2026-05-07T16:08:51+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2024-07-01 741109665 Christus Santa Rosa Health Care Corporation CHRI 2103218000 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 DEAN ALEXANDER PRESIDENT & CEO & BOARD DIRECTOR 2026-05-07 true true Kristen Farr Capizzi P02176875 3128792000 2026-05-04 2024 2025-03-06 01:10:19Z SEE SCHEDULE O John G Wicklund 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 1274911447 false 0928 X HTTPS://WWW.CHRISTUSHEALTH.ORG/SANTA-ROSA X 1985 TX SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALTH MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 8 3 5661 574 -328496 14933 8816601 11187766 1215752263 1262052337 -1545095 95766 2706134 1544355 1225729903 1274880224 14099 18935 0 0 382963707 403275978 0 0 400396 839030934 881655435 1222008740 1284950348 3721163 -10070124 966652962 1069372526 90239934 124427168 876413028 944945358 X See Schedule O false false 290594811 0 701651953 See Schedule O 437014524 0 269048675 See Schedule O 334017883 0 292837133 See Schedule O 8492270 18935 0 CHRISTUS SANTA ROSA HEALTH CARE CORPORATION ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE Poor & Undeserved AND Broader community. Poor & Undeserved: Expenses of $2,988,607, Grants of $18,935 Broader community: Expenses of $5,503,663 8492270 18935 1070119488 true true false true false false false false false false 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 false false true true true false false true 0 0 5661 true true true false false false false false false false false false false false X 8 3 false false false false true true true true true false false false true true true true true true true true true true X LEE SONNE 4692822000 5101 N OConnor Blvd IRVING TX 75039 Charlie Amato BOARD DIRECTOR/VICE CHAIR 1.0 0.0 X X 0 0 0 Cris Daskevich Chief Executive Officer OF CHOSA/BOARD DIRECTOR 40.0 0.0 X X 0 1227993 342114 J Michael Belz Chairperson (TERM 12/24) 1.0 0.0 X X 0 0 0 John Grant Wicklund Chief Executive Officer/Board Director 40.0 0.0 X X 0 913448 51176 Varshi Broumand MD Board Director/CSR Medical Staff President (Term 12/24) 1.0 0.0 X X 0 0 0 Christiane Perkins-Garcia Board Director (TERM 12/24) 1.0 0.0 X 0 0 0 Gabriela Saenz JD Corporate Secretary/SVP Corporate Services 1.0 39.0 X 0 1488071 67068 Gary Arthur Board Director (TERM 12/24) 1.0 0.0 X 0 0 0 LEE SONNE Board Director (eff 5/25) 1.0 39.0 X 0 729686 45808 Lisa Campos Board Director (TERM 12/24) 1.0 0.0 X 0 0 0 Pat Frost Board Director 1.0 0.0 X 0 0 0 Pilar Oates Board Director (TERM 12/24) 1.0 0.0 X 0 0 0 Sam Bagchi MD EVP/Chief Clinical Officer 1.0 39.0 X 0 4021228 44231 Sandra Chavarria-Salinas Board Director (TERM 12/24) 1.0 0.0 X 0 0 0 Sr Hanna Paradowska Board Director (TERM 12/24) 1.0 0.0 X 0 0 0 Dr James Chris Henderson QUALITY COMMITTEE OF THE BOARD (TERM 12/24) 40.0 0.0 X 0 343003 50675 Rachel Mewborn Corporate Secretary (EFF 1/25) 1.0 0.0 X 0 0 0 Steve Chen Chief Financial Officer/Treasurer 40.0 0.0 X 0 571660 50807 Alexis Arel Vice President Finance Admin Office 40.0 0.0 X 0 303687 33056 Barbara Vazquez Chief Networking Officer Childrens Hospital 40.0 0.0 X 0 385560 40724 Bonifacio Benitez Vice President Clinical Operations 40.0 0.0 X 0 293091 59785 Cara Ansaldo President Santa Rosa Medical Center 40.0 0.0 X 0 414031 49723 Christine Keating Vice President AMB SVS-Network of care 40.0 0.0 X 0 343982 51161 Debasish Dasgupta Chief Marketing Officer Westover Hills 40.0 0.0 X 0 558804 47933 Derrick Cuenca Chief Executive Officer Westover Hills 40.0 0.0 X 0 518006 20715 Dominic Dominguez Regional Chief Executive Officer 20.0 20.0 X 0 1396207 25862 Eleanor Milo Chief Networking Officer SRH Westover Hills 40.0 0.0 X 0 170516 11519 Genifer Rucker President New Braunfels 40.0 0.0 X 0 431600 41060 Ian Thompson President/VP Market Oncology 40.0 0.0 X 0 562156 52365 Karen Bryant Vice President -Strategy-Bus Development 40.0 0.0 X 0 429730 92359 Kevin Anderson Chief Financial Officer CHRISTUS Children's Hospital 40.0 0.0 X 0 346344 38723 Nikki Rivers Chief Networking Officer New Braunfels 40.0 0.0 X 0 374161 52837 Norman Christopher Chief Marketing Officer Childrens Hospital 40.0 0.0 X 0 691918 55809 Patricia Burns President 40.0 0.0 X 0 211514 4593 Sarah Hill Vice President MISSION INTEGRATION 40.0 0.0 X 0 241719 33696 Sherry Fraser President Alamo Heights 40.0 0.0 X 0 285384 43327 Steven Martin Associate Chief Information Officer 40.0 0.0 X 0 247808 35750 Terry Kyle Chief Development Officer 40.0 0.0 X 0 412830 61047 DUSTYN D TYSDAL Director Pharmacy 40.0 0.0 X 272857 0 49706 GIANG P DINH Clinical Pharmacist 40.0 0.0 X 284359 0 24132 Janice E Williams RN 40.0 0.0 X 234383 0 23979 Mark Dizon RN Lead 40.0 0.0 X 215885 0 20230 ROBERT PEREZ RN Lead 40.0 0.0 X 238925 0 5825 CHARLES HANKINS MD (FORMER) CMO & BOARD OF DIRECTOR, QUALITY COMMITTEE OF THE BOARD (TERM 12/22) 0.0 0.0 X 0 626808 0 STEPHANIE A Parker (Former) Chief Executive Officer & BOARD DIRECTOR (TERM 2/24) 40.0 0.0 X 0 798890 49372 TAMMY RIVERS CORPORATE SECRETARY (TERM 1/22) 0.0 40.0 X 0 107403 12035 William M Johnson (Former) Chief Nursing Officer (Term 6/23) 0.0 40.0 X 0 353670 46599 1246409 19800908 1735801 699 true true false 0 38630 1346328 3537908 6264900 11187766 NET PATIENT SERVICE REVENUE 621100 1246269335 1246618534 -349199 RENT RELATED TO EXEMPT PURPOSE 531120 1802201 1802201 SUPPORT SERVICES REVENUE 900099 1602916 1602916 RESEARCH REVENUE 900099 327447 327447 OTHER PROGRAM SERVICES 900099 12050438 12050438 0 0 0 0 1262052337 122 122 99 99 0 0 126867 31223 0 95644 95644 95644 CLINICAL RESEARCH 900099 1117965 1117965 PARKING SERVICES 900099 28628 28628 MANAGEMENT SERIVCE REVENUE 900099 9501 9501 388162 367459 20703 0 1544256 1274880224 1263886960 -328496 133994 X 18935 18935 0 0 331150675 314612779 16241009 296887 6247164 5755133 486732 5299 42659564 39299669 3323709 36186 23218575 22417655 771643 29277 158161 158161 17739 17511 228 1572 1572 331151778 171060838 160086907 4033 2991187 2905562 85517 108 97656641 91388414 6247030 21197 32571135 32303285 267850 631854 412228 216921 2705 783028 387242 394927 859 4903 4903 45946365 45214878 731487 18111313 11420394 6690919 Other Expenses 204617112 204438584 178457 71 LPPF Tax Expense 75531371 75531371 Provision for Uncollectable Accounts 50498532 50498532 TAXES AND FEES 17781081 387868 17390348 2865 3201663 1885546 1315208 909 1284950348 1070119488 214430464 400396 2675 2675 27946 27946 159374051 188505917 0 0 0 0 23357155 5513055 29321232 26442438 24603226 13493219 1183618038 595066892 535855119 588551146 0 10566174 1357219 183545384 245478911 966652962 1069372526 56862962 67458650 2926470 3496869 43150 0 0 0 30407352 53471649 90239934 124427168 X 731088484 777322861 145324544 167622497 876413028 944945358 966652962 1069372526 X -10070124 78602454 X false true true true true X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 1572 false false 1572 false Schedule C, Part II-B, Line 1g CONTACT WITH GOVERNMENT OFFICIALS AND THEIR STAFFS LOBBYING DESCRIPTION AT THE FEDERAL LEVEL, CHRISTUS HEALTH TEXAS LEADERSHIP HAD DIRECT CONTACT WITH MEMBERS OF THE CONGRESS AND ADMINISTRATION OFFICIALS, THROUGH WRITTEN AND IN-PERSON COMMUNICATIONS, TO DISCUSS ISSUES IMPORTANT TO OUR MINISTRY. THESE ISSUES INCLUDE, BUT ARE NOT LIMITED TO, ISSUES RELATED TO SAFETY-NET PROVIDERS, ACCESS TO CARE, HEALTH CARE REFORM PROPOSALS, QUALITY PROGRAM IMPLEMENTATION, RURAL HOSPITALS, REMOTE MEDICAL TECHNOLOGY, 340B DRUG PRICING PROGRAM, SITE NEUTRAL PAYMENTS, COMMUNITY PROJECT FUNDING, FREESTANDING EMERGENCY DEPARTMENTS, MEDICARE PAYMENTS, VALUE-BASED PAYMENT MODELS, CHILDREN'S HEALTH ISSUES, CHGME, MEDICAID, SUPPLEMENTAL PAYMENT PROGRAMS, RURAL HEALTH PROGRAM REAUTHORIZATION, VIOLENCE AGAINST HEALTHCARE WORKERS, WOMEN'S HEALTH, AND HEALTH CARE FOR VETERANS, SERVICE MEMBERS, AND THEIR FAMILIES. At the state level, CHRISTUS Health Texas leadership communicated verbally and in writing with members of the Texas Legislature and administration officials regarding issues important to our ministry. These issues include, but are not limited to, issues related to Medicaid reimbursement, access to health care, state funding for safety net providers, regulatory oversight of operations, emergency preparedness, vaccine mandates, workplace violence, graduate medical education, trauma network and services, local provider participation funds, maternal health, children's health issues, behavioral health, Medicaid managed care, prescription drugs costs, pharmacy and prescribing authority, rural hospitals, physician relations, itemized billing, foster care reform, Medicaid directed payment programs, health care staffing, price transparency, and the 1,115 waiver program. 5.5 EXECUTIVE HOURS. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-25. 27198740 27198740 710335702 226881431 483454271 11103281 8715618 2387663 379486396 341479511 38006885 55493919 17990332 37503587 588551146 BENEFICIAL INTEREST SUB ORG 160856022 ROU TRANSACTIONS 48920752 OTHERS 25850105 DEFERRED RENTS 7143896 FIN 45 ASSETS 2139296 DEPOSITS 568840 245478911 552412 Federal Income Taxes 552412 LT PORTION CAPITAL LEASE BLDG/HOSP 44080914 CP LEASE LIABILITY 7908136 OTHER 930187 53471649 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2025 OR 2024. true true X true X 300 true X 70194265 0 70194265 0.05686 334017883 292837133 41180750 0.03336 0 0 0 0.0 0 0 404212148 292837133 111375015 0.09022 16 90835 4427747 0 4427747 0.00359 2 1344 1348651 0 1348651 0.00109 2 6093 2666235 0 2666235 0.00216 0 0 0 0.0 1 1015982 0 1015982 0.00082 21 98272 9458615 0 9458615 0.00766 21 98272 413670763 292837133 120833630 0.09788 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 49637 49637 0.00004 0 0.0 0 0.0 1 0 49637 0 49637 0.00004 true 50498532 399323 131243128 159094871 -27851743 X true true CH SN RSA OTPT SGY OUTPATIENT SURGERY CENTER 0.524 0 0.476 CR SN RS PH AB SG CT SURGERY CENTER 0.5781 0 0.2796 6 1 CHRISTUS SANTA ROSA NEW BRAUNFELS 600 N UNION AVENUE NEW BRAUNFELS TX 78130 WWW.CHRISTUSHEALTH.ORG/SANTA-ROSA 100514 X X X A 2 CHRISTUS SANTA ROSA WESTOVER HILLS 11212 STATE HIGHWAY 151 SAN ANTONIO TX 78251 WWW.CHRISTUSHEALTH.ORG/SANTA-ROSA 000339 X X X A 3 CHRISTUS SANTA ROSA MEDICAL CENTER 2827 BABCOCK ROAD SAN ANTONIO TX 78229 WWW.CHRISTUSHEALTH.ORG/SANTA-ROSA 000339 X X X A 4 CHRISTUS SANTA ROSA ALAMO HEIGHTS 403 TREELINE PARK SAN ANTONIO TX 78209 WWW.CHRISTUSHEALTH.ORG/SANTA-ROSA 000339 X X X A 5 CHRISTUS CHILDREN'S 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 WWW.CHOFSA.ORG 100166 X X X X X X A 6 CHRISTUS SANTA ROSA SAN MARCOS 1301 WONDER WORLD DRIVE SAN MARCOS TX 78666 WWW.CHRISTUSHEALTH.ORG 100514 X X X A A 6 false false true X X X X X X X X X 25 true true true true X See Part VI X true 25 true See Part VI 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 CHRISTUS Santa Rosa Health System and CHRISTUS Children's, CHRISTUS Santa Rosa Hospital - New Braunfels and CHRISTUS Santa Rosa Hospital - San Marcos EACH SITE CONDUCTED ITS OWN CHNA. THE HOSPITAL FACILITIES' MOST RECENT CHNA REPORTS INCLUDED A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS. GIVEN THE LARGE POPULATION OF UNINSURED PATIENTS, CSRHS CHOOSES TO IMPLEMENT EMMOTIONAL WELLBEING, MATERNAL AND INFANT RISK, SOCIAL DETERMINANTS OF HEALTH, WELLNESS AND VIOLENCE PREVENTION. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - CHRISTUS Santa Rosa Health System and CHRISTUS Children's. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORTS WERE COMPLETED BY COUNTY, AND THE MINISTRY'S CEO/PRESIDENT AND EXECTUVE LEADERSHIP TEAM REVEIWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025 (COMPLETION DATE), WITH BOARD OF DIRECTORS' RATIFICATION ON AUGUST 8, 2025 (RATIFICATION DATE). THE CHNA WAS DEVELOPED THROUGH A COMMUNITY-CENTERED, EQUITY-DRIVEN PROCESS. GUIDED BY THE HEALTH COLLABORATIVE'S BOARD OF DIRECTORS, CHNA AND DATA COMMITTEE, AND CHIP WORKGROUPS' PARTNERS, THE ASSESSMENT INVOLVED INTERVIEWS WITH KEY COMMUNITY LEADERS, OUTREACH THROUGH GRASSROOTS AND FAITH-BASED PARTNERS, AND RESIDENT FOCUS GROUPS FACILITATED BY COMMUNITY HEALTH WORKERS (CHWS). SPECIAL CARE WAS TAKEN TO ENGAGE INDIVIDUALS WITH LIVED EXPEREINCE AND TO CENTER THE VOICE OF THOSE MOST IMPACTED BY HEALTH INEQUITIES. Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - CHRISTUS Santa Rosa Hospital - New Braunfels. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORTS WERE COMPLETED BY COUNTY, AND THE MINISTRY'S CEO/PRESIDENT AND EXECTUVE LEADERSHIP TEAM REVEIWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025 (COMPLETION DATE), WITH BOARD OF DIRECTORS' RATIFICATION ON AUGUST 8, 2025 (RATIFICATION DATE). THE CHNA WAS DEVELOPED AND SUPPORTED BY MANY LOCAL COMMUNITY PARTNERS WHOSE INSIGHT, FEEDBACK, AND ACTIVE ENGAGMENT SHAPED THE REPORT. RESIDENTS PARTICPATED IN LISTENING SESSIONS AND SHARED THEIR PROSPECTIVES - THIER VOICES ARE THE HEART OF THE FINDINGS. Schedule H, Part V, Section B, Line 5 Facility A, 3 Facility A, 3 - Christus Santa Rosa Hospital - San Marcos. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORTS WERE COMPLETED BY COUNTY, AND THE MINISTRY'S CEO/PRESIDENT AND EXECTUVE LEADERSHIP TEAM REVEIWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025 (COMPLETION DATE), WITH BOARD OF DIRECTORS' RATIFICATION ON AUGUST 8, 2025 (RATIFICATION DATE). THE CHNA WAS DEVELOPED AND SHAPED BY COMMUNITY-LED WORKGROUPS, FOCUS GROUPS, AND CONVERSATIONS THAT EXPLORED COMPLEX CHALLENGES GROUNDED IN LIVED EXPERIENCE AND COMMUNITY STRENGTH. COMMUNITY PARTICPATED AS STORYTELLERS, ORGANIZERS, SURVEY RESPONDENTS, VOLUNTEERS, AND ADVOCATES. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - CHRISTUS Santa Rosa Health System and CHRISTUS Children's. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND LED BY THE HEALTH COLLABORATIVE IN PARTNERSHIP WITH LOCAL HEALTHCARE, PUBLIC HEALTH, EDUCATION, WORKFORCE, HOUSING, PHILANTHROPY, AND GRASSROOTS ADVOCACY MEMBERS OF THE COMMUNITY. THE MEMBERS OF THE HEALTH COLLABORATIVE'S MEMBERSHIP IS COMPOSED OF A WIDE ARRAY OF ORGANIZATIONS INCLUDING APPDICTION STUDIOS, BEXAR COUNTY PUBLIC HEALTH, CHRISTUS SANTA ROSA HEALTH SYSTEM, THE CITY OF SAN ANOTNIO METROPOLITAN HEALTH DISTRICT, COMMUNITY FIRST HEALTH PLANS, METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC., MEDTHODIST HEALTHCARE SYSTEM, TEXAS A&M UNIVERSITY - SAN ANTONIO, UNIVERSITY HEALTH, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO - DEPT. OF FAMILY & COMMUNITY MEDICINE, AND COMMUNITY MEMBERS AT LARGE. Schedule H, Part V, Section B, Line 6a Facility A, 2 Facility A, 2 - CHRISTUS Santa Rosa Hospital - New Braunfels. THE MOST RECENLTY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND LEAD BY THE HEALTH COLLABORATIVE IN PARTNERSHIP WITH SEVERAL COMAL COUNTY ORGANZATIONS, INCLUDING THE MCKENNA FOUNDATION AND THE UNITED WAY OF COMAL COUNTY - ALONG WITH ANY ADDITIONAL GRASSROOTS, BUSINESS, FAITH, AND GOVERNMENT LEADERS. Schedule H, Part V, Section B, Line 6a Facility A, 3 Facility A, 3 - CHRISTUS SANTA ROSA HOSPITAL - SAN MARCOS. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND INCLUDED QUANTITATIVE AND QUALITATIVE DATA FROM A VARIETY OF SOURCES, ENGAGING KEY STAKEHOLDERS INCLUDING RESIDENTS, HEALTHCARE PROVIDERS, LOCAL LEADERS, AND NONPROFIT ORGANIZATIONS. METOPIO, A DATA PLATFORM DESIGNED FOR COMMUNITY ENGAGEMENT, SUPPORTED THE CHNA BY ENABLING REAL-TIME DATA VISUALIZATION AND EXLORATION. THE FOLLOWING ORGANIZATIONS PARTICPATED IN THE WORKGROUPS AND FOCUS GROUPS: CITY OF SAN MARCOS, UNITED WAY OF SAN MARCOS, HAYS COUTNY HEALTH DEPARTMENT, ANY BABY CAN, COMMUNITY ACTION, CASA OF CENTRAL TEXAS, INC., HOUSING & COMMUNITY INITIATIVES, HAYS-CALDWELL WOMEN'S CENTER, CHRISTUS SANTA ROSA HOSPITAL - SAN MARCOS, AMERICAN RED CROSS, PALS, CITY MANAGER'S OFFICE COMMUNITY RESOURCES ENGAGMENT, THE HEALTH COLLABORATIVE AND COMMUNITY PARTICPANT VOICES. Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - CHRISTUS Santa Rosa Hospital - San Marcos. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND INCLUDED QUANTITATIVE AND QUALITATIVE DATA FROM A VARIETY OF SOURCES, ENGAGING KEY STAKEHOLDERS INCLUDING RESIDENTS, HEALTHCARE PROVIDERS, LOCAL LEADERS, AND NONPROFIT ORGANIZATIONS. METOPIO, A DATA PLATFORM DESIGNED FOR COMMUNITY ENGAGEMENT, SUPPORTED THE CHNA BY ENABLING REAL-TIME DATA VISUALIZATION AND EXLORATION. THE FOLLOWING ORGANIZATIONS PARTICPATED IN THE WORKGROUPS AND FOCUS GROUPS: CITY OF SAN MARCOS, UNITED WAY OF SAN MARCOS, HAYS COUTNY HEALTH DEPARTMENT, ANY BABY CAN, COMMUNITY ACTION, CASA OF CENTRAL TEXAS, INC., HOUSING & COMMUNITY INITIATIVES, HAYS-CALDWELL WOMEN'S CENTER, CHRISTUS SANTA ROSA HOSPITAL - SAN MARCOS, AMERICAN RED CROSS, PALS, CITY MANAGER'S OFFICE COMMUNITY RESOURCES ENGAGMENT, THE HEALTH COLLABORATIVE AND COMMUNITY PARTICPANT VOICES. Schedule H, Part V, Section B, Line 6b Facility A, 2 Facility A, 2 - CHRISTUS SANTA ROSA HEALTH SYSTEM AND CHRISTUS CHILDREN'S. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND LED BY THE HEALTH COLLABORATIVE IN PARTNERSHIP WITH LOCAL HEALTHCARE, PUBLIC HEALTH, EDUCATION, WORKFORCE, HOUSING, PHILANTHROPY, AND GRASSROOTS ADVOCACY MEMBERS OF THE COMMUNITY. THE MEMBERS OF THE HEALTH COLLABORATIVE'S MEMBERSHIP IS COMPOSED OF A WIDE ARRAY OF ORGANIZATIONS INCLUDING APPDICTION STUDIOS, BEXAR COUNTY PUBLIC HEALTH, CHRISTUS SANTA ROSA HEALTH SYSTEM, THE CITY OF SAN ANOTNIO METROPOLITAN HEALTH DISTRICT, COMMUNITY FIRST HEALTH PLANS, METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC., MEDTHODIST HEALTHCARE SYSTEM, TEXAS A&M UNIVERSITY - SAN ANTONIO, UNIVERSITY HEALTH, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO - DEPT. OF FAMILY & COMMUNITY MEDICINE, AND COMMUNITY MEMBERS AT LARGE. Schedule H, Part V, Section B, Line 6b Facility A, 3 Facility A, 3 - CHRISTUS SANTA ROSA HOSPITAL - NEW BRAUNFELS. THE MOST RECENLTY CONDUCTED CHNA (FY2025) WAS CONDUCTED AND LEAD BY THE HEALTH COLLABORATIVE IN PARTNERSHIP WITH SEVERAL COMAL COUNTY ORGANZATIONS, INCLUDING THE MCKENNA FOUNDATION AND THE UNITED WAY OF COMAL COUNTY - ALONG WITH ANY ADDITIONAL GRASSROOTS, BUSINESS, FAITH, AND GOVERNMENT LEADERS. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - All Hospital Facilities. FY2023-2025 CHNA Prioritized Needs and Implementation Activities Christus Santa Rosa Health System (CHRISTUS SRHS) and Christus Children's, Christus Santa Rosa Hospital - New Braunfels, and Christus Santa Rosa Hospital - San Marcos Community ("The Hospital Facilities") completed their prior CHNAs on June 30, 2025 (FY2025), establishing priorities for the FY2026-2028 implementation period, which identified many priorities to be addressed in the San Antonio, New Braunfels, and San Marcos communities. However, given the large population of uninsured patients with specific care needs and chronic illness (heart disease, stroke, asthma, depression, diabetes, chronic obstructive pulmonary disease (COPD)) who seek care at The Hospital Facilities, access to health care and education are a high priority. The Hospital Facilities chose to implement programs targeted specifically at this population to address the identified priorities and improve health outcomes. To that end, the major community benefit activities enacted are focused on advancing health & well-being (specifically care for chronic illness and behavioral health) and building resilient communities and improving social determinants of health (improving food access and reducing smoking and vaping). The Hospital Facilities address access to care by focusing on increasing access to primary care providers. All patients without a primary care provider are offered assistance in finding a primary care provider, enrolling in CareLink - San Antonio, and obtaining primary care services, including but not limited to The Hospital Facilities' clinics, Communicare, CentroMed, and other collaborating partner community clinics. Programs such as the Pedi Mobile Clinic offer community health child/family outreach with immunizations, physicals, and navigation to community services at local public schools. Educators for diabetes, asthma, and heart failure provide education in collaboration with the American Heart Association, American Diabetes Association, and the American Lung Association. In addition to community health workers providing navigation to community services and addressing SDOH, community health worker programs provide navigation and assistance with online food, housing, and utility assistance applications. Collaboration with Enroll SA and The Health Collaborative ensures the uninsured are educated about insurance through CareLink San Antonio, marketplace options, and appropriate use of the emergency room. The Hospital Facilities address chronic illness by providing opportunities for education and resource assistance related to heart disease, diabetes, and obesity. The Hospital Facilities will utilize their nurse navigators, diabetes educators, case managers, community health workers, and community partners (AHA, ADA, SA Food Bank, chef programs, etc.) to educate, provide resources, conduct online application assistance, and provide navigation to other community partners as needed, such as food pantries and other community resources. The Hospital Facilities address behavioral-related needs by providing resources to combat mental illness or substance abuse. The Hospital Facilities conduct SDOH and behavioral screenings for patients, identify community resources for all patients at the time of their visit, and have expanded inpatient behavioral health services with pediatric and adult clinics, outpatient counseling centers, and enhanced collaboration and referral relationships with other local behavioral health service providers. FY2023-2025 CHNA Identified Needs Not Being Addressed To maximize resources available for the priority areas listed above, The Hospital Facilities determined that the following issues would not be explicitly included in their community health improvement plan: transportation and physician specialties. The Hospital Facilities anticipate meeting all the needs identified. FY2026-2028 CHNA Prioritized Needs and Implementation Approach CHRISTUS SRHS and Christus Children's FY2026-2028 CHNA The FY2026-2028 CHNA for CHRISTUS SRHS and Christus Children's was completed on June 30, 2025 (FY2025) and identifies prioritized health needs to guide community health improvement efforts for the implementation period. Based on quantitative data, qualitative input, and stakeholder and community engagement, the CHNA identified priority areas affecting the San Antonio service area, including access to care, food, housing, early and ongoing prenatal care, and mental health. To address these prioritized needs, CHRISTUS SRHS and Christus Children's developed and adopted an implementation approach focused on expanding access to primary care and preventive services, improving education and support for individuals with chronic conditions, enhancing behavioral health resources, and addressing selected social and economic barriers to health. Community benefit programs emphasize outreach to uninsured and vulnerable populations through care navigation, health education, community-based initiatives, and coordination with local partner organizations. In alignment with CHRISTUS Health system strategy, CHRISTUS SRHS and Christus Children's implemented community health initiatives collaboratively with other hospital facilities, public health agencies, nonprofit organizations, and community-based partners to leverage resources, promote continuity of care, and avoid duplication of services. Progress toward addressing the prioritized needs is monitored periodically to evaluate outcomes, inform adjustments, and ensure continued alignment with community needs and available resources throughout the FY2026-2028 implementation period. Christus Santa Rosa Hospital - New Braunfels FY2026-2028 CHNA The FY2026-2028 CHNA for Christus Santa Rosa Hospital - New Braunfels was completed on June 30, 2025 (FY2025) and identifies prioritized health needs to guide the Hospital Facility's community health improvement efforts for the implementation period. Based on a review of quantitative data, qualitative community input, and stakeholder engagement, the CHNA identified priority areas related to access to care, food, housing, early and ongoing prenatal care, and mental health. To respond to these prioritized needs, the Hospital Facility developed and adopted an implementation approach focused on delivering community benefit programs and services that improve access to primary care, expand chronic disease education and management, enhance behavioral health resources, and address selected social and economic barriers to health. Programs are designed to support uninsured and vulnerable populations through care navigation, health education, community outreach, and collaboration with local partners and community-based organizations. Consistent with the CHRISTUS Health system strategy, Christus Santa Rosa Hospital - New Braunfels implements its community health initiatives through partnerships with other hospital facilities, public health agencies, nonprofits, and social service organizations to leverage resources and avoid duplication of services. Community benefit activities are monitored periodically to assess progress toward addressing the prioritized needs identified in the CHNA and to ensure alignment with community conditions and available resources throughout the FY2026-2028 implementation period. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - All Hospital Facilities (CONTINUED). CHRISTUS Santa Rosa Hospital - San Marcos FY2026-2028 CHNA The most recent CHNAs for At CHRISTUS Santa Rosa Hospital - San Marcos was completed on June 30, 2025 (FY2025), establishing priorities for the FY2026-2028 implementation period. To better understand and respond to the evolving needs of the communities they serve, CHRISTUS Santa Rosa Hospital - San Marcos structured its CHNA and community health implementation plan (CHIP) using a lifespan approach. This framework organizes data, priorities, and strategies by key stages of life, recognizing that health needs-and the factors that influence them-change as individuals age and move through different phases of life. CHRISTUS Santa Rosa Hospital - San Marcos identified three to five leading health indicators within each of the following four life stages: * Maternal and early childhood (pregnancy through age 4) * School-age children and adolescents (ages 5-17) * Adults (ages 18-64) * Older adults (ages 65 and over) Segmenting this work in this way ensures that interventions are age-appropriate, culturally responsive, and aligned with the unique developmental, social, and health needs of each phase of life. At the same time, CHRISTUS Santa Rosa Hospital - San Marcos recognize that health is deeply interconnected-maternal health affects infant outcomes, early trauma can influence long-term well-being, and investments in one life stage often ripple into the next. This process included tools from the results-based accounting model, focusing on trend data to understand whether community conditions are improving over time rather than emphasizing year-to-year fluctuations. Through data review and structured discussion, three to five leading indicators were identified for each life stage. These indicators now serve as a shared focus for CHRISTUS Santa Rosa Hospital - San Marcos' strategies, investments, and partnerships over the next three years. FY2026-2028 CHNA Identified Needs Not Being Addressed The FY2026-2028 CHNA identified a broad range of important health and social needs across the service area. However, not all of these needs fall within the direct scope of services or resources that The Hospital Facilities can lead or sustain independently. Some community issues require specialized focus, infrastructure, or mission alignment with other organizations, agencies, or collaborative groups that are better positioned to lead efforts in those areas. Examples of these needs may include, but are not limited to, transportation barriers. Although The Hospital Facilities do not serve as the primary lead organization for these issues, the health system acknowledges their influence on health outcomes and quality of life. Consistent with the systems of care framework outlined in the CHNA and implementation plan, The Hospital Facilities remain committed to ongoing collaboration with community partners, participation in coalitions, and support of aligned initiatives through community benefit investments to ensure these needs are addressed by organizations best positioned to lead them. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - See Schedule, H, Part V, Section A. UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY GUIDELINE WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% TO 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB. Schedule H, Part V, Section B, Line 15 Facility A, 1 Facility A, 1 - See Schedule, H, Part V, Section A. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - See Schedule, H, Part V, Section A. THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY FOR AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY AND ADMISSIONS AREAS. IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE). EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING THE TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS. Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - See Schedule, H, Part V, Section A. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN. 7 CHRISTUS SR PHYS AMB SURG CENTER SA 502 MADISON OAK SAN ANTONIO TX 78258 SURGERY CENTER CHRISTUS SR PHYS AMB SURG CENTER SA 423 TREELINE PARK STE 202 SAN ANTONIO TX 78209 SURGERY CENTER CHRISTUS SR PHYS AMB SURG CENTER NB 1738 E COMMON ST NEW BRAUNFELS TX 78130 SURGERY CENTER CHRISTUS SR PHYS AMB SURG CENTER NB 1305 WONDER WORLD DR 105 SAN MARCOS TX 78666 SURGERY CENTER CHRISTUS SR EMERGENCY CENTER - CREEKSIDE 244 CREEKSIDE CROSSING NEW BRAUNFELS TX 78130 EMERGENCY CENTER CHRISTUS SANTA ROSA - ALON 11503 NW MILITARY HIGHWAY SUITE 12 SAN ANTONIO TX 78231 EMERGENCY CENTER The CHRISTUS Childrens Emergency Center Stone Oak 1434 E Sonterra Blvd San Antonio TX 78258 Emergency Center 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 III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. Schedule H, Part I, Line 7k PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN(A) IS $1,284,950,348. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $50,498,532. THIS LEAVES A TOTAL EXPENSE OF $ 1,234,451,816 FOR PURPOSES OF CALCULATING LINES 7, COLUMN(F). Schedule H, Part I, Line 7k 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 32.12%, 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 THE HOSPITAL MADE CASH AND IN-KIND CONTRIBUTIONS DURING THE FISCAL YEAR. THE AMOUNT IS CALCULATED FOLLOWING REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. THIS AMOUNT DIFFERS FROM GRANTS REPORTED IN FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS, AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $320,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT CHRISTUS SANTA ROSA HEALTH CARE CORPORATION SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE COMMUNITY. Schedule H, Part V, Section B, Line 13 ITEM A DETERMINATION OF ELIGIBILITY FOR DISCOUNTED CARE UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY GUIDELINES WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB. Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS THE HOSPITAL DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NONPAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 18 OR 19 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11. Schedule H, Part V, Section B, Line 18 ACTIONS REGARDING ELIGIBILITY UNDER FAP THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. Schedule H, Part V, Section B, Line 22 FAP-eligible emergency or other medical care THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 2025 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 45% 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 THE 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 II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY THE CHRISTUS HEALTH BOARD OF DIRECTORS APPROVED FUNDING OF A COMMUNITY DIRECT INVESTMENT (CDI) LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUE IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY DRIVEN INITIATIVES, PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW MARKET INTEREST RATES TO NONPROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE FOREGONE INTEREST FOR THE CHRISTUS SANTA ROSA REGION IN FISCAL YEAR ENDING JUNE 30, 2025 WAS $0. IN AN EFFORT TO MEET AND ADDRESS THE IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES, CHRISTUS SANTA ROSA HEALTH CARE CORPORATION PROVIDES ACCESS TO HEALTH CARE SERVICES THROUGH PROGRAMS AND LOCAL COMMUNITY PARTNERS AND SERVICE ORGANIZATIONS. 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 THROUGH IMPROVED ACCESS TO HEALTH SERVICES AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2025, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES BY WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTHCARE SERVICES FOR THE CONSTITUENTS WE SERVE. THESE ARE SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES THAT ARE IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND ADVANCING KNOWLEDGE. 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 I, Line 3c ASSISTANCE ELIGIBILITY CRITERIA CHRISTUS HEALTH PROVIDES FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WITH MEDICAL BILLS IF UNINSURED AND HAVE A LOW INCOME. ELIGIBLE FAMILIES USUALLY HAVE INCOMES BELOW 400% OF FEDERAL POVERTY LEVEL. SOME FAMILIES MAY BE ELIGIBLE FOR DISCOUNTSS IF MEDICAL BILLS EXCEED 10% OF FAMILY'S ANNUAL INCOME. IF ELIGIBLE FOR ASSITANCE, DISCOUNTS ON NECESSARY SERVICES WILL BE RECEIVED. FREE CARE, IF THE FAMILY INCOME IS LESS THAN 300% OF THE FEDERAL POVERTY LEVEL. Schedule H, Part VI Rev. Proc. 2015-21 Disclosure Community Health Needs Assessment (CHNA) Adoption and Public Availability Section 501(r)(3) requires each hospital facility to conduct a CHNA at least once every three years and to make the CHNA report widely available to the public. A CHNA is treated as conducted only after all required steps are completed, including adoption of the CHNA report by an authorized body and making the CHNA report widely available (including via website posting). The hospital's three-year CHNA period ended on June 30, 2025. The CHNA report for the hospital was completed and reviewed by its CEO/President and executive leadership team prior to June 30, 2025. However, formal ratification by the hospital's board of directors of the CHNA report's adoption occurred subsequently on August 8, 2025, and the hospital posted the ratified CHNA report on their websites as soon as practicable thereafter. On September 8, 2025, CHRISTUS Health identified that the hospital's board of directors provided ratification of the CHNA report's adoption, and the corresponding public posting of the ratified CHNA report, occurred after the end of the June 30, 2025 three-year CHNA period. CHRISTUS Health determined that responsible associates had incorrectly assumed that COVID-era IRS relief extending certain §501(r)(3) CHNA-related deadlines continued to apply and permitted additional time to complete the remaining CHNA-related steps. However, Treasury Regs. 1.501(r)-3(a)(2) and 1.501(r)-1(b)(4)(i) require adoption of the CHNA report by the hospital's governing body (or a properly delegated authorized body), and no delegation of authority had been made by the hospital's governing body (its board of directors) for executive leadership to adopt the CHNA report in lieu of the board of directors. Executive leadership approval of the CHNA report was ratified by the hospital's board of directors on August 8, 2025. Upon identification of the timing issue, CHRISTUS Health promptly implemented corrective actions. These actions included confirming that formal governing-body adoption/ratification had occurred, ensuring that the ratified CHNA reports were posted and publicly accessible on the applicable hospital's website, and adding clarifying language within the CHNA report describing the timing of executive leadership review (prior to June 30, 2025) and the date of formal board of director approval (August 8, 2025). All related CHNA implementation strategies were approved by the hospital's board of directors on August 8, 2025, prior to the November 15, 2025 deadline. CHRISTUS Health is not aware of any individuals who were adversely affected by the board of directors' delay in ratifying the adoption of their respective hospital's CHNA report. To prevent recurrence, CHRISTUS Health has enhanced internal compliance procedures for its hospital facilities by establishing formal approval processes and timelines, clarifying responsibility for monitoring Section 501(r) deadlines, and documenting governing-body approvals and any delegated authority for approval of future CHNA reports and implementation strategies. Schedule H, Part V, Section B, Line 7 HOSPITAL FACILITY'S WEBSITE (LIST URL) The CHNA reports are all posted on the general website: https://www.christushealth.org/connect/community/community-needs Specific links are as follows: CHRISTUS SANTA ROSA HEALTH SYSTEM AND CHRISTUS CHILDREN'S https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/christus-santa-rosa-health-system/2026-2028-community-health-needs-assessment-christus-santa-rosa-health-system--new-braunfels.ashx CHRISTUS SANTA ROSA HOSPITAL - SAN MARCOS https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/santa-rosa-san-marcos/2026-2028-community-health-needs-assessment-christus-santa-rosa-health-system--san-marcos.ashx CHRISTUS SANTA ROSA HOSPITAL - NEW BRAUNFELS https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/christus-santa-rosa-health-system-new-braunfels/2026-2028-community-health-needs-assessment-christus-santa-rosa-health-system.ashx Schedule H, Part V, Section B, Line 10 IF "YES", (LIST URL) The implementation plans are all posted on the general website: https://www.christushealth.org/connect/community/community-needs Specific links are as follows: CHRISTUS SANTA ROSA HEALTH SYSTEM AND CHRISTUS CHILDREN'S https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/christus-santa-rosa-health-system-new-braunfels/2026--2028-community-health-implementation-plan-christus-santa-rosa-health-system.ashx CHRISTUS SANTA ROSA HOSPITAL - SAN MARCOS https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/santa-rosa-san-marcos/2026--2028-community-health-implementation-plan-christus-santa-rosa-health-system.ashx CHRISTUS SANTA ROSA HOSPITAL - NEW BRAUNFELS https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/santa-rosa-san-marcos/2026--2028-community-health-implementation-plan.ashx Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 50498532 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS Schedule H, Part II Community Building Activities COMMUNITY BUILDING ACTIVITIES PROMOTE COMMUNITY HEALTH BY STRENGTHENING SOCIAL CONNECTIONS AND MENTAL HEALTH, PROMOTE ACTIVE LIFESTYLES AND PHYSICAL HEALTH, IMPROVE SOCIAL DETERMINANTS AND HEALTH EQUITY, BUILD RESILIENT COMMUNITY SYSTEMS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE FILING ORGANIZATION RECOGNIZED THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30 PERCENT OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHER WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2025, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73 PERCENT OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2025. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.791 PERCENT OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2025 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, "THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY 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 JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES." Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE SHORTFALL ON PART III, LINE 7 IS NOT COUNTED AS A COMMUNITY BENEFIT. THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF $32,478,153 IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP. Schedule H, Part V, Section B, Line 16a FAP website A - CHRISTUS SANTA ROSA NEW BRAUNFELS: Line 16a URL: HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - CHRISTUS SANTA ROSA NEW BRAUNFELS: Line 16b URL: SEE SUPPLEMENTAL INFO; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - CHRISTUS SANTA ROSA NEW BRAUNFELS: Line 16c URL: SEE SUPPLEMENTAL INFO; Schedule H, Part VI, Line 2 Needs assessment Over the Last 25 years, The Health Collaborative has had the privilege to work in partnership with community stakeholders, leaders and community members to ensure that this comprehensive report is produced and shared. The report is the result of a formal community assessment that reflects over 18 months of collaborative work with agency partners and community stakeholders to establish a shared vision, select relevant indicators, and prepare a document that addresses the important drivers of health in our community. In keeping with the national movement in public health to focus more sharply on the root causes of health outcomes, the report devotes significant space to describing social, economic, and environmental conditions. The framework used to organize the report developed by the Bay Area Regional Health Inequities Initiatives, moves from population characteristics to living conditions, to health behaviors and risk factors, and finally to prevalence of specific disease and causes of death. Recognizing that COVID-19 has placed additional stress on our community families on the already fragile eco-system of care, this report highlights key access issues of concern and public health threats that we need to continue to learn about and act upon for years to come. As is customary, the community's voice has been integrated into the narrative of the CHNA. This strengthens and validates the 2022 CHNA by providing on going community commentary and reinforces the idea that we are more than just collective data points on page but rather individuals that experience health outcomes in our daily lives. The Report reveals numerous health disparities along a number of dimensions, e.g., age, race and ethnicity, education. A guiding principle for the pro-active approach through an equity lens is to remember that equity and disparity are related: in communities where resources are not equitably distributed, health disparities tend to predominate. Through the leadership and guidance of The Health Collaborative Board of Directors, Steering Committee, Research partner CI:NOW The Report was developed. With the support of the sponsors and in-kind partners it was possible for the report to be available to the community. Most importantly, the contribution from the greater community, for providing feedback and ongoing support to the people and places reflected in The Report. CHRISTUS Santa Rosa Hospital - New Braunfels and CHRISTUS Santa Rosa Hospital - San Marcos The CHNA is a systematic, data-driven approach to determine the health needs in the service area of the hospitals. In the process, the hospitals directly engaged community members and stakeholders to identify issues of greatest need, as well as the largest impediments to health. With this information, the hospitals can better allocate resources towards efforts to improve community health and wellness. Directing resources toward the greatest needs in the community is critical to CSRHS' work as a nonprofit hospital. The important work of a CHNA was codified in the Patient Protection and Affordable Care Act added Section 501(r) to the Internal Revenue Service Code, which requires nonprofit hospitals to conduct a CHNA every three years. The process used was designed to meet federal requirements and guidelines in Section 501(r): including: - Clearly defining the community served by the hospital, and ensuring that defined community does not exclude low-income, medically underserved, or minority populations in proximity to the hospital; - Providing a clear description of the CHNA process and methods; community health needs: collaboration, including with public health experts; and description of existing facilities and resources in the community; - Receiving input from persons representing the broad needs of the community; - Documenting community comments on the CHNA and health needs in the community; and - Documenting the CHNA in a written report and making it widely available to the public. When assessing the health needs of the entire CSRHS-New Braunfels and -San Marcos service areas, the CHNA data is presented by zip code and county depending on the available data. Providing localized data brings to light the differences and similarities within the communities. The hospitals worked with Metopio, a software and services company that is grounded in the philosophy that communities are connected through places and people. Metopio's tools and visualizations use data to reveal valuable, interconnected factors that influence outcome in different locations. The health system's partners and stakeholder groups provided insight and expertise around the indicators to be assessed, types of focus group questions to be asked, interpretation of results and prioritization of areas of highest need. Primary data for the CHNA was collected through four channels: - Community resident surveys - Community resident focus groups - Health care and social services provider focus groups - Key informant interviews Secondary data for the CHNA were aggregated on Metopio's data platform and included: - Hospital utilization data - 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 Community Resident Surveys were conducted in both service areas to provide input to the CHNA. The survey was available online and in paper form in English and Spanish. Survey dissemination happened through multiple channels led by our hospitals and community partners. The survey sought input from priority populations typically underrepresented in assessment processes, including communities of color, immigrants, persons with disabilities, and low-income residents. The survey was designed to collect information regarding: - Demographics of respondents - Health needs of the community for different age groups - Perception of community strengths - Utilization and perception of local health services The survey was based on a design used extensively for CHNAs and by public health agencies across the country. The final survey included 26 questions. Two focus groups were conducted in an effort to speak directly to community members, partners and leaders that live in and/or work in the hospitals PSA. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance CHRISTUS SANTA ROSA HEALTH CARE CORPORATION MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information CHRISTUS Santa Rosa Health Care Corporation is headquartered in San Antonio, Texas in the South-Central Area of the State. It has six hospital campuses (Medical Center, Westover Hills, Alamo Heights, New Braunfels, San Marcos and CHRISTUS Children's. It serves the southwestern border of Texas and into the Central Texas Hill Country. The area comprises a population of more than 3.2 million individuals. The population consists of 55.60% Hispanic and 44.40% non-Hispanic. Schedule H, Part VI, Line 5 Promotion of community health CHRISTUS Santa Rosa Health Care Corporation provides a full range of inpatient and outpatient services to the communities it serves. It conducts its activities and its health care purpose without regard to race, color, creed, religion, gender, orientation, disability, age, or national origin. One of the top health care organizations in South Texas, CHRISTUS Health Care Corporation has six hospital campuses: 1. CHRISTUS Santa Rosa Hospital - Medical Center, located in the South Texas Medical Center of San Antonio 2. CHRISTUS Children's, located in downtown San Antonio 3. CHRISTUS Santa Rosa Hospital - Westover Hills, located in the Westover Hills area of San Antonio 4. CHRISTUS Santa Rosa Hospital - Alamo Heights, located in the Alamo Heights area of San Antonio 5. CHRISTUS Santa Rosa Hospital - New Braunfels, located in New Braunfels, Texas 6. CHRISTUS Santa Rosa Hospital - San Marcos, located in San Marcos, Texas Each of the facilities of CHRISTUS Santa Rosa share one objective - To lead the way to a healthier community. Each of the six hospitals within CHRISTUS Santa Rosa Health Care Corporation provides a 24-hour emergency room that is open to serve all those in need of emergency care, regardless of ability to pay. CHRISTUS Santa Rosa Health Care Corporation works to facilitate and strengthen access to quality comprehensive health care services for all, particularly the vulnerable and underserved populations. CHRISTUS Santa Rosa Health Care Corporation also supports many local community health services, offering convenient locations for adult and pediatric primary care through family health clinics and mobile health clinics. CHRISTUS Santa Rosa Health Care Corporation offers services such as: Comprehensive Pediatric Care, Intensive and Intermediate care to critically ill infants requiring medical and/or surgical interventions such as the neonatal ECMO Program that provides Veno-Venous or Veno-Arterial Extracorporeal Life support for up to three infants in the NICU; a centralized Level IV NICU and a Wound Care and Hyperbaric Center. In addition, our adult hospitals offer the following; Cardiac Care that is nationally certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and accredited as a Chest Pain Center with Percutaneous Coronary Intervention (PCI) designation from the Society of Chest Pain Centers (SCPC); a comprehensive cancer program; complete obstetrical and newborn services; surgical units; a diabetes care program; and state-of-the-art medical care for children with an array of specialty services and orthopedic services. We also offer rehabilitation treatment for those who have experienced a stroke, a spinal cord injury, closed head injury and more. CHRISTUS Santa Rosa Health Care Corporation collaborates with communities, churches, and other health care organizations to provide comprehensive and accessible health care services and proactive healthcare programs. The Health Collaborative's (as defined in schedule H, Part VI, Question 2) existing priorities of Risk Behaviors, Health Care and Disease and Injury, as they relate to diabetes, obesity, and heart disease, will continue to be addressed through the chronic care management for children and adults as well as preventative care and health education through the collaborative relationships with school districts. The CHRISTUS Santa Rosa Health Care Corporation Community Benefit Plan ("The Plan") supports the CHNAs priority areas. The Plan's focus is on the community initiatives that can impact family members of all ages with diabetes, obesity, and heart disease. These initiatives are provided through a pediatric mobile clinic, school-based health centers, community health worker program and chronic illness education programs. The Plan includes the work performed at The Center for Miracles which is dedicated to providing free services for abused/neglected children and their affected family members. Other efforts are to provide application assistance to Medicaid/CHIP patients to ensure health care opportunities are offered to women and children. Women, Infant and Children (WIC) services provide nutrition/breastfeeding education and food vouchers to help decrease the incidence of low-birth-weight infants and improve infant mortality rates in Bexar County. CHRISTUS Health reinvests all surplus funds back into the communities it serves through expanded health services, new technologies, and better facilities. As a not-for-profit health system and as part of CHRISTUS Health, a regional governing board comprised largely of independent community members representing the makeup of the area we serve guides CHRISTUS Santa Rosa Health Care Corporation. We are privileged to have an open medical staff comprised of qualified physicians who work with us to provide care to our communities. All qualified physicians who are granted privileges to serve with us in our hospitals must undergo a thorough and comprehensive credentialing and orientation process. CLINICAL experience and other education for all persons employed and affiliated with CHRISTUS Santa Rosa Health Care Corporation are required to complete annual conflict of interest statements. Individuals employed and affiliated with CHRISTUS Santa Rosa Health Care Corporation are required to complete annual conflict of interest survey. Schedule H, Part VI, Line 6 Affiliated health care system CHRISTUS SANTA ROSA HEALTH CARE CORPORATION IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO, CHILE AND COLOMBIA. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS SANTA ROSA HEALTH CARE CORPORATION, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. Schedule H, Part VI, Line 7 State filing of community benefit report TX X true true true true false false false false false false false STEPHANIE A Parker (Former) Chief Executive Officer & BOARD DIRECTOR (TERM 2/24) 0 103462 0 0 0 695428 0 13801 0 35571 0 848262 0 202391 CHARLES HANKINS MD (FORMER) CMO & BOARD OF DIRECTOR, QUALITY COMMITTEE OF THE BOARD (TERM 12/22) 0 0 0 0 0 626808 0 0 0 0 0 626808 0 0 Cris Daskevich Chief Executive Officer OF CHOSA/BOARD DIRECTOR 0 632206 0 432003 0 163784 0 28872 0 313242 0 1570107 0 153318 John Grant Wicklund Chief Executive Officer/Board Director 0 574486 0 253087 0 85875 0 44603 0 6573 0 964624 0 27960 Sam Bagchi MD EVP/Chief Clinical Officer 0 1276855 0 2272809 0 471564 0 13801 0 30430 0 4065459 0 459831 Gabriela Saenz JD Corporate Secretary/SVP Corporate Services 0 612998 0 680044 0 195029 0 56933 0 10135 0 1555139 0 194379 LEE SONNE Board Director (eff 5/25) 0 333072 0 323591 0 73023 0 31251 0 14557 0 775494 0 72023 TAMMY RIVERS CORPORATE SECRETARY (TERM 1/22) 0 93797 0 12188 0 1418 0 6267 0 5768 0 119438 0 0 Steve Chen Chief Financial Officer/Treasurer 0 403492 0 168168 0 0 0 33529 0 17278 0 622467 0 0 Dr James Chris Henderson QUALITY COMMITTEE OF THE BOARD (TERM 12/24) 0 328624 0 2510 0 11869 0 38662 0 12013 0 393678 0 0 William M Johnson (Former) Chief Nursing Officer (Term 6/23) 0 237149 0 52929 0 63592 0 32947 0 13652 0 400269 0 0 Derrick Cuenca Chief Executive Officer Westover Hills 0 394643 0 50000 0 73363 0 15885 0 4830 0 538721 0 0 Dominic Dominguez Regional Chief Executive Officer 0 794703 0 423801 0 177703 0 15678 0 10184 0 1422069 0 176628 Norman Christopher Chief Marketing Officer Childrens Hospital 0 472210 0 159052 0 60656 0 49829 0 5980 0 747727 0 60656 Ian Thompson President/VP Market Oncology 0 370011 0 130712 0 61433 0 36569 0 15796 0 614521 0 61433 Debasish Dasgupta Chief Marketing Officer Westover Hills 0 196099 0 132758 0 229947 0 32065 0 15868 0 606737 0 24020 Karen Bryant Vice President -Strategy-Bus Development 0 289701 0 92632 0 47397 0 28812 0 63547 0 522089 0 46747 Terry Kyle Chief Development Officer 0 308149 0 104031 0 650 0 50044 0 11003 0 473877 0 0 Genifer Rucker President New Braunfels 0 289654 0 141946 0 0 0 26761 0 14299 0 472660 0 0 Cara Ansaldo President Santa Rosa Medical Center 0 307865 0 106166 0 0 0 36978 0 12745 0 463754 0 0 Nikki Rivers Chief Networking Officer New Braunfels 0 280485 0 93676 0 0 0 51075 0 1762 0 426998 0 0 Barbara Vazquez Chief Networking Officer Childrens Hospital 0 271034 0 114526 0 0 0 24936 0 15788 0 426284 0 0 Christine Keating Vice President AMB SVS-Network of care 0 257287 0 86695 0 0 0 48350 0 2811 0 395143 0 0 Kevin Anderson Chief Financial Officer CHRISTUS Children's Hospital 0 258917 0 87427 0 0 0 35531 0 3192 0 385067 0 0 Bonifacio Benitez Vice President Clinical Operations 0 214823 0 78268 0 0 0 37603 0 22182 0 352876 0 0 Alexis Arel Vice President Finance Admin Office 0 226851 0 76086 0 750 0 30530 0 2526 0 336743 0 0 Sherry Fraser President Alamo Heights 0 219259 0 65925 0 200 0 34897 0 8430 0 328711 0 0 Steven Martin Associate Chief Information Officer 0 188320 0 58673 0 815 0 22498 0 13252 0 283558 0 0 Sarah Hill Vice President MISSION INTEGRATION 0 157555 0 61934 0 22230 0 24168 0 9528 0 275415 0 21045 Patricia Burns President 0 70975 0 0 0 140539 0 2903 0 1690 0 216107 0 0 Eleanor Milo Chief Networking Officer SRH Westover Hills 0 109572 0 0 0 60944 0 4043 0 7476 0 182035 0 0 DUSTYN D TYSDAL Director Pharmacy 244061 0 27746 0 1050 0 36242 0 13464 0 322563 0 0 0 GIANG P DINH Clinical Pharmacist 144373 0 1650 0 138336 0 20700 0 3432 0 308491 0 0 0 Janice E Williams RN 103457 0 1500 0 129426 0 20990 0 2989 0 258362 0 0 0 ROBERT PEREZ RN Lead 78663 0 1750 0 158512 0 0 0 5825 0 244750 0 0 0 Mark Dizon RN Lead 102288 0 1400 0 112197 0 17541 0 2689 0 236115 0 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 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. Schedule J, Part I, Line 4a Severance or change-of-control payment PATRICIA BURNS RECEIVED $135,825 IN SEVERANCE DURING CALENDAR YEAR 2024. STEPHANIE A. PARKER RECEIVED $404,069 IN SEVERANCE DURING CALENDAR YEAR 2024. Debasish Dasgupta RECEIVED $130,050 IN SEVERANCE DURING CALENDAR YEAR 2024. ELEANOR MILO RECEIVED $58,962 IN SEVERANCE DURING CALENDAR YEAR 2024. CHARLES HANKINS RECEIVED $612,482 IN SEVERANCE DURING CALENDAR YEAR 2024. 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 2024: SAM BAGCHI, M.D. - 471,564 STEPHANIE A. PARKER - 279,574 GABRIELA SAENZ, J.D. - 194,379 DOMINIC DOMINGUEZ -176,628 CRIS DASKEVICH - 163,784 DEBASISH DASGUPTA - 95,302 LEE SONNE - 72,023 IAN THOMPSON - 61,433 NORMAN CHRISTOPHER - 60,656 KAREN BRYANT - 46,747 JOHN WICKLUND - 27,960 SARAH HILL - 22,005 Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. Schedule J, Part II, Column (B)(ii) BONUS AND INCENTIVE COMPENSATION BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2024. Schedule J, Part II, Column (C) DEFERRED COMPENSATION DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. Form 990, Part III, Line 1 ORGANIZATION'S MISSION THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION AND THE SYSTEM PARTICIPANTS FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, THE SYSTEM, THE CORPORATION, THE SYSTEM PARTICIPANTS, AND THE LOCAL ENTITIES. THE CORPORATION'S PURPOSES SHALL ALSO INCLUDE THE MAKING OF GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. THE CORPORATION SHALL ALSO BE AUTHORIZED TO ENGAGE IN SUCH PURSUITS AS MAY BE NECESSARY OR INCIDENTAL, OR WHICH MAY AID AND ASSIST, IN CARRYING OUT THE CORPORATION'S MISSION AND PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF THESE PURPOSES, AS WELL AS THOSE SYSTEM ENTITIES THAT ARE DESCRIBED IN SECTION 501(C)(3), AND SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR CORRESPONDING PROVISIONS OF ANY SUBSEQUENT LAW. PROVISIONS OF ANY SUBSEQUENT LAW. Form 990, Part III, Line 4c PROGRAM SERVICE, LINE 4C CHARITY CARE AND COMMUNITY BENEFIT ACTIVITY In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS Santa Rosa Health Care Corporation provides charity care services in a manner that respects the dignity of the patients and their families. CHRISTUS Santa Rosa Health Care Corporation provides charity care to individuals who are unable to pay for medically necessary services. Charity care includes free or discounted healthcare provided according to the organization's financial assistance policy, which is based on federal poverty guidelines. In FY2025, 28,588 uninsured patients at or below 300% of the Federal Poverty Level (FPL) received care at no cost, while 23 patients between 301% and 400% FPL were charged on a sliding scale and adjusted in compliance with the AGB rates as listed on the entity's financial assistance policy. No patient was refused necessary medical care due to inability to pay. CHRISTUS Santa Rosa Health Care Corporation actively participates in Texas Medicaid programs, which are designed to provide payment for health care services to individuals who meet specific financial and eligibility criteria. These requirements include an evaluation of both assets and income to determine program qualification. CHRISTUS Santa Rosa Health Care Corporation also conducts a variety of community benefit activities to improve health and well-being in the communities it serves. These activities include health education, screenings, subsidized clinical services, research, cash and in-kind donations, and community building. In FY2025, CHRISTUS Santa Rosa Health Care Corporation invested $9,508,252 in community benefit programs, impacting 98,272 individuals. Form 990, Part III, Line 4a PROGRAM SERVICE, LINE 4A PATIENT CARE SERVICES CHRISTUS Santa Rosa Health Care Corporation responds to the health care needs of the community through services provided at 5 campuses: CHRISTUS Santa Rosa New Braunfels, a 115-bed hospital in New Braunfels CHRISTUS Santa Rosa Westover Hills, a 150 -bed hospital in San Antonio CHRISTUS Santa Rosa Alamo Hights, a 36-bed hospital in San Antonio CHRISTUS Children's, a 196-bed Hospital in San Antonio CHRISTUS Santa Rosa San Marcos, a 105-bed Hospital in San Marcos Each facility shares the objective of leading the way to a healthier community. CHRISTUS Santa Rosa Health Care Corporation is located in Texas, serving a population of 3.2 million individuals in fiscal year 2025. In fiscal year 2025, we served individuals in various ways, including: 138,514 visits to our emergency department 5,758 inpatient surgery procedures 43,114 outpatient surgery procedures 28,321 patients admitted for care 282,489 patients who received outpatient care Form 990, Part III, Line 4b PROGRAM SERVICE, LINE 4B OTHER GOVERNMENT PROGRAMS CHRISTUS Santa Rosa Health Care Corporation provides services to individuals covered under government-sponsored programs, including Medicare, TRICARE, and others. The unreimbursed costs of these services are reported to the state but are not included in the community benefit reports. In FY2025, CHRISTUS Santa Rosa Health Care Corporation served 463,376 patients under these programs, with unreimbursed costs totaling $167,965,850. Medicare is the largest single payor classification of patients served by this hospital. The payment rate for inpatient services is on a per-case rate, calculated based on the diagnostic-related group into which the patient is categorized. Medicare reimburses outpatient services based on its fee schedule. Form 990, Part III, Line 4d Description of other program services (Expenses $ 8,492,270 including grants of $ 18,935)(Revenue $ 0) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE Poor & Undeserved AND Broader community. Poor & Undeserved: Expenses of $2,988,607, Grants of $18,935 Broader community: Expenses of $5,503,663 Form 990, Part VI, Line 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE 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 HEALTH IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHRISTUS HEALTH, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 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 OF 2026 VIA A WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. Form 990, Part VI, Line 12c Conflict of interest policy AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS INCLUDING CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. Form 990, Part VI, Line 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 CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. Form 990, Part VI, Line 19 Required documents available to the public THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MISC REVENUE - Total Revenue: 20004, Related or Exempt Function Revenue: -699, Unrelated Business Revenue: 20703, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Print Shop Revenues - Total Revenue: -149, Related or Exempt Function Revenue: -149, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Fees and Commission Revenue - Total Revenue: -356, Related or Exempt Function Revenue: -356, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Business Interruption Revenue - Total Revenue: 368663, Related or Exempt Function Revenue: 368663, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees PHYSICIAN FEES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 627521, Fundraising Expenses: 0; OCCUPANCY - Total Expense: 1047921, Program Service Expense: 1045580, Management and General Expenses: 2341, Fundraising Expenses: 0; CONSULTING SERVICES - Total Expense: 2203960, Program Service Expense: 1330741, Management and General Expenses: 873219, Fundraising Expenses: 0; MEDICAL SERVICES - Total Expense: 558213, Program Service Expense: 528115, Management and General Expenses: 30098, Fundraising Expenses: 0; BILLING AND COLLECTIONS FEES - Total Expense: 3973299, Program Service Expense: 3978780, Management and General Expenses: -5481, Fundraising Expenses: 0; REPAIR AND MAINTENANCE - Total Expense: 20253320, Program Service Expense: 19977051, Management and General Expenses: 273472, Fundraising Expenses: 2797; MARKETING - Total Expense: 66480, Program Service Expense: 66167, Management and General Expenses: 313, Fundraising Expenses: 0; OTHER SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: 6155147, Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: 0; Software Expenses - Total Expense: 1519056, Program Service Expense: 1515542, Management and General Expenses: 2278, Fundraising Expenses: 1236; MCCS Expense - Total Expense: 42270355, Program Service Expense: 0, Management and General Expenses: 42270355, Fundraising Expenses: 0; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part X, Line 1 CASH - NON-BEARING INTEREST CHRISTUS HEALTH SYSTEM MAINTAINS A CENTRALIZED CASH MANAGEMENT SYSTEM. THIS CASH MANAGEMENT SYSTEM (CMS) INCLUDES A CONCENTRATION ACCOUNT WHEREIN DEPOSITS AND DISBURSEMENTS FOR RELATED CHRISTUS EXEMPT ORGANIZATIONS FLOW THROUGH THIS ACCOUNT AND OVER TO THE MANAGED INVESTMENT ACCOUNTS. EACH PARTICIPATING ORGANIZATION REPORTS A BALANCE IN THE CMS REFLECTIVE OF ITS CUMULATIVE CASH ACTIVITY. CASH BALANCES FOR EACH CHRISTUS ORGANIZATION ARE REPORTED ON FORM 990 IN ACCORDANCE WITH FINANCIAL STATEMENT REPORTING. CMS OWNERSHIP IS MAINTAINED BY CHRISTUS HEALTH (EIN 76-0590551) AND ALL ASSOCIATED INVESTMENT INCOME IS PROPERLY REPORTED ON THE CHRISTUS HEALTH FORM 990. Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY - 50997597; CHANGE IN RESTRICTED NET ASSETS - 22297953; NA RELEASED FROM RESTRICTIONS FOR CAPITAL - 5306904; Total - 78602454; FORM 990, BOX C DOING BUSINESS AS CHRISTUS HEALTH SANTA ROSA HEALTH CARE CORPORATION OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS Cardiovascular CHRISTUS Cardiovascular Medical Center CHRISTUS Cardiovascular New Braunfels CHRISTUS Cardiovascular Westover Hills CHRISTUS Children's CHRISTUS Heart and Vascular Clinic CHRISTUS Hospice - Central Texas CHRISTUS Neuroscience Institute - Alamo Heights CHRISTUS Neuroscience Institute - Medical Center CHRISTUS Neuroscience Institute - Westover Hills CHRISTUS Oncology CHRISTUS Oncology - Medical Center CHRISTUS Oncology - New Braunfels CHRISTUS Oncology - Westover Hills CHRISTUS Santa Rosa Cardiothoracic Center CHRISTUS Santa Rosa Children's Hospital CHRISTUS Santa Rosa Diagnostic Services - San Marcos CHRISTUS Santa Rosa Emergence Center - Creekside CHRISTUS Santa Rosa Emergency - Bandera CHRISTUS Santa Rosa Emergency Center CHRISTUS Santa Rosa Emergency Center - Alon CHRISTUS Santa Rosa Emergency Center - Bandera CHRISTUS Santa Rosa Emergency Center - Bitters CHRISTUS Santa Rosa Emergency Center - Creekside CHRISTUS Santa Rosa Health System CHRISTUS Santa Rosa Heart and Vascular Clinic CHRISTUS Santa Rosa Hospice - San Marcos CHRISTUS Santa Rosa Hospital CHRISTUS Santa Rosa Hospital - Alamo Heights CHRISTUS Santa Rosa Hospital - Medical Center CHRISTUS Santa Rosa Hospital - New Braunfels CHRISTUS Santa Rosa Hospital - San Marcos CHRISTUS Santa Rosa Hospital - San Marcos Hospice CHRISTUS Santa Rosa Hospital - Westover Hills CHRISTUS Santa Rosa Hospital Alamo Heights Outpatient Surgery Center CHRISTUS Santa Rosa Imaging Center-Alamo Heights CHRISTUS Santa Rosa Medical Center CHRISTUS Santa Rosa Neurosurgical Spine CHRISTUS Santa Rosa Orthopaedic & Sports Medicine - New Braunfels CHRISTUS Santa Rosa Orthopaedics & Sports Medicine CHRISTUS Santa Rosa Physicians Ambulatory Surgery Center Alamo Heights CHRISTUS SANTA ROSA Quality Care Alliance CHRISTUS Santa Rosa Rehabilitation Services CHRISTUS Santa Rosa Sleep Lab - San Marcos CHRISTUS Santa Rosa Specialty Care Clinic - San Marcos CHRISTUS Santa Rosa Specialty Clinic New Braunfels CHRISTUS Santa Rosa Spine Center CHRISTUS Santa Rosa Sports Medicine CHRISTUS Santa Rosa Surgical Solutions - Westover Hills CHRISTUS Santa Rosa Urology Clinic CHRISTUS Santa Rosa Urology Clinic - Medical Center CHRISTUS Santa Rosa Wound Care and Hyperbaric Center CHRISTUS Weight Loss Institute - San Marcos CHRISTUS Weight Loss Institute - Westover Hills CHRISTUS Women's Pavilion - Alamo Heights PT Solutions - CHRISTUS Santa Rosa Health System Spinal and Thoracic Treatment and Research Center (STTAR Center) The Children's Hospital of San Antonio The Children's Hospital of San Antonio - Multispecialty Center The Children's Hospital of San Antonio CHRISTUS Health - Health Pavilion Stone Oak The Children's Hospital of San Antonio Emergency Center - Bandera The Children's Hospital of San Antonio Specialty Care Center 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 CCC 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 MEDICAID HMO LA 501(c)(4) CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER STREET BEAUMONT TX 77726 760591590 HEALTHCARE SERVICES TX 501(c)(3) 3 CH true CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DR LAKE CHARLES LA 70601 720411322 HEALTHCARE SERVICES LA 501(c)(3) 3 CH true CHRISTUS HEALTH STRATEGIC GROWTH 5101 N OCONNOR BLVD IRVING TX 75039 462798043 SUPP HEALTHCARE SERVICES TX 501(c)(3) Type I CH true CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS TX 75482 811708177 HEALTHCARE SERVICES TX 501(c)(3) 3 NETXNL true CHRISTUS NORTHEAST TEXAS AND NORTHERN LOUISIANA HEALTH SYSTEM CORPORATION 1315 DOCTORS DRIVE TYLER TX 75701 752616975 HEALTHCARE SERVICES TX 501(c)(3) Type II CH true CHRISTUS PEDIATRIC PHYSICIAN GROUP 5101 N OCONNOR BLVD IRVING TX 75039 465203505 HEALTHCARE SERVICES TX 501(c)(3) 3 CH true CHRISTUS SANTA ROSA FAMILY HEALTH CENTER 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 742806531 HEALTHCARE SERVICES TX 501(c)(3) 10 CSRHCC true CHRISTUS SANTA ROSA MED CTR AUXILIARY 2827 BABCOCK ROAD SAN ANTONIO TX 78229 731655493 SUPP HEALTHCARE SERVICES TX 501(c)(3) 10 CSRHCC true CHRISTUS SANTA ROSA-SAN MARCOS FOUNDATION PO Box 912 SAN MARCOS TX 78667 742259907 SUPPORT TX 501(c)(3) 7 SRHCC true CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HEALTHCARE SERVICES TX 501(c)(3) 3 CH true CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FOUNDATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741906005 SUPP HEALTHCARE SERVICES TX 501(c)(3) 7 SPOHN HS true CHRISTUS ST FRANCES CABRINI HOSPITAL AUXILIARY INC 3330 MASONIC DRIVE ALEXANDRIA LA 71301 237255175 SUPP HEALTHCARE SERVICES LA 501(c)(3) 10 CHCL true CHRISTUS ST MICHAEL FOUNDATION 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 471655865 SUPP HEALTHCARE SERVICES TX 501(c)(3) 7 ALT true CHRISTUS ST PATRICK FOUNDATION 524 DR MICHAEL DEBAKEY DR LAKE CHARLES LA 70601 471496376 SUPP HEALTHCARE SERVICES LA 501(c)(3) 7 SWLA true Chritus Trinity Clinic Texas 1315 DOCTORS DRIVE TYLER TX 75701 752616977 HEALTHCARE SERVICES TX 501(c)(3) 3 CH true CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION 1315 DOCTORS DRIVE TYLER TX 75701 752028241 SUPPORT TX 501(c)(3) Type I NETXNL true FRIENDS OF SANTA ROSA FOUNDATION 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 742723391 SUPP HEALTHCARE SERVICES TX 501(c)(3) Type I CSRHCC true GOOD SHEPHERD FOUNDATION INC 700 E MARSHALL AVE LONGVIEW TX 75601 752056700 SUPPORT TX 501(c)(3) Type I GSMC true GOOD SHEPHERD HOSPITAL AUXILIARY 700 E MARSHALL AVE LONGVIEW TX 75601 237203364 SUPPORT TX 501(c)(3) 10 GSH INC true GOOD SHEPHERD MED CENTER - LINDEN INC 700 E MARSHALL AVE LONGVIEW TX 75601 010829282 HEALTHCARE SERVICES TX 501(c)(3) 3 GSMC true GOOD SHEPHERD MEDICAL CENTER - LINDEN FOUNDATION INC 404 N KAUFMAN LINDEN TX 75563 200845127 SUPPORT TX 501(c)(3) Type I GSMC true GSHS ADMINISTRATIVE SERVICES ORG INC 700 E MARSHALL AVE LONGVIEW TX 75601 861132471 ADMIN SUPPORT TX 501(c)(3) Type I GSMC true HOPKINS CTY PHYSICIAN SERVICES 115 AIRPORT RD SULPHUR SPRINGS TX 75482 260637742 CLINIC TX 501(c)(3) 3 CHHA true MARSHALL HOSPITAL FOUNDATION INC 811 SOUTH WASHINGTON AVE MARSHALL TX 75670 752605699 HEALTHCARE SERVICES TX 501(c)(3) 7 GSMC true MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER TX 75701 751976930 HOSPITAL TX 501(c)(3) 3 NETXNL true MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(c)(3) 3 NETXNL true MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 1315 DOCTORS DRIVE TYLER TX 75701 750818167 HOSPITAL TX 501(c)(3) 3 NETXNL true OTERO COUNTY HOSPITAL ASSOCIATION 2669 SCENIC DRIVE ALAMOGORDO NM 88310 850138775 HOSPITAL NM 501(c)(3) 3 CH true REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER TX 75701 752511459 HEALTHCARE SERVICES TX 501(c)(3) 3 CTC true SPECIALTY PHYSICIANS OF CENTRAL TEXAS 1301 WONDER WORLD DRIVE SAN MARCOS TX 78666 208814408 HEALTHCARE SERVICES TX 501(c)(3) 3 CTC true ST FRANCES CABRINI HOSPITAL FOUNDATION OF ALEXANDRIA 3330 MASONIC DRIVE ALEXANDRIA LA 71301 720998302 SUPP HEALTHCARE SERVICES LA 501(c)(3) 7 CHCL true ST VINCENT HOSPITAL PO BOX 2107 SANTA FE NM 87504 850106941 HOSPITAL NM 501(c)(3) 3 CH true ST VINCENT HOSPITAL FOUNDATION 455 ST MICHAELS DRIVE SANTA FE NM 87505 850282847 FUNDRAISING ACTIVITIES NM 501(c)(3) Type I SVH true THE GOOD SHEPHERD HOSPITAL INC 700 E MARSHALL AVE LONGVIEW TX 75601 751041154 HEALTHCARE SERVICES TX 501(c)(3) 3 GSMC true TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 HEALTHCARE SERVICES TX 501(c)(3) 10 CCC true Gerald Champion Regional Medical Center Foundation 2669 SCENIC DRIVE ALAMOGORDO NM 88310 850352051 FUNDRAISING ACTIVITIES NM 501(c)(3) Type I OCHA true Santa Rosa Children's Hospital Foundation PO Box 1661 SAN ANTONIO TX 78296 741224362 FUNDRAISING ACTIVITIES TX 501(c)(3) 7 SRHCC true Christus St Joseph Village 5101 N OCONNOR BLVD IRVING TX 75039 010829282 Senior living TX 501(c)(3) 10 GSMC Linden true Continue Care Hospital of Tyler Inc 7950 Legacy Drive 1000 Plano TX 75024 200991990 HOSPITAL TX 501(c)(3) 3 NETXNL true CENTRAL LOUISIANA SURGICAL HOSPITAL LLC 651 NORTH BOLTON AVE ALEXANDRIA LA 71301 264732398 SURGICAL CENTER LA NA CHRISTUS SURGERY CENTER - VILLAGES LLC 1453 E BERT KOUNS SHREVEPORT LA 71108 844975265 SURGICAL CENTER LA NA CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC 13525 CENTERBROOK 100 UNIVERSAL CITY TX 78148 384092858 SURGICAL CENTER TX NA CHRISTUS CENTER FOR SPECIAL SURGERY 14603 HUEBNER RD SAN ANTONIO TX 78240 990686547 SURGICAL CENTER TX NA CHRISTUS SURGERY CENTER - WESTOVER HILLS LLC 1927 ROGERS RD SAN ANTONIO TX 78251 851975909 SURGICAL CENTER TX NA NEW BRAUNFELS SURGICAL CENTER LLC 333 N SANTA ROSA ST SAN ANTONIO TX 78207 810571408 HEALTHCARE SERVICES TX NA CHRISTUS SANTA ROSA AMBULATORY SURGERY CENTERS SAN ANTONIO LLC 333 N SANTA ROSA ST SAN ANTONIO TX 78207 412092141 HEALTHCARE SERVICES TX CSRHCC Related false false 0.5434 CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP 333 N SANTA ROSA ST SAN ANTONIO TX 78207 810571409 HEALTHCARE SERVICES TX CSRHCC Related false false 0.51 GOOD SHEPHERD NORTH PARK LP 700 E MARSHALL AVE LONGVIEW TX 75601 464834106 HEALTHCARE SERVICES TX NA GOOD SHEPHERD AMBULATORY SURGICAL LTD 700 E MARSHALL AVE LONGVIEW TX 75601 900259782 HEALTHCARE SERVICES TX NA GSHS CUSTOMER SERVICE BUILDING I LTD 700 E MARSHALL AVE LONGVIEW TX 75601 720896055 CUSTOMER SERVICES TX NA ST ELIZABETH REHAB PARTNERS LLP 2830 CALDER STREET BEAUMONT TX 77702 205657181 HEALTHCARE SERVICES TX NA NORTHERN LOUISIANA CARDIAC SERVICES LLC 1751 IMPERIAL BLVD LAKE CHARLES LA 70605 813198914 SURGICAL CENTER LA NA SOUTH RYAN MRI LLC 650 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 743103662 IMAGING SERVICES LA NA ALAMOGORDO IMAGING CENTER LLC 2669 SCENIC DRIVE ALAMOGORDO NM 88310 201451281 IMAGING SERVICES NM NA CHAMPION HEALTH CARE LLC 2669 SCENIC DRIVE ALAMOGORDO NM 88310 850860214 HEALTHCARE SERVICES NM NA WHITE SANDS HEALTH CARE SYSTEMS LLC 2669 SCENIC DRIVE ALAMOGORDO NM 88310 850438529 HEALTHCARE SERVICES NM NA SANTA FE IMAGING LLC 1640 HOSPITAL DR SANTA FE NM 87505 850465936 IMAGING CENTER NM NA SANTA FE MEDICAL PROPERTIES LLC 455 SAINT MICHAELS DR SANTA FE NM 87505 201480795 LEASING NM NA IMPERIAL CALCASIEU SURGICAL CENTER LLC 1757 IMPERIAL RD LAKE CHARLES LA 70605 205109610 ASC LA NA GSHS CUSTOMER SERVICE BUILDING LLC 700 E MARSHALL AVE LONGVIEW TX 75601 999999999 CUSTOMER SERVICES TX NA Christus Cardiac Surgery Center LLC 5101 N OCONNOR BLVD IRVING TX 75039 990803350 SURGICAL CENTER TX NA Christus Latam Hub Center of Excellence and Innovation 5101 N OCONNOR BLVD IRVING TX 75039 999999999 HEALTHCARE SERVICES TX NA CHC Community Care LLC 5101 N OCONNOR BLVD IRVING TX 75039 371485773 HEALTHCARE SERVICES TX NA CHRISTUS TEXARKANA UNIT OWNERS ASSOCIATION 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 472486362 BUILDING ASSOCIATION TX NA C Corporation true CHRISTUS AMBULATORY SERVICES HOLDINGS 5101 N OCONNOR BLVD IRVING TX 75039 472897722 HEALTHCARE SERVICES TX NA C Corporation true DEDICATED SYSTEM SUPPORT INC 5101 N OCONNOR BLVD IRVING TX 75039 810861043 MANAGEMENT SERVICES TX NA C Corporation true SAN MARCOS REGIONAL MRI 1301 WONDER WORLD DRIVE SAN MARCOS TX 78666 770597968 HEALTHCARE SERVICES TX NA C Corporation true CHRISTUS LOUISIANA QUALITY ALLIANCE 5101 N OCONNOR BLVD IRVING TX 75039 474618648 ACO LA NA C Corporation true CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 G40G0 OBISPADO MONTERRE MX HEALTHCARE SERVICES MX NA C Corporation true EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMAN CJ KY11102 980407545 INSURANCE CJ NA C Corporation true ARK-LA-TEX HEALTH NETWORK PO BOX 2911 TEXARKANA TX 75504 752562459 HEALTHCARE SERVICES TX NA C Corporation true CHRISTUS CHILE SPA MIRAFLORES 222 28TH FLOOR SANTIAGO CI 8320198 INVESTING CI NA C Corporation true CHRISTUS SOUTHEAST TEXAS PHO 3010 HARRISON STREET SUITE 202 BEAUMONT TX 77702 760429902 MEDICAL SERVICES TX NA C Corporation true HEALTH VENTURES OF SOUTHEAST TEXAS INC 3000 GATES BLVD PORT ARTHUR TX 77640 760397263 BUILDING RENT TX NA C Corporation true AMATISTA FINANCING COMPANY LTD 3RD FL1ST CARIBBEAN HOUSE GEORGETOWN CJ KY11104 FINANCING CJ NA C Corporation true OCCUPATIONAL HEALTH SERVICES INC 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 721217389 MEDICAL SERVICES LA NA C Corporation true SOUTH RYAN DEVELOPMENT CORPORATION 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 721183790 LEASING BULDINGS LA NA C Corporation true SOUTHWESTERN LOUISIANA PHYSICIAN HOSPITAL ORGANIZATION INC 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 721274256 HEALTHCARE SERVICES LA NA C Corporation true CH COLUMBIA SAS CL 70 A 4 41 BOGOTA CO HEALTHCARE SERVICES CO NA C Corporation true CLINICA PALMA REAL SAS CARRERA 28 44 35 CALI CO HEALTHCARE SERVICES CO NA C Corporation true SINERGIA GLOBAL EN SALUD SAS CARRERA 44 A 9 C 67 CALI CO HEALTHCARE SERVICES CO NA C Corporation true HCMH RETAIL CLINIC 115 AIRPORT RD SULPHUR SPRINGS TX 75482 475417965 HEALTHCARE SERVICES TX NA C Corporation true EVANGELINE CLINICAL SERVICES INC 3330 MASONIC DRIVE ALEXANDIRA LA 71301 463977886 HEALTHCARE SERVICES LA NA C Corporation true GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW TX 75601 752554695 INACTIVE TX NA C Corporation true GSHS ENTERPRISES HOLDING INC 700 E MARSHALL AVE LONGVIEW TX 75601 510412465 HOLDING COMPAY DE NA C Corporation true GSHS ENTERPRISES OPERATING 1 INC 700 E MARSHALL AVE LONGVIEW TX 75601 752954772 HEALTHCARE SERVICES DE NA C Corporation true GSHS ENTERPRISES OPERATING 2 INC 700 E MARSHALL AVE LONGVIEW TX 75601 752954777 HEALTHCARE SERVICES DE NA C Corporation true GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027162 HEALTHCARE SERVICES TX NA C Corporation true MARSHALL PHYSICIAN HOSPITAL ORGANIZATION INC 700 E MARSHALL AVE LONGVIEW TX 75601 752580689 INACTIVE TX NA C Corporation true HEALTHPLAN OF TEXAS INC 1315 DOCTORS DRIVE TYLER TX 75701 752636862 THIRD PARTY ADMINISTRATION TX NA C Corporation true THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX NA C Corporation true SCH MANAGEMENT SOLUTIONS INC ONE ST MARY PLACE SHREVEPORT LA 71101 721270625 MANAGEMENT JOINT VENTURES LA NA C Corporation true CENTRAL TEXAS PROVIDERS NETWORK 1301 WONDER WORLD DRIVE SAN MARCOS TX 78666 742827652 PHYSICIAN HOSPITAL TX NA C Corporation true LTACH CONDOMINIUM UNIT OWNERS ASSOC 600 ELIZABETH STREET CORPUS CHRISTI TX 77726 472404808 BUILDING ASSOCIATION TX NA C Corporation true SPOHN HEALTH NETWORK 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 742616328 HEALTH PLAN TX NA C Corporation true SPOHN INVESTMENT CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 742322574 RENTALS TX NA C Corporation true CENTRAL TX HEALTHCARE COLLABORATIVE 1301 Wonderland Dr San Marcos TX 78666 453739929 SUPPORT TX SRHCC C Corporation 1 true HOSPITAL BUILDING CONDO OWNERS ASSOCIATION INC 5101 N OCONNOR BLVD IRVING TX 75039 999999999 SUPPORT TX SRHCC C Corporation 0 0 1 true RELIANCE BENEFITS INC 1315 DOCTORS DRIVE TYLER TX 75701 752642104 HEALTHCARE SERVICES TX NA C Corporation true Otero County Medical Group Inc 2669 SCENIC DRIVE ALAMOGORDO NM 88310 999999999 HEALTHCARE SERVICES NM NA C Corporation true Alamogordo Home Health Care and Hospice Inc PO Drawer 29 ALAMOGORDO NM 88311 261674556 HEALTHCARE SERVICES NM NA C Corporation true true true true false false false false false false true true true true false true true true true true CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP K 58623 Accrual CHRISTUS SANTA ROSA OUTPATIENT SURGERY NEW BRAUNFELS LP J 58623 Accrual CHRISTUS Spohn Health System Corporation M 308849 Accrual CHRISTUS TRINITY CLINIC M 13989118 Accrual CHRISTUS TRINITY CLINIC Q 57258 Accrual CHRISTUS TRINITY CLINIC L 62194474 Accrual CHRISTUS TRINITY CLINIC J 512119 Accrual DEDICATED SYSTEM SUPPORT INC O 70604 Accrual DEDICATED SYSTEM SUPPORT INC Q 62240 Accrual Friends of Santa Rosa Foundation C 150397 Accrual TRINCARE INC M 116857 Accrual CHRISTUS Children's Foundation C 1234675 Accrual FRIENDS OF SANTA ROSA FOUNDATION C 85577 Accrual