CHRISTUS HEALTH: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CHRISTUS HEALTH (EIN 76-0590551)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-13
IRS object ID: 202531339349308263
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-13T15:54:16+00:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2323 VICTORY AVENUE	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	760590551	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	CHRI	BusinessNameControlTxt
Phone	4692822000	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ERNIE SADAU	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Signature	2025-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Patrick Shields	PreparerPersonNm
PTIN	P01508556	PTIN
Phone	2149698000	PhoneNum
Preparation	2025-05-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$3,571,662,828	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTUSHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	4575	TotalEmployeeCnt
Total Volunteers	4	TotalVolunteersCnt
Total Gross UBI	$850,763	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$593,284	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$66,102,416	PYContributionsGrantsAmt
CY Contributions Grants	$913,336	CYContributionsGrantsAmt
PY Program Service Revenue	$705,533,027	PYProgramServiceRevenueAmt
CY Program Service Revenue	$918,480,842	CYProgramServiceRevenueAmt
PY Investment Income	$67,314,579	PYInvestmentIncomeAmt
CY Investment Income	$58,902,033	CYInvestmentIncomeAmt
PY Other Revenue	$189,448,528	PYOtherRevenueAmt
CY Other Revenue	$263,870,493	CYOtherRevenueAmt
PY Total Revenue	$1,028,398,550	PYTotalRevenueAmt
CY Total Revenue	$1,242,166,704	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,867,061	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,824,060	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$477,530,561	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$581,208,236	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$833,450	CYTotalFundraisingExpenseAmt
PY Other Expenses	$664,017,448	PYOtherExpensesAmt
CY Other Expenses	$844,899,714	CYOtherExpensesAmt
PY Total Expenses	$1,145,415,070	PYTotalExpensesAmt
CY Total Expenses	$1,433,932,010	CYTotalExpensesAmt
PY Revenues Less Expenses	-$117,016,520	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$191,765,306	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,676,525,161	TotalAssetsBOYAmt
Total Assets EOY	$3,458,173,956	TotalAssetsEOYAmt
Total Liabilities BOY	$3,046,106,976	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,710,643,474	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$630,418,185	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$252,469,518	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$988,612,445	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,029,644,474	RevenueAmt
Desc	See Schedule O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$158,012,417	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$151,312,417	RevenueAmt
Desc	See Schedule O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,861,179	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	See Schedule O	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$64,453	ExpenseAmt
Grant	$7,824,060	GrantAmt
Revenue	$0	RevenueAmt
Desc	Other program services	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$64,453	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$7,824,060	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$1,148,550,494	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	Yes (true)	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	3482	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4575	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	MX	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	CI	ForeignCountryCd
Foreign Country	CO	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4692822000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID STRONG
DIRECTOR/VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$32,000	$0	$0
ERNIE SADAU
PRESIDENT & CEO	39.0	1.0	Yes (X)	Yes (X)	$17,888,183	$0	$89,650
MARICELA M BREEDLOVE
DIRECTOR/CHAIR	1.0	0.0	Yes (X)	Yes (X)	$51,721	$0	$0
ALIDE CHASE
DIRECTOR	1.0	0.0	Yes (X)		$17,823	$0	$0
BILL CHEN
DIRECTOR	1.0	10.0	Yes (X)		$22,661	$0	$0
CHERYL ALSTON
DIRECTOR	1.0	0.0	Yes (X)		$16,323	$0	$0
Eduardo Garcia Luna Martinez
Director	1.0	0.0	Yes (X)		$0	$0	$0
FATHER STEPHEN WORSLEY
DIRECTOR	1.0	0.0	Yes (X)		$16,473	$0	$0
J LINDSEY BRADLEY JR
DIRECTOR	1.0	0.0	Yes (X)		$11,999	$0	$0
KEVIN J ROY DBA
DIRECTOR	1.0	0.0	Yes (X)		$20,424	$0	$0
SISTER CHRISTINA MURPHY
DIRECTOR (term 12/23)	1.0	0.0	Yes (X)		$0	$0	$0
Sister Kathleen Coughlin
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SISTER LORETTA FELICI
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
STEVEN KEUER MD
TMF CHIEF FINANCIAL OFFICER	39.0	1.0	Yes (X)		$1,281,567	$0	$254,184
IRMA PENALOZA
ASST. CORP SEC	40.0	0.0		Yes (X)	$582,800	$0	$150,930
KAREN OLIVER
ASST. CORP SEC	40.0	0.0		Yes (X)	$118,017	$0	$43,659
NANCY RODILL
DIR OF GOV, ACS	40.0	0.0		Yes (X)	$289,627	$0	$68,662
RANDY SAFADY
EVP/CHIEF FINANCIAL OFFICER	39.0	1.0		Yes (X)	$7,181,461	$0	$78,909
CHARLES T HANKINS
SVP PEDIATRICS AND CMO, CHOSA	39.0	1.0			$761,816	$0	$276,702	Yes (X)
CHRIS C DASKEVICH
SVP MATERNAL SVCS & CEO, CHOSA	39.0	1.0			$1,107,196	$0	$246,131	Yes (X)
CHRISTOPHER KARAM
SR VP & REG CEO	39.0	1.0			$1,383,146	$0	$99,933	Yes (X)
DOMINIC DOMINGUEZ
SVP-GROUP OPERATIONS SO TX	39.0	1.0			$1,469,771	$0	$263,532	Yes (X)
FADI NASRALLAH MD
SVP CMO TRINITY CLINIC	39.0	1.0			$1,419,838	$0	$280,019	Yes (X)
GABRIELA SAENZ
SVP CORP SERVICES	40.0	0.0			$1,028,530	$0	$200,796	Yes (X)
GERARD F HEELEY
SR VP MISSION AND ETHICS (term 6/24)	39.0	1.0			$2,919,003	$0	$460,332	Yes (X)
Gerardo Flores MD
SVP/CNO	40.0	0.0			$913,768	$0	$219,154	Yes (X)
J CHRIS GLENNEY
SVP GROUP OPERATIONS NETX	39.0	1.0			$1,499,959	$0	$290,217	Yes (X)
JEANNIE FREY
SVP CHIEF LEGAL OFFICER	39.0	1.0			$1,505,851	$0	$72,204	Yes (X)
JEFFREY M PUCKETT
EVP/COO	39.0	1.0			$8,785,568	$0	$100,417	Yes (X)
Jennifer Beal
SVP CAO	40.0	0.0			$753,370	$0	$158,864	Yes (X)
JON MANIS
SVP CIO	40.0	0.0			$2,347,221	$0	$198,691	Yes (X)
KIM REYNOLDS
SVP FINANCE	40.0	0.0			$1,294,258	$0	$271,116	Yes (X)
KIMBERLY KING WEBB
SVP CHIEF HR OFFICER	40.0	0.0			$1,260,360	$0	$315,844	Yes (X)
M SHANNON STANSBURY
SVP POPULATION HEALTH	39.0	1.0			$1,002,684	$0	$220,434	Yes (X)
MARTY MARGETTS
EVP/CAO	39.0	1.0			$6,172,499	$0	$822,017	Yes (X)
PAUL D GENERALE
EVP/CHIEF STRATEGY OFFICER	39.0	1.0			$6,220,463	$0	$811,418	Yes (X)
SAM BAGCHI MD
EVP/CMO	39.0	1.0			$4,781,092	$0	$801,686	Yes (X)
TINA BARKER
SVP STRATEGY MARKETING & DIG	40.0	0.0			$942,114	$0	$207,867	Yes (X)
Andrea Teague
VP Cancer Services	40.0	0.0			$944,861	$0	$127,125		Yes (X)
LILLIAN MONTOYA
Pres/CEO SVH	40.0	0.0			$934,390	$0	$211,766		Yes (X)
Luis Haro
VP Operations for Emergency Services (term 7/23)	40.0	0.0			$1,222,376	$0	$64,080		Yes (X)
MARK ANDERSON
CMO, CRP TMF HEALTH SYSTEM	39.0	1.0			$933,072	$0	$79,472		Yes (X)
PAUL M TREVINO
CEO SETX & SWLA	40.0	0.0			$967,844	$0	$227,819		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$80,102,129	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$7,713,630	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1008	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
HHS ENVIRONMENTAL SERVICES LLC
216 E 4TH ST	Austin	TX	78701	HEALTHCARE SVCS	$82,412,859
CROTHALL HEALTHCARE
1500 Liberty Ridge Dr	Wayne	PA	19087	Healthcare SVCS	$66,767,100	Ste 210
HOSPITALIST MEDICINE PHYS OF TX PLLC
18951 N MEMORIAL DR	HUMBLE	TX	773384217	PHYSICIANS SVCS	$32,388,562
AVANT HEALTHCARE PROFESSIONALS LLC
1211 State Road 436 Ste 227	Casselberry	FL	32707	HEALTHCARE SVCS	$27,406,555
EMERGENCHEALTH PLLC
4100 International Plz Ste 800	Fort Worth	TX	76109	Medical Svcs	$24,178,875

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	778	CntrctRcvdGreaterThan100KCnt
Government Grants	$913,336	GovernmentGrantsAmt
Total Contributions	$913,336	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INFORMATION SERVICE FEE	900099	$283,566,374	$282,715,611	$850,763
SYSTEM OFFICE FEE	900099	$242,272,242	$242,272,242
PHARMACY REVENUE	900099	$207,137,359	$207,137,359
INSURANCE PREMIUM	900099	$144,167,480	$144,167,480
MANAGEMENT FEE	541610	$26,155,107	$26,155,107

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,182,280	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,182,280	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$918,480,842	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,612,127	TotalRevenueColumnAmt
Exclusion	$47,612,127	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$358,981	TotalRevenueColumnAmt
Exclusion	$358,981	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$179,027	TotalRevenueColumnAmt
Exclusion	$179,027	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,339,440,752	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,328,509,827	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,930,925	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,930,925	TotalRevenueColumnAmt
Exclusion	$10,930,925	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,201,714	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$986,297	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,215,417	TotalRevenueColumnAmt
Exclusion	$1,215,417	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Financial Service Revenue	900990	$130,914,243	$130,914,243
Other Operating Revenue	900099	$53,885,804	$53,885,804
Other Professional Revenue	900099	$23,007,659	$23,007,659

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,668,343	TotalRevenueColumnAmt
Related Or Exempt Func Income	$54,668,343	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$262,476,049	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,242,166,704	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,180,106,128	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$850,763	UnrelatedBusinessRevenueAmt
Exclusion	$60,296,477	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$7,824,060	TotalAmt
Program Services	$7,824,060	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$99,710,899	TotalAmt
Program Services	$63,563,972	ProgramServicesAmt
Management And General	$36,087,746	ManagementAndGeneralAmt
Fundraising	$59,181	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$400,997,888	TotalAmt
Program Services	$255,629,211	ProgramServicesAmt
Management And General	$145,130,673	ManagementAndGeneralAmt
Fundraising	$238,004	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,363	TotalAmt
Management And General	$13,363	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$56,832,405	TotalAmt
Program Services	$31,191,199	ProgramServicesAmt
Management And General	$25,612,245	ManagementAndGeneralAmt
Fundraising	$28,961	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$23,653,681	TotalAmt
Program Services	$18,212,616	ProgramServicesAmt
Management And General	$5,423,172	ManagementAndGeneralAmt
Fundraising	$17,893	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,126,940	TotalAmt
Program Services	$1,448,914	ProgramServicesAmt
Management And General	$4,678,026	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,061,075	TotalAmt
Management And General	$5,061,075	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$998,837	TotalAmt
Management And General	$998,837	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,248,192	TotalAmt
Program Services	$3,199,160	ProgramServicesAmt
Management And General	$49,032	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$467,574,212	TotalAmt
Program Services	$409,143,522	ProgramServicesAmt
Management And General	$57,964,444	ManagementAndGeneralAmt
Fundraising	$466,246	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,544,441	TotalAmt
Program Services	$3,526,495	ProgramServicesAmt
Management And General	$17,946	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,702,462	TotalAmt
Program Services	$84,083,823	ProgramServicesAmt
Management And General	-$61,392,456	ManagementAndGeneralAmt
Fundraising	$11,095	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,065,019	TotalAmt
Program Services	$9,841,964	ProgramServicesAmt
Management And General	$8,223,055	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$16,239,437	TotalAmt
Program Services	$5,006,686	ProgramServicesAmt
Management And General	$11,220,681	ManagementAndGeneralAmt
Fundraising	$12,070	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$7,312,706	TotalAmt
Program Services	$2,361,346	ProgramServicesAmt
Management And General	$4,951,360	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,808,246	TotalAmt
Program Services	$1,687,897	ProgramServicesAmt
Management And General	$16,120,349	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,227,150	TotalAmt
Program Services	$19,227,150	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$127,245,283	TotalAmt
Program Services	$117,321,013	ProgramServicesAmt
Management And General	$9,924,270	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Other Tax Expense	$91,484,391	$83,133,907	$8,350,484
Community Benefit Expense	$29,473,186	$29,473,186
Recruiting Fees	$5,006,153	$1,633,137	$3,373,016
License Permits/inspection fees	$1,543,832	$979,730	$564,102

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,238,152	TotalAmt
Program Services	$61,506	ProgramServicesAmt
Management And General	$2,176,646	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,433,932,010	TotalAmt
Program Services	$1,148,550,494	ProgramServicesAmt
Management And General	$284,548,066	ManagementAndGeneralAmt
Fundraising	$833,450	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$649,284,092	BOYAmt
EOY	$550,008,660	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,986,015	BOYAmt
EOY	$110,292,225	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$36,761,646	BOYAmt
EOY	$102,621,777	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,101,894	BOYAmt
EOY	$2,185,776	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$71,620,893	BOYAmt
EOY	$76,821,405	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$726,500,120	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$212,420,305	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$377,211,127	BOYAmt
EOY	$514,079,815	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$896,939,969	BOYAmt
EOY	$738,142,904	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$364,587,166	BOYAmt
EOY	$352,712,977	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,091,793,673	BOYAmt
EOY	$788,155,436	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,296,630	BOYAmt
EOY	$19,296,630	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$138,942,056	BOYAmt
EOY	$203,856,351	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,676,525,161	BOYAmt
EOY	$3,458,173,956	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$495,459,759	BOYAmt
EOY	$779,276,889	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$171,420,747	BOYAmt
EOY	$272,059,013	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,937,396,553	BOYAmt
EOY	$2,017,117,460	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$441,829,917	BOYAmt
EOY	$642,190,112	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,046,106,976	BOYAmt
EOY	$3,710,643,474	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$614,839,317	BOYAmt
EOY	-$268,048,668	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,578,868	BOYAmt
EOY	$15,579,150	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$630,418,185	BOYAmt
EOY	-$252,469,518	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,676,525,161	BOYAmt
EOY	$3,458,173,956	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$191,765,306	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$483,138	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$690,639,259	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$107,384,641	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$60,002,619	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$84,003,539	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$66,102,416	CurrentTaxYearMinus1YearAmt
Current Tax Year	$913,336	CurrentTaxYearAmt
Total	$318,406,551	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$831,153,160	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$617,632,378	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$630,880,491	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$705,533,027	CurrentTaxYearMinus1YearAmt
Current Tax Year	$918,480,842	CurrentTaxYearAmt
Total	$3,703,679,898	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,274,612	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$512,938	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,568,378	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,995,971	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,201,714	CurrentTaxYearAmt
Total	$8,553,613	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

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

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

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

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$940,812,413	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$678,147,935	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$716,452,408	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$773,631,414	CurrentTaxYearMinus1YearAmt
Current Tax Year	$921,595,892	CurrentTaxYearAmt
Total	$4,030,640,062	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$4,030,640,062	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$31,465,870	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$100,544,300	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$129,301,167	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$67,192,864	CurrentTaxYearMinus1YearAmt
Current Tax Year	$48,150,135	CurrentTaxYearAmt
Total	$376,654,336	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$581,914	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$501,879	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$558,538	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$620,044	CurrentTaxYearMinus1YearAmt
Current Tax Year	$660,316	CurrentTaxYearAmt
Total	$2,922,691	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$32,047,784	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$101,046,179	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$129,859,705	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$67,812,908	CurrentTaxYearMinus1YearAmt
Current Tax Year	$48,810,451	CurrentTaxYearAmt
Total	$379,577,027	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$25,564,972	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$123,582,860	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$190,203,054	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$187,908,412	CurrentTaxYearMinus1YearAmt
Current Tax Year	$262,476,049	CurrentTaxYearAmt
Total	$789,735,347	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$998,425,169	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$902,776,974	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,036,515,167	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,029,352,734	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,232,882,392	CurrentTaxYearAmt
Total	$5,199,952,436	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.7751	PublicSupportCY509Pct
Public Support PY509	0.8027	PublicSupportPY509Pct
Investment Income CY	0.07	InvestmentIncomeCYPct
Investment Income PY	0.08	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part III, Line 12 Other Income	FormAndLineReferenceDesc
Explanation	DESCRIPTION - ACTUARIAL CREDIT, COLUMN A - 16546857.0, COLUMN B - , COLUMN C - , COLUMN D - 8036801.0, COLUMN E - , COLUMN F - 24583658.0; DESCRIPTION - INTERCOMPANY SALARIES, COLUMN A - 2004393.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 2004393.0; DESCRIPTION - AMBULATORY SERVICE, COLUMN A - 1013866.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 1013866.0; DESCRIPTION - PATIENT FINANCIAL SERVICES, COLUMN A - , COLUMN B - 52199849.0, COLUMN C - 97895241.0, COLUMN D - XXX-XX-XXXX.0, COLUMN E - XXX-XX-XXXX.0, COLUMN F - XXX-XX-XXXX.0; DESCRIPTION - ALL OTHER REVENUE, COLUMN A - 5999856.0, COLUMN B - 71383011.0, COLUMN C - 92307813.0, COLUMN D - 65423236.0, COLUMN E - XXX-XX-XXXX.0, COLUMN F - XXX-XX-XXXX.0;	ExplanationTxt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$47,322	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$951,289	OtherActivitiesAmt
Total Lobbying Expenditures	$998,611	TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	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: 128 HOURS EXECUTIVE LEVEL, 119 DIRECTOR/MANAGER	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,686,878	OtherCostOrOtherBasisAmt
Book Value	$39,686,878	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$341,978,740	OtherCostOrOtherBasisAmt
Depreciation	$77,377,933	DepreciationAmt
Book Value	$264,600,807	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$794,818	OtherCostOrOtherBasisAmt
Depreciation	$362,257	DepreciationAmt
Book Value	$432,561	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$309,382,983	OtherCostOrOtherBasisAmt
Depreciation	$130,827,630	DepreciationAmt
Book Value	$178,555,353	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,656,701	OtherCostOrOtherBasisAmt
Depreciation	$3,852,485	DepreciationAmt
Book Value	$30,804,216	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$514,079,815	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (8 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Curr Portion Assets Limited As to Use	$28,045,000	F
ST Val Allow Eq Inv MF Hedge Funds	$64,075,526	F
ST Eq Inv Managed Funds Hedge Funds	$142,790,494	F
Val Allow ST Inv Equity Sec International	$70,822	F
ST Inv Equity Securities International	$4,825,556	F
ALATU Cash and Cash Equivalents	$173,774	F
ST Eq Inv Managed Funds Fixed Inc Funds	$112,481,805	F
ST Inv Fixed Income Securities	$250,000	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$352,712,977	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Investment in Consolidated Subsidiaries	$787,122,799	F
Pending Sale Investment	$1,032,637	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$788,155,436	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (16 entries)

DescDesc	Book ValueBookValueAmt
ROU Transactions
Other Long Term Assets
Deposits
Executive Benefit Plan Asset
LT Amortizing Prepaid Asset
DC SERP Assets
Deferred Comp
Asset Clearing
ROU Transactions	$1,415,916
Other Long Term Assets	$6,966,253
Deposits	$11,133,302
Executive Benefit Plan Asset	$6,066,901
LT Amortizing Prepaid Asset	$50,325,138
DC SERP Assets	$56,120,623
Deferred Comp	$71,637,772
Asset Clearing	$190,446

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$203,856,351	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (17 entries)

DescDesc	AmtAmt
Error Suspense	-$154,507
Executive Benefit Plan Liabilities	$4,311,382
Other Long Term Liabilities	$66,784,242
Asset Retirement Obligations	$6,886,967
Lease Liability Operating LT Portion	$1,009,501
Notes Payable	$562,274,236
Accum Amort Bond Issue Costs	$4,082,177
Bond Issue Costs	-$13,593,477
Pension Restoration Liability	$633,067
Pension Liability	-$39,042,743
CP OPERATING LEASE LIABILITY	$1,222,803
HEALTH INSURANCE	$25,128,481
BUSINESS FOREIGN TAX PAYABLE	$723,142
BUSINESS STATE SALES TAX PAYABLE	$27,892
BUSINESS FEDERAL INC TAX PAYABLE	$14,894,593
NONPATRON COLLECTIONS PAYABLE	$2,356
INVENTORY	$7,000,000

Field	Value	IRS element (for citing)
Total Liability	$642,190,112	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2024 AND 2023.	ExplanationTxt

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Program Services	PROGRAM/BUS TRAVEL	$74,172
East Asia and the Pacific	Program Services	PROGRAM/BUS TRAVEL	$2,559
Europe (Including Iceland and Greenland)	Program Services	PROGRAM/BUS TRAVEL	$58,770
North America (Canada & Mexico only)	Program Services	PROGRAM/BUS TRAVEL	$472,130
South America	Program Services	PROGRAM/BUS TRAVEL	$177,295
Middle East and North Africa	Program Services	PROGRAM/BUS TRAVEL	$1,569
South Asia	Program Services	PROGRAM/BUS TRAVEL	$399
Sub-Saharan Africa	Program Services	PROGRAM/BUS TRAVEL	$5

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$786,899	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$786,899	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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; SUB-SAHARAN AFRICA-Accrual

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (79 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Catholic Diocese of Dallas
3725 Blackburn Street	Dallas	TX	75219	750800637	501(c)(3)	$26,200	FMV	To purchase medications and medical supplies and to provide travel scholarships for medical professionals and one consecrated religious.
Haven Homes
PO Box 5345	Texarkana	TX	75505	901004117	501(c)(3)	$75,000	FMV	To support the Haven Home for Women, a safe place for women in need of recovery and addiction support.
Path People Attempting To Help
402 W Front St	Tyler	TX	75702	752033113	501(c)(3)	$50,000	FMV	To provide financial assistance to famillies with elementary aged students who are economically disadvantaged or experiencing homelessnee to address student mobility rates and educational outcomes.
Sabine Valley Regional Mhmr Ctr
PO Box 6800	Longview	TX	75608	751724017	501(c)(3)	$100,000	FMV	To provide an immediate response to individuals that present at the ER for behavioral health reasons.
Buckner Children And Family Services
700 N Pearl St Ste 1200	Dallas	TX	75201	750891443	501(c)(3)	$56,250	FMV	To empower single parents and their families achieve self-sufficiency by providing support services that help reduce family stress factors.
Crossroads Community Services Inc
4500 S Cockrell Hill Rd	Dallas	TX	75236	472676714	501(c)(3)	$100,000	FMV	To improve and stabilize the nutritional intake of low-income individuals, families, and communities and reduce the frequency and impact of household food crises.
TX A&M - Corpus Christi Fnd
6300 Ocean Dr 5741	Corpus Christi	TX	78412	742491445	501(c)(3)	$91,600	FMV	Building resilient adult voices through Engagement in Simulation (BRAVES) Mental Health Initiative
Council on Alcoholism & Drug Abuse of NW LA
2000 Fairfield Ave	Shreveport	LA	71104	720544581	501(c)(3)	$50,000	FMV	To provide assistance to the police & other first responders to help individuals experiencing a mental health crisis.
The Food Bank of Central LA Inc
3223 Baldwin Ave	Alexandria	LA	71301	721154072	501(c)(3)	$75,000	FMV	To expand the food bank's permanent capacity to store and distribute food while creating a space to learn more about nutrition and how to prepare healthy food.
Congregation Of The Sisters Aka Ccvi San Antonio
4503 Broadway	San Antonio	TX	78209	741676917	501(c)(3)	$100,000	FMV	To enhance the level of care & support provided to the Sisters of the Congregation
Cenla Pregnancy Centers Inc
1254 MacArthur Dr	Alexandria	LA	71303	821338688	501(c)(3)	$25,000	FMV	To connect women experiencing an unplanned pregnancy to medical & social resources.
Coastal Bend Center for Independent Living
3462 S Almeda St	Corpus Christi	TX	78411	742878070	501(c)(3)	$91,600	FMV	To provide transportation services to health-related services and community activitites for individuals with disabilities and older adults
Community Renewal International Inc
PO Box 4678	Shreveport	LA	71134	721213057	501(c)(3)	$72,500	FMV	To build & grow positive caring relationships between & amongst the Highland neighborhood residents through the Friendship House strategy.
Rural Economic Assistance League Inc
301 Lucero St	Alice	TX	78332	741784537	501(c)(3)	$91,600	FMV	To provide a space for adults living with severe mental illnessed to learn, volunteer, and grow.
Villages of Sante Fe
369 Montezuma Ave Ste 124	Santa Fe	NM	87501	812081196	501(c)(3)	$20,000	FMV	To reduce death & injury from falls by increasing the activity level in the older population of northern New Mexico.
Women's Center of East Texas
1011 Wal Street Ste 101	Longview	TX	75606	751659423	501(c)(3)	$93,000	FMV	To provide prompt counseling services to survivors of domestic & sexual violence from qualified, licensed counselors.
The Memory Care Alliance
1541 S St Frances Dr	Santa Fe	NM	87505	883566227	501(c)(3)	$115,000	FMV	To support caregiver mental health & wellbeing in culturally appropriate ways. To provide mental health services to pregnant and perinatal women and to work with the family to create a longer-term mental health solution.
Runnin' WJ Therapeutic Riding Center Inc
4802 S Kings Hwy	Texarkana	TX	75501	752897949	501(c)(3)	$25,000	FMV	To aid individuals with mental health issues using alternative methods of counseling.
Family Services of Southeast Texas Inc
3550 Fannin St	Beaumont	TN	77701	751382713	501(c)(3)	$100,000	FMV	To provide safe counseling, safe shelter, food, clothing and other services to survivors of sexual assualt, rape & domestic violence.
Society of St Vincent de Paul
410 S College	Tyler	TX	75702	264618666	501(c)(3)	$100,000	FMV	To improve food security by being a reliable and sustainable supplemental source of food.
Food Bank of Northwest Louisiana
285 Mt Zion Rd	Shreveport	LA	71106	721328890	501(c)(3)	$69,500	FMV	To increase food access to low-income, rural areas through mobile food pantry deliveries.
Harvest Texarkana
3120 E 19th St	Texarkana	AR	71854	752671647	501(c)(3)	$100,000	FMV	To implement a Food Box Prescription program at CHRISTUS St. Michael for patients who are diabetic and/or hypertensive.
Catholic Charities of Southwest Louisiana
1225 2nd St	Lake Charles	LA	70601	871727700	501(c)(3)	$100,000	FMV	To provide fresh fruits, vegetables, dairy products and meats to increase the nutritional profile of the foods provided in the food bank.
Bexar County Communty Health Collaborative
2300 W Commerce St Ste 301	San Antonio	TX	78207	742953076	501(c)(3)	$50,000	FMV	To connect recently discharged hospital patients with chronic medical conditions with Community Health Workers to avoid rehospitalizations and improve their quality of life.
Carevide
PO Box 1908	Greenville	TX	75403	751528614	501(c)(3)	$100,000	FMV	To advance the health & wellbeing of Hopkins County by supporting the healthcare center's engagement in a value-based healthcare delivery model.
Santa Fe Farmer's Market Institute
1607 Paseo de Peralta Ste A	Santa Fe	NM	87501	300124953	501(c)(3)	$99,900	FMV	To increase equitable access to local, fresh, nutritious food in underinvested communities.
Manna House
2655 Lee St	Alexandria	LA	71301	260737060	501(c)(3)	$50,000	FMV	To improve food security by providing hot nutritious food 365 days a year in central Louisiana.
Center of Christian Service DBA United Board of Missions
6650 9th Avenue	Port Arthur	TX	77642	741715362	501(c)(3)	$20,000	FMV	To improve food security by delivering nutritious meals for the elderly and/or individuals.
River City Advocacy Inc
1614 W San Antonio St	New Braunfels	TX	78130	743004101	501(c)(3)	$70,000	FMV	To provide mental health counseling for an affordable sliding scale cost to citizens in Comal County.
Samaritan Counseling Center of Southeast Texas
7980 Anchor Dr Bldg 500	Port Arthur	TX	77642	760068922	501(c)(3)	$75,000	FMV	To increase prompt counseling for uninsured and underinsured individuals through the recruitment, training and retention of fully licensed professional counselors.
Shreveport Green
3625 Southern Ave	Shreveport	LA	71104	720970610	501(c)(3)	$75,000	FMV	To provide fresh, locally sourced produce along with educational initiativies to individuals experiencing cardiovascular disease.
Newgate United Methodist Mission of Longview
207 S Mobberly Ave	Longview	TX	75602	752663844	501(c)(3)	$56,250	FMV	To provide access to nutritious meals and healthy food, 7 days a week, in Longview, TX.
Family & Youth Counseling Agency Inc
220 Louie St	Lake Charles	LA	70601	720688561	501(c)(3)	$100,000	FMV	To improve the immediate and long-term mental health of residents of southwest Louisiana.
Central Louisiana Homeless Coalition
1515 Jackson St	Alexandria	LA	71301	721247718	501(c)(3)	$145,000	FMV	To provide case management services to people experiencing homelessness and connect them to community programs and resources.
Family Service Association of San Antonio Inc
702 San Pedro Ave	San Antonio	TX	78212	741117341	501(c)(3)	$100,000	FMV	To expand access to mental health services to underserved communities through schoool-based mental health services.
Texarkana Volunteer Services Bureau Inc
1915 Olive St	Texarkana	TX	75501	710408622	501(c)(3)	$20,000	FMV	To improve access to essential healthcare services & nutritious food for senior citizens in Texas & Arkansas.
Women's Shelter of South Texas
4444 Corona Dr Ste 139	Corpus Christi	TX	78411	741943398	501(c)(3)	$20,200	FMV	To expand culturally competent, specialized, supportive services to survivors of domestic and sexual violence and their families.
St Vincent de Paul Pharmacy
3826 Gilbert Ave	Dallas	TX	75219	263273175	501(c)(3)	$50,000	FMV	To provide free medications to all Texas residens whose household income is at or below 300 percent of the federal poverty level.
Catholic Charities of Dallas Inc
1421 W Mockingbird Ln	Dallas	TX	75247	752745221	501(c)(3)	$180,000	FMV	To create a welcoming, safe and supportive environment for the formerly chronically homeless, where they can work towards stabilization and self-sufficiency. 2024 Bishop Gala, School supplies
St Luke's Episcopal Mobile Medical Ministry Inc
875 Cotton St	Shreveport	LA	71101	453786377	501(c)(3)	$28,000	FMV	To provide free health services to the underserved residents of northwest Louisiana with a focus on individuals who are homeless and/or low-income.
Rise School of San Antonio
414 N San Saba St	San Antonio	TX	78207	932412684	501(c)(3)	$75,000	FMV	To deliver comprehensive education, intervention and therapy services to students one to five years old.
The Salvation Army of Greater Texarkana
400 East 4th St	Texarkana	AR	71854	580660607	501(c)(3)	$50,000	FMV	To provide young people with access to high-quality educational opportunities to help them succeed in school and life.
Children's Advocacy Center of Smith County Inc
PO Box 132889	Tyler	TX	75713	752748697	501(c)(3)	$50,000	FMV	To establish trauma-informed schools in Smith County that offer children learning environments that reduce trauma.
Tierra Nueva Counseling Center LLC
3952 San Delipe Rd	Santa Fe	NM	87507	850271348	501(c)(3)	$60,100	FMV	To help low-income individuals and families achieve greater well-being by reducing problematic mental health symptoms.
Twelve Way Foundation Inc
3901 Elysian Fields Ave	Marshall	TX	75672	412131469	501(c)(3)	$37,500	FMV	To support men during their recovery journey by addressing recidivism, relapse and depression.
Family Foundation of Southwest LA
220 Louie St	Lake Charles	LA	70601	721472220	501(c)(3)	$95,000	FMV	To provide court-appointed advocacy for children & youth involved with the foster care system.
Catholic Charities of Southeast Texas
2780 Eastex Freeway	Beaumont	TX	77703	741900345	501(c)(3)	$100,000	FMV	To improve food security by providing supplemental grocery products to low-income households.
Asbury House Child Enrichment Center
320 S Center St	Longview	TX	75601	800393214	501(c)(3)	$52,000	FMV	To develop a fully bilingual Pre-Kindergarten classroom to encourage children to learn a second language.
Sisters Of Charity Of The Incarnate
4503 Broadway St	San Antonio	TX	78209	237152879	501(c)(3)	$120,000	FMV	Donation in the name Mr Don Powell and Juan Maya Patino, Deceased father of Sister Tere Maya
Congregation Of The Sisters Of The Incarnate Word
6510 Lawndale Street	Houston	TX	77223	510142133	501(c)(3)	$100,000	FMV	Donation in the name of Mr Kevin O'Neil	PO Box 230969
Sisters Of The Holy Family Of Nazareth Usa Inc
310 North River Rd	Des Plaines	IL	60016	205728349	501(c)(3)	$100,000	FMV	Donation in the name of Mr Kevin O'Neil
Childrens Hospital Of San Antonio Foundation
PO BOX 1661	San Antonio	TX	78296	741224362	501(c)(3)	$35,000	FMV	Donation Request
Christus Mother Frances Hospital Foundation
100 East Ferguson Street	Tyler	TX	75702	752028241	501(c)(3)	$30,000	FMV	Donation Request
NRVCNational Religious Vocation Conference
5416 South Cornell	Chicago	IL	60615	362701960	501(c)(3)	$25,000	FMV	Donation for 2024 Annual Conference per Ernie Sadau, CEO
Texas Medical Association
401 West 15th Street	Austin	TX	78701	746073346	501(c)(3)	$20,000	FMV	Sponsorship of TMA 2024 annual meeting
Leadership Conference Of Women Religious Of The Us
8737 Colesville Rd	Silver Spring	MD	20910	530196620	501(c)(3)	$20,000	FMV	Donation, Diamond Sponsorship	Suite 610
FRIENDS OF SANTA ROSA FOUNDATION
100 Northeast Loop 410	San Antonio	TX	78216	742723391	501(c)(3)	$15,000	FMV	Donation Request	Suite 706
Christus Spohn Health System Foundation
613 Elizabeth	Corpus Christi	TX	78404	741109836	501(c)(3)	$15,000	FMV	Donation Request	Suite 605
Christus St Michael Foundation
2600 St Michael Drive	Texarkana	TX	75503	471655865	501(c)(3)	$15,000	FMV	Donation Request
University Of The Incarnate Word
4301 Broadway	San Antonio	TX	78209	741109661	501(c)(3)	$15,000	FMV	Sponsorship Donation	CPO 317
St Vincent Hospital Foundation
455 St Michael Drive	Santa Fe	NM	87505	850282847	501(c)(3)	$25,000	FMV	Sponsorship Donation
Congressional Hispanic Caucus Institute Inc
1128 16th Street NW	Washington	DC	20036	521114225	501(c)(3)	$30,000	FMV	45th Annual Awards Gala Partnership
Christus Foundation For Healthcare
919 Hidge Ridge	Irving	TX	75038	611500100	501(c)(3)	$20,000	FMV	19th Annual Nun Run _Honorary Nun Sponsorship
Christus Health Foundation Southeast Texas
2830 Calder Street	Beamont	TX	77702	741461326	501(c)(3)	$10,000	FMV	Gala Donation
American College Of Healthcare Executives
300 Decker Drive	Irving	TX	75062	352225477	501(c)(3)	$10,000	FMV	Donation for Upcoming events	Suite 300
St Frances Cabrini Hospital
3330 Masonic Drive	Alexandria	LA	71301	720998302	501(c)(3)	$10,000	FMV	Donation requestion from Ashley Walker, Foundation Exec.Dir
Christus Foundation Shreveport Bossier
7591 Fern Avenue	Shreveport	LA	71105	721219280	501(c)(3)	$10,000	FMV	Donation	Suite 1903
The Village At Incarnate Word Incarnate Word Retir
4707 Broadway	San Antonio	TX	78209	741109717	501(c)(3)	$10,000	FMV	Donation Spirit of Service Luncheon
The National Center For Missing & Exploited Children
333 John Carlyle St	Alexandria	VA	22314	521328557	501(c)(3)	$10,000	FMV	Texas Women for Children 2023 Saddle UP	Suite 125
Hopkins County Health Care Foundation
115 Airport Rd	Sulpur Springs	TX	75482	752845157	501(c)(3)	$10,000	FMV	FY2024 Donation
Christus Ochsner Southwestern Louisiana Foundation
524 Dr Michael Dbakey Drive	Lake Charles	LA	70601	471496376	501(c)(3)	$10,000	FMV	FY2024 Donation
Christus Good Shepherd Foundation Longview
700 East Marshall Avenue	Longview	TX	75601	750974351	501(c)(3)	$10,000	FMV	Donation
Christus Santa Rosa San Marcos Foundation
1301 Wonder World Dr	San Marcos	TX	78666	742259907	501(c)(3)	$10,000	FMV	Donation Request
In My Shoes
12222 Merit Drive	Dallas	TX	75251	463543853	501(c)(3)	$10,000	FMV	Donation	1900
Irving Symphony Orchestra
225 E John Carpenter Freeway	Irving	TX	75062	756085542	501(c)(3)	$10,000	FMV	2023 - 2024 Corpate Sponsorship	Suite 120
Visitation House Ministries
PO Box 12074	San Antonio	TX	78212	742447137	501(c)(3)	$7,500	FMV	Donation
Texas A&M Foundation
101 Bizzell Street	College Station	TX	77843	742245072	501(c)(3)	$10,000	FMV	For Isen Capstone Program
Shreveport - Bossier Washington Mardi Gras
PO Box 962	Shreveport	LA	71163	721251999	501(c)(6)	$11,200	FMV	DONATION
Canine Companions
7710 Las Colinas Ridge	Irving	TX	75063	942494324	501(c)(3)	$7,500	FMV	DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	78	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ERNIE SADAU
PRESIDENT & CEO	$2,381,334	$0	$7,652,681	$0	$7,854,168	$0	$83,415	$0	$6,235	$0	$17,977,833	$0	$7,298,780	$0
STEVEN KEUER MD
TMF CHIEF FINANCIAL OFFICER	$697,737	$0	$405,809	$0	$178,021	$0	$243,814	$0	$10,370	$0	$1,535,751	$0	$176,699	$0
RANDY SAFADY
EVP/CHIEF FINANCIAL OFFICER	$1,482,193	$0	$3,630,377	$0	$2,068,891	$0	$70,284	$0	$8,625	$0	$7,260,370	$0	$2,066,919	$0
IRMA PENALOZA
ASST. CORP SEC	$348,461	$0	$185,444	$0	$48,895	$0	$134,086	$0	$16,844	$0	$733,730	$0	$47,811	$0
NANCY RODILL
DIR OF GOV, ACS	$206,669	$0	$82,808	$0	$150	$0	$56,046	$0	$12,616	$0	$358,289	$0	$0	$0
KAREN OLIVER
ASST. CORP SEC	$116,471	$0	$1,200	$0	$346	$0	$27,815	$0	$15,844	$0	$161,676	$0	$0	$0
JEFFREY M PUCKETT
EVP/COO	$1,555,613	$0	$3,764,956	$0	$3,464,999	$0	$85,694	$0	$14,723	$0	$8,885,985	$0	$3,463,677	$0
PAUL D GENERALE
EVP/CHIEF STRATEGY OFFICER	$1,244,347	$0	$3,218,724	$0	$1,757,392	$0	$802,353	$0	$9,065	$0	$7,031,881	$0	$1,754,920	$0
MARTY MARGETTS
EVP/CAO	$1,240,814	$0	$3,218,724	$0	$1,712,961	$0	$801,347	$0	$20,670	$0	$6,994,516	$0	$1,710,990	$0
SAM BAGCHI MD
EVP/CMO	$1,193,899	$0	$3,155,393	$0	$431,800	$0	$771,191	$0	$30,495	$0	$5,582,778	$0	$409,437	$0
GERARD F HEELEY
SR VP MISSION AND ETHICS (term 6/24)	$780,710	$0	$1,358,982	$0	$779,311	$0	$457,724	$0	$2,608	$0	$3,379,335	$0	$772,757	$0
JON MANIS
SVP CIO	$730,470	$0	$1,009,800	$0	$606,951	$0	$43,201	$0	$155,490	$0	$2,545,912	$0	$606,951	$0
J CHRIS GLENNEY
SVP GROUP OPERATIONS NETX	$785,008	$0	$553,491	$0	$161,460	$0	$274,329	$0	$15,888	$0	$1,790,176	$0	$160,310	$0
DOMINIC DOMINGUEZ
SVP-GROUP OPERATIONS SO TX	$777,464	$0	$525,911	$0	$166,396	$0	$254,594	$0	$8,938	$0	$1,733,303	$0	$162,091	$0
FADI NASRALLAH MD
SVP CMO TRINITY CLINIC	$728,008	$0	$521,181	$0	$170,649	$0	$267,539	$0	$12,480	$0	$1,699,857	$0	$167,458	$0
JEANNIE FREY
SVP CHIEF LEGAL OFFICER	$770,035	$0	$547,872	$0	$187,944	$0	$65,701	$0	$6,503	$0	$1,578,055	$0	$0	$0
KIMBERLY KING WEBB
SVP CHIEF HR OFFICER	$667,518	$0	$491,680	$0	$101,162	$0	$246,531	$0	$69,313	$0	$1,576,204	$0	$100,512	$0
KIM REYNOLDS
SVP FINANCE	$591,745	$0	$601,440	$0	$101,073	$0	$264,505	$0	$6,611	$0	$1,565,374	$0	$100,423	$0
CHRISTOPHER KARAM
SR VP & REG CEO	$616,874	$0	$489,957	$0	$276,315	$0	$87,004	$0	$12,929	$0	$1,483,079	$0	$0	$0
CHRIS C DASKEVICH
SVP MATERNAL SVCS & CEO, CHOSA	$619,777	$0	$349,946	$0	$137,473	$0	$222,825	$0	$23,306	$0	$1,353,327	$0	$137,473	$0
GABRIELA SAENZ
SVP CORP SERVICES	$543,205	$0	$389,832	$0	$95,493	$0	$191,828	$0	$8,968	$0	$1,229,326	$0	$93,521	$0
CHARLES T HANKINS
SVP PEDIATRICS AND CMO, CHOSA	$0	$0	$0	$0	$761,816	$0	$22,426	$0	$254,276	$0	$1,038,518	$0	$151,024	$0
M SHANNON STANSBURY
SVP POPULATION HEALTH	$537,529	$0	$365,992	$0	$99,163	$0	$211,667	$0	$8,767	$0	$1,223,118	$0	$98,263	$0
TINA BARKER
SVP STRATEGY MARKETING & DIG	$488,459	$0	$351,551	$0	$102,104	$0	$197,263	$0	$10,604	$0	$1,149,981	$0	$101,454	$0
Gerardo Flores MD
SVP/CNO	$504,147	$0	$365,248	$0	$44,373	$0	$206,110	$0	$13,044	$0	$1,132,922	$0	$44,373	$0
Jennifer Beal
SVP CAO	$489,590	$0	$263,130	$0	$650	$0	$156,378	$0	$2,486	$0	$912,234	$0	$0	$0
Luis Haro
VP Operations for Emergency Services (term 7/23)	$321,170	$0	$287,617	$0	$613,589	$0	$54,920	$0	$9,160	$0	$1,286,456	$0	$214,600	$0
PAUL M TREVINO
CEO SETX & SWLA	$548,668	$0	$308,678	$0	$110,498	$0	$201,424	$0	$26,395	$0	$1,195,663	$0	$109,848	$0
LILLIAN MONTOYA
Pres/CEO SVH	$573,237	$0	$275,129	$0	$86,024	$0	$202,440	$0	$9,326	$0	$1,146,156	$0	$85,198	$0
Andrea Teague
VP Cancer Services	$812,100	$0	$132,761	$0	$0	$0	$120,814	$0	$6,311	$0	$1,071,986	$0	$0	$0
MARK ANDERSON
CMO, CRP TMF HEALTH SYSTEM	$576,363	$0	$264,127	$0	$92,582	$0	$65,701	$0	$13,771	$0	$1,012,544	$0	$92,082	$0

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	CHARLES HANKINS RECEIVED $588,925 IN SEVERANCE DURING CALENDAR YEAR 2023. LUIS HARO RECEIVED $242,781 IN SEVERANCE DURING CALENDAR YEAR 2023.
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. Ernie Sadau - $7,848,046 Jeffrey Puckett - $3,463,677 Randy Safady - $2,066,919 Paul Generale - $1,754,920 Marty Margetts - $1,710,990 Gerard Heely - $772,757 JON MANIS - $606,951 Sam Bagchi - $430,479 Luis Haro - $360,589 Jeannie Frey - $187,944 STEVE KEUER - $176,699 Christopher Karam - $171,348 Fadi Nasrallah - $170,649 Dominic Dominguez - $162,091 J. Chris Glenney - $160,310 Charles T Hankins - $158,846 CHRIS DASKEVICH - $137,473 Paul M Trevino -$109,848 TINA BARKER - $101,454 Kimberly King Webb - $100,512 Kim Reynolds - $100,423 M. SHANNON STANSBURY - $98,263 GABRIELA SAENZ - $93,521 MARK ANDERSON - $92,082 LILLIAN MONTOYA - $85,198 Irma Penaloza - $48,245 GERARDO FLORES - $44,373
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 2023.
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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Tarrant County Cultural Education Facility Finance Corporation
A	043833551	87638TGW7	2022-08-05	$364,828,621	SEE SCH K, PART VI	false	false	false
LOUISIANA PUBLIC FACILITIES AUTHORITY
B	720895871	546399HA7	2018-10-30	$70,942,111	SEE SCH K, PART VI	false	false	false
LOUISIANA PUBLIC FACILITIES AUTHORITY
C	720895871	546398C71	2009-08-12	$231,654,638	SEE SCH K, PART VI	false	false	false
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
D	043833551	87638TGN7	2018-10-30	$481,651,366	SEE SCH K, PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$0	$0	$378,212,349	$0	$0	$0	$3,116,213	$0	$0	$348,376,279	$26,668,414	$51,444	Yes (true)	false	Yes (true)	Yes (true)
B	$8,160,000	$0	$72,199,222	$0	$0	$0	$0	$0	$0	$41,256,527	$30,942,111	$584	Yes (true)	false	Yes (true)	Yes (true)	2022
C	$167,200,000	$0	$232,748,696	$0	$0	$0	$0	$0	$4,138	$0	$232,744,558	$0	Yes (true)	false	Yes (true)	Yes (true)
D	$41,945,000	$0	$484,781,301	$0	$0	$0	$0	$0	$0	$363,127,523	$121,651,366	$2,412	Yes (true)	false	Yes (true)	Yes (true)	2020

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.003	0.0	0.003	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.001	0.0	0.001	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.001		0.001	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.001	0.0	0.001	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	No Rebate DueNoRebateDueInd
A	false	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false	false	false	Yes (true)	Yes (true)	Yes (true)
C	false	false	Yes (true)	false	false	Yes (true)	Yes (true)	Yes (true)
D	false	false	false	false	false	Yes (true)	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) PAGE 1	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 (NOVEMBER 20, 2007, DECEMBER 19, 2008). C. 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. 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, Column (f) Page 2	A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (AUGUST 12, 2009). B. 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. C. TARRANT COUNTY CULTURAL EDUCATION FACILITY FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCTION AND CAPITAL IMPROVEMENTS OF HOSPITALS, LARGELY GERALD CHAMPION. 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: TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH UNCLUDE ONE OR MORE ACUTE CARE HOSPITALS.
Schedule K, Part II, Line 3 PAGE 1	A. LINE 3. INVESTMENT EARNINGS= $1,025.93 B. LINE 3. INVESTMENT EARNINGS = $0.00 C. LINE 3. INVESTMENT EARNINGS = $0.00 D. LINE 3. INVESTMENT EARNINGS=$0.00
Schedule K, Part II, Line 3 PAGE 2	A. LINE 3. INVESTMENT EARNINGS= $0.00 B. LINE 3. INVESTMENT EARNINGS = $6,696,696.77 C. LINE 3. INVESTMENT EARNINGS= $0.00 D. LINE 3. INVESTMENT EARNINGS = $0.00
Schedule K, Part II, Line 3 PAGE 3	A. LINE 3 INVESTMENT EARNINGS= $0.00
Schedule K, Part II, Line 16 PAGE 3	REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS.
Schedule K, Part IV, Line 2c PAGE 1	A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23,2024 B. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23,2024 C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023 D. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023.
Schedule K, Part IV, Line 2c PAGE 2	A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 24, 2023. B. LINE 2C - REBATE COMPUTATION PERFORMED: N/A C. LINE 2C - REBATE COMPUTATION PERFORMED: N/A D. LINE 2C - REBATE COMPUTATION PERFORMED: N/A
Schedule K, Part IV, Line 2c PAGE 3	A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2020.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP
A	043833551	87638TDF7	2008-12-19	$268,560,000	SEE SCH K, PART VI	false	false	false
LOUISIANA PUBLIC FACILITIES AUTHORITY
B	720895871	546399GC4	2019-04-02	$53,021,204	SEE SCH K, PART VI	false	false	false
Tarrant County Cultural Education Facilities Finance Corporation (2016A-E)
C	043833551	000000000	2016-10-03	$174,304,000	SEE SCH K, PART VI	false	false	false
Tarrant County Cultural Education Facility Finance Corporation
D	043833551	87638THQ9	2024-05-22	$94,987,623	SEE SCH K, PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$109,350,000	$0	$268,562,427	$0	$0	$0	$1,638,195	$235,297	$0	$0	$266,688,935	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$53,021,204	$0	$0	$0	$0	$0	$0	$0	$53,021,204	$0	Yes (true)	false	Yes (true)	Yes (true)
C	$45,574,000	$0	$174,304,000	$0	$0	$0			$0	$174,165,274	$138,726	$0	false	false	Yes (true)	Yes (true)	2016
D	$0	$0	$94,987,623	$0	$0	$0	$632,628				$94,327,861	$27,134	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.001	0.001	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.001	0.001	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.031	0.031	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.001	0.001	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Citibank NA
A	false	false	Yes (true)	Yes (true)	Yes (true)	39.7	false	false	false	Yes (true)	Yes (true)
(no name)
B	false	false	Yes (true)	false	false				false	false	Yes (true)
(no name)
C	false	Yes (true)		Yes (true)	false				false	false	Yes (true)
(no name)
D	false	Yes (true)		false	false				false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Tarrant County Cultural Education Facility Finance Corporation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	043833551	BondIssuerEIN
CUSIP	87638THF3	CUSIPNum
Bond Issued	2024-05-22	BondIssuedDt
Issue Price	$241,732,826	IssuePriceAmt
Purpose	SEE SCH K, PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$241,732,826	TotalProceedsAmt
Issuance Costs From Proceeds	$1,693,606	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$100,236,000	CapitalExpendituresAmt
Other Spent Proceeds	$139,764,000	OtherSpentProceedsAmt
Unspent	$39,221	UnspentAmt
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 PROGRAM SERVICE DESCRIPTION	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 III, Line 4d Description of other program services	(Expenses $ 64,453 including grants of $ 7,824,060)(Revenue $ 0) Other program services
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	GRANT REVENUE - Total Revenue: 9413568, Related or Exempt Function Revenue: 9413568, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; SERVICE FEE - Total Revenue: 5768712, Related or Exempt Function Revenue: 5768712, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Business Interruption Revenue - Total Revenue: 18065374, Related or Exempt Function Revenue: 18065374, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; TLRA Collection Revenue - Total Revenue: 17670443, Related or Exempt Function Revenue: 17670443, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Interco Revenue - Total Revenue: 9367739, Related or Exempt Function Revenue: 9367739, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Loss Contingency Reserve Revenue - Total Revenue: 7221502, Related or Exempt Function Revenue: 7221502, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Non-Control. Int. Revenue - Total Revenue: 1951050, Related or Exempt Function Revenue: 1951050, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Purchase Discounts Revenue - Total Revenue: 208412, Related or Exempt Function Revenue: 208412, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Print Shop Revenues - Total Revenue: 161322, Related or Exempt Function Revenue: 161322, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Parking Revenues - Total Revenue: 12294, Related or Exempt Function Revenue: 12294, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Food Service Revenue - Total Revenue: 10207, Related or Exempt Function Revenue: 10207, 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: 12689258, Program Service Expense: 12689258, Management and General Expenses: , Fundraising Expenses: ; subscription fees - Total Expense: 54181034, Program Service Expense: 46056487, Management and General Expenses: 8124547, Fundraising Expenses: ; marketing & consulting - Total Expense: 60819722, Program Service Expense: 20781988, Management and General Expenses: 39571488, Fundraising Expenses: 466246; professional fees - Total Expense: 551580, Program Service Expense: , Management and General Expenses: 551580, Fundraising Expenses: ; line of credit fees - Total Expense: 2727047, Program Service Expense: , Management and General Expenses: 2727047, Fundraising Expenses: ; other fees - Total Expense: 8058489, Program Service Expense: 4551544, Management and General Expenses: 3506945, Fundraising Expenses: ; charge out fees - Total Expense: 1344521, Program Service Expense: 1344521, Management and General Expenses: , Fundraising Expenses: ; medical service - Total Expense: 2633964, Program Service Expense: 322018, Management and General Expenses: 2311946, Fundraising Expenses: ; r&m - Total Expense: 94881075, Program Service Expense: 93710184, Management and General Expenses: 1170891, Fundraising Expenses: ; capitation exp - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, 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 - 51506485; CHANGE IN NET ASSETS ATTRIBUTABLE TO NON CONTROLLING INTEREST - -1951050; CHANGE IN RESTRICTED NET ASSETS - -5761; OTHER TAX ADJUSTMENTS - -5731143; RECLASS FOR GAAP FOR DONATIONS/GRANTS TO UNRNA - 52516965; RESTRICTED CONTRIBUTIONS - 12043; ROUNDING - 2;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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
NORTHERN NEW MEXICO ACO LLC
5101 N OCONNOR BLVD	IRVING	TX	75039	760590551	ACO	TX	$0	$0	CH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (54 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE	TYLER	TX	75701	465720165	HEALTHCARE SERVICES	TX	501(c)(3)	3	MFH REG	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHAMPION EMS
2201 S MOBBERLY AVE	LONGVIEW	TX	75602	752747708	HEALTHCARE SERVICES	TX	501(c)(3)	10	MFH REG	Yes (true)
CHRISTUS CONNECTED CARE NETWORK
5101 N OCONNOR BLVD	IRVING	TX	75039	473403356	SUPP HEALTHCARE SERVICES	TX	501(c)(4)		CH	Yes (true)
CHRISTUS CONTINUING CARE
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	CH	Yes (true)
CHRISTUS FOUNDATION SHREVEPORT-BOSSIER
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721219280	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	NOLA	Yes (true)
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	750974351	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	NETXNL	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH FDN OF SOUTHEAST TX
2830 CALDER	BEAUMONT	TX	77702	760136274	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	SETX	Yes (true)
CHRISTUS HEALTH FOUNDATION
5101 N OCONNOR BLVD	IRVING	TX	75039	611500100	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HEALTHCARE SERVICES	TX	501(c)(3)	7	CH	Yes (true)
CHRISTUS HEALTH INTERNATIONAL
5101 N OCONNOR BLVD	IRVING	TX	75039	462811167	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes (true)
CHRISTUS HEALTH LATIN AMERICA
5101 N OCONNOR BLVD	IRVING	TX	75039	462816604	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	75039	720408982	HEALTHCARE SERVICES	LA	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS HEALTH PLAN
5101 N OCONNOR BLVD	IRVING	TX	75039	452106295	HEALTH PLAN	TX	501(c)(4)		CH	Yes (true)
CHRISTUS HEALTH PLAN LOUISIANA
5101 N OCONNOR BLVD	IRVING	TX	75039	464617988	MEDICAID HMO	LA	501(c)(4)		CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 CALDER STREET	BEAUMONT	TX	77726	760591590	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	720411322	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
5101 N OCONNOR BLVD	IRVING	TX	75039	462798043	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS NORTHEAST TEXAS AND NORTHERN LOUISIANA HEALTH SYSTEM CORPORATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	CH	Yes (true)
CHRISTUS PEDIATRIC PHYSICIAN GROUP
5101 N OCONNOR BLVD	IRVING	TX	75039	465203505	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA FAMILY HEALTH CENTER
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742806531	HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes (true)
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA MED CTR AUXILIARY
2827 BABCOCK ROAD	SAN ANTONIO	TX	78229	731655493	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes (true)
CHRISTUS SANTA ROSA-SAN MARCOS FOUNDATION
PO Box 912	SAN MARCOS	TX	78667	742259907	SUPPORT	TX	501(c)(3)	7	SRHCC	Yes (true)
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FOUNDATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	SPOHN HS	Yes (true)
CHRISTUS ST FRANCES CABRINI HOSPITAL AUXILIARY INC
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	237255175	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	10	CHCL	Yes (true)
CHRISTUS ST MICHAEL FOUNDATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	471655865	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	ALT	Yes (true)
CHRISTUS ST PATRICK FOUNDATION
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	471496376	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	SWLA	Yes (true)
CHRISTUS TRINITY CLINIC
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(c)(3)	Type I	NETXNL	Yes (true)
FRIENDS OF SANTA ROSA FOUNDATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742723391	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CSRHCC	Yes (true)
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752056700	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVE	LONGVIEW	TX	75601	237203364	SUPPORT	TX	501(c)(3)	10	GSH INC	Yes (true)
GOOD SHEPHERD MED CENTER - LINDEN INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	010829282	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes (true)
GOOD SHEPHERD MEDICAL CENTER - LINDEN FOUNDATION INC
404 N KAUFMAN	LINDEN	TX	75563	200845127	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
GSHS ADMINISTRATIVE SERVICES ORG INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	861132471	ADMIN SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
HOPKINS CTY PHYSICIAN SERVICES
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	260637742	CLINIC	TX	501(c)(3)	3	CHHA	Yes (true)
MARSHALL HOSPITAL FOUNDATION INC
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	752605699	HEALTHCARE SERVICES	TX	501(c)(3)	7	GSMC	Yes (true)
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVE	TYLER	TX	75701	751976930	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
1315 DOCTORS DRIVE	TYLER	TX	75701	750818167	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
OTERO COUNTY HOSPITAL ASSOCIATION
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	850138775	HOSPITAL	NM	501(c)(3)	3	CH	Yes (true)
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752511459	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes (true)
SPECIALTY PHYSICIANS OF CENTRAL TEXAS
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	208814408	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes (true)
ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	CHCL	Yes (true)
ST VINCENT HOSPITAL
PO BOX 2107	SANTA FE	NM	87504	850106941	HOSPITAL	NM	501(c)(3)	3	CH	Yes (true)
ST VINCENT HOSPITAL FOUNDATION
455 ST MICHAELS DRIVE	SANTA FE	NM	87505	850282847	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	SVH	Yes (true)
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	751041154	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes (true)
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	HEALTHCARE SERVICES	TX	501(c)(3)	10	CCC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CENTRAL LOUISIANA SURGICAL HOSPITAL LLC
651 NORTH BOLTON AVE	ALEXANDRIA	LA	71301	264732398	SURGICAL CENTER	LA	NA
CHRISTUS SURGERY CENTER - VILLAGES LLC
1453 E BERT KOUNS	SHREVEPORT	LA	71108	844975265	SURGICAL CENTER	LA	NA
CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC
13525 CENTERBROOK 100	UNIVERSAL CITY	TX	78148	384092858	SURGICAL CENTER	TX	NA
CHRISTUS CENTER FOR SPECIAL SURGERY
14603 HUEBNER RD	SAN ANTONIO	TX	78240	990686547	SURGICAL CENTER	TX	NA
CHRISTUS SURGERY CENTER - WESTOVER HILLS LLC
1927 ROGERS RD	SAN ANTONIO	TX	78251	851975909	SURGICAL CENTER	TX	NA
NEW BRAUNFELS SURGICAL CENTER LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571408	HEALTHCARE SERVICES	TX	NA
CHRISTUS SANTA ROSA AMBULATORY SURGERY CENTERS SAN ANTONIO LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	412092141	HEALTHCARE SERVICES	TX	NA
CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571409	HEALTHCARE SERVICES	TX	NA
GOOD SHEPHERD NORTH PARK LP
700 E MARSHALL AVE	LONGVIEW	TX	75601	464834106	HEALTHCARE SERVICES	TX	NA
GOOD SHEPHERD AMBULATORY SURGICAL LTD
700 E MARSHALL AVE	LONGVIEW	TX	75601	999999999	HEALTHCARE SERVICES	TX	NA
GSHS CUSTOMER SERVICE BUILDING I LTD
700 E MARSHALL AVE	LONGVIEW	TX	75601	020636726	CUSTOMER SERVICES	TX	NA
ST ELIZABETH REHAB PARTNERS LLP
2830 CALDER STREET	BEAUMONT	TX	77702	205657181	HEALTHCARE SERVICES	TX	NA
NORTHERN LOUISIANA CARDIAC SERVICES LLC
1751 IMPERIAL BLVD	LAKE CHARLES	LA	70605	813198914	SURGICAL CENTER	LA	NA
SOUTH RYAN MRI LLC
650 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	743103662	IMAGING SERVICES	LA	NA
ALAMOGORDO IMAGING CENTER LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	201451281	IMAGING SERVICES	NM	NA
ALAMOGORDO SURGERY VENTURE LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	061791828	HEALTHCARE SERVICES	NM	NA
CHAMPION HEALTH CARE LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	850860214	HEALTHCARE SERVICES	NM	NA
GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	611753921	HEALTHCARE SERVICES	NM	NA
WHITE SANDS HEALTH CARE SYSTEMS LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	850438529	HEALTHCARE SERVICES	NM	NA
SANTA FE IMAGING LLC
1640 HOSPITAL DR	SANTA FE	NM	87505	850465936	IMAGING CENTER	NM	NA
SANTA FE MEDICAL PROPERTIES LLC
455 SAINT MICHAELS DR	SANTA FE	NM	87505	201480795	LEASING	NM	NA
IMPERIAL CALCASIEU SURGICAL CENTER LLC
1757 IMPERIAL RD	LAKE CHARLES	LA	70605	205109610	ASC	LA	NA
GSHS CUSTOMER SERVICE BUILDING LLC
700 E MARSHALL AVE	LONGVIEW	TX	75601	710896055	CUSTOMER SERVICES	TX	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Foreign PostalForeignAddress/ForeignPostalCd
CHRISTUS TEXARKANA UNIT OWNERS ASSOCIATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	472486362	BUILDING ASSOCIATION	TX	NA	C Corporation	Yes (true)
CHRISTUS AMBULATORY SERVICES HOLDINGS
5101 N OCONNOR BLVD	IRVING	TX	75039	472897722	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
DEDICATED SYSTEM SUPPORT INC
5101 N OCONNOR BLVD	IRVING	TX	75039	810861043	MANAGEMENT SERVICES	TX	NA	C Corporation	Yes (true)
SAN MARCOS REGIONAL MRI
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	770597968	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
CHRISTUS LOUISIANA QUALITY ALLIANCE
5101 N OCONNOR BLVD	IRVING	TX	75039	474618648	ACO	LA	CH	C Corporation	Yes (true)	$0	$148,247	1
CHRISTUS MUGUERZA SAPI DE CV
					HEALTHCARE SERVICES		CH	C Corporation	Yes (true)	$28,035,530	$482,187,521	0.9147	HIDALGO PTE 2525 G40G0	OBISPADO MONTERRE	MX	MX
EMERALD ASSURANCE CAYMAN LTD
				980407545	INSURANCE		CH	C Corporation	Yes (true)	$90,160,565	$249,587,457	1	PO BOX 1051	GRAND CAYMAN	CJ	CJ	KY11102
ARK-LA-TEX HEALTH NETWORK
PO BOX 2911	TEXARKANA	TX	75504	752562459	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
CHRISTUS CHILE SPA
					INVESTING		NA	C Corporation	Yes (true)				MIRAFLORES 222 28TH FLOOR	SANTIAGO	CI	CI	8320198
CHRISTUS SOUTHEAST TEXAS PHO
3010 HARRISON STREET SUITE 202	BEAUMONT	TX	77702	760429902	MEDICAL SERVICES	TX	NA	C Corporation	Yes (true)
HEALTH VENTURES OF SOUTHEAST TEXAS INC
3000 GATES BLVD	PORT ARTHUR	TX	77640	760397263	BUILDING RENT	TX	NA	C Corporation	Yes (true)
AMATISTA FINANCING COMPANY LTD
					FINANCING		NA	C Corporation	Yes (true)				3RD FL1ST CARIBBEAN HOUSE	GEORGETOWN	CJ	CJ	KY11104
OCCUPATIONAL HEALTH SERVICES INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721217389	MEDICAL SERVICES	LA	NA	C Corporation	Yes (true)
SOUTH RYAN DEVELOPMENT CORPORATION
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721183790	LEASING BULDINGS	LA	NA	C Corporation	Yes (true)
SOUTHWESTERN LOUISIANA PHYSICIAN HOSPITAL ORGANIZATION INC
524 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	721274256	HEALTHCARE SERVICES	LA	NA	C Corporation	Yes (true)
CH COLUMBIA SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)				CL 70 A 4 41	BOGOTA	CO	CO
CLINICA PALMA REAL SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)				CARRERA 28 44 35	CALI	CO	CO
SINERGIA GLOBAL EN SALUD SAS
					HEALTHCARE SERVICES		NA	C Corporation	Yes (true)				CARRERA 44 A 9 C 67	CALI	CO	CO
HCMH RETAIL CLINIC
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	475417965	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
EVANGELINE CLINICAL SERVICES INC
3330 MASONIC DRIVE	ALEXANDIRA	LA	71301	463977886	HEALTHCARE SERVICES	LA	NA	C Corporation	Yes (true)
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVE	LONGVIEW	TX	75601	752554695	INACTIVE	TX	NA	C Corporation	Yes (true)
GSHS ENTERPRISES HOLDING INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	510412465	HOLDING COMPAY	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES OPERATING 1 INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954772	HEALTHCARE SERVICES	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES OPERATING 2 INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752954777	HEALTHCARE SERVICES	DE	NA	C Corporation	Yes (true)
GSHS ENTERPRISES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027162	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)
MARSHALL PHYSICIAN HOSPITAL ORGANIZATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752580689	INACTIVE	TX	NA	C Corporation	Yes (true)
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636862	THIRD PARTY ADMINISTRATION	TX	NA	C Corporation	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	NA	C Corporation	Yes (true)
SCH MANAGEMENT SOLUTIONS INC
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721270625	MANAGEMENT JOINT VENTURES	LA	NA	C Corporation	Yes (true)
CENTRAL TEXAS PROVIDERS NETWORK
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	742827652	PHYSICIAN HOSPITAL	TX	NA	C Corporation	Yes (true)
LTACH CONDOMINIUM UNIT OWNERS ASSOC
600 ELIZABETH STREET	CORPUS CHRISTI	TX	77726	472404808	BUILDING ASSOCIATION	TX	NA	C Corporation	Yes (true)
SPOHN HEALTH NETWORK
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742616328	HEALTH PLAN	TX	NA	C Corporation	Yes (true)
SPOHN INVESTMENT CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	742322574	RENTALS	TX	NA	C Corporation	Yes (true)
CENTRAL TX HEALTHCARE COLLABORATIVE
1301 Wonderland Dr	San Marcos	TX	78666	453739929	SUPPORT	TX	NA	C Corporation	Yes (true)
HOSPITAL BUILDING CONDO OWNERS ASSOCIATION INC
5101 N OCONNOR BLVD	IRVING	TX	75039	999999999	SUPPORT	TX	NA	C Corporation	Yes (true)
RELIANCE BENEFITS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752642104	HEALTHCARE SERVICES	TX	NA	C Corporation	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (138 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Central Louisiana Surgical Hospital LLC
Q	$304,072	ACCRUAL
CH Chile SpA
A	$3,247,777	ACCRUAL
CH Chile SpA
S	$3,247,777	ACCRUAL
CH Colombia SAS
A	$1,164,527	ACCRUAL
CH Colombia SAS
S	$1,164,527	ACCRUAL
CH LATAM HUB Center of Excellence
M	$28,317,423	ACCRUAL
CH LATAM HUB Center of Excellence
L	$650,371	ACCRUAL
CH Muguerza Sistema Hospitalarios SA de CV
Q	$1,287,088	ACCRUAL
CH Wilkinson Physician Network CHRISTUS Physicians Group
Q	$124,030	ACCRUAL
CH Wilkinson Physician Network CHRISTUS Physicians Group
A	$78,026	ACCRUAL
CH Wilkinson Physician Network CHRISTUS Physicians Group
S	$78,026	ACCRUAL
CHRISTUS ArkLaTex Health System
Q	$393,388,126	ACCRUAL
CHRISTUS ArkLaTex Health System
P	$337,844,634	ACCRUAL
CHRISTUS ArkLaTex Health System
M	$818,635	ACCRUAL
CHRISTUS ArkLaTex Health System
L	$327,427	ACCRUAL
CHRISTUS ArkLaTex Health System
S	$6,063,167	ACCRUAL
CHRISTUS Children's
Q	$350,454,593	ACCRUAL
CHRISTUS Children's
P	$301,691,020	ACCRUAL
CHRISTUS Children's
M	$211,126	ACCRUAL
CHRISTUS Children's
L	$285,299	ACCRUAL
CHRISTUS Children's
K	$126,289	ACCRUAL
CHRISTUS Children's
S	$9,817,758	ACCRUAL
CHRISTUS Children's
A	$8,770,513	ACCRUAL
CHRISTUS Connected Care Network
P	$105,220	ACCRUAL
CHRISTUS Connected Care Network
Q	$274,595	ACCRUAL
CHRISTUS EMS
Q	$1,832,136	ACCRUAL
CHRISTUS EMS
P	$395,408	ACCRUAL
CHRISTUS Good Shepherd Health System Inc
P	$89,431	ACCRUAL
CHRISTUS Good Shepherd Health System Inc
A	$89,431	ACCRUAL
CHRISTUS Good Shepherd Health System Inc
K	$395,463	ACCRUAL
CHRISTUS Good Shepherd Health System Inc
S	$1,008,062	ACCRUAL
CHRISTUS Good Shepherd Medical Center
Q	$534,962,361	ACCRUAL
CHRISTUS Good Shepherd Medical Center
P	$460,010,796	ACCRUAL
CHRISTUS Good Shepherd Medical Center
M	$787,849	ACCRUAL
CHRISTUS Good Shepherd Medical Center
L	$326,315	ACCRUAL
CHRISTUS Good Shepherd Medical Center
S	$7,945,272	ACCRUAL
CHRISTUS Good Shepherd Medical Center
A	$5,706,293	ACCRUAL
CHRISTUS Health Central Louisiana
M	$814,150	ACCRUAL
CHRISTUS Health Central Louisiana
Q	$335,325,649	ACCRUAL
CHRISTUS Health Central Louisiana
P	$286,518,744	ACCRUAL
CHRISTUS Health Central Louisiana
S	$7,999,151	ACCRUAL
CHRISTUS Health Central Louisiana
A	$6,771,798	ACCRUAL
CHRISTUS Health Gulf Coast
Q	$157,340	ACCRUAL
CHRISTUS Health Northern Louisiana
Q	$250,572,524	ACCRUAL
CHRISTUS Health Northern Louisiana
P	$214,031,321	ACCRUAL
CHRISTUS Health Northern Louisiana
M	$542,508	ACCRUAL
CHRISTUS Health Northern Louisiana
S	$8,133,606	ACCRUAL
CHRISTUS Health Northern Louisiana
A	$7,353,666	ACCRUAL
CHRISTUS Health Plan
M	$701,306	ACCRUAL
CHRISTUS Health Plan
L	$182,705	ACCRUAL
CHRISTUS Health Plan
P	$993,317	ACCRUAL
CHRISTUS Health Plan
Q	$1,982,858	ACCRUAL
CHRISTUS Health Plan Louisiana
M	$172,203	ACCRUAL
CHRISTUS Health Southeast Texas
M	$1,067,738	ACCRUAL
CHRISTUS Health Southeast Texas
Q	$393,400,097	ACCRUAL
CHRISTUS Health Southeast Texas
P	$333,622,383	ACCRUAL
CHRISTUS Health Southeast Texas
S	$6,542,895	ACCRUAL
CHRISTUS Health Southeast Texas
A	$5,313,844	ACCRUAL
CHRISTUS Health Southwestern Louisiana
M	$516,370	ACCRUAL
CHRISTUS Health Southwestern Louisiana
Q	$225,774,447	ACCRUAL
CHRISTUS Health Southwestern Louisiana
P	$189,618,941	ACCRUAL
CHRISTUS Health Southwestern Louisiana
K	$118,823	ACCRUAL
CHRISTUS Health Southwestern Louisiana
S	$851,826	ACCRUAL
CHRISTUS Health USFHP
M	$557,147	ACCRUAL
CHRISTUS Health USFHP
Q	$9,253,626	ACCRUAL
CHRISTUS Health USFHP
P	$1,511,814	ACCRUAL
CHRISTUS Health USFHP
S	$403,772	ACCRUAL
CHRISTUS Hopkins Health Alliance dba TMF Sulphur Springs
Q	$119,468,036	ACCRUAL
CHRISTUS Hopkins Health Alliance dba TMF Sulphur Springs
P	$103,017,022	ACCRUAL
CHRISTUS Hopkins Health Alliance dba TMF Sulphur Springs
M	$103,176	ACCRUAL
CHRISTUS Hopkins Health Alliance dba TMF Sulphur Springs
S	$360,074	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
M	$2,324,389	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
Q	$571,330,619	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
P	$483,336,727	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
K	$161,604	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
S	$13,000,385	ACCRUAL
CHRISTUS Santa Rosa Health Care Corporation
A	$9,303,688	ACCRUAL
CHRISTUS Santa Rosa Outpatient Surgery New Braunfels LP
P	$61,466	ACCRUAL
CHRISTUS Santa Rosa Outpatient Surgery New Braunfels LP
Q	$715,565	ACCRUAL
CHRISTUS Santa Rosa Physicians Ambulatory Surgery Center San Antonio LLC
P	$75,164	ACCRUAL
CHRISTUS Santa Rosa Physicians Ambulatory Surgery Center San Antonio LLC
Q	$620,885	ACCRUAL
CHRISTUS Spohn Health System Corporation
M	$2,480,074	ACCRUAL
CHRISTUS Spohn Health System Corporation
Q	$729,664,766	ACCRUAL
CHRISTUS Spohn Health System Corporation
P	$621,092,325	ACCRUAL
CHRISTUS Spohn Health System Corporation
K	$68,534	ACCRUAL
CHRISTUS Spohn Health System Corporation
A	$2,456,631	ACCRUAL
CHRISTUS Spohn Health System Corporation
S	$21,700,652	ACCRUAL
CHRISTUS Spohn Health System Corporation
A	$18,947,140	ACCRUAL
Christus Trinity Clinic Texas
M	$664,621	ACCRUAL
Christus Trinity Clinic Texas
Q	$520,640,022	ACCRUAL
Christus Trinity Clinic Texas
P	$447,708,663	ACCRUAL
Christus Trinity Clinic Texas
L	$1,428,297	ACCRUAL
Christus Trinity Clinic Texas
J	$72,919	ACCRUAL
Christus Trinity Clinic Texas
S	$1,842,588	ACCRUAL
CHRISTUS Trinity Mother Frances Health System
Q	$1,147,119	ACCRUAL
CHRISTUS Trinity Mother Frances Health System
P	$689,970	ACCRUAL
CHRISTUS Trinity Mother Frances Health System
K	$119,683	ACCRUAL
Colonnade Endoscopy Center LLC
Q	$72,430	ACCRUAL
Dedicated System Support Inc
M	$121,246	ACCRUAL
Dedicated System Support Inc
Q	$9,285,709	ACCRUAL
Dedicated System Support Inc
P	$7,502,336	ACCRUAL
Dedicated System Support Inc
S	$190,133	ACCRUAL
Dedicated System Support Inc
A	$98,921	ACCRUAL
Emerald Assurance Cayman Ltd
C	$8,500,000	ACCRUAL
Emerald Assurance Cayman Ltd
P	$72,955,733	ACCRUAL
Evangeline Clinical Services Inc
Q	$400,826	ACCRUAL
Evangeline Clinical Services Inc
P	$117,871	ACCRUAL
GSHS Administrative Services Organization Inc
Q	$3,302,898	ACCRUAL
GSHS Administrative Services Organization Inc
P	$1,498,369	ACCRUAL
Healthplan of Texas Inc
Q	$60,718	ACCRUAL
Imperial Calcasieu Surgical Center LLC
P	$50,092	ACCRUAL
Imperial Calcasieu Surgical Center LLC
Q	$352,093	ACCRUAL
Mother Frances Hospital Jacksonville
Q	$77,861,190	ACCRUAL
Mother Frances Hospital Jacksonville
P	$67,011,823	ACCRUAL
Mother Frances Hospital Jacksonville
S	$285,575	ACCRUAL
Mother Frances Hospital Regional Health Care Center
L	$84,654,531	ACCRUAL
Mother Frances Hospital Regional Health Care Center
M	$116,075,598	ACCRUAL
Mother Frances Hospital Regional Health Care Center
O	$154,121	ACCRUAL
Mother Frances Hospital Regional Health Care Center
Q	$927,861,101	ACCRUAL
Mother Frances Hospital Regional Health Care Center
P	$797,031,368	ACCRUAL
Mother Frances Hospital Regional Health Care Center
B	$77,900	ACCRUAL
Mother Frances Hospital Regional Health Care Center
C	$368,160	ACCRUAL
Mother Frances Hospital Regional Health Care Center
S	$11,954,864	ACCRUAL
Mother Frances Hospital Regional Health Care Center
A	$7,581,589	ACCRUAL
Mother Frances Hospital Winnsboro
Q	$21,631,640	ACCRUAL
Mother Frances Hospital Winnsboro
P	$18,347,290	ACCRUAL
Mother Frances Hospital Winnsboro
S	$54,506	ACCRUAL
Otero County Hospital Association - CSNM
P	$3,432,290	ACCRUAL
Otero County Hospital Association - CSNM
Q	$16,017,356	ACCRUAL
Spohn Investment Corporation
Q	$135,995	ACCRUAL
St Vincent Hospital
B	$20,000,000	ACCRUAL
St Vincent Hospital
C	$20,000,000	ACCRUAL
St Vincent Hospital
M	$34,839,069	ACCRUAL
St Vincent Hospital
L	$17,848,979	ACCRUAL
St Vincent Hospital
Q	$46,855,742	ACCRUAL
St Vincent Hospital
P	$1,811,160	ACCRUAL
Trincare Inc
Q	$1,247,601	ACCRUAL
Trincare Inc
P	$1,076,421	ACCRUAL