2024-05-07T17:43:21+00:00 2023-06-30 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE DALLAS TX 75219 990 2022-07-01 750974351 CHRISTUS Good Shepherd Medical Center CHRI 9033154000 700 E MARSHALL AVE LONGVIEW TX 75601 TODD HANCOCK SYSTEM PRESIDENT/CEO 2024-05-07 true MICHAEL CHEEK 999009999 true Stephanie Lew P01080011 2149698000 2022 2023-04-26 12:10:37Z SEE SCHEDULE O TODD HANCOCK 700 E MARSHALL AVE LONGVIEW TX 75601 624478069 false X WWW.CHRISTUSHEALTH.ORG/GOOD-SHEPHERD/LONGVIEW X 1954 TX TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION REGARDLESS OF RACE, SEX, CREED, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 20 12 3246 25 111764 0 1252237 153333 542044830 614015683 4951 337134 43708120 1638502 587010138 616144652 229303 291016 0 0 204358426 196393436 0 181933 362118822 351482721 566706551 548167173 20303587 67977479 293895704 365007073 90711288 122751387 203184416 242255686 X See Schedule O false false 224360302 0 201934166 See schedule O 153788911 0 320648761 See schedule O 63071122 0 91432756 See schedule O 2081338 60502 Broader Community 392600 28730 Poor & Underserved 201784 Additional Grants 2473938 291016 443694273 true true false true false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 0 0 3246 true true true false false false false false false false false false false false X 20 12 false false false false true true true true true false false true true true true true true true true false X X LEE SONNE 4692822000 5101 N OCONNOR BLVD IRVING TX 75039 Shannon Dacus Board Director / Chairperson 11.0 29.0 X X 0 0 0 Todd Hancock System President/CEO 17.0 23.0 X X 0 865919 269993 Andria Cardinalli-Stein MD Board Director 8.0 32.0 X 0 476507 12200 Bill Chen PhD Board Director 1.0 10.0 X 0 19699 0 Chris Glenney Board Director 20.0 20.0 X 0 1403929 446039 Dick Stone Board Director 10.0 30.0 X 0 0 0 Fred Harris Jr Board Director 10.0 30.0 X 0 0 0 Jean Coleman Board Director 8.0 32.0 X 0 0 0 Jeb Jones Board Director 10.0 30.0 X 0 0 0 Jeff Puckett Board Director 13.0 27.0 X 0 6548766 2426509 Joe Bob Burgin Board Director 10.0 30.0 X 0 0 0 Joe Bob Joyce Board Director (THRU 12/21/2022) 0.0 0.0 X 0 0 0 Mark Anderson MD Board Director 11.0 29.0 X 0 933102 271882 Michael Hallum Board Director 4.0 36.0 X 0 0 0 Preston Smith Board Director 11.0 29.0 X 0 0 0 Randy Childress Board Director 4.0 36.0 X 0 0 0 Sister Guadalupe Ruiz Board Director 4.0 36.0 X 0 0 0 Sister Rita Fanning Board Director 2.0 38.0 X 0 0 0 Sister Rosanne Popp Board Director 4.0 36.0 X 0 231978 2672 Sonja Yates Hubbard Board Director 8.0 32.0 X 0 0 0 Steven Keuer MD Board Director 10.0 30.0 X 0 1293583 226672 Amanda Smith Corporate Secretary 20.0 20.0 X 0 48820 10141 James Brogan VP Mission Integration 40.0 0.0 X 0 155460 20501 Jim Gaton VP Operations 40.0 0.0 X 0 259757 8710 Suhel Patel CMO 40.0 0.0 X 0 608884 103515 Teresa Halcomb CNO Longview 40.0 0.0 X 0 393211 81271 DANIEL D SMITH CRNA 40.0 0.0 X 334484 0 24922 Joseph Mcree CRNA 40.0 0.0 X 307354 0 19484 LEE A HOLLADAY CRNA TEAM LEAD 40.0 0.0 X 316247 0 30155 RICHARD KLIMA CRNA 40.0 0.0 X 383049 0 25084 ZACKARY G LISTER CRNA TEAM LEAD 40.0 0.0 X 357969 0 24574 Jamie DOWELL Secretary 2.0 38.0 X 135657 0 7592 Jason Adams COO (THRU 10/2019) 0.0 40.0 X 0 674084 144917 Ken Cunningham VP Gen Counsel (Thru 12/2020) 0.0 40.0 X 0 564773 78364 Michael Cheek CFO 40.0 0.0 X 0 495760 72748 Scott Smith MD FORMER DIRECTOR (TERM 11/18/2021) 0.0 40.0 X 0 621000 23620 1834760 15595232 4331565 276 true true false 0 133333 20000 153333 Net Patient Service Revenue 621990 552201132 552201132 Physician Support Service 900099 44371872 44371872 Life Wellness Center 713940 2469466 2469466 I/C Shared Service OH Revenue 900099 102998 102998 14870215 14870215 0 0 614015683 59525 59525 9046579 7819543 1227036 0 1227036 59614 1167422 791483 513874 277609 0 277609 52150 225459 Purchase Discounts 900099 36397 36397 Spa Revenue 900099 5083 5083 369986 0 0 369986 411466 616144652 614015683 111764 1863872 X 291016 291016 0 0 143249 134325 8827 97 163507550 153321449 10075850 110251 3331767 3242407 87008 2352 18524227 17627846 879667 16714 10886643 10704053 176579 6011 1328 1328 444410 60057 384353 2152 2152 156490914 95838723 60652627 -436 713081 713081 18650193 17887341 755361 7491 23847752 23847752 23117637 22527067 590570 188581 163817 24338 426 201688 157568 13032 31088 5903279 5904005 -726 19991176 19991176 4373960 2510924 1863036 Medical Supplies 84470022 84468526 707 789 Bad Debts -5249967 -5249967 Tax and Fees 16674336 11762713 4911623 Rental 1440490 1431954 8418 118 221689 204864 9793 7032 548167173 443694273 104290967 181933 4733649 4718334 5023103 5082658 61094482 50899528 0 0 0 0 816396 554178 9973058 10997316 18507351 21920691 252735836 90853332 150077290 161882504 0 0 43670375 108951864 293895704 365007073 18291703 16797094 14241466 916461 0 0 58178119 105037832 90711288 122751387 X 203102416 242128686 82000 127000 203184416 242255686 293895704 365007073 X 67977479 -28906208 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 2153 false false 2153 false Schedule C, Part II-B, Line 1g LOBBYING DESCRIPTION AT THE FEDERAL LEVEL, CHRISTUS HEALTH TEXAS LEADERSHIP HAD DIRECT CONTACT WITH MEMBERS OF THE CONGRESS AND ADMINISTRATION OFFICIALS THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND MEETINGS 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 ADVANCED PAYMENTS, VALUE-BASED PAYMENT MODELS, FOREIGN HEALTH CARE WORKERS, CHILDREN'S HEALTH ISSUES, CHGME, MEDICAID, SUPPLEMENTAL PAYMENT PROGRAMS, RURAL HEALTH PROGRAM REAUTHORIZATION, AND HEALTH CARE FOR VETERANS. AT THE STATE LEVEL, CHRISTUS HEALTH TEXAS LEADERSHIP HAD DIRECT CONTACT WITH MEMBERS OF THE TEXAS LEGISLATURE AND ADMINISTRATION OFFICIALS THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND MEETINGS TO DISCUSS ISSUES IMPORTANT TO OUR MINISTRY. THESE ISSUES INCLUDE, BUT ARE NOT LIMITED TO ISSUES RELATED TO MEDICAID REIMBURSEMENT, ACCESS TO HEALTH CARE AND STATE FUNDING FOR SAFETY NET PROVIDERS, EMERGENCY PREPAREDNESS, WORKPLACE VIOLENCE, COVID-19 RESPONSE, GRADUATE MEDICAL EDUCATION, TRAUMA NETWORK AND SERVICES, LOCAL PROVIDER PARTICIPATION FUNDS, MATERNAL HEALTH, CHILDREN'S HEALTH ISSUES, BEHAVIORAL HEALTH, MEDICAID MANAGED CARE, PRESCRIPTION DRUGS COSTS, PHARMACY AND PRESCRIBING AUTHORITY, RURAL HOSPITALS, PHYSICIAN RELATIONS, ITEMIZED BILLING, FOSTER CARE REFORM, MEDICAID DIRECTED PAYMENT PROGRAMS, HEALTH CARE STAFFING, PRICE TRANSPARENCY, AND THE 1115 WAIVER PROGRAM. 8 EXECUTIVE HOURS. CHRISTUS GOOD SHEPHERD MEDICAL CENTER DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-23. 11254821 11254821 72430442 20725836 51704606 12270002 2211640 10058362 140503595 67886776 72616819 16276976 29080 16247896 161882504 ROU TRANSACTIONS 104007245 OTHERS 750894 ASSET CLEARING 3966900 INTERCOMPANY ACCOUNTS PAYABLE 226825 108951864 Operating Lease Liability 82926447 ROU Operating Accum Amortization 22111385 Intercompany Accounts Payable Error Suspense 105037832 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2023 AND 2022. true true X true X 300 true X true true true false true true 0 0 40449960 0 40449960 0.0731 0 0 63071122 91432756 0 0.0 0 0 0 0 0 0.0 0 0 103521082 91432756 40449960 0.0731 11 201770 1829467 0 1829467 0.0033 2 9844 620275 0 620275 0.0011 0 0 0 0 0 0.0 0 0 0 0 0 0.0 6 2289 91232 2000 89232 0.0002 19 213903 2540974 2000 2538974 0.0046 19 213903 106062056 91434756 42988934 0.0777 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 24196 0 24196 0.0000 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 24196 0 24196 0.0000 true -5249967 0 100157565 94300262 5857303 X true true 2 1 CHRISTUS GOOD SHEPHERD MED CTR-LNGVW 700 E MARSHALL AVE LONGVIEW TX 75601 https://www.christushealth.org/locations/longview-hospital 000020 X X X X A 2 CHRISTUS GOOD SHEPHERD MED CTR-MRSHLL 811 SOUTH WASHINGTON AVE MARSHALL TX 75670 https://www.christushealth.org/locations/marshall-hospital 000020 X X X A A false false true X X X X X X X X X 22 true false false true X https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve X true 22 true Longview hospital: https://www.christushealth.org/-/media/christus-health/connect-with-christus/file false true X 300.0 400.0 X X X X X true true X X X X true X See supplemental information X See supplemental information X See supplemental information X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. THE CHNA PROCESS INVOLVED ENGAGEMENT WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLECT, CURATE AND INTERPRET PRIMARY AND SECONDARY DATA. THE DATA WAS THEN USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. FOR THIS COMPONENT, CGSMC WORKED WITH METOPIO, A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. CGSMC CONDUCTED ITS CHNA USING AN ADAPTED PROCESS FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK. PRIMARY DATA WAS COLLECTED TROUGH FOUR CHANNELS: 1. COMMUNITY RESIDENT SURVEYS: 683 RESIDENT SURVEYS WERE RETURNED. THE 26-QUESTION SURVEY--AVAILABLE ONLINE AND IN PAPER FORM, IN ENGLISH AND IN SPANISH-SOUGHT INPUT FROM TYPICALLY UNREPRESENTED GROUPS. IT SOLICITED DATA REGARDING: DEMOGRAPHICS OF RESPONDENTS, HEALTH NEEDS OF COMMUNITY FOR DIFFERENT AGE GROUPS, PERCEPTION OF COMMUNITY STRENGTHS, AND UTILIZATION AND PERCEPTION OF LOCAL HEALTH SERVICES. 2. COMMUNITY RESIDENT FOCUS GROUPS: 2 LOCAL IN-PERSON GROUPS ADDRESSING ADULT HEALTH AND MATERNAL AND CHILD HEALTH. FOCUS GROUPS LASTED 90 MINUTES AND HAD UP TO 15 COMMUNITY MEMBERS INCLUDING UNDERSERVED POPULATIONS. COMMUNITY MEMBERS INCLUDED AN ADMINISTRATOR AND PARENTS FROM PINE TREE INDEPENDENT SCHOOL DISTRICT, SEXUAL ASSUAL NURSE EXAMINER (SANE) NURSE, ADMINISTRATOR AND CLIENTS FROM COMMUNITY HEALTH CORE, ADMINISTRATOR AND CLIENTS FROM LONGVIEW COMMUNITY MINISTRIES, OUTREACH WORKERS FROM WOMEN'S CENTER OF EAST TEXAS, AND A RESIDENT OF BUCKNER CHILDREN AND FAMILY SERVICES. 3. HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS: TWO CHRISTUS HEALTH SYSTEM-WIDE FOCUS GROUPS COMPRISED OF BEHAVIORAL HEALTH PROVIDERS AND CASE MANAGERS / SOCIAL WORKERS. 4. KEY INFORMANT INTERVIEWS: 10 KEY INFORMANTS WERE INTERVIEWED VIRTUALLY ONE-ON-ONE. EACH INTERVIEW WAS 30 MINUTES. PARTICIPANTS WERE LEADERS OF GOVERNMENT, HEALTH OR SOCIAL SERVICE AGENCIES SERVING LOW-INCOME GROUPS OR UNDERREPRESENTED GROUPS, INCLUDING: CITY OF LONGVIEW COMMUNITY SERVICES, EMS, AND POLICE PUBLIC SERVICE TEAM; COMMUNITY HEALTHCORE; MARSHALL-HARRISON COUNTY HEALTH DISTRICT; GENESIS PRIME CARE (AN FQHC); AND LONGVIEW COMMUNITY MINISTRIES. SECONDARY DATA FOR THE CHNA WERE AGGREGATED ON A DATA PLATFORM AND INCLUDED: 1. HOSPITAL UTILIZATION DATA 2. SECONDARY SOURCES INCLUDING BUT NOT LIMITED TO THE AMERICAN COMMUNITY SURVEY, THE DECENNIAL CENSUS, THE CENTERS FOR DISEASE CONTROL, THE ENVIRONMENTAL PROTECTION AGENCY, HOUSING AND URBAN DEVELOPMENT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. BASED ON COMMUNITY INPUT AND ANALYSIS OF A MYRIAD OF DATA, THE PRIORITIES FOR THE COMMUNITIES SERVED BY CGSMC FOR FISCAL YEARS 2023 - 2025 FALL INTO TWO DOMAINS UNDERNEATH AN OVERARCHING GOAL OF ACHIEVING HEALTH EQUITY. THE TWO DOMAINS AND CORRESPONDING HEALTH NEEDS ARE: DOMAIN I: ADVANCE HEALTH AND WELLBEING A. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT: DIABETES, OBESITY, HEART DISEASE 1. PROVIDE SCREENING AND EDUCATION OPPORTUNITIES ABOUT HEART DISEASE, DIABETES, AND OBESITY. 2. EMPOWER COMMUNITY MEMBERS TO MANAGE THEIR HEART DISEASE, DIABETES, AND/OR HEART DISEASE. HIGHLIGHTS FOR SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT: Wellness Scholarships for Institute for Health Living Health educations/screenings: MLK family festival, Homeless Resource Day, Buckner family resource fair Heart to Heart Seminar Grant to Ministry in Music "Your Best Care Day" fostering Breast Cancer awareness Lives impacted: 1,585 B. BEHAVIORAL HEALTH: MENTAL HEALTH, SUBSTANCE ABUSE 1. INCREASE ACCESS TO MENTAL HEALTH RESOURCES. 2. DEVELOP COMMUNITY CONNECTIONS FOR MENTAL HEALTH SERVICES. 3. INCREASE ACCESS TO SUBSTANCE ABUSE TREATMENT. HIGHLIGHTS FOR BEHAVIORAL HEALTH: Community HealthCore Transportation for uninsured patients to behavioral health inpatient facilities. Grant to Heartsway Hospice for the Lewy Body Dementia ($500) lecture Grant to Longview Museum of Fine Arts - Art of Well Being Exhibit Greater Longview Optimal Wellness (GLOW): GLOW is a community collaborative to identify under-resourced individuals who often rely on 911 services (EMS, Emergency Departments) for non-emergent needs. GLOW then works to connect those individuals with the appropriate health or community resource, including behavioral health resources. CGS is a partner member. Lives impacted: 653 C. PRIMARY CARE 1. INCREASE ACCESS TO PRIMARY CARE. 2. REDUCE INEQUITIES CAUSED BY CULTURAL BARRIERS TO CARE OR SOCIAL DETERMINANTS OF HEALTH. HIGHLIGHTS FOR PRIMARY CARE: Sports Medicine/Athletic Trainers Free Saturday Morning Injury Clinic Free Sports Participation Exams Lives impacted: 112,251 D. EDUCATION 1. PROVIDE EDUCATION OPPORTUNITIES FOR CURRENT AND POTENTIAL HEALTHCARE STUDENTS. HIGHLIGHTS FOR EDUCATION: Nursing Education Allied Health Education High School/Non-Collegiate Allied Health Education Lives impacted: 10,044 CHRISTUS HEALTH WILL CONTINUE TO INVEST IN CARE DELIVERY INNOVATIONS AND EXPAND PROGRAMS THAT ADDRESS PREVENTION FOR HEART DISEASE, OBESITY, DIABETES AND IMPROVE ACCESS TO CARE. KEY PARTNERS THAT MAY SUPPORT THESE INITIATIVES ARE WELLNESS POINTE (FQHC), GENESIS PRIME CARE (FQHC), SECONDARY SCHOOLS AND AREA COLLEGES AND UNIVERSITIES WITH HEALTHCARE PROGRAMS, CHAMBERS OF COMMERCE, OUR CHRISTUS TRINITY CLINICS AND CHRISTUS HEALTH DIETICIANS AND EDUCATORS, CATHOLIC CHARITIES PARISH NURSES, AND EVENT SPONSORS WHO SUPPORT PUBLIC HEALTH EDUCATION. CHRISTUS HEALTH WILL FOCUS ON BUILDING A COALITION TO ADDRESS BEHAVIORAL HEALTH ISSUES IN THE SERVICE AREA WITH POTENTIAL PARTNERS: GREGG AND HARRISON COUNTIES; CITIES OF LONGVIEW AND MARSHALL; COMMUNITY HEALTHCORE; OCEANS; GREATER LONGVIEW OPTIMAL WELLNESS; TWELVE WAY; AND BEHAVIORAL HEALTH PARTNER AGENCIES OF THE GREATER LONGVIEW UNITED WAY. DOMAIN II: BUILD RESILENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS A. IMPROVE FOOD ACCESS 1. CULTIVATE AND MAINTAIN PARTNERSHIPS TO IMPROVE ACCESS TO HEALTH FOOD IN FOOD DESERTS. 2. PROVIDE NUTRITION EDUCATION FOR INDIVIDUALS, PATIENTS AND FAMILIES. HIGHLIGHTS FOR IMPROVE FOOD ACCESS: Greater Longview United Way Day of Action Lives impacted: 150 B. REDUCE SMOKING AND VAPING 1. CONTRIBUTE TO COMMUNITY-BASED SMOKING CESSATION EFFORTS. 2. PARTNER WITH SCHOOLS TO REDUCE VAPING AMONG STUDENTS. CHRISTUS HEALTH WILL CONTINUE TO INVEST IN CARE DELIVERY INNOVATIONS AND EXPAND PROGRAMS THAT ADDRESS THE SOCIAL DETERMNANTS OF HEALTH. KEY PARTNERS THAT SUPPORT THESE INITIATIVES ARE GREATER LONGVIEW OPTIMAL WELLNESS, LONGVIEW COMMUNITY MINISTRIES AND OTHER GREATER LONGVIEW UNITED WAY AGENCIES, EAST TEXAS FOOD BANK, CATHOLIC CHARITIES AND PARISH NURSES, AREA INDEPENDENT SCHOOL DISTRICTS, AND MISSION MARSHALL. NEEDS NOT ADDRESSED DURING THE FIRST TAX YEAR OF THE NEW CHNA, CGS INITIATED OR CONTINUED STRATEGIES TO ADDRESS EACH OF THE GOALS TO ADVANCE HEALTH AND WELLBEING (DOMAIN I) AND BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS (DOMAIN II), EXCEPT TO REDUCE SMOKING AND VAPING UNDER DOMAIN II. IN ORDER TO BEST STEWARD RESOURCES AND BUILD UPON PARNERSHIPS WITH AREA SECONDARY SCHOOLS, PLANS TO REDUCE SMOKING AND VAPING ARE SET TO BE DEVELOPED IN TAX YEAR 2023. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. 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 GUIDELINE WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300 AND 400 OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB. Schedule H, Part V, Section B, Line 15 Facility A, 1 Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. IN AN EFFORT TO MORE WIDELY PUBLICIZE OUR FINANCIAL ASSISTANCE WITHIN OUR COMMUNITY, INCLUDING PERSONS MORE LIKELY TO REQUIRE FINANCIAL ASSISTANCE, WE SUBMITTED A COPY OF OUR PLAIN LANGUAGE FINANCIAL ASSISTANCE POLICY TO A NUMBER OF ORGANIZATIONS THAT INTERACT WITH POOR POPULATION GROUPS. THESE ORGANIZATIONS INCLUDE COUNTY HEALTH DEPARTMENTS, FQHCS, VARIOUS NON-PROFITS AND MINISTRIES SUPPORTED BY THE UNITED WAY AND OTHER AGENCIES SERVING THE POOR, AND AREA CHURCHES. Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. 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. 7 INSTITUTE FOR HEALTHY LIVING 3133 GOOD SHEPHERD WAY LONGVIEW TX 76505 PHYSICAL THERAPY, SPEECH PATHOLOGY, OCCUPATIONAL THERAPY, CARDIAC REHAB CENTER PERFORMANCE REHAB 2220 H G MOSLEY PARKWAY LONGVIEW TX 76504 PHYSICAL THERAPY KILGORE EMERGENCY DEPARTMENT 323 E HAWKINGS PARKWAY LONGVIEW TX 76505 EMERGENCY SERVICES NORTHPARK EMERGENCY DEPARTMENT 323 E HAWKINGS PARKWAY LONGVIEW TX 76505 EMERGENCY SERVICES CHRISTUS GOOD SHEPHERD HOMECARE - LNGVW 103 W LOOP 281 LONGVIEW TX 76501 HOME HEALTH CHRISTUS GOOD SHEPHERD LIFECENTER 612 S GROVE ST MARSHALL TX 75670 HEALTH CLINIC CHRISTUS GOOD SHEPHERD HOME CARE 401 S BOLIVAR ST MARSHALL TX 75670 HOME HEALTH Schedule H, Part V, Section B, Line 17 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 DETERMINE THE MAX AMOUNTS THAT CAN BE CHARGED TO FAP THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/23 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 THE 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 (INCOMES BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE. Schedule H, Part I, Line 3c CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE THE HOSPITAL FOLLOWS FINANCIAL ASSISTANCE POLICIES OF CHRISTUS HEALTH. THE QUALIFICATION THRESHOLD FOR FINANCIAL ASSISTANCE IS 400 PERCENT OF FPG. ELIGIBILITY FOR FREE CARE (100 PERCENT DISCOUNTS) IS AT OR BELOW 300 PERCENT FPG. 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 7 ALLOCATION OF MEDICAID SUPPLEMENTAL PAYMENTS DURING THE CURRENT REPORTING PERIOD, THE STATE OF TEXAS PARTICIPATED IN A SPECIAL 1115 MEDICAID WAIVER WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). VARIOUS SUPPLEMENTAL PAYMENTS UNDER THE WAIVER ARE INTENDED TO HELP HOSPITALS OFFSET MEDICAID AND UNINSURED LOSSES AND/OR CREATE NEW PROGRAMS DESIGNED TO IMPROVE THE PATIENT CARE EXPERIENCE, ENHANCE HEALTH OUTCOMES AND REDUCE COSTS FOR THESE SAME PATIENT POPULATIONS. SUPPLEMENTAL PAYMENTS ARE CAPPED BY MEDICAID AND UNINSURED LOSSES DETERMINED FROM A SPECIAL UNCOMPENSATED CARE (UC) TOOL DESIGNED BY THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC). CHRISTUS GOOD SHEPHERD MEDICAL CENTER RECOGNIZED $7,108,222 OF MEDICAID SUPPLEMENTAL PAYMENT INCOME IN 2022. THERE WERE $4,297,736 OF EXPENDITURES RECOGNIZED IN 2022 RELATED TO PROVIDER TAXES USED TO GENERATE THE NON-FEDERAL SHARE OF MEDICAID SUPPLEMENTAL PAYMENTS, RESULTING IN A NET P&L BENEFIT OF $2,810,486 RELATED TO MEDICAID SUPPLEMENTAL PAYMENTS UNDER THE TEXAS MEDICAID WAIVER. FOR PURPOSES OF IRS FORM 990 SCHEDULE H REPORTING, CONSISTENT WITH CHRISTUS HEALTH POLICY, 100 OF NET MEDICAID SUPPLEMENTAL PAYMENTS ARE REPORTED AS MEDICAID DIRECT OFFSETING REVENUE. Schedule H, Part II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2023, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE PATIENTS WE SERVE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES ARE IMPROVING ACCESS TO HEALTH SERVICES AND BUILDING COLLABORATIVE RELATIONSHIPS WITH OTHER ORGANIZATIONS SEEKING TO ADDRESS CHRONIC CONDITIONS THAT DISPROPORTIONATELY IMPACT THE POOR AND UNDERSERVED. Schedule H, Part V, Section B, Line 18 Line 18f 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 I, Line 7 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 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT A COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HOSPITAL SYSTEM EACH YEAR AND IS SUBMITTED ALONG WITH AN AHA SURVEY TO THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES WITH A COPY PROVIDED TO HARRISON COUNTY AND GREGG COUNTY. Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/V2FINANCIAL-ASSISTANCE-APPLICATION.ASHX Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language- documents/2021plainlanguagesummaryhospitalenglish.ashx Schedule H, Part V, Section B, Line 7 HOSPITAL FACILITY'S WEBSITE (LIST URL) https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/good-shepherd-marshall/gshs_marshall_chna_2023.ashx Schedule H, Part V, Section B, Line 10 IF "YES", (LIST URL) https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/good-shepherd-marshall/gshs_marshall_chip_2023.ashx Schedule H, Part V, Section B, Line 16a FAP AVAILABLE HERE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/financial-assistance-policy-english.ashx Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation -5249967 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 RECOGNIZES 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 OTHERS 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, 2023, 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, 2023. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.508 PERCENT OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2023 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 (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; AND THE PROVISIONS FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAY LIMIT, DISPROPORTIONATE SHARE MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLANS; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS, INCLUDING ASSETS ACQUIRED; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE SOURCE OF INFORMATION ON LINES 5 AND 6 IS THE FYE JUNE 30, 2023 MEDICARE COST REPORT. THE REVENUES WERE DERIVED FROM COST REPORT WORKSHEETS E PART A, E PART B AND E-3, PART III. COST INFORMATION WAS OBTAINED BY SUMMING OF MEDICARE PART A ALLOWABLE COSTS REPORTED ON WORKSHEET D-1, PART II (FOR BOTH INPATIENT ACUTE PPS AND INPATIENT REHAB FACILITY) AND WORKSHEET DV, COLUMNS 5.00 THROUGH 7.00 FOR MEDICARE OUTPATIENT PPS SERVICES. SINCE ALLOWABLE COSTS ARE NOT DETERMINED FOR SERVICES RENDERED TO MEDICARE PATIENTS ENROLLED IN MEDICARE ADVANTAGE (MEDICARE PART C) OR FOR PHYSICIAN SERVICES BILLED UNDER MEDICARE PART B, NEITHER THE REVENUES OR COSTS RELATED TO THESE SERVICES HAVE BEEN INCLUDED ON LINES 5 OR 6. THE COST REPORT USES FINANCIAL AND STATISTICAL DATA TO DEVELOP PER DIEMS AND COST TO CHARGE RATIOS THAT ULTIMATELY DETERMINE ALLOWABLE MEDICARE INPATIENT AND OUTPATIENT COSTS. (NOTE: EFFECTIVE AUGUST 1, 2017, THE LICENSE AND MEDICARE PROVIDER NUMBER OF GOOD SHEPHERD MEDICAL CENTER - LONGVIEW AND GOOD SHEPHERD MEDICAL CENTER - MARSHALL WERE COMBINED. THIS MERGER RESULTED IN ONE COST REPORT FOR THE COMBINED HOSPITALS.) 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 ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP. Schedule H, Part V, Section B, Line 16a FAP website A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16a URL: See supplemental information; Schedule H, Part V, Section B, Line 16b FAP Application website A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16b URL: See supplemental information; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16c URL: See supplemental information; Schedule H, Part VI, Line 2 Needs assessment NO NEED ASSESSMENT OTHER THAN CHNA CONDUCTED IN FY23. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance CHRISTUS GOOD SHEPHERD MEDICAL CENTER MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information CHRISTUS GOOD SHEPHERD HEALTH SYSTEM (CGSHS) IS A NON-PROFIT HOSPITAL SYSTEM SERVING THE UPPER EAST TEXAS REGION AND INCLUDES TWO MEDICAL CENTERS ALONG WITH A NUMBER OF OUTPATIENT CENTERS AND MEDICAL CLINICS. CHRISTUS GOOD SHEPHERD MEDICAL CENTER - LONGVIEW IS A LEVEL III TRAUMA CENTER WITH 425 LICENSED BEDS SERVING MEDICAL/SURGICAL PATIENTS, NURSING UNITES AND INPATIENT REHABILITATION. THE MEDICAL CENTER IN LONGVIEW ALSO OPERATES ONE OF THE FIRST NICU'S IN THE REGION. THE LONGVIEW MEDICAL CENTER ALSO HOSTS LEVEL III MATERNAL CARE WHICH INCLUDES A DEDICATED OBSTETRIC EMERGENCY DEPARTMENT. CHRISTUS GOOD SHEPHERD MEDICAL CENTER - MARSHALL IS A 149-BED FACILITY WITH ENDOSCOPY, SURGICAL SERVICES, AN INTERMEDIATE CARE UNIT, A 24-HOUR LEVEL IV TRAUMA CENTER, AND A MEDICAL UNIT UTILIZED FOR OVERFLOW. THE NURSING UNITS SERVE MEDICAL/SURGICAL PATIENTS. IT IS THE ONLY HOSPITAL LOCATED IN HARRISON AND MARION COUNTIES. FOLLOWING IRS GUIDELINES, 501(R) RULES AS REQUIRED BY THE AFFORDABLE CARE ACT, CHRISTUS GOOD SHEPHERD'S PRIMARY SERVICE AREA (PSA) INCLUDES 15 ZIP CODES COVERING 240,000 INDIVIDUALS. THE PSA IS THE GEOGRAPHIC REGION WITH 80% OF HOSPITAL UTILIZATION. THE PSA ZIP CODES ARE LOCATED IN THE FOLLOWING COUNTIES: GREGG, HARRISON, MARION, PANOLA, AND UPSHUR. THE OVERALL POPULATION OF THE PSA HAS GROWN SLIGHTLY (3.5%) OVER THE DECADE 2010-2020, MUCH LOWER THAN THE OVERALL TEXAS POPULATION (15.9%). THE DEMOGRAPHICS OF THE PSA ARE 61.9% NON-HISPANIC WHITE, 18.4% NON-HISPANIC BLACKS, 15.8% HISPANICS/LATINOS, 2.6% OF TWO OR MORE RACES, AND 1.0% ASIAN OR PACIFIC ISLANDER. FEMALES MAKE UP 51.3% OF THE POPULATION AND MALES 48.7%. MEDIAN AGE IS 37.6 YEARS OLD, HIGHER THAN TEXAS OVERALL (34.8 YEARS OLD). ONLY 2.8% OF RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY, AND 15.0% HAVE A DISABILITY. EARNINGS AND EDUCATION ARE TWO IMPORTANT SOCIAL DETERMINANTS OF HEALTH. THE POVERTY RATE FOR THE CGSHS PSA IS 16.7%, HIGHER THAN TEXAS OVERALL (14.2%). NON-HISPANIC BLACKS HAVE A DISPROPORTIONATELY LOWER MEDIAN INCOME ($40,301) COMPARED TO THE OVERALL PSA ($55,870) AND TEXAS OVERALL ($67,267). HIGH SCHOOL GRADUATION RATES (85.3%) ARE SLIGHTLY HIGHER THAN TEXAS (84.4%), BUT THE RATE FOR HISPANICS/LATINOS IN THE PSA IS 58.2%. HIGHER DEGREE RATES IN THE PSA (28.4%) ARE SIGNIFICANTLY LOWER THAN THE STATE (38.1%). THE UNINSURED RATE IN THE CGS PSA IS 17.0%, SIMILAR TO THE STATE (17.3%). HOWEVER THE RATE FOR HISPANICS/LATINOS IS MUCH HIGHER (31.1%). 18.8% OF RESIDENTS IN THE PSA ARE COVERED BY MEDICAID, SLIGHTLY HIGHER THAN THE STATE (16.5%). WHEN COMBINED WITH UNINSURED, OVER 35% OF RESIDENTS IN THE PSA HAVE EITHER NO COVERAGE OR LIMITED COVERAGE THROUGH MEDICAID. Schedule H, Part VI, Line 5 Promotion of community health THE MEDICAL CENTERS, INSTITUTES, AND CLINICS OF THE CHRISTUS GOOD SHEPHERD HEALTH SYSTEM WORK TOGETHER TO SERVE THE PEOPLE OF OUR COMMUNITY. THE COUNTIES WE SERVE ARE URBAN BUT ALSO RURAL. TWO GROUPS THAT INCLUDE PUBLIC MEMBERS ARE THE LEADERSHIP COUNCILS OF BOTH MEDICAL CENTERS AND THE COMMUNITY BENEFIT ADVISORY COUNCIL SERVING CGS. THESE GROUPS MEET QUARTERLY. THEY INFLUENCE WHERE FUNDING IS ALLOCATED AS THEY RECEIVE INFORMATION ON GOALS AND OUTCOMES, INCLUDING HEALTH EQUITY STRATEGIES. COMMUNITY HEALTH PROMOTION ACTIVITIES INCLUDE OUR WELLNESS CENTER AND THE PROGRAMS WE OFFER TO KEEP OUR COMMUNITY HEALTHY. THE WELLNESS CENTER IS THE HUB OF OUR PROGRAM OFFERING FITNESS AND WELLNESS PROGRAMS FOR INDIVIDUALS, FAMILIES AND BUSINESSES IN OUR COMMUNITY, INCLUDING HOSPITAL EMPLOYEES AND THEIR FAMILIES. WE ALSO OFFER A VARIETY OF WATER AEROBICS, ADULT AEROBIC CLASSES, SENIOR EXERCISE CLASSES, SPECIALTY CLASSES SUCH AS ZUMBA, CARDIAC REHAB, ETC. WE ALSO OFFER ACUTE, CHRONIC AND PREVENTATIVE EDUCATIONAL PROGRAMS TO OUR COMMUNITY. WE PROVIDE COMMUNITY EDUCATIONAL SERVICES AND PROGRAMS, SUCH AS CERTIFIED DIABETIC EDUCATION PROGRAMS, WOUND CARE EDUCATION AND PREVENTION, AND NUTRITION EDUCATION. WE OFFER HEALTH EDUCATION AT PUBLIC EVENTS THAT PROVIDE BASIC SCREENING EXAMS AT NO COST TO OUR COMMUNITY. OUR CASE MANAGEMENT AND SOCIAL SERVICES PROGRAM OFFERS THE AVAILABILITY OF EXTERNAL SOURCES AND PROGRAMS TO ASSIST PATIENTS AND THEIR FAMILIES, SUCH AS WIC AND OTHER GOVERNMENT AND PRIVATE PROGRAMS. CGS DEDICATES SURPLUS FUNDS TO PROVIDE COMMUNITY BENEFIT GRANTS TO COMMUNITY PARTNERS ADDRESSING THE HEALTH AND SOCIAL DETERMINANT NEEDS IDENTIFIED IN OUR CHNA. CHRISTUS HEALTH, THE SYSTEM SPONSOR OF CGS, AWARDED $275,000 IN CHRISTUS COMMUNITY IMPACT FUND GRANTS TO FOUR PROGRAMS IN THE CGS PSA INCREASING ACCESS TO EDUCATION, HEALTHY FOOD, AND BEHAVIORAL HEALTH SERVICES SPONSORED BY BUCKNER FAMILY SERVICES, EAST TEXAS FOOD BANK, NEWGATE MISSION, AND TWELVE WAY. Schedule H, Part VI, Line 6 Affiliated health care system CGSMC 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 AFFILIATED HEALTH CARE SYSTEM FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, LOUISIANA, NEW MEXICO, TEXAS, AND IN SIX PROVINCES OF MEXICO, COLOMBIA AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CGSMC, 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. CGSMC, 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. true Longview Museum of Fine Arts 215 E Tyler St Longview TX 75601 237196379 501(c)3 10000 Quality of life/well-being Good Shepherd Foundation 700 E Marshall Ave Longview TX 75601 752056700 501(c)3 275016 Operational support 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. After a need is determined for assistance, a request from the service organization of Good Shepherd is submitted, identifying the funds needed for the program and/or patient. The request is reviewed and approved by the CEO before funds are transferred. A service log is submitted to the CFO to document hours incurred on projects and support use of funds. true true false false false false false false false Todd Hancock System President/CEO 0 618406 0 246863 0 650 0 250042 0 19951 0 1135912 0 0 Jeff Puckett Board Director 0 3121353 0 2702700 0 724713 0 2412440 0 14069 0 8975275 0 0 Chris Glenney Board Director 0 956519 0 446760 0 650 0 431192 0 14847 0 1849968 0 0 Steven Keuer MD Board Director 0 684551 0 410841 0 198191 0 209400 0 17272 0 1520255 0 0 Mark Anderson MD Board Director 0 683470 0 249632 0 0 0 199056 0 72826 0 1204984 0 0 Andria Cardinalli-Stein MD Board Director 0 381927 0 94130 0 450 0 12200 0 0 0 488707 0 0 Sister Rosanne Popp Board Director 0 209944 0 3500 0 18534 0 317 0 2355 0 234650 0 0 Teresa Halcomb CNO Longview 0 298363 0 94848 0 0 0 73614 0 7657 0 474482 0 0 Suhel Patel CMO 0 385044 0 223840 0 0 0 98190 0 5325 0 712399 0 0 Jim Gaton VP Operations 0 201915 0 57842 0 0 0 0 0 8710 0 268467 0 0 James Brogan VP Mission Integration 0 112102 0 42968 0 390 0 6706 0 13795 0 175961 0 0 DANIEL D SMITH CRNA 296005 0 9775 0 28704 0 12200 0 12722 0 359406 0 0 0 ZACKARY G LISTER CRNA TEAM LEAD 301652 0 37739 0 18578 0 12200 0 12374 0 382543 0 0 0 LEE A HOLLADAY CRNA TEAM LEAD 261787 0 36777 0 17683 0 12200 0 17955 0 346402 0 0 0 RICHARD KLIMA CRNA 295774 0 36500 0 50775 0 12200 0 12884 0 408133 0 0 0 Joseph Mcree CRNA 259358 0 23725 0 24271 0 12200 0 7284 0 326838 0 0 0 Jason Adams COO (THRU 10/2019) 0 445694 0 228006 0 384 0 121795 0 23122 0 819001 0 0 Ken Cunningham VP Gen Counsel (Thru 12/2020) 0 363170 0 140893 0 60710 0 58603 0 19761 0 643137 0 0 Jamie DOWELL Secretary 118392 0 16634 0 631 0 5493 0 2099 0 143249 0 0 0 Scott Smith MD FORMER DIRECTOR (TERM 11/18/2021) 0 310500 0 0 0 310500 0 7444 0 16176 0 644620 0 0 Michael Cheek CFO 0 302540 0 129936 0 63284 0 61054 0 11694 0 568508 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE FILING ORGANIZATION'S PRESIDENT/CEO 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 THE PRESIDENT/CEO COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: SCOTT SMITH, M.D. $300,000. 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. STEVE KEUER RECEIVED $196,267 DURING CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. KEN CUNNINGHAM RECEIVED $60,710 DURING CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. Michael Cheek RECEIVED $63,284 DURING CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. Schedule J, Part II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. Schedule J, Part II, Column (B)(ii) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2022. 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. Form 990, Part III, Line 4a THE HOSPITAL'S OPERATING PLAN INCORPORATES PROVISIONS FOR INDIVIDUALS WHO DO NOT POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES TO RECEIVE SERVICES AT THE SAME LEVEL AS ANY OTHER PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. OUR COMMITMENT TO OUR COMMUNITY EXTENDS TO FREE OR SUBSIDIZED INDIVIDUAL CARE, SUBSIDIZED EDUCATION OF HEALTHCARE PROFESSIONALS, DISCOUNTED FEES FOR PARTICIPANTS IN GOVERNMENT PROGRAMS, COMMUNITY HEALTH EDUCATIONS AND TO OTHER COMMUNITY AGENCIES. SPECIFIC COMMUNITY SERVICES AND PROGRAMS INCLUDE: WELLNESS AND PREVENTION EDUCATION PROGRAMS, COMMUNITY DIAGNOSTIC SCREENING PROGRAMS, SENIOR CITIZEN HEALTH AWARENESS PROGRAMS, AWARENESS OF BEHAVIORAL HEALTH NEEDS AND PROGRAMS FOR YOUTH AND ADULTS AT RISK AND AWARENESS PROGRAMS FOR PERSONS WITH SPECIAL PHYSICAL OR MENTAL NEEDS. INDIVIDUALS SERVED INCLUDED 125,608 VISITS TO OUR EMERGENCY DEPARTMENTS, 3,477 INPATIENT SURGERY PROCEDURES, 11,044 OUTPATIENT SURGERY PROCEDURES, 17,391 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND 364,159 PATIENTS WHO RECEIVED OUTPATIENT CARE. Form 990, Part III, Line 1 THE CORPORATION'S MISSION SHALL BE TO "EXTEND THE HEALING MINISTRY OF JESUS CHRIST, CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES, AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH. THE CORPORATIONS PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. Form 990, Part III, Line 4c THE SPORTS MEDICINE PROGRAM ALIGNS WITH OUR FOCUS TO IMPROVE ACCESS TO PRIMARY CARE AND TO ADDRESS SPECIALTY NEEDS. BY PROVIDING ATHLETIC TRAINERS ON THE CAMPUSES OF OVER 20 SCHOOLS AND 10,000 ATHLETES IN THE GREGG, HARRISON AND SURROUNDING COUNTIES, THE PROGRAM PROVIDES HEALTH CARE ACCESS TO MANY STUDENTS WHO DO NOT HAVE A PRIMARY CARE PROVIDER NOR THE MEANS TO BE SEEN BY A PROVIDER. WHAT BEGAN AS A WAY TO HELP STUDENTS HEAL FULLY BEFORE ENTERING THE SCHOOL SPORTS PROGRAMS TO EARLY HAS GROWN TO A SERVICE TO HELP STUDENTS STAY HEALTHY. FREE SATURDAY MORNING SPORTS INJURY CLINICS WITH X-RAY AND FREE PREPARTICIPATION SCREENINGS, ARE OFFERED TO ANY PLAYER REGARDLESS OF THEIR ABILITY TO PAY. ALSO, THE PROGRAM HELPS TO: -PREVENT INJURIES AND QUICKLY EVALUATE AND DIAGNOSE INJURIES -DIRECT RAPID REFERRAL TO SPECIALIST PHYSICIANS -REHABILITATION AND FASTER RETURN TO NORMAL LIFE. IT IS THE STUDENT'S FAMILY DECISION WHERE THEY GO FOR CLINICAL CARE BUT INFORMATION ABOUT THE INJURIES IS SHARED WITH ALL PROVIDERS ON EPIC. IF IT IS DETERMINED THE STUDENT NEEDS FOLLOW-UP CARE, ADVANCED IMAGING, A SURGERY, OR ADDITIONAL VISITS, WE ACCEPT THE SCHOOL INSURANCE AS PAID IN FULL. SO, THIS PROGRAM IS SUBSIDIZED HEAVILY BY THE HEALTH SYSTEM. THIS PAST YEAR IN THE CHRISTUS GOOD SHEPHERD REGIONAL ALONE, OVER 2,295 PRE-PARTICIPATION PHYSICALS WERE CONDUCTED FREE OF CHARGE TO STUDENTS FROM ACROSS THE AREA. OF THOSE, 11% WERE REFERRED TO A PRIMARY CARE OR PEDIATRICIAN FOR A FULL PHYSICAL WITH EMPHASIS ON POTENTIAL HEART ISSUES PRIOR TO THEIR BEING ABLE TO PARTICIPATE IN ANY SPORTS PROGRAMS. THESE SAME ATHLETIC TRAINERS REGULARLY ADDRESS HEALTH EATING AND DIABETES ISSUES FOR THESE STUDENTS. Form 990, Part III, Line 4b AS PART OF THE EDUCATIONAL FOCUS AREA OF THE CURRENT CHNA, PROVIDING EDUCATIONAL OPPORTUNITIES WITH HOSPITAL AND CLINICAL ROTATIONS FOR MULTIPLE PROGRAMS ACROSS EAST TEXAS IS ONE OF THE LARGE PROGRAMS IN THE CHRISTUS GOOD SHEPHERD MINISTRY. CGS IS ONE OF THE LARGEST SITES FOR STUDENTS PURSING HEALTH CARE CAREERS, PROVIDING CLINICAL SETTINGS AND INTERNSHIPS FOR NURSES, PHYSICAL THERAPISTS, SPEECH THERAPISTS, RESPIRATORY THERAPISTS, EMT, AND LAB. EDUCATION IS PROVIDED AT BOTH LONGVIEW AND MARSHALL CAMPUSES. IN THE FISCAL PERIOD ENDED 06/30/2023, CGSMC PROVIVDED 10,044 TRAINING ENCOUNTERS FOR NURSING/ALLIED HEALTH STUDENTS AT A COST OF $620,275. CGSMC TRAINED 36 INTERNAL MEDICINE RESIDENTS DURING THE FISCAL PERIOD ENDED 06/30/2023. TOTAL DIRECT COST (RESIDENT STIPENDS AND BENEFITS AND OTHER CHARGES FROM THE ACADEMIC PROGRAM SPONSOR) PLUS OVERHEAD ALLOCATIONS ON THE MEDICARE COST REPORT TOTALED $4,297,736 WITH OFFSETTING MEDICARE GRADUATE MEDICAL EDUCATION PAYMENTS OF $7,108,222, RESULTING IN A NET COMMUNITY BENEFIT OF $2,810,486. Form 990, Part III, Line 4d Description of other program services (Expenses $ 2,081,338 including grants of $ 60,502) Broader Community Form 990, Part III, Line 4d Description of other program services (Expenses $ 392,600 including grants of $ 28,730) Poor & Underserved Form 990, Part III, Line 4d Description of other program services (Expenses $ including grants of $ 201,784) Additional Grants Form 990, Part VI, Line 1a DELEGATION OF AUTHORITY THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE ORGANIZATION IS CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 PER INCURRENCE BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $20 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE TWO SISTERS APPOINTED BY EACH OF THE FOUNDING SPONSORING CONGREGATIONS OF CHRISTUS HEALTH, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, AND ONE SISTER APPOINTED BY THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF CERTIFICATES OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO MEMBER RESERVED POWERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY (EXCEPT IN THE ORDINARY COURSE OF BUSINESS) OR THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING 2024 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 DIRECTOR OF THE FILING ORGANIZATION IS PAID BY A RELATED ORGANIZATION; THEREFORE, THE FILING ORGANIZATION WAS NOT INVOLVED IN THE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. THE RELATED ORGANIZATION DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE RELATED ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE RELATED ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE EXECUTIVE DIRECTOR'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. THE EXECUTIVE DIRECTOR'S SALARY IS SPLIT BETWEEN THE FILING ORGANIZATION AND THE RELATED ORGANIZATION. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION IS PAID BY A RELATED ORGANIZATION; THEREFORE, THE FILING ORGANIZATION WAS NOT INVOLVED IN THE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. THE RELATED ORGANIZATION DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE RELATED ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE RELATED ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE EXECUTIVE DIRECTOR'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. THE EXECUTIVE DIRECTOR'S SALARY IS SPLIT BETWEEN THE FILING ORGANIZATION AND THE RELATED ORGANIZATION. Form 990, Part VI, Line 18 How forms are made available to the public CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VI, Line 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 Shared Savings - Total Revenue: 207624, Related or Exempt Function Revenue: 207624, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Community Benefit Revenue - Total Revenue: 12895168, Related or Exempt Function Revenue: 12895168, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; 340b Retail Pharmacy Program Rev - Total Revenue: 1677396, Related or Exempt Function Revenue: 1677396, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contract Service Revenue - Total Revenue: 90027, Related or Exempt Function Revenue: 90027, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 369986, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 369986; Form 990, Part IX, Line 11g Other Fees Physician Fees - Total Expense: XXX-XX-XXXX, Program Service Expense: 92180650, Management and General Expenses: 54451977, Fundraising Expenses: ; Maintenance - Total Expense: 2284207, Program Service Expense: 2130898, Management and General Expenses: 153745, Fundraising Expenses: -436; Marketing - Total Expense: 36421, Program Service Expense: 36421, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 657714, Program Service Expense: 566814, Management and General Expenses: 90900, Fundraising Expenses: ; Billing - Total Expense: 122937, Program Service Expense: 122937, Management and General Expenses: , Fundraising Expenses: ; Collection - Total Expense: 5035, Program Service Expense: 5035, Management and General Expenses: , Fundraising Expenses: ; Other Fees - Total Expense: 6120609, Program Service Expense: 162693, Management and General Expenses: 5957916, Fundraising Expenses: ; Medical Fees - Total Expense: 633275, Program Service Expense: 633275, Management and General Expenses: , Fundraising Expenses: ; Lobbying Expense - Total Expense: -1911, Program Service Expense: , Management and General Expenses: -1911, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY - -28951208; RESTRICTED CONTRIBUTIONS - 45000; FORM 990, BOX C DOING BUSINESS AS DOING BUSINESS AS CHRISTUS GOOD SHEPHERD MEDICAL CENTER OPERATES UNDER THE FOLLOWING NAMES: ACUITY DIAGNOSTICS CHRISTUS GOOD SHEPHERD CHRISTUS Good Shepherd Breast Center CHRISTUS Good Shepherd Health System CHRISTUS Good Shepherd Healthy Living Spa CHRISTUS Good Shepherd Heart & Vascular Institute CHRISTUS Good Shepherd Hospital - NorthPark CHRISTUS Good Shepherd Institute for Healthy Living CHRISTUS Good Shepherd Medical Center - Longview CHRISTUS Good Shepherd Medical Center - Marshall CHRISTUS Good Shepherd Surgery Center CHRISTUS Ortho & Sports Medicine Institute CHRISTUS Orthopedics & Sports Medicine Institute Good Shepherd Medical Center Good Shepherd Occupational Medicine Marshall Life Center Wound Healing Center - MARSHALL (FOR CLIA REGISTRATION ONLY) MARSHALL HOSPITAL FOUNDATION 811 S WASHINGTON AVE MARSHALL TX 75670 752605699 SUPPORT TX 501(c)(3) Type II GSMC true THE GOOD SHEPHERD HOSPITAL INC 700 E MARSHALL AVE LONGVIEW TX 75601 751041154 HEALTHCARE TX 501(c)(3) 3 GSMC true GSHS ADMINISTRATIVE SERVICES ORG INC 700 E MARSHALL AVE LONGVIEW TX 75601 861132471 ADMIN SUPPORT TX 501(c)(3) Type I GSMC true GOOD SHEPHERD MEDICAL CENTER - LINDEN INC 404 N KAUFMAN STREET LINDEN TX 75563 010829282 HEALTHCARE TX 501(c)(3) 3 GSMC true GSMC - LINDEN FOUNDATION INC 404 N KAUFMAN STREET LINDEN TX 75563 200845127 SUPPORT TX 501(c)(3) Type I GSMC true CHRISTUS HEALTH 5101 N OConnor Blvd IRVING TX 75039 760590551 SUPT HLTH SVC TX 501(c)(3) 10 NA false GOOD SHEPHERD FOUNDATION 700 E MARSHALL AVE LONGVIEW TX 75601 752056700 SUPPORT TX 501(c)(3) Type I GSMC true CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS TX 75482 811708177 HLTHCARE SVCS TX 501(c)(3) 3 CNTHSC true CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HLTHCARE SVCS TX 501(c)(3) 3 CNTHSC true CHRISTUS NORTHEAST TX HEALTH SYSTEM CORP 1315 DOCTORS DRIVE TYLER TX 75701 752616975 HEALTHCARE TX 501(c)(3) Type II CH false TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 HEALTHCARE SVCS TX 501(c)(3) 10 CNTHSC true GSHS CUSTOMER SERVICE BUILDING I LTD 700 E MARSHALL AVE LONGVIEW TX 75601 020636726 CUSTOMER SVC TX GSMC false false GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027162 HEALTHCARE TX GSMC C Corporation -4572 -1006951 1 true MARSHALL PHYSICIAN HOSPITAL ORGANIZATION 700 E MARSHALL AVE LONGVIEW TX 75602 752580689 INACTIVE TX GSMC C Corporation 0 0 1 true GSHS CUSTOMER SERVICE BUILDING LLC 700 E MARSHALL AVE LONGVIEW TX 75603 710896055 CUSTOMER SERVICES DE GSMC C Corporation 0 0 1 true GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW TX 75604 752554695 INACTIVE TX GSH INC C Corporation 0 0 1 true SERVICE ORGANIZATION OF GOOD SHEPHERD 700 E MARSHALL AVE LONGVIEW TX 75605 383914883 MEDICAL SERVICES TX GSMC C Corporation 0 0 1 true TRINCARE INC 1315 DOCTORS DRIVE Tyler TX 75071 752161369 RETAIL HEALTH TX CNTHSC C Corporation true true true true false false false false false false true true true true false true true true true true CHRISTUS HEALTH PLAN M 103198 ACCRUAL CHRISTUS TRINITY MOTHER FRANCES FOUNDATION B 400000 ACCRUAL CHRISTUS TRINITY MOTHER FRANCES FOUNDATION C 400000 ACCRUAL GOOD SHEPHERD FOUNDATION INC B 323437 ACCRUAL GOOD SHEPHERD FOUNDATION INC C 133333 ACCRUAL GOOD SHEPHERD NORTH PARK LP A 1359919 ACCRUAL GOOD SHEPHERD NORTH PARK LP J 55928 ACCRUAL GOOD SHEPHERD NORTH PARK LP K 1415847 ACCRUAL GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC M 217040 ACCRUAL GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC O 6935074 ACCRUAL GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC P 34781222 ACCRUAL GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC Q 776256 ACCRUAL ST VINCENT HOSPITAL L 222804 ACCRUAL TRINCARE INC L 107033 ACCRUAL TRINCARE INC M 107033 ACCRUAL TRINITY CLINIC L 97096494 ACCRUAL TRINITY CLINIC M 47902139 ACCRUAL