2021-05-12T12:04:13-05:00 2020-06-30 990 2019-07-01 752616975 CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM % SHELLY RUTHERFORD CHRI 9036065639 1315 DOCTORS DRIVE TYLER TX 75701 ELIZABETH PULLIAM SYSTEM CFO 9036065639 2021-05-10 2019 2022-09-23 18:48:47Z SEE SCHEDULE O CHRIS GLENNEY 1315 DOCTORS DRIVE TYLER TX 75701 99303709 false X WWW.CHRISTUSHEALTH.ORG/TRINITY X 1995 TX COORDINATING PARENT OF CHARITABLE HEALTHCARE SYSTEM GUIDING ACTIVITIES OF AFFILIATED ENTITIES TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY. 18 12 0 13 161688 -43449 0 0 101461560 94913386 0 0 1577879 4390323 103039439 99303709 125000 7475 0 0 36213577 38893011 0 0 0 69529916 56862675 105868493 95763161 -2829054 3540548 25337648 81728745 5783304 7145555 19554344 74583190 COORDINATING PARENT OF CHARITABLE HEALTHCARE SYSTEM GUIDING ACTIVITIES OF AFFILIATED ENTITIES TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY. false false 86189049 7475 94913386 AS THE PARENT COMPANY OF TAX-EXEMPT HOSPITALS, THE SYSTEM MONITORS AND GUIDES THE ACTIVITIES OF AFFILIATED ENTITIES TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO THE COMMUNITY THROUGH AN EFFICIENT, ECONOMICAL, AND COORDINATED DELIVERY SYSTEM. THE SYSTEM MEASURES ITS ACCOMPLISHMENTS THROUGH ITS SUPPORT AND PROVIDING BUSINESS OFFICES FOR ITS AFFILIATED ENTITIES. 86189049 true false false false false false false false false true false false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 0 0 true 0 true true true false false false false false false false false false false false X 18 12 false false false false true true true true true false false true true true true true true true true true true X SHELLY RUTHERFORD 9036065057 1315 DOCTORS DRIVE TYLER TX 75701 JEFF PUCKETT DIRECTOR 22.0 18.0 X 0 4728660 2736128 STEVEN KEUER MD Ex-Officio DIRECTOR 23.0 17.0 X X 0 1131628 195924 CHRIS GLENNEY DIRECTOR 29.0 11.0 X 0 1044991 211243 SCOTT SMITH MD DIRECTOR 23.0 17.0 X 0 954202 167858 MARK ANDERSON MD DIRECTOR 21.0 19.0 X 0 941728 42579 LINDSEY BRADLEY JR DIRECTOR (RETIRED 6/30/17) 0.0 0.0 X 0 853957 0 ELIZABETH PULLIAM VP/CFO 8.0 32.0 X 0 457543 87863 ANDREW VON ESCHENBACH CIO / VP (THRU 06/20) 8.0 32.0 X 0 443783 39328 SCOTT FOSSEY VP OF DEVELOPMENT 30.0 10.0 X 0 378774 38983 Andy Navarro VP Mission Integration 20.0 20.0 X 0 323831 85820 BRIAN D MATSON VP, STRATEGY-BUS DEVELOPMENT 40.0 0.0 X 0 330930 58301 MARY ELIZABETH JACKSON VP ADVOCACY - GOVT AFFAIRS 40.0 0.0 X 0 324250 15237 ALI BIRJANDI VP PERFORMANCE IMPROVEMENT 40.0 0.0 X 0 312508 25738 CHRISTOPHER SCHMIDLY VP (THRU 09/2018) 0.0 0.0 X 0 242872 0 BECKY WESTERN ASSOCIATE CIO 40.0 0.0 X 0 213507 15633 BILL CHEN PhD DIRECTOR 13.0 27.0 X 0 15721 0 DICK STONE DIRECTOR 25.0 15.0 X 0 0 0 FRED HARRIS JR DIRECTOR 19.0 21.0 X 0 0 0 JEFF BUFORD VICE CHAIR 21.0 19.0 X X 0 0 0 JOE BOB BURGIN DIRECTOR 14.0 26.0 X 0 0 0 JOE BOB JOYCE DIRECTOR 8.0 32.0 X 0 0 0 MICHAEL HALLUM DIRECTOR 1.0 39.0 X 0 0 0 MICHAEL LUJAN DIRECTOR (THRU 12/19) 4.0 36.0 X 0 0 0 PRESTON SMITH CHAIRPERSON 23.0 17.0 X X 0 0 0 RANDY CHILDRESS DIRECTOR 8.0 32.0 X 0 0 0 SHANNON DACUS DIRECTOR 13.0 27.0 X 0 0 0 SISTER LORETTA ROSE TALLAS DIRECTOR 17.0 23.0 X 0 0 0 SONJA YATES HUBBARD DIRECTOR 13.0 27.0 X 0 0 0 Sister Guadalupe Ruiz Director 8.0 32.0 X 0 0 0 0 12698885 3720635 0 true true false RELAYHEALTH INC 5995 Windward Parkway ALPHARETTA GA 30005 Med Clearinghouse 947440 WIRE CHAMPION EMS 2201 S MOBBERLY AVE LONGVIEW TX 75602 MEDICAL 3620000 CARDINAL HEALTH MED PROD 7000 CARDINAL PL DUBLIN OH 43017 MEDICAL 727931 MEDLINE INDUSTRIES INC 1 MEDLINE DR WILMER TX 75172 MEDICAL 660024 CHANGE HEALTHCARE SOLUTIONS LLC 100 LEXINGTON ST FORT WORTH TX 76102 MEDICAL 629277 32 0 MANAGEMENT SERVICE 541610 93042819 93018497 24322 LTACH REVENUE 621110 808182 808182 FCC ADMIN FEES 900099 758197 758197 OTHER OPERATING REVENUE 900099 90518 90518 REBATES 900099 213670 213670 94913386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LAUNDRY SERVICES 812300 137366 137366 INTERCOMPANY REVENUE 900099 3362579 3362579 MISCELLANEOUS REVENUE 900099 890378 890378 4390323 99303709 94889064 161688 4252957 7475 7475 0 0 0 0 0 30776876 27699188 3077688 0 461449 415304 46145 5644474 5080027 564447 2010212 1809191 201021 0 34370 30933 3437 0 0 0 0 9942496 8948246 994250 130911 117820 13091 6367996 5731196 636800 31805510 28624959 3180551 0 289508 260557 28951 314954 283459 31495 0 186061 167455 18606 0 0 5993694 5394325 599369 0 LICENSE & INSPECTION 608084 547276 60808 SURGICAL SUPPLIES 14565 14565 LAUNDRY & LINEN 720763 648687 72076 DUES & SUBSCRIPTION. 107726 96953 10773 346037 311433 34604 95763161 86189049 9574112 0 0 0 0 0 0 0 18562 0 0 0 0 0 0 56272 0 0 436818 171765 0 0 0 0 0 0 3050254 82053 0 0 21832014 81418655 25337648 81728745 5723181 7059613 0 0 60123 0 0 0 0 0 0 0 0 0 0 0 0 85942 5783304 7145555 X 19554344 74583190 0 0 19554344 74583190 25337648 81728745 X 3540548 -7697653 59185951 X false true X true false X X 1 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 750818167 3 false 86189049 0 1 86189049 true false false false false false false false false false false false false false false false MANAGEMENT OF SUPPORTING ORGANIZATION FORM 990, SCHEDULE A, PART IV, SECTION C, LINE 1 THE MANAGEMENT OF CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM (CTMFHS) IS VESTED IN THE SAME PERSONS THAT MANAGE THE MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER (HOSPITAL). THE SYSTEM EXECUTIVES MANAGE THE DAILY BUSINESS OF ALL OF THE ORGANIZATIONS WITHIN THE SYSTEM. THE SYSTEM EXECUTIVES ARE SHARED AMONG THE HOSPITAL AND ITS AFFILIATES, SO THE MANAGEMENT OF THE SUPPORTED ORGANIZATIONS ARE THE SAME AS THE PERSONS MANAGING THE SUPPORTING ORGANIZATIONS. 3883058 83627 15325 3951360 3676633 10000 206545 10120 3883058 3522036 30000 200996 76399 3676633 3185371 345766 9101 3522036 2885950 445000 -118741 26838 3185371 0.00000 0.64560 0.35440 false false DUE FROM AFFILIATES 81361686 RIGHT OF USE LEASE ASSET 56969 81418655 0 DUE TO AFFILIATES 25772 LEASE LIABILITY 60170 85942 X INTENDED USE OF ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V, LINE 4 THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER. UNCERTAIN TAX POSITIONS UNDER ASC 740 FORM 990, SCHEDULE D, PART X, LINE 2 PER FOORNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2020 AND JUNE 30, 2019. X true true true true false false false false false false false ELIZABETH PULLIAM VP/CFO 325543 127416 4584 79814 8049 545406 0 ANDREW VON ESCHENBACH CIO / VP (THRU 06/20) 335755 107378 650 28780 10548 483111 0 ALI BIRJANDI VP PERFORMANCE IMPROVEMENT 232764 61511 18233 9800 15938 338246 0 MARY ELIZABETH JACKSON VP ADVOCACY - GOVT AFFAIRS 234161 84688 5401 9800 5437 339487 0 SCOTT FOSSEY VP OF DEVELOPMENT 300181 77893 700 20200 18783 417757 0 CHRIS GLENNEY DIRECTOR 689678 354523 790 197308 13935 1256234 0 JEFF PUCKETT DIRECTOR 2881923 1725250 121487 2724163 11965 7464788 0 LINDSEY BRADLEY JR DIRECTOR (RETIRED 6/30/17) 10671 0 843286 0 0 853957 0 MARK ANDERSON MD DIRECTOR 578783 251843 111102 28800 13779 984307 0 SCOTT SMITH MD DIRECTOR 638279 300323 15600 133342 34516 1122060 0 STEVEN KEUER MD Ex-Officio DIRECTOR 644917 332451 154260 186636 9288 1327552 0 Andy Navarro VP Mission Integration 252871 70260 700 73773 12047 409651 0 BRIAN D MATSON VP, STRATEGY-BUS DEVELOPMENT 250828 68052 12050 42005 16296 389231 0 CHRISTOPHER SCHMIDLY VP (THRU 09/2018) 0 0 242872 0 0 242872 0 BECKY WESTERN ASSOCIATE CIO 169066 44441 0 7964 7669 229140 0 RELATED ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RLATED 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 CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY. PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, LINE 4B PARTICIPANT IN SERP REPORTED IN W-2 DEFERRED COMPENSATION ------------------- --------------- --------------------- NONE PARTICIPANTS IN 457 (F) ------------------------------------ NONE SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, QUESTION 1A AND SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. 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 CALENDER YEAR 2019. 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. Supplemental Compensation Infomation Form 990, part VII, Section A and Schedule J, Part II The bonus and incentive compensation reported as related compensation was paid by Christus Health, A related organization of the filing entity SEVERANCE FORM 990, SCHEDULE J, PART I, LINE 4A THE FOLLOWING PERSONS RECEIVED SEVERANCE PAYMENTS DURING 2019: J. LINDSEY BRADLEY $843,286 CHRISTOPHER SCHMIDLY $204,000 DOING BUSINESS AS FORM 990, PAGE 1, ITEM C CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM OPERATES UNDER THE FOLLOWING NAMES: TRINITY MOTHER FRANCES HOSPITALS AND CLINICS CHRISTUS HEALTH NORTHEAST TEXAS CHRISTUS ORTHOPEDICS AND SPORTS MEDICINE INSTITUTE MEMBERS OF STOCKHOLDERS FORM 990, PART VI, LINE 6 CHRISTUS HEALTH IS THE SOLE MEMBER OF CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7A CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSILIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSATION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTIICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE,OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FILLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO), AND THE CONGREGATION OF THE SISTERS OF TEH HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY. PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE CHRISTUS HEALTH TAX DEPARTMENT. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH THE TAX DEPARTMENT IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS WAS REVIEWED PRIOR TO FILING WITH THE IRS IN THE SPRING 2021 BY THE ORGANIZATION'S MANAGEMENT, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. AT A BOARD MEETING SUBSEQUENT TO FILING WITH THE IRS, THE PRESIDENT AND SECRETARY WILL REPORT TO THE FULL BOARD ON THE FORM 990. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C 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. COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, LINE 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HEALTH CENTRAL LOUISIANA. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SILILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENDATION DECISION. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWD BY A COMPENSATION COMMITTEE. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, LINE 18 CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. OTHER CHANGES IN NET ASSETS AND FUND BALANCES FORM 990, PART, XI, LINE 9 PENSION LIABILITY ($1,153,674) ICP NET ASSETS $60,339,625 ------------- TOTAL $59,185,951 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEE TOTAL FEES:614996 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:3201044 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE & SERVICE TOTAL FEES:119198 FORM 990 PART IX LINE 11G DESCRIPTION:COLLETION FEES TOTAL FEES:6007258 TRINITY MOTHER FRANCES CARE COMPACT LLC 1315 DOCTORS DRIVE TYLER TX 75701 465764798 ACUTE CARE TX -7 199 CTMFHS TMF - ES INVESTMENT LLC 1315 DOCTORS DRIVE TYLER TX 75701 471407192 INVESTMENT TX 0 0 CTMFHS MOTHER FRANCES HOSPITAL-JACKSONVILLE 1315 DOCTORS DRIVE TYLER TX 75701 751976930 HOSPITAL TX 501 (C)(3) 3 CTMFHS true CHRISTUS-TRINITY MOTHER FRANCES FDN 1315 DOCTORS DRIVE TYLER TX 75701 752028241 SUPPORT TX 501 (C)(3) 12, TYPE I CTMFHS true REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER TX 75701 752511459 HEALTHCARE TX 501 (C)(3) 3 MFH REG true MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501 (C)(3) 3 CTMFHS true CHRISTUS TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 HEALTHCARE TX 501 (C)(3) 3 CTMFHS true MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 HOSPITAL TX 501 (C)(3) 3 CTMFHA true ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER TX 75701 465720165 HEALTHCARE TX 501 (C)(3) 3 MFH REG true CSFN MISSION AND MINISTRY INC 4001 GRANT AVENUE PHILADELPHIA PA 19114 205728802 SPONSORSHIP PA 501 (C)(3) 3 NA false CHRISTUS HEALTH 919 HIDDEN RIDGE DR IRVING TX 75038 760590551 SPT HLTH SVCS TX 501 (C)(3) 3 NA false CHRISTUS HEALTH CENTRAL LOUSIANA 330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVS LA 501(C)(3) 3 CH true CHRISTUS HEALTH GULF COAST P O BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVS TX 501 (C)(3) 3 CH true CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 71101 720408982 HLTHCARE SVS LA 501 (C)(3) 3 CH true CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HLTHCARE SVS TX 501 (C)(3) 3 CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER STREET BEAUMONT TX 77702 760591590 HLTHCARE SVS TX 501 (C)(3) 3 CH true CHRITUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 720411322 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVCS TX 501 (C)(3) 3 CH true CHRISTUS CONTINUING CARE 919 HIDDEN RIDGE IRVING TX 75038 742898615 HLTHCARE SVCS TX 501 (C)(3) 3 CH true C H WILKINSON PHYSICIAN NETWORK 919 HIDDEN RIDGE IRVING TX 75038 760422435 HLTHCARE SVCS TX 501 (C)(3) 12, TYPE I CH true CHRISTUS HEALTH FOUNDATION 919 HIDDEN RIDGE DR IRVING TX 75038 611500100 SPT HLTH SVCS TX 501 (C)(3) 12, TYPE I CH true CHRISTUS HEALTH STRATEGIC GROWTH 919 HIDDEN RIDGE DR IRVING TX 75038 462798043 SPT HLTH SVCS TX 501 (C)(3) 12, TYPE I CH true CHRISTUS HEALTH PLAN LOUISIANA 919 HIDDEN RIDGE DR IRVING TX 75038 464617988 501 (C)(3) LA 501 (C)(4) CH true CHRISTUS PEDIATRIC PHYSICIAN GROUP 919 HIDDEN RIDGE DR IRVING TX 75038 465203505 HLTHCARE SVCS TX 501 (C)(3) 3 CH true CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT ROAD SULPHUR SPRINGS TX 75482 811708177 HEALTH SVCS TX 501 (C) (3) 3 CH true CHRISTUS CONNECTED CARE NETWORK 919 HIDDEN RIDGE IRVING TX 75038 473403356 HLTH SVCS TX 501(c)(4) CH true TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH TX CTMFHS C-CORPORATION 1.00000 true HEALTHPLAN OF TEXAS INC 1315 DOCTORS DRIVE TYLER TX 75701 752636832 THIRD PARTY A TX CTMFHS C-CORPORATION -32305 13522 1.00000 true THE REGIONAL HEALTHCARE ALLIANCE 1314 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVID TX CTMFHS C-CORPORATION -7261 0 1.00000 true TEXAS HEALTH FACILITY INSUR CORP LTD P O BOX 1109 BWI CJ 980136025 INSURANCE CJ MFH REG C-CORPORATION true CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 64060 COLOBISPADO MONTERREY N.L. MX HLTHCARE SVCS MX CH C-CORPORATION true EMERALD ASSURANCE CAYMAN LTD P O BOX 1051 GRAND CAYMAN CJ KY1 CJ 1102 980407545 INSURANCE CJ CH C-CORPORATION true CHRISTUS LOUISIANA QUALITY ALLIANCE 919 HIDDEN RIDGE DR IRVING TN 75038 474618648 HEALTHCARE SV LA CH C- CORP true false false false false false false false false true false true true false false true true true false Aligned Providers of East Texas m 202850 ACCRUAL Ambulatory Strategies Physician Group Inc l 952 Accrual Ambulatory Strategies Physician Group Inc m 952 Accrual Ambulatory Strategies Physician Group Inc q 952 Accrual Ambulatory Strategies Physician Group of LA l 3701 Accrual Ambulatory Strategies Physician Group of LA m 3701 Accrual Ambulatory Strategies Physician Group of LA q 3214 Accrual CH Wilkinson Physician Network l 57898 Accrual CH Wilkinson Physician Network m 88355 Accrual CH Wilkinson Physician Network q 27442 Accrual CHRISTUS Health ArkLaTex L 52641 Accrual CHRISTUS Health ArkLaTex M 52641 Accrual CHRISTUS Health ArkLaTex q 52641 Accrual CHRISTUS Good Shepherd Medical Center l 1204942 Accrual CHRISTUS Good Shepherd Medical Center m 2409884 Accrual CHRISTUS Health l 32733273 Accrual CHRISTUS Health m 259153 Accrual CHRISTUS Health p 7409895 Accrual CHRISTUS Health q 1480 Accrual CHRISTUS Health r 2990607 Accrual CHRISTUS Health Central Louisiana q 8719 Accrual CHRISTUS Health Northern Louisiana L 17200 Accrual CHRISTUS Health Northern Louisiana M 17200 Accrual CHRISTUS Health Northern Louisiana q 7779 Accrual CHRISTUS Health Plan l 521570 Accrual CHRISTUS Health Plan m 1040801 Accrual CHRISTUS Health Southeast Texas l 20002 Accrual CHRISTUS Health Southeast Texas m 20002 Accrual CHRISTUS Health Southeast Texas q 20002 Accrual CHRISTUS Hopkins Health Alliance l 183882 Accrual CHRISTUS Hopkins Health Alliance m 183882 Accrual CHRISTUS Hopkins Health Alliance q 183828 Accrual CHRISTUS Health Southwestern LA l 11489 Accrual CHRISTUS Health Southwestern LA m 11489 Accrual CHRISTUS Health Southwestern LA q 11489 Accrual CHRISTUS Pediatric Physician Group l 10048 Accrual CHRISTUS Pediatric Physician Group m 10048 Accrual CHRISTUS Pediatric Physician Group q 10048 Accrual CHRISTUS Santa Rosa Health Care Corporation l 10332 Accrual CHRISTUS Santa Rosa Health Care Corporation m 21582 Accrual CHRISTUS Santa Rosa Health Care Corporation q 496 Accrual CHRISTUS Spohn Health System Corporation l 26029 Accrual CHRISTUS Spohn Health System Corporation m 26029 Accrual CHRISTUS Spohn Health System Corporation q 26029 Accrual GSHS Administrative Services Organization Inc l 142308 Accrual GSHS Administrative Services Organization Inc m 142308 Accrual GSHS Administrative Services Organization Inc q 142308 Accrual Mother Frances Hospital Jacksonville j 54275 Accrual Mother Frances Hospital Jacksonville m 112993 Accrual Mother Frances Hosp Reg Health Care Center m 2227526 Accrual St Vincent Hospital l 324 Accrual St Vincent Hospital m 324 Accrual DIRECT CONTROLLING ENTITY FORM 990, SCHEDULE R, PART II, COLUMN F & PART IV, COLUMN D CHRISTUS HEALTH ("CH") IS THE TOP LEVEL ORGANIZATION WHICH DIRECTLY OR INDIRECTLY CONTROLL ALL OF THE LOWER TIERED ORGANIZATIONS. THE FOLLOWING RELATED ORGANIZATIONS REPORTABLE IN PART II ARE DIRECTLY CONTROLLED BY CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM ("CTMFHS"): MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER MOTHER FRANCES HOSPITAL - JACKSONVILLE CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION MOTHER FRANCES HOSPITAL - WINNSBORO ALIGNED PROVIDERS OF EAST TEXAS IS DIRECTLY CONTROLLED BY MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER ("MFH REG'). THE ABOVE DIRECT CONTROLLING ENTITIES, "CTMFHS"MFH REG" ARE ALSO THE CONTROLLING ENTITIES FOR THE CORPORATIONS LISTED IN PART IV.