2026-05-06T15:35:59+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2024-07-01 760590551 Christus Health CHRI 4692822000 5101 N OConnor Blvd IRVING TX 75039 ERNIE SADAU PRESIDENT & CEO 2026-05-06 true true Kristen Farr Capizzi P02176875 3128792000 2026-05-06 2024 2025-03-06 01:10:19Z SEE SCHEDULE O ERNIE SADAU 5101 N OConnor Blvd IRVING TX 75039 4113218281 false 0928 X WWW.CHRISTUSHEALTH.ORG X 1999 TX SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 13 3 4650 3 764500 569996 913336 2912345 918480842 960576738 58902033 57431200 263870493 240726310 1242166704 1261646593 7824060 4481679 0 0 581208236 626130575 0 0 4834987 844899714 1074240309 1433932010 1704852563 -191765306 -443205970 3458173956 3787230257 3710643474 3806510156 -252469518 -19279899 X See Schedule O false false 1029317999 0 1030181792 See Schedule O 149432273 0 169402292 See Schedule O 1862887 0 0 See Schedule O 4481679 4481679 0 COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS, FEDERALLY QUALIFIED HEALTH CENTERS, RURAL HEALTH PROVIDERS ACROSS EAST AND NORTHEAST TEXAS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY23, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. 4481679 4481679 1185094838 true false false true false false false false false false true true true true true true false true false false true true false false false false false true false true true true false true false false false false false false false false false false false true true true true false false true X 3752 0 true 4650 true true true true MX CJ CI CO false false false false false false false false true false X 13 3 true false false false true true true true true false false false true true true true true true true true true true X LEE SONNE 4692822000 5101 N OConnor Blvd IRVING TX 75039 DAVID STRONG DIRECTOR/VICE CHAIR 1.0 0.0 X X 33247 0 0 ERNIE SADAU PRESIDENT/CHIEF EXECUTIVE OFFICER 39.0 1.0 X X 14615490 0 41194 MARICELA M BREEDLOVE DIRECTOR/CHAIR 1.0 0.0 X X 49663 0 0 ALIDE CHASE DIRECTOR 1.0 0.0 X 15823 0 0 BILL CHEN DIRECTOR 1.0 10.0 X 17823 0 0 CHERYL ALSTON DIRECTOR 1.0 0.0 X 14323 0 0 Eduardo Garcia Luna Martinez Director 1.0 0.0 X 4766 0 0 J LINDSEY BRADLEY JR DIRECTOR 1.0 0.0 X 19663 0 0 KEVIN J ROY DBA DIRECTOR 1.0 0.0 X 20960 0 0 Sister Kathleen Coughlin DIRECTOR 1.0 0.0 X 0 0 0 SISTER LORETTA FELICI DIRECTOR 1.0 0.0 X 0 0 0 Sr JOYCE SUSAN NJERI MBATARU CCVI DIRECTOR (EFF 1/24) 1.0 0.0 X 0 0 0 STEVEN KEUER MD DIRECTOR/PRES CTC/CHIEF MEDICAL OFFICER NETX 39.0 1.0 X 1383326 0 63590 GABRIELA SAENZ CORPORATE SECRETARY/SVP CORPORATE SERVICES 40.0 0.0 X 1488071 0 67068 IRMA PENALOZA Assistant Corporate Secretary 40.0 0.0 X 639733 0 73371 KAREN OLIVER Assistant Corporate Secretary 40.0 0.0 X 121024 0 39945 NANCY RODILL Assistant Corporate Secretary 40.0 0.0 X 313211 0 63223 RANDY SAFADY EVP/CHIEF FINANCIAL OFFICER 39.0 1.0 X 6453610 0 30426 ALEJANDRO CANAVATI SVP/LATAM SYSTEM OPERATIONAL SUPPORT 40.0 0.0 X 1150218 0 60316 CHRISTOPHER KARAM SVP/Group Operations LA/SETX 39.0 1.0 X 1324227 0 55752 CRIS C DASKEVICH SVP/MATERNAL SVCS /CHIEF EXECUTIVE OFFICER, CHOSA 39.0 1.0 X 1227993 0 342114 DOMINIC DOMINGUEZ SVP/GROUP OPERATIONS SO TX 39.0 1.0 X 1396207 0 25862 FADI NASRALLAH MD SVP/CHIEF MEDICAL OFFICER TRINITY CLINIC 39.0 1.0 X 1550104 0 28195 GERARD F HEELEY EVP/Chief Mission Integration Officer 39.0 1.0 X 3833863 0 832581 Gerardo Flores MD SVP/CHIEF NURSING OFFICER 40.0 0.0 X 1239939 0 66468 J CHRIS GLENNEY SVP/GROUP OPERATIONS NETX 39.0 1.0 X 1661685 0 88961 JEANNIE FREY SVP/CHIEF LEGAL OFFICER 39.0 1.0 X 1623102 0 57029 JEFFREY M PUCKETT EVP/CHIEF OPERATING OFFICER 39.0 1.0 X 6823352 0 56703 Jennifer Beal SVP/CHIEF ADMINISTRATIVE OFFICER CTC 40.0 0.0 X 1189828 0 44548 JON MANIS SVP/CHIEF INVESTMENT OFFICER 40.0 0.0 X 2395871 0 30641 KIM REYNOLDS SVP/FINANCE 40.0 0.0 X 1555739 0 30751 KIMBERLY KING WEBB SVP/CHIEF HR OFFICER 40.0 0.0 X 1727663 0 34364 M SHANNON STANSBURY SVP/POPULATION HEALTH 39.0 1.0 X 1234709 0 59070 MARTY MARGETTS EVP/CHIEF ADMINSTRATIVE OFFICER 39.0 1.0 X 5300499 0 97647 PAUL D GENERALE EVP/CHIEF STRATEGY OFFICER 39.0 1.0 X 5224749 0 41489 Paul M Trevino CHIEF EXECUTIVE OFFICER 39.0 1.0 X 942613 0 95480 SAM BAGCHI MD EVP/Chief Clinical Officer 39.0 1.0 X 4021228 0 44231 TINA BARKER SVP/STRATEGY MARKETING & DIG 40.0 0.0 X 1070432 0 58562 ANDREA TEAGUE MD VP/CANCER SERVICES 40.0 0.0 X 1004998 0 24489 JASON PROCTOR Pres/CHIEF EXECUTIVE OFFICER MFH TYLER 40.0 0.0 X 986339 0 35783 LILLIAN MONTOYA PRES/CHIEF EXECUTIVE OFFICER SVH 40.0 0.0 X 1160185 0 51935 Mark Anderson MD CHIEF MEDICAL OFFICER, MFH Tyler 39.0 1.0 X 942905 0 101941 ROBERT J HECKERT CHIEF EXEXUTIVE OFFICER, CHRISTUS SOUTHERN NEW MEXICO 40.0 0.0 X 1176146 0 16252 76955327 0 2759981 1110 false true false HHS ENVIRONMENTAL SERVICES LLC 216 E 4TH ST Austin TX 78701 HEALTHCARE SVCS 84474235 CROTHALL HEALTHCARE 1500 Liberty Ridge Dr Ste 210 Wayne PA 19087 Healthcare SVCS 79168903 NORTHEAST TEXAS EMERGENCY PHYSICIANS PLLC 200 CORPORATE BLVD LAFAYATTE LA 70508 MEDICAL SVCS 78245227 LK CURTIS PA 215 Central Avenue NW Third Floor Albuquerque NM 87102 ATTORNEY SVCS 35972194 EMERGENCHEALTH PLLC 4100 International Plz Ste 800 Fort Worth TX 76109 Medical Svcs 25902430 300 2912345 2912345 INFORMATION SERVICE FEE 900099 316247379 315482879 764500 SYSTEM OFFICE FEE 900099 257851294 257851294 PHARMACY REVENUE 900099 211527714 211527714 INSURANCE PREMIUM 900099 156251165 156251165 MANAGEMENT FEE 541610 7265782 7265782 11433404 11433404 0 0 960576738 40971202 40971202 756975 756975 0 0 2866908156 2850448158 16459998 0 16459998 16459998 2085519 1123530 961989 961989 Patient Financial Service Revenue 900990 142181128 142181128 Other Operating Revenue 900099 46967641 46967641 TLRA COLLECTION FEE 900099 19268566 19268566 30590011 30590011 0 0 239007346 1261646593 1198819584 764500 59150164 X 4381679 4381679 100000 100000 0 0 74214335 47397800 26318864 497671 449913930 287342474 159554397 3017059 72514850 43049701 28958759 506390 29487460 20232058 8952426 302976 8838898 3982354 4856544 5284847 5284847 1156014 1156014 3217192 3093381 123811 456111184 400238967 55727524 144693 4251599 4180389 71210 16522932 16395016 0 127916 13621540 4787145 8834626 -231 16480705 5448917 10846908 184880 2645266 774486 1849003 21777 85902580 82087840 3814740 39226512 39226512 105443128 105437129 0 5999 Other Tax Expense 184002435 48 184002387 Community Benefit Expense 81154336 81154336 Medical Supplies 34124669 32182636 1941461 572 Recruiting fees 4630780 1924592 2706188 11625692 1677378 9923029 25285 1704852563 1185094838 514922738 4834987 550008660 465423397 110292225 113166797 0 0 0 0 102621777 168715169 2185776 1606528 76821405 90150368 741848400 230395520 514079815 511452880 738142904 1029583915 352712977 399944703 788155436 787383211 19296630 19296630 203856351 200506659 3458173956 3787230257 779276889 899079063 272059013 361904469 2017117460 1982452726 0 0 642190112 563073898 3710643474 3806510156 X -268048668 -33279340 15579150 13999441 -252469518 -19279899 3458173956 3787230257 X -443205970 57658482 618737107 X false true true true true X 60002619 84003539 66102416 913336 2912345 213934255 617632378 630880491 705533027 918480842 960576738 3833103476 512938 1568378 1995971 2201714 2085519 8364520 0 0 678147935 716452408 773631414 921595892 965574602 4055402251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4055402251 100544300 129301167 67192864 48150135 41728177 386916643 501879 558538 620044 660316 634440 2975217 101046179 129859705 67812908 48810451 42362617 389891860 0 0 0 0 0 0 123582860 190203054 187908412 262476049 239007346 1003177721 902776974 1036515167 1029352734 1232882392 1246944565 5448471832 0.74432 0.77513 0.07 0.07 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - ACTUARIAL CREDIT, COLUMN A - , COLUMN B - , COLUMN C - 8036801.0, COLUMN D - , COLUMN E - , COLUMN F - 8036801.0; DESCRIPTION - PATIENT FINANCIAL SERVICES, COLUMN A - 52199849.0, COLUMN B - 97895241.0, COLUMN C - XXX-XX-XXXX.0, COLUMN D - XXX-XX-XXXX.0, COLUMN E - XXX-XX-XXXX.0, COLUMN F - XXX-XX-XXXX.0; DESCRIPTION - ALL OTHER REVENUE, COLUMN A - 71383011.0, COLUMN B - 92307813.0, COLUMN C - 65423236.0, COLUMN D - XXX-XX-XXXX.0, COLUMN E - 96826218.0, COLUMN F - XXX-XX-XXXX.0; true false false false false false true 37784 false true 1118230 1156014 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY At the federal level, CHRISTUS Health Texas leadership had direct contact with members of the Congress and administration officials, through written and in-person communications, 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 had direct contact with executive branch officials, legislators, their Staff, and other government officials through emails, letter, virtual meetings and direct communication in TX, LA, NM. These issues include, but are not limited to, vaccine mandates, legislation on prior authorization, workers compensation, physician credentialing, hospital financing, and the state budget. TOTAL HOURS: 55.5 HOURS EXECUTIVE LEVEL, 222.5 DIRECTOR/MANAGER 34575612 34575612 307046000 65636796 241409204 794818 528041 266777 358452201 159144378 199307823 40979769 5086305 35893464 511452880 Closely-held equity interests Financial derivatives Curr Portion Assets Limited As to Use 28290000 F ST Val Allow Eq Inv MF Hedge Funds 86631834 F ST Eq Inv Managed Funds Hedge Funds 161436191 F Val Allow ST Inv Equity Sec International 2194654 F ST Inv Equity Securities International 7165815 F ALATU Cash and Cash Equivalents ST Eq Inv Managed Funds Fixed Inc Funds 113976209 F ST Inv Fixed Income Securities 250000 F 399944703 Investment in Consolidated Subsidiaries 787122799 F Pending Sale Investment 260412 F 787383211 ROU Transactions Other Long Term Assets Deposits Executive Benefit Plan Asset LT Amortizing Prepaid Asset DC SERP Assets Deferred Comp AETNA 83192852 Asset Clearing ROU Transactions Other Long Term Assets 3777806 Deposits 9348556 Executive Benefit Plan Asset 6193985 LT Amortizing Prepaid Asset 39063505 DC SERP Assets 54625639 Deferred Comp Asset Clearing -43553 ROU Tenant Improvements -405695 ROU Operating Accum Amortization -3934515 ROU Operating 8636969 Deferred Comp DIA 51110 200506659 Federal Income Taxes Error Suspense -144476 Executive Benefit Plan Liabilities 3954195 Other Long Term Liabilities 36754640 Asset Retirement Obligations 6886967 Lease Liability Operating LT Portion 3593161 Notes Payable 528496253 Accum Amort Bond Issue Costs 4863767 Bond Issue Costs -13593477 Pension Restoration Liability 624391 Pension Liability -67563655 CP OPERATING LEASE LIABILITY 1313631 HEALTH INSURANCE 33225565 BUSINESS FOREIGN TAX PAYABLE BUSINESS STATE SALES TAX PAYABLE 28075 BUSINESS FEDERAL INC TAX PAYABLE 16051038 NONPATRON COLLECTIONS PAYABLE -76161 INVENTORY 8659984 563073898 X 0 0 0 0 0 0 0 0 0 0 0 0 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. true East Asia and the Pacific 0 0 Program Services PROGRAM/BUS TRAVEL 4245 Europe (Including Iceland and Greenland) 0 0 Program Services PROGRAM/BUS TRAVEL 32984 North America (Canada & Mexico only) 0 0 Program Services PROGRAM/BUS TRAVEL 170718 South America 0 0 Program Services PROGRAM/BUS TRAVEL 230152 Middle East and North Africa 0 0 Program Services PROGRAM/BUS TRAVEL 617 South Asia 0 0 Program Services PROGRAM/BUS TRAVEL 5918 0 0 0 0 0 0 444634 0 444634 South America Improve health for vulnerable population, use of a boat hospital that travels every month for 10 days and provides medical aid and surgical interventions. 100000 CASH 1 0 true false true false false false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual true St Vincent De Paul Pharmacy 3826 Gibert Avenue Dallas TX 75219 263273175 501(c)(3) 112500 To elevate the collection of plant species and enhance the education and mental well-being of guests by creating a trial garden area. To provide free prescriptions for a variety of chronic illnesses to uninsured, lower-incomed Texas residents. Longview Arboretum & Nature Center 706 W Cotton Street Longview TX 75604 461383538 501(c)(3) 19000 To elevate the collection of plant species and enhance the education and mental well-being of guests by creating a trial garden area. St Paul Medical Clinic 11220 Shelterwood LN Dallas TX 75229 873541919 501(c)(3) 20000 To provide quality, welcoming, affordable medical care at the St. Paul Medical Center. To provide primary and preventative services designed to help patients maintain good health and prevent illness. MoGro Mobile Grocery PO BOX 70213 Albuquerque NM 87197 921133530 501(c)(3) 20000 To provide medical and spiritual care to the community of St. Margaret's Village in Belize. The Coming Home Connection Inc 418 Cerrillos Rd Santa Fe NM 87501 742853467 501(c)(3) 20000 To provide basic caregiving, improve access to food security and medical care, and combat isolation for older adults. Congregation Of The Sisters Of Charity Of The Incarnate Word 4503 Broadway San Antonio TX 78209 741676917 501(c)(3) 120000 To provide disaster risk preparedness and safeguard coastal communities in Haiti from natural disasters by restoring vital mangrove and forest ecosystems and strengthening local community organizations. To support single mothers in San Antonio as they pursue post-secondary education by providing wraparound services that promote academic success, family stability, and financial independence. Villages of Santa Fe 369 Montezuma Ave Santa Fe NM 87501 812081196 501(c)(3) 20000 To reduce death and injury falls among Northern New Mexico adults 65 and older by offering health and fitness classes. Catholic Diocese Of Dallas 3725 Blackburn Street Dallas TX 75219 750800637 501(c)(3) 22000 To purchase medications and medical supplies and to provide travel scholarships for medical professionals and one consecrated religious. Quijotes Of San Antonio Ambassadors Of Health 343 West Houston Street San Antonio TX 78205 300786140 501(c)(3) 25000 To develop a fully bilingual Pre-Kindergarten classroom to encourage children to learn a second language. Malteser International America 1011 First Avenue New York NY 10022 263701623 501(c)(3) 50795 To provide disaster risk preparedness and safeguard coastal communities in Haiti from natural disasters by restoring vital mangrove and forest ecosystems and strengthening local community organizations. To improve pregnancy health outcomes and reduce maternal risks for displaced Venezuelans and vulnerable communities in Santa Marta, Colombia. Gerard'S House PO Box 28693 Santa Fe NM 87592 742834283 501(c)(3) 25000 To provide effective and accessible grief support for children grieving the death of - or a separation from - a parent or other loved one. Handson Texarkana 1915 Olive Street Texarkana TX 75503 710408622 501(c)(3) 25000 To provide transportation to medical appointments and provide monthly food box deliveries to older adults. Love Inc Of Otero County PO Box 1551 Alamogordo NM 88310 262343200 501(c)(3) 25000 To develop a curriculum that provides tools and strategies to help individuals create financial, physical, and emotional independence. The Salvation Army Of Texarkana 400 East 4th Street Corpus Christi AR 71854 580660607 501(c)(3) 25000 To empower and equip underserved youth with the academic, social, emotional and life-skills necessary to break the cycle of poverty and achieve long-term success. Partners In Education Foundation For The Santa Fe Public Schools 1300 Camino Sierra Vista Santa Fe NM 87505 850392417 501(c)(3) 25000 To alleviate the challenges faced by students providing fundamental necessities such as school supplies, hygiene products, and clothing. Casa Of Northeast Texas Inc PO Box 1046 Texarkana AR 75504 752352271 501(c)(3) 25000 To provide trauma-informed, evidence based mental health services to children impacted by abuse and neglect. St Lukes Episcopal Mobile Medical Ministry Inc 875 Cotton St Shreveport LA 71101 453786377 501(c)(3) 28000 To improve the health of underserved individuals through preventative health screenings, basic health services, patient education and onward referrals. Irving Cares 440 South Nursery Rd Irving TX 75060 751436937 501(c)(3) 30000 To reduce food crises of households through direct services, food and financial coaching, and partnering with other agencies to expand food distribution. Anayat House Inc PO Box 5934 Beaumont TX 77726 760441913 501(c)(3) 30000 To provide no cost and low-cost overnight accommodations to individuals and families who do not reside in Beaumont, TX but themselves or a loved one is receiving medical care in the city. Southwestern College 3952 San Felipe Rd Santa Fe NM 87507 850271348 501(c)(3) 30000 To help low-income individuals and families improve their well-being by addressing and reducing mental health symptoms such as depression, anxiety, and addiction. Childrens Advocacy Center 2210 Frankston Hwy Tyler TX 75701 752748697 501(c)(3) 30000 To identify, understand, and address the needs of children by training adults who work with children on trauma-informed care. Regional East Texas Food Bank 3201 Robertson Rd Tyler TX 75701 752222686 501(c)(3) 110000 To increase food distribution and expand services to low-income households in Smith County through the Tyler Resource Center and households in Gregg County through the Longview Resource Center. Compassionate Hearts Alliance Corp 303 W Loop 281 Longview TX 75605 752954938 501(c)(3) 40000 To create a network of community resilience hubs in Central Louisiana with Response Teams and commercial-scale solar power and back-up battery capacity to respond in the even of a power outage in Alexandria, LA. Central Louisiana Interfaith 1620 Murray Street Alexandria LA 71301 721438482 501(c)(3) 40000 To provide medical and spiritual care to the community of St. Margaret's Village in Belize. Interfaith Community Shelter at Pete's Place 2801 Cerillos Road Santa Fe NM 87507 270736366 501(c)(3) 40000 To provide a secure, clean, and private setting for homeless individuals recovering from medical conditions that do not require acute care. Family Justice Center of Central Louisiana 220 Hospital Blvd Pineville LA 71360 474840521 501(c)(3) 40000 To provide counseling and additional social services to survivors of domestic violence and/or sexual assault. Asbury House Child Enrichment Center 320 S Center Street Longview TX 75601 800393214 501(c)(3) 43000 To continue the development of a fully bilingual pre-kindergarten classroom for children designed to support learning a second language. Buckner Children and Family Services Longview 12377 Merit Dr Dallas TX 75251 752571395 501(c)(3) 43000 To break the cycle of poverty for single women and their children by supporting their education and providing services to strengthen the family and move them toward financial independence and self-sufficiency. CASA of Central Texas 1308 E Common St New Braunfels TX 78130 742403373 501(c)(3) 45000 To serve children and youth in the temporary and permanent care of the Texas Department of Family and Protective Services with advocacy for medical and mental health, educational placement, and permanency needs. San Antonio Food Bank 5200 Historic Old Hwy 90 San Antonio TX 78227 742122979 501(c)(3) 45000 To provide food to CHRISTUS Santa Rosa patients who are food insecure and are experiencing heart failure or asthma. Catholic Charities Archdiocese of San Antonio Inc 202 West French Place San Antonio TX 78212 741109743 501(c)(3) 55000 To provide transitional shelter, educational training, access to birthing support, prenatal and postnatal programs, and mental health services to unhoused, pregnant women. Donation for Annual Gala. Southwest Outreach for Older People dba Ride Connect Texas 2201 St Cloud Rd San Antonio TX 78212 455521039 501(c)(3) 45000 To ensure that older adults and those with disabilities, unable to drive, can safely reach destinations for healthcare and social activities with free to low-cost transportation. The Purple Door 4444 Corona Drive Corpus Christi TX 78411 741943398 501(c)(3) 45000 To provide trafficking survivors with safe, stable housing and case management services. Big Brothers Big Sisters of Central New Mexico in Otero County 1100 New York Ave Alamogordo NM 88310 850271207 501(c)(3) 50000 To provide one-to-one and group mentoring, with an emphasis on reading, to youth. Council on Alcoholism and Drug Abuse of Northwest Louisiana (CADA) 2000 Fairfield Ace Shreveport LA 71104 720544581 501(c)(3) 50000 To respond to crisis calls by deploying the CADA Mobile Response Team to the location, deescalating the crisis, determining appropriate services, and doing follow-up. Catholic Charities of Dallas Inc 1421 West Mockingbird Lane Dallas TX 75247 752745221 501(c)(3) 150000 To reduce food insecurity for individuals through the operation of five "fixed" food pantries and five mobile food pantries. 2025 Bishop's Gala. Crossroads Community Services 4500 S Cockrell Hill Rd Dallas TX 75236 472676714 501(c)(3) 50000 To reduce food crises of households through direct services, food and financial coaching, and partnering with other agencies to expand food distribution. 100 Percent Otero 2400 N Scenic Dr Alamogordo NM 88310 880804000 501(c)(3) 50000 To implement a Family Resource Center that will provide wrap-around services to over 3,000 individuals in Otero County. Food Bank of Central Louisiana 3223 Baldwin Avenue Alexandria LA 71301 721154072 501(c)(3) 50000 To expand its permanent capacity to store and distribute food, while creating a space for neighbors to learn about nutrition and how to prepare healthy food. New Mexico Farmers' Marketing Association 1919 5th Street Santa Fe NM 87505 850430744 501(c)(3) 50000 To provide patients living with or at risk for diet related conditions with fresh, local produce in order to manage their conditions, address nutrition and food insecurity, and support the local food system. Newgate Mission 207 S Mobberly Ave Longview TX 75602 752663844 501(c)(3) 50000 To increase access to nutritious meals and healthy food to the community. Samaritan Counseling Center of Southeast Texas 7980 Anchor Drive Bldg 500 Port Arthur TX 77640 760068922 501(c)(3) 50000 To increase capacity to provide timely access to counseling for un/under insured individuals and families through the recruitment, training, and retention of fully licensed professional counselors. Southwest Arkansas Counseling and Mental Health Center 2904 Arkansas Blvd Texarkana AR 71854 710526149 501(c)(3) 50000 To prevent, treat, and cure mental illnesses and related disorders regardless of the individual's ability to pay. With Many Hands 105 N Winchester Ave Hagerman NM 88232 271406048 501(c)(3) 50000 To provide beginner farmer training to empower 500 individuals to launch small-scale farms. Children's Advocacy Network of Central Louisiana 1751 Jackson St Alexandria LA 71301 721299269 501(c)(3) 51500 To provide trauma-focused therapy to children in Central Louisiana by hiring an additional therapist and providing further training to existing clinicians. Cope 909 S Florida Ave Alamogordo NM 88310 850306442 501(c)(3) 55000 To provide comprehensive support services such as shelter, counseling, case management, job and housing assistance, and transportation assistance to survivors of domestic violence and/or sexual assault. Food Bank Of Northwest Louisiana 285 Mt Zion RD SHreveport LA 71106 721328890 501(c)(3) 60000 To increase food access to low-income, rural areas through mobile food pantry deliveries. Amistad Community Health Center 1533 S Brownlee Corpus Christi TX 78404 203008507 501(c)(3) 60000 To provide patient navigator services, monthly health education workshops, expand preventative screenings, and expand telehealth services to the community. Community Renewal PO BOX 4678 Shreveport LA 71134 721213057 501(c)(3) 62000 To build and grow positive caring relationships between and amongst the Highland neighborhood residents through the Friendship House strategy. Path People Attempting To Help 402 W Front St Tyler TX 75702 752033113 501(c)(3) 65000 To reduce mobility rates, support academic success, and strengthen family stability by providing housing financial assistance to families in the Tyler Independent School District. Womens Center Of East Texas PO BOX 347 Longview TX 75606 751659423 501(c)(3) 70000 To ensure that survivors of domestic and sexual assault receive timely counseling from qualified, licensed professionals. Crisis Center Of Comal County 655 Landa Street New Braunfels TX 78130 742440649 501(c)(3) 70000 To provide counseling services and encourage sustainable healing and feelings of safety and autonomy for survivors of domestic violence and/or sexual assault. Coastal Bend Center For Independent Living 1537 Seventh Street Corpus Christi TX 78404 742878070 501(c)(3) 75000 To provide transportation to health-related activities to individuals with disabilities and older adults. Espanola Pathways Shelter 628A North Riverside Drive Espanola NM 87532 843477622 501(c)(3) 75000 To establish a comprehensive case management initiative to address the mental health and substance use disorder challenges for unhoused individuals in Espanola and the surrounding areas. Runners Refuge Ministries 426 SW Wilshire Blvd Burleson TX 76028 823192544 501(c)(3) 75000 To provide food, clothing, hygiene items, and refuge to those who are homeless and underserved. Shreveport Green 3625 Southern Avenue Shreveport LA 71104 720970610 501(c)(3) 75000 To host farm-to-table markets, support local farmers, and provide nutritional education to empower residents to make healthier lifestyle choices. The Salvation Army 2350 I-10 EAST Beaumont TX 77703 750800678 501(c)(3) 75000 To provide comprehensive wraparound services that address the physical and mental health needs of individuals facing homelessness or at risk of becoming homeless. Harvest Texarkana Regional Food Bank Inc PO Box 707 Texarkana TX 75504 752671647 501(c)(3) 80000 To provide two healthy food boxes a month to patients who are hypertensive and/or diabetic. St Vincent De Paul 410 S College Ave Tyler TX 75702 264618666 501(c)(3) 90000 To increase food security to neighbors by offering pantry sessions every Monday night. Sabine Valley Regional Mhmr Center Dba Community Healthcore PO BOX 6800 Longview TX 75608 751724017 501(c)(3) 100000 To embed a Behavioral Triage RN at the CHRISTUS St. Michael ER to support individuals that present to the ER for behavioral health reasons. Carevide PO BOX 1908 Greenville TX 75403 751528614 501(c)(3) 100000 To employ Nurse Care Coordinators to help coordinate care between providers, provide patient education, and make referrals to social services for patients. Catholic Charities Of Southeast Texas 2780 Eastex Freeway Beaumont TX 77703 741900345 501(c)(3) 100000 To improve food security to community members through their Market to HOPE program. Central Louisiana Coalition To Prevent Homelessness Inc 1515 Jackson Street Alexandria LA 71301 721247718 501(c)(3) 100000 To provide referrals to services to available short-term shelters, physical and mental health services, substance misuse treatment, and other supportive services to unhoused individuals. Family And Youth Counseling Agency Inc 220 Louie Street Lake Charles LA 70601 720688561 501(c)(3) 100000 To provide counseling services to frontline workers experiencing negative mental health concerns. Catholic Charities Of Southwest Louisiana In The Roman Catholic Diocese Of Lake Charles 414 Iris Street Lake Charles LA 70601 871727700 501(c)(3) 100000 To supplement non-perishable foods that are distributed monthly with fresh fruits, vegetables, dairy products and lean meats to increase the variety of foods and nutritional profile of food served. Family Foundation Of Southwest La 220 Louie Lake Charles TX 70615 721472220 501(c)(3) 100000 To provide court-appointment advocacy for children and youth in the foster care system by employing a program coordinator to work on more complex cases and support volunteer advocates. CHRISTUS FOUNDATION FOR HEALTHCARE 5101 North OConnor Blvd Irving TX 75038 611500100 501(c)(3) 43590 2024 - 2025 Nun Run, 2025 Spring Luncheon Benefactor Underwriter, and 20% Reiburse for Marts & Lundy ST JOSEPH COMMUNITY FOUNDATION PO Box 6427 Paris TX 75461 311016570 501(c)(3) 10000 Donation Annual Texas Underwriter'S Ball THE NATIONAL CENTER FOR MISSING & EXPLOITED CHILDREN 333 John Carlyle St Alexandria VA 22314 521328557 501(c)(3) 10000 2024 Saddle Up for Kids Concert & Buffett CHRISTUS OCHSNER SOUTHWESTERN LOUISIANA FOUNDATION 524 Dr Michael D Bakey Drive Lake Charles LA 70601 471496376 501(c)(3) 10000 Christus Annual Donation In My Shoes 12222 Merit Drive Dallas TX 75251 463543853 501(c)(3) 10000 Trivia Night Sponsorship CHRISTUS ST MICHAEL FOUNDATION 2600 St Michael Drive Texarkana TX 75503 471655865 501(c)(3) 23762 2025 Foundation Gala and HP Member Services UNIVERSITY OF THE INCARNATE WORD 4301 Broadway San Antonio TX 78209 741109661 501(c)(3) 15000 Doniation to UIW Swing a Thon ST FRANCES CABRINI HOSPITAL 3330 Masonic Drive Alexandria LA 71301 720998302 501(c)(3) 52500 Annual Donation and 75 Anniversary Donation Christus Santa Rosa Friends Foundation 100 Northeast Loop 410 San Antonio TX 78216 742723391 501(c)(3) 25000 Annual Donation CHILDRENS HOSPITAL OF SAN ANTONIO FOUNDATION PO BOX 1661 San Antonio TX 78296 741224362 501(c)(3) 35000 Annual Donation HOPKINS COUNTY HEALTH CARE FOUNDATION 115 Airport Rd Sulpur Springs TX 75482 752845157 501(c)(3) 10000 2025 Annual Donation THE CATHOLIC FOUNDATION 12222 Merit Drive Dallas TX 75241 751106620 501(c)(3) 7500 Donation_Annual Award Dinner TEXAS STATE UNIVERSITY ADVANCE SERVICES 601 UNIVERSITY DR JCK 320 SAN MARCOS TX 78666 741982979 501(c)(3) 10000 Donation to Alumni Assoc. Priority Fund THE VILLAGE AT INCARNATE WORD 4707 Broadway San Antonio TX 78209 741109717 501(c)(3) 10000 Donation Spirit of Service Luncheon CHRISTUS SPOHN HEALTH SYSTEM FOUNDATION 613 Elizabeth Corpus Christi TX 78404 741109836 501(c)(3) 20000 Annual Donation Incarnate Word Academy 609 Crawford St Houston TX 77002 741280554 501(c)(3) 50000 Donation for Annual Gala Irving Symphony Orchestra 225 E John Carpenter Freeway Irving TX 75062 756085542 501(c)(3) 10000 2024 - 2025 Corporate Sponsorship VISITATION HOUSE MINISTRIES PO Box 12074 San Antonio TX 78212 742447137 501(c)(3) 7500 Summer Sojourn Donation LEADERSHIP CONFERENCE OF WOMEN RELIGIOUS OF THE US 8737 Colesville Rd Silver Spring MD 20910 530196620 501(c)(3) 25000 Annual Assembly CHRISTUS GOOD SHEPHERD FOUNDATION LONGVIEW 700 East Marshall Avenue Longview TX 75601 750974351 501(c)(3) 10000 Annual Donation SISTERS OF THE HOLY FAMILY OF NAZARETH USA INC 310 North River Rd Des Plaines IL 60016 205728349 501(c)(3) 30000 Donation for Congregation LOS CABOS WOMEN'S WELLNESS FOUNDATION 3800 W 52rd Street Sioux Falls SD 57106 261224230 501(c)(3) 15000 Donation Texas Medical Association Foundation 401 West 15th Street Austin TX 78701 746073346 501(c)(3) 25000 2025 Gala Donation CHRISTUS FOUNDATION SHREVEPORT BOSSIER 7591 Fern Avenue Shreveport LA 71105 721219280 501(c)(3) 15000 Annual Donation St Vincent Hospital Foundation 455 St Michael Drive Santa Fe NM 87505 850282847 501(c)(3) 15000 Annual Donation Jesuit College Preparatory School of Dallas Foundation Inc 12345 Inwood Rd Dallas TX 75244 756054602 501(c)(3) 12500 Magis Golf Tournament Donation CHRISTUS HEALTH FOUNDATION SOUTHEAST TEXAS 2830 Calder Street Beamont TX 77702 741461326 501(c)(3) 15000 Annual Donation CHRISTUS MOTHER FRANCES HOSPITAL FOUNDATION 100 East Ferguson Street Tyler TX 75702 752028241 501(c)(3) 25000 Annual Donation ST MONICA DADS' CLUB 4140 Walnut Hill Ln Dallas TX 75201 800518663 501(c)(3) 5182 2025 Gala Donation URSULINE ACADEMY OF DALLAS 4900 Walnut Hill Ln Dallas TX 75229 752732215 501(c)(3) 15000 Annual Donation WHITE ROCK LAKE FOUNDATION PO Box 140227 Dallas TX 75214 752483363 501(c)(3) 30000 Annual Donation 97 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. X X X true true X X X X false true false false false false false false false ERNIE SADAU PRESIDENT/CHIEF EXECUTIVE OFFICER 2532864 0 7011803 0 5070823 0 36721 0 4473 0 14656684 0 2773172 0 STEVEN KEUER MD DIRECTOR/PRES CTC/CHIEF MEDICAL OFFICER NETX 712901 0 429357 0 241068 0 51823 0 11767 0 1446916 0 240068 0 RANDY SAFADY EVP/CHIEF FINANCIAL OFFICER 1576199 0 2784192 0 2093219 0 19731 0 10695 0 6484036 0 1177444 0 GABRIELA SAENZ CORPORATE SECRETARY/SVP CORPORATE SERVICES 612998 0 680044 0 195029 0 56933 0 10135 0 1555139 0 194379 0 IRMA PENALOZA Assistant Corporate Secretary 377710 0 202885 0 59138 0 49581 0 23790 0 713104 0 57456 0 NANCY RODILL Assistant Corporate Secretary 210359 0 102652 0 200 0 48853 0 14370 0 376434 0 0 0 KAREN OLIVER Assistant Corporate Secretary 118147 0 2377 0 500 0 21266 0 18679 0 160969 0 0 0 JEFFREY M PUCKETT EVP/CHIEF OPERATING OFFICER 1659819 0 2929083 0 2234450 0 39670 0 17033 0 6880055 0 1954259 0 MARTY MARGETTS EVP/CHIEF ADMINSTRATIVE OFFICER 1323588 0 2340994 0 1635917 0 73366 0 24281 0 5398146 0 1583024 0 PAUL D GENERALE EVP/CHIEF STRATEGY OFFICER 1322964 0 2340994 0 1560791 0 30871 0 10618 0 5266238 0 1560141 0 GERARD F HEELEY EVP/Chief Mission Integration Officer 439530 0 2657063 0 737270 0 56670 0 775911 0 4666444 0 695210 0 SAM BAGCHI MD EVP/Chief Clinical Officer 1276855 0 2272809 0 471564 0 13801 0 30430 0 4065459 0 459831 0 JON MANIS SVP/CHIEF INVESTMENT OFFICER 757779 0 1357681 0 280411 0 13801 0 16840 0 2426512 0 0 0 KIMBERLY KING WEBB SVP/CHIEF HR OFFICER 742665 0 871874 0 113124 0 13801 0 20563 0 1762027 0 112474 0 J CHRIS GLENNEY SVP/GROUP OPERATIONS NETX 852427 0 632258 0 177000 0 70531 0 18430 0 1750646 0 176296 0 JEANNIE FREY SVP/CHIEF LEGAL OFFICER 809559 0 601637 0 211906 0 50124 0 6905 0 1680131 0 0 0 KIM REYNOLDS SVP/FINANCE 613813 0 453983 0 487943 0 23502 0 7249 0 1586490 0 280868 0 FADI NASRALLAH MD SVP/CHIEF MEDICAL OFFICER TRINITY CLINIC 763257 0 572327 0 214520 0 13801 0 14394 0 1578299 0 178970 0 CRIS C DASKEVICH SVP/MATERNAL SVCS /CHIEF EXECUTIVE OFFICER, CHOSA 632206 0 432003 0 163784 0 28872 0 313242 0 1570107 0 153318 0 DOMINIC DOMINGUEZ SVP/GROUP OPERATIONS SO TX 794703 0 423801 0 177703 0 15678 0 10184 0 1422069 0 176628 0 CHRISTOPHER KARAM SVP/Group Operations LA/SETX 714490 0 418002 0 191735 0 41365 0 14387 0 1379979 0 0 0 Gerardo Flores MD SVP/CHIEF NURSING OFFICER 531708 0 397272 0 310959 0 25795 0 40673 0 1306407 0 308469 0 M SHANNON STANSBURY SVP/POPULATION HEALTH 555980 0 423130 0 255599 0 49151 0 9919 0 1293779 0 254949 0 Jennifer Beal SVP/CHIEF ADMINISTRATIVE OFFICER CTC 541763 0 639254 0 8811 0 41737 0 2811 0 1234376 0 8161 0 ALEJANDRO CANAVATI SVP/LATAM SYSTEM OPERATIONAL SUPPORT 547149 0 384062 0 219007 0 36689 0 23627 0 1210534 0 189361 0 TINA BARKER SVP/STRATEGY MARKETING & DIG 514245 0 386051 0 170136 0 47030 0 11532 0 1128994 0 162728 0 Paul M Trevino CHIEF EXECUTIVE OFFICER 560606 0 254059 0 127948 0 59685 0 35795 0 1038093 0 127298 0 LILLIAN MONTOYA PRES/CHIEF EXECUTIVE OFFICER SVH 595664 0 396204 0 168317 0 41567 0 10368 0 1212120 0 0 0 ROBERT J HECKERT CHIEF EXEXUTIVE OFFICER, CHRISTUS SOUTHERN NEW MEXICO 488949 0 666807 0 20390 0 13801 0 2451 0 1192398 0 0 0 Mark Anderson MD CHIEF MEDICAL OFFICER, MFH Tyler 575731 0 268639 0 98535 0 34301 0 67640 0 1044846 0 0 0 ANDREA TEAGUE MD VP/CANCER SERVICES 812781 0 192217 0 0 0 13801 0 10688 0 1029487 0 0 0 JASON PROCTOR Pres/CHIEF EXECUTIVE OFFICER MFH TYLER 589752 0 308185 0 88402 0 21858 0 13925 0 1022122 0 87752 0 Schedule J, Part I, Line 1a First-class or charter travel CERTAIN EXECUTIVES AND BOARD MEMBERS WERE REIMBURSED UNDER AN ACCOUNTABLE PLAN FOR FIRST CLASS TRAVEL. 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 CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. The following individuals received payouts under a supplemental nonqualified retirement plan. Alejandro Canavati - $189,361 Jennifer Beal - $8,161 Gerardo Flores - $310,959 Gerard Heeley - $695,210 Steven Keuer - $240,068 Gabriela Sanez - $194,379 Shannon M. Stansbury - $254,949 Paul Trevino - $127,298 Ernie Sadau - $5,066,023 Jeffrey M. Puckett - $2,234,450 Randy Safady - $2,092,569 Marty Margetts - $1,635,267 Paul Generale - $1,560,141 Sam Bagchi - $471,564 J. Chris Gleeney - $176,296 Jeannie Frey - $211,906 Kim Reynolds - $487,293 Dominic Dominguez - $176,628 Christopher Karam - $191,735 Robert Heckert - $20,390 Tina Barker - $162,728 Jason Proctor - $87,752 Irma Penaloza - $58,488 Cris Daskevich - $163,784 Fadi Nasrallah - $214,520 Jon Manis - $280,411 Kimberly Webb - $112,474 Mark Anderson - $98,481 Schedule J, Part II FORM 990, PART VII, QUESTION 1A & SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. 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) BONUS AND INCENTIVE COMPENSATION BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2024. Schedule J, Part II, Column (C) DEFERRED COMPENSATION DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. Schedule J, Part II, Column (F) COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE THE PAYMENTS REPORTED AS REPORTABLE COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) TO THE EXTENT THAT SUCH PAYMENTS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE A RESULT OF PARTICIPATION IN THE FOLLOWING NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS: PENSION RESTORATION PLAN, DEFERRED INCOME ACCOUNT AND SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN. A Tarrant County Cultural Education Facility Finance Corporation 043833551 87638TGW7 2022-08-05 364828621 SEE SCH K, PART VI false false false B LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546399HA7 2018-10-30 70942111 SEE SCH K, PART VI false false false C LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546398C71 2009-08-12 231654638 SEE SCH K, PART VI false false false D TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TGN7 2018-10-30 481651366 SEE SCH K, PART VI false false false A 0 0 378225630 0 0 0 3116213 0 0 348376279 26668414 64724 true false false true B 10580000 0 72199222 0 0 0 0 0 0 41256527 30942111 584 2022 true false true true C 167200000 0 232748696 0 0 0 0 0 4138 0 232744558 0 true false true true D 48420000 0 484781301 0 0 0 0 0 0 363127523 121651366 2412 2020 true false true true A false true true true true true 0.005 0.0 0.005 false false 0 false true B false true true true true true 0.001 0.0 0.001 false false 0 false true C false true true true true true 0.001 0 0.001 false false 0 false true D false true true true true true 0.001 0.0 0.001 false false 0 false true A false true false false false false 0 false false false 0 false false true B false false false true false false 0 false false false 0 false true true C false false false true true false 0 false false false 0 false true true D false false false true false false 0 false false false 0 false true true A true B true C true D true Schedule K, Part I, Column (f) PAGE 1 A. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE DATE 12/9/2010 (2005A-6); CONSTRUCTION AND CAPITAL IMPROVEMENTS OF HOSPITALS. B. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. C. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). D. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. Schedule K, Part I, Column (f) Page 2 A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). B. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (AUGUST 12, 2009). C. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH INCLUDE ONE OR MORE ACUTE CARE HOSPITALS. D. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND PRIOR ISSUE DATE 11/8/2005 (2005A-3, 2005A-4 2005B-2) Schedule K, Part I, Column (f) PAGE 3 A. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCTION AND CAPITAL IMPROVEMENTS OF HOSPITALS, LARGELY GERALD CHAMPION. Schedule K, Part II, Line 3 PAGE 1 A. LINE 3. DIFFERENCE IS INVESTMENT EARNINGS = $13,397,009.00 B. LINE 3. DIFFERENCE IS INVESTMENT EARNINGS =$1,257,110.00 C. LINE 3. DIFFERENCE IS INVESTMENT EARNINGS = $1,094,058.00 D. LINE 3. DIFFERENCE IS INVESTMENT EARNINGS = $3,129,935.00 Schedule K, Part II, Line 3 PAGE 2 A. LINE 3. DIFFERENCE IS INVESTMENT EARNINGS = $3,327.00 Schedule K, Part II, Line 16 COLUMN A - Page 1 REPORTED FINAL ALLOCATION HAS NOT BEEN MADE. Schedule K, Part IV, Line 2c COLUMN B Issuer name: LOUISIANA PUBLIC FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 07/24/2023 Schedule K, Part IV, Line 2c COLUMN C Issuer name: LOUISIANA PUBLIC FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 07/23/2024 Schedule K, Part IV, Line 2c COLUMN D Issuer name: TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP The calculation for computing no rebate due was performed on 07/24/2023 Schedule K, Part IV, Line 2c COLUMN A Issuer name: TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP The calculation for computing no rebate due was performed on 07/23/2024 Schedule K, Part IV, Line 2c COLUMN B Issuer name: LOUISIANA PUBLIC FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 07/24/2023 A TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TDF7 2008-12-19 268560000 SEE SCH K, PART VI false false false B LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546399GC4 2019-04-02 53021204 SEE SCH K, PART VI false false false C Tarrant County Cultural Education Facilities Finance Corporation (2016A-E) 043833551 000000000 2016-10-03 174304000 SEE SCH K, PART VI false false false D Tarrant County Cultural Education Facility Finance Corporation 043833551 87638THQ9 2024-05-22 94987623 SEE SCH K, PART VI false false false A 109350000 0 268563327 0 0 0 1638195 235297 0 0 266689835 0 true false true true B 0 0 53021204 0 0 0 0 0 0 0 53021204 0 true false true true C 53374000 0 174304000 0 0 0 0 174165274 138726 0 2016 false false true true D 12450000 0 94987623 0 0 0 659762 94327861 0 true false true true A false true true true true true 0.001 0.0 0.001 false false 0 false true B false true true true true true 0.001 0.0 0.001 false false 0 false true C false true true true true true 0.0303 0.0068 0.0371 false false 0 false true D false true true true true true 0.001 0.0 0.001 false false 0 false true A false false false true true true Citibank NA 39.7 false false false 0 false true true B false false false true false false 0 false false false 0 false false true C false true false false true false 0 false false false 0 false false true D false true false false false false 0 false false false 0 false false true A true B true C true D true A Tarrant County Cultural Education Facility Finance Corporation 043833551 87638THF3 2024-05-22 241732826 SEE SCH K, PART VI false false false A 0 0 241732826 1732826 0 0 100236000 139764000 false false true true A false true true true false true 0.0 0.0 0.0 false false 0 false true A false true false false false false 0 false false false 0 false false true A true DOING BUSINESS AS Christus Health Service Center CHRISTUS Health System CHRISTUS Healthy Living Spa CHRISTUS Innovations Institute CHRISTUS Institute for Innovation and Advanced Clinical Care CHRISTUS St. Joseph Village CIIACC Marketplace Solutions Texas Health Information Network Collaborative Uniformed Services Family Health Plan TLRA US Family Health Plan USFHP Form 990, Part III, Line 1 MISSION, CONTINUED THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION AND THE SYSTEM ENTITIES FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, THE SYSTEM, THE CORPORATION, AND THE SYSTEM ENTITIES. THE CORPORATION'S PURPOSES SHALL ALSO INCLUDE THE MAKING OF GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. THE CORPORATION SHALL ALSO BE AUTHORIZED TO ENGAGE IN SUCH PURSUITS AS MAY BE NECESSARY OR INCIDENTAL, OR WHICH MAY AID AND ASSIST, IN CARRYING OUT THE CORPORATION'S MISSION AND PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF THESE PURPOSES, AS WELL AS THOSE SYSTEM ENTITIES THAT ARE DESCRIBED IN SECTION 501(C)(3), AND SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR CORRESPONDING PROVISIONS OF ANY SUBSEQUENT LAW. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS FORMED IN 1999 WHEN THE SISTERS OF CHARITY HEALTH SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON, AND THE INCARNATE WORD HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, BROUGHT THEIR HEALTH MINISTRIES TOGETHER. THE 2016 AFFILIATION WITH TRINITY MOTHER FRANCES HEALTH SYSTEM RESULTED IN A THIRD SPONSORING CONGREGATION OF CHRISTUS HEALTH, THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN 350 FACILITIES, INCLUDING 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, LOUISIANA AND NEW MEXICO IN THE U.S., CHIHUAHUA, COAHUILA, NUEVO LEON, PUEBLA, SAN LUIS, POTOSI AND TAMAULIPAS IN MEXICO, CHILE, and Colombia. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE -- TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 9,000,000. IN FISCAL YEAR 2023 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 1,182,248 VISITS TO OUR EMERGENCY DEPARTMENTS; 41,815 INPATIENT SURGERY PROCEDURES; 178,138 OUTPATIENT SURGERY PROCEDURES; 212,681 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 3,857,788 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHEND THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS OF AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. CLINICAL TRIALS TO ADVANCE CARE AND PROVIDE CURES FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION OTHER GOVERNMENT SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS INCLUDING MEDICARE, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR APPROXIMATELY 15,000 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME. Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION COMMUNITY SERVICES - POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2023 WAS $0. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO ADDRESS PREVENTION AND WELLNESS STRATEGIES FOR THE UNINSURED AND UNDERINSURED BY PROVIDING RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTH COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLE'S LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY24, $3,350,000 OF GRANT FUNDS WERE DISTRIBUTED FROM THE CHRISTUS FUND. Form 990, Part III, Line 4d Description of other program services (Expenses $ 4,481,679 including grants of $ 4,481,679)(Revenue $ 0) COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS, FEDERALLY QUALIFIED HEALTH CENTERS, RURAL HEALTH PROVIDERS ACROSS EAST AND NORTHEAST TEXAS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY23, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. Form 990, Part VI, Line 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons OFFICERS ERNIE SADAU AND RANDY SAFADY - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE MEMBERS OF CHRISTUS HEALTH ARE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTONIO, THE CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD, HOUSTON, AND ONE SISTER OF THE SISTERS OF THE HOLY FAMILY OF NAZARETH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE CERTIFICATE OF FORMATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM ENTITY WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM ENTITY THAT OWNS DESIGNATED MINISTRY PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM ENTITY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE (A) OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY, (B) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY, OR (C) ELIMINATE CERTAIN TYPES OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2025 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. Form 990, Part VI, Line 12c Conflict of interest policy A CONFLICT OF INTEREST QUESTIONNAIRE WAS DISTRIBUTED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES DURING THE FISCAL YEAR. THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT 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. 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. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. 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. Form 990, Part VI, Line 19 Required documents available to the public THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 2f Other Program Service Revenue SERVICE FEE - Total Revenue: 6124017, Related or Exempt Function Revenue: 6124017, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; WELLNESS - Total Revenue: 5309387, Related or Exempt Function Revenue: 5309387, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENUE - Total Revenue: 30590011, Related or Exempt Function Revenue: 30590011, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees collection fees - Total Expense: 42081964, Program Service Expense: 42081964, Management and General Expenses: , Fundraising Expenses: ; subscription fees - Total Expense: 62154037, Program Service Expense: 51625326, Management and General Expenses: 10515040, Fundraising Expenses: 13671; marketing & consulting - Total Expense: 61982541, Program Service Expense: 25545999, Management and General Expenses: 36305621, Fundraising Expenses: 130921; professional fees - Total Expense: 212955, Program Service Expense: , Management and General Expenses: 212955, Fundraising Expenses: ; line of credit fees - Total Expense: 3156460, Program Service Expense: , Management and General Expenses: 3156460, Fundraising Expenses: ; other fees - Total Expense: 19687217, Program Service Expense: 24484503, Management and General Expenses: -4797286, Fundraising Expenses: ; charge out fees - Total Expense: 1422560, Program Service Expense: 1422560, Management and General Expenses: , Fundraising Expenses: ; medical service - Total Expense: 9548240, Program Service Expense: 151029, Management and General Expenses: 9397211, Fundraising Expenses: ; r&m - Total Expense: 95175896, Program Service Expense: 94238272, Management and General Expenses: 937523, Fundraising Expenses: 101; capitation exp - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part X, Line 1 CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990. Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY - XXX-XX-XXXX; CHANGE IN PENSION LIABILITIES - 34188297; CHANGE IN NET ASSETS ATTRIBUTABLE TO NON CONTROLLING INTEREST - -2879351; CHANGE IN RESTRICTED NET ASSETS - -1591709; OTHER TAX ADJUSTMENTS - -6560808; RECLASS FOR GAAP FOR DONATIONS/GRANTS TO UNRNA - -1454944; ROUNDING - 4; Total - XXX-XX-XXXX; CHRISTUS ARK-LA-TEX QUALITY CARE ALLIANCE LLC 5101 N OCONNOR BLVD IRVING TX 75039 474599144 ACO TX 0 0 CH CHRISTUS HEALTH QUALITY CARE ALLIANCE LLC 5101 N OCONNOR BLVD IRVING TX 75039 474607533 ACO TX 0 0 CH CHRISTUS LOUISIANA ACO LLC 5101 N OCONNOR BLVD IRVING TX 75039 474592015 ACO LA 0 0 CH CHRISTUS NETWORKS LLC 5101 N OCONNOR BLVD IRVING TX 75039 850760673 HOLDING COMPANY TX 0 0 CH CHRISTUS PHO AND AFFILIATED NETWORKS LLC 5101 N OCONNOR BLVD IRVING TX 75039 760590551 HOLDING COMPANY TX 0 0 CH CHRISTUS SANTA ROSA QUALITY CARE ALLIANCE LLC 5101 N OCONNOR BLVD IRVING TX 75039 474580155 ACO TX 0 0 CH 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Hospital L 5762215 Accrual St Vincent Hospital Q 82281274 Accrual St Vincent Hospital P 11249113 Accrual Trincare Inc Q 2597906 Accrual Trincare Inc P 2093277 Accrual