2026-05-14T13:28:57+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2024-07-01 850138775 OTERO COUNTY HOSPITAL ASSOCIATION OTER 5754396100 2669 SCENIC DRIVE ALAMOGORDO NM 883100597 BASHAR NASER CHIEF FINANCIAL OFFICER 2026-05-14 true true Kristen Farr Capizzi P02176875 3128792000 2026-05-14 2024 2025-03-06 01:10:19Z SEE SCHEDULE O BASHAR NASER 2669 SCENIC DRIVE ALAMOGORDO NM 883100597 376575623 false X WWW.GCRMC.ORG X 1947 NM PROVISION OF HEALTH CARE SERVICES 7 3 1420 90 1850906 70423 2223342 430534 280547735 346753133 -3109271 -1808738 519618 191445 280181424 345566374 1248048 1181991 0 113494239 102595219 0 0 144734609 182200392 259476896 285977602 20704528 59588772 267402505 237906431 72388767 61199967 195013738 176706464 X TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. false false 37700289 0 69263279 SEE SCHEDULE O 126451193 0 159625258 SEE SCHEDULE O 57100162 0 117865687 SEE SCHEDULE O 1181991 1181991 0 OTERO COUNTY HOSPITAL ASSOCIATION ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE POOR & UNDESERVED AND BROADER COMMUNITY. 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These issues include, but are not limited to issues related to safety-net providers, access to care, health care reform proposals, quality program implementation, rural hospitals, remote medical technology, 340B Drug Pricing Program, site neutral payments, community project funding, freestanding emergency departments, Medicare payments, value-based payment models, children's health issues, CHGME, Medicaid, supplemental payment programs, violence against healthcare workers, women's health, budget proposals, reconciliation, provider taxes, non-profit status, and health care and insurance for retired services, and their families. At the state level, CHRISTUS Health addressed topics, including but not limited to staffing, Medicaid and other funding, mergers and acquisitions, benefits, medical malpractice, workforce, credentialing, general health and healthcare issues. 1.5 Executive Hours Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY HEALTHCARE POLICY IS CRITICAL TO ALL AMERICANS AND OTERO COUNTY HOSPITAL ASSOCIATION BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES. 4497631 4497631 131838046 7917286 123920760 1429658 628064 801594 36008303 19498754 16509549 1682592 1682592 147412126 ROU OPERATING 10162619 DEPOSITS 74827 ASSET CLEARING 570898 TRADE NAMES PURCHASED 8000000 INTERCOMPANY ACCOUNTS 2284813 21093157 Federal Income Taxes OTHER LONG TERM LIABILITIES 26767506 INTERCOMPANY ACCOUNTS PAYABLE 10555177 LEASE LIABILITIES, NET 10296876 TAX LIABILITIES, NET 2996289 PENSION LIABILITIES 465 HEALTH INSURANCE -74744 50541569 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. false North America (Canada & Mexico only) 0 0 Grantmaking DONATION OF MEDICAL SUPPLIES 66972 0 0 0 0 0 0 66972 0 66972 North America (Canada & Mexico only) MEDICAL ASSISTANCE 0 N/A 66972 DONATED MEDICAL SUPPLIES BOOK VALUE 0 1 false false false false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual true true X true X 300 true X 1860364 1860364 0.00679 57100162 117865687 0 0.0 0 0.0 0 0 58960526 117865687 1860364 0.00679 9 5247 648072 0 648072 0.00237 1 3 18000 0 18000 0.00007 2 242 276646 0 276646 0.00101 0 0.0 4 7565 941977 0 941977 0.00344 16 13057 1884695 0 1884695 0.00688 16 13057 60845221 117865687 3745059 0.01367 1 3 1294 0 1294 0.00000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 0 13042 0 13042 0.00005 0 0.0 0 0.0 2 3 14336 0 14336 0.00005 true 11988953 74259 49227436 54157181 -4929745 X true true ALAMOGORDO SURGERY VENTURES OUTPATIENT SURGERY CENTER 0.775 0.0 0.225 ALAMOGORDO IMAGING CENTER OUTPATIENT RADIOLOGY center 0.51 0.0 0.49 WHITE SANDS HEALTHCARE SYSTEMS LLC Physician Hospital Organization 0.5 0.0 0.5 ALAMOGORDO HOME HEALTH HOME HEALTH AND HOSPICE COMPANY 0.51 0.0 0.49 Cardiac Cath Lab Cardiac Cath Lab 0.51 0.0 0.49 1 1 CHRISTUS SOUTHERN NEW MEXICO 2669 SCENIC DR ALAMOGORDO NM 88310 HTTPS://WWW.GCRMC.ORG 6016 X X X X 37 PROVIDER CLINICS CHRISTUS SOUTHERN NEW MEXICO 1 false false true X X X X X X X X X 25 true false true true X https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve X true 25 true https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve false true X 300.0 400.0 X X X X X true true X X X X X true X HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E THE HOSPITAL FACILITY'S MOST RECENT CHNA REPORT INCLUDED A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. The most recent CHNA was completed, and the ministry CEP/President and executive leadership team reviewed and approved the CHNA prior to June 30, 2025, with board of directors' ratification on August 28, 2025. Christus Southern New Mexico (CSNM) solicited and took into account input from persons who represent the broad interests of the community served, including individuals with special knowledge of or expertise in public health. The CHNA incorporated a structured community engagement process that included qualitative input from community representatives such as public health officials, educators, local government representatives, health care professionals, social service providers, faith leaders, and other community stakeholders. Community input was gathered and analyzed using a lifespan based framework that considered the health needs of maternal and early childhood populations, school aged children and adolescents, adults, and older adults, as well as related social determinants of health, including access to care, behavioral health, poverty, housing instability, food insecurity, and transportation barriers. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. THE MOST RECENTLY CONDUCTED CHNA (TY2025) WAS CONDUCTED IN PARTNERSHIP WITH: OTERO COUNTY COMMUNITY HEALTH COUNCIL OTERO COUNTY PUBLIC HEALTH OFFICE PRESBYTERIAN MEDICAL SERVICES LOVE INC OF OTERO COUNTY ALAMOGORDO PUBLIC SCHOOLS 100% OTERO CITY OF ALAMOGORDO COPE OUTREACH CHINS OF ALAMOGORDO THRIVE Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. FY2023-2025 CHNA Prioritized Needs and Implementation Activities CSNM completed its prior Community Health Needs Assessment (CHNA) on June 30, 2022 (FY2022), establishing priorities for the FY2023-2025 implementation period. Based on community input and data analysis, the Hospital's FY2023-2025 priorities included behavioral health, access to care (accessibility), and improved prevention and management of chronic conditions, including diabetes, heart disease, and cancer. To address behavioral health, the Hospital focused on increasing access to quality mental and behavioral health treatment by expanding outpatient capacity and strengthening pathways from the emergency department to appropriate levels of care. Implementation activities included expanding outpatient behavioral health clinics in Ruidoso and Las Cruces, introducing emergency department telemedicine consultations so behavioral health patients receive rapid virtual psychiatric evaluation, and launching outreach and reminder programs to reduce outpatient no-show rates. The Hospital also maintained inpatient behavioral health capacity through a 24-bed behavioral medicine unit to meet growing demand and improve continuity of care. To improve accessibility and access to primary care, health education, and prevention, the Hospital expanded its primary care network and leveraged telemedicine and community partnerships to reduce geographic and transportation barriers. Implementation activities included recruiting 40 new primary care providers over the past three years, expanding telemedicine across outpatient settings (including school-based services), subsidizing urgent-care telemedicine in Alamogordo Public Schools so students can receive care without leaving campus, and contracting with Ruidoso Shuttle to provide free transportation to and from clinic appointments and post-discharge. The Hospital also supported local safety-net access by sustaining four Presbyterian Medical Services (PMS) Federally Qualified Health Centers (FQHCs) in Otero County and strengthened prevention-focused service lines, including launching a bariatric program in 2023 and securing certification in 2024 to support comprehensive weight management and reduce downstream chronic disease risk. To address diabetes, the Hospital implemented a multi-pronged strategy to reduce disease burden and improve quality of life through education, standardized clinical management, and advanced wound care capacity. Implementation activities included launching a Diabetes Education & Support Program with a certified diabetes educator and a dedicated outpatient clinic for group classes and one-on-one coaching, developing standardized Diabetes Clinical Pathways to ensure consistent assessment, treatment, and follow-up, deploying Community Health Workers to support navigation and self-management, and expanding wound care services including hyperbaric therapy by installing a third hyperbaric chamber to increase capacity and reduce wait times for advanced wound treatment. To address heart disease, the Hospital expanded cardiovascular services and community readiness initiatives to improve timely access to diagnostics and treatment and strengthen emergency response capacity. Implementation activities included achieving Chest Pain Center Certification, opening a dedicated cardiology clinic and specialized cardiac testing center to streamline diagnostic and specialty access, expanding AED availability by installing additional units in high-traffic areas, and offering free CPR training to nonprofit organizations and the broader community. The Hospital also cited the bariatric program's role in supporting obesity reduction as a key upstream contributor to lowering cardiovascular risk. To address cancer, the Hospital invested in local oncology infrastructure and care coordination to reduce the need for patient transfers and improve timely access to specialty treatment. Implementation activities included installing a state-of-the-art linear accelerator (enabling local radiation therapy), recruiting a full-time radiation oncologist to provide specialist access close to home, expanding and renovating the Cancer Center infusion unit and clinic to accommodate increased patient volume and enhance patient privacy, establishing a dedicated nurse navigator role to support scheduling, education, and connections to supportive services, and partnering with Ruidoso Shuttle to provide no-cost transportation for cancer-related appointments. FY2023-2025 CHNA Identified Needs Not Being Addressed Each identified need in the FY2023-2025 CHNA for CSNM was developed into an implementation strategy with defined goals, services, actions, measures, and identified community partners. Accordingly, the Hospital did not designate any identified significant needs as excluded from implementation during the FY2023-2025 cycle. FY2026-2028 CHNA Prioritized Needs and Implementation Approach The most recent CHNA for CSNM System was completed on June 30, 2025 (FY2025), establishing priorities for the FY2026-2028 implementation period. The FY2026-2028 CHNA uses a lifespan approach and identifies leading indicators across life stages, including (among others): healthy births and access to child care (maternal/early childhood); behavioral health/mental health and substance abuse (school-age/adolescent); access to care, behavioral health/mental health (adult); and for older adults, access to care, behavioral health/mental health, inability to perform activities of daily living. Through its FY2026-2028 Community Health Implementation Plan, the Health System is addressing these priorities using a systems of care approach that includes hospital led initiatives, community benefit funding, and strategic partnerships with community based organizations. Strategies emphasize expanding access to care, strengthening the health workforce pipeline, improving food access through targeted initiatives, and supporting community partners working to address housing stability and public safety. FY2026-2028 CHNA Identified Needs Not Being Addressed CSNM's 2026-2028 CHNA identified a broad range of important health and social needs across our service area. However, not all of these needs fall within the direct scope of services or resources that the CSNM can lead or sustain independently. Some community issues require specialized focus, infrastructure or mission alignment of other organizations, agencies or collaborative groups better positioned to lead efforts in those areas. Examples of these needs may include, but are not limited to poverty, child care, domestic violence and housing instability. Although CSNM will not serve as the primary lead on these issues, we recognize their direct impact on health outcomes and the overall well-being of our patients and communities. For this reason, we remain deeply committed to collaborating with community partners who address these needs, participating in coalitions, supporting aligned initiatives and ensuring that our strategies complement and enhance their work. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY GUIDELINES WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB. Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY FOR AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY AND ADMISSIONS AREAS. IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE). EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING THE TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - CHRISTUS SOUTHERN NEW MEXICO. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN. 37 CHRISTUS SURGERY CENTER 2559 MEDICAL DR SUITE 1100 ALAMOGORDO NM 88310 OUTPATIENT Surgery Center CSNM ALAMOGORDO IMAGING CENTER 2539 MEDICAL DR STE 101 ALAMOGORDO NM 88310 OUTPATIENT RADIOLOGY CHRISTUS URGENT CARE 250 E 1ST ST ALAMOGORDO NM 88310 URGENT CARE CENTER CSNM CANCER CENTER 2559 MEDICAL DR SUITE G ALAMOGORDO NM 88310 CLINIC CSNM Behavior Medicine 2351 25TH ST COMPLEX B ALAMOGORDO NM 88310 CLINIC CSNM Orthopedics 2559 MEDICAL DR SUITE 3100 ALAMOGORDO NM 88310 CLINIC CSNM Women's Health 2559 MEDICAL DR SUITE 2100 ALAMOGORDO NM 88310 CLINIC CSNM Surgical Associates 2559 MEDICAL DR SUITE 3200 ALAMOGORDO NM 88310 CLINIC Christus Sleep Center 2474 INDIAN WELLS RD B ALAMOGORDO NM 88310 CLINIC Champion Home HealthAHH 1859 INDIAN WELLS RD ALAMOGORDO NM 88310 HOME HEALTH CARE FACILITY CSNM Cardiology 2559 MEDICAL DR SUITE 2200 ALAMOGORDO NM 88310 CLINIC Christus Surgery Center - Indian Wells 2301 INDIAN WELLS SUITE B ALAMOGORDO NM 88310 OUTPATIENT Surgery Center CSNM Family Medicine - 25 st 2351 25TH ST UNIT A ALAMOGORDO NM 88310 CLINIC CSNM Pediatrics 2559 MEDICAL DR SUITE D ALAMOGORDO NM 88310 CLINIC CSNM Family Medicine 2539 MEDICAL DR SUITE 110 ALAMOGORDO NM 88310 CLINIC CSNM Bone & Joint - Alamogordo 2301 INDIAN WELLS SUITE A ALAMOGORDO NM 88310 CLINIC CSNM Internal Medicine 2559 MEDICAL DR SUITE C ALAMOGORDO NM 88310 CLINIC CSNM Endocrinology 2579 SCENIC DR SUITE A ALAMOGORDO NM 88310 CLINIC CSNM Internal Medicine - 9th 1101 9TH ST ALAMOGORDO NM 88310 CLINIC CSNM Family Medicine 10th St 1401 TENTH ST SUITE 1 ALAMOGORDO NM 88310 CLINIC CSNM Pain Management 2559 MEDICAL DR SUITE 3300 ALAMOGORDO NM 88310 CLINIC CSNM Pain Management Roswell 400 NORTH PENNSYLVANIA AVE ROSWELL NM 88201 CLINIC CSNM Sleep & Behavioral - Ruidoso 101 5TH ST RUIDOSO NM 88345 CLINIC CSNM Occupational Health 2559 MEDICAL DR SUITE 3100 ALAMOGORDO NM 88310 CLINIC CSNM Gastroenterology 2539 MEDICAL DR SUITE 107 ALAMOGORDO NM 88310 CLINIC CSNM Neurology 2539 MEDICAL DR SUITE 104 ALAMOGORDO NM 88310 CLINIC CSNM Neurology & Diagnostics 2050 SCENIC DR ALAMOGORDO NM 88310 CLINIC CSNM Pulmonology 2559 MEDICAL DR SUITE F ALAMOGORDO NM 88310 CLINIC CSNM Urology 2539 MEDICAL DR COMPLEX A SUITE 103 ALAMOGORDO NM 88310 CLINIC CSNM Bone & Joint - Las Cruces 2951 N ROADRUNER PKWY SUITE A LAS CRUCES NM 88011 CLINIC CSNM Nephrology 2579 N SCENIC DR B ALAMOGORDO NM 88310 CLINIC CSNM Bone & Joint - Ruidoso 26130 HWY 70 RUIDOSO NM 88345 CLINIC CSNM Thunderbird 1212 9TH ST SUITE C ALAMOGORDO NM 88310 CLINIC CSNM Osteo Clinic 2559 MEDICAL DR SUITE 3100 ALAMOGORDO NM 88310 CLINIC CSNM Family Medicine Ruidoso 101 5TH ST RUIDOSO NM 88345 CLINIC CSNM Behavioral Health Las Cruces 3865 E LOHMAN AVE SUITE 4 LAS CRUCES NM 88011 CLINIC CSNM Diabetes Education 2559 MEDICAL DR SUITE B ALAMOGORDO NM 88310 CLINIC Schedule H, Part V, Section B, Line 14 Basis for calculating amounts charged to patients Charge calculations are based on a variety of factors, including the cost of supplies, labor and overhead needed to provide the service. Other factors include the Medicare allowable fee schedule, and comparison of the organization with the immediate competition's chargemasters. Charge prices are reviewed by the organization on an annual basis. Schedule H, Part I, Line 3c criteria used for determining eligibility for free or discounted care. THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES WHEN DETERMINING FREE CARE, PATIENTS WHO HAVE HOUSEHOLD INCOME AT OR BELOW 300% OF THE FPG ARE ELIGIBLE TO RECEIVE FREE CARE. THE ORGANIZATION OFFERS AN AUTOMATIC 25% DISCOUNT TO SELF-PAY PATIENTS AND WILL OFFER AN ADDITIONAL 10% DISCOUNT TO SELF-PAY PATIENTS WHO PAY THE BALANCE OF THEIR BILL WITHIN 30 DAYS OF THE BILLING DATE. IN ADDITION, THE FACILITY WILL WORK WITH PATIENTS ON SETTLEMENTS ON A CASE-BY-CASE BASIS BASED ON SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF CSNM. DETERMINING FAMILY NEED IS ALSO BASED ON AN APPLICATION PROCESS WHICH TAKES INTO ACCOUNT THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT. Schedule H, Part I, Line 7 Financial Assistance and Certain Other Community Benefits at Cost THE HOSPITAL'S COSTING METHODOLOGY IS BASED ON COST TO CHARGE RATIOS IN THE MEDICARE COST REPORT. IT CURRENTLY DOES NOT USE A COST ACCOUNTING SYSTEM. Schedule H, Part I, Line 7g COSTS ATTRIBUTABLE TO PHYSICIANS' CLINICS AMOUNTS REPORTED ARE BASED ON THE MEDICARE COST REPORT FIGURES. LINE 7G INCLUDES $XXX COSTS ATTRIBUTABLE TO PHYSICIANS' CLINICS. Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE: LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS Schedule H, Part I, Line 7i CASH AND INKIND CONTRIBUTIONS The following uniform narrative was added for Line 7i: THE HOSPITAL MADE CASH AND IN-KIND CONTRIBUTIONS DURING THE FISCAL YEAR. THE AMOUNT IS CALCULATED FOLLOWING REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. THIS AMOUNT DIFFERS FROM GRANTS REPORTED IN FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS, AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $334,098 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY Christus Southern New Mexico. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT CHRISTUS Southern New Mexico SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE COMMUNITY. Schedule H, Part I, Line 7k PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN(A) IS $286,940,470. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $11,988,953. THIS LEAVES A TOTAL EXPENSE OF $274,951,517 FOR PURPOSES OF CALCULATING LINES 7, COLUMN(F). Schedule H, Part I, Line 7k FIN ASSISTANCE/ OTHER BENEFITS AS APERCENTAGE OF COST THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE, AS REPORTED IN PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF THE TOTAL EXPENSE, IS 20.99%, WHICH EXCEEDS THE AMOUNT REPORTED IN PART I, LINE 7K, COLUMN (F), WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/christus-southern-new-mexico-financial-assistance-application.ashx Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE SUMMARY WEBSITE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2021plainlanguagesummaryhospitalenglish.ashx Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS THE HOSPITAL DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NONPAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 18 OR 19 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11. Schedule H, Part V, Section B, Line 18 ACTIONS REGARDING ELIGIBILITY UNDER FAP THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. Schedule H, Part V, Section B, Line 22 FAP ELIGIBLE EMERGENCY OR OTHER MEDICAL CARE THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR 2025 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 40% OF CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL) OR RECEIVED FREE CARE (FOR INCOMES AT OR BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE. Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. Schedule H, Part I, Line 5a BUDGETED CHARITY CARE THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES. Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. Schedule H, Part I, Line 7b UNREIMBURSED MEDICAID THE HOSPITAL REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. Schedule H, Part VI Rev. Proc. 2015-21 Disclosure Community Health Needs Assessment (CHNA) Adoption and Public Availability Section 501(r)(3) requires each hospital facility to conduct a CHNA at least once every three years and to make the CHNA report widely available to the public. A CHNA is treated as conducted only after all required steps are completed, including adoption of the CHNA report by an authorized body and making the CHNA report widely available (including via website posting). The hospital's three-year CHNA period ended on June 30, 2025. The CHNA report for the hospital was completed and reviewed by its CEO/President and executive leadership team prior to June 30, 2025. However, formal ratification by the hospital's board of directors of the CHNA report's adoption occurred subsequently on August 28, 2025, and the hospital posted the ratified CHNA report on their websites as soon as practicable thereafter. On September 8, 2025, CHRISTUS Health identified that the hospital's board of directors provided ratification of the CHNA report's adoption, and the corresponding public posting of the ratified CHNA report, occurred after the end of the June 30, 2025 three-year CHNA period. CHRISTUS Health determined that responsible associates had incorrectly assumed that COVID-era IRS relief extending certain §501(r)(3) CHNA-related deadlines continued to apply and permitted additional time to complete the remaining CHNA-related steps. However, Treasury Regs. 1.501(r)-3(a)(2) and 1.501(r)-1(b)(4)(i) require adoption of the CHNA report by the hospital's governing body (or a properly delegated authorized body), and no delegation of authority had been made by the hospital's governing body (its board of directors) for executive leadership to adopt the CHNA report in lieu of the board of directors. Executive leadership approval of the CHNA report was ratified by the hospital's board of directors on August 28, 2025. Upon identification of the timing issue, CHRISTUS Health promptly implemented corrective actions. These actions included confirming that formal governing-body adoption/ratification had occurred, ensuring that the ratified CHNA reports were posted and publicly accessible on the applicable hospital's website, and adding clarifying language within the CHNA report describing the timing of executive leadership review (prior to June 30, 2025) and the date of formal board of director approval (August 28, 2025). All related CHNA implementation strategies were approved by the hospital's board of directors on August 28, 2025, prior to the November 15, 2025 deadline. CHRISTUS Health is not aware of any individuals who were adversely affected by the board of directors' delay in ratifying the adoption of their respective hospital's CHNA report. To prevent recurrence, CHRISTUS Health has enhanced internal compliance procedures for its hospital facilities by establishing formal approval processes and timelines, clarifying responsibility for monitoring Section 501(r) deadlines, and documenting governing-body approvals and any delegated authority for approval of future CHNA reports and implementation strategies. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 11988953 Schedule H, Part II Community Building Activities THE ORGANIZATION SUPPORTS RUNNER'S REFUGE, A MINISTRY THAT PROVIDES HELP TO INDIVIDUALS STRUGGLING WITH ADDICTION AND HOMELESSNESS. THROUGH THE FY25 CHRISTUS FUND AWARD, RUNNERS REFUGE AWARDED $75,000 FOR PROVIDING HEALTH FOOD ACCESS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE FILING ORGANIZATION RECOGNIZED THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30 PERCENT OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHER WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2025, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73 PERCENT OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2025. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.6194 PERCENT OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2025 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES (US GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY AT THE DATE OF THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENTS AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs For the current year, a shortfall of $4.9 million was reported on Line 7. Consistent with applicable IRS guidance, the organization considers a portion of this shortfall to qualify as community benefit. The shortfall primarily reflects unreimbursed costs associated with providing medically necessary care to low-income and vulnerable populations in New Mexico, including individuals covered by Medicaid and those who are underinsured. Medicaid reimbursement rates in New Mexico remain significantly below the cost of care, resulting in substantial unrecovered expenses related to patient services. In addition, the shortfall includes costs related to community-based health programs, care coordination, and essential clinical services that are necessary to meet the health needs of the community but are not fully reimbursed by governmental or commercial payers. These services support improved access to care, chronic disease management, and health equity in a medically underserved region. To the extent permitted under IRS community benefit standards, the organization believes that this shortfall should be treated as community benefit, as it directly supports the organization's charitable mission and alleviates the burden on public health systems by ensuring continued access to care for vulnerable populations across southern New Mexico. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH THE ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP. Schedule H, Part V, Section B, Line 16a FAP website - CHRISTUS SOUTHERN NEW MEXICO: Line 16a URL: HTTPS://WWW.CHRISTUSHEALTH.ORG/PLAN-CARE/BILL-PAY/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - CHRISTUS SOUTHERN NEW MEXICO: Line 16b URL: SEE SUPPLEMENTAL INFO; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CHRISTUS SOUTHERN NEW MEXICO: Line 16c URL: SEE SUPPLEMENTAL INFO; Schedule H, Part VI, Line 2 Needs assessment IN 2023, CSNM BECAME PART OF CHRISTUS HEALTH WHICH ASSISTED IN COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN AND TO PROVIDE INFORMATION FROM SECONDARY DATA SOURCES TO ASSIST IN IDENTIFYING NEEDS THAT EXIST IN THE COMMUNITY. THIS INCLUDES DATA FROM BOTH LOCAL AND NATIONAL DATA SOURCES - INCLUDING THE U.S. CENSUS, AMERICAN COMMUNITY SURVEY AND METOPIO - THE FINDINGS EXPLORE A WIDE RANGE OF DEMOGRAPHIC, SOCIOECONOMIC, ENVIRONMENT AND HEALTH INDICATORS. THE HEALTH NEEDS IDENTIFIED AS SIGNIFICANT IN THIS ASSESSMENT INCLUDED ACCESS TO CARE, BEHAVIORAL HEALTH, POVERTY, AND FOOD INSECURITY. THE CONCLUSIONS REACHED IN THIS ASSESSMENT WERE IMPLEMENTED IN 2025. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY - CHRISTUS SOUTHERN NEW MEXICO (CSNM) WILL PROVIDE UNDERSTANDABLE, WRITTEN GUIDELINES TO STAFF AND PATIENTS RELATIVE TO HOW THE HOSPITAL EVALUATES AND DETERMINES: 1) A PATIENT'S ELIGIBILITY FOR CHARITY CARE; 2) AN UNINSURED PATIENT'S ELIGIBILITY FOR DISCOUNTS; AND 3) A PATIENT'S ELIGIBILITY FOR ALTERNATE PAYMENT PLANS. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE EMERGENCY ROOM AND THROUGHOUT THE ENTIRE HOSPITAL. THE PATIENTS ARE ALSO INFORMED THROUGH DIRECT COMMUNICATION WITH FINANCIAL COUNSELORS, AND THESE POLICIES ARE EXPLAINED IN DETAIL TO GUARANTORS WHO ADVISE CSNM THAT THEY ARE UNABLE TO PAY THEIR ACCOUNT OR NEED HELP IN STRUCTURING AN AFFORDABLE PAYMENT PLAN FOR THEIR ACCOUNT. THE HOSPITAL PROVIDES SERVICES TO ANYONE IN NEED OF MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SUCH SERVICES. CHARITY CARE AND DISCOUNTS FOR THE UNINSURED WILL BE AVAILABLE FOR MEDICALLY NECESSARY HOSPITAL CARE PROVIDED TO PERSONS WHO MEET THE FINANCIAL AND DOCUMENTATION CRITERIA DEFINED IN THIS POLICY. DETERMINATIONS HEREUNDER WILL BE BASED SOLELY ON THE PATIENT'S ABILITY TO PAY AND WILL NOT BE MADE ON THE BASIS OF AGE, SEX, RACE, CREED, DISABILITY, SEXUAL ORIENTATION OR NATIONAL ORIGIN. CSNM PROVIDES FINANCIAL ASSISTANCE TO PATIENTS BASED ON THEIR INCOME, ASSETS, AND NEEDS. THROUGH OUR FINANCIAL COUNSELING SERVICES, WE ASSIST PATIENTS WITH MEDICAID ELIGIBILITY OR LOW-COST HEALTH INSURANCE THROUGH THE EXCHANGE (BE WELL NEW MEXICO), OR WORK WITH PATIENTS TO ARRANGE A MANAGEABLE PAYMENT PLAN. UNINSURED PATIENTS ARE ELIGIBLE FOR A 25% DISCOUNT. A 25% DISCOUNT IS APPLIED TO THE TOTAL CHARGES OF A SELF-PAY PATIENT AT THE TIME OF SERVICE OR THE FIRST BILLING. NOTICE WILL BE SENT AT THE TIME OF THE FIRST BILLING INFORMING THE PATIENT/GUARANTOR THAT AN ADDITIONAL 10% WILL BE DEDUCTED IF THE ACCOUNT IS PAID WITHIN 30 DAYS OF THE DATE OF SERVICE. Schedule H, Part VI, Line 4 Community information OTERO COUNTY HOSPITAL ASSOCIATION D/B/A CHRISTUS SOUTHERN NEW MEXICO ("CSNM") ACTIVITIES ARE CONDUCTED ON ITS 66-ACRE CAMPUS LOCATED IN ALAMOGORDO, NEW MEXICO. ALAMOGORDO IS APPROXIMATELY 89 MILES NORTH OF EL PASO, TEXAS, AND 209 MILES SOUTHEAST OF ALBUQUERQUE, NEW MEXICO. CSNM OWNS AND OPERATES A 98-BED CARE HOSPITAL (THE "HOSPITAL") ON THE CAMPUS. IN ADDITION TO THE MAIN CAMPUS, THE HOSPITAL HAS SATELLITE LOCATIONS INCLUDING CLINICS AND PHYSICIAN OFFICES THROUGHOUT THE CITY. THE COMBINED OPERATING SPACE OF THE MAIN CAMPUS AND THESE ADDITIONAL OFFICES TOTALS APPROXIMATELY 432,000 SQUARE FEET. OTHER FACILITIES THAT THE HOSPITAL OWNS LOCATED ON THE MAIN CAMPUS INCLUDE TWO MEDICAL OFFICE BUILDINGS, COMPLEX A AND B THAT HAVE AN OUTPATIENT SURGERY CENTER AND AN IMAGING CENTER OWNED AND OPERATED BY LIMITED LIABILITY COMPANIES IN WHICH CSNM HAS AN INTEREST. CSNM ALSO OWNS SIX FACILITIES LOCATED OFF THE MAIN CAMPUS THAT ARE EITHER LEASED TO INDEPENDENT PRIMARY CARE/SPECIALTY CARE PROVIDERS OR OCCUPIED BY EMPLOYED PHYSICIANS. CSNM'S PRIMARY SERVICE AREA IS NORTHWESTERN OTERO COUNTY FROM WHICH 84% OF ITS ADMISSIONS ORIGINATE. CSNM IS THE SOLE COMMUNITY PROVIDER IN ITS PRIMARY SERVICE AREA WITH THE NEAREST TERTIARY CARE HOSPITAL LOCATED APPROXIMATELY 70 MILES FROM THE HOSPITAL. THE DELIVERY MECHANISMS OF CARE AT THE HOSPITAL INCLUDE BOTH INPATIENT AND OUTPATIENT SERVICES: 24-HOUR STAFFED LEVEL III TRAUMA EMERGENCY DEPARTMENT; ACUTE CARE INPATIENT THROUGH MEDICAL/SURGICAL, INTENSIVE CARE, PROGRESSIVE CARE UNIT, TELEMETRY, MATERNAL CHILD, AND BEHAVIORAL MEDICINE, SURGERY DEPARTMENT SUPPORTED BY PRE-ADMIT, OUTPATIENT CARE UNIT AND POST-ANESTHESIA CARE UNIT; HOSPITAL-OWNED PHYSICIAN PRACTICES IN THE AREAS OF FAMILY PRACTICE, WOMEN'S SERVICES INCLUDING OBSTETRICS, ORTHOPEDICS, NEPHROLOGY, INTERNAL MEDICINE, OUTPATIENT BEHAVIORAL MEDICINE, PEDIATRICS, GASTROENTEROLOGY, ENDOCRINOLOGY, PAIN MANAGEMENT AND NEUROLOGY; CAP CERTIFIED LABORATORY SERVICES WITH THE CAPABILITY TO PERFORM OVER 225 DIFFERENT PROFILES AND TESTS IN-HOUSE; INPATIENT AND OUTPATIENT DIAGNOSTIC IMAGING SERVICES, INCLUDING X-RAY, 64-SLICE/CT AND PET/CT WITH 20 SLICE CT SCAN, MRI, ULTRASOUND, FLUOROSCOPY, INTERVENTIONAL RADIOLOGY, RADIOFREQUENCY ABLATION AND NUCLEAR MEDICINE; INPATIENT AND OUTPATIENT COMPREHENSIVE CARDIOPULMONARY SERVICES INCLUDING BEHAVIOR SLEEP MEDICINE, HOLTER MONITORING, EVENT MONITORING AND IMPEDANCE CARDIOGRAPHY. THE HOSPITAL CONVERTED THE 12 IRF BEDS TO JOINT ORTHO TRAUMA BEDS; REDUCED MCU FROM 12 BEDS TO 8; REDUCED BEHAVIORAL HEALTH FROM 36 BEDS TO 24; INCREASED MEDICAL/SURGICAL FROM 30 BEDS TO 35; AND ADDED 11 PROGRESSIVE CARE UNITS. CSNM AND THE HOLLOMAN AIR FORCE BASE (HAFB) 49TH MEDICAL GROUP, A GROUP OF MILITARY PROVIDERS AND SUPPORT STAFF FROM THE HAFB, HAVE ENJOYED A CLOSE WORKING RELATIONSHIP, AND HAVE HAD SHARED COVERAGE ARRANGEMENTS. SUCH ARRANGEMENTS INCLUDED LABORATORY AND X-RAY SERVICES IN A DISASTER, OBSTETRICAL COVERAGE, AND COVERAGE FOR THE HAFB 49TH MEDICAL GROUP WHEN THEY WERE DEPLOYED FOR DESERT STORM IN 1991. FOLLOWING DESERT STORM AND THE RETURN OF THE HAFB 49TH MEDICAL GROUP, THE DEPARTMENT OF DEFENSE MADE THE DECISION TO LEAVE ALL THE OBSTETRICAL SERVICES WITH CSNM AND THE LOCAL OBSTETRICIANS. AS OF 2017, HOLLOMAN SUPPORTS MORE THAN 21,000 ACTIVE DUTY, GUARD, RESERVE, RETIREES, DEPARTMENT OF DEFENSE CIVILIANS AND THEIR FAMILY MEMBERS. CSNM'S PRIMARY SERVICE AREA (THE "PSA") IS IN NORTHWESTERN OTERO COUNTY, FROM WHICH MOST OF CSNM'S ADMISSIONS ORIGINATE. LOCATED IN SOUTHEASTERN NEW MEXICO, OTERO COUNTY ENCOMPASSES 6,627 SQUARE MILES AND INCLUDES THE CITIES OF ALAMOGORDO AND TULAROSA. ACCORDING TO THE U.S. CENSUS BUREAU, THE POPULATION OF OTERO COUNTY IN 2024 WAS 69,711, REFLECTING A 0.51% ANNUAL GROWTH FROM 2023. THE HOSPITAL IS THE ONLY ACUTE CARE HOSPITAL WITHIN THE PSA AND IS A SOLE COMMUNITY PROVIDER. MANAGEMENT OF CSNM ESTIMATES THAT THE MARKET SHARE OF ADMISSIONS TO TEXAS HOSPITALS IS 22.9%, TO LAS CRUCES, NM, HOSPITALS IS 9.4%, AND TO ALBUQUERQUE HOSPITALS IS 3.9%. THE HOSPITAL CAPTURES 61% OF THE INPATIENT MARKET SHARE WITHIN THE PSA. THE SECONDARY SERVICE AREA COVERS A SUBSTANTIAL PORTION OF THE REMAINDER OF OTERO COUNTY, AS WELL AS THE SOUTH CENTRAL PORTION OF LINCOLN COUNTY. THE SECONDARY SERVICE AREA INCLUDES RUIDOSO, THE POPULATION OF WHICH WAS HAS DECLINED TO 7,701 FROM 8,377 IN 2021. THE TERTIARY SERVICE AREA COVERS A SMALL PORTION OF OTERO COUNTY AND CHAVES COUNTY. THERE ARE NO OTHER MAJOR MEDICAL CENTERS WITHIN OTERO COUNTY. Schedule H, Part VI, Line 5 Promotion of community health THE BUSINESS AND AFFAIRS OF CSNM ARE SUBJECT TO THE OVERALL GOVERNANCE AND DIRECTION OF ITS BOARD OF DIRECTORS. THE BOARD OF DIRECTORS CONSISTED OF 11 MEMBERS AS OF JUNE 30, 2025. EACH MEMBER IS APPOINTED BY THE BOARD OF DIRECTORS AND SERVES A THREE-YEAR TERM IN A SELF-PERPETUATING BOARD. THE BOARD OF DIRECTORS FILLS VACANCIES THAT MAY OCCUR. OFFICERS OF THE BOARD OF DIRECTORS INCLUDE A CHAIRMAN, VICE CHAIRMAN, AND SECRETARY/TREASURER. AS A NONPROFIT ORGANIZATION AND A PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA IT SERVES GUIDES CNSM. CSNM'S MEDICAL STAFF IS ORGANIZED INTO DIVISIONS OF MEDICINE, MEDICAL SUBSPECIALTIES, SURGERY AND OUTPATIENT SERVICES. IN ADDITION TO SPECIALIZED MEDICAL/SURGICAL SERVICES PROVIDED BY BOTH EMPLOYED AND CONTRACTED PHYSICIANS AND MEDICAL GROUPS, CSNM ALSO OFFERS EMERGENCY MEDICAL SERVICES, INCLUDING A HELICOPTER SERVICE WHICH IS NOT OWNED BY CSNM BUT IS ON-SITE 24 HOURS A DAY. CSNM EMPLOYS AROUND-THE-CLOCK HOSPITALISTS (I.E., PHYSICIANS WHO DEVOTE THEIR PROFESSIONAL TIME TO THE CARE OF HOSPITALIZED PATIENTS). THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. A PORTION OF RETAINED EARNINGS ARE RE-INVESTED INTO THE PURCHASE OF CAPITAL EQUIPMENT, ELECTRONIC MEDICAL RECORD SOFTWARE, CONTINUING EDUCATION FOR CLINICAL STAFF INCLUDING PHYSICIANS, AND A PROFESSIONALLY MANAGED DIVERSIFIED PORTFOLIO OF MARKETABLE SECURITIES. CSNM VIEWS THE POSITION OF SOLE PROVIDER AS A SIGNIFICANT COMMITMENT TO THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY. IN ADDITION TO ITS FOCUS ON PROVIDING QUALITY HEALTHCARE, THE ORGANIZATION STRIVES TO FACILITATE AND SHARE OPPORTUNITIES TO EDUCATE, MOTIVATE A PHILOSOPHY OF WELLNESS IN THE COMMUNITY and extend the healing hand of Jesus Christ. THE PRIMARY TARGET IS THE DISEASE PROCESS THAT WE KNOW CAN BE ELIMINATED OR IMPROVED BY CHANGING OR MODIFYING HUMAN BEHAVIOR. AS WITH ANY COMMUNITY, THE POPULATION HAS A VARIETY OF EDUCATIONAL BACKGROUNDS. THE GOAL IS TO DEVELOP PROGRAMS THAT TARGET THE NEEDS AND UNDERSTANDING OF THE COMMUNITY. PHYSICIANS/PROVIDERS ARE UTILIZED TO PROVIDE OPEN FORUMS THAT PRESENT HEALTH-RELATED ISSUES, I.E. ARTHRITIS, NEPHROLOGY, NEUROLOGY, ORTHOPEDIC ISSUES, ETC., FOLLOWED BY QUESTIONS AND TIME FOR INDIVIDUAL DISCUSSION. THIS TYPE OF PROGRAM IS OFFERED WITH A FREE LUNCH, EDUCATIONAL MATERIALS, AND IF APPROPRIATE, FREE SCREENINGS, SUCH AS GLUCOSE OR BLOOD PRESSURE. THERE IS AN AVERAGE OF 90 PARTICIPANTS IN EACH OF THESE SEMINARS. THE ORGANIZATION IS VERY COMMUNITY-MINDED IN ITS EFFORTS TO PROMOTE HEALTH. STAFF PARTICIPATES IN HEALTH FAIRS IN THE PUBLIC SCHOOLS, AND HOSTS AN ANNUAL FREE SPORTS PHYSICAL CLINIC FOR SCHOOL-AGE CHILDREN. AT CSNM, WE FEEL IT IS IMPORTANT TO EMBRACE COMMUNITY NEEDS THAT PROMOTE GOOD CITIZENSHIP. AS AN ORGANIZATION WE SUPPORT EMPLOYEE INVOLVEMENT IN OUTSIDE ACTIVITIES THROUGH CONTRIBUTIONS, DEDICATED TIME AND SPONSORSHIP. ADMINISTRATION AND STAFF MEMBERS SERVE ON COMMUNITY BOARDS, DEDICATING MANY HOURS OF SUPPORT TO THOSE ORGANIZATIONS. THE FOLLOWING CLASSES ARE PROVIDED FOR THE COMMUNITY IN OUR CONFERENCE ROOM CENTER: DIABETIC EDUCATION, NARCOTICS ANONYMOUS, CHILDBIRTH CLASSES, NEW BABY CLASS, AND CPR/BASIC LIFE SUPPORT TO NAME A FEW. CSNM HAS BEEN A TOP SUPPORTER OF THE THRIVE, WHICH PROVIDES MONEY FOR MANY OF THE LOCAL COMMUNITY ORGANIZATIONS. CSNM PARTNERS WITH THE AMERICAN CANCER SOCIETY TO OFFER THE LOOK GOOD FEEL-GOOD PROGRAM AND THE GIFT CLOSET. THE PROGRAM IS HOUSED OFF CAMPUS IN A LEASED BUILDING AND HAS BROUGHT A HIGHLY VALUED SERVICE TO OUR COMMUNITY. THE GIFT CLOSET PROVIDES FREE WIGS, PROSTHESES, SUPPLIES, EDUCATION AND SUPPORT TO CANCER PATIENTS AND THEIR FAMILIES. THE OPPORTUNITY TO UTILIZE OUR SPEAKER'S BUREAU IS AVAILABLE TO ANY ORGANIZATION IN THE COMMUNITY. A PRESENTATION REGARDING HEALTH-RELATED TOPICS CAN BE PREPARED WITH LIMITED NOTICE TO MEET THE NEEDS OF THE ORGANIZATION. THE WEALTH OF KNOWLEDGE IN OUR ORGANIZATION ALLOWS US TO CREATE AN APPROPRIATE FIT FOR THE REQUESTED NEED. Schedule H, Part VI, Line 6 Affiliated health care system OTERO COUNTY HOSPITAL ASSOCIATION IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN THE STATES OF ARKANSAS, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO, COLOMBIA, AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING OTERO COUNTY HOSPITAL ASSOCIATION, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. OTERO COUNTY HOSPITAL ASSOCIATION, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. Schedule H, Part VI, Line 7 State filing of community benefit report NM true Alamogordo Chamber of Comm 850109297 501(c)(6) 10000 Sponsorship NM State Univ Fdn Inc 850170157 501(c)(3) 168000 Community Benefit Otero County Fair Assoc 856011829 501(c)(3) 191296 Community Benefit PMS Alamogordo 850206810 501(c)(3) 150000 Public Health PMS Chaparral NM Clinic 850206810 501(c)(3) 200000 Public Health PMS Sacramento Mtn Ctr 850206810 501(c)(3) 100000 Public Health PMS Tularosa 850206810 501(c)(3) 50000 Public Health Thrive 850197559 501(c)(3) 103582 Community Benefit 7 1 Transportation Assistance 2620 182928 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, 'CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS'. BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST, CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT, BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. X X X false true false false false true true true false SAM BAGCHI MD BOARD DIRECTOR 0 1276855 0 2272809 0 471564 0 13801 0 30430 0 4065459 0 459831 RANDY SAFADY BOARD DIRECTOR 0 1576199 0 2784192 0 2093219 0 19731 0 10695 0 6484036 0 1177444 PAUL GENERALE BOARD DIRECTOR 0 1322964 0 2340994 0 1560791 0 30871 0 10618 0 5266238 0 1560141 KIMBERLY KING WEBB BOARD DIRECTOR 0 742665 0 871874 0 113124 0 13801 0 20563 0 1762027 0 112474 ROBERT J HECKERT CHIEF EXECUTIVE OFFICER (TERM 03/25) 0 488949 0 666807 0 20390 0 13801 0 2451 0 1192398 0 0 WILLIAM POLLARD CHIEF MEDICAL OFFICER 0 291405 0 293400 0 0 0 55726 0 19684 0 660215 0 0 BASHAR NASER CHIEF FINANCIAL OFFICER 0 377435 0 188737 0 0 0 37900 0 20767 0 624839 0 0 REUBEN MURRAY CHIEF EXECUTIVE OFFICER (EFF 3/25) 0 347318 0 151188 0 49591 0 38673 0 17424 0 604194 0 49441 KERRY BOLIN CHIEF NURSING OFFICER 0 207698 0 115651 0 0 0 37141 0 9468 0 369958 0 0 ROBERT MIDDLETON VP OF OPERATIONS 286204 0 39800 0 1039 0 8180 0 78030 0 413253 0 0 0 PETER SEAMAN VP OF FINANCE 228890 0 39800 0 159 0 7716 0 49571 0 326136 0 0 0 CHARLES RACE PHYSICIAN 970699 0 42000 0 674 0 7102 0 69244 0 1089719 0 0 0 FERIAL ABOOD PHYSICIAN 492040 0 367515 0 674 0 8134 0 26993 0 895356 0 0 0 ANDREW PIKE PHYSICIAN 739711 0 42445 0 80 0 9754 0 77847 0 869837 0 0 0 DREW MILLER PHYSICIAN 696155 0 16000 0 20043 0 14019 0 26977 0 773194 0 0 0 ANDREW CHRISTENSEN MD PHYSICIAN 531853 0 108833 0 25053 0 13375 0 77847 0 756961 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR 2024: RANDY SAFADY - $2,092,569 PAUL GENERALE - $1,560,141 SAM BAGCHI - $471,564 KIMBERLY KING WEBB - $112,474 REUBEN MURRAY - $49,441 ROBERT J HECKERT - $20,390 Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization THE ORGANIZATION'S OFFICERS LISTED IN PART VII, SECTION A, ARE EVALUATED ANNUALLY BASED ON A SET OF EVIDENCE-BASED GOALS THAT DETERMINE THEIR ELIGIBILITY FOR ADDITIONAL COMPENSATION. THE SELECT GOALS ARE WEIGHTED IN A HIERARCHY OF CORE AND JOB-SPECIFIC COMPETENCIES, WHICH INCLUDE QUALITY OF CARE, FINANCIAL PERFORMANCE, AND PATIENT PERCEPTION OF CARE MEASURE. ONE OF THE CRITERIA DESIGNED TO ENHANCE ALIGNMENT OF THE ORGANIZATION'S GOAL FOR CONTINUED FINANCIAL STABILITY IS IMPROVEMENT OF NET EARNINGS OF BOTH THE HOSPITAL AND ITS RELATED ORGANIZATIONS. Schedule J, Part I, Line 7 Non-fixed payments BONUSES WERE AWARDED FOR ALL EMPLOYEES FOR MEETING ORGANIZATIONAL GOALS AND WERE APPROVED BY THE BOARD. Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION THE BONUS AND INCENTIVE COMPENSATION REPORTED AS RELATED COMPENSATION WAS PAID TO THE FOLLOWING PERSONS BY CHRISTUS HEALTH, A RELATED ORGANIZATION OF THE FILING ENTITY: RANDY SAFADY; PAUL GENERALE; KIMBERLY KING WEBB; KERRY BOLIN; BASHAR NASER; SAM BAGCHI; WILLIAM POLLARD; ROBERT J HECKERT; AND REUBEN MURRAY Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION DEFERRED COMPENSATION W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. Schedule J, Part II, Column (B)(ii) SUPPLEMENTAL COMPENSATION INFORMATION BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2024. Schedule J, Part II, Column (C) DEFERRED COMPENSATION DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. DOING BUSINESS AS Christus Southern New Mexico Christus Southern New Mexico Alamogordo Imaging Center Christus Surgery Center Gerald Champion Regional Medical Center Southwest Medical Spa Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION Patient Care Services Otero County Hospital Association responds to the health care needs of the community through services provided at 1 campus: - CHRISTUS Southern New Mexico, a 100-bed hospital in Alamogordo Each facility shares the objective of leading the way to a healthier community. Otero County Hospital Association is located in New Mexico, serving a population of 49,861 individuals in fiscal year 2025. In fiscal year 2025, we served individuals in various ways, including: 31,890 visits to our emergency department 880 inpatient surgery procedures 5,977 outpatient surgery procedures 3,754 patients admitted for care 187,547 patients who received outpatient care Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION Other Government Programs Otero County Hospital Association provides services to individuals covered under government-sponsored programs, including Medicare, TRICARE, and others. The unreimbursed costs of these services are reported to the state but are not included in the community benefit reports. Medicare is the largest single payor classification of patients served by this hospital. The payment rate for inpatient services is on a per-case rate, calculated based on the diagnostic-related group into which the patient is categorized. Medicare reimburses outpatient services based on its fee schedule. Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION CHARITY CARE AND COMMUNITY BENEFIT ACTIVITY In keeping with the mission, values, and vision of CHRISTUS Health, Otero County Hospital Association provides charity care services in a manner that respects the dignity of the patients and their families. Otero County Hospital Association provides charity care to individuals who are unable to pay for medically necessary services. Charity care includes free or discounted healthcare provided according to the organization's financial assistance policy, which is based on federal poverty guidelines. No patient was refused necessary medical care due to inability to pay. Otero County Hospital Association actively participates in New Mexico programs, which are designed to provide payment for health care services to individuals who meet specific financial and eligibility criteria. These requirements include an evaluation of both assets and income to determine program qualification. Otero County Hospital Association also conducts a variety of community benefit activities to improve health and well-being in the communities it serves. These activities include health education, screenings, subsidized clinical services, research, cash and in-kind donations, and community building. In FY2025, Otero County Hospital Association invested $1,899,031 in community benefit programs, potentially impacting 13,060 individuals. Form 990, Part III, Line 4d Description of other program services (Expenses $ 1,181,991 including grants of $ 1,181,991)(Revenue $ 0) OTERO COUNTY HOSPITAL ASSOCIATION ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE POOR & UNDESERVED AND BROADER COMMUNITY. POOR & UNDERSERVED: EXPENSES OF $1,480 BROADER COMMUNITY: EXPENSES OF $955,573, GRANTS OF $334,098 ADDITIONAL GRANTS: EXPENSES OF $224,938; GRANTS OF $847,893 Form 990, Part VI, Line 2 Family/business relationships amongst interested persons PAUL GENERALE, SAM BAGCHI, MD, KIMBERLY KING WEBB, AND RANDY SAFADY: - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders EFFECTIVE JULY 1, 2023, THE MEDICAL CENTER ENTERED INTO AN AGREEMENT WITH CHRISTUS HEALTH WHEREBY BOTH PARTIES AGREED THAT THE MEDICAL CENTER SHOULD HAVE A SOLE CORPORATE MEMBER AND THAT CHRISTUS HEALTH SHOULD BE THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHRISTUS HEALTH, THE SOLE MEMBER, HAS THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders GOVERNANCE DECISIONS ARE RESERVED TO OR SUBJECT TO APPROVAL BY CHRISTUS HEALTH, THE SOLE MEMBER. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2026 VIA EITHER MEETING, CONFERENCE CALL, OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. Form 990, Part VI, Line 12c Conflict of interest policy AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING OTERO COUNTY HOSPITAL ASSOCIATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. Form 990, Part VI, Line 19 Required documents available to the public THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 2f Other Program Service Revenue OTHER OPERATING REVENUE - Total Revenue: 2280575, Related or Exempt Function Revenue: 2280575, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Other Purchased Services: Less Lobbying - Total Expense: 24801758, Program Service Expense: 20150493, Management and General Expenses: 4651265, Fundraising Expenses: ; Medical Services - Total Expense: 17763646, Program Service Expense: 17763646, Management and General Expenses: , Fundraising Expenses: ; Physician Services - Total Expense: 15803734, Program Service Expense: 15803734, Management and General Expenses: , Fundraising Expenses: ; Repairs & Maintenance Services - Total Expense: 7986168, Program Service Expense: 7076642, Management and General Expenses: 909526, Fundraising Expenses: ; Consulting Services - Total Expense: 6595949, Program Service Expense: 5028843, Management and General Expenses: 1567106, Fundraising Expenses: ; Collection Services - Total Expense: 1283569, Program Service Expense: 1218249, Management and General Expenses: 65320, Fundraising Expenses: ; Other Professional Services - Total Expense: -3263, Program Service Expense: -3263, Management and General Expenses: 0, Fundraising Expenses: ; Occupancy Related Services - Total Expense: 726595, Program Service Expense: 726595, Management and General Expenses: , Fundraising Expenses: ; Marketing Services - Total Expense: 3045, Program Service Expense: 3045, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY - -81640613; Total - -81640613; GERALD CHAMPION-SIERRA PROVIDENCE CARDIAC CATH LAB LLC 2669 SCENIC DRIVE ALAMOGORDO NM 88310 611753921 HEALTHCARE SERVICES NM 0 0 OCHA 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 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