CHRISTUS HOPKINS HEALTH ALLIANCE: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HOPKINS HEALTH ALLIANCE (EIN 81-1708177)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-08
IRS object ID: 202601289349302110
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-08T09:56:51+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	811708177	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christus Hopkins Health Alliance	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHRI	BusinessNameControlTxt
Phone	9038857671	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAUL HARVEY	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Signature	2026-05-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristen Farr Capizzi	PreparerPersonNm
PTIN	P02176875	PTIN
Phone	3128792000	PhoneNum
Preparation	2026-05-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTUS MOTHER FRANCES HOSPITAL - SULPHUR SPRINGS	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$146,892,454	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.CHRISTUSHEALTH.ORG/LOCATIONS/SULPHUR-SPRINGS-HOSPITAL	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2016	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRIES OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	592	TotalEmployeeCnt
Total Volunteers	26	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$473,326	PYContributionsGrantsAmt
CY Contributions Grants	$635,050	CYContributionsGrantsAmt
PY Program Service Revenue	$142,921,153	PYProgramServiceRevenueAmt
CY Program Service Revenue	$140,173,664	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$2,477,685	PYOtherRevenueAmt
CY Other Revenue	$6,083,740	CYOtherRevenueAmt
PY Total Revenue	$145,872,164	PYTotalRevenueAmt
CY Total Revenue	$146,892,454	CYTotalRevenueAmt
PY Grants And Similar Paid	$223,856	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$266,736	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$36,567,473	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$39,332,490	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$8,812	CYTotalFundraisingExpenseAmt
PY Other Expenses	$80,285,164	PYOtherExpensesAmt
CY Other Expenses	$81,911,493	CYOtherExpensesAmt
PY Total Expenses	$117,076,493	PYTotalExpensesAmt
CY Total Expenses	$121,510,719	CYTotalExpensesAmt
PY Revenues Less Expenses	$28,795,671	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,381,735	CYRevenuesLessExpensesAmt
Total Assets BOY	$43,709,813	TotalAssetsBOYAmt
Total Assets EOY	$67,043,456	TotalAssetsEOYAmt
Total Liabilities BOY	$18,744,309	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$18,061,187	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$24,965,504	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$48,982,269	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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 CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH. THE CORPORATION'S PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLYTHOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$31,139,897	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$81,947,043	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$60,334,535	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$49,190,125	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$9,355,220	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$9,036,496	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$266,736	ExpenseAmt
Grant	$266,736	GrantAmt
Revenue	$0	RevenueAmt
Desc	CHRISTUS HOPKINS HEALTH ALLIANCE also undertook additional activities of comparable importance, including those conducted with volunteer labor or smaller in terms of expenses RELATED TO THE POOR & UNDERSERVED. Poor & Underserved: EXPENSES OF $266,736; GRANTS OF $266,736	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$266,736	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$266,736	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$101,096,388	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	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	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	592	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4692822000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (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 HARVEY
PRESIDENT	6.0	34.0	Yes (X)	Yes (X)	$376,058	$0	$57,423
SHANNON DACUS
Director/Chairperson (TERM 12/24)	11.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ANDRIA CARDINALLI-STEIN MD
DIRECTOR (TERM 12/24)	8.0	32.0	Yes (X)		$0	$493,316	$16,049
BILL CHEN PHD
DIRECTOR (TERM 12/24)	4.0	24.0	Yes (X)		$0	$17,823	$0
CHRIS GLENNEY
Director/Chairperson (EFF 1/25)	20.0	20.0	Yes (X)		$0	$1,661,684	$88,961
DICK STONE
DIRECTOR (TERM 12/24)	10.0	0.0	Yes (X)		$0	$0	$0
FRED HARRIS JR
DIRECTOR (TERM 12/24)	10.0	0.0	Yes (X)		$0	$0	$0
JEAN COLEMAN
DIRECTOR (TERM 12/24)	8.0	0.0	Yes (X)		$0	$0	$0
JEB JONES
DIRECTOR	10.0	0.0	Yes (X)		$0	$0	$0
JEFFREY PUCKETT
DIRECTOR (TERM 12/24)	13.0	27.0	Yes (X)		$0	$6,823,352	$56,703
JOE BOB BURGIN
DIRECTOR (TERM 12/24)	10.0	0.0	Yes (X)		$0	$0	$0
MARK ANDERSON MD
DIRECTOR	11.0	29.0	Yes (X)		$0	$942,905	$101,941
MICHAEL HALLUM
DIRECTOR (TERM 12/24)	4.0	0.0	Yes (X)		$0	$0	$0
PRESTON SMITH
DIRECTOR (TERM 12/24)	11.0	29.0	Yes (X)		$0	$0	$0
RANDY CHILDRESS
DIRECTOR (TERM 12/24)	4.0	0.0	Yes (X)		$0	$0	$0
SISTER Guadalupe Ruiz
DIRECTOR (TERM 12/24)	4.0	0.0	Yes (X)		$0	$0	$0
SISTER RITA FANNING
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
SISTER ROSANNE POPP MD
DIRECTOR	4.0	36.0	Yes (X)		$0	$262,179	$7,720
SONJA YATES HUBBARD
DIRECTOR (TERM 12/24)	8.0	0.0	Yes (X)		$0	$0	$0
STEVEN KEUER MD
DIRECTOR	10.0	30.0	Yes (X)		$0	$1,383,326	$63,590
ERIC GARRISON
CHIEF FINANCIAL OFFICER	4.0	36.0		Yes (X)	$0	$464,765	$17,520
Jaclynn Harrison
TREASURER/NETX/NLA HEALTH SYSTEM CHIEF FINANCIAL OFFICER	4.0	36.0		Yes (X)	$0	$778,681	$41,355
JANNA GARCIA-CHAPA
CORPORATE SECRETARY (TERM 9/2024)	10.0	30.0		Yes (X)	$0	$71,074	$1,509
Sonia Acosta
Corporate Secretary (EFF 10/24)	10.0	30.0		Yes (X)	$0	$0	$0
ANITHA SANDERSON
CHIEF NURSING OFFICER	40.0	0.0			$0	$263,617	$36,101	Yes (X)
AARON MOEDER
REGISTERED NURSE - FLOAT	40.0	0.0			$157,696	$0	$12,712		Yes (X)
KACI R POWERS
MULTI MODALITY TECHNOLOGIST	40.0	0.0			$153,138	$0	$16,494		Yes (X)
KEITH KELLEY
ADMINISTRATIVE DIRECTOR NURSING	40.0	0.0			$162,847	$0	$19,119		Yes (X)
MELISSA MAEKER
MGR PHARMACY SERVICES	40.0	0.0			$182,976	$0	$32,486		Yes (X)
MICHAEL RUSSELL
DIRECTOR - FINANCE	40.0	0.0			$154,511	$0	$13,616		Yes (X)
BARRY LOFQUIST
FORMER CHIEF FINANCIAL OFFICER (TERM 4/20)	0.0	40.0			$0	$290,637	$43,100			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,187,226	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,453,359	TotReportableCompRltdOrgAmt
Total Other Compensation	$626,399	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	50	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$75,000	GovernmentGrantsAmt
All Other Contributions	$560,050	AllOtherContributionsAmt
Total Contributions	$635,050	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621990	$128,409,453	$128,409,453
RENT RELATED TO EXEMPT PURPOSE	532000	$203,139	$203,139

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,561,072	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,561,072	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$140,173,664	TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Provision for Uncollectible	900099	$4,226,829	$0	$0	$4,226,829
General Merchandise Revenue	900099	$46,291	$0	$0	$46,291
Food Service Revenue	900099	$1,097	$0	$0	$1,097

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,809,523	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,809,523	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,083,740	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$146,892,454	TotalRevenueColumnAmt
Related Or Exempt Func Income	$140,173,664	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6,083,740	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	$266,736	TotalAmt
Program Services	$266,736	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	$433,481	TotalAmt
Program Services	$414,625	ProgramServicesAmt
Management And General	$18,856	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$31,119,756	TotalAmt
Program Services	$29,766,087	ProgramServicesAmt
Management And General	$1,353,669	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,450,517	TotalAmt
Program Services	$5,243,618	ProgramServicesAmt
Management And General	$206,899	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,328,736	TotalAmt
Program Services	$2,264,651	ProgramServicesAmt
Management And General	$64,085	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$581,827	TotalAmt
Program Services	$581,827	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,622	TotalAmt
Program Services	$1,222	ProgramServicesAmt
Management And General	$400	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,514,570	TotalAmt
Program Services	$28,351,148	ProgramServicesAmt
Management And General	$11,163,422	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$324,640	TotalAmt
Program Services	$239,643	ProgramServicesAmt
Management And General	$84,997	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,556,699	TotalAmt
Program Services	$6,207,233	ProgramServicesAmt
Management And General	$340,672	ManagementAndGeneralAmt
Fundraising	$8,794	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,034,536	TotalAmt
Management And General	$6,034,536	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,396,328	TotalAmt
Program Services	$3,363,514	ProgramServicesAmt
Management And General	$32,814	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$161,300	TotalAmt
Program Services	$91,936	ProgramServicesAmt
Management And General	$69,364	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$121,637	TotalAmt
Program Services	$78,582	ProgramServicesAmt
Management And General	$43,055	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,936,684	TotalAmt
Program Services	$1,936,684	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,174,436	TotalAmt
Program Services	$741,269	ProgramServicesAmt
Management And General	$433,167	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$17,881,223	$17,670,084	$211,139
LPPF Tax Expense	$3,808,129	$3,808,129
TLRA Collection Fee	$317,379		$317,379
Community Benefits Expense	$53,685	$53,685

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$46,798	TotalAmt
Program Services	$15,715	ProgramServicesAmt
Management And General	$31,065	ManagementAndGeneralAmt
Fundraising	$18	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$121,510,719	TotalAmt
Program Services	$101,096,388	ProgramServicesAmt
Management And General	$20,405,519	ManagementAndGeneralAmt
Fundraising	$8,812	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$20,598	BOYAmt
EOY	$15,414	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,758,148	BOYAmt
EOY	$16,785,614	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	$55,074	BOYAmt
EOY	$52,885	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$795,379	BOYAmt
EOY	$953,634	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,571,885	BOYAmt
EOY	$520,179	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$59,726,815	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$16,271,053	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$21,247,012	BOYAmt
EOY	$43,455,762	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,261,717	BOYAmt
EOY	$5,259,968	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$43,709,813	BOYAmt
EOY	$67,043,456	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,730,246	BOYAmt
EOY	$5,235,705	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$310,153	BOYAmt
EOY	$310,153	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,703,910	BOYAmt
EOY	$12,515,329	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,744,309	BOYAmt
EOY	$18,061,187	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	$24,965,504	BOYAmt
EOY	$48,982,269	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$24,965,504	BOYAmt
EOY	$48,982,269	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$43,709,813	BOYAmt
EOY	$67,043,456	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,381,735	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$1,364,970	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$392,625	OtherCostOrOtherBasisAmt
Book Value	$392,625	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,550,418	OtherCostOrOtherBasisAmt
Depreciation	$3,283,353	DepreciationAmt
Book Value	$7,267,065	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,827,514	OtherCostOrOtherBasisAmt
Depreciation	$12,089,482	DepreciationAmt
Book Value	$9,738,032	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,956,258	OtherCostOrOtherBasisAmt
Depreciation	$898,218	DepreciationAmt
Book Value	$26,058,040	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$43,455,762	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ROU Operating Accum Amortization	-$6,424,618
ROU Operating	$10,125,593
Asset Clearing	$1,558,993

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,259,968	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Federal Income Taxes
Lease Liability Operating LT Portion	$9,820,394
CP Operating Lease Liability	$1,219,176
Intercompany Payable	$1,475,759

Field	Value	IRS element (for citing)
Total Liability	$12,515,329	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2025 OR 2024.	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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,988,396	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,988,396	NetCommunityBenefitExpnsAmt
Total Expense	0.05751	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,355,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,036,496	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$318,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00262	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$16,343,616	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,036,496	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,307,120	NetCommunityBenefitExpnsAmt
Total Expense	0.06014	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	64502	PersonsServedCnt
Total Community Benefit Expns	$617,710	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$617,710	NetCommunityBenefitExpnsAmt
Total Expense	0.00508	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	351	PersonsServedCnt
Total Community Benefit Expns	$57,793	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,793	NetCommunityBenefitExpnsAmt
Total Expense	0.00048	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	5501	PersonsServedCnt
Total Community Benefit Expns	$371,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$371,933	NetCommunityBenefitExpnsAmt
Total Expense	0.00306	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	21175	PersonsServedCnt
Total Community Benefit Expns	$437,421	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,464	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$407,957	NetCommunityBenefitExpnsAmt
Total Expense	0.00336	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	91529	PersonsServedCnt
Total Community Benefit Expns	$1,484,857	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,464	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,455,393	NetCommunityBenefitExpnsAmt
Total Expense	0.01198	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	91529	PersonsServedCnt
Total Community Benefit Expns	$17,828,473	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,065,960	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,762,513	NetCommunityBenefitExpnsAmt
Total Expense	0.07211	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$2,053	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,053	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,179	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,179	NetCommunityBenefitExpnsAmt
Total Expense	0.00004	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1123	PersonsServedCnt
Total Community Benefit Expns	$72,790	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,790	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1173	PersonsServedCnt
Total Community Benefit Expns	$80,022	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,022	NetCommunityBenefitExpnsAmt
Total Expense	0.00066	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$26,582,911	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$30,462,855	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,879,944	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CMF HOSPITAL-SULPHUR SPRINGS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	115 AIRPORT ROAD	AddressLine1Txt
City	SULPHUR SPRINGS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75482	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.CHRISTUSHEALTH.ORG/TRINITY/SULPHUR-SPRINGS	WebsiteAddressTxt
State License	15-467446-2	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CMF HOSPITAL-SULPHUR SPRINGS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	25	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve	OwnWebsiteURLTxt
Other Website URL	SEE SUPLEMENTAL INFO	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SUPPLEMENTAL INFO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SUPPLEMENTAL INFO	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	false	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITY'S MOST RECENT CHNA REPORT INCLUDED A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - CHRISTUS HOPKINS HEALTH ALLIANCE. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT WAS COMPLETED, AND THE MINISTRY CEO/PRESIDENT AND EXECUTIVE LEADERSHIP TEAM REVIEWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025 (COMPLETION DATE), WITH BOARD OF DIRECTORS' RATIFICATION ON JULY 31, 2025 (RATIFICATION DATE). THE CHNA PROCESS INVOLVED ENGAGEMENT WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLECT, CURATE, AND INTERPRET PRIMARY AND SECONDARY DATA. THE DATA WAS THEN USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. THIS PLAN WAS SHAPED THROUGH BOTH DATA AND DIALOGUE. USING THE METOPIO PLATFORM AND PUBLIC HEALTH DATASETS, WE ANALYZED DOZENS OF INDICATORS TIED TO HEALTH OUTCOMES AND SOCIAL DETERMINANTS. BUT WE DIDN'T STOP AT NUMBERS - WE LISTENED DEEPLY THROUGH FOCUS GROUPS, COMMUNITY SURVEYS AND DIRECT CONVERSATIONS WITH LOCAL LEADERS, SERVICE PROVIDERS AND RESIDENTS ACROSS THE REGION. WE MADE A FOCUSED EFFORT TO HEAR FROM THOSE WHOSE VOICES ARE TOO OFTEN LEFT OUT: RURAL FAMILIES, LOW-INCOME RESIDENTS, CAREGIVERS, YOUTH AND INDIVIDUALS WITH LIVED EXPERIENCE NAVIGATING HEALTH CHALLENGES. PRIMARY DATA WAS COLLECTED THROUGH FIVE CHANNELS: 1.COMMUNITY RESIDENT SURVEYS: DISTRIBUTED TO ASSOCIATES, PATIENTS AND RESIDENTS TO GATHER INSIGHTS ON SOCIAL NEED AND HEALTH CHALLENGES (ACROSS THE TYLER MINISTRY -TYLER, JACKSONVILLE, SULPHUR SPRINGS, AND WINNSBORO) 2,957 SURVEYS RETURNED). 2.COMMUNITY RESIDENT FOCUS GROUPS: (2) LOCAL GROUPS COVERING ADULT HEALTH, TWO ON MATERNAL AND CHILD HEALTH, AND JOINED WITH TWO SYSTEMWIDE FOCUS GROUPS ON HEALTHCARE AND SOCIAL SERVICE PROVIDERS AND BEHAVIORAL HEALTH. FOCUS GROUPS LASTED 90 MINUTES AND HAD UP TO 28 COMMUNITY MEMBERS. EXAMPLES OF COMMUNITY MEMBERS INCLUDED CANHELP, CAREVIDE, EXTENSION AGENT EMERITUS, GLEN OAKS HOSPITAL, HOPKINS COUNTY CHAMBER OF COMMERCE, HOPKINS COUNTY JUDGE, HOPKINS COUNTY FIRE/EMC, LAKES REGIONAL, LAKES REGIONALCOMMUNITY CENTER, SULPHUR SPRINGS ISD, BRAD BURGIN - COMMUNITY OUTREACH, JENNIFER HEITMAN, PROJECT MANAGER, TRACY LOTT, ATHLETIC TRAINER, AND MANY MORE. THESE TYPES OF ENTITIES WERE USED FOR THE GROUP BELOW ALSO BUT NOT DUPLICATED. 3.DATA DICTIONARY WORKGROUPS: ENGAGED STAKEHOLDERS IN IDENTIFYING MEANINFUL INDICATORS ALIGNED WITH COMMUNITY PRIORITEIS. 4.COMMUNITY FOCUS GROUPS: BROUGHT TOGETHER DIVERSE VOICES TO CONTEXTIUALIZE THE DATA AND VALIDATE FINDINGS THROUGH LIVED EXPERIENCE. 5. WINDSHEILD SURVEYS: OFFERED DIRECT OBSERVATIONS OF COMMUNITY ENFIRONMENTS TO IDENTIFY PHYSICAL AND SOCIAL DETERMINANTS OF HEALTH. SECONDARY DATA FOR THE CHNA WAS AGGREGATED ON A DATA PLATFORM AND INCLUDED: 1.HOSPITAL UTILIZATION DATA. 2.SECONDARY SOURCES INCLUDING, BUT NOT LIMITED TO, THE AMERICAN COMMUNITY SURVEY, THE DECENNIAL CENSUS, THE CENTERS FOR DISEASE CONTROL, THE ENVIRONMENTAL PROTECTION AGENCY, HOUSING AND URBAN DEVELOPMENT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - CHRISTUS HOPKINS HEALTH ALLIANCE. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED IN PARTNERSHIP WITH: MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, MOTHER FRANCES HOSPITAL - JACKSONVILLE, CHRISTUS MOTHER FRANCES HOSPITAL - WINNSBORO, CHRISTUS TRINITY MOTHER FRANCES REHABILITATION HOSPITAL.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - CHRISTUS HOPKINS HEALTH ALLIANCE. MOTHER FRANCES HOSPITAL - WINNSBORO COMPLETED ITS PREVIOUS CHNA (FY2022) ON JUNE 30, 2022. THE SIGNIFICANT NEEDS THAT WERE PRIORITIZED BY THE HOSPITAL TO ADDRESS THROUGH THE THREEYEAR CHNA AND IMPLEMENTATION STRATEGY (FY2023-FY2025) WERE: A. ADVANCE HEALTH AND WELLBEING 1. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT - PROJECTS AND PROGRAMS FOR OBESITY, HEART DISEASE, DIABETES, AND CANCER WERE ALL IMPLEMENTED WITH COLLABORATION FROM THE COMMUNITY. WE EXCELLED AT PROVIDING SCREENINGS AND EDUCATION OPPORTUNITIES ABOUT HEART DISEASE, DIABETES, AND OBESITY. - OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS (P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: - Year 1 - 6 (P/P) Year 2 - 4(P/P) Year 3 - 5(P/P) 2. BEHAVIORAL HEALTH - WORKING ON THESE GOALS WAS DEMANDING FOR ADDITIONAL SERVICES AND PROGRAMS SUCH AS PROVIDING BETTER CONNECTIONS FOR SERVICES, ADDRESSING THE DATA ON SUBSTANCE ABUSE (THE MOST DIFFICULT BECAUSE OF LACK OF PUBLIC TRACKING IN THE AREA), AND TRYING TO FIND WAYS TO EXPAND SERVICES FOR BEHAVIORAL (WE SUPPORTED EFFORTS IN THE LOCAL COMMUNITY TO GROW ACCESS, AND EXPANDING STATE SUPPORT FOR PROGRAMS). - OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS (P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: - Year 1 - 4 (P/P) Year 2 - 7 (P/P) Year 3 - 8(P/P) 3. PRIMARY CARE - ACCESS TO CARE WAS A TOP PRIORITY AND WE CONTINUED TO FOCUS ON OUR EFFORTS FOR JUNIOR HIGH SCHOOL AND HIGH SCHOOL STUDENTS AND FACULTY WHO ARE ACTIVE AND TRYING TO PREVENT ACCIDENTS AND PROVIDING ON-SITE EFFORTS TO HELP WITH THE HEALING PROCESS WHICH ALSO SUPPORTED REMOVING BARRIERS FOR RURAL COMMUNITIES. AND PROJECTS FOR COLLABORATION ALSO INCREASED WITH COMMUNITY LEADERS HELPING US TO IDENTIFY IMMEDIATE NEEDS. - OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS (P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: - Year 1- 8 (P/P) Year 2-12 (P/P) Year 3 - 14 (P/P) 4. EDUCATION - THIS PROVED TO BE A MASSIVE FOCUS AREA FOR US TO SERVE THE COMMUNITY. BOTH THE PROGRAM/PROJECTS AND THE NUMBER OF PEOPLE SERVED GREW ALMOST EVERY YEAR. KEY AREAS WERE COLLABORATION WITH THE COMMUNITY TO EXPAND HEALTH EDUCATION POINTS, ENHANCE FUNDING FOR SCHOLARSHIPS IN ALL AREAS, AND TO SUPPORT LOCAL COMMUNITY EFFORTS TO BUILD LEADERSHIP. - OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS (P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: - Year 1 - 17 (P/P Year 2 - 21 (P/P) Year 3 - 27 (P/P) B. BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS THERE WERE TWO MAIN FOCUS AREAS: FOOD INSECURITY AND REDUCING SMOKING AND VAPING. 5. FOOD INSECURITY - THIS WAS OUR MOST SUCCESSFUL PROGRAM IN THIS AREA AND WE WERE ABLE TO STRETCH OUR SUPPORT AND INCREASE FUNDING AT A TIME THAT ECONOMICALLY THE NEED WAS GREATEST. - OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS(P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: - Year 1-5 (P/P) Year 2 -3(P/P) Year 3 - 6 (P/P) 6. SMOKING AND VAPING - THIS AREA PROVED TO BE THE MOST DIFFICULT TO WORK WITHIN. THE COMMUNITY EFFORTS TO DEVELOP COLLABORATIONS WAS STRONG AND THE NEED WAS GREAT BUT IT WAS DIFFICULT. WE SUPPORTED EFFORTS OF OUR TEXAS LEGISLATURE TO LIMIT AND MONITOR ON CAMPUS SMOKING PROGRAMS IN AN EFFORT TO REDUCE SMOKING AND VAPING. FY2023-2025 CHNA IDENTIFIED NEEDS NOT BEING ADDRESSED CERTAIN COMMUNITY NEEDS, PARTICULARLY THOSE RELATED TO BROADER SOCIAL AND ECONOMIC CONDITIONS, WERE NOT IDENTIFIED AS AREAS WHERE CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM COULD SERVE AS THE PRIMARY LEAD OR ACHIEVE THE GREATEST MEASURABLE IMPACT THROUGH DIRECT HOSPITAL INTERVENTION. THESE NEEDS INCLUDED, BUT WERE NOT LIMITED TO, UPSTREAM SOCIAL DETERMINANTS SUCH AS HOUSING INSTABILITY, TRANSPORTATION ACCESS, AND SELECTED ECONOMIC AND ENVIRONMENTAL CHALLENGES THAT EXTEND BEYOND THE SCOPE OF HOSPITAL OPERATIONS AND CLINICAL PROGRAMMING. CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM DID NOT SERVE AS THE PRIMARY LEAD ON ISSUES THAT WERE NOT PRIORITIZED FOR DIRECT IMPLEMENTATION BECAUSE THE SYSTEM CAREFULLY CONSIDERED ITS ABILITY TO MEANINGFULLY INFLUENCE OUTCOMES, THE PRESENCE OF ESTABLISHED COMMUNITY PARTNERS ALREADY LEADING THIS WORK, AND THE IMPORTANCE OF AVOIDING DUPLICATION OF SERVICES. NEVERTHELESS, THE SYSTEM RECOGNIZES THE SIGNIFICANT IMPACT THESE FACTORS HAVE ON HEALTH OUTCOMES AND THE OVERALL WELL BEING OF PATIENTS AND COMMUNITIES. FOR THIS REASON, THROUGHOUT THE FY2023-2025 CHNA CYCLE, CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM REMAINED DEEPLY COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS WHO ADDRESSED THESE NEEDS, PARTICIPATING IN COMMUNITY COALITIONS, SUPPORTING ALIGNED INITIATIVES, AND ENSURING THAT ITS STRATEGIES COMPLEMENTED AND ENHANCED THE BROADER COMMUNITY RESPONSE. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS COMPLETED ON JUNE 30, 2025 TO ADDRESS THE THREE-YEAR CHNA AND IMPLEMENTATION STRATEGY (FY2026-FY2028). TO BETTER UNDERSTAND AND RESPOND TO THE EVOLVING NEEDS OF THE COMMUNITIES WE SERVE, CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM STRUCTURED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) USING A LIFESPAN APPROACH. THIS FRAMEWORK ORGANIZES DATA, PRIORITIES AND STRATEGIES BY KEY STAGES OF LIFE, RECOGNIZING THAT HEALTH NEEDS - AND THE FACTORS THAT INFLUENCE THEM - SHIFT AS INDIVIDUALS GROW, AGE AND MOVE THROUGH DIFFERENT PHASES OF LIFE. CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM IDENTIFIED THREE TO FIVE LEADING HEALTH INDICATORS WITHIN EACH OF THE FOLLOWING FOUR LIFE STAGES: * MATERNAL AND EARLY CHILDHOOD (PREGNANCY THROUGH AGE 4) * SCHOOL-AGE CHILDREN AND ADOLESCENTS (AGES 5-17) * ADULTS (AGES 18-64) * OLDER ADULTS (AGES 65-UP) KEY INDICATORS THAT CROSS THE LIFE SPAN APPROACH INCLUDE: PRIMARY CARE, BEHAVIORAL HEALTH, SPECIALTY CARE, EDUCATION, AND FOOD INSECURITY. UNIQUE TO SULPHUR SPRINGS AND WINNSBORO ARE: POVERTY, HOUSING INSTABILITY, ENGLISH AS A SECOND LANGUAGE, CHILDREN IN FOSTER CARE. SEGMENTING OUR WORK IN THIS WAY ENSURES THAT INTERVENTIONS ARE AGE-APPROPRIATE, CULTURALLY RESPONSIVE AND ALIGNED WITH THE UNIQUE DEVELOPMENTAL, SOCIAL AND HEALTH NEEDS OF EACH PHASE OF LIFE. AT THE SAME TIME, WE RECOGNIZE THAT HEALTH IS DEEPLY INTERCONNECTED - MATERNAL HEALTH AFFECTS INFANT OUTCOMES, EARLY TRAUMA CAN INFLUENCE LONG-TERM WELL-BEING AND INVESTMENTS IN ONE LIFE STAGE OFTEN RIPPLE INTO THE NEXT THREE YEARS. FY2026-2026 CHNA IDENTIFIED NEEDS NOT BEING ADDRESSED THE CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM FY2026-2028 CHNA IDENTIFIED A BROAD RANGE OF IMPORTANT HEALTH AND SOCIAL NEEDS ACROSS THE SERVICE AREA. HOWEVER, NOT ALL OF THESE NEEDS FALL WITHIN THE DIRECT SCOPE OF SERVICES OR RESOURCES THAT CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM CAN LEAD OR SUSTAIN INDEPENDENTLY. SOME COMMUNITY ISSUES REQUIRE THE SPECIALIZED FOCUS, INFRASTRUCTURE, OR MISSION ALIGNMENT OF OTHER ORGANIZATIONS, AGENCIES, OR COLLABORATIVE GROUPS THAT ARE BETTER POSITIONED TO LEAD EFFORTS IN THOSE AREAS. EXAMPLES OF THESE NEEDS MAY INCLUDE, BUT ARE NOT LIMITED TO, SOCIAL MEDIA USE AND SOCIAL ISOLATION, INABILITY TO PERFORM ACTIVITIES OF DAILY LIVING, LONG-TERM CARE AFFORDABILITY, PHONE ADDICTION, EXCESSIVE SCREEN TIME. ALTHOUGH CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM DOES NOT SERVE AS THE PRIMARY LEAD ON THESE ISSUES, THE SYSTEM RECOGNIZES THEIR DIRECT IMPACT ON HEALTH OUTCOMES AND THE OVERALL WELL-BEING OF PATIENTS AND COMMUNITIES. FOR THIS REASON, CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM REMAINS DEEPLY COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS WHO ADDRESS THESE NEEDS, PARTICIPATING IN COALITIONS, SUPPORTING ALIGNED INITIATIVES, AND ENSURING THAT ITS STRATEGIES COMPLEMENT AND ENHANCE THE WORK OF OTHERS.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - CHRISTUS HOPKINS HEALTH ALLIANCE. DETERMINATION OF ELIGIBILITY FOR DISCOUNTED CARE UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY 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 15 Facility , 1	Facility , 1 - CHRISTUS HOPKINS HEALTH ALLIANCE. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - CHRISTUS HOPKINS HEALTH ALLIANCE. THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY FOR AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY AND ADMISSIONS AREAS. IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE). EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING THE TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - CHRISTUS HOPKINS HEALTH ALLIANCE. NOTIFICATION OF FINANCIAL ASSISTANCE POLICY 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."

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Supplemental Information Detail SupplementalInformationDetail (31 entries)

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Schedule H, Part V, Section B, Line 22 FAP ELIGIBLE EMERGENCY OR OTHER MEDICAL CARE	THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR 2025 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 40% OF CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL) OR RECEIVED FREE CARE (FOR INCOMES AT OR BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.
Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE	THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: INCOME LEVEL; ASSET LEVEL; MEDICAL INDIGENCY; INSURANCE STATUS; UNDERINSURANCE STATUS; AND RESIDENCY.
Schedule H, Part I, Line 5a BUDGETED CHARITY CARE	THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES.
Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT	A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES.
Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15	CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.
Schedule H, Part V, Section B, Line 7 OTHER WEBSITE	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/trinity-mother-frances-tyler/2026-2028-community-health-needs-assessment-christus-trinity-mother-frances-health-system.ashx
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIALASSISTANCE/ FINANCIAL-LANGUAGE-DOCUMENTS/V2FINANCIAL-ASSISTANCE-APPLICATION.ASHX
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.christushealth.org/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIALASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/2021PLAINLANGUAGESUMMARYHOSPITALENGLISH.ASHX
Schedule H, Part VI Rev. Proc. 2015-21 Disclosure	Community Health Needs Assessment (CHNA) Adoption and Public Availability Section 501(r)(3) requires each hospital facility to conduct a CHNA at least once every three years and to make the CHNA report widely available to the public. A CHNA is treated as conducted only after all required steps are completed, including adoption of the CHNA report by an authorized body and making the CHNA report widely available (including via website posting). The hospital's three-year CHNA period ended on June 30, 2025. The CHNA report for the hospital was completed and reviewed by its CEO/President and executive leadership team prior to June 30, 2025. However, formal ratification by the hospital's board of directors of the CHNA report's adoption occurred subsequently on July 31, 2025, and the hospital posted the ratified CHNA report on their websites as soon as practicable thereafter. On September 8, 2025, CHRISTUS Health identified that the hospital's board of directors provided ratification of the CHNA report's adoption, and the corresponding public posting of the ratified CHNA report, occurred after the end of the June 30, 2025 three-year CHNA period. CHRISTUS Health determined that responsible associates had incorrectly assumed that COVID-era IRS relief extending certain §501(r)(3) CHNA-related deadlines continued to apply and permitted additional time to complete the remaining CHNA-related steps. However, Treasury Regs. 1.501(r)-3(a)(2) and 1.501(r)-1(b)(4)(i) require adoption of the CHNA report by the hospital's governing body (or a properly delegated authorized body), and no delegation of authority had been made by the hospital's governing body (its board of directors) for executive leadership to adopt the CHNA report in lieu of the board of directors. Executive leadership approval of the CHNA report was ratified by the hospital's board of directors on July 31, 2025. Upon identification of the timing issue, CHRISTUS Health promptly implemented corrective actions. These actions included confirming that formal governing-body adoption/ratification had occurred, ensuring that the ratified CHNA reports were posted and publicly accessible on the applicable hospital's website, and adding clarifying language within the CHNA report describing the timing of executive leadership review (prior to June 30, 2025) and the date of formal board of director approval (July 31, 2025). All related CHNA implementation strategies were approved by the hospital's board of directors on July 31, 2025, prior to the November 15, 2025 deadline. CHRISTUS Health is not aware of any individuals who were adversely affected by the board of directors' delay in ratifying the adoption of their respective hospital's CHNA report. To prevent recurrence, CHRISTUS Health has enhanced internal compliance procedures for its hospital facilities by establishing formal approval processes and timelines, clarifying responsibility for monitoring Section 501(r) deadlines, and documenting governing-body approvals and any delegated authority for approval of future CHNA reports and implementation strategies.
Schedule H, Part I, Line 7k PERCENT OF TOTAL EXPENSE	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $121,510,719. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $0. THIS LEAVES A TOTAL EXPENSE OF $121,510,719 FOR PURPOSES OF CALCULATING LINES 7, COLUMN (F).
Schedule H, Part I, Line 7k FIN ASSISTANCE/OTHER BENEFITS AS PERCENTAGE OF COST	THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 14.59%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K, COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE.
Schedule H, Part I, Line 7i CASH AND INKIND CONTRIBUTIONS	THE HOSPITAL MADE CASH AND IN-KIND CONTRIBUTIONS DURING THE FISCAL YEAR. THE AMOUNT IS CALCULATED FOLLOWING REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. THIS AMOUNT DIFFERS FROM GRANTS REPORTED IN 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 TOTALING $315,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY [INSERT FILING ORGANIZATIONS NAME]. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT CHRISTUS [INSERT FILING ORGANIZATIONS NAME] SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE COMMUNITY.
Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS	THE HOSPITAL DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NONPAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 18 OR 19 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11.
Schedule H, Part V, Section B, Line 18 ACTIONS REGARDING ELIGIBILITY UNDER FAP	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT.
Schedule H, Part I, Line 7g Subsidized Health Services	NO COSTS WERE ATTRIBUTED TO PHYSICIAN CLINICS.
Schedule H, Part II Community Building Activities	WORKFORCE DEVELOPMENT AMOUNTS REFLECT A PERCENTAGE ALLOWED FOR STAFFING OVERSIGHT OF STUDENTS WHO ENTER THE HOSPITAL FOR JOB SHADOWING. THESE STUDENTS COULD BE HIGH SCHOOL PROGRAMS, OR STUDENTS WHO ARE NEED EXPERIENCES OF JOB SHADOWING FOR ENTRANCE INTO UNDERGRADUATE AND GRADUATE SCHOOL. THE MAJORITY ARE FOR ADMINISTRATIVE AND HEALTH RELATED FIELDS. THE STUDENTS, WHERE THEY ARE FROM, AND THE AREAS THEY SEE ARE TRACKED AND REPORTED ON A MONTHLY BASIS. THE OTHER MAJOR EXPENSE WAS TO PARTICIPATE IN A LEAP EXPO FOR 8TH GRADERS. THIS WAS BASICALLY A CAREER FAIR TO INTRODUCE THE STUDENTS ABOUT DIFFERENT CAREERS, HOME SAFETY, NURSING EQUIPMENT, PHARMACY SUPPLIED, AND JOB THAT ARE RELATED TO THESE FIELDS. AT LEAST 3 SCHOOL DISTRICTS PARTICIPATED IN THIS PROGRAM.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	During the taxable year, the hospital facility did not report any bad debt expense. Accordingly, the hospital did not use a methodology to estimate bad debt as a community benefit, and no bad debt was included as community benefit for Schedule H reporting purposes.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES (US GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY AT THE DATE OF THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENTS AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	COLLECTION POLICY IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
Schedule H, Part V, Section B, Line 16a FAP website	- CMF HOSPITAL-SULPHUR SPRINGS: Line 16a URL: HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	- CMF HOSPITAL-SULPHUR SPRINGS: Line 16b URL: SEE SUPPLEMENTAL INFO;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- CMF HOSPITAL-SULPHUR SPRINGS: Line 16c URL: SEE SUPPLEMENTAL INFO;
Schedule H, Part VI, Line 2 Needs assessment	ONE OF THE KEY AREAS USED TO GET INPUT FROM OUR COMMUNITIES IS TO HAVE ASSOCIATES SERVE ON LOCAL BOARDS AND ATTEND COMMUNITY PARTNER MEETINGS TO HEAR FIRSTHAND WHAT THEIR ISSUES ARE AND HOW THEY ARE TRYING TO ADDRESS THEM. OUR HOSPITAL COMMUNITY BENEFIT ADVISORY COUNCIL HOLDS NOT ONLY QUARTERLY MEETINGS BUT AN ANNUAL MEETING WITH GUESTS FROM THE AREA COMMUNITIES WHO COULD IMPACT THE NEXT YEAR'S GOALS AND THE ENTIRE GROUP EVALUATES THE PERFORMANCE OF THE HOSPITAL IN THE CURRENT YEAR. AWARDS ARE GIVEN TO GROUPS WHO HAVE EXCELLED IN A SPECIFIC AREA. THE COMMUNITY BENEFIT TEAM ALSO HOSTS ROUND-TABLE DISCUSSIONS DURING THE YEAR TO GET INPUT ON ISSUES OR CHANGES THAT OCCURR FROM THE COMMUNITY. THE HOSPITAL ADVISORY COUNCIL AND THE COMMUNITY BENEFITS ADVISORY COUNCIL MEMBERS HAVE INFLUENCE ON DECIDING WHERE TO ALLOCATE RESOURCES AND ADDRESS HEALTH INEQUALITIES. ALL ENTITY ADVOCATES USE NATIONAL, STATE, AND LOCAL SECONDARY AND PRIMARY DATA SOURCES TO PROVIDE A CURRENT OVERVIEW OF LOCAL HEALTH NEEDS, FACTORS IMPACTING DISEASE AND INJURY BURDEN, SOCIOECONOMIC STATUS, ACCESS TO HEALTH CARE, AGE DISTRIBUTION, INDICATORS AND LIFESTYLE BEHAVIORS. THIS DATA IS USED TO GALVANIZE JOINT COMMUNITY HEALTH EFFORTS TO IMPROVE HEALTH AND REDUCE INEQUALITIES AND EMPOWER THE GREATER COMMUNITY. CMFH - SULPHUR SPRINGS WORKED ON GROWING THEIR PRESENCE IN THE COMMUNITY THIS YEAR ABOVE AND BEYOND TARGETED PROGRAMS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	CHRISTUS HOPKINS HEALTH ALLIANCE 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 HOSPITAL, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.
Schedule H, Part VI, Line 4 Community information	SERVING HOPKINS COUNTY AND THE SURROUNDING AREA SINCE 1949, CHRISTUS MOTHER FRANCES HOSPITAL - SULPHUR SPRINGS IS A 96 BED HOSPITAL WITH A LEVEL IV TRAUMA AND PRIMARY STROKE CENTER AND A FULL-SERVICE EMERGENCY DEPARTMENT WITH 24/7 ACCESS TO INTENSIVISTS, HOSPITALISTS AND A STATE OF-THE-ART CATHETERIZATION LABORATORY. IT ALSO HAS A LEVEL II NICU, TWO HYPERBARIC CHAMBERS AND OUTPATIENT THERAPY. FOLLOWING IRS GUIDELINES, RULES AS REQUIRED BY THE AFFORDABLE CARE ACT, TOTAL PRIMARY SERVICE AREA INCLUDES 6 COUNTIES, 15 ZIP CODES. THE PRIMARY SERVICE AREA (PSA) IS THE GEOGRAPHIC REGION WITH 80% HOSPITAL UTILIZATION. THE PRIMARY SERVICE AREA INCLUDES THESE COUNTIES: DELTA, FRANKLIN, HOPKINS, RAINS, TITUS, AND WOOD SERVING 100,815 INDIVIDUALS. THIS AREA IS EXPERIENCING A DOWNWARD TURN IN POPULATION. THE AGE GROUPING FOR THE AREA ARE: 0-4 AGE IS 8,036; 5-17 AGE IS 24,784; 18-39 IS 34,824; 40-64 IS 45,060; AND 65 AND OLDER IS 30,377. THE POPULATION GROWTH IS CHILDREN AND IS MATCHING THAT OF ADULTS OVERALL POPULATION GROWTH BUT STILL LAGS BEHIND WHEN CHILDREN LIVING IN POVERTY IS MORE THAN 30% FOR UNDER 5 IN SOME COUNTIES. THESE FACTORS HIGHLIGHT THE POTENTIAL FOR SIGNIFICANT RISKS TO LONG-TERM CHILD HEALTH AND DEVELOPMENT AS ADOLESCENTS. WHILE MORATALITY RATES FOR ADULTS IS HIGH ALSO AND THE NEED FOR HEALTH INTERVENTIONS FOR CHRONIC DISEASES IS GREAT.
Schedule H, Part VI, Line 5 Promotion of community health	CHRISTUS MOTHER FRANCES HOSPITAL - SULHUR SPRINGS AND ITS AFFILIATED FACILITES ALL WORK TOGETHER TO SERVE THE PEOPLE NOT ONLY IN ITS PRIMARY AND SECONDARY SERVICE AREA BUT ALL OF NORTHEAST TEXAS, WHICH COVERS OVER 20 COUNTIES IN NORTHEAST TEXAS. THOSE COUNTIES ARE BOTH RURAL AND SMALL URBAN, BUT MOSTLY RURAL. KEY HEALTH INDICATORS FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND THE STATE. TWO GROUPS THAT INCLUDE PUBLIC MEMBERS ARE THE LEADERSHIP COUNCIL OF THE HOSPITALS AND THE COMMUNITY BENEFIT ADVISORY COUNCIL OF EACH HOSPITAL. BOTH OF THESE MEET QUARTERLY. THEY INFLUENCE WHERE FUNDING IS ALLOCATED AS THEY RECEIVE INFORMATION ON GOALS AND OUTCOMES. HEALTH EQUITY IS ONE OF THE OTHER TOPICS INCLUDED IN THEIR MEETINGS. IN EACH MARKET, OUR FACILITIES ARE THE ONLY NON-PROFIT HEALTHCARE ENTITIES IN THIS MINISTRY AND ARE SEEN AS THE GO-TO FOR ASSISTANCE AND SUPPORT TO CARE FOR THOSE WHO DO NOT HAVE RESOURCES. SAMPLES OF KEY PROGRAMS AND PROJECTS ARE INCLUDED, BUT ARE NOT LIMITED TO, THOSE LISTED BELOW: 1. MOUNT PLEASANT CHAMBER OF COMMERCE CINCO DE MAYO HEALTH FAIR - SC THE CHAMBER OF COMMERCE HOSTED THE ANNUAL CINCO DE MAYO EVENT, AND THIS YEAR ADDED A HEALTH FAIR TO THE PROGRAM. MOUNT PLEASANT IS HOME TO A LARGE SPANISH SPEAKING POPULATION AND MUCH OF THIS EVENT IS HOSTED IN SPANISH. CHRISTUS MOTHER FRANCES SULPHUR SPRINGS HAD A BOOTH BOTH IN THE MORNING AND AFTERNOON DISTRIBUTING INFORMATION ON HEART DISEASE AND CANCER IN SPANISH AND ENGLISH. ADDITIONALLY, A SPANISH SPEAKING ASSOCIATE WAS THERE THROUGHOUT THE EVENT TO ANSWER QUESTIONS. IT WAS VERY WELL ATTENDED. 2. FREE PARTICIPATION PHYSICAL EXAMS - MULTIPLE LOCATIONS ACROSS NETX - SC TO PROVIDE CARE TO STUDENTS ACROSS NETX (OVER 95% OF THE SCHOOLS HAVE A SIGNIFICANT NUMBER OF LOW-INCOME STUDENTS). MANY STUDENTS DO NOT HAVE A PRIMARY CARE PROVIDER OR SUPPORT SYSTEM TO RECEIVE DIRECTION OR ASSISTANCE IF HURT PARTICIPATING IN A SCHOOL PROGRAM. OVER 1,000 JUNIOR HIGH AND HIGH SCHOOL PRE-PARTICIPATION EXAMS WERE DONE AT NO COST TO THE SCHOOLS. THESE SCREENINGS ARE REQUIRED BY THE STATE OF TEXAS AND THE UIL TO PARTICIPATE IN SPORTS, BAND, CHEERLEADING, ETC. ONE OF THE MAJOR GOALS OF THE SCREENINGS IS TO IDENTIFY POTENTIAL HEART OR OTHER MEDICAL ISSUES. 3. SULPHUR SPRINGS ELEMENTARY SCHOOL - GRANT - BH TO HELP MEET THE NEEDS OF THE LOCAL ELEMENTARY SCHOOL TO EXPAND THE BEHAVIORAL HEALTH SERVICES INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE. CHRISTUS HEALTH PARTNERED WITH THE SULPHUR SPRINGS ELEMENTARY SCHOOL TO FUND A PROGRAM THE TEACHERS AND ADMINISTRATION WERE EAGER TO IMPLEMENT. THE PROGRAM, GET IN RHYTHM, IS AN EVIDENCE-BASED MENTAL HEALTH ASSESSMENT TOOL PROVEN TO IMPROVE STUDENT/STAFF OUTCOMES. 4. SITTER PROGRAM - BH TO MEET THE NEEDS OF PATIENTS TO ADDRESS NOT ONLY THE PHYSICAL NEEDS OF THE PATIENT, BUT THE EMOTIONAL AND HEALING SUPPORT. MANY PATIENTS ARRIVE AT THE HOSPITAL WITHOUT ANY SUPPORT AND DO NOT HAVE ANYONE TO COME TO THE HOSPITAL TO BE WITH THEM TO ADDRESS ANXIETY, FALLS PREVENTION, AND EMOTIONAL AND PHYSICAL NEEDS. MANY PATIENTS ARRIVE AT THE HOSPITAL WITHOUT ANY SUPPORT AND DO NOT HAVE ANYONE TO COME TO THE HOSPITAL TO BE WITH THEM TO ADDRESS ANXIETY, FALLS PREVENTION, AND EMOTIONAL AND PHYSICAL NEEDS. CHRISTUS HEALTH PROVIDES THESE SERVICES TO ENSURE THAT REGARDLESS OF THE PATIENT'S ABILITY TO PAY, EACH PATIENT RECEIVES THE SAME QUALITY AND COMPASSIONATE CARE WHICH OFTEN MEANS SUPPORTING THEM THROUGH BEHAVIORAL HEALTH ISSUES. CURRENTLY INSURANCE COMPANIES DO NOT REIMBURSE FOR THESE COSTS AND SERVICES ARE PROVIDED TO EVERYONE INCLUDING HOMELESS, UNDERSERVED, AND LOW-INCOME. 5. CAREVIDE - IT EHR - GRANT - PC TO ADDRESS THE NEED TO HAVE A COMMON EHR SYSTEM WITH A PARTNERING FQHC TO ENSURE CONTINUITY OF CARE. CHRISTUS HEALTH PARTNERED WITH CAREVIDE TO PROVIDE SERVICES TO PATIENTS, MOSTLY LOW INCOME AND UNINSURED, WHO SPAN THE AGE BRACKETS FROM PRE-NATAL - SENIOR POPULATIONS. THE CLINIC PARTNERS WITH THE HOSPITAL FOR IN-PATIENT SERVICES AND SUPPORTS COMMUNITY INITIATIVES. IT IS CRITICAL TO HAVE A COMMON EHR SYSTEM TO ENSURE CONTINUITY OF CARE. 6. MT. VERNON - AED - PC TO ADDRESS AN IDENTIFIED NEED OF THE MT. VERNON ISD FOR AT LEAST ONE- AED. MT. VERNON ISD REACHED OUT TO THE FRANKLIN COUNTY EMS FOR SUPPORT TO DONATE AN AED. LEADERSHIP FROM CMFH-SULPHUR SPRINGS MET WITH THE SCHOOL, EMS, POLICE DEPARTMENTS, AND SCHOOL LAW ENFORCEMENT. A DONATION OF 3-AEDS WAS MADE TO MT. VERNON ISD BASED ON THE RECOMMENDATIONS BY THE WORKGROUP FROM CHRISTUS HEALTH SULPHUR SPRINGS. 7. HEALTH FAIR: CANHELP BACK TO SCHOOL - ED LOW INCOME FAMILIES HAVE MANY NEEDS AS THEY TRY TO GET THEIR CHILDREN READY TO RETURN TO SCHOOL. RESOURCES ARE SCARCE IN RURAL AREAS TO SERVE THESE COMMUNITIES, AND IT TAKES EVERYONE WORKING TOGETHER TO SERVE THIS POPULATION. CHRISTUS HEALTH COLLECTED ITEMS FROM ASSOCIATES TO SUPPORT FILLING BACKPACKS WITH SCHOOL SUPPLIES AS WELL AS DONATING TO THE PROGRAM. ADDITIONALLY, WE HAD A DIETITIAN SPEAKING TO FAMILIES ABOUT HEALTHY EATING AND THREE MEDICAL ASSISTANTS ON HAD TO DO FREE PHYSICALS TO CHILDREN WHO NEED THEM BEFORE SCHOOL STARTED. OTHER VOLUNTEERS FROM CHRISUTS HEALTH TALKED WITH PARENTS ABOUT HEART ATTACK AWARENESS, AND STROKES PREVENTION. 8. HEALTH PROFESSIONS - RADIOLOGY - PARIS JUNIOR COLLEGE - ED TO PROVIDE THE NECESSARY PRECEPTOR SUPPORT AT NO CHARGE TO THE EDUCATIONAL ENTITY. THE GOAL IS FOR STUDENTS TO RECEIVE THE EDUCATIONAL REQUIREMENTS FOR THEIR PROGRAM. CHRISTUS HEALTH HOSPITAL AND CLINICS ARE TRAINING SITES FOR ALL LEVELS OF HEALTH EDUCATION. LEADERS AND TECHNICIANS AT VARIOUS LEVELS SERVE AS FORMAL PRECEPTORS TO THESE STUDENTS WHILE ON SITE. THE PROGRAM DOES NOT PROVIDE ANY FINANCIAL SUPPORT FOR THESE PRECEPTORS OR THE COSTS OF STUDENTS ON SITE. 9. TITUS COUNTY CARES - MT. PLEASANT - FA TWO PROGRAMS WERE FUNDED. A GRANT WAS MADE TO SUPPORT THE BACKPACK PROGRAM, AND ANOTHER WAS MADE FOR THE BOOTS AND BLING EVENT TO HELP RAISE MONEY FOR TITUS COUNTY CARES. MULTIPLE LEADERSHIP MEMBERS ATTENDED THE BOOT AND BLING EVENT TO HELP RAISE MONEY AND AWARENESS OF THE NEED FOR FINANCIAL SUPPORT FOR TITUS COUNTY CARES NOT-FOR-PROFIT. THE BACKPACK PROGRAM IS DESIGNED TO PREVENT CHILDHOOD HUNGER AND PROVIDE EACH CHILD WITH THE OPPORTUNITY TO SUCCEED IN SCHOOL AND LIFE. CHILDREN RECEIVE A PACK OF FOOD ON FRIDAY TO ENSURE THEY HAVE FOOD ITEMS OVER THE WEEKEND.
Schedule H, Part VI, Line 6 Affiliated health care system	CHRISTUS HOPKINS HEALTH ALLIANCE 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, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO, CHILE AND COLOMBIA. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS HOPKINS HEALTH ALLIANCE, 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 HOPKINS HEALTH ALLIANCE, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED.
Schedule H, Part VI, Line 7 State filing of community benefit report	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
Diocese of Tyler
1015 ESE LOOP 323	Tyler	TX	75701	752152475	501(c)(3)	$15,000	Installation of Bishop
Hopkins County Health Care Foundation
115 AIRPORT ROAD	SULPHUR SPRINGS	TX	75482	752845157	501(c)(3)	$191,211	Other Support
Northeast Texas Symphony
PO BOX 251	SULPHUR SPRINGS	TX	75483	752391054	501(c)(3)	$10,000	Other Support
Sulphur Springs Education Foundation
631 CONALLY ST	SULPHUR SPRINGS	TX	75482	752881539		$8,500	Other Support
The Dinner Bell
301 CHURCH ST	SULPHUR SPRINGS	TX	75482	750945913	501(C)(3)	$15,000	Other Support

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE A 501(C)(3) ORGANIZATION OR AN ORGANIZATION THAT FURTHERS THE HEALTH SYSTEM'S OVERALL EXEMPT PURPOSES AND PROVIDES DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST, CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT, BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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 HARVEY
PRESIDENT	$282,535	$0	$92,873	$0	$650	$0	$31,927	$0	$25,496	$0	$433,481	$0	$0	$0
BARRY LOFQUIST
FORMER CHIEF FINANCIAL OFFICER (TERM 4/20)	$0	$222,023	$0	$68,614	$0	$0	$0	$26,039	$0	$17,061	$0	$333,737	$0	$0
ANDRIA CARDINALLI-STEIN MD
DIRECTOR (TERM 12/24)	$0	$397,136	$0	$95,510	$0	$670	$0	$13,801	$0	$2,248	$0	$509,365	$0	$0
CHRIS GLENNEY
Director/Chairperson (EFF 1/25)	$0	$852,426	$0	$632,258	$0	$177,000	$0	$70,531	$0	$18,430	$0	$1,750,645	$0	$176,296
JEFFREY PUCKETT
DIRECTOR (TERM 12/24)	$0	$1,659,819	$0	$2,929,083	$0	$2,234,450	$0	$39,670	$0	$17,033	$0	$6,880,055	$0	$1,954,259
MARK ANDERSON MD
DIRECTOR	$0	$575,731	$0	$268,639	$0	$98,535	$0	$34,301	$0	$67,640	$0	$1,044,846	$0	$0
SISTER ROSANNE POPP MD
DIRECTOR	$0	$225,619	$0	$0	$0	$36,560	$0	$1,026	$0	$6,694	$0	$269,899	$0	$0
STEVEN KEUER MD
DIRECTOR	$0	$712,901	$0	$429,357	$0	$241,068	$0	$51,823	$0	$11,767	$0	$1,446,916	$0	$240,068
ERIC GARRISON
CHIEF FINANCIAL OFFICER	$0	$281,963	$0	$131,184	$0	$51,618	$0	$0	$0	$17,520	$0	$482,285	$0	$0
Jaclynn Harrison
TREASURER/NETX/NLA HEALTH SYSTEM CHIEF FINANCIAL OFFICER	$0	$396,736	$0	$363,741	$0	$18,204	$0	$25,473	$0	$15,882	$0	$820,036	$0	$17,274
ANITHA SANDERSON
CHIEF NURSING OFFICER	$0	$200,489	$0	$63,128	$0	$0	$0	$31,808	$0	$4,293	$0	$299,718	$0	$0
MELISSA MAEKER
MGR PHARMACY SERVICES	$158,712	$0	$16,249	$0	$8,015	$0	$28,984	$0	$3,502	$0	$215,462	$0	$0	$0
KEITH KELLEY
ADMINISTRATIVE DIRECTOR NURSING	$146,356	$0	$15,931	$0	$560	$0	$0	$0	$19,119	$0	$181,966	$0	$0	$0
AARON MOEDER
REGISTERED NURSE - FLOAT	$93,715	$0	$1,330	$0	$62,651	$0	$9,234	$0	$3,478	$0	$170,408	$0	$0	$0
MICHAEL RUSSELL
DIRECTOR - FINANCE	$140,310	$0	$13,996	$0	$205	$0	$13,174	$0	$442	$0	$168,127	$0	$0	$0
KACI R POWERS
MULTI MODALITY TECHNOLOGIST	$97,235	$0	$2,500	$0	$53,403	$0	$15,060	$0	$1,434	$0	$169,632	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE FILING ORGANIZATION'S PRESIDENT/CEO IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING THE PRESIDENT/CEO COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. CHRISTUS HOPKINS HEALTH ALLIANCE RELIED ON CHRISTUS HEALTH, THAT USED THE FOLLOWING METHOD TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: INDEPENDENT AND EXTERNAL CONSULTANT. THE FILING ORGANIZATION DOES NOT HAVE THE AUTHORITY TO DETERMINE AND IMPLEMENT THE METHODS USED TO ESTABLISH SUCH COMPENSATION.
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. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR 2024: JEFFREY PUCKETT - $2,234,450 MARK ANDERSON - $98,481 JACLYNN HARRISON - $17,274 CHRIS GLENNEY - $176,296 STEVEN KEUER - $240,068
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 FILING ORGANIZATION OR A RELATED ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION	W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.
Schedule J, Part II, Column (B)(ii) BONUS AND INCENTIVE COMPENSATION	BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2024.
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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	CHARITY CARE AND COMMUNITY BENEFIT ACTIVITY In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS HOPKINS HEALTH ALLIANCE provides charity care services in a manner that respects the dignity of the patients and their families. CHRISTUS HOPKINS HEALTH ALLIANCE provides charity care to individuals who are unable to pay for medically necessary services. Charity care includes free or discounted healthcare provided according to the organization's financial assistance policy, which is based on federal poverty guidelines In FY 2025, 6,390 uninsured patients at or below 300% of the Federal Poverty Level (FPL) received care at no cost, while 2 patients between 301% and 400% FPL were charged on a sliding scale and adjusted in compliance with the AGB rates as listed on the entity's financial assistance policy. No patient was refused necessary medical care due to inability to pay. CHRISTUS HOPKINS HEALTH ALLIANCE actively participates in Texas Medicaid programs, which are designed to provide payment for health care services to individuals who meet specific financial and eligibility criteria. These requirements include an evaluation of both assets and income to determine program qualifications. CHRISTUS HOPKINS HEALTH ALLIANCE also conducts a variety of community benefit activities to improve health and well-being in the communities it serves. These activities include health education, screenings, subsidized clinical services, research, cash and in-kind donations, and community building. In FY 2025, CHRISTUS HOPKINS HEALTH ALLIANCE invested $1,535,415 in community benefit programs, impacting potentially 92,702 individuals.
Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION	OTHER GOVERNMENT PROGRAMS CHRISTUS HOPKINS HEALTH ALLIANCE provides services to individuals covered under government-sponsored programs, including Medicare, TRICARE, and others. The unreimbursed costs of these services are reported to the state but are not included in the community benefit reports. In FY 2025, CHRISTUS HOPKINS HEALTH ALLIANCE served 158,627 patients under these programs, with unreimbursed costs totaling $11,144,410. Medicare 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 into which the patient is categorized. Medicare reimburses outpatient services based on its fee schedule.
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION	PATIENT CARE SERVICES CHRISTUS HOPKINS HEALTH ALLIANCE responds to the health care needs of the community through services provided at 1 campus. - CHRISTUS HOPKINS HEALTH ALLIANCE is a 95-bed acute hospital in Sulphur Springs, Texas. Each facility shares the objective of leading the way to a healthier community. CHRISTUS HOPKINS HEALTH ALLIANCE, located in Hopkins County, has a service area that includes Delta, Rains, Franklin, Hopkins, Titus, and Wood counties serving a population of 100,815 individuals in Fiscal Year 2025, we served individuals in various ways, including: 27,260 visits to our emergency department 549 inpatient surgery procedures 2,333 outpatient surgery procedures 3,359 patients admitted for care 122,960 patients who received outpatient care
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 266,736 including grants of $ 266,736)(Revenue $ 0) CHRISTUS HOPKINS HEALTH ALLIANCE also undertook additional activities of comparable importance, including those conducted with volunteer labor or smaller in terms of expenses RELATED TO THE POOR & UNDERSERVED. Poor & Underserved: EXPENSES OF $266,736; GRANTS OF $266,736
Form 990, Part VI, Line 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 6 Classes of members or stockholders	CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE MEMBER, CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 MILLION PER INCURRENCE BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $20 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE TWO SISTERS APPOINTED BY EACH OF THE FOUNDING SPONSORING CONGREGATIONS OF CHRISTUS HEALTH, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, AND ONE SISTER APPOINTED BY THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF CERTIFICATES OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO MEMBER RESERVED POWERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY (EXCEPT IN THE ORDINARY COURSE OF BUSINESS) OR THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2025 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
Form 990, Part VI, Line 12c Conflict of interest policy	AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING CHRISTUS HOPKINS HEALTH ALLIANCE. 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, Line 15b Process to establish compensation of other employees	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 HOPKINS HEALTH ALLIANCE. 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, Line 19 Required documents available to the public	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Alloc Chargeout Phys Non Contract Rev - Total Revenue: 11561072, Related or Exempt Function Revenue: 11561072, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other Operating Revenue - Total Revenue: 1809523, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1809523;
Form 990, Part IX, Line 11g Other Fees	Other Prof Services - Total Expense: 8065053, Program Service Expense: 356269, Management and General Expenses: 7708784, Fundraising Expenses: ; MCCS Expense - Total Expense: 3139810, Program Service Expense: , Management and General Expenses: 3139810, Fundraising Expenses: ; Marketing - Total Expense: 2847, Program Service Expense: 2847, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 92249, Program Service Expense: 11636, Management and General Expenses: 80613, Fundraising Expenses: ; Medical Services - Total Expense: 4665364, Program Service Expense: 4510225, Management and General Expenses: 155139, Fundraising Expenses: ; R&M - Total Expense: 3028048, Program Service Expense: 2948972, Management and General Expenses: 79076, Fundraising Expenses: ; Collection Services - Total Expense: 40, Program Service Expense: 40, Management and General Expenses: , Fundraising Expenses: ; ChargeOut Fees - Total Expense: 20521159, Program Service Expense: 20521159, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part X, Line 1 CASH - NON-BEARING INTEREST	CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHERE IN 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 balances	INTERCOMPANY - -1364970; Total - -1364970;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (58 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE	TYLER	TX	75701	465720165	HEALTHCARE SERVICES	TX	501(c)(3)	3	MFH REG	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHAMPION EMS
2201 S MOBBERLY AVE	LONGVIEW	TX	75602	752747708	HEALTHCARE SERVICES	TX	501(c)(3)	10	MFH REG	Yes (true)
CHRISTUS CONNECTED CARE NETWORK
5101 N OCONNOR BLVD	IRVING	TX	75039	473403356	SUPP HEALTHCARE SERVICES	TX	501(c)(4)		CH	Yes (true)
CHRISTUS CONTINUING CARE
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	CH	Yes (true)
CHRISTUS FOUNDATION SHREVEPORT-BOSSIER
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721219280	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	NOLA	Yes (true)
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	750974351	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS HEALTH
5101 N OCONNOR BLVD	IRVING	TX	75039	760590551	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	NA	false
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	NETXNL	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH FDN OF SOUTHEAST TX
2830 CALDER	BEAUMONT	TX	77702	760136274	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	SETX	Yes (true)
CHRISTUS HEALTH FOUNDATION
5101 N OCONNOR BLVD	IRVING	TX	75039	611500100	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HEALTHCARE SERVICES	TX	501(c)(3)	7	CCC	Yes (true)
CHRISTUS HEALTH INTERNATIONAL
5101 N OCONNOR BLVD	IRVING	TX	75039	462811167	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes (true)
CHRISTUS HEALTH LATIN AMERICA
5101 N OCONNOR BLVD	IRVING	TX	75039	462816604	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	75039	720408982	HEALTHCARE SERVICES	LA	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS HEALTH PLAN
5101 N OCONNOR BLVD	IRVING	TX	75039	452106295	HEALTH PLAN	TX	501(c)(4)		CH	Yes (true)
CHRISTUS HEALTH PLAN LOUISIANA
5101 N OCONNOR BLVD	IRVING	TX	75039	464617988	MEDICAID HMO	LA	501(c)(4)		CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 CALDER STREET	BEAUMONT	TX	77726	760591590	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	720411322	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
5101 N OCONNOR BLVD	IRVING	TX	75039	462798043	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHRISTUS NORTHEAST TEXAS AND NORTHERN LOUISIANA HEALTH SYSTEM CORPORATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	CH	Yes (true)
CHRISTUS PEDIATRIC PHYSICIAN GROUP
5101 N OCONNOR BLVD	IRVING	TX	75039	465203505	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA FAMILY HEALTH CENTER
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742806531	HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes (true)
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA MED CTR AUXILIARY
2827 BABCOCK ROAD	SAN ANTONIO	TX	78229	731655493	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes (true)
CHRISTUS SANTA ROSA-SAN MARCOS FOUNDATION
PO Box 912	SAN MARCOS	TX	78667	742259907	SUPPORT	TX	501(c)(3)	7	SRHCC	Yes (true)
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FOUNDATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	SPOHN HS	Yes (true)
CHRISTUS ST FRANCES CABRINI HOSPITAL AUXILIARY INC
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	237255175	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	10	CHCL	Yes (true)
CHRISTUS ST MICHAEL FOUNDATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	471655865	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	ALT	Yes (true)
CHRISTUS ST PATRICK FOUNDATION
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	471496376	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	SWLA	Yes (true)
Chritus Trinity Clinic Texas
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(c)(3)	Type I	NETXNL	Yes (true)
FRIENDS OF SANTA ROSA FOUNDATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742723391	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CSRHCC	Yes (true)
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752056700	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVE	LONGVIEW	TX	75601	237203364	SUPPORT	TX	501(c)(3)	10	GSH INC	Yes (true)
GOOD SHEPHERD MED CENTER - LINDEN INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	010829282	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes (true)
GOOD SHEPHERD MEDICAL CENTER - LINDEN FOUNDATION INC
404 N KAUFMAN	LINDEN	TX	75563	200845127	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
GSHS ADMINISTRATIVE SERVICES ORG INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	861132471	ADMIN SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
HOPKINS CTY PHYSICIAN SERVICES
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	260637742	CLINIC	TX	501(c)(3)	3	CHHA	Yes (true)
MARSHALL HOSPITAL FOUNDATION INC
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	752605699	HEALTHCARE SERVICES	TX	501(c)(3)	7	GSMC	Yes (true)
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVE	TYLER	TX	75701	751976930	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
1315 DOCTORS DRIVE	TYLER	TX	75701	750818167	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
OTERO COUNTY HOSPITAL ASSOCIATION
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	850138775	HOSPITAL	NM	501(c)(3)	3	CH	Yes (true)
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752511459	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes (true)
SPECIALTY PHYSICIANS OF CENTRAL TEXAS
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	208814408	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes (true)
ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	CHCL	Yes (true)
ST VINCENT HOSPITAL
PO BOX 2107	SANTA FE	NM	87504	850106941	HOSPITAL	NM	501(c)(3)	3	CH	Yes (true)
ST VINCENT HOSPITAL FOUNDATION
455 ST MICHAELS DRIVE	SANTA FE	NM	87505	850282847	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	SVH	Yes (true)
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	751041154	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes (true)
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	HEALTHCARE SERVICES	TX	501(c)(3)	10	CCC	Yes (true)
Gerald Champion Regional Medical Center Foundation
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	850352051	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	OCHA	Yes (true)
Santa Rosa Children's Hospital Foundation
PO Box 1661	SAN ANTONIO	TX	78296	741224362	FUNDRAISING ACTIVITIES	TX	501(c)(3)	7	SRHCC	Yes (true)
Christus St Joseph Village
5101 N OCONNOR BLVD	IRVING	TX	75039	010829282	Senior living	TX	501(c)(3)	10	GSMC Linden	Yes (true)
Continue Care Hospital of Tyler Inc
7950 Legacy Drive 1000	Plano	TX	75024	200991990	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CENTRAL LOUISIANA SURGICAL HOSPITAL LLC
651 NORTH BOLTON AVE	ALEXANDRIA	LA	71301	264732398	SURGICAL CENTER	LA	NA
CHRISTUS SURGERY CENTER - VILLAGES LLC
1453 E BERT KOUNS	SHREVEPORT	LA	71108	844975265	SURGICAL CENTER	LA	NA
CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC
13525 CENTERBROOK 100	UNIVERSAL CITY	TX	78148	384092858	SURGICAL CENTER	TX	NA
CHRISTUS CENTER FOR SPECIAL SURGERY
14603 HUEBNER RD	SAN ANTONIO	TX	78240	990686547	SURGICAL CENTER	TX	NA
CHRISTUS SURGERY CENTER - WESTOVER HILLS LLC
1927 ROGERS RD	SAN ANTONIO	TX	78251	851975909	SURGICAL CENTER	TX	NA
NEW BRAUNFELS SURGICAL CENTER LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571408	HEALTHCARE SERVICES	TX	NA
CHRISTUS SANTA ROSA AMBULATORY SURGERY CENTERS SAN ANTONIO LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	412092141	HEALTHCARE SERVICES	TX	NA
CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571409	HEALTHCARE SERVICES	TX	NA
GOOD SHEPHERD NORTH PARK LP
700 E MARSHALL AVE	LONGVIEW	TX	75601	464834106	HEALTHCARE SERVICES	TX	NA
GOOD SHEPHERD AMBULATORY SURGICAL LTD
700 E MARSHALL AVE	LONGVIEW	TX	75601	900259782	HEALTHCARE SERVICES	TX	NA
GSHS CUSTOMER SERVICE BUILDING I LTD
700 E MARSHALL AVE	LONGVIEW	TX	75601	020636726	CUSTOMER SERVICES	TX	NA
ST ELIZABETH REHAB PARTNERS LLP
2830 CALDER STREET	BEAUMONT	TX	77702	205657181	HEALTHCARE SERVICES	TX	NA
NORTHERN LOUISIANA CARDIAC SERVICES LLC
1751 IMPERIAL BLVD	LAKE CHARLES	LA	70605	813198914	SURGICAL CENTER	LA	NA
SOUTH RYAN MRI LLC
650 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	743103662	IMAGING SERVICES	LA	NA
ALAMOGORDO IMAGING CENTER LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	201451281	IMAGING SERVICES	NM	NA
CHAMPION HEALTH CARE LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	850860214	HEALTHCARE SERVICES	NM	NA
WHITE SANDS HEALTH CARE SYSTEMS LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	850438529	HEALTHCARE SERVICES	NM	NA
SANTA FE IMAGING LLC
1640 HOSPITAL DR	SANTA FE	NM	87505	850465936	IMAGING CENTER	NM	NA
SANTA FE MEDICAL PROPERTIES LLC
455 SAINT MICHAELS DR	SANTA FE	NM	87505	201480795	LEASING	NM	NA
IMPERIAL CALCASIEU SURGICAL CENTER LLC
1757 IMPERIAL RD	LAKE CHARLES	LA	70605	205109610	ASC	LA	NA
GSHS CUSTOMER SERVICE BUILDING LLC
700 E MARSHALL AVE	LONGVIEW	TX	75601	720896055	CUSTOMER SERVICES	TX	NA
Christus Cardiac Surgery Center LLC
5101 N OCONNOR BLVD	IRVING	TX	75039	990803350	SURGICAL CENTER	TX	NA
Christus Latam Hub Center of Excellence and Innovation
5101 N OCONNOR BLVD	IRVING	TX	75039	999999999	HEALTHCARE SERVICES	TX	NA
CHC Community Care LLC
5101 N OCONNOR BLVD	IRVING	TX	75039	371485773	HEALTHCARE SERVICES	TX	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
CHRISTUS TEXARKANA UNIT OWNERS ASSOCIATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	472486362	BUILDING ASSOCIATION	TX	NA	C Corporation	Yes (true)
CHRISTUS AMBULATORY SERVICES HOLDINGS
5101 N OCONNOR BLVD	IRVING	TX	75039	472897722	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
DEDICATED SYSTEM SUPPORT INC
5101 N OCONNOR BLVD	IRVING	TX	75039	810861043	MANAGEMENT SERVICES	TX	NA	C Corporation	Yes (true)
SAN MARCOS REGIONAL MRI
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	770597968	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
CHRISTUS LOUISIANA QUALITY ALLIANCE
5101 N OCONNOR BLVD	IRVING	TX	75039	474618648	ACO	LA	NA	C Corporation	Yes (true)
CHRISTUS MUGUERZA SAPI DE CV
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	HIDALGO PTE 2525 G40G0	OBISPADO MONTERRE	MX	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		NA	C Corporation	Yes (true)	PO BOX 1051	GRAND CAYMAN	CJ	CJ	KY11102
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911	TEXARKANA	TX	75504	752562459	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
CHRISTUS CHILE SPA
					INVESTING		NA	C Corporation	Yes (true)	MIRAFLORES 222 28TH FLOOR	SANTIAGO	CI	CI	8320198
CHRISTUS SOUTHEAST TEXAS PHO
3010 HARRISON STREET SUITE 202	BEAUMONT	TX	77702	760429902	MEDICAL SERVICES	TX	NA	C Corporation	Yes (true)
HEALTH VENTURES OF SOUTHEAST TEXAS INC
3000 GATES BLVD	PORT ARTHUR	TX	77640	760397263	BUILDING RENT	TX	NA	C Corporation	Yes (true)
AMATISTA FINANCING COMPANY LTD
					FINANCING		NA	C Corporation	Yes (true)	3RD FL1ST CARIBBEAN HOUSE	GEORGETOWN	CJ	CJ	KY11104
OCCUPATIONAL HEALTH SERVICES INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721217389	MEDICAL SERVICES	LA	NA	C Corporation	Yes (true)
SOUTH RYAN DEVELOPMENT CORPORATION
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721183790	LEASING BULDINGS	LA	NA	C Corporation	Yes (true)
SOUTHWESTERN LOUISIANA PHYSICIAN HOSPITAL ORGANIZATION INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HEALTHCARE SERVICES	LA	NA	C Corporation	Yes (true)
CH COLUMBIA SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	CL 70 A 4 41	BOGOTA	CO	CO
CLINICA PALMA REAL SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	CARRERA 28 44 35	CALI	CO	CO
SINERGIA GLOBAL EN SALUD SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)	CARRERA 44 A 9 C 67	CALI	CO	CO
HCMH RETAIL CLINIC
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	475417965	HEALTHCARE SERVICES	TX	CHHA	C Corporation	Yes (true)						$0	$0	1
EVANGELINE CLINICAL SERVICES INC
3330 MASONIC DRIVE	ALEXANDIRA	LA	71301	463977886	HEALTHCARE SERVICES	LA	NA	C Corporation	Yes (true)
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVE	LONGVIEW	TX	75601	752554695	INACTIVE	TX	NA	C Corporation	Yes (true)
GSHS ENTERPRISES HOLDING INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	510412465	HOLDING COMPAY	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES OPERATING 1 INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954772	HEALTHCARE SERVICES	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES OPERATING 2 INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954777	HEALTHCARE SERVICES	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027162	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
MARSHALL PHYSICIAN HOSPITAL ORGANIZATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752580689	INACTIVE	TX	NA	C Corporation	Yes (true)
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636862	THIRD PARTY ADMINISTRATION	TX	NA	C Corporation	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	NA	C Corporation	Yes (true)
SCH MANAGEMENT SOLUTIONS INC
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721270625	MANAGEMENT JOINT VENTURES	LA	NA	C Corporation	Yes (true)
CENTRAL TEXAS PROVIDERS NETWORK
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742827652	PHYSICIAN HOSPITAL	TX	NA	C Corporation	Yes (true)
LTACH CONDOMINIUM UNIT OWNERS ASSOC
600 ELIZABETH STREET	CORPUS CHRISTI	TX	77726	472404808	BUILDING ASSOCIATION	TX	NA	C Corporation	Yes (true)
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HEALTH PLAN	TX	NA	C Corporation	Yes (true)
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	RENTALS	TX	NA	C Corporation	Yes (true)
CENTRAL TX HEALTHCARE COLLABORATIVE
1301 Wonderland Dr	San Marcos	TX	78666	453739929	SUPPORT	TX	NA	C Corporation	Yes (true)
HOSPITAL BUILDING CONDO OWNERS ASSOCIATION INC
5101 N OCONNOR BLVD	IRVING	TX	75039	999999999	SUPPORT	TX	NA	C Corporation	Yes (true)
RELIANCE BENEFITS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752642104	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
Otero County Medical Group Inc
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	999999999	HEALTHCARE SERVICES	NM	NA	C Corporation	Yes (true)
Alamogordo Home Health Care and Hospice Inc
PO Drawer 29	ALAMOGORDO	NM	88311	261674556	HEALTHCARE SERVICES	NM	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	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	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHRISTUS TRINITY CLINIC TEXAS
M	$14,373,254	ACCRUAL
CHRISTUS TRINITY CLINIC TEXAS
L	$27,267,101	ACCRUAL
CHRISTUS TRINITY CLINIC TEXAS
J	$148,535	ACCRUAL
TRINCARE INC
L	$355,384	ACCRUAL
TRINCARE INC
M	$609,878	ACCRUAL
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
L	$923,644	ACCRUAL