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      <Desc>OTERO COUNTY HOSPITAL ASSOCIATION, D/B/A CHRISTUS SOUTHERN NEW MEXICO (CSNM), PREVIOUSLY GERALD CHAMPION REGIONAL MEDICAL CENTER, PROVIDES COMPREHENSIVE HEALTH-CARE SERVICES THROUGH ITS 98-BED HOSPITAL, OUTPATIENT AMBULATORY CARE FACILITIES, AND A MULTI-SPECIALTY PHYSICIAN GROUP. CSNM RECEIVES 80% OF ITS ADMISSIONS FROM OTERO COUNTY. CSNM'S PRIMARY MARKETS ARE THE CITIES OF ALAMOGORDO AND TULAROSA WITH SECONDARY MARKETS EXPANDING TO MORE REMOTE AREAS OF OTERO COUNTY, LINCOLN COUNTY, CHAVEZ COUNTY, AND BEYOND. THE ORIGINAL FACILITY OPENED IN AUGUST 1949, AND THE CURRENT MEDICAL CENTER IS A STATE-OF-THE-ART ACUTE CARE FACILITY THAT OPENED IN DECEMBER 1999.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. CHRISTUS HEALTH IS A CATHOLIC, NOT-FOR-PROFIT HEALTH SYSTEM WITH FACILITIES IN TEXAS, LOUISIANA, NEW MEXICO, AND INTERNATIONALLY IN LATIN AMERICA. IN CONNECTION WITH THIS AGREEMENT, CHRISTUS HEALTH CONTRIBUTED $240 MILLION TO THE NEWLY FORMED SACRAMENTO MOUNTAINS FOUNDATION, A NOT-FOR-PROFIT ORGANIZATION CREATED FOR THE PROMOTION OF SOCIAL WELFARE. THE USE OF CHRISTUS HEALTH'S CONTRIBUTION IS RESTRICTED TO CHARITABLE ACTIVITIES IN OTERO COUNTY AND THE SURROUNDING COMMUNITIES.THE ORIGINAL HOSPITAL OPENED IN 1949 WITH 26 BEDS. TODAY, CSNM IS PROUD TO BE A 98-BED ACUTE CARE FACILITY ACCREDITED BY DNV, INCLUDING TWO DISTINCT PPS UNITS: BEHAVIORAL MEDICINE (24 BEDS) AND AN INPATIENT REHABILITATION (12 BEDS) THAT WAS CLOSED IN MAY 2023. CSNM SHARES A UNIQUE RELATIONSHIP WITH HOLLOMAN AIR FORCE BASE AS THE FIRST HOSPITAL IN THE UNITED STATES WHERE ACTIVE-DUTY MILITARY PHYSICIANS PRACTICE IN A CIVILIAN HOSPITAL. THIS SPECIAL ARRANGEMENT ALLOWS ONE FACILITY TO MEET THE COMBINED COMMUNITY AND MILITARY NEEDS, WHILE SERVING AS A MODEL FOR THE DEPARTMENT OF DEFENSE IN CONSERVING RESOURCES.THE DELIVERY MECHANISMS OF CARE AT THE HOSPITAL INCLUDE BOTH INPATIENT AND OUTPATIENT SERVICES; ACUTE CARE INPATIENT THROUGH MEDICAL/SURGICAL, TELEMETRY, MATERNAL CHILD AND 10-BED INTENSIVE CARE UNITS; SURGERY DEPARTMENT SUPPORTED BY PRE-ADMIT, OUTPATIENT CARE UNIT AND POST-ANESTHESIA CARE UNIT; OUTPATIENT SURGERY CENTER; PROVIDER-BASED PHYSICIAN PRACTICES IN THE AREAS OF FAMILY PRACTICE, WOMEN'S SERVICES INCLUDING OBSTETRICS, MEDICAL AND RADIATION ONCOLOGY, MEDICAL CARDIOLOGY, GASTROENTEROLOGY AND ENDOCRINOLOGY, INTERNAL MEDICINE, ORTHOPEDICS, GENERAL SURGERY, PAIN MANAGEMENT AND NEUROLOGY; INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES; CARDIAC CATH LAB; INPATIENT REHABILITATION SERVICES, INCLUDING PHYSICAL AND OCCUPATIONAL REHAB SERVICES; INPATIENT AND OUTPATIENT 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 SCAN, MRI, ULTRASOUND, INTERVENTIONAL RADIOLOGY, RADIOFREQUENCY ABLATION AND NUCLEAR MEDICINE; INPATIENT AND OUTPATIENT COMPREHENSIVE CARDIOPULMONARY SERVICES, INCLUDING BEHAVIOR SLEEP MEDICINE, HOLTER MONITORING, EVENT MONITORING, AND IMPEDANCE CARDIOGRAPHY. BY THE END OF 2024, CSNM EMPLOYED APPROXIMATELY 1,273 PEOPLE. OF THESE EMPLOYEES THERE ARE APPROXIMATELY 216 ACTIVE MEDICAL STAFF MEMBERS, CONSISTING OF 73 EMPLOYED PROVIDERS AND 79 EMPLOYED NURSE PRACTITIONERS, AND 9 INDEPENDENT PHYSICIANS. IN ADDITION TO THOSE EMPLOYEES, CSNM CONTRACTS FOR SERVICES IN VARIOUS DEPARTMENTS SUCH AS PHARMACY, ANESTHESIA, WOUND CARE, EMERGENCY DEPARTMENT, AND HOSPITALIST PROVIDERS.CSNM CONTINUES TO SEEK OPPORTUNITIES TO EXPAND SERVICES AND IMPROVE QUALITY, WITH THE PHILOSOPHY OF NOT LIMITING ITS POTENTIAL BY THE DESIGNATION OF "RURAL HOSPITAL," BUT RATHER IDENTIFYING ITS SCOPE OF SERVICE BASED ON COMMUNITY NEEDS AS A REGIONAL MEDICAL CENTER. CONTINUED PROGRESS AND EXPANSION HAS ENHANCED CSNM'S COMMITMENT TO STRIVE FOR OUTSTANDING SERVICE AND QUALITY, ACKNOWLEDGING THAT ITS FUTURE IS NOT IN ITS BUILDING OR TECHNOLOGY, BUT RATHER ITS PEOPLE. TO THIS END, WE SUPPORT THE PEOPLE OF OTERO COUNTY AND OUTLYING SERVICE AREAS WITH OUR EXPANDED SERVICES AND OUR FINANCIAL CONTRIBUTIONS. CSNM HAS, SINCE ITS INCEPTION IN 1949, PROVIDED QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATIONS AND STABILITY OF CSNM, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND, FURTHER, THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH-CARE SERVICES AND HEALTH-CARE EDUCATION. THEREFORE, IN KEEPING WITH CSNM'S COMMITMENT TO SERVE OUR COMMUNITY, WE PROVIDE: FREE CARE AND/OR SUBSIDIZED CARE - CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST; AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S ABILITY TO PAY COEXIST. MANAGEMENT EXPANDED THE FINANCIAL ASSISTANCE PROGRAM FROM 200% TO 300% OF FPL EFFECTIVE JULY 1, 2015. CSNM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY.</Desc>
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        <TitleTxt>VP OF PHYSICIAN CARE/CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>341091</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>88202</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT J HECKERT</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.70</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>2906357</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>225801</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52452</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BASHAR NASER</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.40</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>412183</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>561740</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>142828</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM POLLARD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>299152</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>380844</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>82639</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERRY BOLIN</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>133560</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>141848</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43087</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER SEAMAN</PersonNm>
        <TitleTxt>VP OF FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>278690</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>80999</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES RACE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1024406</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>98365</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW PIKE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>798437</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>93721</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FERIAL ABOOD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>867081</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>62296</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES DUMONT</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>433834</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57073</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATRINA ROLEN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>349288</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23557</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW LANCASTER</PersonNm>
        <TitleTxt>PHYSICIAN, FORMER BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>315452</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>86067</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>POLLY HICKMAN</PersonNm>
        <TitleTxt>NURSE PRACTITIONER, FORMER BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>199737</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>83249</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>8359268</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>20753610</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>3002390</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>165</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALIVIS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5930 CORNERSTONE COURT WEST STE 300</AddressLine1Txt>
            <CityNm>SAN DIEGO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92121</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING AGENCY</ServicesDesc>
        <CompensationAmt>12711906</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NETHERLANDS ANESTHESIA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1765 E NINE MILE RD SUITE 1-229</AddressLine1Txt>
            <CityNm>PENSACOLA</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32514</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIA PROVIDER SERVICES</ServicesDesc>
        <CompensationAmt>4595464</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JACK WAYTE CONSTRUCTION CO INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 648</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88311</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>4190546</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WESTERN MOUNTAIN HOSPITAL PHYSICIANS PLL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1602 AVENUE Q</AddressLine1Txt>
            <CityNm>LUBBOCK</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>794014732</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>2986264</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHWEST HEART PC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2550 SAMARITAN DRIVE 121</AddressLine1Txt>
            <CityNm>LAS CRUCES</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88011</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>2091310</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>41</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>901516</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1321826</AllOtherContributionsAmt>
      <TotalContributionsAmt>2223342</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>269166868</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>269166868</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>3124220</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1443702</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1680518</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY REVENUE</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>2548981</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2404071</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>144910</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAFETERIA/CATERING</Desc>
        <BusinessCd>722320</BusinessCd>
        <TotalRevenueColumnAmt>1506116</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1369098</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>137018</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NM DSH, OTHER OPERATING REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1432211</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1432211</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>2769339</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2769339</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>280547735</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2122567</TotalRevenueColumnAmt>
        <ExclusionAmt>2122567</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1087098</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>950854</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>136244</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>136244</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-201213</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>337457</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>78969156</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>84161022</SecuritiesAmt>
        <OtherAmt>39972</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-5191866</SecuritiesAmt>
        <OtherAmt>-39972</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-5231838</TotalRevenueColumnAmt>
        <ExclusionAmt>-5231838</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>GRT REFUNDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>383374</TotalRevenueColumnAmt>
        <ExclusionAmt>383374</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>383374</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>280181424</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>278585289</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1761233</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-2388440</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1015093</TotalAmt>
        <ProgramServicesAmt>1015093</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>140543</TotalAmt>
        <ProgramServicesAmt>140543</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>92412</TotalAmt>
        <ProgramServicesAmt>92412</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>6665507</TotalAmt>
        <ProgramServicesAmt>2525650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4139857</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>77929352</TotalAmt>
        <ProgramServicesAmt>56355298</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21574054</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>2191444</TotalAmt>
        <ProgramServicesAmt>1525321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>666123</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>21061419</TotalAmt>
        <ProgramServicesAmt>14659476</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6401943</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>5646517</TotalAmt>
        <ProgramServicesAmt>3930171</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1716346</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>10021623</TotalAmt>
        <ProgramServicesAmt>8761985</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1259638</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>4012564</TotalAmt>
        <ProgramServicesAmt>121671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3890893</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>191773</TotalAmt>
        <ProgramServicesAmt>27774</ProgramServicesAmt>
        <ManagementAndGeneralAmt>163999</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>19179</TotalAmt>
        <ManagementAndGeneralAmt>19179</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>1021638</TotalAmt>
        <ManagementAndGeneralAmt>1021638</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>48658692</TotalAmt>
        <ProgramServicesAmt>43941049</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4717643</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>197194</TotalAmt>
        <ProgramServicesAmt>1625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195569</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>3106968</TotalAmt>
        <ProgramServicesAmt>1763982</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1342986</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1843937</TotalAmt>
        <ProgramServicesAmt>395279</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1448658</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2837040</TotalAmt>
        <ProgramServicesAmt>850979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1986061</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>97366</TotalAmt>
        <ProgramServicesAmt>52812</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44554</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>424243</TotalAmt>
        <ProgramServicesAmt>244234</ProgramServicesAmt>
        <ManagementAndGeneralAmt>180009</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>74677</TotalAmt>
        <ManagementAndGeneralAmt>74677</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>13038365</TotalAmt>
        <ProgramServicesAmt>7152688</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5885677</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>15748196</TotalAmt>
        <ProgramServicesAmt>359298</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15388898</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES/DRUGS</Desc>
        <TotalAmt>29029237</TotalAmt>
        <ProgramServicesAmt>28419252</ProgramServicesAmt>
        <ManagementAndGeneralAmt>609985</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>GRT, SALES, AND OTHER T</Desc>
        <TotalAmt>5143976</TotalAmt>
        <ManagementAndGeneralAmt>5143976</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DIETARY SUPPLIES</Desc>
        <TotalAmt>2185447</TotalAmt>
        <ProgramServicesAmt>2185447</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS</Desc>
        <TotalAmt>927603</TotalAmt>
        <ProgramServicesAmt>221311</ProgramServicesAmt>
        <ManagementAndGeneralAmt>706292</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>6154891</TotalAmt>
        <ProgramServicesAmt>5490813</ProgramServicesAmt>
        <ManagementAndGeneralAmt>664078</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>259476896</TotalAmt>
        <ProgramServicesAmt>180234163</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79242733</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>9680210</BOYAmt>
        <EOYAmt>14032976</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>8245483</BOYAmt>
        <EOYAmt>5714037</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>29841751</BOYAmt>
        <EOYAmt>31082949</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>7592734</BOYAmt>
        <EOYAmt>6788598</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>5495605</BOYAmt>
        <EOYAmt>3824651</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>172811182</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>13745747</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>136750366</BOYAmt>
        <EOYAmt>159065435</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>104582666</BOYAmt>
        <EOYAmt>23069147</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>5719667</BOYAmt>
        <EOYAmt>6825242</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>729022</BOYAmt>
        <EOYAmt>7996969</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1700808</BOYAmt>
        <EOYAmt>9002501</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>310338312</BOYAmt>
        <EOYAmt>267402505</EOYAmt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>CHRISTUS SOUTHERN NEW MEXICO</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: CSNM CONDUCTED FOCUS GROUPS AND INDIVIDUAL INTERVIEWS. CSNM SOLICITED INPUT FROM MORE THAN 20 REPRESENTATIVES FROM THE COMMUNITY, INCLUDING EDUCATORS, LOCAL GOVERNMENT OFFICIALS, LOCAL HEALTH OFFICIALS, FINANCIAL ADVISORS, CHAPLAINS, NURSES, AND MILITARY PERSONNEL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>CHRISTUS SOUTHERN NEW MEXICO</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: OTERO COUNTY COMMUNITY HEALTH COUNCILPRESBYTERIAN MEDICAL SERVICESALAMOGORDO PUBLIC SCHOOLSCITY OF ALAMOGORDOCOPE OUTREACHCHINS OF ALAMOGORDO</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>CHRISTUS SOUTHERN NEW MEXICO</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE HOSPITAL'S WRITTEN IMPLEMENTATION STRATEGY IS INCLUDED IN THE FACILITY'S CHNA DOCUMENT. THIS DOCUMENT WAS REVIEWED BY THE HOSPITAL'S CPA AUDITORS AND BUSINESS ADVISORS. BASED ON THE RESULTS OF THIS REVIEW, MOST SIGNIFICANT NEEDS ARE BEING ADDRESSED IN THE ASSESSMENT. THE NEEDS IDENTIFIED INCLUDE: ACCESS TO AFFORDABLE PRIMARY CARE INSURANCE AND CHARITY CARE, OBESITY, DIABETES, CANCER, BEHAVIORAL HEALTHCARE, HEART DISEASE, AND HEALTH EDUCATION. THE STRATEGY TO ADDRESS THESE ISSUES INCLUDES EXPANDED HOSPITAL RESOURCES, SUCH AS ESTABLISHMENT OF A CARDIAC REHABILITATION PROGRAM, AND COLLABORATION BETWEEN THE HOSPITAL AND OTHER FACILITIES TO ADDRESS THE NEEDS. FOR EXAMPLE, CSNM PROVIDES $420,000 A YEAR IN FINANCIAL SUPPORT TO PRESBYTERIAN MEDICAL SERVICES, WHICH OPERATES FOUR FQHCS IN OTERO COUNTY, TO ASSIST IN RECRUITING QUALIFIED, LICENSED BEHAVIORAL AND OTHER HEALTH PROFESSIONALS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 10A:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.GCRMC.ORG/WP-CONTENT/UPLOADS/2024/03/GERALD-CHAMPION-REGIONAL-MEDICAL-CENTER-CHNA-IMPLEMENTATION-FINAL-REPORT.PDFURL ABOVE IS CASE SENSITIVE. ALTERNATIVELY, REPORT IS FOUND AT HTTPS://WWW.GCRMC.ORG IN THE "ABOUT US" SECTION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 14:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 CHARGE MASTERS. CHARGE PRICES ARE REVIEWED BY THE ORGANIZATION ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>33</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - CSNM CARDIOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DR SUITE 2200</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - CSNM PAIN MANAGEMENT ALAMOGORDO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DRIVE SUITE 3300</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - CSNM UROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2539 MEDICAL DR COMPLEX A SUITE 103</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - CSNM BEHAVIORAL MEDICINE ALAMOGORDO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2351 25TH STREET COMPLEX B</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - CSNM ALLERGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1101 9TH ST</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - CSNM CANCER CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DR SUITE G</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - CSNM FAMILY MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2539 MEDICAL DR SUITE 110</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - CSNM FAMILY RESIDENCY PROGRAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2539 MEDICAL DR SUITE 110</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - CSNM INTERNAL MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DRIVE SUITE C</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - CSNM FAMILY MEDICINE MEDICAL DRIVE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2539 MEDICAL DR STE 110</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - CSNM NEUROLOGY &amp; DIAGNOSTICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2050 SCENIC DR</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - CSNM OCCUPATIONAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DRIVE SUITE 3100</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - CSNM ORTHOPEDIC COMPLEX</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DRIVE SUITE 3100</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - CSNM PAIN MANAGEMENT ROSWELL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>400 NORTH PENNSYLVANIA AVE</AddressLine1Txt>
            <CityNm>ROSWELL</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88201</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - CHRISTUS URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>250 E 1ST STREET</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - CSNM DIABETES EDUCATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DR STE B</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - CSNM ENDOCRINOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2579 SCENIC DR SUITE A</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - CSNM FRACTURE LIAISON SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DRIVE SUITE 3100</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - CSNM GASTROENTEROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2539 MEDICAL DR SUITE 107</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - CSNM SURGICAL ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DRIVE SUITE 3200</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - CSNM INTERNAL MEDICINE NINTH STREET</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1101 9TH ST</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>22 - CSNM FAMILY MEDICINE TENTH STREET</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1401 TENTH STREET SUITE 1</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>23 - CSNM FAMILY MEDICINE RUIDOSO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>101 5TH STREET</AddressLine1Txt>
            <CityNm>RUIDOSO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88345</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>24 - CHRISTUS SLEEP CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2474 INDIAN WELLS RD B</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>25 - CSNM NEPHROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2579 N SCENIC DR B</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>26 - CSNM PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DR SUITE D</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>27 - CSNM PULMONOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DR SUITE F</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>28 - CSNM WOMENS HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2559 MEDICAL DR SUITE 2100</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>29 - CSNM BEHAVIORAL MEDICINE LAS CRUCES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3865 E LOHMAN AVE SUITE 4</AddressLine1Txt>
            <CityNm>LAS CRUCES</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88011</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>30 - ASV DBA SCENIC VIEW OUTPATIENT SURGERY CEN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2351 25TH STREET</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88311</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>31 - ALAMOGORDO IMAGING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2539 MEDICAL DR STE 1010</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>32 - GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2669 SCENIC DRIVE</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIAC CATH LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>33 - CHAMPION HOME HEALTH CARE LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1859 INDIAN WELLS RD</AddressLine1Txt>
            <CityNm>ALAMOGORDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88310</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME HEALTH CARE FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS REPORTED ARE BASED ON THE MEDICARE COST REPORT FIGURES. LINE 7G INCLUDES $71,622,988 OF COSTS ATTRIBUTABLE TO PHYSICIANS' CLINICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SUPPORTS RUNNER'S REFUGE, A MINISTRY THAT PROVIDES HELP TO INDIVIDUALS STRUGGLING WITH ADDICTION AND HOMELESSNESS. WE ALSO SUPPORT MAIN STREET ALAMOGORDO, A NONPROFIT THAT'S MISSION IS TO PRESERVE, ENHANCE, BEAUTIFY AND ECONOMICALLY DEVELOP ALAMOGORDO'S HISTORIC DOWNTOWN DISTRICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SUPPORTS THE ALAMOGORDO CHAMBER OF COMMERCE AND THE OTERO COUNTY ECONOMIC DEVELOPMENT COUNCIL, WHICH WORK TO FACILITATE THE CREATION AND PROMOTION OF NEW INDUSTRIES, AND ASSIST IN THE RETENTION AND EXPANSION OF EXISTING BUSINESSES IN THE HOSPITAL'S SERVICE AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OFFERS ECONOMIC SUPPORT TO VARIOUS ORGANIZATIONS THAT: PROVIDE ASSISTANCE TO INDIVIDUALS IN NEED OF BASIC MEDICAL ASSISTANCE, FOR RESEARCH IN HEALTH-RELATED CONDITIONS, AND TO PROMOTE CULTURAL ACTIVITIES AND EVENTS FOR THE BENEFIT OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SUPPORTS THE ALAMOGORDO ROTARY CLUB, AND OTHER ORGANIZATIONS WHICH WORK TO TRAIN AND PROMOTE LEADERS IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RELIES ON WORKFORCE DEVELOPMENT, I.E. RECRUITMENT OF DOCTORS AND OUR FAMILY RESIDENCY PROGRAM TO MEET THE NEED FOR MAINTAINING ADEQUATE MEDICAL STAFF. THE HOSPITAL'S SERVICE AREA FACES A CRITICAL SHORTAGE OF PHYSICIANS. OTERO COUNTY IS DESIGNATED BY THE US CENSUS BUREAU AS A MEDICALLY UNDERSERVED AREA. RECENT DATA SUGGESTS THAT THERE IS A SHORTAGE OF 22 PHYSICIANS (INCLUDING 4 CARDIOLOGY, 3 FAMILY MEDICINE, 2 PEDIATRICS, 2 ORTHOPAEDIC, AND 2 ONCOLOGY) NEEDED TO SERVE THE HEALTHCARE NEEDS OF THE TOTAL SERVICE AREA. THE ORGANIZATION HIRED TWO FAMILY MEDICINE PHYSICIANS IN JULY OF 2023, FROM THE ORGANIZATION'S FAMILY RESIDENCY 2023 GRADUATING CLASS. THERE ARE A NUMBER OF FACTORS THAT HAVE CREATED THIS SHORTAGE. THESE INCLUDE THE AGING POPULATION OF PROVIDERS IN OUR MARKET. THE AVERAGE AGE OF THE ORGANIZATION'S PHYSICIAN STAFF IS NOW OVER 60 YEARS OF AGE. NEW MEXICO HAS THE HIGHEST PERCENTAGE IN THE COUNTRY OF PHYSICIANS APPROACHING RETIREMENT AGE. IN ADDITION, NEW MEXICO'S GEOGRAPHICALLY SPARSE, AGING AND RACIALLY DIVERSE POPULATION PUTS PRESSURE ON ITS HEALTH CARE SYSTEMS. EXCESS MORTALITY FROM ALL CAUSES IN NON-METROPOLITAN AREAS CONTINUES TO RISE. THE ORGANIZATION STRIVES TO INCREASE ACCESS TO COMPREHENSIVE QUALITY HEALTH CARE SERVICES; TO PROMOTE HEALTH, PREVENT AND MANAGE DISEASES, AND REDUCE DISABILITY AND PREMATURE DEATH BY ELIMINATING THE INADEQUATE SUPPLY AND UNEVEN DISTRIBUTION OF PRIMARY CARE AND SPECIALTY PROVIDERS THROUGH CONTINUED WORKFORCE DEVELOPMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCOUNTS AND PAYMENTS ARE TAKEN INTO CONSIDERATION WHEN DETERMINING BAD DEBT. PAYMENTS APPLIED TO PATIENT ACCOUNTS OFFSET ACCOUNTS RECEIVABLE AND ARE ELIMINATED FROM THE CALCULATION OF BAD DEBT, WHICH IS DETERMINED BASED ON AGING OF ACCOUNTS RECEIVABLE AFTER PATIENT DISCHARGE.IN CERTAIN CIRCUMSTANCES, CSNM WILL NEGOTIATE PAYMENT TERMS FOR PATIENTS WHOSE FAMILY INCOME EXCEEDS THE INCOME GUIDELINES OF THE FINANCIAL ASSISTANCE AND UNINSURED POLICY. THIS IS APPLICABLE TO PATIENTS WITH CATASTROPHIC ILLNESSES OR UNUSUAL CIRCUMSTANCES. SUCH DETERMINATIONS ARE MADE BY THE PATIENT FINANCIAL SERVICES DEPARTMENT WORKING WITH CSNM MANAGEMENT. SEE ALSO THE DISCLOSURE IN THE AUDITED FINANCIAL STATEMENTS REGARDING BAD DEBT.PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW 300% OF THE FPL ARE ELIGIBLE TO RECEIVE FREE CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. PATIENT CHARGES FOR SERVICES PROVIDED UNDER THE CHARITY POLICY ARE WRITTEN OFF. THE AMOUNT OF THESE SERVICES PROVIDED IN THE YEAR ENDED JUNE 30, 2024, WERE APPROXIMATELY $9,480,000.MEDICAL CARE IS GIVEN TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY, AND THEREFORE, THIS IS A COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTE ON PATIENT SERVICE REVENUE BEGINS ON PAGE 26 OF THE ATTACHED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS SPECIFICALLY ADDRESSED ON PAGE 27.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>CSNM HAS IMPLEMENTED A NUMBER OF DIFFERENT POLICY AND PROCEDURE STATEMENTS TO GOVERN THE DETAILS OF HOW ITS COLLECTION PRACTICES ARE IMPLEMENTED AND HOW DISCOUNTING AND COLLECTION POLICIES APPLY TO VARIOUS CLASSES OF PATIENTS. IN GENERAL, ALL PATIENT ACCOUNT GUARANTORS WHO REQUEST FINANCIAL ASSISTANCE OR A PAYMENT PLAN ARE ASKED TO PROVIDE DETAILED INFORMATION REGARDING THEIR INCOME AND ASSETS.FOR PATIENTS WHO QUALIFY FOR CHARITY, CSNM WILL NOT IMPOSE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES, WILL NOT SEND UNPAID BILLS TO COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2021, MANAGEMENT AT CSNM ENLISTED THE SERVICES OF QUORUM HEALTH RESOURCES TO DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT AND TO PROVIDE INFORMATION FROM SECONDARY DATA SOURCES TO ASSIST IN IDENTIFYING NEEDS THAT EXIST IN THE COMMUNITY. THIS INCLUDES DATA FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO EXAMINE TRENDS FOR STROKE, DIABETES, HEART DISEASE AND CANCER. IT ALSO INCLUDES DATA THAT IDENTIFY SHORTAGES IN HEALTH-CARE PROFESSIONALS BY LOCATION. THE HEALTH NEEDS IDENTIFIED AS SIGNIFICANT IN THIS ASSESSMENT INCLUDED CANCER, ACCESS TO PRIMARY CARE, DIABETES, OBESITY, AND BEHAVIORAL HEALTH. THE CONCLUSIONS REACHED IN THIS ASSESSMENT WERE IMPLEMENTED IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, BEHAVIORAL MEDICINE, AND INPATIENT REHABILITATION; 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; PATHOLOGIST; 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 CLOSED THE 12-BED IRF UNIT IN MAY 2023 AND REALLOCATED THE BED COUNT. 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 ABOUT 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 2020 WAS 68,853. 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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 7 MEMBERS AS OF JUNE 30, 2024. 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.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 AND MOTIVATE A PHILOSOPHY OF WELLNESS IN THE COMMUNITY. 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. AN ANNUAL HEALTH FAIR IS HELD AT THE HOSPITAL EACH YEAR. WE AUGMENT THE ANNUAL HEALTH FAIR WITH ONSITE MINI HEALTH SCREENINGS THROUGHOUT THE YEAR. THIS IS OFFERED TO BUSINESSES, CIVIC ORGANIZATIONS AND CHURCHES WITH MINIMAL TO NO CHARGE. WE OFFER FREE BLOOD PRESSURE SCREENINGS ON A WALK-IN BASIS WITH EDUCATIONAL MATERIALS IN BOTH SPANISH AND ENGLISH. THIS ALLOWS US TO ADDRESS THE HIGH RATE OF HYPERTENSION IN OUR COMMUNITY, ITS SIGNIFICANT EFFECT ON OTHER DISEASES, AND AN OVERALL WELLNESS PICTURE. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>NM</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALAMOGORDO CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1301 NWHITE SANDS</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88310</ZIPCd>
        </USAddress>
        <RecipientEIN>850109297</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>14536</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP LEADERSHIP OTERO CLASS, ANNUAL BANQUET SPONSOR.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN CANCER SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2120 FIRST AVE</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88310</ZIPCd>
        </USAddress>
        <RecipientEIN>841316555</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PUBLIC HEALTH, BUILDING RENT.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FLICKINGER CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1110 N NEW YORK AVE</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88310</ZIPCd>
        </USAddress>
        <RecipientEIN>850326369</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP ON BANNERS AND SHIRTS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALAMOGORDO PUBLIC SCHOOLS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1211 HAWAII</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88310</ZIPCd>
        </USAddress>
        <RecipientEIN>856000100</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>20200</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PUBLIC SCHOOL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NM STATE UNIVERSITY FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3590</AddressLine1Txt>
          <CityNm>LAS CRUCES</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88003</ZIPCd>
        </USAddress>
        <RecipientEIN>850170157</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>186000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNITY BENEFIT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OTERO COUNTY FAIR ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 FAIRGROUNDS ROADS</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88310</ZIPCd>
        </USAddress>
        <RecipientEIN>856011829</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>257495</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNITY BENEFIT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PMS ALAMOGORDO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1501 TENTH STREET</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88310</ZIPCd>
        </USAddress>
        <RecipientEIN>850206810</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>120000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PUBLIC HEALTH.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PMS CHAPARRAL NM CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>204 ANGELINA</AddressLine1Txt>
          <CityNm>CHAPARRAL</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88081</ZIPCd>
        </USAddress>
        <RecipientEIN>850206810</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>200000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PUBLIC HEALTH.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PMS SACRAMENTO MOUNTAIN CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 686</AddressLine1Txt>
          <CityNm>CLOUDCROFT</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88317</ZIPCd>
        </USAddress>
        <RecipientEIN>850206810</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PUBLIC HEALTH.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THRIVE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 14</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88311</ZIPCd>
        </USAddress>
        <RecipientEIN>850197559</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>90924</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CAMPAIGN HOSPITAL MATCH FOR COMMUNITY BENEFIT</PurposeOfGrantTxt>
      </RecipientTable>
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      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TRANSPORTATION ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>7027</RecipientCnt>
        <CashGrantAmt>140543</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION GAVE GRANTS TO GOVERNMENT AND OTHER TAX-EXEMPT ORGANIZATIONS. PRIOR TO GRANTING FURTHER FUNDS AND AT A MINIMUM YEARLY, CSNM REVIEWS GRANTS TO OTHER ORGANIZATIONS WITH THE GRANTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBsdNetEarnsRltdOrgsInd>1</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationRltdOrgsAmt>431800</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsFilingOrgAmt>1642</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsRltdOrgsAmt>16972</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>159675</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>158820</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>POLLY HICKMAN</PersonNm>
        <TitleTxt>NURSE PRACTITIONER, FORMER BOARD MEM</TitleTxt>
        <BaseCompensationFilingOrgAmt>130846</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>52273</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>16618</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6243</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>77006</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>282986</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES WERE AWARDED FOR ALL EMPLOYEES FOR MEETING ORGANIZATIONAL GOALS AND WERE APPROVED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleN documentId="RetDoc1043200001">
      <DispositionOfAssetsDetail>
        <AssetsDistriOrExpnssPaidDesc>CASH</AssetsDistriOrExpnssPaidDesc>
        <DistributionDt>2023-07-01</DistributionDt>
        <FairMarketValueOfAssetAmt>81695932</FairMarketValueOfAssetAmt>
        <MethodOfFMVDeterminationTxt>ACTUAL COST</MethodOfFMVDeterminationTxt>
        <EIN>760590551</EIN>
        <BusinessName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>5101 OCONNOR BLVD</AddressLine1Txt>
          <CityNm>IRVING</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75039</ZIPCd>
        </USAddress>
        <IRCSectionTxt>501(C)(3)</IRCSectionTxt>
      </DispositionOfAssetsDetail>
      <DirectorOfSuccessor2Ind>0</DirectorOfSuccessor2Ind>
      <EmployeeOfSuccessor2Ind>1</EmployeeOfSuccessor2Ind>
      <OwnerOfSuccessor2Ind>0</OwnerOfSuccessor2Ind>
      <ReceiveCompensation2Ind>0</ReceiveCompensation2Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 2E:</FormAndLineReferenceDesc>
        <ExplanationTxt>PERSON(S) INVOLVED: ROBERT J. HECKERT, BASHAR NASER, WILLIAM POLLARD, AND KERRY BOLIN</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 2E:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF INVOLVEMENT: EFFECTIVE JULY 1, 2023, THE ORGANIZATION (FORMERLY GERALD CHAMPION REGIONAL MEDICAL CENTER, NOW CHRISTUS SOUTHERN NEW MEXICO) 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. AS PART OF THIS AGREEMENT, SOME EMPLOYMENT TRANSITIONED TO CHRISTUS HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleN>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE JOINT FINANCE AND EXECUTIVE COMMITTEE IS CHAIRED BY THE VICE CHAIRMAN OF THE BOARD OF DIRECTORS. IN THE ABSENCE OF THE VICE CHAIRMAN, THE CHAIRMAN OF THE BOARD OR SECRETARY OF THE BOARD SHALL CHAIR THE COMMITTEE IN THAT ORDER. THE COMPOSITION OF THE JOINT FINANCE AND EXECUTIVE COMMITTEE SHALL BE DETERMINED BY THE BOARD OF DIRECTORS AT THE ANNUAL MEETING. THE POWERS AND RESPONSIBILITIES OF THE COMMITTEE SHALL INCLUDE: SCREEN BOARD BUSINESS AND MAKE RECOMMENDATIONS FOR APPROVAL IN ORDER TO ENABLE THE FULL BOARD TO EFFECTIVELY UTILIZE ITS DISCUSSION TIME; EXERCISE EMERGENCY POWERS IN EXTRAORDINARY CIRCUMSTANCES AND MAKE DECISIONS OTHERWISE RESERVED TO THE BOARD OF DIRECTORS WHEN THE BOARD IS NOT IN SESSION; EXERCISE THE POWER AND AUTHORITY TO TRANSACT CORPORATION BUSINESS THAT REQUIRES IMMEDIATE ACTION; SERVE AS THE AUDIT COMMITTEE FOR THE CORPORATION; SERVE AS THE ETHICS COMMITTEE FOR THE CORPORATION AND BE PRIMARILY RESPONSIBLE FOR IMPLEMENTING THE CONFLICTS OF INTEREST POLICY OF THE CORPORATION; REVIEW AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS CONCERNING THE PERFORMANCE, COMPETENCE AND TERMS OF EMPLOYMENT OF THE CHIEF EXECUTIVE OFFICER; AND ACT IN SUCH OTHER SITUATIONS AND CAPACITIES AS THE BOARD OF DIRECTORS MAY DESIGNATE OR SPECIFY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PAUL GENERALE, SAM BAGCHI, MD, KIMBERLY KING WEBB, AND RANDY SAFADY: BUSINESS RELATIONSHIP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLETE RX MANAGES THE PHARMACY DEPARTMENTS. X-RAY ASSOCIATES OF NEW MEXICO MANAGES THE MEDICAL CENTER'S OUTPATIENT IMAGING CENTER, OF WHICH THE HOSPITAL OWNS 29.8%. ALAMOGORDO SURGERY VENTURES, LLC, MANAGES THE MEDICAL CENTER'S OUTPATIENT SURGERY CENTER, OF WHICH THE HOSPITAL OWNS 57%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMENDMENTS FUNDAMENTALLY MODERNIZE AND REORGANIZE THE CORPORATION'S FRAMEWORK BY INTRODUCING A REGISTERED OFFICE AND A COMPREHENSIVE DEFINITIONS SECTION THAT CLARIFIES RELATIONSHIPS - MOST NOTABLY LINKING THE ORGANIZATION TO CHRISTUS HEALTH. THE PURPOSES ARE SIGNIFICANTLY EXPANDED FROM MERELY OPERATING AN ACUTE CARE HOSPITAL TO PROMOTING A BROADER CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND EXPLICITLY RELIGIOUS MISSION ALIGNED WITH THE HEALTH CARE MINISTRIES UNDER THE CATHOLIC TRADITION. IN TANDEM WITH THESE CHANGES, THE GOVERNANCE STRUCTURE HAS BEEN OVERHAULED: CHRISTUS HEALTH IS NOW ESTABLISHED AS THE SOLE MEMBER WITH CENTRALIZED AUTHORITY, THE BOARD'S COMPOSITION HAS BEEN ADJUSTED FOR GREATER FLEXIBILITY, AND NEW STANDARDS OF CONDUCT ALONG WITH LIMITATIONS ON DIRECTORS' LIABILITY HAVE BEEN INTRODUCED. ADDITIONALLY, THE DISSOLUTION AND AMENDMENT PROCEDURES HAVE BEEN REVISED TO ENSURE THAT ANY REMAINING ASSETS AND FUTURE MODIFICATIONS ARE MANAGED IN ACCORDANCE WITH THE UPDATED MISSION AND LEGAL REQUIREMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTUS HEALTH, THE SOLE MEMBER, HAS THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNANCE DECISIONS ARE RESERVED TO OR SUBJECT TO APPROVAL BY CHRISTUS HEALTH, THE SOLE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS REVIEWED BY THE CEO AND CFO PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE FORMS ARE INITIALLY REVIEWED BY THE CFO. IF ANY CONFLICTS EXIST, THEY ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND CFO REPORT TO THE CSNM BOARD OF DIRECTORS, AND THEIR COMPENSATION PACKAGE IS DETERMINED BY THE BOARD. THE BOARD USES AN INDEPENDENT THIRD-PARTY CONSULTANT, THE COKER GROUP, TO EVALUATE THE COMPENSATION. THE BOARD OBTAINED COMPARATIVE SALARY DATA FROM THE COKER GROUP TO ASSESS THE FMV OF COMPENSATION. COMPENSATION WAS LAST DETERMINED IN 2023. A FULL COMPENSATION REVIEW OF ALL OFFICERS WAS PROVIDED BY THE COKER GROUP AT THAT TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 13,558,549. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,558,549. AGENCY PERSONNEL: PROGRAM SERVICE EXPENSES 12,638,421. MANAGEMENT AND GENERAL EXPENSES 705,724. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,344,145. GC-SP CATH LAB CLINICAL SERVICE FEES: PROGRAM SERVICE EXPENSES 11,143,331. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,143,331. CONSULTANTS: PROGRAM SERVICE EXPENSES 3,481,261. MANAGEMENT AND GENERAL EXPENSES 363,385. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,844,646. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 1,939,020. MANAGEMENT AND GENERAL EXPENSES 2,948,185. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,887,205. 340(B) PROCESSING FEES: PROGRAM SERVICE EXPENSES 1,056,289. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,056,289. CONTRACT DEPARTMENT FEES: PROGRAM SERVICE EXPENSES 124,178. MANAGEMENT AND GENERAL EXPENSES 700,349. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 824,527.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFERS TO CHRISTUS HEALTH, PER PURCHASE AGREEMENT EFFECTIVE JULY 1, 2023 -72,139,135.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1501 N OCONNOR BLVD</AddressLine1Txt>
          <CityNm>IRVING</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75039</ZIPCd>
        </USAddress>
        <EIN>760590551</EIN>
        <PrimaryActivitiesTxt>SPT HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GERALD CHAMPION REGIONAL MEDICAL CENTER FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2669 SCENIC DRIVE</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88310</ZIPCd>
        </USAddress>
        <EIN>850352051</EIN>
        <PrimaryActivitiesTxt>TO DIRECTLY SUPPORT THE MISSION OF THE OTERO COUNTY HOSPITAL ASSOCIATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NM</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OTERO COUNTY HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH ARKLATEX</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2600 ST MICHAEL DRIVE</AddressLine1Txt>
          <CityNm>TEXARKANA</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75503</ZIPCd>
        </USAddress>
        <EIN>752796815</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II - 509(A</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH CENTRAL LOUISIANA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3330 MASONIC DRIVE</AddressLine1Txt>
          <CityNm>ALEXANDRIA</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71301</ZIPCd>
        </USAddress>
        <EIN>720408984</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH GULF COAST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 922037</AddressLine1Txt>
          <CityNm>HOUSTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77292</ZIPCd>
        </USAddress>
        <EIN>760591592</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH NORTHERN LOUISIANA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE SAINT MARY PLACE</AddressLine1Txt>
          <CityNm>SHREVEPORT</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71101</ZIPCd>
        </USAddress>
        <EIN>720408982</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS SPOHN HEALTH SYSTEM CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 ELIZABETH STREET</AddressLine1Txt>
          <CityNm>CORPUS CHRISTI</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78404</ZIPCd>
        </USAddress>
        <EIN>741109836</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH SOUTHEAST TEXAS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2830 CALDER STREET</AddressLine1Txt>
          <CityNm>BEAUMONT</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77726</ZIPCd>
        </USAddress>
        <EIN>760591590</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH SOUTHWESTERN LOUISIANA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>524 DR MICHAEL DEBAKEY DR</AddressLine1Txt>
          <CityNm>LAKE CHARLES</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70601</ZIPCd>
        </USAddress>
        <EIN>720411322</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS SANTA ROSA HEALTH CARE CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>333 N SANTA ROSA STREET</AddressLine1Txt>
          <CityNm>SAN ANTONIO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78207</ZIPCd>
        </USAddress>
        <EIN>741109665</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS CONTINUING CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1700 W LOOP SOUTH SUITE 1100</AddressLine1Txt>
          <CityNm>HOUSTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77027</ZIPCd>
        </USAddress>
        <EIN>742898615</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CH WILKINSON PHYSICIAN NETWORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1700 WEST LOOP SOUTH STE 400B</AddressLine1Txt>
          <CityNm>HOUSTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77027</ZIPCd>
        </USAddress>
        <EIN>760422435</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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        <USAddress>
          <AddressLine1Txt>919 HIDDEN RIDGE DRIVE</AddressLine1Txt>
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        <EIN>611500100</EIN>
        <PrimaryActivitiesTxt>SUPP HTH SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        <USAddress>
          <AddressLine1Txt>PO BOX 1919</AddressLine1Txt>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77251</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <AddressLine1Txt>919 HIDDEN RIDGE</AddressLine1Txt>
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        <PrimaryActivitiesTxt>HEALTH PLAN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH STRATEGIC GROWTH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>919 HIDDEN RIDGE DRIVE</AddressLine1Txt>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH PLAN LOUISIANA</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>919 HIDDEN RIDGE DRIVE</AddressLine1Txt>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <EIN>464617988</EIN>
        <PrimaryActivitiesTxt>MEDICAID HMO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS PEDIATRIC PHYSICIAN GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>919 HIDDEN RIDGE DRIVE</AddressLine1Txt>
          <CityNm>IRVING</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75038</ZIPCd>
        </USAddress>
        <EIN>465203505</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS TRINITY CLINIC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>752616977</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>752616975</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II - 509(A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS CONNECTED CARE NETWORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>919 HIDDEN RIDGE DR</AddressLine1Txt>
          <CityNm>IRVING</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75038</ZIPCd>
        </USAddress>
        <EIN>473403356</EIN>
        <PrimaryActivitiesTxt>SPT HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ALAMOGORDO SURGERY VENTURES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2351 25TH STREET</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88310</ZIPCd>
        </USAddress>
        <EIN>061791828</EIN>
        <PrimaryActivitiesTxt>OUTPATIENT SURGERY CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NM</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GERALD CHAMPION REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>563378</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>289588</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.57000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2669 SCENIC DRIVE</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88310</ZIPCd>
        </USAddress>
        <EIN>611753921</EIN>
        <PrimaryActivitiesTxt>CARDIAC CATH LAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NM</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GERALD CHAMPION REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>1462574</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>5127420</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WHITE SANDS HEALTH CARE SYSTEMS LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3310 N WHITE SANDS BLVD</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88310</ZIPCd>
        </USAddress>
        <EIN>850438529</EIN>
        <PrimaryActivitiesTxt>PROVIDER NETWORK</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NM</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>28862</ShareOfTotalIncomeAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHAMPION HOME HEALTH CARE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2669 SCENIC DRIVE</AddressLine1Txt>
          <CityNm>ALAMOGORDO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88310</ZIPCd>
        </USAddress>
        <EIN>850860214</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NM</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GERALD CHAMPION REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>19890</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>91233</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHRISTUS MUGUERZA SAPI DE CV</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>HIDALGO PTE 2525 G40G0</AddressLine1Txt>
          <CityNm>OBISPADO MONTERE</CityNm>
          <CountryCd>MX</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>MX</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EMERALD ASSURANCE CAYMAN LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 1051</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY11102</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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        <USAddress>
          <AddressLine1Txt>919 HIDDEN RIDGE DR</AddressLine1Txt>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        </USAddress>
        <EIN>474618648</EIN>
        <PrimaryActivitiesTxt>ACO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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        <EntityTypeTxt>C</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>1</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>210816</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>F</TransactionTypeTxt>
        <InvolvedAmt>1152600</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>9382796</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALAMOGORDO SURGERY VENTURES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>6039040</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALAMOGORDO SURGERY VENTURES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>F</TransactionTypeTxt>
        <InvolvedAmt>510900</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>