTS TRANSPORTED. OUTPATIENT PSYCHIATRIC SERVICES INTERNALLY REFERRED PATIENTS RECEIVED TREATMENT FROM A PSYCHIATRIST WITHIN OUR INTERNAL MEDICINE CLINIC. A TOTAL OF 627 PATIENTS WERE SEEN IN THE CLINIC IN FY 2021, UP FROM 292 IN 2020. THERE WERE 1347 ACTUAL PATIENT VISITS IN FY 2021 COMPARED TO 1021 IN FY 2020. 23.4 PERCENT BEING MEDICAID OR UNINSURED PATIENTS IN FY 2021, MUCH IN LINE WITH THE PERCENTAGE OF FY 2020. ALL PATIENTS WERE SEEN WITHIN 30 DAYS; IN OUR REGION A TYPICAL WAIT FOR A MENTAL HEALTH PROVIDER IS 6-12 MONTHS. OTHER MENTAL HEALTH INITIATIVES - COST OF STAFF TIME ON AN IN-PERSON AND VIRTUAL PROGRAM FOR REMEMBERING BABIES LOST IN PREGNANCY AND INFANCY TOTALED $1,947. TOTAL ATTENDEES: 182. 2) PRIMARY CARE ACCESS THIS PRIORITY IS BASED ON THE OBSERVATION THAT EVEN INSURED INDIVIDUALS IN THE REPORT AREA LACK A MEDICAL HOME, A CONTINUUM OF CARE, ROUTINE PREVENTATIVE CARE, AND CARE COORDINATION. SPECIFIC ACTIONS TAKEN INCLUDED: GRANT AGREEMENTS AND COLLABORATION WITH FEDERALLY QUALIFIED HEALTH CENTERS CGSMC PROVIDED $77,500 OF GRANT PAYMENTS TO LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCs). THE PURPOSE OF THESE GRANTS IS TO PROVIDE ACCESSIBLE, HIGH QUALITY HEALTHCARE SERVICES, AS WELL AS UNCOMPENSATED CARE FOR PATIENTS WITH LITTLE OR NO INSURANCE AND TO ENHANCE/EXPAND WOMEN'S AND CHILDREN'S HEALTH SERVICES. DURING 2021 CGSMC ALSO REFERRED UNINSURED OR UNDERINSURED PATIENTS LACKING A MEDICAL HOME TO THE SAME AND OTHER FQHCs THAT OFFER PRIMARY AND PREVENTATIVE SERVICES AT SLIDING SCALE RATES. SPORTS MEDICINE ATHLETIC TRAINERS FOR FY21, SPORTS MEDICINE ATHLETIC TRAINERS WERE PROVIDED TO AREAS SCHOOLS SERVING 69,776 STUDENT ATHLETES AT A COST OF $305,572. WE ALSO OFFER A FREE SATURDAY MORNING SPORTS MEDICINE CLINIC FROM AUGUST TO NOVEMBER FOR SPORTS-RELATED INJURIES. FOR FY21 THE SALARY COST WAS $8195 SERVING 71 STUDENTS. OUR ATHLETIC TRAINERS ALSO OFFERED FREE SPORTS PHYSICAL EXAMS TO 1,303 STUDENTS IN AREA SCHOOLS AT A COST OF $18,615. INSTITUTE FOR HEALTHY LIVING (IHL) SCHOLARSHIPS TO IMPROVE HEALTH ACCESS, THE IHL OFFERS SCHOLARSHIPS TO COVER MEMBERSHIP DUES OF FINANCIALLY-ELIGIBLE PERSONS WITH POOR HEALTH WHO WOULD BENEFIT FROM THE USE OF WELLNESS FACILITIES. IN 2021, THE IHL PROVIDED SCHOLARSHIPS TO 8 INDIVIDUALS TOTALING $1,152. PATIENT CENTERED MEDICAL HOME/PRIMARY CARE CLINICS CHRISTUS GOOD SHEPHERD'S INTERNAL MEDICINE RESIDENCY PROGRAM OPERATES A PRIMARY CARE CLINIC SO THE RESIDENTS ARE ABLE TO FOLLOW THEIR OWN INPATIENT POPULATION IN AN OUTPATIENT CONTINUITY CLINIC. THIS IS A TRAINING ENVIRONMENT FOR THE RESIDENTS TO DEVELOP SKILLS AND COMPETENCIES FOR IMPLEMENTING COORDINATED MULTIDISCIPLINARY CARE INTO THEIR FUTURE PRACTICE. IT IS WELL RECOGNIZED THAT PATIENT POPULATIONS WITH THIS LEVEL OF CHRONIC DISEASE MORBIDITY MAY EXPERIENCE FRAGMENTED AND UNCOORDINATED CARE IN THE CURRENT HEALTHCARE ENVIRONMENT. THIS PROJECT HELPS EXPAND PRIMARY CARE ACCESS TO THE LEVEL OF COORDINATED CARE WHICH THE PCMH OFFERS. THIS INITIATIVE AIMS TO ELIMINATE FRAGMENTED AND UNCOORDINATED CARE, WHICH CAN LEAD TO EMERGENCY DEPARTMENT AND HOSPITAL OVER-UTILIZATION. DURING FISCAL YEAR 2021, 4,874 PATIENTS WERE SEEN IN THE INTERNAL MEDICINE RESIDENT CLINIC WITH 18.4 PERCENT OF THOSE PATIENTS BEING EITHER MEDICAID OR UNINSURED. IN ADDITION TO THE RESIDENT CLINIC, GSMC AND TRINITY CLINICS AFFILIATED WITH CHRISTUS HEALTH ALSO PROVIDE FAMILY MEDICINE, INTERNAL MEDICINE, URGENT CARE, OB/GYN AND PEDIATRIC PRIMARY CARE SERVICES AT FOUR HOSPITAL BASED AND SEVEN FREE-STANDING CLINICS IN LONGVIEW, MARSHALL AND SURROUNDING CITIES. TELEMEDICINE VISITS/COVID-19 RESPONSE IN RESPONSE TO THE COVID-19 PANDEMIC, CGSMC AND TRINITY CLINICS DRASTICALLY EXPANDED TELEHEALTH SERVICES AND ONLINE SCREENING TOOLS WITH THE LAUNCH OF SECURE VIDEO AND TELEPHONE VISITS. THESE SERVICES PROVIDED BOTH CONTINUED ACCESS AND PATIENT SAFETY DURING THE PANDEMIC. TO FURTHER ENHANCE PATIENT ACCESS AND SAFETY, DRIVE-THROUGH EMERGENCY SERVICES, INCLUDING REDUCED COST COVID-19 SCREENING, WERE AVAILABLE AT OUR EMERGENCY CENTERS IN NORTH LONGVIEW AND KILGORE. TRANSPORTATION ASSISTANCE CGSMC PROVIDED TAXI TRANSPORTATION TO HOME UPON DISCHARGE FOR 273 FINANCIALLY-ELIGIBLE PATIENTS AT A COST OF $7919. 3) HEALTH SYSTEM PERFORMANCE STAKEHOLDERS STATED THE NEED FOR INCREASED COORDINATION AMONG LOCAL ORGANIZATIONS TO PROVIDE INTEGRATED CARE AND INCREASED ACCESS TO SERVICES. INCREASING THE COORDINATION WITHIN HEALTH SYSTEMS WILL IMPROVE ACCESS TO CARE AND REDUCE OVERUTILIZATION OF THE EMERGENCY DEPARTMENT. SPECIFIC ACTIONS TAKEN BY CGSMC INCLUDED: HEALTH PROFESSIONALS EDUCATION & TRAINING PRIMARY AND SPECIALTY CARE ACCESS CANNOT BE MAINTAINED WITHOUT AVAILABLE TRAINED PROFESSIONALS TO PROVIDE PATIENT CARE. CGSMC IS A LEADER IN THE NORTHEAST TEXAS REGION IN PROVIDING HEALTH PROFESSIONALS TRAINING AND EDUCATION. DURING FISCAL YEAR 2021, GSMC PROVIDED THE FOLLOWING TRAINING AT THE LONGVIEW AND MARSHALL CAMPUSES: - TRAINED 36 INTERNAL MEDICINE RESIDENTS AND ONE EMERGENCY MEDICINE RESIDENT AT A NET COST OF OVER $3 MILLION. (SINCE INCEPTION OF THE RESIDENCY TRAINING PROGRAM IN 2012 OVER 100 RESIDENTS HAVE COMPLETED TRAINING WITH SEVEN PROGRAM GRADUATES CHOOSING CAREERS AT CGSMC AND MANY OTHERS CHOOSING TO TAKE POSITIONS WITHIN THE EAST TEXAS REGION.) - PROVIDED OVER 6,990 NURSING STUDENT TRAINING ENCOUNTERS (USUALLY 8 TO 10 HOURS EACH) AT A COST OF $354,524. - PROVIDED 2,224 TRAINING ENCOUNTERS FOR THERAPISTS AND OTHER ALLIED HEALTH PROFESSIONAL STUDENTS AT A COST OF $164,062. - IN A PARTNERSHIP WITH THE UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER - FT. WORTH, TRAINED SIX THIRD YEAR AND FOUR FOURTH YEAR MEDICAL STUDENTS WHO ARE INTERESTED IN BECOMING RURAL PHYSICIANS. SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM SEXUAL ASSAULT SURVIVORS HAVE ACCESS TO SEXUAL ASSAULT EXAMINATIONS AND EVIDENCE COLLECTION THROUGH CHRISTUS GOOD SHEPHERD MEDICAL CENTER'S SANE PROGRAM. THE PROGRAM HAS OPERATED SINCE 2020. WE HAVE A SANE COORDINATOR, AND OTHER AS NEEDED SANE STAFF WHO ROTATE CALL AND CONDUCT EXAMINATIONS AND EVIDENCE COLLECTION. THE COMMUNITY BENEFIT IS IMPROVED ACCESS TO INDIVIDUALS IN THIS COMMUNITY, AND A DECREASED NEED FOR INDIVIDUALS TO SEEK CARE IN DISTANT CITIES. SOME TURNOVER OF STAFF OCCURRED IN THE PAST YEAR, AND AN ADDITIONAL NURSE IS CURRENTLY IN TRAINING. ADDITIONAL VOLUNTEERS ARE NEEDED TO RECEIVE TRAINING AND ENGAGE IN THE SANE PROGRAM, AND RECRUITMENT IS UNDERWAY. BESIDES PROVIDING SANE FORENSIC EXAMS, A CGSMC INTERNAL MEDICINE CLINIC ALSO PROVIDES SURVIVORS ACCESS TO MENTAL HEALTH SERVICES FOR POST-TRAUMATIC STRESS CAUSED BY THE ASSAULT. CGSMC OFFERS THE ONLY SANE PROGRAM IN GREGG AND HARRISON COUNTIES. COMMUNITY EDUCATION & OUTREACH COVID-19 FORCED THE CANCELLATION OR REDUCTION OF MUCH HEALTH EDUCATION TO THE PUBLIC. HEALTH EDUCATION OPPORTUNITIES WERE PROVIDED DURING THE YEAR INCLUDING: - DUE TO COVID, VIRTUAL
SCHEDULE H, PART V, SECTION B, LINE 16 H & J	A NOTIFICATION WAS PLACED IN THE NEWSPAPERS WITHIN THE TWO LARGEST CITIES IN THE HOSPITAL SERVICES AREA (LONGVIEW AND MARSHALL) WHICH EXPLAINED THE AVAILABILITY OF A FINANCIAL ASSISTANCE POLICY AND INCLUDED AN INVITATION TO SPEAK WITH A FINANCIAL COUNSELOR AND ALSO REFERENCES THE WEB-SITE WHICH PROVIDES ADDITIONAL FINANCIAL ASSISTANCE DETAILS. IN ADDITION, IN AN EFFORT TO MORE WIDELY PUBLICIZE OUR FINANCIAL ASSISTANCE WITHIN OUR COMMUNITY, INCLUDING PERSONS MORE LIKELY TO REQUIRE FINANCIAL ASSISTANCE, WE SUBMITTED A COPY OF OUR PLAIN LANGUAGE FINANCIAL ASSISTANCE POLICY TO A NUMBER OF ORGANIZATIONS THAT INTERACT WITH POOR POPULATION GROUPS. THESE ORGANIZATIONS INCLUDE COUNTY HEALTH DEPARTMENTS, FQHCS, VARIOUS NON-PROFITS AND MINISTRIES SUPPORTED BY THE UNITED WAY AND OTHER AGENCIES SERVING THE POOR. SCHEDULE H, PART V, SECTION B, LINE 17 DID THE HOSPITAL FACILITY HAVE IN PLACE DURING THE TAX YEAR A SEPARATE BILLING AND COLLECTIONS POLICY, OR A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINED ACTION THE HOSPITAL FACILITY MAY TAKE UPON NON-PAYMENT? THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. SCHEDULE H, PART V, SECTION B, LINE 18F 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 20E 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."
SCHEDULE H, PART V, SECTION B, LINE 22B	DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/21 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 45% OF THE 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 (INCOMES BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
INSTITUTE FOR HEALTHY LIVING
3133 GOOD SHEPHERD WAY	LONGVIEW	TX	76505	PHYSICAL THERAPY, SPEECH PATHOLOGY, OCCUPATIONAL THERAPY, CARDIAC REHAB CENTER
PERFORMANCE REHAB
2220 H G MOSLEY PARKWAY	LONGVIEW	TX	76504	PHYSICAL THERAPY
KILGORE EMERGENCY DEPARTMENT
323 E HAWKINGS PARKWAY	LONGVIEW	TX	76505	EMERGENCY SERVICES
NORTHPARK EMERGENCY DEPARTMENT
323 E HAWKINGS PARKWAY	LONGVIEW	TX	76505	EMERGENCY SERVICES
CHRISTUS GOOD SHEPHERD HOMECARE - LNGVW
103 W LOOP 281	LONGVIEW	TX	76501	HOME HEALTH
CHRISTUS GOOD SHEPHERD LIFECENTER
612 S GROVE ST	MARSHALL	TX	75670	HEALTH CLINIC
CHRISTUS GOOD SHEPHERD HOME CARE
401 S BOLIVAR ST	MARSHALL	TX	75670	HOME HEALTH

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE THE HOSPITAL FOLLOWS FINANCIAL ASSISTANCE POLICIES OF CHRISTUS HEALTH. THE QUALIFICATION THRESHOLD FOR FINANCIAL ASSISTANCE IS 400 PERCENT OF FPG. ELIGIBILITY FOR FREE CARE (100 PERCENT DISCOUNTS) IS AT OR BELOW 300 PERCENT FPG.
SCHEDULE H, PART I, LINE 5	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, LINES 7A & 7B	ALLOCATION OF MEDICAID SUPPLEMENTAL PAYMENTS DURING THE CURRENT REPORTING PERIOD, THE STATE OF TEXAS PARTICIPATED IN A SPECIAL 1115 MEDICAID WAIVER WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). VARIOUS SUPPLEMENTAL PAYMENTS UNDER THE WAIVER ARE INTENDED TO HELP HOSPITALS OFFSET MEDICAID AND UNINSURED LOSSES AND/OR CREATE NEW PROGRAMS DESIGNED TO IMPROVE THE PATIENT CARE EXPERIENCE, ENHANCE HEALTH OUTCOMES AND REDUCE COSTS FOR THESE SAME PATIENT POPULATIONS. SUPPLEMENTAL PAYMENTS ARE CAPPED BY MEDICAID AND UNINSURED LOSSES DETERMINED FROM A SPECIAL UNCOMPENSATED CARE (UC) TOOL DESIGNED BY THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC). CHRISTUS GOOD SHEPHERD MEDICAL CENTER RECOGNIZED $31,554,387 OF MEDICAID SUPPLEMENTAL PAYMENT INCOME IN 2021. THERE WERE $10,378,776 OF EXPENDITURES RECOGNIZED IN 2021 RELATED TO PROVIDER TAXES USED TO GENERATE THE NON-FEDERAL SHARE OF MEDICAID SUPPLEMENTAL PAYMENTS, RESULTING IN A NET P&L BENEFIT OF $21,175,611 RELATED TO MEDICAID SUPPLEMENTAL PAYMENTS UNDER THE TEXAS MEDICAID WAIVER. FOR PURPOSES OF IRS FORM 990 SCHEDULE H REPORTING, CONSISTENT WITH CHRISTUS HEALTH POLICY, 100 OF NET MEDICAID SUPPLEMENTAL PAYMENTS ARE REPORTED AS MEDICAID DIRECT OFFSETING REVENUE. CASH CONTRIBUTIONS- DURING THE 2018 TAX YEAR, GOOD SHEPHERD MEDICAL CENTER - LONGVIEW ENTERED INTO A THREE YEAR COMMUNITY BENEFIT GRANT RELATED TO WOMEN AND CHILDREN'S SERVICES WITH WELLNESS POINTE, A LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC). GRANT PAYMENTS TOTALING $116,250 WERE MADE TO WELLNESS POINTE IN THE 2021 TAX YEAR. THE PURPOSE OF THIS GRANT IS FOR ENHANCEMENT AND EXPANSION OF WOMEN'S AND CHILDREN'S HEALTH SERVICES.
SCHEDULE H, PART I, LINE 7, COL (F)	BAD DEBT EXPENSE BAD DEBT IN THE AMOUNT OF $52,663,479, WAS NOT INCLUDED IN TOTAL EXPENSE USED TO COMPUTE THE PERCENTAGE REPORTED IN PART I, LINE 7 COL (F).
SCHEDULE H, PART I, LINE 7	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
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 2020, 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, SECTION A, 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 III, SECTION A, LINE 2	METHODOLOGY USED IN DETERMINING BAD DEBT 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, SECTION A, LINE 3	ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30 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 OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2021, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73 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, 2021. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.51 PERCENT OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2021 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE 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. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; AND THE PROVISIONS FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAY LIMIT, DISPROPORTIONATE SHARE MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLANS; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS, INCLUDING ASSETS ACQUIRED; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES.
SCHEDULE H, PART III, LINE 8	COSTING METHODOLOGY THE SOURCE OF INFORMATION ON LINES 5 AND 6 IS THE FYE JUNE 30, 2021 MEDICARE COST REPORT. THE REVENUES WERE DERIVED FROM COST REPORT WORKSHEETS E PART A, E PART B AND E-3, PART III. COST INFORMATION WAS OBTAINED BY SUMMING OF MEDICARE PART A ALLOWABLE COSTS REPORTED ON WORKSHEET D-1, PART II (FOR BOTH INPATIENT ACUTE PPS AND INPATIENT REHAB FACILITY) AND WORKSHEET DV, COLUMNS 5.00 THROUGH 7.00 FOR MEDICARE OUTPATIENT PPS SERVICES. SINCE ALLOWABLE COSTS ARE NOT DETERMINED FOR SERVICES RENDERED TO MEDICARE PATIENTS ENROLLED IN MEDICARE ADVANTAGE (MEDICARE PART C) OR FOR PHYSICIAN SERVICES BILLED UNDER MEDICARE PART B, NEITHER THE REVENUES OR COSTS RELATED TO THESE SERVICES HAVE BEEN INCLUDED ON LINES 5 OR 6. THE COST REPORT USES FINANCIAL AND STATISTICAL DATA TO DEVELOP PER DIEMS AND COST TO CHARGE RATIOS THAT ULTIMATELY DETERMINE ALLOWABLE MEDICARE INPATIENT AND OUTPATIENT COSTS. (NOTE: EFFECTIVE AUGUST 1, 2017, THE LICENSE AND MEDICARE PROVIDER NUMBER OF GOOD SHEPHERD MEDICAL CENTER - LONGVIEW AND GOOD SHEPHERD MEDICAL CENTER - MARSHALL WERE COMBINED. THIS MERGER RESULTED IN ONE COST REPORT FOR THE COMBINED HOSPITALS.
SCHEDULE H, PART III, LINE 9B	COLLECTION POLICY IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
SCHEDULE H, PART VI, LINE 2	NEED ASSESSMENT NO NEED ASSESSMENT OTHER THAN CHNA CONDUCTED IN FY20.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS GOOD SHEPHERD MEDICAL CENTER 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 CHRISTUS GOOD SHEPHERD MEDICAL CENTER - MARSHALL IS LOCATED IN THE PINEY WOOD OF EAST TEXAS AND SERVICES A RURAL COMMUNITY WHICH INCLUDES HARRISON, NORTHERN PANALO AND SOUTHERN MARION COUNTIES. THE POPULATION IN EACH OF THESE COUNTIES IS DIVERSE IN INCOME AND ETHNICITY. HARRISON COUNTY, ESTABLISHED IN 1839, IS LOCATED IN NORTHEASTERN TEXAS ALONG THE LOUISIANA BORDER AND COMPRISES 900 SQUARE MILES. MARSHALL, THE COUNTY SEAT, IS LOCATED 152 MILES EAST OF DALLAS AND 39 MILES WEST OF SHREVEPORT. ACCORDING TO THE 2019 CENSUS ESTIMATES, 14.7 PERCENT OF HARRISON COUNTY POPULATION LIVES IN POVERTY. 17.4 PERCENT OF HARRISON COUNTY RESIDENTS ARE AGE 65 OR OLDER. THE CENSUS BUREAU REPORTS THAT ONLY 19.1 PERCENT OF ADULTS HOLD A COLLEGE DEGREE OR HIGHER LEVEL OF EDUCATION. EDUCATION LEVEL IMPACTS THE TYPES OF AVAILABLE JOBS AND BENEFIT LEVELS, INCLUDING HEALTHCARE COVERAGE. IN OTHER SERVICE LOCATIONS, MARION COUNTY HAS A MEDIAN ANNUAL INCOME OF $37,283 AND 21.9 PERCENT OF ITS RESIDENTS LIVE IN POVERTY. PANOLA COUNTY HAS A MEDIAN ANNUAL HOUSEHOLD INCOME OF $51,569 AND 15.7 PERCENT OF ITS RESIDENTS LIVE IN POVERTY. UNEMPLOYMENT RATES DURING THE 2020 COVID-19 PANDEMIC HAVE INCREASED AND LIKELY WORSENED POVERTY LEVELS. (SOURCE: U.S. CENSUS BUREAU) GOOD SHEPHERD MEDICAL CENTER - LONGVIEW IS ALSO LOCATED IN NORTHEAST TEXAS AND SERVES AN 11-COUNTY REGION INCLUDING THE FOLLOWING COUNTIES: GREGG, HARRISON, MARION, MORRIS, PANOLA, RUSK, UPSHUR, CAMP, CASS, WOOD AND TITUS. THE PROJECTED 2019 PRIMARY 6 COUNTIES POPULATIONS SERVED BY BOTH HOSPITALS ARE GREGG 123,945, HARRISON 66,553, MARION 9,854, UPSHUR 41,753, RUSK 54,406 AND PANOLA 23,194 AND TOTAL 319,705. GREGG, THE LARGEST COUNTY IN THE SERVICE AREA, HAS A POVERTY RATE OF 15.1 PERCENT AND 15.7 PERCENT OF THE POPULATION IS OVER 65 (SOURCE: U.S. CENSUS BUREAU). WITHIN THE AREA SERVED THERE ARE MANY OBSTACLES TO OVERCOME REGARDING HEALTH CARE COVERAGE. MANY FIND IT DIFFICULT TO AFFORD THE COST OF HEALTHCARE BOTH IN BASIC PREVENTION AND IN TREATMENT OF EXISTING CONDITIONS. CHRISTUS GOOD SHEPHERD MEDICAL CENTERS IN LONGVIEW AND MARSHALL OFFER A TRUE SYSTEM OF HEALTHCARE THAT ENCOMPASSES THE REACH OF OUR REGION.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH THE COMMUNITY BUILDING ACTIVITIES INCLUDE OUR WELLNESS CENTERS AND THE PROGRAMS WE OFFER TO KEEP OUR COMMUNITY HEALTHY. ALTHOUGH, THE COVID PANDEMIC HAS REQUIRED REDUCED OFFERINGS, THE WELLNESS CENTERS ARE THE HUB OF OUR PROGRAM OFFERING FITNESS AND WELLNESS PROGRAMS FOR INDIVIDUALS, FAMILIES AND BUSINESSES IN OUR COMMUNITIES, INCLUDING HOSPITAL EMPLOYEES AND THEIR FAMILIES. WE ALSO OFFER A VARIETY OF WATER AEROBICS, ADULT AEROBIC CLASSES, SENIOR EXERCISE CLASSES, SPECIALTY CLASSES SUCH AS ZUMBA, CARDIAC REHAB, ETC. WE ALSO OFFER ACUTE, CHRONIC AND PREVENTATIVE EDUCATIONAL PROGRAMS TO OUR COMMUNITY. WE PROVIDE COMMUNITY EDUCATIONAL SERVICES AND PROGRAMS, SUCH AS CPR, CERTIFIED DIABETIC EDUCATION PROGRAMS, WOUND CARE EDUCATION AND PREVENTION, SEATBELT AWARENESS, HARD HATS FOR LITTLE HEADS BICYCLE RODEO AND SHOPPING CLASSES FOR PERSONS TRYING TO MODIFY DIET FOR CARDIAC REASONS OR WEIGHT LOSS. WE OFFER HEALTH FAIRS THAT PROVIDE BASIC SCREENING EXAMS AT NO COST TO OUR COMMUNITY. OUR CASE MANAGEMENT AND SOCIAL SERVICES PROGRAM OFFERS THE AVAILABILITY OF EXTERNAL SOURCES AND PROGRAMS TO ASSIST PATIENTS AND THEIR FAMILIES, SUCH AS WIC AND OTHER GOVERNMENT AND PRIVATE PROGRAMS.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM CGSMC IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH-BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG-TERM CARE AFFILIATED HEALTH CARE SYSTEM FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, GEORGIA, IOWA, LOUISIANA, MISSOURI, NEW MEXICO, TEXAS, AND IN SIX PROVINCES OF MEXICO, COLOMBIA AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CGSMC, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM-WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CGSMC, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT A COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HOSPITAL SYSTEM EACH YEAR AND IS SUBMITTED ALONG WITH AN AHA SURVEY TO THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES WITH A COPY PROVIDED TO HARRISON COUNTY AND GREGG COUNTY.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ET JEEP OUTLAWS
12325 CR 2127 N	HENDERSON	TX	75652	834280428	501(C)(3)	$10,640	Helping in snow storm
WELLNESS POINTE
1107 E MARSHALL AVE	LONGVIEW	TX	75601	752723993	501(C)(3)	$77,500	HEALTHCARE SERVICES

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS AFTER A NEED IS DETERMINED FOR ASSISTANCE, A REQUEST FROM THE SERVICE ORGANIZATION OF GOOD SHEPHERD IS SUBMITTED, IDENTIFYING THE FUNDS NEEDED FOR THE PROGRAM AND/OR PATIENT. THE REQUEST IS REVIEWED AND APPROVED BY THE CFO BEFORE FUNDS ARE TRANSFERRED. A SERVICE LOG IS SUBMITTED TO THE CFO TO DOCUMENT HOURS INCURRED ON PROJECTS AND SUPPORT USE OF FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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
VALARIE ALLMAN MD
MED STAFF PRES.	$0	$119,428	$0	$17,915	$0	-$17,996	$0	$4,690	$0	$3,705	$0	$127,742	$0	$0
KEN CUNNINGHAM
VP GEN COUNSEL (THRU 12/2020)	$0	$349,276	$0	$129,598	$0	$30,115	$0	$55,463	$0	$17,732	$0	$582,184	$0	$0
TODD HANCOCK
SYSTEM PRESIDENT/CEO	$0	$570,498	$0	$254,442	$0	$650	$0	$202,319	$0	$23,912	$0	$1,051,821	$0	$0
MICHAEL CHEEK
CFO (THRU 12/2020)	$0	$321,706	$0	$135,238	$0	$0	$0	$90,131	$0	$10,713	$0	$557,788	$0	$0
JOHN MCDONALD DO
MEDICAL STAFF (THRU 12/2016)	$0	$140,273	$0	$53,546	$0	$46,984	$0	$9,957	$0	$2,170	$0	$252,930	$0	$0
LEE A HOLLADAY
CRNA Team Lead	$271,724	$0	$20,688	$0	$10,891	$0	$11,400	$0	$11,824	$0	$326,527	$0	$0	$0
DANIEL D SMITH
CRNA	$269,421	$0	$35,738	$0	$22,730	$0	$11,400	$0	$12,157	$0	$351,446	$0	$0	$0
MARK ANDERSON MD
BOARD DIRECTOR (AS OF 01/2021)	$0	$738,525	$0	$262,691	$0	$11,749	$0	$202,519	$0	$73,116	$0	$1,288,600	$0	$0
CHRIS GLENNEY
BOARD DIRECTOR (AS OF 01/2021)	$0	$837,158	$0	$348,204	$0	$650	$0	$311,373	$0	$13,351	$0	$1,510,736	$0	$0
STEVEN KEUER MD
BOARD DIRECTOR (AS OF 01/2021)	$0	$657,385	$0	$344,310	$0	$171,605	$0	$173,065	$0	$8,886	$0	$1,355,251	$0	$0
JEFF PUCKETT
BOARD DIRECTOR (AS OF 01/2021)	$0	$3,561,985	$0	$2,200,456	$0	$304,250	$0	$3,000,239	$0	$12,980	$0	$9,079,910	$0	$142,706
ZACKARY G LISTER
CRNA Team Lead	$263,818	$0	$19,025	$0	$9,799	$0	$11,400	$0	$9,636	$0	$313,678	$0	$0	$0
DOUGLAS WHITLOW
CRNA	$242,795		$25,063		$12,289		$11,400		$8,395		$299,942		$0
RANDY YOUNG
CRNA	$231,248		$16,925		$13,336		$10,849		$11,976		$284,334		$0
MICHAEL ADAMSON
VP MISSION INTEGRATION	$0	$0	$0	$0	$0	$170,835	$0	$0	$0	$0	$0	$170,835	$0	$0
ORAN FERRELL
VP PHYSICIAN SERVICES	$0	$83,439	$0	$0	$0	$128,939	$0	$3,577	$0	$2,355	$0	$218,310	$0	$0
SHELLY JOHNSON
VP OPERATIONS	$0	$259,647	$0	$96,883	$0	$6,590	$0	$42,898	$0	$3,766	$0	$409,784	$0	$0
TERESA HALCOMB
CNO Longview	$0	$236,073	$0	$88,978	$0	$0	$0	$13,946	$0	$8,593	$0	$347,590	$0	$0
BRETT KINMAN
Administrator - Marshall	$0	$222,446	$0	$101,723	$0	$0	$0	$14,764	$0	$11,049	$0	$349,982	$0	$0
RICKY A PAUL MD
FORMER BOARD MEMBER	$0	$446,351	$0	$65,198	$0	$17,548	$0	$11,400	$0	$10,713	$0	$551,210	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3

EXPLANATION OF RELATED ORGANIZATION DETERMINING EXECUTIVE DIRECTOR COMPENSATION THE FILING ORGANIZATION'S PRESIDENT/CEO IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING THE PRESIDENT/CEO COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY.

Schedule J, Part I, Line 4A

SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: MICHAEL ADAMSON $168,903 ORAN FERRELL $122,122 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 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. STEVE KEUER RECEIVED $171,605 DURING CALENDAR YEAR 2020 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. KEN CUNNINGHAM RECEIVED $30,115 DURING CALENDAR YEAR 2020 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. 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. SUPPLEMENTAL COMPENSATION INFORMATION 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, ITEM C	DOING BUSINESS AS CHRISTUS GOOD SHEPHERD MEDICAL CENTER OPERATES UNDER THE FOLLOWING NAMES: ACUITY DIAGNOSTICS CHRISTUS GOOD SHEPHERD BREAST CENTER CHRISTUS GOOD SHEPHERD HEALTH SYSTEM CHRISTUS GOOD SHEPHERD HEALTHY LIVING SPA CHRISTUS GOOD SHEPHERD INSTITUTE FOR HEALTHY LIVING CHRISTUS GOOD SHEPHERD MEDICAL CENTER - LONGVIEW CHRISTUS GOOD SHEPHERD MEDICAL CENTER - MARSHALL CHRISTUS GOOD SHEPHERD SURGERY CENTER GOOD SHEPHERD MEDICAL CENTER GOOD SHEPHERD OCCUPATIONAL MEDICINE MARSHALL LIFE CENTER WOUND HEALING CENTER - MARSHALL (FOR CLIA REGISTRATION ONLY)
FORM 990, PART VI, SECTION A, LINE 1A	DELEGATION OF AUTHORITY THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS SINCE THE PRIOR FORM 990 WAS FILED PRIMARILY, THE NEW ORGANIZATIONAL DOCUMENTS DISTINCTLY ESTABLISHED CERTAIN POWERS, THAT ARE EXPRESSLY RESERVED FOR THE ORGANIZATION'S MEMBER, BOARD, AND THE MEMBER'S CHIEF EXECUTIVE OFFICER, A SUMMARY OF THESE RESERVED POWERS ARE AS FOLLOWS: (I) THE APPROVAL OF TRANSACTIONS INVOLVING REAL PROPERTY AND OTHER ORGANIZATIONAL PROPERTY; (II) THE AMENDMENT OF GOVERNANCE DOCUMENTS; (III) THE APPROVAL OF THE INCURRENCE, FORGIVENESS, AND GUARANTEE OF DEBT; (IV) THE APPROVAL OF CAPITAL PROJECTS, (V) THE ESTABLISHMENT OF NEW ORGANIZATIONAL ENTITIES, WHICH INCLUDE MERGERS AND ACQUISITIONS, AND (VI) OTHER AUTHORITY AS DELEGATED BY THE APPLICABLE ORGANIZATIONAL AUTHORITY. IN ADDITION TO THE ESTABLISHMENT OF RESERVED POWERS, THE REVISED ORGANIZATIONAL DOCUMENTS ALSO CLARIFIED THE RESPONSIBILITIES OF ORGANIZATIONAL OFFICERS AND BOARD COMMITTEES. THE AMENDED BYLAWS ALSO ESTABLISHED A NEW MEMBER/PARENT FOR THE ORGANIZATION. THE PRIOR MEMBER AND PARENT WAS CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM, WHICH WAS CHANGED TO CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF THE ORGANIZATION IS CHRISTUS Northeast Texas Health System Corporation.
FORM 990, PART VI, SECTION A, LINE 7A	CHRISTUS Northeast Texas Health System Corporation, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, LINE 7B	DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS A NUMBER OF DECISIONS OF THE ORGANIZATION ARE SUBJECT TO APPROVAL OF THE MEMBER OF THE ORGANIZATION. THESE RESERVED POWERS ARE STATED BELOW: A. THE APPOINTMENT OF ONE MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, AND THE APPROVAL OF THE REMAINING DIRECTORS FOLLOWING THE NOMINATION PROCESS AND SUBJECT TO THE PROVISIONS GOVERNING STAFF DIRECTOR; B. THE REMOVAL OF A MEMBER OF THE ORGANIZATION'S BOARD AND ALSO THE APPROVAL OF REMOVAL AND APPOINTMENTS TO FILL VACANCIES ON THE BOARD AND SET THE SIZE OF THE BOARD; C. APPROVE THE ELECTION AND REMOVAL OF OFFICERS OF THE ORGANIZATION AND ESTABLISH, TERMINATE, AND/OR REVISE ALL EMPLOYMENT CONTRACTS, COMPENSATION, AND BENEFIT PACKAGES OF THE OFFICERS OF THE ORGANIZATION REGARDLESS OF WHICH ENTITY ACTUALLY PAYS SUCH COMPENSATION OR BENEFITS; D. DESIGNATE THE FISCAL YEAR; E. APPROVE THE SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, OUTSIDE GENERAL LEGAL COUNSEL, AND OUTSIDE INVESTMENT ADVISORS; F. AMEND THE ARTICLES OF INCORPORATION; G. APPROVE ALL MERGERS, ACQUISITIONS, CONSOLIDATIONS, OR AFFILIATIONS WITH OTHER ENTITIES, THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE SALE, MORTGAGE, OR ENCUMBRANCE OF ANY REAL PROPERTY OWNED BY THE CORPORATION; H. APPROVE THE DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION; I. APPROVE CAPITAL PLANS, STRATEGIC PLANS, AND ANNUAL OPERATING AND CAPITAL BUDGETS; J. APPROVE ANY EXCEPTION TO THE CAPITAL BUDGET FOR A SINGLE ITEM OR RELATED ITEM THAT EXCEEDS $100,000 AND/OR APPROVE ANY AGGREGATE ANNUAL EXPENDITURES THAT EXCEEDS THE BUDGET BY $50,000; K. SELECT OFFICIAL DEPOSITORIES FOR THE ORGANIZATION'S FUNDS; L. CREATE OR INVEST IN ANY SUBSIDIARY ENTITY OR ENTER INTO ANY PARTNERSHIP OR JOINT VENTURE; M. AUTHORIZE ANY LOANS, GUARANTEES, OR INCURRENCE OF DEBT; N. AUTHORIZE THE COMMENCEMENT OF ANY LITIGATION OR OTHER LEGAL PROCEEDING, OR THE SETTLEMENT, DISPOSITION, OR TERMINATION OF ANY SUCH LITIGATION OR OTHER LEGAL PROCEEDING OR OF ANY CLAIM OR THREAT OF LITIGATION OR OTHER LEGAL PROCEEDING NOT FULLY COVERED BY INSURANCE; AND O. APPROVE THE ADMISSION OF ADDITIONAL MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW FORM 990 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 PERPARATION 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 2022 VIA EITHER MEETING, CONFERENCE CALL OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
FORM 990, PART VI, LINE 12C	DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST 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 15	COMPENSATION DETERMINATION PROCESS THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION IS PAID BY A RELATED ORGANIZATION; THEREFORE, THE FILING ORGANIZATION WAS NOT INVOLVED IN THE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. THE RELATED ORGANIZATION DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE RELATED ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE RELATED ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE EXECUTIVE DIRECTOR'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. THE EXECUTIVE DIRECTOR'S SALARY IS SPLIT BETWEEN THE FILING ORGANIZATION AND THE RELATED ORGANIZATION.
FORM 990, PART VI, LINE 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN 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 XI, LINE 9	OTHER CHANGES IN NET ASSETS INTERCOMPANY -$356,631,681 CONTRIBUTED CAPITAL $434,306,873 UNRESTRICTED EQUITY IN CONSOLIDATED SUBS -$ 2,435,560 ROUNDING $ 2 ------------ TOTAL $ 75,239,634
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:MAINTENANCE TOTAL FEES:7185197
FORM 990 PART IX LINE 11G	DESCRIPTION:MARKETING TOTAL FEES:3517
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:1447781
FORM 990 PART IX LINE 11G	DESCRIPTION:BILLING TOTAL FEES:43452
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION TOTAL FEES:899451
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES (LESS LOBBYING) TOTAL FEES:5206

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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
MARSHALL HOSPITAL FOUNDATION
811 S WASHINGTON AVE	MARSHALL	TX	75670	752605699	SUPPORT	TX	501(c)(3)	7	GSHS INC	Yes (true)
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	751041154	HEALTHCARE	TX	501(c)(3)	3	GSHS INC	Yes (true)
GSHS ADMINISTRATIVE SERVICES ORG INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	861132471	ADMIN SUPPORT	TX	501(c)(3)	12A	GSHS INC	Yes (true)
GOOD SHEPHERD MEDICAL CENTER - LINDEN I
404 N KAUFMAN STREET	LINDEN	TX	75563	010829282	HEALTHCARE	TX	501(c)(3)	3	GSHS INC	Yes (true)
GSMC - LINDEN FOUNDATION INC
404 N KAUFMAN STREET	LINDEN	TX	75563	200845127	SUPPORT	TX	501(c)(3)	12a	GSHS INC	Yes (true)
CHRISTUS HEALTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	760590551	SUPT HLTH SVC	TX	501(c)(3)	10	NA	false
GOOD SHEPHERD FOUNDATION
700 E MARSHALL AVE	LONGVIEW	TX	75601	752056700	SUPPORT	TX	501(c)(3)	12A	GSHS INC	Yes (true)
GOOD SHEPHERD HEALTH SYSTEM INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027157	HLTHCARE SVCS	TX	501(c)(3)	12B	CH	false
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HLTHCARE SVCS	TX	501(C)(3)	3	CNTHSC	Yes (true)
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(C)(3)	3	CNTHSC	Yes (true)
CHRISTUS NORTHEAST TX HEALTH SYSTEM CORP
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HEALTHCARE	TX	501(C)(3)	12-TYPE II	CH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	GSHS CUSTOMER SERVICE BUILDING I LTD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E MARSHALL AVE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Field	Value	IRS element (for citing)
EIN	020636726	EIN
Primary Activities	CUSTOMER SERV	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
GSHS ENTERPRISES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027162	HEALTHCARE	TX	GSHS INC	C Corp	Yes (true)
MARSHALL PHYSICIAN HOSPITAL ORGANIZATION
700 E MARSHALL AVE	LONGVIEW	TX	75601	752580689	INACTIVE	TX	GSMC	C Corp	Yes (true)
GSHS CUSTOMER SERVICE BUILDING LLC
700 E MARSHALL AVE	LONGVIEW	TX	75601	710896055	CUSTOMER SERVICES	DE	GSHS INC	LLC	Yes (true)
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVE	LONGVIEW	TX	75601	752554695	INACTIVE	TX	GSH INC	C CORP	Yes (true)	$0	$0	1.00000
SERVICE ORGANIZATION OF GOOD SHEPHERD
700 E MARSHALL AVE	LONGVIEW	TX	75601	383914883	MEDICAL SERVICES	TX	GSHS INC	C CORP	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (26 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHRISTUS HEALTH PLAN
L	$63,847	ACCRUAL
CHRISTUS HEALTH PLAN
M	$119,217	ACCRUAL
GOOD SHEPHERD FOUNDATION INC
A(IV)	$1,200	ACCRUAL
GOOD SHEPHERD FOUNDATION INC
C	$338,868	ACCRUAL
GOOD SHEPHERD FOUNDATION INC
L	$115,207	ACCRUAL
GOOD SHEPHERD FOUNDATION INC
P	$115,207	ACCRUAL
GSHS ADMIN SERVICES ORGANIZATION INC
K	$824,526	ACCRUAL
GSHS ADMIN SERVICES ORGANIZATION INC
L	$9,544,805	ACCRUAL
GSHS ADMIN SERVICES ORGANIZATION INC
M	$428,344	ACCRUAL
GSHS ADMIN SERVICES ORGANIZATION INC
O	$9,800,318	ACCRUAL
GSHS ADMIN SERVICES ORGANIZATION INC
P	$38,502,954	ACCRUAL
GSHS ADMIN SERVICES ORGANIZATION INC
Q	$29,492,672	ACCRUAL
GSHS ADMIN SERVICES ORGANIZATION INC
R	$888,592	ACCRUAL
GSHS ENTERPRISES HOLDING INC
A(IV)	$1,302,487	ACCRUAL
GSHS ENTERPRISES HOLDING INC
J	$3,570,254	ACCRUAL
GSHS ENTERPRISES HOLDING INC
K	$4,764,201	ACCRUAL
GSHS ENTERPRISES HOLDING INC
P	$108,541	ACCRUAL
GSHS ENTERPRISES HOLDING INC
Q	$108,541	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
P	$100,776	ACCRUAL
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Q	$50,388	ACCRUAL
SANTA ROSA CHILDREN'S HOSPITAL
P	$100,776	ACCRUAL
SANTA ROSA CHILDREN'S HOSPITAL
Q	$50,388	ACCRUAL
TRINCARE INC
L	$62,711	ACCRUAL
TRINCARE INC
M	$105,098	ACCRUAL
TRINITY CLINIC
L	$219,071,177	ACCRUAL
TRINITY CLINIC
M	$186,613,007	ACCRUAL

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III	FormAndLineReferenceDesc
Explanation	GSHS CUSTOMER SERVICE BUILDING I, LTD. EIN: 02-0636726 ADDRESS: 700 E. MARSHALL AVE., LONGVIEW, TX 75601	ExplanationTxt