2025-05-13T14:46:24+00:00 2024-06-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2023-07-01 752771569 Mother Frances Hospital - Winnsboro MOTH 9036065639 5101 N OConnor Blvd IRVING TX 75039 PAUL HARVEY PRESIDENT 2025-05-13 true Kristen Farr Capizzi P02176875 3128792000 2025-05-06 2023 2025-03-06 01:10:19Z See Schedule O PAUL HARVEY 5101 N OConnor Blvd IRVING TX 75039 25343488 false X WWW.CHRISTUSHEALTH.ORG/TRINITY/WINNSBORO X 1985 TX TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTHCARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 20 12 0 4 0 0 1650 1957 24622460 24845891 3 -917 6949 495640 24631062 25342571 2970 17366 0 0 8078439 8447139 0 0 8999 13358003 14166303 21439412 22630808 3191650 2711763 11223099 13477214 2531865 2378970 8691234 11098244 X SEE SCHEDULE O false false 8667315 0 12442966 OTHER GOVERNMENT PROGRAMS IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVER UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE AND TRICARE FOR EXAMPLE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. 8006688 0 9169203 COMMUNITY BENEFIT ACTIVITIES INCLUDED ARE ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH, EDUCATIONAL PROGRAMS, SUBSIDIZED CLINICAL SERVICES OPERATING AT A LOSS, RESEARCH, CASH AND IN-KIND DONATIONS, COMMUNITY BUILDING ACTIVITIES, AND COMMUNITY BENEFIT OPERATIONS AS ALLOWED FOR ALL THESE CATEGORIES UNDER THE GUIDELINES OF THE CATHOLIC HEALTH ASSOCIATION. THESE PROGRAMS MOST OFTEN SUPPORT THE CHNA/CHIP AND HAVE APPROPRIATE DOCUMENTATION ENSURE THEY ARE MEETING THE STANDARDS AND SUPPORTING OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. 884919 0 3233722 CHARITY CARE FINANCIAL ASSISTANCE IS FREE OR DISCOUNTED HEALTH CARE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ELIGIBILITY CRITERIA IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (fap). FOR COMMUNITY BENEFIT PURPOSES, FINANCIAL ASSISTANCE IS REPORTED IN TERMS OF COSTS, NOT CHARGES, FINANCIAL ASSISTANCE DOES NOT INCLUDE BAD DEBT AND DISCOUNTS NOT DESCRIBED BY THE FAP (FOR EXAMPLE, DISCOUNTS PROVIDED TO SELF-PAY PATIENTS AND/OR SERVICES INELIGIBLE FOR FINANCIAL ASSISTANCE). 86658 0 0 Broader community 18383 0 0 Poor & Underserved 0 17366 0 Additional grants 105041 17366 17663963 true false false false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 0 0 0 false false false false false false false false false false false false X 20 12 false false false false true true true true true false false true true true true true true true true false X LEE SONNE 4692822000 5101 N OConnor Blvd IRVING TX 75039 Paul Harvey President ex-officio w/vote 6.0 34.0 X X 0 367796 66726 Shannon Dacus Director / Chairperson 11.0 0.0 X X 0 0 0 Andria Cardinalli-Stein MD Director 8.0 32.0 X 0 479399 35701 Bill Chen PhD Director 4.0 10.0 X 0 22661 0 Chris Glenney Director 20.0 20.0 X 0 1499959 290217 Dick Stone Director 10.0 0.0 X 0 0 0 Fred Harris Jr Director 10.0 0.0 X 0 0 0 Jean Coleman Director 8.0 0.0 X 0 0 0 Jeb Jones Director 10.0 0.0 X 0 0 0 Jeffrey Puckett Director 13.0 27.0 X 0 8785568 100417 Joe Bob Burgin Director 10.0 0.0 X 0 0 0 Mark Anderson MD Director 11.0 29.0 X 0 933072 79472 Michael Hallum Director 4.0 0.0 X 0 0 0 Preston Smith Director 11.0 0.0 X 0 0 0 Randy Childress Director 4.0 0.0 X 0 0 0 Sister Guadalupe Ruiz Director 4.0 0.0 X 0 0 0 Sister Rita Fanning Director 2.0 0.0 X 0 0 0 Sister Rosanne Popp MD Director 4.0 36.0 X 0 248191 3185 Sonja Yates Hubbard Director 8.0 0.0 X 0 0 0 Steve Keuer MD Director 10.0 30.0 X 0 1281567 254184 Amanda Smith Corporate Secretary (TERM 03/24) 20.0 20.0 X 0 55166 11031 Eric Garrison CFO 10.0 30.0 X 0 267643 46592 Janna Garcia-Chapa Corporate Secretary (EFF 03/24) 20.0 20.0 X 0 0 0 Brian Allgaier MD DIR/CHI. OF STAFF (TERM 12/20) 0.0 40.0 X 0 553648 78814 0 14494670 966339 0 true true false 0 1957 1957 NET PATIENT SERVICE REVENUE 621110 24249023 24249023 RENTAL REVENUE 531120 79820 79820 Physician Non-Contact Revenue 900099 517048 517048 0 0 0 0 24845891 0 0 0 917 -917 0 -917 -917 OTHER OPERATING REVENUE 900099 495640 495640 0 0 0 0 495640 25342571 24845891 0 494723 X 17366 17366 0 0 6953742 6675540 269535 8667 1000089 952875 47214 493308 483624 9684 1297 1297 6985148 4222961 2762187 0 157 157 1276882 1108789 167761 332 739909 739909 28859 28732 127 4704 3517 1187 736804 736804 272628 163577 109051 Medical Supplies 1526689 1533173 -6484 Other Tax Expense 1437619 218 1437401 Provision for Uncollectable Accounts 517569 517569 Management Services 468583 468583 169455 9272 160183 0 22630808 17663963 4957846 8999 14373 3940 2289146 3512611 0 0 13794 13794 412567 413724 33539 13762228 5158258 8256865 8603970 0 0 202815 929175 11223099 13477214 2308623 2222455 6636 0 0 216606 156515 2531865 2378970 X 8691234 11098244 8691234 11098244 11223099 13477214 X 2711763 -304753 X false true X true true true X 5783553 500025 1077616 100663 7260531 4587177 856276 340534 434 5783553 4606929 122490 -123917 18325 4587177 3951360 0 708623 53054 4606929 3883058 0 83627 15325 3951360 0.0 0.4141 0.5859 false false 230000 230000 9484259 3193108 6291151 676100 269495 406605 3371869 1695655 1676214 8603970 Asset Clearing 924640 LT PORTION CAPITAL LEASE BLDG/HOSP 16803 Deferred Revenue 26 ROU Transactions -12294 929175 Asset Retirement Obligations LT Portion Capital Lease Bldg/Hosp CP Lease Liability Asset Retirement Obligations 156515 156515 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NOT MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2024 AND 2023. true true X true X 300 true X true true false true true 1662767 1662767 0.0752 884919 3233722 0 0.0 0 0.0 0 0 2547686 3233722 1662767 0.0752 9 3131 15216 15216 0.0007 1 42 8902 8902 0.0004 1 3 4554 4554 0.0002 0 0.0 5 13165 61619 61619 0.0028 16 16341 90291 0 90291 0.0041 16 16341 2637977 3233722 1753058 0.0793 0 0.0 0 0.0 2 3400 7016 7016 0.0003 0 0.0 0 0.0 0 0.0 1 1419 1419 0.0001 2 42 6315 6315 0.0003 0 0.0 5 3442 14750 0 14750 0.0007 true 517569 2504 6034611 5821647 212964 X true true 1 1 MOTHER FRANCES HOSPITAL - WINNSBORO 719 WEST COKE ROAD WINNSBORO TX 75494 https://www.christushealth.org/locations/winnsboro 0004446 X X X X MOTHER FRANCES HOSPITAL - WINNSBORO 1 false false true X X X X X X X X X 22 true true false true X https://www.christushealth.org/locations/winnsboro X SEE SUPPLEMENTAL INFO X true 22 true https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve false true X 300.0 400.0 X X X X X true true X X X X X true X https://www.christushealth.org/plan-care/bill-pay/financial-assistance X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E FACILITY: MOTHER FRANCES HOSPITAL - WINNSBORO ADVANCE HEALTH & WELL-BEING 1. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT - OBESITY - HEART DISEASE - DIABETES - CANCER 2. BEHAVIORAL HEALTH - MENTAL HEALTH - SUBSTANCE ABUSE 3. PRIMARY CARE 4. EDUCATION BUILD RESILIENT COMMUNITIES & IMPROVE SOCIAL DETERMINANTS 5. IMPROVE FOOD ACCESS 6. REDUCE SMOKING AND VAPING Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. THE CHNA PROCESS INVOLVED ENGAGEMENT WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLECT, CURATE, AND INTERPRET PRIMARY AND SECONDARY DATA. THE DATA WAS THEN USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. FOR THIS COMPONENT, CTMFHS WORKED WITH METOPIO, A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. CTMFHS CONDUCTED ITS CHNA USING AN ADAPTED PROCESS FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK. PRIMARY DATA WAS COLLECTED TROUGH FOUR CHANNELS: 1.COMMUNITY RESIDENT SURVEYS (1,365 RESIDENT SURVEYS RETURNED IN THE CTMF MINISTRY) 2.COMMUNITY RESIDENT FOCUS GROUPS (2 LOCAL GROUPS COVERING ADULT HEALTH, TWO ON MATERNAL AND CHILD HEALTH, AND JOINED WITH TWO SYSTEMWIDE FOCUS GROUPS ON HEALTH CARE AND SOCIAL SERVICE PROVIDERS AND BEHAVIORAL HEALTH. FOCUS GROUPS LASTED 90 MINUTES AND HAD UP TO 15 COMMUNITY MEMBERS. EXAMPLES OF COMMUNITY MEMBERS INCLUDED ALZHEIMER'S ALLIANCE, BETHESDA CLINIC, FAMILY CIRCLE OF CARE - FQHC, ST. PAUL'S FOUNDATION, HELPING OTHERS PURSUE ENRICHMENT (HOPE) JACKSONVILLE, JACKSONVILLE CHAMBER OF COMMERCE, TYLER JUNIOR COLLEGE - ALL CAMPUSES, TEXAS A & M AGRI-LIFE EXTENSION SERVICE, CAN HELP, CUMBY FOOD BANK, EAST TEXAS FOOD BANK, HEART OF HOPE, WINNSBORO ISD, PILOT CLUB, THE DINNER BELL; CAREVIDE (FQHC); LAKES REGIONAL MHMR, SENIOR CITIZEN MEALS ON WHEELS; GLEN OAKS HOSPITAL, WINNSBORO ISD - NURSE AND COUNSELOR, NETHEALTH - DIRECTOR OF WIC, SULPHUR SPRINGS ISD, TEXAS DEPARTMENT OF HEALTH REGIONAL OFFICE AND MANY MORE. THESE TYPES OF ENTITIES WERE USED FOR THE GROUP BELOW ALSO BUT NOT DUPLICATED. 3.HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS. 4.KEY INFORMANT INTERVIEWS (20 KEY INFORMANTS WERE INTERVIEWED ONE-ON-ONE. EACH INTERVIEW WAS 30 MINUTES.) PARTICIPANTS EITHER LIVED IN OR SERVED LOW-INCOME GROUPS OR UNDERREPRESENTED GROUPS. SECONDARY DATA FOR THE CHNA WAS AGGREGATED ON A DATA PLATFORM AND INCLUDED: 1.HOSPITAL UTILIZATION DATA 2.SECONDARY SOURCES INCLUDING, BUT NOT LIMITED TO, THE AMERICAN COMMUNITY SURVEY, THE DECENNIAL CENSUS, THE CENTERS FOR DISEASE CONTROL, THE ENVIRONMENTAL PROTECTION AGENCY, HOUSING, AND URBAN DEVELOPMENT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. MOTHER FRANCES HOSPITAL, MOTHER FRANCES HOSPITAL - JACKSONVILLE, MOTHER FRANCES HOSPITAL - WINNSBORO, CHRISTUS HOPKINS HEALTH ALLIANCE Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. BASED ON COMMUNITY INPUT AND ANALYSIS OF A MYRIAD OF DATA, THE PRIORITIES FOR THE COMMUNITIES SERVED BY CTMFHS FOR FISCAL YEARS 2023 - 2025 FALL INTO TWO DOMAINS UNDERNEATH AN OVERARCHING GOAL OF ACHIEVING HEALTH EQUITY. THE TWO DOMAINS AND CORRESPONDING HEALTH NEEDS ARE: A. ADVANCE HEALTH AND WELLBEING 1. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT - OBESITY - HEART DISEASE - DIABETES - CANCER A. PROVIDE SCREENING AND EDUCATION OPPORTUNITIES ABOUT HEART DISEASE, DIABETES, AND OBESITY. B. PROVIDE SPECIALTY CARE IN CONJUNCTION WITH SCHOOLS, EVENTS, AND COMMUNITY REQUESTS FOR SUPPORT. C. PROVIDE EDUCATION, SCREENINGS, AND CARE FOR CANCER DISEASE. 2. BEHAVIORAL HEALTH A. EXPAND AND SUPPORT BEHAVIORAL HEALTH SERVICES IN THE COMMUNITIES SERVED FOR INDIVIDUALS AND FAMILIES. B. CREATE COMMUNITY CONNECTIONS FOR MENTAL HEALTH SERVICES. C. DEVELOP A COMMUNITY WORKGROUP TO COLLECT INFORMATION ON SUBSTANCE ABUSE IN BOTH ADOLESCENTS AND ADULTS. 3. PRIMARY CARE A. ACCESS TO PRIMARY CARE. B. REDUCE INEQUITIES CAUSED BY CULTURAL BARRIERS TO CARE. C. DEVELOP, PARTICIPATE, AND EXPAND COMMUNITY COLLABORATION TO INCREASE ACCESS AND FOLLOW-UP CARE. 4. EDUCATION A. COLLABORATE WITH COMMUNITY HEALTH EDUCATION ACCESS POINTS. B. COLLABORATE WITH COMMUNITY GROUPS TO ENHANCE FUNDING FOR STUDENT SCHOLARSHIPS. C. COLLABORATE ON COMMUNITY LEADERSHIP BUILDING PROGRAMS. B. BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS 1. IMPROVING FOOD ACCESS A. EXPAND AND SHARE INFORMATION ON FOOD INSECURITIES TO BETTER SERVE TARGETED POPULATIONS. B. IMPROVE/EXPAND EDUCATION ON THE IMPORTANCE OF HEALTHY EATING & RESOURCES. 2. REDUCING SMOKING AND VAPING A. EVALUATE & EXPAND SMOKING CESSATION PROGRAM TO PREVENT RISK OF DISEASE. B. PARTNER WITH SCHOOLS TO REDUCE VAPING AMONG STUDENTS. ALL FOCUS AREAS HAD PROJECTS OR PROGRAM SUPPORT, BUT NOT ALL TASKS HAD ACTIVITIES. IN 2024 MORE FUNDING WAS SPENT ON THE FOCUS AREAS AND TASKS/ACTIVITIES. BUT IT CONTINUES TO BE DIFFICULT FOR WINNSBORO TO BE ABLE TO MEET ALL THE SUGGESTED TASKS. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. UNINSURED PATIENTS WHO APPLY FOR THE FINANCIAL ASSISTANCE PROGRAM MAY ALSO QUALIFY FOR ASSISTANCE UNDER THE POLICY, REGARDLESS OF INCOME LEVEL, IF THEY HAVE MEDICAL OR HOSPITAL BILLS THAT EXCEED 10% OF THEIR GROSS FAMILY INCOME. Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE. (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE.) EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN . 0 Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. Schedule H, Part V, Section B, Line 18 ACTIONS REGARDING ELIGIBILITY UNDER FAP THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. Schedule H, Part V, Section B, Line 22 FAP-ELIGIBLE EMERGENCY OR OTHER MEDICAL CARE THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/09 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 40% OF CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL) OR RECEIVED FREE CARE (FOR INCOMES AT OR BELOW 300% OF THE FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE. Schedule H, Part I, Line 3c ASSISTANCE ELIGIBILITY CRITERIA FACTORS OTHER THAN THE FPG DETERMINING FREE OR DISCOUNTED CARE THE HOSPITALS USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE DISCOUNTED CARE: 1) INCOME LEVEL 2) ASSET LEVEL 3) MEDICAL INDIGENCY 4) INSURANCE STATUS 5) UNDER INSURANCE STATUS 6) RESIDENCY Schedule H, Part I, Line 5a BUDGETED CHARITY CARE THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES. Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $22,630,808. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $517,569. THIS LEAVES A TOTAL EXPENSE OF $22,113,239 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). Schedule H, Part I, Line 7f FIN ASSISTANCE/OTHER BENEFITS AS PERCENTAGE OF COST THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 4.31%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. Schedule H, Part I, Line 7i CASH AND IN-KIND CONTRIBUTIONS MOTHER FRANCES HOSPITAL-WINNSBORO MADE OVER $61,619 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2024. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH THIS AMOUNT DIFFERS FROM GRANTS REPORTED AT FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. Schedule H, Part III, Line 2 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. Schedule H, Part II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2024, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES, AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE PATIENTS WE SERVE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES ARE IMPROVING ACCESS TO HEALTH SERVICES AND BUILDING COLLABORATIVE RELATIONSHIPS WITH OTHER ORGANIZATIONS SEEKING TO ADDRESS CHRONIC CONDITIONS THAT DISPROPORTIONATELY IMPACT THE POOR AND UNDERSERVED. Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS Schedule H, Part V, Section B, Line 7 OTHER WEBSITE https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/trinity-mother-frances-winnsboro/tmf_winnsboro_chna_2023.ashx Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/v2financial-assistance-application.ashx Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2021plainlanguagesummaryhospitalenglish.ashx Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2015. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 517569 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE FILING ORGANIZATION RECOGNIZED THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2024, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2024. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.4838% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2024 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH UNITED STATES GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY AT THE DATE OF THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENTS AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP. Schedule H, Part V, Section B, Line 16a FAP website - MOTHER FRANCES HOSPITAL - WINNSBORO: Line 16a URL: https://www.christushealth.org/plan-care/bill-pay/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - MOTHER FRANCES HOSPITAL - WINNSBORO: Line 16b URL: SEE SUPPLEMENTAL INFO; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - MOTHER FRANCES HOSPITAL - WINNSBORO: Line 16c URL: SEE SUPPLEMENTAL INFO; Schedule H, Part VI, Line 2 Needs assessment ONE OF THE KEY AREAS USED TO GET INPUT FROM OUR COMMUNITIES IS TO HAVE ASSOCIATES SERVE ON LOCAL BOARDS AND ATTEND COMMUNITY PARTNER MEETINGS TO HEAR FIRSTHAND WHAT THEIR ISSUES ARE, AND HOW THEY ARE TRYING TO ADDRESS THEM. OUR HOSPITAL COMMUNITY BENEFIT ADVISORY COUNCIL IN COLLABORATION WITH SULPHUR SPRINGS, HOLDS NOT ONLY QUARTERLY MEETINGS, BUT AN ANNUAL MEETING WITH GUESTS FROM THE AREA COMMUNITIES WHO CAN IMPACT THE NEXT YEAR'S GOALS AND COMMUNITY NEEDS, AND THE ENTIRE GROUP EVALUATES THE PERFORMANCE OF THE HOSPITAL IN THE CURRENT YEAR. AWARDS ARE GIVEN TO GROUPS WHO HAVE EXCELLED IN A SPECIFIC AREA. THE COMMUNITY BENEFIT TEAM ALSO HOSTS ROUND TABLE DISCUSSIONS DURING THE YEAR TO GET INPUT ON ISSUES OR CHANGES THAT OCCUR FROM THE COMMUNITY. THE HOSPITAL ADVISORY COUNCIL AND THE COMMUNITY BENEFITS ADVISORY COUNCIL MEMBERS HAVE INFLUENCE ON DECIDING WHERE TO ALLOCATE RESOURCES AND ADDRESS HEALTH INEQUALITIES. ALL ENTITY ADVOCATES USE NATIONAL, STATE, AND LOCAL SECONDARY AND PRIMARY DATA SOURCES TO PROVIDE A CURRENT OVERVIEW OF LOCAL HEALTH NEEDS, FACTORS IMPACTING DISEASE AND INJURY BURDEN, SOCIOECONOMIC STATUS, ACCESS TO HEALTH CARE, AGE DISTRIBUTION, INDICATORS AND LIFESTYLE BEHAVIORS. THIS DATA IS USED TO GALVANIZE JOINT COMMUNITY HEALTH EFFORTS TO IMPROVE HEALTH, REDUCE INEQUALITIES, AND EMPOWER THE GREATER COMMUNITY. CMFH-W WORKED ON GROWING THEIR PRESENCE IN THE COMMUNITY THIS YEAR ABOVE AND BEYOND TARGETED PROGRAMS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance MOTHER FRANCES HOSPITAL - WINNSBORO MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information CIVIC-MINDED CITIZENS-BUILT WINNSBORO MEMORIAL HOSPITAL IN 1960 TO SERVE THE PEOPLE OF NORTHEAST TEXAS, PARTICULARLY THOSE IN WOOD, FRANKLIN, AND CAMP COUNTIES. OVER THE YEARS, THE HOSPITAL HAS WORKED TO BRING RURAL CLINICS AND PHYSICIANS TO THE COMMUNITY TO PROVIDE BETTER ACCESS TO MEDICAL SERVICES TO THE AREA. IN DECEMBER 1983, THE HOSPITAL MERGED WITH PRESBYTERIAN MEDICAL CENTER, DALLAS, AND TWO YEARS LATER A NEW FACILITY OPENED AND SERVED THE COMMUNITY FOR MORE THAN 20 YEARS. IN 2010, THE HOSPITAL JOINED THE CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM. THE HOSPITAL IS A 25-BED HOSPITAL AND HAS RECEIVED THE STATUS OF A CRITICAL ACCESS HOSPITAL. THE PRIMARY CARE AREA IS WOOD COUNTY. WOOD COUNTY HAS A POPULATION OF 45,539 AND HAS A 22.2% RATE OF UNINSURED AND A SMOKING RATE OF 20% AND THERE IS A SHORTAGE OF PRIMARY CARE PROVIDERS. CANCER AND HEART DISEASE ARE ABOVE THE NATIONAL AND STATE RATE. AND WHILE THE RATE FOR ADULTS WITH MENTAL DISTRESS IS ABOVE THE STATE AND NATIONAL RATES, THERE IS A MAJOR LACK OF ACCESS FOR BEHAVIORAL HEALTH SERVICES. HIGH SCHOOL GRADUATION RATES ARE GOOD BUT THERE IS A VAST DIFFERENCE FOR MORE ADVANCED EDUCATION. THE COUNTY HAS AN UNEMPLOYMENT RATE OF 6.6%. Schedule H, Part VI, Line 5 Promotion of community health CHRISTUS MOTHER FRANCES HOSPITAL - WINNSBORO COMMUNITY HEALTH PROFILES PROVIDE A SNAPSHOT OF RURAL SERVICE AREAS WITHIN NORTH TEXAS USING KEY HEALTH INDICATORS, WHICH FACILITATE COMPARISONS LOCALLY AND REGIONALLY. THE HOSPITAL PROVIDES 24/7 EMERGENCY SERVICES TO INCLUDE FULL ANCILLARY SERVICES, GENERAL SURGERY, AND GI PROCEDURES. ADDITIONALLY, THERE IS A CHRISTUS TRINITY CLINIC ON THE HOSPITAL CAMPUS. THE HOSPITAL HOSTS A LEADERSHIP ADVISORY COUNCIL THAT MEETS AT LEAST 2 TIMES A YEAR AND HAS BOTH INTERNAL AND EXTERNAL PUBLIC MEMBERS WHO PARTICIPATE IN DISCUSSIONS ON ALL ASPECTS OF THE HOSPITAL OPERATIONS. THE ADVISORY COUNCIL LOOKS TO THE HOSPITAL TO SUPPORT THE GROWING COMMUNITY, AS WELL AS INDIVIDUAL AND FAMILY NEEDS. THEY ALSO HEAR REGULARLY OF THE FUNDING AND PROGRAMS BEING MADE THAT IMPACT THE NEXT YEAR'S GOALS AND THE ENTIRE GROUP EVALUATES THE PERFORMANCE OF THE HOSPITAL IN THE CURRENT YEAR. SAMPLES OF KEY PROGRAMS AND PROJECTS INCLUDE BUT ARE NOT LIMITED TO THOSE LISTED BELOW: 1.FOOD INSECURITY DESCRIPTION: FINANCIAL ASSISTANCE FOR PROGRAMS THAT PROVIDE FREE FOOD TO THOSE WHO ARE ECONOMICALLY DISADVANTAGED OR LOW INCOME HAS BEEN A FOCUS. LOCAL FOOD PANTRIES AND FIRE DEPARTMENTS WHO HAVE SPECIAL PROJECTS TO ADDRESS FOOD INSECURITY HAVE BEEN VERY SUCCESSFUL FOR WOOD COUNTY RESIDENTS. PURPOSE: THIS ADDRESSES THE FOCUS AREA FOR SOCIAL DETERMINANTS - FOOD INSECURITY AND IMPROVING ACCESS TO FOOD. 2. JOB SHADOWING/EDUCATIONAL WORKFORCE EDUCATION DESCRIPTION: STUDENTS PARTICIPATE IN EMS TRAINING AND ULTRASOUND PROGRAMS ON SITE AT THE HOSPITAL. JOB SHADOWING PROJECTS AND LEARNING OPPORTUNITIES FROM PROFESSIONALS ON THE REQUIREMENTS AND DUTIES OF VARIOUS HEALTH CARE RELATED JOBS, SUPPORT SERVICES, AFFILIATED JOBS, AND SUPPORT AND ADMINISTRATIVE AREAS WERE PROVIDED. PURPOSE: TO PROVIDE HIGH SCHOOL AND COMMUNITY COLLEGE STUDENTS THE OPPORTUNITY TO GAIN EXPERIENCE AND LEARN ABOUT HEALTH CARE PROFESSIONALS AND OTHERS WHO SUPPORT THE SYSTEM AND THE HEALTHCARE WORK ENVIRONMENT. INFORMATION WAS GIVEN ON JOB OPPORTUNITIES AND JOB PROJECTED SHORTAGES IN WORKERS IN ALL AREAS ACROSS TEXAS AND THE NATION. 3. COMMUNITY BEHAVIORAL SMALL GROUPS DESCRIPTION: FUNDING TO SUPPORT LOCAL MEETINGS ON COMMUNITY SAFETY, MENTAL HEALTH NEEDS, ACCESS TO ART PROGRAMS, SERVICES AVAILABLE, AND BLOOD DRIVES. PURPOSE: OUR GOAL IS OPEN DIALOGUE AT THE COMMUNITY LEVEL ON MANY ISSUES THAT IMPACT BEHAVIORAL HEALTH. THE NEED TO VALIDATE THE POTENTIAL ISSUES AND SOLUTIONS IS IMPORTANT IN A RURAL COMMUNITY WHERE THE TOPIC OF BEHAVIORAL HEALTH IS NOT AN EASY CONVERSATION TO HAVE AT ANY LEVEL. 4. SITTER PROGRAM TO MEET THE NEEDS OF PATIENTS TO ADDRESS NOT ONLY THE PHYSICAL NEEDS OF THE PATIENT, BUT THE EMOTIONAL AND HEALING SUPPORT. MANY PATIENTS ARRIVE AT THE HOSPITAL WITHOUT ANY SUPPORT AND DO NOT HAVE ANYONE TO COME TO THE HOSPITAL TO BE WITH THEM TO ADDRESS ANXIETY, FALLS PREVENTION, AND EMOTIONAL AND PHYSICAL NEEDS. PROJECT: MANY PATIENTS ARRIVE AT THE HOSPITAL WITHOUT ANY SUPPORT AND DO NOT HAVE ANYONE TO COME TO THE HOSPITAL TO BE WITH THEM TO ADDRESS ANXIETY, FALLS PREVENTION, AND EMOTIONAL AND PHYSICAL NEEDS. CHRISTUS HEALTH PROVIDES THESE SERVICES TO ENSURE THAT REGARDLESS OF THE PATIENT'S ABILITY TO PAY, EACH PATIENT RECEIVES THE SAME QUALITY AND COMPASSIONATE CARE WHICH OFTEN MEANS SUPPORTING THEM THROUGH BEHAVIORAL HEALTH ISSUES. CURRENTLY INSURANCE COMPANIES FOR ALL PAYERS DO NOT REIMBURSE FOR THESE COSTS AND SERVICES WERE PROVIDED TO EVERYONE INCLUDING HOMELESS, UNDERSERVED, AND LOW-INCOME. Schedule H, Part VI, Line 6 Affiliated health care system MOTHER FRANCES HOSPITAL-WINNSBORO IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION. CHRISTUS NORTHEAST TEXAS IS A FAITH-BASED ORGANIZATION DEDICATED TO CREATING HEALTHY LIVES FOR PEOPLE AND COMMUNITIES. MFH-WINNSBORO AND ITS AFFILIATES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING ACUTE CARE FACILITIES AND CRITICAL ACCESS FACILITIES, WHOSE OPERATIONS CONSIST PRIMARILY OF PROVIDING INPATIENT AND OUTPATIENT ACUTE CARE AND MEDICAL SERVICES TO PATIENTS RESIDING IN EAST TEXAS. Schedule H, Part VI, Line 7 State filing of community benefit report TX X true true X X X X X false true false false false false false false false Paul Harvey President ex-officio w/vote 0 266756 0 100390 0 650 0 43201 0 23525 0 434522 0 0 Brian Allgaier MD DIR/CHI. OF STAFF (TERM 12/20) 0 458743 0 0 0 94905 0 58201 0 20613 0 632462 0 0 Jeffrey Puckett Director 0 1555613 0 3764956 0 3464999 0 85694 0 14723 0 8885985 0 3463677 Chris Glenney Director 0 785008 0 553491 0 161460 0 274329 0 15888 0 1790176 0 160310 Steve Keuer MD Director 0 697737 0 405809 0 178021 0 243814 0 10370 0 1535751 0 176699 Mark Anderson MD Director 0 576363 0 264127 0 92582 0 65701 0 13771 0 1012544 0 92082 Andria Cardinalli-Stein MD Director 0 388433 0 89384 0 1582 0 35701 0 0 0 515100 0 0 Sister Rosanne Popp MD Director 0 223677 0 0 0 24514 0 793 0 2392 0 251376 0 0 Eric Garrison CFO 0 214831 0 52812 0 0 0 31118 0 15474 0 314235 0 0 Schedule J, Part I, Line 1a Travel for companions TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation RELATED ORGANIZATION DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6 OF PENSIONABLE EARNING WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR 2023: Jeffrey Puckett - $3,463,677 Chris Glenney - $160,310 Steven Keuer, M.D. - $176,699 Mark Anderson, M.D. - $92,082 Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSON IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETING AND FUNCTIONS. Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. Schedule J, Part II, Column (B)(ii) SUPPLEMENTAL COMPENSATION INFORMATION BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2023. Schedule J, Part II, Column (C) DEFERRED COMPENSATION DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6 % OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. Form 990, Part III, Line 1 BRIEF MISSION THE CORPORATIONS' MISSION SHALL BE TO "EXTEND THE HEALING MINISTRY OF JESUS CHRIST", AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES, OF CHRISTUS HEALTH. THE CORPORATION'S PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. Form 990, Part III, Line 2 SIGNIFICANT NEW PROGRAM SERVICES MOTHER FRANCES HOSPITAL - WINNSBORO CONTINUES TO PROVIDE THE SAME PROGRAM SERVICES AS IN TAX YEAR 2022 BUT IS BREAKING THEM OUT TO SMALLER PROGRAMS ON THE TAX YEAR 2023 RETURN. Form 990, Part III, Line 4d Description of other program services (Expenses $ 86,658 including grants of $ 0)(Revenue $ 0) Broader community Form 990, Part III, Line 4d Description of other program services (Expenses $ 18,383 including grants of $ 0)(Revenue $ 0) Poor & Underserved Form 990, Part III, Line 4d Description of other program services (Expenses $ 0 including grants of $ 17,366)(Revenue $ 0) Additional grants Form 990, Part VI, Line 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF THE CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VI, Line 6 Classes of members or stockholders CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL - WINNSBORO. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER, CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 MILLION PER INCURRENCE BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $20 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE TWO SISTERS APPOINTED BY EACH OF THE FOUNDING SPONSORING CONGREGATIONS OF CHRISTUS HEALTH, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, AND ONE SISTER APPOINTED BY THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF CERTIFICATES OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO MEMBER RESERVED POWERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY (EXCEPT IN THE ORDINARY COURSE OF BUSINESS) OR THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING 2025 VIA WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. Form 990, Part VI, Line 12c Conflict of interest policy AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING MOTHER FRANCES HOSPITAL WINNSBORO. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF THE INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING MOTHER FRANCES HOSPITAL WINNSBORO. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF THE INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. Form 990, Part VI, Line 19 Required documents available to the public THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part IX, Line 11g Other Fees PURCHASE SERVICES - Total Expense: 435131, Program Service Expense: 434506, Management and General Expenses: 625, Fundraising Expenses: ; MEDICAL SERVICE - Total Expense: 3134897, Program Service Expense: 3120097, Management and General Expenses: 14800, Fundraising Expenses: ; REPAIR & MAINTENANCE - Total Expense: 348961, Program Service Expense: 312847, Management and General Expenses: 36114, Fundraising Expenses: ; SUBSCRIPTION FEES - Total Expense: 113013, Program Service Expense: 112038, Management and General Expenses: 975, Fundraising Expenses: ; MARKETING FEES - Total Expense: 3007, Program Service Expense: 2718, Management and General Expenses: 289, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 239489, Program Service Expense: 239489, Management and General Expenses: , Fundraising Expenses: ; COLLECTION FEES - Total Expense: 1266, Program Service Expense: 1266, Management and General Expenses: , Fundraising Expenses: ; OTHER FEES - Total Expense: 2709384, Program Service Expense: , Management and General Expenses: 2709384, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTERCOMPANY ASSETS - -304753; FORM 990, BOX C DOING BUSINESS AS MOTHER FRANCES HOSPITAL - WINNSBORO IS DOING BUSINESS AS: CHRISTUS MOTHER FRANCES - WINNSBORO CHRISTUS TRINITY CLINIC ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER TX 75701 465720165 HEALTHCARE SERVICES TX 501(c)(3) 3 MFH REG true CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HEALTHCARE SERVICES TX 501(c)(3) Type I CH true CHAMPION EMS 2201 S MOBBERLY AVE LONGVIEW TX 75602 752747708 HEALTHCARE SERVICES TX 501(c)(3) 10 MFH REG true CHRISTUS CONNECTED CARE NETWORK 5101 N OCONNOR BLVD IRVING TX 75039 473403356 SUPP HEALTHCARE SERVICES TX 501(c)(4) CH true CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100 HOUSTON TX 77027 742898615 HEALTHCARE SERVICES TX 501(c)(3) 3 CH true CHRISTUS FOUNDATION FOR HEALTHCARE PO BOX 1919 HOUSTON TX 77251 746074210 SUPP HEALTHCARE SERVICES TX 501(c)(3) 7 CH true CHRISTUS FOUNDATION SHREVEPORT-BOSSIER ONE ST MARY PLACE SHREVEPORT LA 71101 721219280 SUPP HEALTHCARE SERVICES LA 501(c)(3) 7 NOLA true CHRISTUS GOOD SHEPHERD MEDICAL CENTER 811 SOUTH WASHINGTON AVE MARSHALL TX 75670 750974351 HEALTHCARE SERVICES TX 501(c)(3) 3 NETXNL true CHRISTUS HEALTH 5101 N OCONNOR BLVD IRVING TX 75039 760590551 SUPP HEALTHCARE SERVICES TX 501(c)(3) 10 NA false CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 752796815 HEALTHCARE SERVICES TX 501(c)(3) Type II NETXNL true CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HEALTHCARE SERVICES LA 501(c)(3) 3 CH true CHRISTUS HEALTH FDN OF SOUTHEAST TX 2830 CALDER BEAUMONT TX 77702 760136274 SUPP HEALTHCARE SERVICES TX 501(c)(3) Type I SETX true CHRISTUS HEALTH FOUNDATION 5101 N OCONNOR BLVD IRVING TX 75039 611500100 SUPP HEALTHCARE SERVICES TX 501(c)(3) Type I CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HEALTHCARE SERVICES TX 501(c)(3) 7 CH true CHRISTUS HEALTH INTERNATIONAL 5101 N OCONNOR BLVD IRVING TX 75039 462811167 SUPP HEALTHCARE SERVICES TX 501(c)(3) Type I CH STRA GRTH true CHRISTUS HEALTH LATIN AMERICA 5101 N OCONNOR BLVD IRVING TX 75039 462816604 SUPP HEALTHCARE SERVICES TX 501(c)(3) Type I CH STRA GRTH true CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 75039 720408982 HEALTHCARE SERVICES LA 501(c)(3) 3 NETXNL true CHRISTUS HEALTH PLAN 5101 N OCONNOR BLVD IRVING TX 75039 452106295 HEALTH PLAN TX 501(c)(4) CH true CHRISTUS HEALTH PLAN LOUISIANA 5101 N OCONNOR BLVD IRVING TX 75039 464617988 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