2023-05-05T19:30:10+00:00 2022-06-30 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 75219 990 2021-07-01 760590551 Christus Health CHRI 4692822000 919 HIDDEN RIDGE DRIVE IRVING TX 75038 ERNIE SADAU PRESIDENT & CEO 2023-05-05 true RANDY SAFADY 999009999 Patrick Shields P01508556 2149698000 2021 2023-04-26 12:10:37Z SEE SCHEDULE O ERNIE SADAU 919 HIDDEN RIDGE DRIVE IRVING TX 75038 1050767058 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. 14 6 3983 4 690442 501685 60002619 84003539 617632378 630880491 156330736 136837604 123930434 191351631 957896167 1043073265 1614568 3616123 0 349396614 435443232 0 252504 501047450 437144098 852058632 876203453 105837535 166869812 3027757179 2819510612 2497194199 2382942103 530562980 436568509 X See Schedule O false false 466909123 0 679052099 See Schedule O 117094703 0 142031446 See Schedule O 3621128 3616123 0 See Schedule O 1857763 0 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 FY 2021, 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. 1857763 589482717 true false false true false false false false false true true true false 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 true false false false false false true true true true false false true X 4180 0 3983 true true true true MX CJ CI CO false false false false false false false false true false X 14 6 true false false false true true true true true false false true true true true true true true true true true X LEE SONNE 4692822000 919 HIDDEN RIDGE DRIVE IRVING TX 75038 DAVID STRONG DIRECTOR/VICE CHAIR 1.0 0.0 X X 20466 0 0 ERNIE SADAU PRESIDENT & CEO 39.0 1.0 X X 11995243 0 5921227 MARICELA M BREEDLOVE DIRECTOR/CHAIR 1.0 0.0 X X 24066 0 0 ALIDE CHASE DIRECTOR 1.0 0.0 X 12462 0 0 ARTHUR SOUTHAM MD DIRECTOR (thru 12/2021) 1.0 0.0 X 5951 0 0 BILL CHEN DIRECTOR 1.0 0.0 X 14016 0 0 CHERYL ALSTON DIRECTOR 1.0 0.0 X 14766 0 0 Eduardo Garcia Luna Martinez Board Director 1.0 0.0 X 8140 0 0 FATHER STEPHEN WORSLEY DIRECTOR 1.0 0.0 X 12966 0 0 J LINDSEY BRADLEY JR DIRECTOR 1.0 0.0 X 12216 0 0 KEVIN J ROY DBA DIRECTOR 1.0 0.0 X 12216 0 0 SISTER CHRISTINA MURPHY DIRECTOR 1.0 0.0 X 0 0 0 Sister Kathleen Coughlin DIRECTOR (as of 09/2021) 1.0 0.0 X 0 0 0 SISTER LORETTA FELICI DIRECTOR 1.0 0.0 X 0 0 0 SISTER YOLANDA TARANGO DIRECTOR (thru 9/21) 1.0 0.0 X 0 0 0 STEVEN KEUER MD TMF CHIEF FINANCIAL OFFICER 39.0 1.0 X 1252278 0 208728 IRMA PENALOZA ASST. CORP SEC 40.0 0.0 X 510366 0 100389 KAREN OLIVER ASST. CORP SEC 40.0 0.0 X 110780 0 12504 NANCY RODILL DIR OF GOV, ACS 40.0 0.0 X 220623 0 26968 RANDY SAFADY EVP/CHIEF FINANCIAL OFFICER 39.0 1.0 X 5819172 0 2043766 CHARLES T HANKINS SVP PEDIATRICS AND CMO, CHOSA 39.0 1.0 X 1113121 0 186734 CHRIS C DASKEVICH SVP MATERNAL SVCS & CEO, CHOSA 39.0 1.0 X 1093073 0 197215 CHRISTOPHER KARAM SR VP & REG CEO 39.0 1.0 X 1150513 0 194670 DEBRA PASLEY SVP, CNO 40.0 0.0 X 829952 0 140332 DOMINIC DOMINGUEZ SVP-GROUP OPERATIONS SO TX 39.0 1.0 X 1452080 0 628245 GABRIELA SAENZ SVP CORP SERVICES 40.0 0.0 X 929920 0 168051 GERARD F HEELEY SR VP MISSION AND ETHICS 39.0 1.0 X 3367840 0 2092928 J CHRIS GLENNEY SVP GROUP OPERATIONS NETX 39.0 1.0 X 1487204 0 575666 JEANNIE FREY SVP CHIEF LEGAL OFFICER 39.0 1.0 X 1312666 0 211756 JEFFREY M PUCKETT EVP/COO 39.0 1.0 X 7055993 0 3578707 JON MANIS SVP CIO 40.0 0.0 X 1421120 0 271274 KIM REYNOLDS SVP FINANCE 40.0 0.0 X 1021636 0 270326 KIMBERLY KING WEBB SVP CHIEF HR OFFICER 40.0 0.0 X 767661 0 224256 M SHANNON STANSBURY SVP POPULATION HEALTH 39.0 1.0 X 1022155 0 159850 MARTY MARGETTS EVP/CAO 39.0 1.0 X 5159614 0 2517996 PAUL D GENERALE EVP/CHIEF STRATEGY OFFICER 39.0 1.0 X 4611810 0 1976230 RYAN THOMPSON SVP REVENUE CYCLE 40.0 0.0 X 756644 0 210366 SAM BAGCHI MD EVP/CMO 39.0 1.0 X 2782218 0 740064 TINA BARKER SVP STRATEGY MARKETING & DIG 40.0 0.0 X 800055 0 145143 ALEJANDRO CANAVATI CEO, CRP CHILE OPERATIONS 40.0 0.0 X 1385045 0 143250 FADI NASRALLAH SVP CMO TRINITY CLINIC 39.0 1.0 X 1227945 0 219021 NORMAN TODD HANCOCK Pres/CEO GSHS 40.0 0.0 X 969435 0 343859 PAUL M TREVINO CEO SETX & SWLA 40.0 0.0 X 974511 0 302302 SCOTT SMITH SVP TRINITY CLINIC 39.0 1.0 X 1743327 0 43130 GEORGE S CONKLIN SVP-CIO (THRU 12/2019) 0.0 0.0 X 658584 0 0 JOHN A GILLEAN MD EVP/CHIEF MEDICAL OFFICER 0.0 0.0 X 752648 0 0 LINDA K MCCLUNG EVP/CAO (THRU 8/2019) 0.0 0.0 X 623267 0 0 66515764 0 23854953 788 true true false HOSPITAL HOUSEKEEPING SYSTEMS LLC 12495 SILVER CREEK RD DRIPPING SPRINGS TX 78620 HOUSEKEEPING SVCS 74436666 CROTHALL HEALTHCARE INCORPORATED 1500 Liberty Ridge Dr Ste 210 Wayne PA 19087 Healthcare SVCS 47496348 SOUND PHYSICIANS EMERGENCY MEDICINE OF TEXAS PLLC 2020 N CENTRAL AVE PHOENIX AZ 85004 PHYSICIANS SVCS 28284005 KRUCIAL STAFFING LLC 9800 Metcalf Ave 4th Floor Overland Park KS 66212 STAFFING 23523568 OCHSNER HEALTH SYSTEM 1221 S Clearview Pkwy New Orleans LA 70121 Healthcare SVCS 14976152 743 83996964 6575 84003539 INFO SERVICE FEE 900099 211712147 211021705 690442 SYSTEM OFFICE FEE 900099 148826460 148826460 INSURANCE PREMIUM 900099 142956946 142956946 Capitation Revenue 621400 63766348 63766348 MANAGEMENT FEE 900099 27398011 27398011 36220579 36220579 0 0 630880491 128878380 128878380 422787 422787 0 0 14810429 6851205 7959224 0 7959224 7959224 1568378 842588 725790 725790 patient financial services 900990 97895241 97895241 Acturial Credit 900990 22252897 22252897 TLRA Collection Fee 900990 18078982 18078982 51975934 51975934 0 0 190203054 1043073265 820393103 690442 137986181 X 3576123 3576123 40000 40000 80847129 47823297 32980101 43731 370677 219265 151211 201 312722222 184983785 127569285 169152 27381 27381 20475674 9984919 10469085 21670 21000149 14791595 6196713 11841 4735064 796656 3938408 4418219 4418219 867776 78 867698 2841449 2109705 731744 154903510 114752628 40150882 0 1209154 1207261 1893 100157159 79729361 20426621 1177 8500414 7997764 502649 1 13376661 3886195 9485686 4780 2429267 211122 2218145 5649416 210445 5438971 2995844 12905844 -9910000 102016912 102324669 -307757 Medical Supplies 1001905 723967 277987 -49 Swap Financing Cost 12599291 12599291 Other Tax Expense 7938440 86858 7851582 Sales Tax Expense 466658 273 466385 11036959 1120907 9916052 0 876203453 589482717 286468232 252504 690598152 151653460 49887585 932033 0 0 0 0 101027428 63156244 5069132 6355568 54509079 70163839 411706051 200313385 148332822 211392666 890737131 784326011 307367200 336329673 616776985 1052350416 1859927 11769927 161591738 131080775 3027757179 2819510612 420459979 403294192 86971173 181017059 1573455556 1474947169 0 0 416307491 323683683 2497194199 2382942103 X 514881059 420894613 15681921 15673896 530562980 436568509 3027757179 2819510612 X 166869812 -91404773 -169459510 X false true X true true true X 107384641 60002619 84003539 251390799 840475716 651778407 831153160 617632378 630880491 3571920152 4954555 3178662 2274612 512938 1568378 12489145 0 0 845430271 654957069 940812413 678147935 716452408 3835800096 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3835800096 96385207 46501443 31465870 100544300 129301167 404197987 595523 574001 581914 501879 558538 2811855 96980730 47075444 32047784 101046179 129859705 407009842 0 17515312 20324706 25564972 123582860 190203054 377190904 959926313 722357219 998425169 902776974 1036515167 4620000842 0.8303 0.8735 0.09 0.08 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MANAGED CARE REVENUE, COLUMN A - 3082422.0, COLUMN B - 5592409.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 8674831.0; DESCRIPTION - METHODIST REVENUE, COLUMN A - 1392515.0, COLUMN B - 1141102.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 2533617.0; DESCRIPTION - COBRA INSURANCE - EMPLOYEES, COLUMN A - 1190250.0, COLUMN B - 1189448.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 2379698.0; DESCRIPTION - ACTUARIAL CREDIT, COLUMN A - , COLUMN B - , COLUMN C - 16546857.0, COLUMN D - , COLUMN E - , COLUMN F - 16546857.0; DESCRIPTION - INTERCOMPANY SALARIES, COLUMN A - , COLUMN B - , COLUMN C - 2004393.0, COLUMN D - , COLUMN E - , COLUMN F - 2004393.0; DESCRIPTION - AMBULATORY SERVICE, COLUMN A - , COLUMN B - , COLUMN C - 1013866.0, COLUMN D - , COLUMN E - , COLUMN F - 1013866.0; DESCRIPTION - PATIENT FINANCIAL SERVICES, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 52199849.0, COLUMN E - 97895241.0, COLUMN F - XXX-XX-XXXX.0; DESCRIPTION - ALL OTHER REVENUE, COLUMN A - 11850125.0, COLUMN B - 12401747.0, COLUMN C - 5999856.0, COLUMN D - 71383011.0, COLUMN E - 92307813.0, COLUMN F - XXX-XX-XXXX.0; true false false false false false true 2619 false true 865079 867698 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY At the federal level, CHRISTUS Advocacy had direct contact with members and staff through emails, letters, telephone calls and meetings to discuss 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, COVID-19 antibody testing and vaccines, Medicare advanced payments, bond issuers, value-based payment models, foreign health care workers, children's health issues, the ACE Kids Act, CHGME, Medicaid, rural health program reauthorization, health care for veterans, COVID-19, CARES Funding, liability reform, the Federal Bureau of Prisons and Veterans Affairs unreimbursed claims. TOTAL HOURS: 10 HOURS EXECUTIVE LEVEL 26406668 26406668 108729250 61123291 47605959 17612070 14718818 2893252 154909520 121051640 33857880 104048543 3419636 100628907 211392666 HEDGE FUNDS Restricted Funds Permanent 384196 F Curr Portion Assets Limited As to Use 21695000 F ST Val Allow Eq Inv MF Hedge Funds 54320063 F ST Eq Inv Managed Funds Hedge Funds 254584087 F Val Allow ST Inv Equity Sec International -998626 F ST Inv Equity Securities International 6344953 F 336329673 INVESTMENT IN CONSOL SUBS Investment in Consolidated Subsidiaries 1048838237 F Pending Sale Investment 3512179 F 1052350416 OTHER LIABILITIES DEFERRED COMPENSATION DC SERP LIABILITIES LT PENSION LIABILITY DEFERRED PAYROLL TAX LEASE LIABILITY FEDERAL INCOME TAXES PAYABLE INVENTORY ADJUSTMENT OTHER TAXES PAYABLE BOND ISSUE COSTS Error Suspense 19974 Executive Benefit Plan Liabilities 5681813 Other Long Term Liabilities 4034708 Asset Retirement Obligations 6881290 Lease Liability Operating LT Portion 10272510 Notes Payable 215432250 Accum Amort Bond Issue Costs 9659812 Bond Issue Costs -17207754 Pension Restoration Liability 701793 Pension Liability 9078295 CP Operating Lease Liability 6515240 Health Insurance 26327707 Business Foreign Tax Payable 723142 Business State Sales Tax Payable 16632 Business Federal Inc Tax Payable 12306048 NonPatron Collections Payable 11497 Inventory 7000000 Notes Receivable 26228726 323683683 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2022 AND 2021. true Central America and the Caribbean 0 0 Program Services PROGRAM/BUS TRAVEL 4736 East Asia and the Pacific 0 0 Program Services PROGRAM/BUS TRAVEL -1195 Europe (Including Iceland and Greenland) 0 0 Program Services PROGRAM/BUS TRAVEL 30170 North America (Canada & Mexico only) 0 0 Program Services PROGRAM/BUS TRAVEL 200622 South America 0 0 Program Services PROGRAM/BUS TRAVEL 25617 South Asia 0 0 Program Services PROGRAM/BUS TRAVEL 49 Middle East and North Africa 0 0 Program Services PROGRAM/BUS TRAVEL 3424 0 0 0 0 0 0 263423 0 263423 North America (Canada & Mexico only) DONATION 40000 WIRE TRANSFER 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 CENTRAL AMERICA AND THE CARIBBEAN-Accrual; 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 Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual true St Joseph Community Foundation Po Box 6427 Paris TX 75461 311016570 501(c)(3) 15000 Underwriters Ball Christus Foundation For Healthcare Po Box 1919 Houston TX 77251 611500100 501(c)(3) 15000 2021 NUN RUN / annual Spring Luncheon Sisters Of Charity Of The Incarnate Word 4503 Broadway ST San Antonio TX 78209 237152879 501(c)(3) 10000 chapter meeting Christus Santa Rosa Health Care Corp 333 N Santa Rosa Street San Antonio TX 78207 741109665 501(c)(3) 452500 Honorarium for Don Beeler Santa Rosa NTL Speakers Luncheon. SANTA ROSA'S CHILDREN'S HOSPITAL FOUNDATION 100 Northeast Loop San Antonio TX 78216 741224362 501(c)(3) 150000 Honorarium for Don Beeler Christus Spohn Development FDN 613 Elizabeth st Corpus Christi TX 78404 741906005 501(c)(3) 20000 Challenge Grant Fundraiser Christus St Frances Cabrini Foundation 3330 Prescott Avenue Alexandria LA 71301 720998302 501(c)(3) 25000 Healing Garden Project Christus Cabrini Foundation 3330 Masonic Drive Alexandria LA 71301 237255175 501(c)(3) 20000 Trinity Healing Garden / Cabrini Ball University Of The Incarnate Word 4301 Broadway Cpo 317 San Antonio TX 78209 741109661 501(c)(3) 35000 2022 Swing In Golf Tournament / 2022 Swing a Thon event Catholic Charities Of Dallas Inc 1421 Mockingbird Lane Dallas TX 75247 752745221 501(c)(3) 75000 2022 Annual Gala Visitation House Ministries Po Box 12074 San Antonio TX 78212 742447137 501(c)(3) 7500 2022 Summer Sojourn Gala Hopkins County Health Care Foundation 115 Airport Road Sulphur Springs TX 75482 752845157 501(c)(3) 10000 Donation for Mammograms for the poor and vulnerable in the county Sisters Of The Holy Family 310 North River Road Des Plaines IL 60016 205728349 501(c)(3) 50000 to support Sisters in Poland and Ukraine dealing with the impact of the war Christus Mother Frances Hospital Foundation 100 East Ferguson Street Attention Mr Scott Fossey Tyler TX 75702 752028241 501(c)(3) 12000 Donation Christus Ochsner Southwestern Louisiana Foundation 524 Dr Michael Debakey Drive Lake Charles LA 70601 471496376 501(c)(3) 10000 Funds for Year End Campaign The Catholic Foundation 12222 Merit Drive Suit 850 Dallas TX 75251 751106620 501(c)(3) 100000 Title Sponsor FOR The Bishop's Invitational Impact Fund The Sisters At Benet Hill Monastery 3190 Benet Lane Attn Sister Therese 719 633-065 Colorado Springs CO 80921 840523354 501(c)(3) 25000 Memorial Donation in honor of Father Bob Lampert, St Vincent Hospital Foundation 455 St MichaelS Drive Santa Fe NM 87505 850282847 501(c)(3) 10000 Associate assistance fund to support associates in need In My Shoes INC PO Box 227301 Dallas TX 75222 463543853 501(c)(3) 10300 Christus Health Sponsorship Archdiocese of San Antonio Communications 2718 W Woodlawn Ave San Antonio TX 78228 741109740 501(c)(3) 15000 Donation for honoring Sister Teresa Maya The Texas Lyceum 1321 Antoine Dr Houston TX 77055 751720024 501(c)(3) 15000 Donation St Monica Dad's Club 4140 Walnut Hill Ln Dallas TX 75201 752730857 501(c)(3) 5175 Fundraiser donation Family And Youth Counseling Agency 220 Louie Street Lake Charles LA 70601 741321308 501(c)(3) 100000 Support Pathway to Recovery program Catholic Charities Of Corpus Christi Po Box 9056 Corpus Christi TX 78469 742330464 501(c)(3) 100000 To support the creation of a homeless discharge plan program Harvest Texarkana Regional Food Bank Inc Po Box 707 Texarkana TX 75504 752671647 501(c)(3) 100000 To establish on-site pantries and distributions at partnering healthcare and senior care organizations Ccvi San Antonio 4503 Broadway San Antonio TX 78209 237152879 501(c)(3) 134000 Support the response to the significant influx of human mobility and change across the globe. Diocese Of Lake Charles 1225 2Nd Street Catholic Charities Jazz Brunch Lake Charles LA 70601 736338181 501(c)(3) 100000 To increase the quantity and quality of the food we distribute. Legacy Community Health Services Inc Po Box 66308 Houston TX 77266 760009637 501(c)(3) 100000 To expand existing programs that will help extend Legacy Community Health's reach into Beaumont area schools. Spindletop Mhmr Services Cashier Po Box 3846 Beaumont TX 77704 741684198 501(c)(3) 100000 To fund a new program that focuses on providing education to individuals with autism, their caregivers, and support systems. Save Cenla Po Box 381 Dupont LA 71329 814863849 501(c)(3) 54000 To expand their existing Applied Suicide Intervention Skills Training workshop. Shreveport Green 3625 Southern Avenue Shreveport LA 71104 720970610 501(c)(3) 50000 To support their existing Mobile Market and Beyond program. Solace Crisis Treatment Center 6601 Valentine Way Santa Fe NM 87507 850242274 501(c)(3) 100000 To expand their no-cost therapy program for trauma treatment for children and adult victims of sexual abuse, stalking, teen dating violence, and human trafficking. Clarity Child Guidance Center 8535 Tom Slick Drive San Antonio TX 78229 741153067 501(c)(3) 100000 Support children ages 3-17 and their families to feel prepared to manage their child's mental illness after discharge. Regional East Texas Food Bank 3201 Robertson Rd Tyler TX 75701 752222686 501(c)(3) 100000 To expand and increase the accessibility of food assistance and wrap-around services to low-income residents in an area. Sabine Valley Regional Mhmr Center Dba Community Healthcore 107 Woodbine Longview TX 75601 751724017 501(c)(3) 100000 To implement the Behavioral Health Diversion program. Community Renewal Po Box 4678 Shreveport LA 71134 721213057 501(c)(3) 75000 To support their initiative of creating a system of relationships and resources that address the social determinants of health. The Pines Education Group 14833 Midway Rd Ste 210 Addison TX 75001 752255462 501(c)(3) 75000 To implement a new program that will assist in managing mental health among their participants. Coastal Bend Wellness Foundation 2882 Holly Road Corpus Christi TX 78415 742429518 501(c)(3) 99998 To implement their Red Cord Initiative. The Salvation Army Of Beaumont 2350 IH-10 East Beaumont TX 77703 580660607 501(c)(3) 80000 To support an existing program that will provide resources and care to their clients. Mission Marshall Po Box 1806 Marshall TX 75671 454040928 501(c)(3) 94000 To support the Remote Order Ahead program. St Lukes Episcopal Mobile Medical Ministry Inc P O Box 12550 875 Cotton St Shreveport LA 71101 453786377 501(c)(3) 50000 To provide free preventive health screenings, basic health services, case management, health education, & medical referrals. The Salvation Army Of The Coastal Bend 1804 Buford Street Corpus Christi TX 78404 580660607 501(c)(3) 100000 To expand a program that will provide resources for homeless patients. Family Services Of Southeast Texas Inc 3550 Fannin St Beaumont TX 77701 741382713 501(c)(3) 94400 To expand their Family Services Sexual Assault program. Mission Texarkana 620 W 4Th Street Texarkana TX 75501 752678943 501(c)(3) 30000 To Implement the SOAR program. Hays-Caldwell Womens Center Po Box 234 San Marcos TX 78667 742020505 501(c)(3) 100000 To Support prevention & counseling program. Tyler Family Circle Of Care 523 S Fannin Ave Tyler TX 75702 452578435 501(c)(3) 100000 To expand their ED diversion program. Sfps Adelante 1300 Camino Sierra Vista Santa Fe NM 87505 850392417 501(c)(3) 15000 To address the rate of homelessness and the risks it poses for babies from birth to age five, as well as pregnant teens. Tan Healthcare 1495 N 7Th St Beaumont TX 77702 760226835 501(c)(3) 50000 To support their Connections 2 Care program. Fostering Community 3336 Prescott Rd Alexandria LA 71301 824148732 501(c)(3) 100000 To improve the lives of children impacted by foster care. Meals On Wheels San Antonio 4306 Nw Loop 410 San Antonio TX 78229 741948646 501(c)(3) 100000 To provide access to nutritious meals and personal visits to seniors who are homebound and nutritionally at-risk. Casa Of Central Texas 1619 E Common St Suite 301 New Braunfels TX 78130 742403373 501(c)(3) 43000 To support their existing Empowered Advocacy for Children Abused and Neglected). Womens Center Of East Texas Po Box 347 Longview TX 75606 751659423 501(c)(3) 53000 To support their Youth Advocacy Project. Dallas Business Journal PO Box 840190 Dallas TX 75284 431366184 501(c)(3) 6250 Upcoming event ad space and donation for table. 53 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 true true false false false false false false false ERNIE SADAU PRESIDENT & CEO 6801708 0 5184507 0 9028 0 5912199 0 9028 0 17916470 0 0 0 STEVEN KEUER MD TMF CHIEF FINANCIAL OFFICER 672285 0 391209 0 188784 0 200061 0 8667 0 1461006 0 0 0 RANDY SAFADY EVP/CHIEF FINANCIAL OFFICER 3320367 0 2430000 0 68805 0 2032179 0 11587 0 7862938 0 0 0 IRMA PENALOZA ASST. CORP SEC 303648 0 206068 0 650 0 85278 0 15111 0 610755 0 0 0 NANCY RODILL DIR OF GOV, ACS 166976 0 53547 0 100 0 15638 0 11330 0 247591 0 0 0 JEFFREY M PUCKETT EVP/COO 4245808 0 2574500 0 235685 0 3565173 0 13534 0 10634700 0 0 0 PAUL D GENERALE EVP/CHIEF STRATEGY OFFICER 2511357 0 2016000 0 84453 0 1964952 0 11278 0 6588040 0 0 0 MARTY MARGETTS EVP/CAO 3047290 0 2016000 0 96324 0 2499137 0 18859 0 7677610 0 0 0 GERARD F HEELEY SR VP MISSION AND ETHICS 1573347 0 1337000 0 457493 0 1338094 0 754834 0 5460768 0 0 0 SAM BAGCHI MD EVP/CMO 1162218 0 1620000 0 0 0 721434 0 18630 0 3522282 0 0 0 CHRISTOPHER KARAM SR VP & REG CEO 819907 0 330541 0 65 0 185634 0 9036 0 1345183 0 0 0 JEANNIE FREY SVP CHIEF LEGAL OFFICER 882189 0 430477 0 0 0 203828 0 7928 0 1524422 0 0 0 J CHRIS GLENNEY SVP GROUP OPERATIONS NETX 1076553 0 409936 0 715 0 556004 0 19662 0 2062870 0 0 0 DOMINIC DOMINGUEZ SVP-GROUP OPERATIONS SO TX 1003923 0 408565 0 39592 0 487365 0 140880 0 2080325 0 0 0 CHARLES T HANKINS SVP PEDIATRICS AND CMO, CHOSA 589698 0 359796 0 163627 0 176728 0 10006 0 1299855 0 0 0 JON MANIS SVP CIO 623282 0 797838 0 0 0 257918 0 13356 0 1692394 0 0 0 CHRIS C DASKEVICH SVP MATERNAL SVCS & CEO, CHOSA 587334 0 359796 0 145943 0 178281 0 18934 0 1290288 0 0 0 M SHANNON STANSBURY SVP POPULATION HEALTH 482157 0 279307 0 260691 0 151864 0 7986 0 1182005 0 0 0 KIM REYNOLDS SVP FINANCE 570938 0 437457 0 13241 0 263975 0 6351 0 1291962 0 0 0 DEBRA PASLEY SVP, CNO 434216 0 264754 0 130982 0 133771 0 6561 0 970284 0 0 0 TINA BARKER SVP STRATEGY MARKETING & DIG 436537 0 268648 0 94870 0 133726 0 11417 0 945198 0 0 0 KIMBERLY KING WEBB SVP CHIEF HR OFFICER 497603 0 267908 0 2150 0 191239 0 33017 0 991917 0 0 0 RYAN THOMPSON SVP REVENUE CYCLE 463567 0 292427 0 650 0 192782 0 17584 0 967010 0 0 0 GABRIELA SAENZ SVP CORP SERVICES 442672 0 390000 0 97248 0 159922 0 8129 0 1097971 0 0 0 FADI NASRALLAH SVP CMO TRINITY CLINIC 687452 0 420003 0 120490 0 207731 0 11290 0 1446966 0 0 0 SCOTT SMITH SVP TRINITY CLINIC 1042012 0 471250 0 230065 0 28761 0 14369 0 1786457 0 0 0 ALEJANDRO CANAVATI CEO, CRP CHILE OPERATIONS 529833 0 511436 0 343776 0 136466 0 6784 0 1528295 0 0 0 PAUL M TREVINO CEO SETX & SWLA 659219 0 296460 0 18832 0 286636 0 15666 0 1276813 0 0 0 NORMAN TODD HANCOCK Pres/CEO GSHS 693803 0 238982 0 36650 0 330636 0 13223 0 1313294 0 0 0 GEORGE S CONKLIN SVP-CIO (THRU 12/2019) 0 0 0 0 658584 0 0 0 0 0 658584 0 0 0 JOHN A GILLEAN MD EVP/CHIEF MEDICAL OFFICER 0 0 0 0 752648 0 0 0 0 0 752648 0 0 0 LINDA K MCCLUNG EVP/CAO (THRU 8/2019) 0 0 0 0 623267 0 0 0 0 0 623267 0 0 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 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUAL(S) RECEIVED A SEVERANCE PAYMENT: Scott Smith - $ 52,500 JOHN A. GILLEAN, M.D. - $752,648 LINDA K. MCCLUNG - $623,267 GEORGE S. CONKLIN - $658,584 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. 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 2021. 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 HARRIS COUNTY HEALTH FACILITIES DEV CORP 521284201 41315RFV1 2005-11-08 320620000 SEE SCH K, PART VI false false false B HARRIS COUNTY HEALTH FACILITIES DEV CORP 521284201 41315RHY3 2010-12-09 96654505 SEE SCH K, PART VI false false false C COASTAL BEND HEALTH FACILITIES DEV CORP 742352502 19042FAB2 2005-11-08 61300000 SEE SCH K, PART VI false false false D LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546399HA7 2018-10-30 70942111 SEE SCH K, PART VI false false false A 242195000 0 320968886 0 0 0 1687416 4733000 0 3624407 310924063 0 2009 false true true true B 70175000 0 96654505 0 0 0 0 0 4505 0 96650000 0 true false true true C 24225000 0 62858357 0 0 0 337093 914000 393273 18182274 43031717 0 2009 true false true true D 4165000 0 72155145 0 0 0 0 0 0 32099127 30942111 9113907 true false false true A false true true true true true 0.001 0.001 false false true B false true true true true true 0.0 0.0 0.0 false false true C false true true true true true 0.001 0.001 false false true D false true true true true true 0.001 0.001 false false true A false false false true true false false false true B false false false true false false false true true C false false false true true false false true true D false true false false false false false true true A true B true C true D true Schedule K, Part I Page 1 A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. Schedule K, Part I page 2 A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). B. 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. C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (AUGUST 12, 2009). Schedule K, Part I Page 3 A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH INCLUDE ONE OR MORE ACUTE CARE HOSPITALS. Schedule K, Part II page 1 A. LINE 3. INVESTMENT EARNINGS = $348,886 C. LINE 3. INVESTMENT EARNINGS = $1,558,357 D. LINE 3. INVESTMENT EARNINGS = $1,213,034 Schedule K, Part II Page 2 A. LINE 3. INVESTMENT EARNINGS = $1,094,058 B. LINE 3. INVESTMENT EARNINGS = $3,106,408 C. LINE 3. INVESTMENT EARNINGS = $974 Schedule K, Part II page 3 LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS. Schedule K, Part IV page 1 A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23, 2019. B. LINE 2C - REBATE COMPUTATION PERFORMED NOVEMBER 16, 2022. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23, 2019. Schedule K, Part IV page 2 A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 1, 2019. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 22, 2019. Schedule K, Part IV Page 3 A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2020. A LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546398C71 2009-08-12 231654638 SEE SCH K, PART VI false false false B TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TGN7 2018-10-30 481651366 SEE SCH K, PART VI false false false C TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 87638TDF7 2008-12-19 268560000 SEE SCH K, PART VI false false false D LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546399GC4 2019-04-02 53021204 SEE SCH K, PART VI false false false A 167200000 0 232748696 0 0 0 0 0 4138 0 232744558 0 true false true true B 17460000 0 484757774 0 0 0 0 0 0 357668606 121651366 5437802 true false false true C 109350000 0 268560974 0 0 0 1638195 235297 0 0 266687482 0 true false true true D 0 0 53021204 0 0 0 0 0 0 0 0 53021204 true false true true A false true true true true true 0.0 0.0 false false true B false true true true true true 0.001 0.0 0.001 false false true C false true true true true true 0.001 0.0 0.001 false false true D false true true true true true 0.001 0.0 0.001 false false true A false false false true true false false true true B false true false false false false false true true C false false false true true true CITIBANK NA 39.7 false false false true true D false true false false false false false false true A true B true C true D true A TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP 043833551 000000000 2016-10-03 174304000 SEE SCH K, PART VI false false false A 43374000 0 174304000 0 0 0 0 0 0 174165274 138726 0 2016 false false true true A false true false true true 0.0255 0.0 0.0255 false false true A false false false true true false false false true A true ROY ALSTON HUSBAND OF CHERYL ALSTON 370677 SEE PART V false Schedule L, Part IV, Column (d) BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS ROY ALSTON IS AN EMPLOYEE OF CHRISTUS HEALTH. HIS WIFE, CHERYL ALSTON IS A DIRECTOR OF CHRISTUS HEALTH. 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 TLRA UNIFORMED SERVICES FAMILY HEALTH PLAN 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 PARTICIPANTS FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, THE SYSTEM, THE CORPORATION, THE SYSTEM PARTICIPANTS, AND THE LOCAL 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 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, IOWA, LOUISIANA, GEORGIA AND NEW MEXICO IN THE U.S., CHIHUAHUA, COAHUILA, NUEVO LEON, PUEBLA, SAN LUIS, POTOSI AND TAMAULIPAS IN MEXICO AND IN CHILE. 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 2021 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 823,708 VISITS TO OUR EMERGENCY DEPARTMENTS; 40,777 INPATIENT SURGERY PROCEDURES; 95,582 OUTPATIENT SURGERY PROCEDURES; 179,683 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 2,788,283 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 STRENGTHENING 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 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 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 FY2022 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 FY22, $2,497,398 OF GRANT FUNDS WERE DISTRIBUTED FROM THE CHRISTUS FUND. Form 990, Part III, Line 4d Description of other program services (Expenses $ 1,857,763 including grants of $ 0)(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 FY 2021, 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 INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO, CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON, AND ONE SISTER OF THE SISTERS OF THE HOLY FAMILY OF NAZARETH. 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 7a Members or stockholders electing members of governing body THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO, CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON, AND ONE SISTER OF THE SISTERS OF THE HOLY FAMILY OF NAZARETH. 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 ARTICLES OF INCORPORATION 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 PARTICIPANT 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 PARTICIPANT THAT OWNS DESIGNATED MINISTRY PROPERTY OF THE CORPORATION, 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 PARTICIPANT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE EITHER (A) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY OR (B) THE TYPE 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 2023 VIA A WEB PORTAL POLLING TOOL BY THE 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. CONFLICT OF INTEREST QUESTIONNAIRE WAS DISTRIBUTED TO THE ORGANIZATION'S OFFICERS, KEY EMPLOYEES AND DIRECTORS DURING THE NEXT FISCAL YEAR BY THE ORGANIZATION'S CORPORATE SECRETARY. 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. 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. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. 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 EXECUTIVECOMPENSATION 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. 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. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. 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 EXECUTIVECOMPENSATION 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. 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: 25264521, Related or Exempt Function Revenue: 25264521, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; WELLNESS - Total Revenue: 10956058, Related or Exempt Function Revenue: 10956058, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Prof Fee - Total Revenue: 5644310, Related or Exempt Function Revenue: 5644310, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Business Inter. Rev - Total Revenue: 9645348, Related or Exempt Function Revenue: 9645348, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Cobra Prem - Total Revenue: 88485, Related or Exempt Function Revenue: 88485, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Purchase Discounts - Total Revenue: 25453, Related or Exempt Function Revenue: 25453, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Parking Rev - Total Revenue: 12679, Related or Exempt Function Revenue: 12679, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Food Service Rev - Total Revenue: 3347, Related or Exempt Function Revenue: 3347, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Reinsurance Ceded - Total Revenue: -257649, Related or Exempt Function Revenue: -257649, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Misc Exp - Total Revenue: 11943751, Related or Exempt Function Revenue: 11943751, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Non-Control. Int. - Total Revenue: 6226010, Related or Exempt Function Revenue: 6226010, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Operating Revenue - Total Revenue: 18644200, Related or Exempt Function Revenue: 18644200, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 8 FUNCTIONAL EXPENSE, LINE 8, PENSION PLAN CONTRIBUTIONS FORM 990, PART IX REPORTED IN PENSION PLAN CONTRIBUTIONS IS THE PENSION EXPENSE INCURRED BY THE FILING ORGANIZATION NETTED WITH THE PENSION EXPENSE ALLOCATED TO THE FILING ORGANIZATION'S SUBSIDIARIES. PENSION EXPENSE ALLOCATED EXCEEDED THE PENSION EXPENSE INCURRED FOR FISCAL YEAR ENDING JUNE 30, 2022. Form 990, Part IX, Line 11g Other Fees Medical Service - Total Expense: 471571, Program Service Expense: 422948, Management and General Expenses: 48623, Fundraising Expenses: ; R&M - Total Expense: 75757675, Program Service Expense: 75252450, Management and General Expenses: 505225, Fundraising Expenses: ; Professional Fees - Total Expense: 701053, Program Service Expense: 9186, Management and General Expenses: 691867, Fundraising Expenses: ; Other Fees - Total Expense: 10813781, Program Service Expense: 1706568, Management and General Expenses: 9107213, Fundraising Expenses: ; marketing & consul. - Total Expense: 34613136, Program Service Expense: 11226614, Management and General Expenses: 23386522, Fundraising Expenses: ; line of credit fees - Total Expense: 1128752, Program Service Expense: , Management and General Expenses: 1128752, Fundraising Expenses: ; Collection fees - Total Expense: 4960997, Program Service Expense: 4962287, Management and General Expenses: -1290, Fundraising Expenses: ; subscription fees - Total Expense: 26456545, Program Service Expense: 21172575, Management and General Expenses: 5283970, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , 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 - -9951171; CHANGE IN NET ASSETS ATTRIBUTABLE TO NON CONTROLLILNG INTEREST - -6207998; CHANGE IN RESTRICTED NET ASSETS - -8025; OTHER TAX ADJUSTMENTS - -5788651; RECLASS FOR GAAP FOR DONATIONS/GRANTS TO UNRNA - 41620; Interco Subidies - 539199; CH SANTA ROSA QUALITY CARE ALLIANCE LLC 919 HIDDEN RIDGE DR IRVING TX 75038 474580155 ACO TX 0 0 CH CHRISTUS LOUISIANA ACO LLC 919 HIDDEN RIDGE DR IRVING TX 75038 474592015 ACO LA 0 0 CH CH ARK-LA-TEX QUALITY CARE ALLIANCE LLC 919 HIDDEN RIDGE DR IRVING TX 75038 474599144 ACO TX 0 0 CH CHRISTUS QUALITY CARE ALLIANCE LLC 919 HIDDEN RIDGE DR IRVING TX 75038 474607533 ACO TX 0 0 CH PROMPTU IMAGING OF CORPUS CHRISTI 919 HIDDEN RIDGE DR IRVING TX 75038 813074600 IMAGING CTR. TX 0 0 ASPG PROMPTU IMAGING PLLC 919 HIDDEN RIDGE DR IRVING TX 75038 352564814 IMAGING CTR. 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