MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER (EIN 75-0818167)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-07
IRS object ID: 202621279349304407
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-07T18:03:19+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	750818167	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mother Frances Hospital Regional Health Care Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MOTH	BusinessNameControlTxt
Phone	9036065639	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	CHRIS GLENNEY	PersonNm
Person Title	SVP	PersonTitleTxt
Phone	9036065639	PhoneNum
Signature	2026-05-07	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	2026-05-07	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	SEE SCHEDULE O	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRIS GLENNEY	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	$1,560,915,772	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTUSHEALTH.ORG/TRINITY/TYLER	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1958	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	7081	TotalEmployeeCnt
Total Volunteers	130	TotalVolunteersCnt
Total Gross UBI	$3,136,944	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$3,497	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$480,870	PYContributionsGrantsAmt
CY Contributions Grants	$341,417	CYContributionsGrantsAmt
PY Program Service Revenue	$1,421,201,286	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,507,440,149	CYProgramServiceRevenueAmt
PY Investment Income	$4,033,325	PYInvestmentIncomeAmt
CY Investment Income	$4,052,359	CYInvestmentIncomeAmt
PY Other Revenue	$9,561,178	PYOtherRevenueAmt
CY Other Revenue	$33,662,948	CYOtherRevenueAmt
PY Total Revenue	$1,435,276,659	PYTotalRevenueAmt
CY Total Revenue	$1,545,496,873	CYTotalRevenueAmt
PY Grants And Similar Paid	$646,258	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$689,832	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$339,661,472	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$357,026,886	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$698,519	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,001,853,014	PYOtherExpensesAmt
CY Other Expenses	$1,089,060,857	CYOtherExpensesAmt
PY Total Expenses	$1,342,160,744	PYTotalExpensesAmt
CY Total Expenses	$1,446,777,575	CYTotalExpensesAmt
PY Revenues Less Expenses	$93,115,915	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$98,719,298	CYRevenuesLessExpensesAmt
Total Assets BOY	$853,341,334	TotalAssetsBOYAmt
Total Assets EOY	$841,287,297	TotalAssetsEOYAmt
Total Liabilities BOY	$101,868,706	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$92,202,213	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$751,472,628	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$749,085,084	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$670,778,444	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,035,866,834	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$541,165,109	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$445,858,937	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$64,081,341	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$54,984,823	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$11,444,392	ExpenseAmt
Grant	$689,832	GrantAmt
Revenue	$0	RevenueAmt
Desc	MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE Poor & Undeserved AND Broader community. Poor & Undeserved: Expenses of $1,115,726 Broader community: Expenses of $10,328,666	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$11,444,392	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$689,832	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$1,287,469,286	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	7081	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	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 (43 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
Chris Glenney
SVP GROUP OPS NETX- Director/Chairperson (EFF 1/25)	20.0	20.0	Yes (X)	Yes (X)	$0	$1,661,685	$88,961
Jason Proctor
Chief Executive Officer/President	13.0	27.0	Yes (X)	Yes (X)	$0	$986,339	$35,783
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	7.0	Yes (X)		$0	$17,823	$0
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
Board Director (TERM 12/24)	8.0	0.0	Yes (X)		$0	$0	$0
Jeb Jones
Board 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
Board 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	0.0	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 Ex-Officio	10.0	30.0	Yes (X)		$0	$1,383,326	$63,590
Eric Garrison
Chief Financial Officer	40.0	0.0		Yes (X)	$0	$464,765	$17,520
Janna Garcia-Chapa
Corporate Secretary (TERM 9/24)	20.0	20.0		Yes (X)	$0	$71,074	$1,509
Sonia Acosta
Corporate Secretary (eff 10/24)	20.0	20.0		Yes (X)	$0	$25,472	$170
Ali Birjandi
Vice President	40.0	0.0			$0	$443,982	$49,695	Yes (X)
Andy G Navarro
VP MISSION INTEGRATION	40.0	0.0			$0	$403,002	$45,738	Yes (X)
Anne Pileggi
Chief Operating Officer - Tyler	40.0	0.0			$0	$478,328	$118,381	Yes (X)
Brandy Moore
Chief Operating Officer - Tyler Westgate	40.0	0.0			$0	$390,533	$72,945	Yes (X)
Brian D Matson
VP, STRATEGY-BUS DEVELOPMENT	40.0	0.0			$0	$556,242	$54,754	Yes (X)
Deborah Chelette
VP CARDIAC SERVICES	40.0	0.0			$0	$441,314	$29,784	Yes (X)
Elizabeth Maddox
VP Human Resources	40.0	0.0			$0	$340,254	$46,100	Yes (X)
Jaclynn Harrison
Chief Financial Officer/TREASURER (EFF 07/24)	10.0	40.0			$0	$778,682	$41,355	Yes (X)
Mary Elizabeth Jackson
VP ADVOCACY - GOVT AFFAIRS	40.0	0.0			$0	$307,308	$39,873	Yes (X)
Rebecca Howell
ASSOCIATE Chief Investment Officer	40.0	0.0			$0	$262,432	$27,793	Yes (X)
Scott Fossey
VP OF DEVELOPMENT	10.0	30.0			$0	$450,505	$68,909	Yes (X)
Shelly Birmingham
Certified Nurse Educator	40.0	0.0			$0	$492,086	$41,185	Yes (X)
CHAD W MORGAN
Certified Registered Nurse Anesthetist	40.0	0.0			$411,247	$0	$47,336		Yes (X)
DONALD J MITCHELL
Certified Registered Nurse Anesthetist	40.0	0.0			$491,836	$0	$37,660		Yes (X)
DUSTIN J VIDRINE
Certified Registered Nurse Anesthetist	40.0	0.0			$515,055	$0	$48,688		Yes (X)
RANFERI VALLE
Certified Registered Nurse Anesthetist	40.0	0.0			$413,997	$0	$46,681		Yes (X)
ROBERT W BIENERT
Certified Registered Nurse Anesthetist	40.0	0.0			$691,706	$0	$46,554		Yes (X)
ANDY KIRKPATRICK MD
Former Dir/Chairperson (Term 12/20)	0.0	40.0			$0	$727,661	$62,248			Yes (X)
Fadi Nasrallah
Former SVP/Chief Medical Officer (Term 8/19)	0.0	40.0			$0	$1,550,104	$28,195			Yes (X)
FAGG SANFORD MD
FORMER DIRECTOR/SECRETARY (TERM 6/22)	0.0	40.0			$0	$841,222	$72,182			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,523,841	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$21,595,891	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,416,002	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	521	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
Related Organizations	$341,417	RelatedOrganizationsAmt
Total Contributions	$341,417	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$1,093,274,433	$1,093,274,433
UNCON SUB REVENUE	900099	$8,189,599	$8,189,599
REBATES	900099	$6,710,580	$6,710,580
EDUCATION AND WELLNESS	900099	$4,236,068	$4,236,068
ALLOC CHARGEOUT PHYS NON CONTRACT REV	900099	$395,029,469	$395,029,469

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,507,440,149	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$162,229	TotalRevenueColumnAmt
Exclusion	$162,229	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,255,559	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,255,559	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,255,559	TotalRevenueColumnAmt
Exclusion	$1,255,559	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$19,309,029	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$15,418,899	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,890,130	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,890,130	TotalRevenueColumnAmt
Exclusion	$3,890,130	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Implicit Price Concessions	900099	$22,914,743	$22,914,743
Air Methods Program	900099	$4,625,019	$4,625,019
Contract Service Revenue	900099	$1,471,303	$1,471,303

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,396,324	TotalRevenueColumnAmt
Related Or Exempt Func Income	$259,380	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,136,944	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$32,407,389	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,545,496,873	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,536,710,594	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,136,944	UnrelatedBusinessRevenueAmt
Exclusion	$5,307,918	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	$689,832	TotalAmt
Program Services	$689,832	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$286,989,904	TotalAmt
Program Services	$279,838,150	ProgramServicesAmt
Management And General	$6,968,739	ManagementAndGeneralAmt
Fundraising	$183,015	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$49,793,464	TotalAmt
Program Services	$47,945,983	ProgramServicesAmt
Management And General	$1,800,704	ManagementAndGeneralAmt
Fundraising	$46,777	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,243,518	TotalAmt
Program Services	$19,975,173	ProgramServicesAmt
Management And General	$252,027	ManagementAndGeneralAmt
Fundraising	$16,318	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$45,537,986	TotalAmt
Program Services	$45,537,986	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$82,841	TotalAmt
Program Services	$75,469	ProgramServicesAmt
Management And General	$7,372	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,286	TotalAmt
Management And General	$1,286	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$40,032	TotalAmt
Program Services	$40,032	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$373,544,284	TotalAmt
Program Services	$286,052,064	ProgramServicesAmt
Management And General	$87,304,103	ManagementAndGeneralAmt
Fundraising	$188,117	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,418	TotalAmt
Program Services	$1,418	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$159,520,367	TotalAmt
Program Services	$155,549,928	ProgramServicesAmt
Management And General	$3,747,638	ManagementAndGeneralAmt
Fundraising	$222,801	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$51,095,138	TotalAmt
Management And General	$51,095,138	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,267,360	TotalAmt
Program Services	$21,094,634	ProgramServicesAmt
Management And General	$172,726	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$999,229	TotalAmt
Program Services	$913,156	ProgramServicesAmt
Management And General	$79,449	ManagementAndGeneralAmt
Fundraising	$6,624	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$413,044	TotalAmt
Program Services	$339,853	ProgramServicesAmt
Management And General	$63,635	ManagementAndGeneralAmt
Fundraising	$9,556	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$616,281	TotalAmt
Program Services	$616,281	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$41,665,142	TotalAmt
Program Services	$41,665,142	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,070,063	TotalAmt
Program Services	$7,092,836	ProgramServicesAmt
Management And General	$3,977,227	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Expenses	$339,216,995	$338,947,416	$269,579
LPPF Tax	$39,225,509	$39,225,509
TLRA Collection Fee	$2,587,554		$2,587,554
License Subscrip Fee	$1,127,242	$927,376	$199,866

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,049,086	TotalAmt
Program Services	$941,048	ProgramServicesAmt
Management And General	$82,727	ManagementAndGeneralAmt
Fundraising	$25,311	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,446,777,575	TotalAmt
Program Services	$1,287,469,286	ProgramServicesAmt
Management And General	$158,609,770	ManagementAndGeneralAmt
Fundraising	$698,519	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$67,176	BOYAmt
EOY	$68,595	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$128,380,823	BOYAmt
EOY	$121,223,823	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	$5,398,865	BOYAmt
EOY	$9,067,100	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,617,463	BOYAmt
EOY	$12,834,212	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$34,932,242	BOYAmt
EOY	$3,186,316	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$824,660,527	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$281,748,100	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$527,869,244	BOYAmt
EOY	$542,912,427	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	-$2,908,195	BOYAmt
EOY	-$5,100,107	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,811,324	BOYAmt
EOY	$2,519,663	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$9,752,221	BOYAmt
EOY	$10,341,235	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,685,313	BOYAmt
EOY	$25,685,313	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$111,734,858	BOYAmt
EOY	$118,548,720	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$853,341,334	BOYAmt
EOY	$841,287,297	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,749,802	BOYAmt
EOY	$31,387,360	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$697,836	BOYAmt
EOY	$715,011	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	$63,421,068	BOYAmt
EOY	$60,099,842	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$101,868,706	BOYAmt
EOY	$92,202,213	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	$750,942,154	BOYAmt
EOY	$748,554,610	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$530,474	BOYAmt
EOY	$530,474	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$751,472,628	BOYAmt
EOY	$749,085,084	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$853,341,334	BOYAmt
EOY	$841,287,297	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$98,719,298	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$208,783	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$101,315,625	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$1,286	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$1,286	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1g CONTACT WITH GOVERNMENT OFFICIALS AND THEIR STAFFS:	FormAndLineReferenceDesc
Explanation	At the federal level, CHRISTUS Health leadership communicated verbally and in writing with members of the Congress and administration officials to discuss issues important to our ministry. These issues include, but are not limited to, issues related to safety-net providers, access to care, health care reform proposals, quality program implementation, rural hospitals, remote medical technology, 340B Drug Pricing Program, site neutral payments, community project funding, freestanding emergency departments, Medicare payments, value-based payment models, children's health issues, CHGME, Medicaid, supplemental payment programs, rural health program reauthorization, violence against healthcare workers, women's health, and health care for veterans, service members, and their families At the state level, CHRISTUS Health Texas leadership communicated verbally and in writing with members of the Texas Legislature and administration officials regarding issues important to our ministry. These issues include, but are not limited to, issues related to Medicaid reimbursement, access to health care, state funding for safety net providers, regulatory oversight of operations, emergency preparedness, vaccine mandates, workplace violence, graduate medical education, trauma network and services, local provider participation funds, maternal health, children's health issues, behavioral health, Medicaid managed care, prescription drugs costs, pharmacy and prescribing authority, rural hospitals, physician relations, itemized billing, foster care reform, Medicaid directed payment programs, health care staffing, price transparency, and the 1115 waiver program. Executive hours: 4.5 Mother Frances Hospital Regional Health Care did not substantially lobby during the fiscal year ending 6-30-2025.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,260,531	BeginningYearBalanceAmt
Contributions	$6,000	ContributionsAmt
Investment Earnings Or Losses	$1,181,508	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$146,011	GrantsOrScholarshipsAmt
End Year Balance	$8,302,028	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,783,553	BeginningYearBalanceAmt
Contributions	$500,025	ContributionsAmt
Investment Earnings Or Losses	$1,077,616	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$100,663	GrantsOrScholarshipsAmt
End Year Balance	$7,260,531	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,587,177	BeginningYearBalanceAmt
Contributions	$856,276	ContributionsAmt
Investment Earnings Or Losses	$340,534	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$434	GrantsOrScholarshipsAmt
End Year Balance	$5,783,553	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,606,929	BeginningYearBalanceAmt
Contributions	$122,490	ContributionsAmt
Investment Earnings Or Losses	-$123,917	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$18,325	GrantsOrScholarshipsAmt
End Year Balance	$4,587,177	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,951,360	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$708,623	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$53,054	GrantsOrScholarshipsAmt
End Year Balance	$4,606,929	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.4207	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.5793	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,479,160	OtherCostOrOtherBasisAmt
Book Value	$22,479,160	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$402,347,009	OtherCostOrOtherBasisAmt
Depreciation	$88,398,529	DepreciationAmt
Book Value	$313,948,480	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,688,298	OtherCostOrOtherBasisAmt
Depreciation	$7,218,724	DepreciationAmt
Book Value	$8,469,574	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$361,131,387	OtherCostOrOtherBasisAmt
Depreciation	$182,897,016	DepreciationAmt
Book Value	$178,234,371	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,014,673	OtherCostOrOtherBasisAmt
Depreciation	$3,233,831	DepreciationAmt
Book Value	$19,780,842	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$542,912,427	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
ROU Transactions	$50,125,419
Trade Names Purchased	$46,000,000
Asset Clearing	$3,106,252
Other Designated Assets	$27,123
Pension Receivable	$19,289,926
Other Long Term Assets

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$118,548,720	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
Federal Income Taxes
Error Suspense	$137,441
Asset Retirement Obligations	$690,346
LT Portion Capital Lease Bldg/Hosp	$49,375,886
CP Lease Liability	$4,520,762
Business State Sales Tax Payable	$20,409
NonPatron Collections Payable	$121,669
Intercompany Payable	$5,233,329
Business Federal Inc Tax Payable
Other Supplemental Payable

Field	Value	IRS element (for citing)
Total Liability	$60,099,842	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

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.

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	$56,161,665	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$56,161,665	NetCommunityBenefitExpnsAmt
Total Expense	0.03882	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,081,341	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,984,823	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,096,518	NetCommunityBenefitExpnsAmt
Total Expense	0.00629	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	$120,243,006	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,984,823	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,258,183	NetCommunityBenefitExpnsAmt
Total Expense	0.04511	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	422042	PersonsServedCnt
Total Community Benefit Expns	$4,403,014	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,530	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,399,484	NetCommunityBenefitExpnsAmt
Total Expense	0.00304	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	5715	PersonsServedCnt
Total Community Benefit Expns	$763,004	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$763,004	NetCommunityBenefitExpnsAmt
Total Expense	0.00053	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	2133	PersonsServedCnt
Total Community Benefit Expns	$4,078,053	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,078,053	NetCommunityBenefitExpnsAmt
Total Expense	0.00282	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	7	ActivitiesOrProgramsCnt
Persons Served	47199	PersonsServedCnt
Total Community Benefit Expns	$1,936,851	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,424	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,821,427	NetCommunityBenefitExpnsAmt
Total Expense	0.00126	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	477089	PersonsServedCnt
Total Community Benefit Expns	$11,180,922	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$118,954	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,061,968	NetCommunityBenefitExpnsAmt
Total Expense	0.00765	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	477089	PersonsServedCnt
Total Community Benefit Expns	$131,423,928	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,103,777	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,320,151	NetCommunityBenefitExpnsAmt
Total Expense	0.05275	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)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,664	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,664	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$43,620	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,620	NetCommunityBenefitExpnsAmt
Total Expense	0.00003	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	7639	PersonsServedCnt
Total Community Benefit Expns	$822,075	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$822,075	NetCommunityBenefitExpnsAmt
Total Expense	0.00057	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	7639	PersonsServedCnt
Total Community Benefit Expns	$870,359	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$870,359	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$226,592,172	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$264,104,079	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$37,511,907	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Tyler Rehab Associates LP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Rehabilitation services	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.5	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
MOTHER FRANCES REG HEALTHCARE CENTER
1	800 EAST DAWSON	TYLER	TX	75701	https://www.christushealth.org/locations/tyler-hospital	000286	Yes (X)	Yes (X)	Yes (X)	A
TYLER REHAB ASSOCIATES LP
2	3131 TROUP HIGHWAY	TYLER	TX	75701	https://www.encompasshealth.com/locations/christus-tmf-rehab	000692	Yes (X)			A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	2	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/locations/tyler-hospital	OwnWebsiteURLTxt
Other Website URL	SEE SUPPLEMENTAL 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	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (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 A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. 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 NEEDS AND HEALTH CHALLENGES. THERE WERE 2,957 RESIDENT 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 49 COMMUNITY MEMBERS. EXAMPLES OF COMMUNITY MEMBERS INCLUDED BETHESDA CLINIC, TYLER JUNIOR COLLEGE, TYLER LEGACY HS, GREATER EAST TEXAS BLACK NURSES, ST. VINCENT DE PAUL, UNITED WAY OF SMITH COUNTY, CAMP V, MOSIAC COUNSELING, EAST TEXAS AREA BOY SCOUTS, HENDERSON COUNTY HELP CENTER, HISPANIC BUSINESS ALLIANCE, MARCH OF DIMES, SMITH COUNTY CHAMPIONS FOR CHILDREN, SENATOR BRYAN HUGHES' OFFICE, 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 MEANINGFUL INDICATORS ALIGNED WITH COMMUNITY PRIORITIES. 4.COMMUNITY FOCUS GROUPS: BROUGHT TOGETHER DIVERSE VOICES TO CONTEXTUALIZE THE DATA AND VALIDATE FINDINGS THROUGH LIVED EXPERIENCE. 5. WINDSHEILD SURVEYS: OFFERED DIRECT OBSERVATIONS OF COMMUNITY ENVIRONMENTS 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 A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED IN PARTNERSHIP WITH: CHRISTUS MOTHER FRANCES HOSPITAL - JACKSONVILLE, CHRISTUS MOTHER FRANCES HOSPITAL - WINNSBORO AND CHRISTUS MOTHER FRANCES HOSPITAL - SULPHUR SPRINGS.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. MOTHER FRANCES REG. HEALTHCARE CENTER 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) FALL INTO TWO DOMAINS UNDERNEATH AN OVERARCHING GOAL OF ACHIEVING HEALTH EQUITY. THE TWO DOMAINS AND CORRESPONDING HEALTH NEEDS ARE: A. ADVANCE HEALTH AND WELLBEING 1. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT a. 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 b. OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS(P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: i. Year 1 - 17 (P/P)Year 2 -20(P/P) Year 3- 28(P/P) 2. BEHAVIORAL HEALTH a. 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 LACK OF PUBLIC TRACKING IN THE AREA), AND TRYING TO FIND WAYS TO EXPAND SERVICES FOR BEHAVIORAL HEALTH (WE SUPPORTED EFFORTS IN THE LOCAL COMMUNITY TO GROW ACCESS, AND EXPANDING STATE SUPPORT FOR PROGRAMS.) b. OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS(P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: i. Year 1 -20(P/P) Year 2 - 19(P/P) Year 3 - 32(P/P) 3. PRIMARY CARE a. 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. PROJECTS FOR COLLABORATION ALSO INCREASED WITH COMMUNITY LEADERS HELPING US TO IDENTIFY IMMEDIATE NEEDS. b. OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS(P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: i. Year 1 - 19(P/P)Year 2 -18(P/P) Year 3- 23 (P/P) 4. EDUCATION a. HIS HAS PROVEN TO BE A MASSIVE FOCUS AREA FOR US TO SERVE THE COMMUNITY. BOTH THE PROGRAM/PROJECTS AND THE NUMBER OF PEOPLE SERVED WAS STEADY EACH YEAR. KEY AREAS WERE COLLABORATIONS WITH THE COMMUNITY TO EXPAND HEALTH EDUCATION POINTS, ENHANCE FUNDING FOR SCHOLARSHIPS IN ALL AREAS, AND TO SUPPORT LOCAL COMMUNITY EFFORTS TO BUILD LEADERSHIP. b. OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS AND WERE STABLE IN OUR SERVICES AND SUPPORT: i. Year 1-71(P/P) Year 2 - 64(P/P)Year 3 - 68 (P/P) B. BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS THERE WERE TWO MAIN FOCUS AREAS: FOOD INSECURITY AND REDUCING SMOKING AND VAPING. 1. FOOD INSECURITY a. 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. b. OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS(P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: i. Year 1-8(P/P) Year 2-9(P/P) Year 3-16 (P/P) 2. SMOKING AND VAPING a. THIS 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, SPECIALTY CARE, EDUCATION, AND FOOD INSECURITY. 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. THIS PROCESS INCLUDED TOOLS FROM THE RESULTS BASED ACCOUNTING MODEL, FOCUSING ON USING TREND DATA TO UNDERSTAND WHETHER COMMUNITY CONDITIONS ARE IMPROVING OVER TIME, RATHER THAN FOCUSING ON YEAR-TO-YEAR FLUCTUATIONS. BASED ON THESE DISCUSSIONS, EACH WORKGROUP IDENTIFIED THREE TO FIVE LEADING HEALTH INDICATORS FOR THEIR RESPECTIVE LIFE STAGES. THEY NOW SERVE AS A SHARED FOCUS FOR CTMFHS STRATEGIES, INVESTMENTS, AND PARTNERSHIPS OVER 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 A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. 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 GUIDELINES 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 A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. 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 A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. 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 A, 1	Facility A, 1 - SEE SCHEDULE, H, PART V, SECTION A. 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.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CHRISTUS TRINITY MOTHER FRANCES TYLER SQUARE
415 SOUTH FLEISHEL	TYLER	TX	75702	AMBULATORY SURGICAL CENTER
CHRISTUS ENDOSCOPY CENTER AT TYLER MEDICAL PARK
1720 S BECKHAM AVENUE	TYLER	TX	75701	AMBULATORY SURGICAL CENTER
CHRISTUS HEART AND VASCULAR INSTITUTE
1783 TROUP HWY	TYLER	TX	75701	AMBULATORY SURGICAL CENTER

Supplemental Information Detail SupplementalInformationDetail (31 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 ASSISTANCE ELIGIBILITY CRITERIA	FACTORS OTHER THAN THE FPG DETERMINING FREE OR DISCOUNTED CARE THE HOSPITAL USES THE FOLLOWING FACTORS IN ITS DETERMINATION: 1) ASSET LEVEL 2) MEDICAL INDIGENCY 3) INSURANCE STATUS 4) UNDER INSURANCE STATUS 5) GREATER THAN 400% UNDER THE CATASTROPHIC CAP PROVISION 6) 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 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 9.45 PERCENT, 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 IN-KIND 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 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 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 2015. 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 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE:	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7H: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
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/FINANCIAL-ASSISTANCE/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/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/2021PLAINLANGUAGESUMMARYHOSPITALENGLISH.ASHX
Schedule H, Part I, Line 7k PERCENT OF TOTAL EXPENSE	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $1,446,777,575. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $0. THIS LEAVES A TOTAL EXPENSE OF $1,446,777,575 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
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 II Community Building Activities	THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2025, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES, AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE PATIENTS WE SERVE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES ARE IMPROVING ACCESS TO HEALTH SERVICES AND BUILDING COLLABORATIVE RELATIONSHIPS WITH OTHER ORGANIZATIONS SEEKING TO ADDRESS CHRONIC CONDITIONS THAT DISPROPORTIONATELY IMPACT THE POOR AND UNDERSERVED.
Schedule H, Part III, 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 (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY 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 JUDGMENT 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. THE SHORTFALL ON PART III, LINE 7 IS NOT COUNTED AS A COMMUNITY BENEFIT. THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF $109,325,278 IF TOTAL EXPENSES ALLOWABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH THE ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
Schedule H, Part V, Section B, Line 16a FAP website	A - MOTHER FRANCES REG. HEALTHCARE CENTER: Line 16a URL: https://www.christushealth.org/plan-care/bill-pay/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - MOTHER FRANCES REG. HEALTHCARE CENTER: Line 16b URL: SEE SUPPLEMENTAL INFO;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - MOTHER FRANCES REG. HEALTHCARE CENTER: 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 OCCUR 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. WITH THE NEW MANNER OF DOING THE CHNA AND CHIP, RELATIONSHIPS WERE KEY TO THE PROCESS AND PARTICIPATION.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	MOTHER FRANCIS HOSPITAL - TYLER MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.
Schedule H, Part VI, Line 4 Community information	SERVING EAST TEXAS SINCE MARCH 18, 1937, MOTHER FRANCES HOSPITAL - TYLER IS A 457-BED ACUTE CARE FACILITY LOCATED IN THE HEART OF SMITH COUNTY AND TYLER, TEXAS, OFFERING A WIDE RANGE OF SERVICES INCLUDING EMERGENCY AND TRAUMA CARE, MEDICAL AND SURGICAL CARE, TYLER'S LARGEST LEVEL III NEONATAL INTENSIVE CARE UNIT, LEVEL III MATERNAL UNIT, PEDIATRICS, ADVANCED NEUROSURGICAL, ORTHOPEDIC, AND CARDIAC CARE. THIS HOSPITAL ALSO HAS THE ONLY HEART HOSPITAL WITH A TOTAL BED COUNT OF 96. FOLLOWING IRS GUIDELINES, RULES AS REQUIRED BY THE AFFORDABLE CARE ACT, CHRISTUS MOTHER FRANCES TYLER AND JACKSONVILLE TOTAL PRIMARY SERVICE AREA INCLUDES 8 COUNTIES, 36 ZIP CODES COVERING 491,348 INDIVIDUALS. THE PRIMARY SERVICE AREA (PSA) IS THE GEOGRAPHIC REGION WITH 80% HOSPITAL UTILIZATION. THE PRIMARY SERVICE AREA INCLUDES THESE COUNTIES: ANDERSON, CHEROKEE, HENDERSON, RUSK, SMITH, VAN ZANDT, HOPKINS, AND WOOD. THE DEMOGRAPHICS OF THE PSA ARE FEMALES MAKE UP 50.6% AND MALES 49.4%. THE LARGEST AGE GROUP IS 40 - 64 FOLLOWED BY 18-39, THEN 0-4 AND FINALLY 0-4. WHILE SMITH COUNTY CONTINUES TO GROW MOST OF THE RURAL COUNTIES ARE NOT GROWING AT ALL AND OFTEN AS MUCH AS 25 - 30% OF THE CHILDREN AGE 5 ARE LIVING IN POVERTY WHICH IS MORE THAN DOUBLING THE STATE AVERAGE WHICH SIGNALS SIGNIFICANT RISKS TO LONG-TERM CHILD HEALTH AND DEVELOPMENT ISSUES. ALMOST ALL SCHOOL DISTRICTS HAVE A SIGNIFICANT PERCENTAGE OF LOW-INCOME STUDENTS RECEIVING ASSISTANCE.
Schedule H, Part VI, Line 5 Promotion of community health	CHRISTUS MOTHER FRANCES HOSPITAL TYLER AND JACKSONVILLE 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 2O 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. HEALTH FAIR - CHAPEL HILL BACK TO SCHOOL HEALTH EXPO - SC PURPOSE: The goal is to provide an avenue for parents and their children to familiarize themselves with a spectrum of community resources. Education and how to reach out to services was the prime focus of the event. DESCRIPTION: Over 350 people attended the back-to-school expo within one of the most disadvantaged school districts in smith county. The message was about the importance of health screenings for all ages focusing on different types of cancer for men and women and how you can secure them with few or no financial resources of their own. 2. DEMENTIA CARE EDUCATION - BH PURPOSE: To provide awareness and uplift the efforts made by the families and friends of those suffering from Dementia by holding an educational and community program. DESCRIPTION: In collaboration with the Alzheimer's Alliance of Smith County nursing development, caregiver, and families all received education on Dementia and how to respond to the needs of individuals suffering from this disease. Additionally, at two hospital locations pinwheels were placed at entrances to support Alzheimer's Month. 3 NARCAN EXPERT FOR COMMUNITY EDUCATION AND NARCAN BOOTH - (2 items) - BH PURPOSE: To educate the community on the use of Narcan for emergency situations. DESCRIPTION: Trinity Clinic Pain Management Opioid Nurse Navigator served as a preceptor/expert for the UT Tyler Nursing students Narcan project and advised the group on the B.L.U.E. project as a quick tool for identifying signs of an opioid overdose. Additionally, we provided a booth for education to the public on NARCAN use and disposal of narcotic medicines safely that was open to the public. 4. MARCH OF DIMES FOR BABIES - PC PURPOSE: To raise awareness of maternal and infant mortality. DESCRIPTION: The volunteer-led March of Dimes Walk was held at Rose Rudman Park. Medical professionals, families and interested community members and leaders participated in the event to heighten the awareness of healthcare issues for babies and mothers and the need for more available care in East Texas. 5. PRECEPTORS - RADIOLOGY - ED PURPOSE: 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. DESCRIPTION: CHRISTUS TMF's Radiology Department is a training site for students from several area schools. Radiologists 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. 6. EAST TEXAS FOOD BANK - GRANT - FA PURPOSE: To address food insecurity in Northeast Texas. DESCRIPTION: CHRISTUS Mother Frances Health System provided a grant to provide support for securing food to have for local pantries in their fight against food insecurity.
Schedule H, Part VI, Line 6 Affiliated health care system	MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION. CHRISTUS NORTHEAST TEXAS IS A FAITHBASED ORGANIZATION DEDICATED TO CREATING HEALTHY LIVES FOR PEOPLE AND COMMUNITIES. MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER AND ITS AFFILIATES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING ACUTE CARE FACILITIES AND CRITICAL ACCESS FACILITIES, WHOSE OPERATIONS CONSIST PRIMARILY OF PROVIDING INPATIENT AND OUTPATIENT ACUTE CARE AND MEDICAL SERVICES TO PATIENTS RESIDING IN EAST TEXAS.
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 (29 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	IRC SectionIRCSectionDesc
Brookshire Grocery Company
1600 WSW Loop 323	Tyler	TX	75701	750865842	$7,500	Donations to local non-profits
Diocese of Tyler
1015 ESE Loop 323	Tyler	TX	75701	752152475	$62,000	Women's retreat, Sanctity of Life, and Bishop Greg Kelly Intallation	501(C)(6)
American Cancer Society
P O Box 140069	Tyler	TX	75701	131788491	$6,000	Cancer services	501(C)(3)
United Way of Smith County
P O Box 10029	Tyler	TX	75711	750957331	$53,200	Leadership Dinner and Community Pillar program	501(C)(3)
Alzheimers Alliance of Northeast Texas
3531 S Broadway	Tyler	TX	75701	752486061	$12,500	Education, Program and resource support	501(C)(3)
American College of Healthcare Executives
P O Box 6657	Tyler	TX	75711	753032691	$6,000	Education	501(C)(6)
Mosaic Counseling Centers of East Texas
6141 Paluxy Drive	Tyler	TX	75703	452047833	$6,000	Education and behavioral health services	501(C)(3)
East Texas Triathletes
P O Box 7558	Tyler	TX	75701	261808251	$10,000	Health education	501(C)(3)
Boy Scouts of America
1331 E 5th Street	Tyler	TX	75701	750808767	$10,000	Educational support for at risk youth	501(C)(3)
Junior League of Tyler Inc
1919 S Donnybrook	Tyler	TX	75701	750884075	$18,000	Educational and community program support	501(C)(3)
Green Acres Baptist Church
1607 Troup Highway	Tyler	TX	75701	751092783	$20,000	Special disabilities and behavior needs support program	501(C)(3)
Greenberg Smoked Turkeys Inc
221 McMurrey Drive	Tyler	TX	75702	751328897	$41,800	Purchase smoked turkeys which were distributed to community
Lindale Area Chamber of Commerce
P O Box 670	Tyler	TX	75771	752218487	$7,000	Member leadership education, education scholarships and community projects	501(C)(6)
Leadership Tyler
315 N Broadway	Tyler	TX	75771	752340612	$5,450	Leadership and growth education	501(C)(3)
Children's Advocacy Center
P O Box 132889	Tyler	TX	75713	752748697	$10,000	Program grant	501(C)(3)
Cancer Foundation for Life Inc
P O Box 8257	Tyler	TX	75711	752957440	$45,000	Medically integrated exercise therapy for chronic diseases	501(C)(3)
Bethesda Health Clinic
409 W Ferguson	Tyler	TX	75702	260036674	$40,000	Low-income pediatric services	501(C)(3)
Discovery Science Place
308 N Broadway	Tyler	TX	75702	752392134	$9,000	Educational exhibit	501(C)(3)
Lindale ISD
505 Pierce Street	Lindale	TX	75771	262688995	$35,000	Rehabilitative services for students	501(C)(3)
Women's Fund
P O Box 6965	Tyler	TX	75711	752666792	$11,000	support high school aged girls GIVE program	501(C)(3)
East Texas Veterans Community Council
3212 W Front Street	Tyler	TX	75702	824140973	$14,198	Veteran services	501(C)(3)
People Attempting To Help
420 W Front Street	Tyler	TX	75702	752033113	$16,000	Food insecurities and social determinants of health	501(C)(3)
East Texas Symphony Orchestra Association
P O Box 6323	Tyler	TX	75711	756013387	$7,000	Provide healing through gift of music	501(C)(3)
All Saints Episcopal School
2695 S SW Loop 323	Tyler	TX	75701	751520564	$20,000	Educational scholarship for low income students	501(C)(3)
Cathedral of Immaculate Conception
423 S Broadway	Tyler	TX	75702	756004616	$15,000	Saint Vincent De Paul food insecurity canopy project	501(C)(3)
Tyler ISD Foundation
807 Glenwood Blvd	Tyler	TX	75701	752366991	$7,000	Educational scholarships	501(C)(3)
Mount Pleasant ISD Foundation
2230 N Edwards Avenue	Mount Pleasant	TX	75455	465635580	$25,000	Educational scholarships	501(C)(3)
Saint Mary Magdalen Church
18221 FM 2493	Flint	TX	75762	270114583	$10,000	Youth conference	501(C)(3)
Hawkins ISD Education Foundation
P O Box 1430	Hawkins	TX	75765	830544752	$7,500	Educational scholarships	501(C)(3)

Field	Value	IRS element (for citing)
Total501c3 Org	24	Total501c3OrgCnt
Total Other Org	5	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	GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY.	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	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 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
ANDY KIRKPATRICK MD
Former Dir/Chairperson (Term 12/20)	$0	$699,803	$0	$0	$0	$27,858	$0	$49,132	$0	$13,116	$0	$789,909	$0	$0
Chris Glenney
SVP GROUP OPS NETX- Director/Chairperson (EFF 1/25)	$0	$852,427	$0	$632,258	$0	$177,000	$0	$70,531	$0	$18,430	$0	$1,750,646	$0	$176,296
Jason Proctor
Chief Executive Officer/President	$0	$589,752	$0	$308,185	$0	$88,402	$0	$21,858	$0	$13,925	$0	$1,022,122	$0	$87,752
Fadi Nasrallah
Former SVP/Chief Medical Officer (Term 8/19)	$0	$763,257	$0	$572,327	$0	$214,520	$0	$13,801	$0	$14,394	$0	$1,578,299	$0	$178,970
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
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
Steven Keuer MD
Director Ex-Officio	$0	$712,901	$0	$429,357	$0	$241,068	$0	$51,823	$0	$11,767	$0	$1,446,916	$0	$240,068
Sister Rosanne Popp MD
Director	$0	$225,619	$0	$0	$0	$36,560	$0	$1,026	$0	$6,694	$0	$269,899	$0	$0
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
FAGG SANFORD MD
FORMER DIRECTOR/SECRETARY (TERM 6/22)	$0	$835,457	$0	$0	$0	$5,765	$0	$51,950	$0	$20,232	$0	$913,404	$0	$0
Eric Garrison
Chief Financial Officer	$0	$281,963	$0	$131,184	$0	$51,618	$0	$0	$0	$17,520	$0	$482,285	$0	$0
Ali Birjandi
Vice President	$0	$321,748	$0	$121,584	$0	$650	$0	$33,651	$0	$16,044	$0	$493,677	$0	$0
Shelly Birmingham
Certified Nurse Educator	$0	$324,745	$0	$117,693	$0	$49,648	$0	$26,842	$0	$14,343	$0	$533,271	$0	$49,368
Deborah Chelette
VP CARDIAC SERVICES	$0	$325,380	$0	$115,880	$0	$54	$0	$29,784	$0	$0	$0	$471,098	$0	$0
Scott Fossey
VP OF DEVELOPMENT	$0	$336,697	$0	$113,179	$0	$629	$0	$39,772	$0	$29,137	$0	$519,414	$0	$0
Jaclynn Harrison
Chief Financial Officer/TREASURER (EFF 07/24)	$0	$396,737	$0	$363,741	$0	$18,204	$0	$25,473	$0	$15,882	$0	$820,037	$0	$17,274
Rebecca Howell
ASSOCIATE Chief Investment Officer	$0	$201,691	$0	$60,741	$0	$0	$0	$22,783	$0	$5,010	$0	$290,225	$0	$0
Mary Elizabeth Jackson
VP ADVOCACY - GOVT AFFAIRS	$0	$231,822	$0	$74,782	$0	$704	$0	$33,697	$0	$6,176	$0	$347,181	$0	$0
Elizabeth Maddox
VP Human Resources	$0	$229,011	$0	$88,758	$0	$22,485	$0	$30,304	$0	$15,796	$0	$386,354	$0	$0
Brian D Matson
VP, STRATEGY-BUS DEVELOPMENT	$0	$360,911	$0	$152,796	$0	$42,535	$0	$32,639	$0	$22,115	$0	$610,996	$0	$42,391
Brandy Moore
Chief Operating Officer - Tyler Westgate	$0	$271,459	$0	$119,020	$0	$54	$0	$54,320	$0	$18,625	$0	$463,478	$0	$0
Andy G Navarro
VP MISSION INTEGRATION	$0	$227,660	$0	$87,481	$0	$87,861	$0	$29,303	$0	$16,435	$0	$448,740	$0	$56,663
Anne Pileggi
Chief Operating Officer - Tyler	$0	$256,362	$0	$107,544	$0	$114,422	$0	$29,624	$0	$88,757	$0	$596,709	$0	$74,818
ROBERT W BIENERT
Certified Registered Nurse Anesthetist	$262,110	$0	$31,012	$0	$398,584	$0	$44,217	$0	$2,337	$0	$738,260	$0	$0	$0
DONALD J MITCHELL
Certified Registered Nurse Anesthetist	$230,289	$0	$500	$0	$261,047	$0	$27,374	$0	$10,286	$0	$529,496	$0	$0	$0
CHAD W MORGAN
Certified Registered Nurse Anesthetist	$215,028	$0	$500	$0	$195,719	$0	$28,260	$0	$19,076	$0	$458,583	$0	$0	$0
RANFERI VALLE
Certified Registered Nurse Anesthetist	$217,064	$0	$500	$0	$196,433	$0	$30,243	$0	$16,438	$0	$460,678	$0	$0	$0
DUSTIN J VIDRINE
Certified Registered Nurse Anesthetist	$229,992	$0	$29,119	$0	$255,944	$0	$30,662	$0	$18,026	$0	$563,743	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (8 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 CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Anne Pileggi RECEIVED $35,188 IN SEVERANCE DURING CALENDAR YEAR 2024.
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 EARNING 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 STEVEN KEUER - $240,068 Fadi NASRALLAH - $214,520. CHRIS GLENNEY - $176,296 Jason Proctor - $87,752 Andy G. Navarro - $86,427 ANNE PILEGGI - $78,130 SHELLY BIRMINGHAM - $49,368 Brian D. Matson - $42,391 Jaclynn Harrison - $17,274 MARK ANDERSON, M.D. - $98,481
Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION	DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. 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) SUPPLEMENTAL COMPENSATION INFORMATION	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 PERCENT 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 1 ORGANIZATION'S MISSION	THE CORPORATIONS' 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 CORPORATIONS PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED.
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION	Patient Care Services MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER responds to the health care needs of the community through services provided at 2 campuses: * MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER is a 457-bed acute care not-for-profit hospital in Tyler, Texas. * MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER - SOUTH TYLER in Tyler, Texas. Each facility shares the objective of leading the way to a healthier community. MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER, located in Smith County, and services an area including Anderson, Cherokee, Henderson, Hopkins, Rusk, Smith, Van Zandt, and Wood Counties serving a population of 491,348 individuals in Fiscal Year 2025, we served individuals in various ways, including: 178,836 visits to our emergency department 7,597 inpatient surgery procedures 20,053 outpatient surgery procedures 32,289 patients admitted for care 1,022,744 patients who received outpatient care
Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION	Other Government Programs MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER 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 FY2025, MOTHER FRANCES HOSPITAL HEALTHCARE CENTER served 1,264,706 patients under these programs, with unreimbursed costs totaling $95,306,171. 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 4c PROGRAM SERVICE DESCRIPTION	Charity Care and Community Benefit Activity In keeping with the mission, values, and vision of CHRISTUS Health, MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER provides charity care services in a manner that respects the dignity of the patients and their families. MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER 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, 12,401 uninsured patients at or below 300% of the Federal Poverty Level (FPL) received care at no cost, while 569 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. MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER 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. MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER 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 FY2025, MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER invested $11,932,327 in community benefit programs, impacting potentially 484,728 individuals.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 11,444,392 including grants of $ 689,832)(Revenue $ 0) MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE Poor & Undeserved AND Broader community. Poor & Undeserved: Expenses of $1,115,726 Broader community: Expenses of $10,328,666
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 ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part VI, 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 PER MILLION 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 2026 VIA 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 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	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 11d Other Miscellaneous Revenue	Other Operating Rev - Total Revenue: 3136944, Related or Exempt Function Revenue: , Unrelated Business Revenue: 3136944, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Gen Merchandise Rev - Total Revenue: 231457, Related or Exempt Function Revenue: 231457, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Spa Revenue - Total Revenue: 25691, Related or Exempt Function Revenue: 25691, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Food Service Rev - Total Revenue: 1171, Related or Exempt Function Revenue: 1171, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Purchase Discounts - Total Revenue: 1061, Related or Exempt Function Revenue: 1061, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Patient Financial Serv. - Total Expense: 21381013, Program Service Expense: 0, Management and General Expenses: 21381013, Fundraising Expenses: 0; MCCS Expense - Total Expense: 20646224, Program Service Expense: 0, Management and General Expenses: 20646224, Fundraising Expenses: 0; System Office Fee - Total Expense: 43959611, Program Service Expense: 91016, Management and General Expenses: 43868595, Fundraising Expenses: 0; Professional Fees - Total Expense: 890441, Program Service Expense: 803796, Management and General Expenses: 86645, Fundraising Expenses: 0; Less: Lobbying Ex - Total Expense: -1286, Program Service Expense: 0, Management and General Expenses: -1286, Fundraising Expenses: 0; Charge Out Fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 0, Fundraising Expenses: 0; Medical Services - Total Expense: 31454303, Program Service Expense: 30218037, Management and General Expenses: 1236266, Fundraising Expenses: 0; R&M - Total Expense: 16064952, Program Service Expense: 16221647, Management and General Expenses: -158990, Fundraising Expenses: 2295; Billings & Collections - Total Expense: 106972, Program Service Expense: 97842, Management and General Expenses: 9130, Fundraising Expenses: 0; Purchased Services - Total Expense: 6541883, Program Service Expense: 6119555, Management and General Expenses: 236506, Fundraising Expenses: 185822;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - -98649985; CHANGE IN PENSION LIABILITIES - -2736653; Reclass for GAAP For Donations/Grants to UNRA - 71013; Total - -XXX-XX-XXXX;
FORM 990, PAGE 1, BOX C DOING BUSINESS AS	MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS Health at Work Jacksonville CHRISTUS Human Performance Center CHRISTUS Mother Frances Hospital CHRISTUS MOTHER FRANCES HOSPITAL - ATHENS CHRISTUS Mother Frances Hospital - Canton CHRISTUS MOTHER FRANCES HOSPITAL - LINDALE CHRISTUS Mother Frances Hospital - South Tyler CHRISTUS Mother Frances Hospital - Tyler CHRISTUS Mother Frances Hospital Cardiology Services CHRISTUS Mother Frances Hospital Outpatient Cath Lab CHRISTUS Specialty Pharmacy CHRISTUS TRINITY MOTHER FRANCES - ATHENS CHRISTUS Trinity Mother Frances DeHaven Surgery Center - Tyler CHRISTUS Trinity Mother Frances Endoscopy Center CHRISTUS Trinity Mother Frances Louis & Peaches Owen Heart Hospital - Tyler Flight for Life TRINITY MOTHER FRANCES ENDOSCOPY CENTER

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 HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	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)
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
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	NA	C Corporation	Yes (true)
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	88310	261674556	HEALTHCARE SERVICES	NM	NA	C Corporation	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (27 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHAMPION EMS
L	$279,856	Accrual
CHRISTUS FOUNDATION SHREVEPORT-BOSSIER
B	$60,000	Accrual
CHRISTUS FOUNDATION SHREVEPORT-BOSSIER
C	$65,000	Accrual
CHRISTUS HEALTH ARK-LA-TEX
M	$279,940	Accrual
CHRISTUS HEALTH ARK-LA-TEX
L	$70,000	Accrual
CHRISTUS HEALTH FDN OF SOUTHEAST TX
B	$60,000	Accrual
CHRISTUS HEALTH FDN OF SOUTHEAST TX
C	$65,000	Accrual
CHRISTUS Health Plan
M	$120,752	Accrual
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
C	$323,338	Accrual
CHRISTUS St Patrick Foundation
B	$60,000	Accrual
CHRISTUS St Patrick Foundation
C	$65,000	Accrual
CHRISTUS TRINITY CLINIC TEXAS
M	$159,194,870	Accrual
CHRISTUS TRINITY CLINIC TEXAS
L	$271,959,225	Accrual
CHRISTUS TRINITY CLINIC TEXAS
Q	$204,748	Accrual
CHRISTUS TRINITY CLINIC TEXAS
P	$84,336	Accrual
CHRISTUS TRINITY CLINIC TEXAS
J	$1,726,942	Accrual
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
C	$110,134	Accrual
GOOD SHEPHERD FOUNDATION INC
B	$60,000	Accrual
GOOD SHEPHERD FOUNDATION INC
C	$65,000	Accrual
MOTHER FRANCES HOSPITAL - JACKSONVILLE
M	$70,325	Accrual
MOTHER FRANCES HOSPITAL - JACKSONVILLE
K	$165,715	Accrual
MOTHER FRANCES HOSPITAL - JACKSONVILLE
J	$1,292,820	Accrual
ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA
B	$60,000	Accrual
ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA
C	$65,000	Accrual
TRINCARE INC
L	$5,957,302	Accrual
TRINCARE INC
M	$10,150,219	Accrual
TRINCARE INC
J	$61,458	Accrual