OTERO COUNTY HOSPITAL ASSOCIATION: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: OTERO COUNTY HOSPITAL ASSOCIATION (EIN 85-0138775)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-14
IRS object ID: 202611349349307526
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-14T13:28:57+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	850138775	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OTERO COUNTY HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	OTER	BusinessNameControlTxt
Phone	5754396100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2669 SCENIC DRIVE	AddressLine1Txt
City	ALAMOGORDO	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	883100597	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BASHAR NASER	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Signature	2026-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristen Farr Capizzi	PreparerPersonNm
PTIN	P02176875	PTIN
Phone	3128792000	PhoneNum
Preparation	2026-05-14	PreparationDt

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2669 SCENIC DRIVE	AddressLine1Txt
City	ALAMOGORDO	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	883100597	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$376,575,623	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GCRMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1947	FormationYr
Legal Domicile State	NM	LegalDomicileStateCd
Activity Or Mission	PROVISION OF HEALTH CARE SERVICES	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	1420	TotalEmployeeCnt
Total Volunteers	90	TotalVolunteersCnt
Total Gross UBI	$1,850,906	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$70,423	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,223,342	PYContributionsGrantsAmt
CY Contributions Grants	$430,534	CYContributionsGrantsAmt
PY Program Service Revenue	$280,547,735	PYProgramServiceRevenueAmt
CY Program Service Revenue	$346,753,133	CYProgramServiceRevenueAmt
PY Investment Income	-$3,109,271	PYInvestmentIncomeAmt
CY Investment Income	-$1,808,738	CYInvestmentIncomeAmt
PY Other Revenue	$519,618	PYOtherRevenueAmt
CY Other Revenue	$191,445	CYOtherRevenueAmt
PY Total Revenue	$280,181,424	PYTotalRevenueAmt
CY Total Revenue	$345,566,374	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,248,048	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,181,991	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$113,494,239	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$102,595,219	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$144,734,609	PYOtherExpensesAmt
CY Other Expenses	$182,200,392	CYOtherExpensesAmt
PY Total Expenses	$259,476,896	PYTotalExpensesAmt
CY Total Expenses	$285,977,602	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,704,528	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$59,588,772	CYRevenuesLessExpensesAmt
Total Assets BOY	$267,402,505	TotalAssetsBOYAmt
Total Assets EOY	$237,906,431	TotalAssetsEOYAmt
Total Liabilities BOY	$72,388,767	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$61,199,967	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$195,013,738	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$176,706,464	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$37,700,289	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$69,263,279	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$126,451,193	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$159,625,258	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$57,100,162	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$117,865,687	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,181,991	ExpenseAmt
Grant	$1,181,991	GrantAmt
Revenue	$0	RevenueAmt
Desc	OTERO COUNTY HOSPITAL ASSOCIATION ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE POOR & UNDESERVED AND BROADER COMMUNITY. POOR & UNDERSERVED: EXPENSES OF $1,480 BROADER COMMUNITY: EXPENSES OF $955,573, GRANTS OF $334,098 ADDITIONAL GRANTS: EXPENSES OF $224,938; GRANTS OF $847,893	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,181,991	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,181,991	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$222,433,635	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	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
IRP Document	135	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1420	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	3	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
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5754437848	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2669 SCENIC DRIVE	AddressLine1Txt
City	ALAMOGORDO	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	883100597	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 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
NORM ARNOLD
CHAIRMAN	10.0	0.7	Yes (X)	Yes (X)	$0	$0	$0
SAM BAGCHI MD
BOARD DIRECTOR	3.0	40.0	Yes (X)	Yes (X)	$0	$4,021,228	$44,231
BOBBY MARTINEZ
BOARD DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
KIMBERLY KING WEBB
BOARD DIRECTOR	3.0	40.0	Yes (X)		$0	$1,727,663	$34,364
PAUL GENERALE
BOARD DIRECTOR	3.0	40.0	Yes (X)		$0	$5,224,749	$41,489
RANDY SAFADY
BOARD DIRECTOR	3.0	40.0	Yes (X)		$0	$6,453,610	$30,426
REX WILSON
BOARD DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
AUDREY WEBBER
Corporate Secretary (EFF 01/25)	10.0	30.0		Yes (X)	$0	$56,397	$5,717
BASHAR NASER
CHIEF FINANCIAL OFFICER	40.0	0.4		Yes (X)	$0	$566,172	$58,667
KERRY BOLIN
CHIEF NURSING OFFICER	40.0	0.0		Yes (X)	$0	$323,349	$46,609
REUBEN MURRAY
CHIEF EXECUTIVE OFFICER (EFF 3/25)	40.0	0.0		Yes (X)	$0	$548,097	$56,097
ROBERT J HECKERT
CHIEF EXECUTIVE OFFICER (TERM 03/25)	40.0	0.7		Yes (X)	$0	$1,176,146	$16,252
ROBERT MIDDLETON
VP OF OPERATIONS	40.0	0.0		Yes (X)	$327,043	$0	$86,210
WILLIAM POLLARD
CHIEF MEDICAL OFFICER	40.0	0.0		Yes (X)	$0	$584,805	$75,410
PETER SEAMAN
VP OF FINANCE	40.0	0.0			$268,849	$0	$57,287	Yes (X)
ANDREW CHRISTENSEN MD
PHYSICIAN	40.0	0.0			$665,739	$0	$91,222		Yes (X)
ANDREW PIKE
PHYSICIAN	40.0	0.0			$782,236	$0	$87,601		Yes (X)
CHARLES RACE
PHYSICIAN	40.0	0.0			$1,013,373	$0	$76,346		Yes (X)
DREW MILLER
PHYSICIAN	40.0	0.0			$732,198	$0	$40,996		Yes (X)
FERIAL ABOOD
PHYSICIAN	40.0	0.0			$860,229	$0	$35,127		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,649,667	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$20,682,216	TotReportableCompRltdOrgAmt
Total Other Compensation	$884,051	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	201	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUALIVIS LLC
5930 CORNERSTONE COURT WEST	STE 300	SAN DIEGO	CA	92121	NURSING AGENCY	$5,577,159
NETHERLANDS ANESTHESIA LLC
1765 E NINE MILE RD SUITE 1-229		PENSACOLA	FL	32514	ANESTHESIA PROVIDER SERVICES	$3,427,388
X-RAY ASSOCIATES OF NEW MEX PC
8020 Constitution Place NE	Ste 202	Albuquerque	NM	87110	Physician Services	$2,827,583
WESTERN MOUNTAIN HOSPITAL PHYSICIANS PLLC
1602 Avenue Q		Lubbock	TX	794014732	Physician Services	$2,157,906
COMPLETERX LTD-ACH
16360 Park Ten Place	Ste 230	Houston	TX	77084	Pharmacy Services	$1,562,844

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	37	CntrctRcvdGreaterThan100KCnt
Government Grants	$307,797	GovernmentGrantsAmt
All Other Contributions	$122,737	AllOtherContributionsAmt
Total Contributions	$430,534	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$335,317,125	$335,317,125
PHARMACY REVENUE	456110	$5,978,595	$4,173,764	$1,804,831
340B PHARMACY REVENUE	456110	$1,516,186	$1,516,186
CAFETERIA/CATERING	722320	$1,542,176	$1,496,101	$46,075
REBATES	900099	$118,476	$118,476

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,280,575	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,280,575	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$346,753,133	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$757,915	TotalRevenueColumnAmt
Exclusion	$757,915	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,153,222	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$962,868	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$190,354	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$190,354	TotalRevenueColumnAmt
Exclusion	$190,354	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$27,410,331	SecuritiesAmt
Other	$69,397	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$30,046,381	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$2,636,050	SecuritiesAmt
Other	$69,397	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,566,653	TotalRevenueColumnAmt
Exclusion	-$2,566,653	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PURCHASE DISCOUNTS	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,091	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,091	RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$1,091	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$345,566,374	TotalRevenueColumnAmt
Related Or Exempt Func Income	$344,903,318	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,850,906	UnrelatedBusinessRevenueAmt
Exclusion	-$1,618,384	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	$999,063	TotalAmt
Program Services	$999,063	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$182,928	TotalAmt
Program Services	$182,928	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,197,008	TotalAmt
Program Services	$659,102	ProgramServicesAmt
Management And General	$1,537,906	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$78,344,565	TotalAmt
Program Services	$73,032,176	ProgramServicesAmt
Management And General	$5,312,389	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$825,310	TotalAmt
Management And General	$825,310	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,049,953	TotalAmt
Program Services	$8,204,166	ProgramServicesAmt
Management And General	$7,845,787	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,178,383	TotalAmt
Program Services	$2,554,562	ProgramServicesAmt
Management And General	$2,623,821	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$427,552	TotalAmt
Program Services	$427,552	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$119,818	TotalAmt
Program Services	$108,964	ProgramServicesAmt
Management And General	$10,854	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$147,452	TotalAmt
Management And General	$147,452	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$429	TotalAmt
Management And General	$429	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$74,961,201	TotalAmt
Program Services	$67,767,984	ProgramServicesAmt
Management And General	$7,193,217	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$86,696	TotalAmt
Program Services	$93,416	ProgramServicesAmt
Management And General	-$6,720	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,223,817	TotalAmt
Program Services	$5,779,160	ProgramServicesAmt
Management And General	$1,444,657	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$779,404	TotalAmt
Program Services	$603,764	ProgramServicesAmt
Management And General	$175,640	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,613,710	TotalAmt
Program Services	$2,612,841	ProgramServicesAmt
Management And General	$869	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$186,066	TotalAmt
Program Services	$104,325	ProgramServicesAmt
Management And General	$81,741	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$501,959	TotalAmt
Program Services	$397,964	ProgramServicesAmt
Management And General	$103,995	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$79,181	TotalAmt
Program Services	$77,700	ProgramServicesAmt
Management And General	$1,481	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,824,213	TotalAmt
Program Services	$14,761,330	ProgramServicesAmt
Management And General	$62,883	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,733,070	TotalAmt
Program Services	$9,610,238	ProgramServicesAmt
Management And General	$6,122,832	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES/DRUGS	$31,791,205	$31,745,882	$45,323	$0
TAX EXPENSE	$12,400,148	$202,499	$12,197,649	$0
Provision for Uncollectable	$11,988,953	$0	$11,988,953	$0
INSURANCE PLAN CLAIM EXPENSE RISK	$8,082,111	$0	$8,082,111	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$253,407	TotalAmt
Program Services	$2,508,019	ProgramServicesAmt
Management And General	-$2,254,612	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$285,977,602	TotalAmt
Program Services	$222,433,635	ProgramServicesAmt
Management And General	$63,543,967	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,032,976	BOYAmt
EOY	$1,146,376	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,714,037	BOYAmt
EOY	$385,217	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$31,082,949	BOYAmt
EOY	$29,651,058	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	$0	BOYAmt
EOY	$863,605	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,788,598	BOYAmt
EOY	$7,141,917	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,824,651	BOYAmt
EOY	$2,780,369	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$175,456,230	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$28,044,104	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$159,065,435	BOYAmt
EOY	$147,412,126	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$23,069,147	BOYAmt
EOY	$4,258,042	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,825,242	BOYAmt
EOY	$7,740,681	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,996,969	BOYAmt
EOY	$15,433,883	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,002,501	BOYAmt
EOY	$21,093,157	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$267,402,505	BOYAmt
EOY	$237,906,431	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$67,775,615	BOYAmt
EOY	$10,617,812	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$40,586	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	$4,613,152	BOYAmt
EOY	$50,541,569	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$72,388,767	BOYAmt
EOY	$61,199,967	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	$195,013,738	BOYAmt
EOY	$176,706,464	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$195,013,738	BOYAmt
EOY	$176,706,464	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$267,402,505	BOYAmt
EOY	$237,906,431	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$59,588,772	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,744,567	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$81,640,613	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$429	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$429	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule C, Part II-B, Line 1g LINES 1D AND 1G

DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY At the federal level, CHRISTUS Health leadership communicated verbally and in writing with members of the Congress and administration officials, to discuss issues important to our ministry. These issues include, but are not limited to issues related to safety-net providers, access to care, health care reform proposals, quality program implementation, rural hospitals, remote medical technology, 340B Drug Pricing Program, site neutral payments, community project funding, freestanding emergency departments, Medicare payments, value-based payment models, children's health issues, CHGME, Medicaid, supplemental payment programs, violence against healthcare workers, women's health, budget proposals, reconciliation, provider taxes, non-profit status, and health care and insurance for retired services, and their families. At the state level, CHRISTUS Health addressed topics, including but not limited to staffing, Medicaid and other funding, mergers and acquisitions, benefits, medical malpractice, workforce, credentialing, general health and healthcare issues. 1.5 Executive Hours

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS AND OTERO COUNTY HOSPITAL ASSOCIATION BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,497,631	OtherCostOrOtherBasisAmt
Book Value	$4,497,631	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$131,838,046	OtherCostOrOtherBasisAmt
Depreciation	$7,917,286	DepreciationAmt
Book Value	$123,920,760	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,429,658	OtherCostOrOtherBasisAmt
Depreciation	$628,064	DepreciationAmt
Book Value	$801,594	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,008,303	OtherCostOrOtherBasisAmt
Depreciation	$19,498,754	DepreciationAmt
Book Value	$16,509,549	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,682,592	OtherCostOrOtherBasisAmt
Book Value	$1,682,592	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$147,412,126	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
ROU OPERATING	$10,162,619
DEPOSITS	$74,827
ASSET CLEARING	$570,898
TRADE NAMES PURCHASED	$8,000,000
INTERCOMPANY ACCOUNTS	$2,284,813

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$21,093,157	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Federal Income Taxes
OTHER LONG TERM LIABILITIES	$26,767,506
INTERCOMPANY ACCOUNTS PAYABLE	$10,555,177
LEASE LIABILITIES, NET	$10,296,876
TAX LIABILITIES, NET	$2,996,289
PENSION LIABILITIES	$465
HEALTH INSURANCE	-$74,744

Field	Value	IRS element (for citing)
Total Liability	$50,541,569	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	North America (Canada & Mexico only)	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Grantmaking	TypeOfActivitiesConductedTxt
Specific Services Provided	DONATION OF MEDICAL SUPPLIES	SpecificServicesProvidedTxt
Region Total Expenditures	$66,972	RegionTotalExpendituresAmt

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	$66,972	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$66,972	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	North America (Canada & Mexico only)	RegionTxt
Purpose Of Grant	MEDICAL ASSISTANCE	PurposeOfGrantTxt
Cash Grant	$0	CashGrantAmt
Manner Of Cash Disbursement	N/A	MannerOfCashDisbursementTxt
Non Cash Assistance	$66,972	NonCashAssistanceAmt
Description Of Non Cash Asst	DONATED MEDICAL SUPPLIES	DescriptionOfNonCashAsstTxt
Valuation Method Used	BOOK VALUE	ValuationMethodUsedDesc

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	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 3 Method used to account for expenditures on org's financial statements	NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual
Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements	NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,860,364	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,860,364	NetCommunityBenefitExpnsAmt
Total Expense	0.00679	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,100,162	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$117,865,687	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$58,960,526	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$117,865,687	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,860,364	NetCommunityBenefitExpnsAmt
Total Expense	0.00679	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	5247	PersonsServedCnt
Total Community Benefit Expns	$648,072	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$648,072	NetCommunityBenefitExpnsAmt
Total Expense	0.00237	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	3	PersonsServedCnt
Total Community Benefit Expns	$18,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00007	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	242	PersonsServedCnt
Total Community Benefit Expns	$276,646	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$276,646	NetCommunityBenefitExpnsAmt
Total Expense	0.00101	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	7565	PersonsServedCnt
Total Community Benefit Expns	$941,977	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$941,977	NetCommunityBenefitExpnsAmt
Total Expense	0.00344	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	13057	PersonsServedCnt
Total Community Benefit Expns	$1,884,695	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,884,695	NetCommunityBenefitExpnsAmt
Total Expense	0.00688	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	13057	PersonsServedCnt
Total Community Benefit Expns	$60,845,221	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$117,865,687	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,745,059	NetCommunityBenefitExpnsAmt
Total Expense	0.01367	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	3	PersonsServedCnt
Total Community Benefit Expns	$1,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,294	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,042	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,042	NetCommunityBenefitExpnsAmt
Total Expense	0.00005	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	3	PersonsServedCnt
Total Community Benefit Expns	$14,336	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,336	NetCommunityBenefitExpnsAmt
Total Expense	0.00005	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,988,953	BadDebtExpenseAmt
Bad Debt Expense Attributable	$74,259	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$49,227,436	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$54,157,181	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,929,745	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
ALAMOGORDO SURGERY VENTURES
OUTPATIENT SURGERY CENTER	0.775	0.0	0.225
ALAMOGORDO IMAGING CENTER
OUTPATIENT RADIOLOGY center	0.51	0.0	0.49
WHITE SANDS HEALTHCARE SYSTEMS LLC
Physician Hospital Organization	0.5	0.0	0.5
ALAMOGORDO HOME HEALTH
HOME HEALTH AND HOSPICE COMPANY	0.51	0.0	0.49
Cardiac Cath Lab
Cardiac Cath Lab	0.51	0.0	0.49

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTUS SOUTHERN NEW MEXICO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2669 SCENIC DR	AddressLine1Txt
City	ALAMOGORDO	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	88310	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.GCRMC.ORG	WebsiteAddressTxt
State License	6016	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	37 PROVIDER CLINICS	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTUS SOUTHERN NEW MEXICO	BusinessNameLine1Txt

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

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITY'S MOST RECENT CHNA REPORT INCLUDED A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. The most recent CHNA was completed, and the ministry CEP/President and executive leadership team reviewed and approved the CHNA prior to June 30, 2025, with board of directors' ratification on August 28, 2025. Christus Southern New Mexico (CSNM) solicited and took into account input from persons who represent the broad interests of the community served, including individuals with special knowledge of or expertise in public health. The CHNA incorporated a structured community engagement process that included qualitative input from community representatives such as public health officials, educators, local government representatives, health care professionals, social service providers, faith leaders, and other community stakeholders. Community input was gathered and analyzed using a lifespan based framework that considered the health needs of maternal and early childhood populations, school aged children and adolescents, adults, and older adults, as well as related social determinants of health, including access to care, behavioral health, poverty, housing instability, food insecurity, and transportation barriers.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. THE MOST RECENTLY CONDUCTED CHNA (TY2025) WAS CONDUCTED IN PARTNERSHIP WITH: OTERO COUNTY COMMUNITY HEALTH COUNCIL OTERO COUNTY PUBLIC HEALTH OFFICE PRESBYTERIAN MEDICAL SERVICES LOVE INC OF OTERO COUNTY ALAMOGORDO PUBLIC SCHOOLS 100% OTERO CITY OF ALAMOGORDO COPE OUTREACH CHINS OF ALAMOGORDO THRIVE
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. FY2023-2025 CHNA Prioritized Needs and Implementation Activities CSNM completed its prior Community Health Needs Assessment (CHNA) on June 30, 2022 (FY2022), establishing priorities for the FY2023-2025 implementation period. Based on community input and data analysis, the Hospital's FY2023-2025 priorities included behavioral health, access to care (accessibility), and improved prevention and management of chronic conditions, including diabetes, heart disease, and cancer. To address behavioral health, the Hospital focused on increasing access to quality mental and behavioral health treatment by expanding outpatient capacity and strengthening pathways from the emergency department to appropriate levels of care. Implementation activities included expanding outpatient behavioral health clinics in Ruidoso and Las Cruces, introducing emergency department telemedicine consultations so behavioral health patients receive rapid virtual psychiatric evaluation, and launching outreach and reminder programs to reduce outpatient no-show rates. The Hospital also maintained inpatient behavioral health capacity through a 24-bed behavioral medicine unit to meet growing demand and improve continuity of care. To improve accessibility and access to primary care, health education, and prevention, the Hospital expanded its primary care network and leveraged telemedicine and community partnerships to reduce geographic and transportation barriers. Implementation activities included recruiting 40 new primary care providers over the past three years, expanding telemedicine across outpatient settings (including school-based services), subsidizing urgent-care telemedicine in Alamogordo Public Schools so students can receive care without leaving campus, and contracting with Ruidoso Shuttle to provide free transportation to and from clinic appointments and post-discharge. The Hospital also supported local safety-net access by sustaining four Presbyterian Medical Services (PMS) Federally Qualified Health Centers (FQHCs) in Otero County and strengthened prevention-focused service lines, including launching a bariatric program in 2023 and securing certification in 2024 to support comprehensive weight management and reduce downstream chronic disease risk. To address diabetes, the Hospital implemented a multi-pronged strategy to reduce disease burden and improve quality of life through education, standardized clinical management, and advanced wound care capacity. Implementation activities included launching a Diabetes Education & Support Program with a certified diabetes educator and a dedicated outpatient clinic for group classes and one-on-one coaching, developing standardized Diabetes Clinical Pathways to ensure consistent assessment, treatment, and follow-up, deploying Community Health Workers to support navigation and self-management, and expanding wound care services including hyperbaric therapy by installing a third hyperbaric chamber to increase capacity and reduce wait times for advanced wound treatment. To address heart disease, the Hospital expanded cardiovascular services and community readiness initiatives to improve timely access to diagnostics and treatment and strengthen emergency response capacity. Implementation activities included achieving Chest Pain Center Certification, opening a dedicated cardiology clinic and specialized cardiac testing center to streamline diagnostic and specialty access, expanding AED availability by installing additional units in high-traffic areas, and offering free CPR training to nonprofit organizations and the broader community. The Hospital also cited the bariatric program's role in supporting obesity reduction as a key upstream contributor to lowering cardiovascular risk. To address cancer, the Hospital invested in local oncology infrastructure and care coordination to reduce the need for patient transfers and improve timely access to specialty treatment. Implementation activities included installing a state-of-the-art linear accelerator (enabling local radiation therapy), recruiting a full-time radiation oncologist to provide specialist access close to home, expanding and renovating the Cancer Center infusion unit and clinic to accommodate increased patient volume and enhance patient privacy, establishing a dedicated nurse navigator role to support scheduling, education, and connections to supportive services, and partnering with Ruidoso Shuttle to provide no-cost transportation for cancer-related appointments. FY2023-2025 CHNA Identified Needs Not Being Addressed Each identified need in the FY2023-2025 CHNA for CSNM was developed into an implementation strategy with defined goals, services, actions, measures, and identified community partners. Accordingly, the Hospital did not designate any identified significant needs as excluded from implementation during the FY2023-2025 cycle. FY2026-2028 CHNA Prioritized Needs and Implementation Approach The most recent CHNA for CSNM System was completed on June 30, 2025 (FY2025), establishing priorities for the FY2026-2028 implementation period. The FY2026-2028 CHNA uses a lifespan approach and identifies leading indicators across life stages, including (among others): healthy births and access to child care (maternal/early childhood); behavioral health/mental health and substance abuse (school-age/adolescent); access to care, behavioral health/mental health (adult); and for older adults, access to care, behavioral health/mental health, inability to perform activities of daily living. Through its FY2026-2028 Community Health Implementation Plan, the Health System is addressing these priorities using a systems of care approach that includes hospital led initiatives, community benefit funding, and strategic partnerships with community based organizations. Strategies emphasize expanding access to care, strengthening the health workforce pipeline, improving food access through targeted initiatives, and supporting community partners working to address housing stability and public safety. FY2026-2028 CHNA Identified Needs Not Being Addressed CSNM's 2026-2028 CHNA identified a broad range of important health and social needs across our service area. However, not all of these needs fall within the direct scope of services or resources that the CSNM can lead or sustain independently. Some community issues require specialized focus, infrastructure or mission alignment of other organizations, agencies or collaborative groups better positioned to lead efforts in those areas. Examples of these needs may include, but are not limited to poverty, child care, domestic violence and housing instability. Although CSNM will not serve as the primary lead on these issues, we recognize their direct impact on health outcomes and the overall well-being of our patients and communities. For this reason, we remain deeply committed to collaborating with community partners who address these needs, participating in coalitions, supporting aligned initiatives and ensuring that our strategies complement and enhance their work.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY GUIDELINES WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY FOR AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY AND ADMISSIONS AREAS. IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE). EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING THE TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN.

Field	Value	IRS element (for citing)
Facility	37	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CHRISTUS SURGERY CENTER
2559 MEDICAL DR SUITE 1100	ALAMOGORDO	NM	88310	OUTPATIENT Surgery Center
CSNM ALAMOGORDO IMAGING CENTER
2539 MEDICAL DR STE 101	ALAMOGORDO	NM	88310	OUTPATIENT RADIOLOGY
CHRISTUS URGENT CARE
250 E 1ST ST	ALAMOGORDO	NM	88310	URGENT CARE CENTER
CSNM CANCER CENTER
2559 MEDICAL DR SUITE G	ALAMOGORDO	NM	88310	CLINIC
CSNM Behavior Medicine
2351 25TH ST COMPLEX B	ALAMOGORDO	NM	88310	CLINIC
CSNM Orthopedics
2559 MEDICAL DR SUITE 3100	ALAMOGORDO	NM	88310	CLINIC
CSNM Women's Health
2559 MEDICAL DR SUITE 2100	ALAMOGORDO	NM	88310	CLINIC
CSNM Surgical Associates
2559 MEDICAL DR SUITE 3200	ALAMOGORDO	NM	88310	CLINIC
Christus Sleep Center
2474 INDIAN WELLS RD B	ALAMOGORDO	NM	88310	CLINIC
Champion Home HealthAHH
1859 INDIAN WELLS RD	ALAMOGORDO	NM	88310	HOME HEALTH CARE FACILITY
CSNM Cardiology
2559 MEDICAL DR SUITE 2200	ALAMOGORDO	NM	88310	CLINIC
Christus Surgery Center - Indian Wells
2301 INDIAN WELLS SUITE B	ALAMOGORDO	NM	88310	OUTPATIENT Surgery Center
CSNM Family Medicine - 25 st
2351 25TH ST UNIT A	ALAMOGORDO	NM	88310	CLINIC
CSNM Pediatrics
2559 MEDICAL DR SUITE D	ALAMOGORDO	NM	88310	CLINIC
CSNM Family Medicine
2539 MEDICAL DR SUITE 110	ALAMOGORDO	NM	88310	CLINIC
CSNM Bone & Joint - Alamogordo
2301 INDIAN WELLS SUITE A	ALAMOGORDO	NM	88310	CLINIC
CSNM Internal Medicine
2559 MEDICAL DR SUITE C	ALAMOGORDO	NM	88310	CLINIC
CSNM Endocrinology
2579 SCENIC DR SUITE A	ALAMOGORDO	NM	88310	CLINIC
CSNM Internal Medicine - 9th
1101 9TH ST	ALAMOGORDO	NM	88310	CLINIC
CSNM Family Medicine 10th St
1401 TENTH ST SUITE 1	ALAMOGORDO	NM	88310	CLINIC
CSNM Pain Management
2559 MEDICAL DR SUITE 3300	ALAMOGORDO	NM	88310	CLINIC
CSNM Pain Management Roswell
400 NORTH PENNSYLVANIA AVE	ROSWELL	NM	88201	CLINIC
CSNM Sleep & Behavioral - Ruidoso
101 5TH ST	RUIDOSO	NM	88345	CLINIC
CSNM Occupational Health
2559 MEDICAL DR SUITE 3100	ALAMOGORDO	NM	88310	CLINIC
CSNM Gastroenterology
2539 MEDICAL DR SUITE 107	ALAMOGORDO	NM	88310	CLINIC
CSNM Neurology
2539 MEDICAL DR SUITE 104	ALAMOGORDO	NM	88310	CLINIC
CSNM Neurology & Diagnostics
2050 SCENIC DR	ALAMOGORDO	NM	88310	CLINIC
CSNM Pulmonology
2559 MEDICAL DR SUITE F	ALAMOGORDO	NM	88310	CLINIC
CSNM Urology
2539 MEDICAL DR COMPLEX A SUITE 103	ALAMOGORDO	NM	88310	CLINIC
CSNM Bone & Joint - Las Cruces
2951 N ROADRUNER PKWY SUITE A	LAS CRUCES	NM	88011	CLINIC
CSNM Nephrology
2579 N SCENIC DR B	ALAMOGORDO	NM	88310	CLINIC
CSNM Bone & Joint - Ruidoso
26130 HWY 70	RUIDOSO	NM	88345	CLINIC
CSNM Thunderbird
1212 9TH ST SUITE C	ALAMOGORDO	NM	88310	CLINIC
CSNM Osteo Clinic
2559 MEDICAL DR SUITE 3100	ALAMOGORDO	NM	88310	CLINIC
CSNM Family Medicine Ruidoso
101 5TH ST	RUIDOSO	NM	88345	CLINIC
CSNM Behavioral Health Las Cruces
3865 E LOHMAN AVE SUITE 4	LAS CRUCES	NM	88011	CLINIC
CSNM Diabetes Education
2559 MEDICAL DR SUITE B	ALAMOGORDO	NM	88310	CLINIC

Supplemental Information Detail SupplementalInformationDetail (35 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 14 Basis for calculating amounts charged to patients	Charge calculations are based on a variety of factors, including the cost of supplies, labor and overhead needed to provide the service. Other factors include the Medicare allowable fee schedule, and comparison of the organization with the immediate competition's chargemasters. Charge prices are reviewed by the organization on an annual basis.
Schedule H, Part I, Line 3c criteria used for determining eligibility for free or discounted care.	THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES WHEN DETERMINING FREE CARE, PATIENTS WHO HAVE HOUSEHOLD INCOME AT OR BELOW 300% OF THE FPG ARE ELIGIBLE TO RECEIVE FREE CARE. THE ORGANIZATION OFFERS AN AUTOMATIC 25% DISCOUNT TO SELF-PAY PATIENTS AND WILL OFFER AN ADDITIONAL 10% DISCOUNT TO SELF-PAY PATIENTS WHO PAY THE BALANCE OF THEIR BILL WITHIN 30 DAYS OF THE BILLING DATE. IN ADDITION, THE FACILITY WILL WORK WITH PATIENTS ON SETTLEMENTS ON A CASE-BY-CASE BASIS BASED ON SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF CSNM. DETERMINING FAMILY NEED IS ALSO BASED ON AN APPLICATION PROCESS WHICH TAKES INTO ACCOUNT THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT.
Schedule H, Part I, Line 7 Financial Assistance and Certain Other Community Benefits at Cost	THE HOSPITAL'S COSTING METHODOLOGY IS BASED ON COST TO CHARGE RATIOS IN THE MEDICARE COST REPORT. IT CURRENTLY DOES NOT USE A COST ACCOUNTING SYSTEM.
Schedule H, Part I, Line 7g COSTS ATTRIBUTABLE TO PHYSICIANS' CLINICS	AMOUNTS REPORTED ARE BASED ON THE MEDICARE COST REPORT FIGURES. LINE 7G INCLUDES $XXX COSTS ATTRIBUTABLE TO PHYSICIANS' CLINICS.
Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE:	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
Schedule H, Part I, Line 7i CASH AND INKIND CONTRIBUTIONS	The following uniform narrative was added for Line 7i: THE HOSPITAL MADE CASH AND IN-KIND CONTRIBUTIONS DURING THE FISCAL YEAR. THE AMOUNT IS CALCULATED FOLLOWING REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. THIS AMOUNT DIFFERS FROM GRANTS REPORTED IN FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS, AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $334,098 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY Christus Southern New Mexico. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT CHRISTUS Southern New Mexico SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE COMMUNITY.
Schedule H, Part I, Line 7k PERCENT OF TOTAL EXPENSE	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN(A) IS $286,940,470. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $11,988,953. THIS LEAVES A TOTAL EXPENSE OF $274,951,517 FOR PURPOSES OF CALCULATING LINES 7, COLUMN(F).
Schedule H, Part I, Line 7k FIN ASSISTANCE/ OTHER BENEFITS AS APERCENTAGE OF COST	THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE, AS REPORTED IN PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF THE TOTAL EXPENSE, IS 20.99%, WHICH EXCEEDS THE AMOUNT REPORTED IN PART I, LINE 7K, COLUMN (F), WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE.
Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15	CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/christus-southern-new-mexico-financial-assistance-application.ashx
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE SUMMARY WEBSITE	https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2021plainlanguagesummaryhospitalenglish.ashx
Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS	THE HOSPITAL DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NONPAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 18 OR 19 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11.
Schedule H, Part V, Section B, Line 18 ACTIONS REGARDING ELIGIBILITY UNDER FAP	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part V, Section B, Line 22 FAP ELIGIBLE EMERGENCY OR OTHER MEDICAL CARE	THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR 2025 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 40% OF CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL) OR RECEIVED FREE CARE (FOR INCOMES AT OR BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT.
Schedule H, Part I, Line 5a BUDGETED CHARITY CARE	THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES.
Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT	A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES.
Schedule H, Part I, Line 7b UNREIMBURSED MEDICAID	THE HOSPITAL REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES.
Schedule H, Part VI Rev. Proc. 2015-21 Disclosure	Community Health Needs Assessment (CHNA) Adoption and Public Availability Section 501(r)(3) requires each hospital facility to conduct a CHNA at least once every three years and to make the CHNA report widely available to the public. A CHNA is treated as conducted only after all required steps are completed, including adoption of the CHNA report by an authorized body and making the CHNA report widely available (including via website posting). The hospital's three-year CHNA period ended on June 30, 2025. The CHNA report for the hospital was completed and reviewed by its CEO/President and executive leadership team prior to June 30, 2025. However, formal ratification by the hospital's board of directors of the CHNA report's adoption occurred subsequently on August 28, 2025, and the hospital posted the ratified CHNA report on their websites as soon as practicable thereafter. On September 8, 2025, CHRISTUS Health identified that the hospital's board of directors provided ratification of the CHNA report's adoption, and the corresponding public posting of the ratified CHNA report, occurred after the end of the June 30, 2025 three-year CHNA period. CHRISTUS Health determined that responsible associates had incorrectly assumed that COVID-era IRS relief extending certain §501(r)(3) CHNA-related deadlines continued to apply and permitted additional time to complete the remaining CHNA-related steps. However, Treasury Regs. 1.501(r)-3(a)(2) and 1.501(r)-1(b)(4)(i) require adoption of the CHNA report by the hospital's governing body (or a properly delegated authorized body), and no delegation of authority had been made by the hospital's governing body (its board of directors) for executive leadership to adopt the CHNA report in lieu of the board of directors. Executive leadership approval of the CHNA report was ratified by the hospital's board of directors on August 28, 2025. Upon identification of the timing issue, CHRISTUS Health promptly implemented corrective actions. These actions included confirming that formal governing-body adoption/ratification had occurred, ensuring that the ratified CHNA reports were posted and publicly accessible on the applicable hospital's website, and adding clarifying language within the CHNA report describing the timing of executive leadership review (prior to June 30, 2025) and the date of formal board of director approval (August 28, 2025). All related CHNA implementation strategies were approved by the hospital's board of directors on August 28, 2025, prior to the November 15, 2025 deadline. CHRISTUS Health is not aware of any individuals who were adversely affected by the board of directors' delay in ratifying the adoption of their respective hospital's CHNA report. To prevent recurrence, CHRISTUS Health has enhanced internal compliance procedures for its hospital facilities by establishing formal approval processes and timelines, clarifying responsibility for monitoring Section 501(r) deadlines, and documenting governing-body approvals and any delegated authority for approval of future CHNA reports and implementation strategies.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	11988953
Schedule H, Part II Community Building Activities	THE ORGANIZATION SUPPORTS RUNNER'S REFUGE, A MINISTRY THAT PROVIDES HELP TO INDIVIDUALS STRUGGLING WITH ADDICTION AND HOMELESSNESS. THROUGH THE FY25 CHRISTUS FUND AWARD, RUNNERS REFUGE AWARDED $75,000 FOR PROVIDING HEALTH FOOD ACCESS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE FILING ORGANIZATION RECOGNIZED THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30 PERCENT OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHER WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2025, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73 PERCENT OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2025. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.6194 PERCENT OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2025 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES (US GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY AT THE DATE OF THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENTS AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	For the current year, a shortfall of $4.9 million was reported on Line 7. Consistent with applicable IRS guidance, the organization considers a portion of this shortfall to qualify as community benefit. The shortfall primarily reflects unreimbursed costs associated with providing medically necessary care to low-income and vulnerable populations in New Mexico, including individuals covered by Medicaid and those who are underinsured. Medicaid reimbursement rates in New Mexico remain significantly below the cost of care, resulting in substantial unrecovered expenses related to patient services. In addition, the shortfall includes costs related to community-based health programs, care coordination, and essential clinical services that are necessary to meet the health needs of the community but are not fully reimbursed by governmental or commercial payers. These services support improved access to care, chronic disease management, and health equity in a medically underserved region. To the extent permitted under IRS community benefit standards, the organization believes that this shortfall should be treated as community benefit, as it directly supports the organization's charitable mission and alleviates the burden on public health systems by ensuring continued access to care for vulnerable populations across southern New Mexico.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH THE ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
Schedule H, Part V, Section B, Line 16a FAP website	- CHRISTUS SOUTHERN NEW MEXICO: Line 16a URL: HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	- CHRISTUS SOUTHERN NEW MEXICO: Line 16b URL: SEE SUPPLEMENTAL INFO;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- CHRISTUS SOUTHERN NEW MEXICO: Line 16c URL: SEE SUPPLEMENTAL INFO;
Schedule H, Part VI, Line 2 Needs assessment	IN 2023, CSNM BECAME PART OF CHRISTUS HEALTH WHICH ASSISTED IN COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN AND TO PROVIDE INFORMATION FROM SECONDARY DATA SOURCES TO ASSIST IN IDENTIFYING NEEDS THAT EXIST IN THE COMMUNITY. THIS INCLUDES DATA FROM BOTH LOCAL AND NATIONAL DATA SOURCES - INCLUDING THE U.S. CENSUS, AMERICAN COMMUNITY SURVEY AND METOPIO - THE FINDINGS EXPLORE A WIDE RANGE OF DEMOGRAPHIC, SOCIOECONOMIC, ENVIRONMENT AND HEALTH INDICATORS. THE HEALTH NEEDS IDENTIFIED AS SIGNIFICANT IN THIS ASSESSMENT INCLUDED ACCESS TO CARE, BEHAVIORAL HEALTH, POVERTY, AND FOOD INSECURITY. THE CONCLUSIONS REACHED IN THIS ASSESSMENT WERE IMPLEMENTED IN 2025.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY - CHRISTUS SOUTHERN NEW MEXICO (CSNM) WILL PROVIDE UNDERSTANDABLE, WRITTEN GUIDELINES TO STAFF AND PATIENTS RELATIVE TO HOW THE HOSPITAL EVALUATES AND DETERMINES: 1) A PATIENT'S ELIGIBILITY FOR CHARITY CARE; 2) AN UNINSURED PATIENT'S ELIGIBILITY FOR DISCOUNTS; AND 3) A PATIENT'S ELIGIBILITY FOR ALTERNATE PAYMENT PLANS. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE EMERGENCY ROOM AND THROUGHOUT THE ENTIRE HOSPITAL. THE PATIENTS ARE ALSO INFORMED THROUGH DIRECT COMMUNICATION WITH FINANCIAL COUNSELORS, AND THESE POLICIES ARE EXPLAINED IN DETAIL TO GUARANTORS WHO ADVISE CSNM THAT THEY ARE UNABLE TO PAY THEIR ACCOUNT OR NEED HELP IN STRUCTURING AN AFFORDABLE PAYMENT PLAN FOR THEIR ACCOUNT. THE HOSPITAL PROVIDES SERVICES TO ANYONE IN NEED OF MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SUCH SERVICES. CHARITY CARE AND DISCOUNTS FOR THE UNINSURED WILL BE AVAILABLE FOR MEDICALLY NECESSARY HOSPITAL CARE PROVIDED TO PERSONS WHO MEET THE FINANCIAL AND DOCUMENTATION CRITERIA DEFINED IN THIS POLICY. DETERMINATIONS HEREUNDER WILL BE BASED SOLELY ON THE PATIENT'S ABILITY TO PAY AND WILL NOT BE MADE ON THE BASIS OF AGE, SEX, RACE, CREED, DISABILITY, SEXUAL ORIENTATION OR NATIONAL ORIGIN. CSNM PROVIDES FINANCIAL ASSISTANCE TO PATIENTS BASED ON THEIR INCOME, ASSETS, AND NEEDS. THROUGH OUR FINANCIAL COUNSELING SERVICES, WE ASSIST PATIENTS WITH MEDICAID ELIGIBILITY OR LOW-COST HEALTH INSURANCE THROUGH THE EXCHANGE (BE WELL NEW MEXICO), OR WORK WITH PATIENTS TO ARRANGE A MANAGEABLE PAYMENT PLAN. UNINSURED PATIENTS ARE ELIGIBLE FOR A 25% DISCOUNT. A 25% DISCOUNT IS APPLIED TO THE TOTAL CHARGES OF A SELF-PAY PATIENT AT THE TIME OF SERVICE OR THE FIRST BILLING. NOTICE WILL BE SENT AT THE TIME OF THE FIRST BILLING INFORMING THE PATIENT/GUARANTOR THAT AN ADDITIONAL 10% WILL BE DEDUCTED IF THE ACCOUNT IS PAID WITHIN 30 DAYS OF THE DATE OF SERVICE.
Schedule H, Part VI, Line 4 Community information	OTERO COUNTY HOSPITAL ASSOCIATION D/B/A CHRISTUS SOUTHERN NEW MEXICO ("CSNM") ACTIVITIES ARE CONDUCTED ON ITS 66-ACRE CAMPUS LOCATED IN ALAMOGORDO, NEW MEXICO. ALAMOGORDO IS APPROXIMATELY 89 MILES NORTH OF EL PASO, TEXAS, AND 209 MILES SOUTHEAST OF ALBUQUERQUE, NEW MEXICO. CSNM OWNS AND OPERATES A 98-BED CARE HOSPITAL (THE "HOSPITAL") ON THE CAMPUS. IN ADDITION TO THE MAIN CAMPUS, THE HOSPITAL HAS SATELLITE LOCATIONS INCLUDING CLINICS AND PHYSICIAN OFFICES THROUGHOUT THE CITY. THE COMBINED OPERATING SPACE OF THE MAIN CAMPUS AND THESE ADDITIONAL OFFICES TOTALS APPROXIMATELY 432,000 SQUARE FEET. OTHER FACILITIES THAT THE HOSPITAL OWNS LOCATED ON THE MAIN CAMPUS INCLUDE TWO MEDICAL OFFICE BUILDINGS, COMPLEX A AND B THAT HAVE AN OUTPATIENT SURGERY CENTER AND AN IMAGING CENTER OWNED AND OPERATED BY LIMITED LIABILITY COMPANIES IN WHICH CSNM HAS AN INTEREST. CSNM ALSO OWNS SIX FACILITIES LOCATED OFF THE MAIN CAMPUS THAT ARE EITHER LEASED TO INDEPENDENT PRIMARY CARE/SPECIALTY CARE PROVIDERS OR OCCUPIED BY EMPLOYED PHYSICIANS. CSNM'S PRIMARY SERVICE AREA IS NORTHWESTERN OTERO COUNTY FROM WHICH 84% OF ITS ADMISSIONS ORIGINATE. CSNM IS THE SOLE COMMUNITY PROVIDER IN ITS PRIMARY SERVICE AREA WITH THE NEAREST TERTIARY CARE HOSPITAL LOCATED APPROXIMATELY 70 MILES FROM THE HOSPITAL. THE DELIVERY MECHANISMS OF CARE AT THE HOSPITAL INCLUDE BOTH INPATIENT AND OUTPATIENT SERVICES: 24-HOUR STAFFED LEVEL III TRAUMA EMERGENCY DEPARTMENT; ACUTE CARE INPATIENT THROUGH MEDICAL/SURGICAL, INTENSIVE CARE, PROGRESSIVE CARE UNIT, TELEMETRY, MATERNAL CHILD, AND BEHAVIORAL MEDICINE, SURGERY DEPARTMENT SUPPORTED BY PRE-ADMIT, OUTPATIENT CARE UNIT AND POST-ANESTHESIA CARE UNIT; HOSPITAL-OWNED PHYSICIAN PRACTICES IN THE AREAS OF FAMILY PRACTICE, WOMEN'S SERVICES INCLUDING OBSTETRICS, ORTHOPEDICS, NEPHROLOGY, INTERNAL MEDICINE, OUTPATIENT BEHAVIORAL MEDICINE, PEDIATRICS, GASTROENTEROLOGY, ENDOCRINOLOGY, PAIN MANAGEMENT AND NEUROLOGY; CAP CERTIFIED LABORATORY SERVICES WITH THE CAPABILITY TO PERFORM OVER 225 DIFFERENT PROFILES AND TESTS IN-HOUSE; INPATIENT AND OUTPATIENT DIAGNOSTIC IMAGING SERVICES, INCLUDING X-RAY, 64-SLICE/CT AND PET/CT WITH 20 SLICE CT SCAN, MRI, ULTRASOUND, FLUOROSCOPY, INTERVENTIONAL RADIOLOGY, RADIOFREQUENCY ABLATION AND NUCLEAR MEDICINE; INPATIENT AND OUTPATIENT COMPREHENSIVE CARDIOPULMONARY SERVICES INCLUDING BEHAVIOR SLEEP MEDICINE, HOLTER MONITORING, EVENT MONITORING AND IMPEDANCE CARDIOGRAPHY. THE HOSPITAL CONVERTED THE 12 IRF BEDS TO JOINT ORTHO TRAUMA BEDS; REDUCED MCU FROM 12 BEDS TO 8; REDUCED BEHAVIORAL HEALTH FROM 36 BEDS TO 24; INCREASED MEDICAL/SURGICAL FROM 30 BEDS TO 35; AND ADDED 11 PROGRESSIVE CARE UNITS. CSNM AND THE HOLLOMAN AIR FORCE BASE (HAFB) 49TH MEDICAL GROUP, A GROUP OF MILITARY PROVIDERS AND SUPPORT STAFF FROM THE HAFB, HAVE ENJOYED A CLOSE WORKING RELATIONSHIP, AND HAVE HAD SHARED COVERAGE ARRANGEMENTS. SUCH ARRANGEMENTS INCLUDED LABORATORY AND X-RAY SERVICES IN A DISASTER, OBSTETRICAL COVERAGE, AND COVERAGE FOR THE HAFB 49TH MEDICAL GROUP WHEN THEY WERE DEPLOYED FOR DESERT STORM IN 1991. FOLLOWING DESERT STORM AND THE RETURN OF THE HAFB 49TH MEDICAL GROUP, THE DEPARTMENT OF DEFENSE MADE THE DECISION TO LEAVE ALL THE OBSTETRICAL SERVICES WITH CSNM AND THE LOCAL OBSTETRICIANS. AS OF 2017, HOLLOMAN SUPPORTS MORE THAN 21,000 ACTIVE DUTY, GUARD, RESERVE, RETIREES, DEPARTMENT OF DEFENSE CIVILIANS AND THEIR FAMILY MEMBERS. CSNM'S PRIMARY SERVICE AREA (THE "PSA") IS IN NORTHWESTERN OTERO COUNTY, FROM WHICH MOST OF CSNM'S ADMISSIONS ORIGINATE. LOCATED IN SOUTHEASTERN NEW MEXICO, OTERO COUNTY ENCOMPASSES 6,627 SQUARE MILES AND INCLUDES THE CITIES OF ALAMOGORDO AND TULAROSA. ACCORDING TO THE U.S. CENSUS BUREAU, THE POPULATION OF OTERO COUNTY IN 2024 WAS 69,711, REFLECTING A 0.51% ANNUAL GROWTH FROM 2023. THE HOSPITAL IS THE ONLY ACUTE CARE HOSPITAL WITHIN THE PSA AND IS A SOLE COMMUNITY PROVIDER. MANAGEMENT OF CSNM ESTIMATES THAT THE MARKET SHARE OF ADMISSIONS TO TEXAS HOSPITALS IS 22.9%, TO LAS CRUCES, NM, HOSPITALS IS 9.4%, AND TO ALBUQUERQUE HOSPITALS IS 3.9%. THE HOSPITAL CAPTURES 61% OF THE INPATIENT MARKET SHARE WITHIN THE PSA. THE SECONDARY SERVICE AREA COVERS A SUBSTANTIAL PORTION OF THE REMAINDER OF OTERO COUNTY, AS WELL AS THE SOUTH CENTRAL PORTION OF LINCOLN COUNTY. THE SECONDARY SERVICE AREA INCLUDES RUIDOSO, THE POPULATION OF WHICH WAS HAS DECLINED TO 7,701 FROM 8,377 IN 2021. THE TERTIARY SERVICE AREA COVERS A SMALL PORTION OF OTERO COUNTY AND CHAVES COUNTY. THERE ARE NO OTHER MAJOR MEDICAL CENTERS WITHIN OTERO COUNTY.
Schedule H, Part VI, Line 5 Promotion of community health	THE BUSINESS AND AFFAIRS OF CSNM ARE SUBJECT TO THE OVERALL GOVERNANCE AND DIRECTION OF ITS BOARD OF DIRECTORS. THE BOARD OF DIRECTORS CONSISTED OF 11 MEMBERS AS OF JUNE 30, 2025. EACH MEMBER IS APPOINTED BY THE BOARD OF DIRECTORS AND SERVES A THREE-YEAR TERM IN A SELF-PERPETUATING BOARD. THE BOARD OF DIRECTORS FILLS VACANCIES THAT MAY OCCUR. OFFICERS OF THE BOARD OF DIRECTORS INCLUDE A CHAIRMAN, VICE CHAIRMAN, AND SECRETARY/TREASURER. AS A NONPROFIT ORGANIZATION AND A PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA IT SERVES GUIDES CNSM. CSNM'S MEDICAL STAFF IS ORGANIZED INTO DIVISIONS OF MEDICINE, MEDICAL SUBSPECIALTIES, SURGERY AND OUTPATIENT SERVICES. IN ADDITION TO SPECIALIZED MEDICAL/SURGICAL SERVICES PROVIDED BY BOTH EMPLOYED AND CONTRACTED PHYSICIANS AND MEDICAL GROUPS, CSNM ALSO OFFERS EMERGENCY MEDICAL SERVICES, INCLUDING A HELICOPTER SERVICE WHICH IS NOT OWNED BY CSNM BUT IS ON-SITE 24 HOURS A DAY. CSNM EMPLOYS AROUND-THE-CLOCK HOSPITALISTS (I.E., PHYSICIANS WHO DEVOTE THEIR PROFESSIONAL TIME TO THE CARE OF HOSPITALIZED PATIENTS). THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. A PORTION OF RETAINED EARNINGS ARE RE-INVESTED INTO THE PURCHASE OF CAPITAL EQUIPMENT, ELECTRONIC MEDICAL RECORD SOFTWARE, CONTINUING EDUCATION FOR CLINICAL STAFF INCLUDING PHYSICIANS, AND A PROFESSIONALLY MANAGED DIVERSIFIED PORTFOLIO OF MARKETABLE SECURITIES. CSNM VIEWS THE POSITION OF SOLE PROVIDER AS A SIGNIFICANT COMMITMENT TO THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY. IN ADDITION TO ITS FOCUS ON PROVIDING QUALITY HEALTHCARE, THE ORGANIZATION STRIVES TO FACILITATE AND SHARE OPPORTUNITIES TO EDUCATE, MOTIVATE A PHILOSOPHY OF WELLNESS IN THE COMMUNITY and extend the healing hand of Jesus Christ. THE PRIMARY TARGET IS THE DISEASE PROCESS THAT WE KNOW CAN BE ELIMINATED OR IMPROVED BY CHANGING OR MODIFYING HUMAN BEHAVIOR. AS WITH ANY COMMUNITY, THE POPULATION HAS A VARIETY OF EDUCATIONAL BACKGROUNDS. THE GOAL IS TO DEVELOP PROGRAMS THAT TARGET THE NEEDS AND UNDERSTANDING OF THE COMMUNITY. PHYSICIANS/PROVIDERS ARE UTILIZED TO PROVIDE OPEN FORUMS THAT PRESENT HEALTH-RELATED ISSUES, I.E. ARTHRITIS, NEPHROLOGY, NEUROLOGY, ORTHOPEDIC ISSUES, ETC., FOLLOWED BY QUESTIONS AND TIME FOR INDIVIDUAL DISCUSSION. THIS TYPE OF PROGRAM IS OFFERED WITH A FREE LUNCH, EDUCATIONAL MATERIALS, AND IF APPROPRIATE, FREE SCREENINGS, SUCH AS GLUCOSE OR BLOOD PRESSURE. THERE IS AN AVERAGE OF 90 PARTICIPANTS IN EACH OF THESE SEMINARS. THE ORGANIZATION IS VERY COMMUNITY-MINDED IN ITS EFFORTS TO PROMOTE HEALTH. STAFF PARTICIPATES IN HEALTH FAIRS IN THE PUBLIC SCHOOLS, AND HOSTS AN ANNUAL FREE SPORTS PHYSICAL CLINIC FOR SCHOOL-AGE CHILDREN. AT CSNM, WE FEEL IT IS IMPORTANT TO EMBRACE COMMUNITY NEEDS THAT PROMOTE GOOD CITIZENSHIP. AS AN ORGANIZATION WE SUPPORT EMPLOYEE INVOLVEMENT IN OUTSIDE ACTIVITIES THROUGH CONTRIBUTIONS, DEDICATED TIME AND SPONSORSHIP. ADMINISTRATION AND STAFF MEMBERS SERVE ON COMMUNITY BOARDS, DEDICATING MANY HOURS OF SUPPORT TO THOSE ORGANIZATIONS. THE FOLLOWING CLASSES ARE PROVIDED FOR THE COMMUNITY IN OUR CONFERENCE ROOM CENTER: DIABETIC EDUCATION, NARCOTICS ANONYMOUS, CHILDBIRTH CLASSES, NEW BABY CLASS, AND CPR/BASIC LIFE SUPPORT TO NAME A FEW. CSNM HAS BEEN A TOP SUPPORTER OF THE THRIVE, WHICH PROVIDES MONEY FOR MANY OF THE LOCAL COMMUNITY ORGANIZATIONS. CSNM PARTNERS WITH THE AMERICAN CANCER SOCIETY TO OFFER THE LOOK GOOD FEEL-GOOD PROGRAM AND THE GIFT CLOSET. THE PROGRAM IS HOUSED OFF CAMPUS IN A LEASED BUILDING AND HAS BROUGHT A HIGHLY VALUED SERVICE TO OUR COMMUNITY. THE GIFT CLOSET PROVIDES FREE WIGS, PROSTHESES, SUPPLIES, EDUCATION AND SUPPORT TO CANCER PATIENTS AND THEIR FAMILIES. THE OPPORTUNITY TO UTILIZE OUR SPEAKER'S BUREAU IS AVAILABLE TO ANY ORGANIZATION IN THE COMMUNITY. A PRESENTATION REGARDING HEALTH-RELATED TOPICS CAN BE PREPARED WITH LIMITED NOTICE TO MEET THE NEEDS OF THE ORGANIZATION. THE WEALTH OF KNOWLEDGE IN OUR ORGANIZATION ALLOWS US TO CREATE AN APPROPRIATE FIT FOR THE REQUESTED NEED.
Schedule H, Part VI, Line 6 Affiliated health care system	OTERO COUNTY HOSPITAL ASSOCIATION IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN THE STATES OF ARKANSAS, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO, COLOMBIA, AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING OTERO COUNTY HOSPITAL ASSOCIATION, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. OTERO COUNTY HOSPITAL ASSOCIATION, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED.
Schedule H, Part VI, Line 7 State filing of community benefit report	NM

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Alamogordo Chamber of Comm
850109297	501(c)(6)	$10,000	Sponsorship
NM State Univ Fdn Inc
850170157	501(c)(3)	$168,000	Community Benefit
Otero County Fair Assoc
856011829	501(c)(3)	$191,296	Community Benefit
PMS Alamogordo
850206810	501(c)(3)	$150,000	Public Health
PMS Chaparral NM Clinic
850206810	501(c)(3)	$200,000	Public Health
PMS Sacramento Mtn Ctr
850206810	501(c)(3)	$100,000	Public Health
PMS Tularosa
850206810	501(c)(3)	$50,000	Public Health
Thrive
850197559	501(c)(3)	$103,582	Community Benefit

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Transportation Assistance	GrantTypeTxt
Recipient	2620	RecipientCnt
Cash Grant	$182,928	CashGrantAmt

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)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SAM BAGCHI MD
BOARD DIRECTOR	$0	$1,276,855	$0	$2,272,809	$0	$471,564	$0	$13,801	$0	$30,430	$0	$4,065,459	$0	$459,831
RANDY SAFADY
BOARD DIRECTOR	$0	$1,576,199	$0	$2,784,192	$0	$2,093,219	$0	$19,731	$0	$10,695	$0	$6,484,036	$0	$1,177,444
PAUL GENERALE
BOARD DIRECTOR	$0	$1,322,964	$0	$2,340,994	$0	$1,560,791	$0	$30,871	$0	$10,618	$0	$5,266,238	$0	$1,560,141
KIMBERLY KING WEBB
BOARD DIRECTOR	$0	$742,665	$0	$871,874	$0	$113,124	$0	$13,801	$0	$20,563	$0	$1,762,027	$0	$112,474
ROBERT J HECKERT
CHIEF EXECUTIVE OFFICER (TERM 03/25)	$0	$488,949	$0	$666,807	$0	$20,390	$0	$13,801	$0	$2,451	$0	$1,192,398	$0	$0
WILLIAM POLLARD
CHIEF MEDICAL OFFICER	$0	$291,405	$0	$293,400	$0	$0	$0	$55,726	$0	$19,684	$0	$660,215	$0	$0
BASHAR NASER
CHIEF FINANCIAL OFFICER	$0	$377,435	$0	$188,737	$0	$0	$0	$37,900	$0	$20,767	$0	$624,839	$0	$0
REUBEN MURRAY
CHIEF EXECUTIVE OFFICER (EFF 3/25)	$0	$347,318	$0	$151,188	$0	$49,591	$0	$38,673	$0	$17,424	$0	$604,194	$0	$49,441
KERRY BOLIN
CHIEF NURSING OFFICER	$0	$207,698	$0	$115,651	$0	$0	$0	$37,141	$0	$9,468	$0	$369,958	$0	$0
ROBERT MIDDLETON
VP OF OPERATIONS	$286,204	$0	$39,800	$0	$1,039	$0	$8,180	$0	$78,030	$0	$413,253	$0	$0	$0
PETER SEAMAN
VP OF FINANCE	$228,890	$0	$39,800	$0	$159	$0	$7,716	$0	$49,571	$0	$326,136	$0	$0	$0
CHARLES RACE
PHYSICIAN	$970,699	$0	$42,000	$0	$674	$0	$7,102	$0	$69,244	$0	$1,089,719	$0	$0	$0
FERIAL ABOOD
PHYSICIAN	$492,040	$0	$367,515	$0	$674	$0	$8,134	$0	$26,993	$0	$895,356	$0	$0	$0
ANDREW PIKE
PHYSICIAN	$739,711	$0	$42,445	$0	$80	$0	$9,754	$0	$77,847	$0	$869,837	$0	$0	$0
DREW MILLER
PHYSICIAN	$696,155	$0	$16,000	$0	$20,043	$0	$14,019	$0	$26,977	$0	$773,194	$0	$0	$0
ANDREW CHRISTENSEN MD
PHYSICIAN	$531,853	$0	$108,833	$0	$25,053	$0	$13,375	$0	$77,847	$0	$756,961	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR 2024: RANDY SAFADY - $2,092,569 PAUL GENERALE - $1,560,141 SAM BAGCHI - $471,564 KIMBERLY KING WEBB - $112,474 REUBEN MURRAY - $49,441 ROBERT J HECKERT - $20,390
Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization	THE ORGANIZATION'S OFFICERS LISTED IN PART VII, SECTION A, ARE EVALUATED ANNUALLY BASED ON A SET OF EVIDENCE-BASED GOALS THAT DETERMINE THEIR ELIGIBILITY FOR ADDITIONAL COMPENSATION. THE SELECT GOALS ARE WEIGHTED IN A HIERARCHY OF CORE AND JOB-SPECIFIC COMPETENCIES, WHICH INCLUDE QUALITY OF CARE, FINANCIAL PERFORMANCE, AND PATIENT PERCEPTION OF CARE MEASURE. ONE OF THE CRITERIA DESIGNED TO ENHANCE ALIGNMENT OF THE ORGANIZATION'S GOAL FOR CONTINUED FINANCIAL STABILITY IS IMPROVEMENT OF NET EARNINGS OF BOTH THE HOSPITAL AND ITS RELATED ORGANIZATIONS.
Schedule J, Part I, Line 7 Non-fixed payments	BONUSES WERE AWARDED FOR ALL EMPLOYEES FOR MEETING ORGANIZATIONAL GOALS AND WERE APPROVED BY THE BOARD.
Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION	THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY.
Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION	THE BONUS AND INCENTIVE COMPENSATION REPORTED AS RELATED COMPENSATION WAS PAID TO THE FOLLOWING PERSONS BY CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY: RANDY SAFADY; PAUL GENERALE; KIMBERLY KING WEBB; KERRY BOLIN; BASHAR NASER; SAM BAGCHI; WILLIAM POLLARD; ROBERT J HECKERT; AND REUBEN MURRAY
Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION DEFERRED COMPENSATION	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 SUPPLEMENTAL COMPENSATION INFORMATION	DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
Schedule J, Part II, Column (B)(ii) SUPPLEMENTAL COMPENSATION INFORMATION	BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2024.
Schedule J, Part II, Column (C) DEFERRED COMPENSATION	DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DOING BUSINESS AS	Christus Southern New Mexico Christus Southern New Mexico Alamogordo Imaging Center Christus Surgery Center Gerald Champion Regional Medical Center Southwest Medical Spa
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION	Patient Care Services Otero County Hospital Association responds to the health care needs of the community through services provided at 1 campus: - CHRISTUS Southern New Mexico, a 100-bed hospital in Alamogordo Each facility shares the objective of leading the way to a healthier community. Otero County Hospital Association is located in New Mexico, serving a population of 49,861 individuals in fiscal year 2025. In fiscal year 2025, we served individuals in various ways, including: 31,890 visits to our emergency department 880 inpatient surgery procedures 5,977 outpatient surgery procedures 3,754 patients admitted for care 187,547 patients who received outpatient care
Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION	Other Government Programs Otero County Hospital Association provides services to individuals covered under government-sponsored programs, including Medicare, TRICARE, and others. The unreimbursed costs of these services are reported to the state but are not included in the community benefit reports. Medicare is the largest single payor classification of patients served by this hospital. The payment rate for inpatient services is on a per-case rate, calculated based on the diagnostic-related group into which the patient is categorized. Medicare reimburses outpatient services based on its fee schedule.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	CHARITY CARE AND COMMUNITY BENEFIT ACTIVITY In keeping with the mission, values, and vision of CHRISTUS Health, Otero County Hospital Association provides charity care services in a manner that respects the dignity of the patients and their families. Otero County Hospital Association provides charity care to individuals who are unable to pay for medically necessary services. Charity care includes free or discounted healthcare provided according to the organization's financial assistance policy, which is based on federal poverty guidelines. No patient was refused necessary medical care due to inability to pay. Otero County Hospital Association actively participates in New Mexico programs, which are designed to provide payment for health care services to individuals who meet specific financial and eligibility criteria. These requirements include an evaluation of both assets and income to determine program qualification. Otero County Hospital Association also conducts a variety of community benefit activities to improve health and well-being in the communities it serves. These activities include health education, screenings, subsidized clinical services, research, cash and in-kind donations, and community building. In FY2025, Otero County Hospital Association invested $1,899,031 in community benefit programs, potentially impacting 13,060 individuals.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 1,181,991 including grants of $ 1,181,991)(Revenue $ 0) OTERO COUNTY HOSPITAL ASSOCIATION ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE POOR & UNDESERVED AND BROADER COMMUNITY. POOR & UNDERSERVED: EXPENSES OF $1,480 BROADER COMMUNITY: EXPENSES OF $955,573, GRANTS OF $334,098 ADDITIONAL GRANTS: EXPENSES OF $224,938; GRANTS OF $847,893
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	PAUL GENERALE, SAM BAGCHI, MD, KIMBERLY KING WEBB, AND RANDY SAFADY: - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	EFFECTIVE JULY 1, 2023, THE MEDICAL CENTER ENTERED INTO AN AGREEMENT WITH CHRISTUS HEALTH WHEREBY BOTH PARTIES AGREED THAT THE MEDICAL CENTER SHOULD HAVE A SOLE CORPORATE MEMBER AND THAT CHRISTUS HEALTH SHOULD BE THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CHRISTUS HEALTH, THE SOLE MEMBER, HAS THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	GOVERNANCE DECISIONS ARE RESERVED TO OR SUBJECT TO APPROVAL BY CHRISTUS HEALTH, THE SOLE MEMBER.
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 2026 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
Form 990, Part VI, Line 12c Conflict of interest policy	AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING OTERO COUNTY HOSPITAL ASSOCIATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
Form 990, Part VI, Line 19 Required documents available to the public	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 2f Other Program Service Revenue	OTHER OPERATING REVENUE - Total Revenue: 2280575, Related or Exempt Function Revenue: 2280575, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Other Purchased Services: Less Lobbying - Total Expense: 24801758, Program Service Expense: 20150493, Management and General Expenses: 4651265, Fundraising Expenses: ; Medical Services - Total Expense: 17763646, Program Service Expense: 17763646, Management and General Expenses: , Fundraising Expenses: ; Physician Services - Total Expense: 15803734, Program Service Expense: 15803734, Management and General Expenses: , Fundraising Expenses: ; Repairs & Maintenance Services - Total Expense: 7986168, Program Service Expense: 7076642, Management and General Expenses: 909526, Fundraising Expenses: ; Consulting Services - Total Expense: 6595949, Program Service Expense: 5028843, Management and General Expenses: 1567106, Fundraising Expenses: ; Collection Services - Total Expense: 1283569, Program Service Expense: 1218249, Management and General Expenses: 65320, Fundraising Expenses: ; Other Professional Services - Total Expense: -3263, Program Service Expense: -3263, Management and General Expenses: 0, Fundraising Expenses: ; Occupancy Related Services - Total Expense: 726595, Program Service Expense: 726595, Management and General Expenses: , Fundraising Expenses: ; Marketing Services - Total Expense: 3045, Program Service Expense: 3045, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - -81640613; Total - -81640613;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2669 SCENIC DRIVE	AddressLine1Txt
City	ALAMOGORDO	CityNm
State Abbreviation	NM	StateAbbreviationCd
ZIP	88310	ZIPCd

Field	Value	IRS element (for citing)
EIN	611753921	EIN
Primary Activities	HEALTHCARE SERVICES	PrimaryActivitiesTxt
Legal Domicile State	NM	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (58 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE	TYLER	TX	75701	465720165	HEALTHCARE SERVICES	TX	501(c)(3)	3	MFH REG	Yes (true)
CH WILKINSON PHYSICIAN NETWORK
1700 WEST LOOP SOUTH STE 400B	HOUSTON	TX	77027	760422435	HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHAMPION EMS
2201 S MOBBERLY AVE	LONGVIEW	TX	75602	752747708	HEALTHCARE SERVICES	TX	501(c)(3)	10	MFH REG	Yes (true)
CHRISTUS CONNECTED CARE NETWORK
5101 N OCONNOR BLVD	IRVING	TX	75039	473403356	SUPP HEALTHCARE SERVICES	TX	501(c)(4)		CH	Yes (true)
CHRISTUS CONTINUING CARE
1700 W LOOP SOUTH SUITE 1100	HOUSTON	TX	77027	742898615	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS FOUNDATION FOR HEALTHCARE
PO BOX 1919	HOUSTON	TX	77251	746074210	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	CH	Yes (true)
CHRISTUS FOUNDATION SHREVEPORT-BOSSIER
ONE ST MARY PLACE	SHREVEPORT	LA	71101	721219280	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	NOLA	Yes (true)
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	750974351	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS HEALTH
5101 N OCONNOR BLVD	IRVING	TX	75039	760590551	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	NA	false
CHRISTUS HEALTH ARK-LA-TEX
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	752796815	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	NETXNL	Yes (true)
CHRISTUS HEALTH CENTRAL LOUISIANA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720408984	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH FDN OF SOUTHEAST TX
2830 CALDER	BEAUMONT	TX	77702	760136274	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	SETX	Yes (true)
CHRISTUS HEALTH FOUNDATION
5101 N OCONNOR BLVD	IRVING	TX	75039	611500100	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHRISTUS HEALTH GULF COAST
PO BOX 922037	HOUSTON	TX	77292	760591592	HEALTHCARE SERVICES	TX	501(c)(3)	7	CCC	Yes (true)
CHRISTUS HEALTH INTERNATIONAL
5101 N OCONNOR BLVD	IRVING	TX	75039	462811167	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes (true)
CHRISTUS HEALTH LATIN AMERICA
5101 N OCONNOR BLVD	IRVING	TX	75039	462816604	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH STRA GRTH	Yes (true)
CHRISTUS HEALTH NORTHERN LOUISIANA
ONE SAINT MARY PLACE	SHREVEPORT	LA	75039	720408982	HEALTHCARE SERVICES	LA	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS HEALTH PLAN
5101 N OCONNOR BLVD	IRVING	TX	75039	452106295	HEALTH PLAN	TX	501(c)(4)		CH	Yes (true)
CHRISTUS HEALTH PLAN LOUISIANA
5101 N OCONNOR BLVD	IRVING	TX	75039	464617988	MEDICAID HMO	LA	501(c)(4)		CH	Yes (true)
CHRISTUS HEALTH SOUTHEAST TEXAS
2830 CALDER STREET	BEAUMONT	TX	77726	760591590	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	720411322	HEALTHCARE SERVICES	LA	501(c)(3)	3	CH	Yes (true)
CHRISTUS HEALTH STRATEGIC GROWTH
5101 N OCONNOR BLVD	IRVING	TX	75039	462798043	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CH	Yes (true)
CHRISTUS HOPKINS HEALTH ALLIANCE
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	811708177	HEALTHCARE SERVICES	TX	501(c)(3)	3	NETXNL	Yes (true)
CHRISTUS NORTHEAST TEXAS AND NORTHERN LOUISIANA HEALTH SYSTEM CORPORATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	HEALTHCARE SERVICES	TX	501(c)(3)	Type II	CH	Yes (true)
CHRISTUS PEDIATRIC PHYSICIAN GROUP
5101 N OCONNOR BLVD	IRVING	TX	75039	465203505	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA FAMILY HEALTH CENTER
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742806531	HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes (true)
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	741109665	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SANTA ROSA MED CTR AUXILIARY
2827 BABCOCK ROAD	SAN ANTONIO	TX	78229	731655493	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	10	CSRHCC	Yes (true)
CHRISTUS SANTA ROSA-SAN MARCOS FOUNDATION
PO Box 912	SAN MARCOS	TX	78667	742259907	SUPPORT	TX	501(c)(3)	7	SRHCC	Yes (true)
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741109836	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FOUNDATION
600 ELIZABETH STREET	CORPUS CHRISTI	TX	78404	741906005	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	SPOHN HS	Yes (true)
CHRISTUS ST FRANCES CABRINI HOSPITAL AUXILIARY INC
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	237255175	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	10	CHCL	Yes (true)
CHRISTUS ST MICHAEL FOUNDATION
2600 ST MICHAEL DRIVE	TEXARKANA	TX	75503	471655865	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	7	ALT	Yes (true)
CHRISTUS ST PATRICK FOUNDATION
524 DR MICHAEL DEBAKEY DR	LAKE CHARLES	LA	70601	471496376	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	SWLA	Yes (true)
Chritus Trinity Clinic Texas
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE SERVICES	TX	501(c)(3)	3	CH	Yes (true)
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(c)(3)	Type I	NETXNL	Yes (true)
FRIENDS OF SANTA ROSA FOUNDATION
333 N SANTA ROSA STREET	SAN ANTONIO	TX	78207	742723391	SUPP HEALTHCARE SERVICES	TX	501(c)(3)	Type I	CSRHCC	Yes (true)
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752056700	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVE	LONGVIEW	TX	75601	237203364	SUPPORT	TX	501(c)(3)	10	GSH INC	Yes (true)
GOOD SHEPHERD MED CENTER - LINDEN INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	010829282	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes (true)
GOOD SHEPHERD MEDICAL CENTER - LINDEN FOUNDATION INC
404 N KAUFMAN	LINDEN	TX	75563	200845127	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
GSHS ADMINISTRATIVE SERVICES ORG INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	861132471	ADMIN SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes (true)
HOPKINS CTY PHYSICIAN SERVICES
115 AIRPORT RD	SULPHUR SPRINGS	TX	75482	260637742	CLINIC	TX	501(c)(3)	3	CHHA	Yes (true)
MARSHALL HOSPITAL FOUNDATION INC
811 SOUTH WASHINGTON AVE	MARSHALL	TX	75670	752605699	HEALTHCARE SERVICES	TX	501(c)(3)	7	GSMC	Yes (true)
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVE	TYLER	TX	75701	751976930	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
1315 DOCTORS DRIVE	TYLER	TX	75701	750818167	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752511459	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes (true)
SPECIALTY PHYSICIANS OF CENTRAL TEXAS
1301 WONDER WORLD DRIVE	SAN MARCOS	TX	78666	208814408	HEALTHCARE SERVICES	TX	501(c)(3)	3	CTC	Yes (true)
ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA
3330 MASONIC DRIVE	ALEXANDRIA	LA	71301	720998302	SUPP HEALTHCARE SERVICES	LA	501(c)(3)	7	CHCL	Yes (true)
ST VINCENT HOSPITAL
PO BOX 2107	SANTA FE	NM	87504	850106941	HOSPITAL	NM	501(c)(3)	3	CH	Yes (true)
ST VINCENT HOSPITAL FOUNDATION
455 ST MICHAELS DRIVE	SANTA FE	NM	87505	850282847	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	SVH	Yes (true)
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	751041154	HEALTHCARE SERVICES	TX	501(c)(3)	3	GSMC	Yes (true)
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	HEALTHCARE SERVICES	TX	501(c)(3)	10	CCC	Yes (true)
Gerald Champion Regional Medical Center Foundation
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	850352051	FUNDRAISING ACTIVITIES	NM	501(c)(3)	Type I	OCHA	Yes (true)
Santa Rosa Children's Hospital Foundation
PO Box 1661	SAN ANTONIO	TX	78296	741224362	FUNDRAISING ACTIVITIES	TX	501(c)(3)	7	SRHCC	Yes (true)
Christus St Joseph Village
5101 N OCONNOR BLVD	IRVING	TX	75039	010829282	Senior living	TX	501(c)(3)	10	GSMC Linden	Yes (true)
Continue Care Hospital of Tyler Inc
7950 Legacy Drive 1000	Plano	TX	75024	200991990	HOSPITAL	TX	501(c)(3)	3	NETXNL	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
CENTRAL LOUISIANA SURGICAL HOSPITAL LLC
651 NORTH BOLTON AVE	ALEXANDRIA	LA	71301	264732398	SURGICAL CENTER	LA	NA
CHRISTUS SURGERY CENTER - VILLAGES LLC
1453 E BERT KOUNS	SHREVEPORT	LA	71108	844975265	SURGICAL CENTER	LA	NA
CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC
13525 CENTERBROOK 100	UNIVERSAL CITY	TX	78148	384092858	SURGICAL CENTER	TX	NA
CHRISTUS CENTER FOR SPECIAL SURGERY
14603 HUEBNER RD	SAN ANTONIO	TX	78240	990686547	SURGICAL CENTER	TX	NA
CHRISTUS SURGERY CENTER - WESTOVER HILLS LLC
1927 ROGERS RD	SAN ANTONIO	TX	78251	851975909	SURGICAL CENTER	TX	NA
NEW BRAUNFELS SURGICAL CENTER LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571408	HEALTHCARE SERVICES	TX	NA
CHRISTUS SANTA ROSA AMBULATORY SURGERY CENTERS SAN ANTONIO LLC
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	412092141	HEALTHCARE SERVICES	TX	NA
CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP
333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	810571409	HEALTHCARE SERVICES	TX	NA
GOOD SHEPHERD NORTH PARK LP
700 E MARSHALL AVE	LONGVIEW	TX	75601	464834106	HEALTHCARE SERVICES	TX	NA
GOOD SHEPHERD AMBULATORY SURGICAL LTD
700 E MARSHALL AVE	LONGVIEW	TX	75601	900259782	HEALTHCARE SERVICES	TX	NA
GSHS CUSTOMER SERVICE BUILDING I LTD
700 E MARSHALL AVE	LONGVIEW	TX	75601	020636726	CUSTOMER SERVICES	TX	NA
ST ELIZABETH REHAB PARTNERS LLP
2830 CALDER STREET	BEAUMONT	TX	77702	205657181	HEALTHCARE SERVICES	TX	NA
NORTHERN LOUISIANA CARDIAC SERVICES LLC
1751 IMPERIAL BLVD	LAKE CHARLES	LA	70605	813198914	SURGICAL CENTER	LA	NA
SOUTH RYAN MRI LLC
650 DR MICHAEL DEBAKEY DRIVE	LAKE CHARLES	LA	70601	743103662	IMAGING SERVICES	LA	NA
ALAMOGORDO IMAGING CENTER LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	201451281	IMAGING SERVICES	NM	OCHA	Related	$145,724	$783,518	false	$0	false	0.51
CHAMPION HEALTH CARE LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	850860214	HEALTHCARE SERVICES	NM	OCHA	Related	$13,311	$88,434	false	$0	false	0.51
WHITE SANDS HEALTH CARE SYSTEMS LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88310	850438529	HEALTHCARE SERVICES	NM	OCHA							0.5
SANTA FE IMAGING LLC
1640 HOSPITAL DR	SANTA FE	NM	87505	850465936	IMAGING CENTER	NM	NA
SANTA FE MEDICAL PROPERTIES LLC
455 SAINT MICHAELS DR	SANTA FE	NM	87505	201480795	LEASING	NM	NA
IMPERIAL CALCASIEU SURGICAL CENTER LLC
1757 IMPERIAL RD	LAKE CHARLES	LA	70605	205109610	ASC	LA	NA
GSHS CUSTOMER SERVICE BUILDING LLC
700 E MARSHALL AVE	LONGVIEW	TX	75601	720896055	CUSTOMER SERVICES	TX	NA
Christus Cardiac Surgery Center LLC
5101 N OCONNOR BLVD	IRVING	TX	75039	990803350	SURGICAL CENTER	TX	NA
Christus Latam Hub Center of Excellence and Innovation
5101 N OCONNOR BLVD	IRVING	TX	75039	999999999	HEALTHCARE SERVICES	TX	NA
CHC Community Care LLC
5101 N OCONNOR BLVD	IRVING	TX	75039	371485773	HEALTHCARE SERVICES	TX	NA
GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC
2669 SCENIC DRIVE	ALAMOGORDO	NM	88311	611753921	HEALTHCARE SERVICES	NM	OCHA							0.51

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (38 entries)

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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (true)	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	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	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Alamogordo Home Health Care and Hospice
A	$47,040	FAIR MARKET VALUE
Alamogordo Home Health Care and Hospice
J	$50,960	FAIR MARKET VALUE
Alamogordo Imaging Center LLC
A	$146,729	FAIR MARKET VALUE
Alamogordo Imaging Center LLC
M	$5,078,405	FAIR MARKET VALUE
Alamogordo Imaging Center LLC
L	$3,551,917	FAIR MARKET VALUE
Alamogordo Imaging Center LLC
Q	$72,284	FAIR MARKET VALUE
Alamogordo Imaging Center LLC
F	$72,284	FAIR MARKET VALUE
Alamogordo Imaging Center LLC
J	$122,864	FAIR MARKET VALUE
Alamogordo Surgery Ventures LLC
A	$547,741	FAIR MARKET VALUE
Alamogordo Surgery Ventures LLC
L	$5,840,399	FAIR MARKET VALUE
Alamogordo Surgery Ventures LLC
M	$5,735,140	FAIR MARKET VALUE
Alamogordo Surgery Ventures LLC
K	$88,093	FAIR MARKET VALUE
Alamogordo Surgery Ventures LLC
J	$627,950	FAIR MARKET VALUE
Champion Home Health Care LLC
Q	$80,295	FAIR MARKET VALUE
Champion Home Health Care LLC
A	$24,004	FAIR MARKET VALUE
Champion Home Health Care LLC
F	$56,291	FAIR MARKET VALUE
CHRISTUS Trinity Clinic New Mexico LLC
L	$15,934,825	FAIR MARKET VALUE
CHRISTUS Trinity Clinic New Mexico LLC
M	$132,077	FAIR MARKET VALUE
Gerald Champion-Sierra Providence Cardiac Cath Lab
A	$274,306	FAIR MARKET VALUE
Gerald Champion-Sierra Providence Cardiac Cath Lab
Q	$2,721,333	FAIR MARKET VALUE
Gerald Champion-Sierra Providence Cardiac Cath Lab
O	$758,685	FAIR MARKET VALUE
Gerald Champion-Sierra Providence Cardiac Cath Lab
L	$6,986,128	FAIR MARKET VALUE
Gerald Champion-Sierra Providence Cardiac Cath Lab
M	$6,732,856	FAIR MARKET VALUE
Gerald Champion-Sierra Providence Cardiac Cath Lab
F	$198,894	FAIR MARKET VALUE
Gerald Champion-Sierra Providence Cardiac Cath Lab
J	$234,576	FAIR MARKET VALUE