CHRISTUS HEALTH SOUTHEAST TEXAS: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH SOUTHEAST TEXAS (EIN 76-0591590)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-12
IRS object ID: 202131329349305653
Schema version: 2019v5.1
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 D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-12T21:15:25-05:00	ReturnTs
Tax Period End	2020-06-30	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	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	760591590	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTUS HEALTH SOUTHEAST TEXAS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% NIKKI MARTIN	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	4098927171	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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SHAWN ADAMS	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2021-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2019	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	PAUL TREVINO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2830 CALDER AVENUE	AddressLine1Txt
City	BEAUMONT	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77702	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$415,244,651	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.christushospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE TEACHINGS OF THE CATHOLIC CHURCH.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2417	TotalEmployeeCnt
Total Volunteers	286	TotalVolunteersCnt
Total Gross UBI	$673,013	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,341	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$127,668	PYContributionsGrantsAmt
CY Contributions Grants	$1,403,337	CYContributionsGrantsAmt
PY Program Service Revenue	$443,750,707	PYProgramServiceRevenueAmt
CY Program Service Revenue	$410,987,272	CYProgramServiceRevenueAmt
PY Investment Income	$6,526	PYInvestmentIncomeAmt
CY Investment Income	$67,512	CYInvestmentIncomeAmt
PY Other Revenue	$951,412	PYOtherRevenueAmt
CY Other Revenue	$2,716,701	CYOtherRevenueAmt
PY Total Revenue	$444,836,313	PYTotalRevenueAmt
CY Total Revenue	$415,174,822	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,158,409	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,724,398	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$139,794,760	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$137,325,130	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$262,931,257	PYOtherExpensesAmt
CY Other Expenses	$244,350,853	CYOtherExpensesAmt
PY Total Expenses	$407,884,426	PYTotalExpensesAmt
CY Total Expenses	$384,400,381	CYTotalExpensesAmt
PY Revenues Less Expenses	$36,951,887	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$30,774,441	CYRevenuesLessExpensesAmt
Total Assets BOY	$641,548,360	TotalAssetsBOYAmt
Total Assets EOY	$921,107,100	TotalAssetsEOYAmt
Total Liabilities BOY	$66,146,404	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$80,940,359	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$575,401,956	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$840,166,741	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR, CHARITABLE SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF, ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH, CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND, CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING, CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AN	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$129,372,555	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$220,517,483	RevenueAmt
Desc	COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM IS PART OF CHRISTUS HEALTH, FORMED IN 1999 TO STRENGTHEN THE 155-YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS IS CHALLENGED TO REACH OUT TO, AND BEYOND, THE MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY IS TO BE A LEADER, A PARTNER AND AN ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM RESPONDS TO THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH SERVICES PROVIDED AT FOUR CAMPUSES; THE 425-BED CHRISTUS HOSPITAL - ST. ELIZABETH IN BEAUMONT, THE 6-Bed The Beaumont Bone and Joint Institute, THE ST. MARY OUTPATIENT CENTER IN PORT ARTHUR, AND CHRISTUS JASPER MEMORIAL HOSPITAL, A 59-BED HOSPITAL IN JASPER. EACH OF THE FACILITIES OF CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM SHARES ONE OBJECTIVE -- WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH SOUTHEAST TEXAS IS LOCATED IN FAR SOUTHEAST TEXAS, AND ITS SERVICE AREA EXTENDS TO THE SOUTHEAST COAST OF THE STATE AND NORTHWARD INTO EAST TEXAS, AN AREA WHICH INCLUDES A POPULATION OF MORE THAN 524,263 INDIVIDUALS AS OF 2017. IN FISCAL YEAR 2020 ALONE, WE SERVED HUNDREDS OF THOUSANDS OF INDIVIDUALS IN VARIOUS WAYS INCLUDING 87,280 VISITS TO OUR EMERGENCY DEPARTMENT; 5,173 INPATIENT SURGERY PROCEDURES; 12,841 OUTPATIENT SURGERY PROCEDURES; 15,597 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE AND 415,098 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM STAND APART. ALLOWING OTHERS TO TOUCH US GIVES US A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH TO HER FIRST CHILD, CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM'S HEALTH CARE SERVICES WORK TO PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM'S VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITH THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS HEALTH SOUTHEAST TEXAS FURTHER CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE, USFHP AND OTHERS. IN ADDITION, WE PROVIDE SPECIFIC PROGRAMS TO PROVIDE DISCOUNTED SERVICES TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. EACH OF THE THREE HOSPITALS OF CHRISTUS SOUTHEAST TEXAS PROVIDES A 24-HOUR EMERGENCY DEPARTMENT THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, INCLUDING TWO RURAL CLINICS IN JASPER AND KIRBYVILLE. AS A NOT-FOR-PROFIT ORGANIZATION AND AS PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE GUIDES CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM. WE HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$157,823,897	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$140,195,621	RevenueAmt
Desc	OTHER GOVERNMENT SPONSORED SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE AND TRICARE. THE COSTS NOT REIMBURSED FOR THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS. THEY ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HOSPITAL. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. MEDICARE REIMBURSES OUTPATIENT SERVICES BASED ON ITS FEE SCHEDULE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$49,491,643	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$52,907,513	RevenueAmt
Desc	COMMUNITY BENEFIT REPORTING CHARITY CARE AND MEDICAID CHRISTUS ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT (2012), AND COMPLIES WITH THE STATE OF TEXAS REQUIREMENTS FOR REPORTING. COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. THIS FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH THE MISSION, VALUES, AND VISION OF CHRISTUS HEALTH, CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS DEFINED AS SERVICES PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT TO CHARGE, IF ANY, IS ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY THE ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 300 PERCENT OF THE FEDERAL POVERTY GUIDELINES (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM BETWEEN 300 AND 400 PERCENT OF FPL ARE CHARGED BASED ON A SLIDING SCALE, AND THOSE ABOVE 400 PERCENT RECEIVE DISCOUNTS BASED ON THE UNINSURED FEE SCHEDULE. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE DUE TO THEIR INABILITY TO PAY. CHRISTUS HEALTH IS AN ACTIVE PARTICIPANT IN THE STATES OF TEXAS, NEW MEXICO AND LOUISIANA MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$2,920,928	$2,516,064	$0	POOR & UNDERSERVED
$1,408,405	$0	$0	BROADER COMMUNITY
$0	$208,334	$0	ADDITIONAL GRANTS

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$4,329,333	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$2,724,398	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$341,017,428	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	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	false	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	Yes (true)	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	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	151	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2417	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	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	NIKKI MARTIN	PersonNm
Phone	4098997300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2830 CALDER STREET	AddressLine1Txt
City	BEAUMONT	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77702	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Paul M Trevino
Director/PRESIDENT/CEO	40.0	0.0	Yes (X)	Yes (X)	$0	$779,546	$336,469
Rodney PAUL Guidroz
REGIONAL CNE	40.0	0.0			$0	$466,659	$103,962	Yes (X)
D Wayne Moore
PRES.-JASPER MEM	40.0	0.0			$0	$365,785	$125,764	Yes (X)
Shawn M Adams
CFO/ Treasurer	40.0	0.0	Yes (X)	Yes (X)	$0	$389,820	$97,167
RYAN MILLER
PRESIDENT-ORTHOPEDIC SC/AMB SV	40.0	0.0			$0	$305,201	$55,392	Yes (X)
CHRISTOPHER H HOYT MD
DIRECTOR	1.0	39.0	Yes (X)		$0	$344,229	$12,313
ROBERT K PARSLEY
Exec. Dir.- Provider Stategy	40.0	0.0			$130,079	$124,558	$59,787	Yes (X)
D Mark Toups MD
DIRECTOR	1.0	39.0	Yes (X)		$0	$290,819	$11,386
THOMAS A WELCH
Reg Director Pharmacy	40.0	0.0			$187,818	$0	$42,911		Yes (X)
Jane Rawls
CHIEF NURSE (TERM 5/15)	24.0	16.0			$0	$169,563	$42,991			Yes (X)
NIKKI MARTIN
FACILITY FINANCIAL OFFICER	40.0	0.0			$167,251	$0	$42,736	Yes (X)
JOHN G GONZALEZ
PHARMACY SVCS MGR (EFF 07/19)	40.0	0.0			$153,798	$0	$35,811		Yes (X)
PATRICIA A NAYMIK
ADMIN DIR NURSING	40.0	0.0			$153,302	$0	$29,262		Yes (X)
DANIEL DOYLE
Reg Dir Quality Management	40.0	0.0			$174,164	$0	$2,008		Yes (X)
CHARLOTTE S LEJUNE
NURSE PRACTITIONER (EFF 07/19)	40.0	0.0			$152,641	$0	$13,131		Yes (X)
Deborah M Tucker
Corp. Secretary	40.0	0.0		Yes (X)	$54,783	$0	$15,922
Kevin J Roy
DIRECTOR/CHAIR (TERM 12/19)	1.0	0.0	Yes (X)	Yes (X)	$0	$8,171	$0
DR ENRIQUE R VENTA PHD
DIRECTOR/VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Sabrina H Vrooman
Director	1.0	0.0	Yes (X)		$0	$0	$0
SISTER Lillian Anne Healy
Director	1.0	0.0	Yes (X)		$0	$0	$0
Daniel Thompson MD
Director	1.0	0.0	Yes (X)		$0	$0	$0
Mark A Fertitta
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Tyrell L Garth
DIRECTOR/CHAIR	1.0	0.0	Yes (X)		$0	$0	$0
J THOMAS MOLINA MD
DIRECTOR (TERM 12/19)	1.0	0.0	Yes (X)		$0	$0	$0
KEITH J HILL MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SR MALGORZATA MAJSZCYK
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Pamela A St Amand MD
Director (TERM 12/19)	1.0	0.0	Yes (X)		$0	$0	$0
David Willard EdD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Deborah Sherman MD
Director (EFF 01/20)	1.0	0.0	Yes (X)		$0	$0	$0
Kenneth Evans EdD
Director (Eff 01/20)	1.0	0.0	Yes (X)		$0	$0	$0
Patricia Avery
Director (EFF 01/20)	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,173,836	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,244,351	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,027,012	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	103	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
ANESTHESIA ASSOCIATES INC
460 Enterprise Street	SAN MARCOS	CA	92078	HEALTH SERVICES	$2,069,758
HHS ENVIRONMENTAL SERVICES LLC
216 EAST 4TH STREET	AUSTIN	TX	78701	HOUSEKEEPING	$1,890,086
SURGICAL CRITICAL CARE
PO BOX 12909	BEAUMONT	TX	77726	MEDICAL SERVICES	$1,762,945
RELIANT PHYSICIANS OF SOUTHEAST
3070 College Street Suite 401	BEAUMONT	TX	77701	MEDICAL SERVICES	$1,611,200
RENAL CENTER OF WEST BEAUMONT LLC
3965 Phelan Blvd	BEAUMONT	TX	77707	MEDICAL SERVICES	$1,574,156

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	56	CntrctRcvdGreaterThan100KCnt
Government Grants	$86,238	GovernmentGrantsAmt
All Other Contributions	$1,317,099	AllOtherContributionsAmt
Total Contributions	$1,403,337	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621990	$390,708,611	$390,125,994	$582,617	$0
COMMUNITY BENEFIT	900099	$10,964,426	$10,964,426	$0	$0
RENT RELATED TO EXEMPT PURPOSE	531120	$5,514,480	$5,514,480	$0	$0
WELLNESS CENTER	713940	$2,178,678	$2,178,678	$0	$0
SETX CANCER CENTER REVENUE	900099	$597,664	$597,664	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,023,413	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,016,373	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,040	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$410,987,272	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$137,341	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$69,829	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$67,512	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$67,512	TotalRevenueColumnAmt
Exclusion	$67,512	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
INSURANCE CLAIMS	900099	$2,274,370	$2,274,370	$0	$0
FINANCIAL ASSISTANT SUB	900099	$100,000	$100,000	$0	$0
All other revenue		$342,331	$258,975	$83,356	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$2,716,701	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$415,174,822	TotalRevenueColumnAmt
Related Or Exempt Func Income	$413,030,960	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$673,013	UnrelatedBusinessRevenueAmt
Exclusion	$67,512	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	$2,689,384	TotalAmt
Program Services	$2,689,384	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$35,014	TotalAmt
Program Services	$35,014	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	$441,312	TotalAmt
Program Services	$398,614	ProgramServicesAmt
Management And General	$42,887	ManagementAndGeneralAmt
Fundraising	-$189	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	$109,002,394	TotalAmt
Program Services	$98,455,983	ProgramServicesAmt
Management And General	$10,593,009	ManagementAndGeneralAmt
Fundraising	-$46,598	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

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

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,254,101	TotalAmt
Program Services	$18,127,871	ProgramServicesAmt
Management And General	$2,092,277	ManagementAndGeneralAmt
Fundraising	$33,953	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,627,323	TotalAmt
Program Services	$6,930,117	ProgramServicesAmt
Management And General	$685,513	ManagementAndGeneralAmt
Fundraising	$11,693	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$671,106	TotalAmt
Program Services	$508,444	ProgramServicesAmt
Management And General	$162,662	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$602,799	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$602,799	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,032,269	TotalAmt
Program Services	$1,032,269	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	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	$44,548,397	TotalAmt
Program Services	$32,180,944	ProgramServicesAmt
Management And General	$12,367,453	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,304,696	TotalAmt
Program Services	$149,218	ProgramServicesAmt
Management And General	$1,155,478	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,425,540	TotalAmt
Program Services	$27,291,310	ProgramServicesAmt
Management And General	$12,133,089	ManagementAndGeneralAmt
Fundraising	$1,141	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,921,314	TotalAmt
Program Services	$15,921,314	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	$10,682,312	TotalAmt
Program Services	$8,082,726	ProgramServicesAmt
Management And General	$2,599,586	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$211,111	TotalAmt
Program Services	$143,858	ProgramServicesAmt
Management And General	$67,253	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	$230,783	TotalAmt
Program Services	$63,320	ProgramServicesAmt
Management And General	$167,463	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,313,844	TotalAmt
Program Services	$5,313,844	ProgramServicesAmt
Management And General	$0	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	$14,436,275	TotalAmt
Program Services	$14,257,924	ProgramServicesAmt
Management And General	$178,351	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,296,440	TotalAmt
Program Services	$6,296,440	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$62,317,865	$62,236,642	$81,223	$0
PROVISION FOR UNCOLLECTIBLES	$28,014,219	$28,014,219	$0	$0
PROVIDER PARTICIPATION FEE	$12,648,400	$12,648,400	$0	$0
RECRUITMENT FEES	$205,058	$1,241	$203,817	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$488,425	TotalAmt
Program Services	$238,332	ProgramServicesAmt
Management And General	$250,093	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$384,400,381	TotalAmt
Program Services	$341,017,428	ProgramServicesAmt
Management And General	$43,382,953	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$407,603,396	BOYAmt
EOY	$660,583,774	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$45,835,999	BOYAmt
EOY	$50,238,350	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	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,976,765	BOYAmt
EOY	$10,933,445	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,887,411	BOYAmt
EOY	$7,317,736	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$524,322,529	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$383,331,017	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$133,050,684	BOYAmt
EOY	$140,991,512	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	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	$1,875,184	BOYAmt
EOY	$1,926,044	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,019,283	BOYAmt
EOY	$35,877,111	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$299,638	BOYAmt
EOY	$13,239,128	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$641,548,360	BOYAmt
EOY	$921,107,100	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,788,385	BOYAmt
EOY	$23,991,680	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	$585,010	BOYAmt
EOY	$44,129,668	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	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$43,773,009	BOYAmt
EOY	$12,819,011	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,146,404	BOYAmt
EOY	$80,940,359	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	$575,002,490	BOYAmt
EOY	$839,757,615	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$399,466	BOYAmt
EOY	$409,126	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$575,401,956	BOYAmt
EOY	$840,166,741	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$641,548,360	BOYAmt
EOY	$921,107,100	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$30,774,441	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$233,758,769	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$231,575	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

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	$20,176,781	OtherCostOrOtherBasisAmt
Book Value	$20,176,781	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$362,634,200	OtherCostOrOtherBasisAmt
Depreciation	$280,266,658	DepreciationAmt
Book Value	$82,367,542	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,283,173	OtherCostOrOtherBasisAmt
Depreciation	$3,674,632	DepreciationAmt
Book Value	$8,608,541	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$124,528,392	OtherCostOrOtherBasisAmt
Depreciation	$98,594,776	DepreciationAmt
Book Value	$25,933,616	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,699,983	OtherCostOrOtherBasisAmt
Depreciation	$794,951	DepreciationAmt
Book Value	$3,905,032	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$140,991,512	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$156,917	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
LEASE LIABILITY -LT-OPERATING	$10,250,205
LEASE LIABILITY-CP-OPERATING	$2,946,502
STATE SALES & PROPERTY TAX PAYABLE	$519,891
OTHER LONG TERM OBLIGATIONS	$350,000
INTERCOMPANY PAYABLE	-$1,404,504

Field	Value	IRS element (for citing)
Total Liability	$12,819,011	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	UNCERTAIN TAX POSITIONS UNDER ASC 740	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE D, PART X, LINE 2 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2020 AND 2019.	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	$19,508,077	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,508,077	NetCommunityBenefitExpnsAmt
Total Expense	0.05470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,734,312	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,205,824	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,528,488	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,242,389	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,205,824	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,036,565	NetCommunityBenefitExpnsAmt
Total Expense	0.06180	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	26549	PersonsServedCnt
Total Community Benefit Expns	$855,170	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$855,170	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1054	PersonsServedCnt
Total Community Benefit Expns	$829,598	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$829,598	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	12	PersonsServedCnt
Total Community Benefit Expns	$24,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,583,866	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,583,866	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	27615	PersonsServedCnt
Total Community Benefit Expns	$4,292,634	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,292,634	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	27615	PersonsServedCnt
Total Community Benefit Expns	$69,535,023	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,205,824	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,329,199	NetCommunityBenefitExpnsAmt
Total Expense	0.07390	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$36,699	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,699	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$36,699	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,699	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$28,014,219	BadDebtExpenseAmt
Bad Debt Expense Attributable	$180,355	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$86,490,761	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$81,324,226	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,166,535	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
ST ELZBTH REHAB PTNR
REHABILITATION SERVICES	0.51	0.3135
SETX CANCER CENTERS
CANCER TREATMENT	0.49	0.51

Field	Value	IRS element (for citing)
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CHRISTUS HOSPITAL - ST ELIZABETH
1	2830 Calder Avenue	BEAUMONT	TX	77702	WWW.CHRISTUSHEALTH.ORG	000444	Yes (X)	Yes (X)	Yes (X)	A
CHRISTUS JASPER MEMORIAL HOSPITAL
2	1275 MARVIN HANCOCK DRIVE	JASPER	TX	75951	WWW.CHRISTUSHEALTH.ORG	000038	Yes (X)	Yes (X)	Yes (X)	A
CHRISTUS ST MARY OUTPATNT CTR MIDCNTY
3	8801 9TH AVENUE	PORT ARTHUR	TX	77642	SEE SCHEDULE H, PART V, SECTION C	000444	Yes (X)		Yes (X)	A
Beaumont Bone and Joint Institute
4	3650 Laurel Avenue	Beaumont	TX	77707	https://www.beaumontbone.com/		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	13	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
Other	Yes (X)	OtherInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL INFORMATION FOR HOSPITAL FACILITY GROUPS 1-3	SCHEDULE H, PART V, SECTION A WEBSITE FOR CHRISTUS ST. MARY OUTPATIENT CENTER MIDCOUNTY IS: HTTPS://WWW.CHRISTUSHEALTH.ORG/SOUTHEAST-TEXAS/SOUTHEAST-TEXAS-OUTPATIENT- CENTER-MID-COUNTY SCHEDULE H, PART V, SECTION B, LINE 3E PRIORITIZED DESCRIPTION OF SIGNIFICANT HEALTH NEEDS BASED ON THE TEXAS HEALTH INSTITUTE (THI) REVIEW OF DATA, TEN PRIORITY NEED AREAS EMERGED. THIS LIST WAS PRESENTED TO THE LOCAL NEEDS PRIORITIZATION COMMITTEE CONSISTING OF STAKEHOLDERS ASSEMBLED FROM THROUGHOUT THE CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM SERVICE AREA. THE COMMITTEE WAS ASKED TO (A) VALIDATE THE DATA-BASED PRIORITIES, AND (B) DISTILL AND RANK THE LIST OF TEN PRIORITIES INTO A TARGETED, ACTIONABLE GROUP OF FIVE. PARTICIPANTS IN THE NEEDS PRIORITIZATION PROCESS WERE ENCOURAGED TO CONSIDER THE FOLLOWING CRITERIA WHEN SELECTING WHAT NEEDS TO ELEVATE IN IMPORTANCE OVER OTHERS: -MAGNITUDE OF THE PROBLEM (NUMBER OF PEOPLE AFFECTED) -SEVERITY OF THE PROBLEM (BURDEN OF MORBIDITY AND MORTALITY DUE TO THE PROBLEM) -ORGANIZATIONAL CAPACITY TO ADDRESS THE PROBLEM -IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS -EXISTING RESOURCES ALREADY ADDRESSING THE PROBLEM -RISK ASSOCIATED WITH DELAYING TARGETED INTERVENTION ON THE PROBLEM -INFLUENCE ONE PROBLEM MAY HAVE ON ADDRESSING OTHER RELATED PROBLEMS THE TOP FIVE NEEDS DECIDED BY THE COMMUNITY STAKEHOLDERS WERE: ACCESS TO MENTAL AND BEHAVIORAL HEALTH; ACCESS TO PRIMARY CARE; TRANSPORTATION; HEALTHCARE DISPARITIES; AND FOOD INSECURITY. SCHEDULE H, PART V, SECTION B, LINE 3J OTHER ITEMS DESCRIBED BY CHNA REPORT OUR MISSION AND VISION STATEMENTS WERE INCLUDED TO GIVE THE PUBLIC AN AWARENESS OF OUR COMMUNITY FOCUS AND CHRISTIAN MINISTRY DEDICATION TO SERVE THE UNDERSERVED.
SCHEDULE H, PART V, SECTION B, LINE 5	THE CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM IS A NON-PROFIT, CATHOLIC, INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT INCLUDES THREE ACUTE CARE HOSPITALS - CHRISTUS SOUTHEAST TEXAS ST. ELIZABETH, CHRISTUS ST. MARY OUTPATIENT CENTER MID COUNTY, AND CHRISTUS SOUTHEAST TEXAS JASPER MEMORIAL. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM'S DEDICATED STAFF PROVIDE SPECIALTY CARE THAT IS TAILORED TO THE INDIVIDUAL NEEDS OF EVERY PATIENT, AIMING TO DELIVER HIGH-QUALITY SERVICES WITH EXCELLENT CLINICAL OUTCOMES. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM WORKS CLOSELY WITH THE LOCAL COMMUNITY TO ENSURE THAT REGIONAL HEALTH NEEDS ARE IDENTIFIED AND INCORPORATED INTO SYSTEM-WIDE PLANNING AND STRATEGY. TO THIS END, CHRISTUS HEALTH COMMISSIONED TEXAS HEALTH INSTITUTE (THI) TO CONDUCT AND PRODUCE THE 2020-2022 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM, REQUIRED BY LAW TO BE PERFORMED ONCE EVERY THREE YEARS AS A CONDITION OF 501(C)(3) TAX-EXEMPT STATUS. IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THI STAFF AND CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM COMMUNITY STAKEHOLDERS ANALYZED OVER 40 DIFFERENT INDICATORS, SPANNING DEMOGRAPHICS, SOCIOECONOMIC FACTORS, HEALTH BEHAVIORS, CLINICAL CARE, AND HEALTH OUTCOMES. REPORT FINDINGS COMBINE DATA FROM PUBLICLY AVAILABLE SOURCES, INTERNAL HOSPITAL DATA, AND INPUT FROM THOSE WITH CLOSE KNOWLEDGE OF THE LOCAL PUBLIC HEALTH AND HEALTH CARE SYSTEMS TO PRESENT A COMPREHENSIVE OVERVIEW OF UNMET HEALTH NEEDS IN THE REGION.
SCHEDULE H, PART V, SECTION B, LINE 6A	REPRESENTATIVES FROM CHRISTUS HEALTH CONTRIBUTED CONTACT INFORMATION OF 19 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF SOUTHEAST TEXAS AND WHO POSSESS KNOWLEDGE ABOUT THE REGION'S HEALTH-RELATED CHALLENGES. THESE KEY STAKEHOLDERS INCLUDED NONPROFIT LEADERS, HEALTH DEPARTMENT AUTHORITIES, PUBLIC SCHOOL LEADERS, HEALTHCARE PROVIDERS AND LEADERS, ELECTED OFFICIALS, LOCAL AND STATE AGENCIES, LAW ENFORCEMENT AGENCIES, PERSONS REPRESENTING DISTINCT GEOGRAPHIC AREAS, AND PERSONS REPRESENTING DIVERSE RACIAL/ETHNIC GROUPS. TO RECRUIT INTERVIEWEES, THE THI TEAM CONTACTED KEY INFORMANTS BY EMAIL AND TELEPHONE. THI CONDUCTED TEN INTERVIEWS BETWEEN SEPTEMBER AND DECEMBER 2018, EACH LASTING BETWEEN 30 AND 60 MINUTES. SCHEDULE H, PART V, SECTION B, LINE 6B REPRESENTATIVES FROM CHRISTUS HEALTH CONTRIBUTED CONTACT INFORMATION OF 19 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF SOUTHEAST TEXAS AND WHO POSSESS KNOWLEDGE ABOUT THE REGION'S HEALTH-RELATED CHALLENGES. THESE KEY STAKEHOLDERS INCLUDED NONPROFIT LEADERS, HEALTH DEPARTMENT AUTHORITIES, PUBLIC SCHOOL LEADERS, HEALTHCARE PROVIDERS AND LEADERS, ELECTED OFFICIALS, LOCAL AND STATE AGENCIES, LAW ENFORCEMENT AGENCIES, PERSONS REPRESENTING DISTINCT GEOGRAPHIC AREAS, AND PERSONS REPRESENTING DIVERSE RACIAL/ETHNIC GROUPS. TO RECRUIT INTERVIEWEES, THE THI TEAM CONTACTED KEY INFORMANTS BY EMAIL AND TELEPHONE. THI CONDUCTED EIGHT INTERVIEWS BETWEEN SEPTEMBER AND DECEMBER 2018, EACH LASTING BETWEEN 30 AND 60 MINUTES. POTENTIAL PARTICIPANTS WERE IDENTIFIED BY CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM LEADERSHIP. MOST PARTICIPANTS WERE RECRUITED THROUGH ORGANIZATIONS THAT PROVIDE HEALTH CARE OR RELATED SERVICES TO COMMUNITY RESIDENTS (E.G., CLINICS, COMMUNITY ORGANIZATIONS, SOCIAL SERVICE AGENCIES). ELECTED OFFICIALS AND GOVERNMENT LEADERS WERE ALSO INVITED TO PARTICIPATE. TO ASSIST WITH RECRUITMENT, THE LOCAL CHRISTUS HEALTH LIAISON RECRUITED 21 STAKEHOLDERS WHO REPRESENTED SPECIFIC GROUPS, OCCUPATIONS, OR PERSPECTIVES IMPORTANT TO THE PROJECT. SIXTEEN PEOPLE PARTICIPATED IN THE FOCUS GROUP.
SCHEDULE H, PART V, SECTION B, LINE 7A	THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING WEBSITE URL: https://christushealth.org/-/media/files/homepage/giving-back/chna/communi tyneedsassessment2019setx.ashx
SCHEDULE H, PART V, SECTION B, LINE 7D	IN ADDITION TO MAKING OUR CHNA REPORT AVAILABLE TO THE PUBLIC ON OUR WEBSITE, IT IS ALSO AVAILABLE UPON REQUEST AS EITHER AN ELECTRONIC VERSION OR A HARDCOPY. THESE ARE AVAILABLE FREE OF CHARGE UPON REQUEST. IT IS POSTED ON OUR WEBSITE AT WWW.CHRISTUSHEALTH.ORG/CHNA-CHIP SCHEDULE H, PART V, SECTION B, LINE 10A THE URL FOR THE ORGANIZATION'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS: https://christushealth.org/-/media/about/christus-setx-chip-2019-final.ash x
SCHEDULE H, PART V, SECTION B, LINE 11	HOW NEEDS IDENTIFIED BY THE CHNA WERE ADDRESSED BASED ON THE THI REVIEW OF DATA, TEN PRIORITY NEED AREAS EMERGED. THIS LIST WAS PRESENTED TO THE LOCAL NEEDS PRIORITIZATION COMMITTEE CONSISTING OF STAKEHOLDERS ASSEMBLED FROM THROUGHOUT THE CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM SERVICE AREA. THE COMMITTEE WAS ASKED TO (A) VALIDATE THE DATA-BASED PRIORITIES, AND (B) DISTILL AND RANK THE LIST OF TEN PRIORITIES INTO A TARGETED, ACTIONABLE GROUP OF FIVE. PARTICIPANTS IN THE NEEDS PRIORITIZATION PROCESS WERE ENCOURAGED TO CONSIDER THE FOLLOWING CRITERIA WHEN SELECTING WHAT NEEDS TO ELEVATE IN IMPORTANCE OVER OTHERS: -MAGNITUDE OF THE PROBLEM (NUMBER OF PEOPLE AFFECTED) -SEVERITY OF THE PROBLEM (BURDEN OF MORBIDITY AND MORTALITY DUE TO THE PROBLEM) -ORGANIZATIONAL CAPACITY TO ADDRESS THE PROBLEM -IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS -EXISTING RESOURCES ALREADY ADDRESSING THE PROBLEM -RISK ASSOCIATED WITH DELAYING TARGETED INTERVENTION ON THE PROBLEM -INFLUENCE ONE PROBLEM MAY HAVE ON ADDRESSING OTHER RELATED PROBLEMS THE TOP FIVE NEEDS DECIDED BY THE COMMUNITY STAKEHOLDERS WERE: ACCESS TO MENTAL AND BEHAVIORAL HEALTH; ACCESS TO PRIMARY CARE; TRANSPORTATION; HEALTHCARE DISPARITIES; AND FOOD INSECURITY. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM (CSETHS) WILL ENHANCE ACCESS TO MENTAL AND BEHAVIORAL HEALTH BY STRENGTHENING AWARENESS AND TRAINING ABOUT MENTAL AND BEHAVIORAL HEALTH TO IMPROVE THEIR ABILITY TO SERVE PATIENTS WITH BEHAVIORAL AND MENTAL HEALTH DIAGNOSIS AND PROTECT PATIENTS FROM OTHER PATIENTS DISPLAYING SIGNS ASSOCIATED WITH SUBSTANCE ABUSE OR MENTAL/BEHAVIORAL HEALTH DISORDERS. CSETHS HAS A THREE-PRONG STRATEGY TO IMPROVE ACCESS TO PRIMARY CARE. THIS INCLUDES COLLABORATION WITH FEDERALLY QUALIFIED HEALTH CENTERS TO ENSURE PATIENTS HAVE A MEDICAL HOME, GREATER USE OF BILINGUAL OUTREACH WORKERS TO HELP PATIENTS AVOID HOSPITALIZATION THROUGH PREVENTION AND DISEASE MANAGEMENT, AND EFFORTS TO RECRUIT MORE PROVIDERS IN ITS OWN PHYSICIAN GROUP. TRANSPORTAION NEEDS CAN BE PROBLEMATIC TO RESOLVE DUE TO THE MANY VARIED INDIVIDUAL PATIENT SITUATIONS. CSETHS WILL PUBLISH INFORMATION TO HELP THE PUBLIC BE AWARE OF MEDICAID TRANSPORTATION SERVICES, SOUTHEAST TEXAS TRANSIT, GULF COAST FQHC, AND OTHER SERVICES. RESEARCH OF UBER OR LYFT TRANSPORATION MAY RESULT IN CONTRACTS TO LEVERAGE THESE RESOURCES. IN ADDITION, CONTRACTING TO PROVIDE A VAN MAY BE CONSIDERED. HEALTHCARE DISPARITIES ARE BEING ADDRESSED BY INVESTING IN EDUCATION, DETECTION AND MANAGEMENT IN HYPERTENSION, INCLUDING THE USE OF A COMMUNITY HEALTH WORKER. FOOD INSECURITY IS BEING ADDRESSED BY MOBILIZING STAFF AND COLLABORATING WITH FOOD BANKS, INCLUDING THE NEW CATHOLIC CHARITIES FOOD BANK TO EMPHASIZE FRESH PRODUCE, PANTRIES THAT ACT AS FOOD BANK SATELLITES, AND OTHER COMMUNITY BASED NONPROFITS TO ADDRESS THIS, SUCH AS SENIOR NUTRITION SERVICES (MEALS ON WHEELS). NEEDS THAT THE COMMUNITY FOCUS GROUP DID NOT PRIORITIZE AS THE TOP FIVE TO BE MET INCLUDED UNHEALTHY BEHAVIORS, PREVENTABLE HOSPITAL STAYS, MATERNAL CHILD HEALTH, COPD, AND DIABETES. ALL OF THESE WERE RECOGNIZED AS IMPORTANT BUT THEY WERE ALREADY BEING ADDRESSED TO THE EXTENT THAT COMMUNITY RESOURCES ALLOWED AND OTHER NEEDS WERE EVEN GREATER. PRIORITIES WERE EVALUATED ACCORDING TO ISSUE PREVALENCE AND SEVERITY, BASED ON COUNTY AND REGIONAL SECONDARY DATA. INPUT PROVIDED BY KEY INFORMANTS, FOCUS GROUP PARTICIPANTS, AND OTHER COMMUNITY STAKEHOLDERS WAS ALSO HEAVILY CONSIDERED, ESPECIALLY FOR PRIORITY AREAS WHERE SECONDARY DATA ARE LESS AVAILABLE. THE COMMITTEE CONSIDERED A NUMBER OF CRITERIA IN DISTILLING TOP PRIORITIES, INCLUDING MAGNITUDE AND SEVERITY OF EACH PROBLEM, CSETHS ORGANIZATIONAL CAPACITY TO ADDRESS THE PROBLEM, IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS, EXISTING RESOURCES ALREADY ADDRESSING THE PROBLEM, AND POTENTIAL RISK ASSOCIATED WITH DELAYING INTERVENTION ON THE PROBLEM.
SCHEDULE H, PART V, SECTION B, LINE 13B	UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 400% OF THE FEDERAL POVERTY GUIDELINE WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB.
SCHEDULE H, PART V, SECTION B, LINE 15E	EXPLANATION OF METHODS FOR APPLYING FOR FINANCIAL ASSISTANCE IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. SCHEDULE H, PART V, SECTION B, LINE 16A-C THE FAP POLICY, APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT THE FOLLOWING: CHRISTUS SOUTHEAST TEXAS - ST. ELIZABETH FINANCIAL ASSISTANCE POLICY: HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/FILES/FINANCE-FILES/APPLICATION-ENG LISH.ASHX?LA=EN FINANCIAL ASSISTANCE APPLICATION: HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/FILES/FINANCE-FILES/FINANCIAL-ASSIS TANCE-POLICY-ENGLISH/FINANCIAL-ASSISTANCE-POLICYST-ELIZABETH-HOSPITAL.ASHX ?LA=EN PLAIN LANGUAGE SUMMARY: HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/FILES/FINANCE-FILES/PLAIN-LANGUAGES UMMARY--HOSPITAL-ENGLISH-PDF.ASHX?LA=EN CHRISTUS SOUTHEAST TEXAS - ST. MARY FINANCIAL ASSISTANCE POLICY: HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/FILES/FINANCE-FILES/APPLICATION-ENG FINANCIAL ASSISTANCE APPLICATION: HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/FILES/FINANCE-FILES/FINANCIAL-ASSIS TANCE-POLICY-ENGLISH/FINANCIAL-ASSISTANCE-POLICYST-MARY-HOSPITAL.ASHX?LA=E N PLAIN LANGUAGE SUMMARY: HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/FILES/FINANCE-FILES/PLAIN-LANGUAGES UMMARY--HOSPITAL-ENGLISH-PDF.ASHX?LA=EN CHRISTUS SOUTHEAST TEXAS JASPER MEMORIAL FINANCIAL ASSISTANCE POLICY: HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/FILES/FINANCE-FILES/APPLICATION-ENG LISH.ASHX?LA=EN FINANCIAL ASSISTANCE APPLICATION: HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/FILES/FINANCE-FILES/FINANCIAL-ASSIS TANCE-POLICY-ENGLISH/FINANCIAL-ASSISTANCE-POLICYJASPER-MEMORIAL-HOSPITAL.A SHX?LA=EN PLAIN LANGUAGE SUMMARY: HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/FILES/FINANCE-FILES/PLAIN-LANGUAGES UMMARY--HOSPITAL-ENGLISH-PDF.ASHX?LA=ENLISH.ASHX?LA=EN SCHEDULE H, PART V, SECTION B, LINE 16J A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE. (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE.) EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS. SCHEDULE H, PART V, SECTION B, LINE 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	THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/20 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 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 the FPL) or received free care (for incomes at or below 300% of the FPL). For lab services, eligible patients were charged a percentage of the Medicare rate.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
KATE DISHMAN REHABILITATION HOSPITAL
2830 CALDER STREET	BEAUMONT	TX	77702	REHABILITATION HOSPITAL
SOUTHEAST TEXAS CANCER CENTERS LP
10101 WOODLOCH FOREST	THE WOODLANDS	TX	77380	CANCER TREATMENT FACILITY

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, LINE 7B	UNREIMBURSED MEDICAID CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES WE SERVE THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES.
SCHEDULE H, PART I, LINE 7, COLUMN (F)	PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS 384,400,381. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $28,014,219. THIS LEAVES A TOTAL EXPENSE OF $356,386,162 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
SCHEDULE H, PART I, LINE 7, COLUMN (F)	DESCRIPTION OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AS PERCENTAGE OF TOTAL COSTS THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 19.5%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. SCHEDULE H, PART I, LINE 7G NO COSTS WERE ATTRIBUTED TO PHYSICIAN CLINICS.
SCHEDULE H, PART I, LINE 7I	CASH AND IN-KIND CONTRIBUTIONS CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM MADE OVER $2,583,866 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2020. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALED $244,185.50 AWARDED AND $244,185.50 DISTRIBUTED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITY THAT CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM SERVES, INCLUDING SUPPORT TO PROGRAMS THAT PROVIDE HEALTH CARE SERVICES TO THE UNINSURED. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE HEALTH OF THE COMMUNITY. THESE GRANT DOLLARS ARE NOT INCLUDED ON SCHEDULE H, PART I, LINE 7(I). INDIGENT CARE OF $2,583,866 IS INCLUDED IN SCHEDULE H, PART I, LINE 7(I).
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 7G: SUBSIDIZED HEALTH SERVICES COST IS AT FMV LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH BOARD OF DIRECTORS APPROVED FUNDING OF A COMMUNITY DIRECT INVESTMENT (CDI) LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY DRIVEN INITIATIVES, PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW MARKET INTEREST RATES TO NONPROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2020 WAS $0. THE FOREGONE INTEREST FOR CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM IN FISCAL YEAR ENDING JUNE 30, 2020 WAS $0. DURING FY2020, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKED TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE COMMUNITIES WE SERVE.
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. IN ORDER TO ASSESS THE BAD DEBT ACCOUNTS THAT WOULD LIKELY QUALIFY FOR CHARITY CARE, THE FOLLOWING CRITERIA WERE ESTABLISHED BASED ON AN ANALYSIS OF HISTORICAL DATA OF CHRISTUS HEALTH AND ITS RELATED ORGANIZATIONS: 1. PARO SCORE OF LESS THAN OR EQUAL TO 586, WHICH IS A PREDICTOR DEFINING THE LIKELY SOCIOECONOMIC CONDITIONS FOR THE PATIENT; 2. ESTIMATED FEDERAL POVERTY LEVEL OF LESS THAN OR EQUAL TO 226%, WHICH IS BASED ON ESTIMATED HOUSEHOLD SIZE AND HOUSEHOLD ESTIMATED INCOME; AND 3. THIRD PARTY DATA AVAILABLE ON PATIENT ACCOUNTS WHICH INDICATE THAT THE PATIENT IS NOT A HOMEOWNER OR A PROBABLE HOMEOWNER. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2020, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THESE 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, 2020. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.64% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2020 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, 2020 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 PROVISION FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAYMENT LIMIT, DISPROPORTIONATE SHARE AND MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH 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 JUDGMENTS AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES."
SCHEDULE H, PART III, SECTION B, LINE 8	THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.
SCHEDULE H, PART III, SECTION C, 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 THE 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 NEEDS ASSESSMENT CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM HAS DEVELOPED THE 2019 COMMUNITY HEALTH IMPLEMENTATION PLAN BASED UPON PRIORITIZATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. CHRISTUS SOUTHEAST TEXAS HEALTH FACILITIES HAVE THE COMMON GOAL OF STRIVING TOWARD ENSURING THAT BEST PRACTICES AND STANDARDS OF CARE ARE PRACTICAL AS WELL AS REALISTIC. THE OBJECTIVES FOR FY 2019 ARE PROPOSED TO MEET THE IDENTIFIED NEEDS IN THE COMMUNITIES WE SERVE DEVELOPING AND IMPLEMENTING PROGRAMS TO PROVIDE CARE IN CLINICALLY APPROPRIATE SETTINGS, THUS REDUCING EMERGENCY DEPARTMENT VISITS AND PREVENTABLE HOSPITALIZATIONS. THE COMMUNITY HEALTH PRIORITIES OF CHRISTUS HEALTH SOUTHEAST TEXAS ARE TO RESPOND TO THE HEALTH CARE NEEDS THROUGH ITS THREE-CAMPUS HOSPITAL SYSTEM, HEALTH CARE CLINICS, PHYSICIAN PRACTICES, OUTPATIENT SERVICES AND COMMUNITY BASED PROGRAMS. COUNTIES LOCATED IN SOUTHEAST TEXAS WERE CONSIDERED TO BE MEDICALLY UNDERSERVED. ACCORDING TO COUNTY HEALTH STATISTICS IN OUR PUBLISHED 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, COUNTIES IN SOUTHEAST TEXAS HAVE HIGHER THAN STATE AVERAGES FOR PERSONS WITH CARDIOVASCULAR DISEASE, CHRONIC LOWER RESPIRATORY DISEASE, AND DIABETES. ALL DATA IS AVAILABLE TO THE PUBLIC AND POSTED ON OUR HOSPITAL WEBSITE IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT DONE IN 2019 WITH COMMUNITY COLLABORATION, AND OUR COMMUNITY HEALTH IMPLEMENTATION PLAN ALSO DONE IN PARTNERSHIP WITH COMMUNITY MEMBERS. COMMUNITY DELIVERY WILL CONTINUE TO FOCUS ON THE UNINSURED WITH ADDED EMPHASIS ON CHRONIC ILLNESSES. SERVICES ARE BASED ON BEST PRACTICES DEVELOPMENT AND IMPLEMENTATION OF EVIDENCE-BASED COMMUNITY HEALTH SERVICES. OUR 2019 PLAN REFLECTS THIS FOCUS.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM 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 SOUTHEAST TEXAS HEALTH SYSTEM SERVES A SIX-COUNTY REGION (HENCEFORTH REFERRED TO AS "REPORT AREA"SERVICE AREA"), CONSISTING OF A TOTAL POPULATION OF NEARLY HALF A MILLION RESIDENTS. OVER 50% OF THE REGION'S POPULATION RESIDES IN JEFFERSON COUNTY, WHICH CONTAINS BEAUMONT AND PORT ARTHUR, THE REPORT AREA'S LARGEST CITIES. 88% OF RESIDENTS OF THE REPORT AREA LIVE IN URBAN COUNTIES, WHILE THE REMAINING 12% ARE IN RURAL COUNTIES. THE POPULATION OF THE REPORT AREA REPRESENTS APPROXIMATELY 2% OF TEXAS' TOTAL POPULATION. SIXTY PERCENT OF PERSONS LIVING IN THE REPORT AREA ARE WORKING-AGE ADULTS. OF THE REMAINING POPULATION, 7% ARE IN INFANCY OR EARLY CHILDHOOD, 17% ARE SCHOOL-AGE CHILDREN, AND 16% ARE OVER THE AGE OF 65. OVERALL, THE POPULATION RESIDING IN THE REPORT AREA IS SLIGHTLY OLDER THAN THE POPULATION OF TEXAS. JUST 12% OF TEXAS' POPULATION IS COMPRISED OF ADULTS OVER AGE 65. FOCUS GROUP PARTICIPANTS ACKNOWLEDGED THE UNIQUE CHALLENGES ASSOCIATED WITH THE AGING POPULATION, CHARACTERIZING OLDER ADULTS AS THE REGION'S FASTEST GROWING DEMOGRAPHIC SEGMENT. THE AVAILABILITY OF PROGRAMS DESIGNED TO SUPPORT PEOPLE WHO ARE GROWING OLDER AND LEAVING THE WORKFORCE WAS DESCRIBED AS LIMITED, AND PARTICIPANTS STRESSED THE NEED FOR CHRISTUS TO PLAN PROACTIVELY AND WITH URGENCY FOR THE NEEDS OF THE OVER-65 AGE GROUP. THE REPORT AREA IS HOME TO A RACIALLY AND ETHNICALLY DIVERSE POPULATION THAT DIFFERS SLIGHTLY IN COMPOSITION FROM THE RACIAL/ETHNIC DEMOGRAPHICS OF TEXAS. NEARLY 40% OF TEXANS ARE HISPANIC/LATINO, COMPARED TO JUST OVER 13% OF RESIDENTS OF THE REPORT AREA. AMONG THE NON-HISPANIC/LATINO POPULATION, 60% ARE WHITE, 23.0% ARE BLACK, AND 4% ARE ASIAN OR OTHER. NEARLY A QUARTER OF REPORT AREA RESIDENTS ARE BLACK, SUBSTANTIALLY EXCEEDING THE PROPORTION OF BLACK RESIDENTS IN THE STATE OF TEXAS. PERSONS BELONGING TO NATIVE HAWAIIAN/PACIFIC ISLANDER AND NATIVE AMERICAN/ALASKA NATIVE RACE CATEGORIES EACH COMPRISE FEWER THAN 0.5% OF THE REPORT AREA POPULATION. EDUCATIONAL ATTAINMENT IN THE CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM SERVICE AREA IS SLIGHTLY HIGHER THAN IN TEXAS AS A WHOLE. JUST 14.8% OF REPORT AREA RESIDENTS OVER AGE 25 LACK A HIGH SCHOOL DIPLOMA, COMPARED T0 17.7% OF TEXANS. THE HIGH SCHOOL GRADUATION RATES IN TEXAS AND THE REPORT AREA ARE SIMILAR (86.5%). CONSOLIDATED MEDIAN INCOME DATA FOR THE REPORT AREA IS NOT AVAILABLE, BUT COUNTY-LEVEL DATA SHOW THAT HARDIN COUNTY HAS THE HIGHEST MEDIAN FAMILY INCOME OF ALL COUNTIES IN THE SERVICE AREA ($68,750), WHILE NEWTON COUNTY'S MEDIAN FAMILY INCOME IS LOWEST ($49,806). POVERTY IS FAIRLY WIDESPREAD IN THE SERVICE AREA, WITH 38% OF REPORT AREA RESIDENTS EARNING ANNUAL INCOMES AT OR BELOW 200% OF FEDERAL POVERTY LEVEL (FPL). ACCORDING TO 2019 FEDERAL GUIDELINES, 200% FPL CORRESPONDS TO AN INCOME OF $51,500 PER YEAR FOR A FAMILY OF FOUR.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH THE CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM PROVIDES HEALTH CARE SERVICES AT THREE CAMPUSES, INCLUDING THE 425-BED CHRISTUS HOSPITAL ST. ELIZABETH IN BEAUMONT, TEXAS; CHRISTUS ST. MARY OUTPATIENT CENTER IN PORT ARTHUR TEXAS; AND CHRISTUS JASPER MEMORIAL HOSPITAL, A 49-BED HOSPITAL IN JASPER, TEXAS. EACH OF THE THREE HOSPITALS IN THE CHRISTUS SOUTHEAST TEXAS REGION PROVIDES A 24 HOUR EMERGENCY DEPARTMENT THAT IS OPEN TO SERVE THOSE IN NEED OF EMERGENCY CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE IN THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, INCLUDING Two RURAL CLINICS IN JASPER, TEXAS AND KIRBYVILLE, TEXAS. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM IS A PARTNER IN JEFFERSON COUNTY CLINICAL SERVICES, INC. WHICH PROVIDES PHYSICIAN HEALTH CARE SERVICES TO INDIGENT PATIENTS. IN ADDITION, THE ORGANIZATION HAS PARTIAL OWNERSHIP IN: ST. ELIZABETH REHABILITATION PARTNERS, LLP, A REHABILITATION CENTER; AND SOUTHEAST TEXAS CANCER CENTERS, LP, A CANCER TREATMENT ORGANIZATION. THE FACILITIES OF CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM SHARE ONE OBJECTIVE, WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, INCLUDING THE MOST VULNERABLE AND UNDERSERVED POPULATIONS. IN AN EFFORT TO MEET AND ADDRESS THE IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES WE SERVE, CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM PROVIDES ACCESS TO HEALTH CARE SERVICES THROUGH PROGRAMS AND LOCAL COMMUNITY PARTNERS AND SERVICE ORGANIZATIONS. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM ALSO PROVIDES SERVICES FOR THE BROADER COMMUNITY AS A PART OF THE OVERALL COMMUNITY BENEFIT. A LARGE SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS INCLUDING NURSING STUDENTS AND OTHER ALLIED HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. THE THREE FACILITIES OF CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM (CHRISTUS HOSPITAL - ST. ELIZABETH, CHRISTUS - ST. MARY OUTPATIENT CENTER MID COUNTY AND JASPER MEMORIAL HOSPITAL) PROVIDE A NUMBER OF SERVICES FOR THE BENEFIT OF THE COMMUNITY INCLUDING LEADERSHIP ACTIVITIES. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF THE PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT SPONSORED HEALTH CARE PROGRAMS, INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE, USFHP AND OTHER GOVERNMENT PROGRAMS. IN ADDITION, CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM PROVIDES SPECIFIC PROGRAMS TO PROVIDE DISCOUNTED OR FREE SERVICES TO THOSE IN NEED WHO LACK MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT SPONSORED PROGRAMS. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM BELIEVES THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEMS' VARIOUS ENTITIES HAVE STRENGTHENED THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE, ACCESSIBLE HEALTH CARE SERVICES. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO HELP SUCH CAUSES LIKE THE FIGHT AGAINST CANCER, DIABETES, HEART DISEASE, AND THE PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY AND THOSE SUFFERING FROM HIV/AIDS. AS A NONPROFIT ORGANIZATION AND AS A PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKE-UP OF THE AREA WE SERVE GUIDES CHRISTUS HEALTH SOUTHEAST TEXAS HEALTH SYSTEM. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ALL PERSONS EMPLOYED AND AFFILIATED WITH CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS. CHRISTUS HEALTH REINVESTS ALL SURPLUS FUNDS BACK INTO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. DURING FY 2020, CHRISTUS HEALTH ADVOCATED FOR IMPROVEMENT IN PUBLIC POLICIES AND WORKED TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR ALL. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, GEORGIA, IOWA, LOUISIANA, NEW MEXICO, TEXAS, IN SIX PROVINCES OF MEXICO, AND IN SANTIAGO, CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM, 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	A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NON PROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA , AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2015. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. STATE FILING OF COMMUNITY BENEFIT REPORT: TX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
JEFFERSON COUNTY CLINICAL SERVICES
2801 VIA FORTUNA STE 500	AUSTIN	TX	78746	264368737	501(C)(3)	$2,570,004	Indigent Funding
Symphony of Southeast Texas
4345 PHELAN BLVD	Beaumont	TX	77707	741366294	501(C)(3)	$6,000	Program Support
CHRISTUS Health Foundation of SETX
2830 Calder ST	Beaumont	TX	77702	760136274	501(c)(3)	$24,380	PROGRAM SUPPORT & RESIDENT STIPEND	$2,500	Cost	IN-Kind Rent
Catholic Charities of Southeast Texas
PO Box 829	Beaumont	TX	77704	741900345	501(C)(3)	$10,700	PROGRAM SUPPORT
GREATER BEAUMONT CHAMBER OF COMMERCE
PO BOX 3150	Beaumont	TX	77701	760504300	501(c)(6)	$14,500	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Services/Supplies for indigent patients	GrantTypeTxt
Recipient	12	RecipientCnt
Non Cash Assistance	$35,014	NonCashAssistanceAmt
Valuation Method Used	Cost	ValuationMethodUsedDesc
Non Cash Assistance	See Part IV	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FORM 990, Schedule I, PART I, LINE 2

DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATIONS CONSIDERED ARE TYPICALLY IRS SECTION 501(C)(3) AND OTHER TAX EXEMPT ORGANIZATIONS AND DOCUMENTATION TO THAT EFFECT IS OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO THE COUNTIES IN WHICH CHRISTUS HEALTH AFFILIATED HOSPITALS SERVE VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN CHRISTUS HEALTH'S COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED.

FORM 990, SCHEDULE I, PART III, COLUMN (F)

DESCRIPTION OF NON-CASH ASSISTANCE MEDICAL EQUIPMENT RENTALS, NURSING HOME/REHAB CARE, PHARMACEUTICALS, taxi RIDES, Bus Fare, HOME HEALTH CARE, UNINSURED CLINIC VOUCHERS FOR INDIGENT PATIENTS.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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
Paul M Trevino
Director/PRESIDENT/CEO	$0	$552,776	$0	$215,833	$0	$10,937	$0	$321,499	$0	$14,970	$0	$1,116,015	$0	$0
Shawn M Adams
CFO/ Treasurer	$0	$247,542	$0	$105,033	$0	$37,245	$0	$85,679	$0	$11,488	$0	$486,987	$0	$0
NIKKI MARTIN
FACILITY FINANCIAL OFFICER	$145,718	$0	$17,663	$0	$3,870	$0	$30,591	$0	$12,145	$0	$209,987	$0	$0	$0
Rodney PAUL Guidroz
REGIONAL CNE	$0	$236,967	$0	$98,849	$0	$130,843	$0	$98,573	$0	$5,389	$0	$570,621	$0	$12,721
D Wayne Moore
PRES.-JASPER MEM	$0	$270,258	$0	$81,417	$0	$14,110	$0	$118,454	$0	$7,310	$0	$491,549	$0	$0
RYAN MILLER
PRESIDENT-ORTHOPEDIC SC/AMB SV	$0	$229,475	$0	$74,816	$0	$910	$0	$44,533	$0	$10,859	$0	$360,593	$0	$0
Jane Rawls
CHIEF NURSE (TERM 5/15)	$0	$152,579	$0	$16,984	$0	$0	$0	$25,933	$0	$17,058	$0	$212,554	$0	$0
ROBERT K PARSLEY
Exec. Dir.- Provider Stategy	$126,643	$121,267	$0	$0	$3,436	$3,291	$29,923	$28,652	$620	$592	$160,622	$153,802	$0	$0
THOMAS A WELCH
Reg Director Pharmacy	$168,070	$0	$19,698	$0	$50	$0	$34,708	$0	$8,203	$0	$230,729	$0	$0	$0
DANIEL DOYLE
Reg Dir Quality Management	$152,606	$0	$21,501	$0	$57	$0	$1,055	$0	$953	$0	$176,172	$0	$0	$0
D Mark Toups MD
DIRECTOR	$0	$276,475	$0	$0	$0	$14,344	$0	$9,800	$0	$1,586	$0	$302,205	$0	$0
PATRICIA A NAYMIK
ADMIN DIR NURSING	$135,915	$0	$15,783	$0	$1,604	$0	$27,214	$0	$2,048	$0	$182,564	$0	$0	$0
CHRISTOPHER H HOYT MD
DIRECTOR	$0	$327,611	$0	$0	$0	$16,618	$0	$9,800	$0	$2,513	$0	$356,542	$0	$0
JOHN G GONZALEZ
PHARMACY SVCS MGR (EFF 07/19)	$137,495	$0	$16,303	$0	$0	$0	$27,442	$0	$8,369	$0	$189,609	$0	$0	$0
CHARLOTTE S LEJUNE
NURSE PRACTITIONER (EFF 07/19)	$123,226	$0	$0	$0	$29,415	$0	$5,251	$0	$7,880	$0	$165,772	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II	SUPPLEMENTAL COMPENSATION INFORMATION DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. SISTERS' COMPENSATION IS PAID TO THE RELIGIOUS CONGREGATION AND NOT THE INDIVIDUAL. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
FORM 990, SCHEDULE J, PART I, LINE 1A	COMPANION TRAVEL TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS.
FORM 990, SCHEDULE J, PART I, LINE 3	EXPLANATION OF RELATED ORGANIZATION DETERMINING CEO COMPENSATION THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING 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 BI-ANNUAL COMPENSATION SURVEY. FORM 990, 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.
FORM 990, SCHEDULE J, PART II, COLUMN B(II)	SUPPLEMENTAL COMPENSATION INFORMATION BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2019. FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II SUPPLEMENTAL COMPENSATION INFORMATION THE BONUS AND INCENTIVE COMPENSATION REPORTED AS RELATED COMPENSATION WAS PAID TO THE FOLLOWING PERSONS BY CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY: PAUL M. TREVINO - $215,833 SHAWN M. ADAMS - $105,033 D. WAYNE MOORE - $81,417 RODNEY PAUL GUIDROZ - $98,849 RYAN MILLER - $74,816 JANE RAWLS - $16,984
FORM 990, SCHEDULE J, PART II, COLUMN C	DEFERRED COMPENSATION DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.
FORM 990, SCHEDULE J, PART II	SUPPLEMENTAL COMPENSATION INFORMATION W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DANIEL THOMPSON MD
SPOUSE IS AN INDEPENDENT CONTRACTOR PHYSICIAN FOR SETX	$51,000	MEDICAL SERVCIES	false
DEBORAH TUCKER
SPOUSE IS OWNER OF MEDSURG EQUIPMENT, LLC	$121,918	MEDICAL EQUIPMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DOING BUSINESS AS	FORM 990, PAGE 1, ITEM C CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS HOSPITAL CHRISTUS HOSPITAL-ST. ELIZABETH CHRISTUS HOSPITAL-ST. MARY HEALTHY OPTIONS CAFE CHRISTUS JASPER MEMORIAL HOSPITAL CHRISTUS SPINE AND ORTHOPEDIC SPECIALTY CENTER CHRISTUS ORTHOPEDIC SPECIALTY CENTER ST. MARY CHRISTUS ORTHOPEDIC SPECIALTY CENTER CHRISTUS JASPER MEMORIAL CENTER FOR REHABILITATION CHRISTUS VEIN SPECIALISTS CHRISTUS PAIN MANAGEMENT CENTER ST. ELIZABETH CHRISTUS SOUTHEAST TEXAS-JASPER MEMORIAL CHRISTUS SOUTHEAST TEXAS-ST. ELIZABETH CHRISTUS SOUTHEAST TEXAS-ST. MARY CHRISTUS SOUTHEAST TEXAS BARIATRIC CENTER-ST. ELIZABETH CHRISTUS SOUTHEAST TEXAS CENTER FOR HEALTH MANAGEMENT-ST. ELIZABETH CHRISTUS SOUTHEAST TEXAS CENTER FOR HEALTH MANAGEMENT-ST. MARY CHRISTUS SOUTHEAST TEXAS CENTER FOR HEALTH MANAGEMENT CHRISTUS SOUTHEAST TEXAS CENTER FOR NEW LIFE-ST. ELIZABETH CHRISTUS SOUTHEAST TEXAS FAMILY PRACTICE CENTER-JASPER CHRISTUS SOUTHEAST TEXAS FAMILY PRACTICE CENTER-KIRBYVILLE CHRISTUS SOUTHEAST TEXAS FAMILY PRACTICE CENTER-RAYBURN CHRISTUS SOUTHEAST TEXAS FAMILY PRACTICE & WOMEN'S SERVICES CENTER-JASPER CHRISTUS SOUTHEAST TEXAS FOUNDATION CHRISTUS SOUTHEAST TEXAS HEALTH SYSTEM CHRISTUS SOUTHEAST TEXAS HEART & VASCULAR CHRISTUS SOUTHEAST TEXAS MATERNITY & WOMEN'S HEALTH CENTER CHRISTUS SOUTHEAST TEXAS MINOR CARE CENTER-ST. MARY CHRISTUS SOUTHEAST TEXAS MINOR CARE CENTER-ST. ELIZABETH CHRISTUS SOUTHEAST TEXAS LUNG CARE CENTER-ST. ELIZABETH CHRISTUS SOUTHEAST TEXAS ORTHOPEDIC SPECIALTY CENTER CHRISTUS SOUTHEAST TEXAS OUTPATIENT CENTER-ST. MARY CHRISTUS SOUTHEAST TEXAS OUTPATIENT PAVILION-ST. ELIZABETH CHRISTUS SOUTHEAST TEXAS OUTPATIENT CENTER CHRISTUS SOUTHEAST TEXAS OUTPATIENT CENTER-JASPER CHRISTUS SOUTHEAST TEXAS OUTPATIENT CENTER-MID COUNTY CHRISTUS SOUTHEAST TEXAS PAIN MANAGEMENT CENTER CHRISTUS SOUTHEAST TEXAS SPINE & ORTHOPEDIC SPECIALTY CENTER-ST. ELIZABETH CHRISTUS SOUTHEAST TEXAS SPINE CENTER CHRISTUS SOUTHEAST TEXAS SPORTS MEDICINE CHRISTUS SOUTHEAST TEXAS ST. ELIZABETH & ST. MARY CHRISTUS SOUTHEAST TEXAS VEIN SPECIALISTS CHRISTUS SOUTHEAST TEXAS WOMEN'S CENTER-ST. MARY CHRISTUS SOUTHEAST TEXAS WOMEN'S CENTER-ST. ELIZABETH CHRISTUS Southeast Texas Plastic and Reconstructive Surgery Center-St. Elizabeth CHRISTUS Spine and Orthopedic Specialty Center CHRISTUS St. Mary Outpatient Center Mid County CHRISTUS SOUTHEAST TEXAS WOUND CARE AND HYPERBARIC CENTER-ST. ELIZABETH CHRISTUS SOUTHEAST TEXAS ORTHOPEDIC SPECIALTY CENTER-MID COUNTY CHRISTUS SOUTHEAST TEXAS ORTHOPEDIC SPECIALTY CENTER-ST MARY CHRISTUS SOUTHEAST TEXAS ORTHOPEDIC SPECIALTY CENTER AND BEAUMONT BONE AND JOINT INSTITUTE - BEAUMONT CHRISTUS SOUTHEAST TEXAS ORTHOPEDIC SPECIALTY CENTER AND BEAUMONT BONE AND JOINT INSTITUTE - PORT ARTHUR
PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT ARE BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. ONE EXAMPLE OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI). THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY THE LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NONPROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT IS LOST FROM THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE COST OF THIS PROGRAM IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS HEALTH SOUTHEAST TEXAS. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2020 WAS $0. THE FOREGONE INTEREST FOR CHRISTUS HEALTH SOUTHEAST TEXAS IN FY 2020 WAS $0. CHRISTUS HEALTH HAS ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES FOR CHRISTUS HEALTH SOUTHEAST TEXAS. SEVERAL CHRISTUS REGIONS PROVIDE INDIGENT FUNDING DONATIONS OR "GRANTS" TO AID THE COUNTIES IN WHICH THEY, OR ANOTHER CHRISTUS REGION, SERVE. SUCH GRANTS MAY BE PAID TO THE COUNTY DIRECTLY OR VIA ANOTHER HOSPITAL OR HEALTHCARE ORGANIZATION IN THE AREA. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN THE COMMUNITIES THAT CHRISTUS MAY NOT DIRECTLY SERVE IN ONE OF OUR HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS SPENT EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. THE THREE FACILITIES (CHRISTUS HOSPITAL - ST. ELIZABETH, CHRISTUS HOSPITAL - ST. MARY AND CHRISTUS JASPER MEMORIAL HOSPITAL) PROVIDE A NUMBER OF SERVICES FOR THE BENEFIT OF THE COMMUNITY -- INCLUDING LEADERSHIP ACTIVITIES. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND, TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR OUR ELDERLY, HIV/AIDS, AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. 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 CONSTITUENTS WE SERVE.
FORM 990, PART VI, LINE 2	DESCRIPTION OF RELATIONSHIPS PAUL TREVINO, RYAN MILLER, SHAWN ADAMS, AND NIKKI MARTIN HAVE A BUSINESS RELATIONSHIP BECAUSE EACH PERSON IS AN OFFICER OR BOARD MEMBER OF HEALTH VENTURES OF SOUTHEAST TEXAS.
FORM 990, PART VI, SECTION A, LINE 6	DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS CHRISTUS HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	DESCRIPTIONS OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS CHRISTUS HEALTH, 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, SECTION A, LINE 7B	DESCRIPTION CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS AND VICE CHAIRPERSON OF BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $5 MILLION PER INCURRENCE OR $25 MILLION ANNUALLY; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; APPROVE SYSTEM-WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $10 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM PARTICIPANT OR LOCAL ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY LOCAL ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON-DESIGNATED MINISTRY PROPERTY UNDER $5 MILLION BUT MORE THAN $1 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $5 MILLION CAP OR $25 MILLION ANNUALLY BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $10 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (OF SAN ANTONIO) AND THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO RESERVED POWERS OF MEMBERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A $5 MILLION THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW FOR THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY BY THE FILING ORGANIZATION, BUT NOT IN EXCESS OF $5 MILLION; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL, (EXCEPT IN THE ORDINARY COURSE OF BUSINESS OFFICE AND SPACE LEASES) THE FUNDAMENTAL USE BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS USED 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 PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2021 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, SECTION B, LINE 12C	DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT 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, LINES 15A & 15B	COMPENSATION DETERMINATION PROCESS 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 SOUTHEAST TEXAS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 18	PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	AVAIL OF GOVERNING DOCS, CONFLICT OF INTEREST POLICY AND FIN STMTS 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. CASH - NON-INTEREST BEARING FORM 990, SCHEDULE D, PART X, LINE 1 CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE BOND FUNDING $811,464 TRNA RELEASED FROM REST.-CAP $589,545 TEMPORARILY RESTRICTED $9,961 ROUNDING ($2) RELEASE FROM RESTRICTED - CAPITAL ($589,546) TRNA - CASH CONTRIBUTIONS ($589,847) -------------- TOTAL $231,575
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:10584454
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIRS & MAINTENANCE SERVICE TOTAL FEES:6604802
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION SERVICES TOTAL FEES:5797499
FORM 990 PART IX LINE 11G	DESCRIPTION:OCCUPANCY SERVICES TOTAL FEES:5626395
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:1766027
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:576787
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:13592433

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 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
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	71101	720408982	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (true)
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	720411322	HLTHCARE SVCS	LA	501(C)(3)	3	CH	Yes (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	Yes (true)
CHRISTUS CONTINUING CARE
1700 West Loop South Ste 1100	HOUSTON	TX	77027	742898615	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HLTHCARE SVCS	TX	501(C)(3)	12-TYPE I	CH	Yes (true)
CHRISTUS HEALTH FOUNDATION
919 Hidden Ridge Drive	HOUSTON	TX	75038	611500100	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE I	CH	Yes (true)
CHRISTUS HEALTH FDN OF SETX
2830 CALDER	BEAUMONT	TX	77702	760136274	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE I	SETX	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	462798043	SUPP HTH SVCS	TX	501(C)(3)	12-TYPE I	CH	Yes (true)
CHRISTUS PEDIATRIC PHYSICIAN GROUP
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	465203505	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH
919 HIDDEN RIDGE DRIVE	HOUSTON	TX	75038	760590551	SUPT HLTH SVC	TX	501(C)(3)	10	NA	false
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HTH SVCS	TX	501(c)(3)	7	CH	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HLTHCARE SVCS	TX	501(C)(3)	3	CH	Yes (true)
CHRISTUS HEALTH PLAN
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	452106295	MEDICAID HMO	TX	501(C)(4)		CH	Yes (true)
CH Trinity Mother Frances Health System
1315 Doctors Drive	Tyler	TX	75701	752616975	Healthcare	TX	501(C)(3)	12, Type II	CH	Yes (true)
CH Good Shepherd Health System Inc
700 East Marshall Avenue	Longview	TX	75601	752027157	Healthcare	TX	501(C)(3)	12, Type II	CH	Yes (true)
CHRISTUS ARK-LA-TEX HEALTH SYSTEM
919 HIDDEN RIDGE DR	IRVING	TX	75038	822109456	HEALTH SVCS	TX	501(C)(3)	12-TYPE II	CH	Yes (true)
CHRISTUS HEALTH PLAN LOUISIANA
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	464617988	MEDICAID HMO	LA	501(C)(4)		CH	Yes (true)
CHRISTUS CONNECTED CARE NETWORK
919 HIDDEN RIDGE DR	IRVING	TX	75038	473403356	SPT HLTH SVCS	TX	501(C)(4)		CH	Yes (true)
TRINITY CLINIC
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE	TX	501(C)(3)	3	CTMFHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH REHAB	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2830 CALDER	AddressLine1Txt
City	BEAUMONT	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	777021809	ZIPCd

Field	Value	IRS element (for citing)
EIN	205657181	EIN
Primary Activities	HEALTHCARE SR	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HLTH VT OF SETX	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt
Share Of Total Income	$719,942	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,074,996	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHRISTUS SOUTHEAST TX PHYS HOSP ORG
2900 NORTH STREET SUITE 310	BEAUMONT	TX	77702	760429902	MEDICAL SVCS	TX	SETX	C-Corp	$303,752	$228,088	1.00000	Yes (true)
HEALTH VENTURES OF SOUTHEAST TEXAS INC
3600 GATES BLVD	PORT ARTHUR	TX	77640	760397263	BUILDING RENT	TX	SETX	C-Corp	$719,942	$2,332,994	1.00000	Yes (true)
CHRISTUS MUGUERZA SAPI DE CV
					HEALTHCARE SV		CH	C-Corp				Yes (true)	HIDALGO PTE 2525 COL OBISPADO	MONTERREY	N.L.	MX	64060	MX
Emerald Assurance Cayman LTD
				980407545	INSURANCE		CH	C-CORP				Yes (true)	PO Box 1051	GRAND CAYMAN		CJ	KY1-1102	CJ
CHRISTUS LOUISIANA QUALITY ALLIANCE
919 HIDDEN RIDGE DR	IRVING	TX	75038	474618648	ACO	LA	CH	C CORP				Yes (true)
TYLER COUNTY CLINICAL SERVICES
2801 VIA FORTUNA	AUSTIN	TX	78746	472135795	HEALTHCARE	TX	SETX	C CORP	$172,214	$0	1.00000	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	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	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 (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CH Wilkinson Physician Network
A(IV)	$740,537	ACCRUAL
CH Wilkinson Physician Network
J	$740,537	ACCRUAL
CH Wilkinson Physician Network
L	$10,820,550	ACCRUAL
CH Wilkinson Physician Network
M	$5,410,275	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
O	$200,294	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
P	$187,057	ACCRUAL
CHRISTUS HEALTH CENTRAL LOUISIANA
Q	$187,057	ACCRUAL
Christus Health Foundation of Southeast Texas
O	$299,918	ACCRUAL
Christus Health Northern Louisiana
O	$200,294	ACCRUAL
Christus Health Northern Louisiana
P	$179,939	ACCRUAL
Christus Health Northern Louisiana
Q	$62,403	ACCRUAL
Christus Health Southwestern Louisiana
Q	$85,848	ACCRUAL
Christus Santa Rosa Health Care Corporation
Q	$57,019	ACCRUAL