2026-05-06T19:49:13+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2024-07-01 741109836 Christus Spohn Health System Corporation CHRI 3618813000 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 DOMINIC DOMINGUEZ SVP GROUP OPS 3618813000 2026-05-07 true true Kristen Farr Capizzi P02176875 3128792000 2026-05-04 2024 2025-03-06 01:10:19Z SEE SCHEDULE O DOMINIC DOMINGUEZ 5802 SARATOGA BLVD STE 300 CORPUS CHRISTI TX 78414 960130115 false 0928 X WWW.CHRISTUSSPOHN.ORG X 1965 TX SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 10 7 3765 275 11831 0 2828012 2698514 943646562 951155015 2029565 -135586 5519184 6088585 954023323 959806528 655608 423521 0 267831793 269301357 0 726560 701104697 641667709 969592098 911392587 -15568775 48413941 850014106 817094569 98419234 102360591 751594872 714733978 X See Schedule O false false 176287914 0 395929966 See Schedule O 430648547 0 353458867 See Schedule O 125706407 0 201766182 See Schedule O 5850682 423521 0 CHRISTUS SPOHN Health System Corporation also undertook additional activities of comparable importance, including those conducted with volunteer labor or smaller in terms of expenses related to the poor & underserved and broader community. Poor & Underserved: expenses of $4,947,791; Grants of $191,250 Broader community: expenses of $902,891 Additional Grants: Grants of $232,271 5850682 423521 738493550 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 true false true false false false false false false false true false false false false false false false true true true false false true 0 0 3765 true true true false false false false false false false false false false false X 10 7 true 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 DOMINIC DOMINGUEZ Chief Executive Officer 20.0 20.0 X X 0 1396207 25862 GABE GUERRA Director/interim chair/vice chair 16.0 0.0 X X 0 0 0 BILL COLSTON JR DIRECTOR 16.0 0.0 X 0 0 0 DR OREL EVERETT Chief Medical Officer/Director 40.0 0.0 X 0 555551 57370 DR SHAH ISLAM NCHD Director 16.0 0.0 X 0 0 0 GOVIND NADKARNI DIRECTOR 16.0 0.0 X 0 0 0 JEFFREY PUCKETT DIRECTOR 16.0 24.0 X 0 6823352 56703 KIRBY TOWNSEND DIRECTOR 16.0 0.0 X 0 0 0 SISTER MARY C HENRY DIRECTOR 16.0 0.0 X 0 0 0 YVONNE HINOJOSA MD DIRECTOR 16.0 0.0 X 0 0 0 AUDREY WEBBER SECRETARY 40.0 0.0 X 0 56397 5717 REBECCA B RIOS Chief Financial Officer 40.0 0.0 X 0 489199 33268 CRAIG DESMOND President Spohn Hospital Shoreline & Memorial 40.0 0.0 X 0 341677 36224 Jeannie Berry Chief Networking Officer Shoreline 40.0 0.0 X 0 357791 2058 KATHY ACUNA Vice President HUMAN RESOURCES 40.0 0.0 X 0 314308 46950 LANELL SCOTT President Spohn South 40.0 0.0 X 0 425473 65874 LAURA GARCIA Spohn South Chief Networking Officer 40.0 0.0 X 0 318173 47758 MARGOT RIOS Chief Networking Officer Spohn Alice 40.0 0.0 X 0 283784 53664 Melinda Soliz Vice President Human Resources 40.0 0.0 X 0 155415 25221 PATRICIA CANO Vice President PHILANTHROPY 40.0 0.0 X 0 192061 36102 RAYMON ACEBO Chief Marketing Officer SHORELINE 40.0 0.0 X 0 470731 53084 Reyaan Ali Shoreline Vice President Operations 40.0 0.0 X 0 281181 26356 Richard Morin President Alice & Kleberg Hospitals 40.0 0.0 X 0 409389 59268 STEPHEN C KAZANJIAN Vice President MISSION INTEGRATION 40.0 0.0 X 0 613166 37582 Steven Daniel President Surgical Hospital 40.0 0.0 X 0 217133 3623 Thomas Schoenig Associate Chief Information Officer shoreline 40.0 0.0 X 0 152364 691 CHAD WRIGHT Director Pharmacy 40.0 0.0 X 212221 0 41869 JENNIFER S LINDOG RN 40.0 0.0 X 202714 0 33537 JODEE M KERESTES Director Strategy 40.0 0.0 X 233295 0 18378 MICHELLE REESE RN 40.0 0.0 X 229327 0 5080 MUDER ALKRISAT PATIENT CARE 40.0 0.0 X 231491 0 30603 Cynthia YBANEZ FORMER SECRETARY (term 12/23) 40.0 0.0 X 0 71042 23839 Genifer Rucker Former President Spohn Beeville (Term 5/22) 0.0 40.0 X 0 431600 41060 OSBERT BLOW MD PHD FACS MD, PHD, FACS/FORMER PRESIDENT/Chief Executive Officer (TERM 12/22) 40.0 0.0 X 0 607681 0 1109048 14963675 867741 418 true true false 0 935605 1762909 2698514 NET PATIENT SERVICE REVENUE 621990 943914737 943902906 11831 Physician Non-Contract Revenue 900099 4974291 4974291 CORPORATE SERVICE INCOME 900099 1863138 1863138 RESEARCH REVENUE 900099 292206 292206 ALL OTHER SERVICES REVENUE 900099 110643 110643 0 0 0 0 951155015 188001 188001 6088585 6088585 0 6088585 6088585 323587 0 -323587 -323587 -323587 0 0 0 0 0 959806528 951143184 11831 5952999 X 423521 423521 217192226 206622527 10055715 513984 36814806 34410427 2301979 102400 15294325 14784429 470763 39133 39405 38605 800 1429 1429 203378599 122083597 81295002 0 6633832 2257160 4376672 59511346 56101562 3387550 22234 41787519 41787519 25511019 24684438 826581 706879 428716 266818 11345 602161 466143 128947 7071 1450955 36704 1414251 34800186 31518529 3281657 16141692 10299051 5842641 Medical Supplies 171896362 173295795 -1400632 1199 Dues & Memberships 140066739 339994 139722817 3928 Provision for Uncollectable Accounts 21494439 21494439 License & Subscription Fees 1002337 725182 277155 -83357190 38482731 -121865187 25266 911392587 738493550 172172477 726560 4999856 7438647 99079361 78783426 0 0 0 0 22647430 17690954 26494005 27270516 29213287 12118628 1215547590 602662414 594980670 612885176 0 6132731 -1159346 17152025 16457766 49314741 45608802 850014106 817094569 34198542 43004810 498679 493208 0 0 63722013 58862573 98419234 102360591 X 751538964 714675370 55908 58608 751594872 714733978 850014106 817094569 X 48413941 -85274835 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 1429 false false 1429 false Schedule C, Part I-A, Line 1 TRANSFORMATION OF CARE FORM 990, SCHEDULE C, PART I-A, PART I-B, LINE 4, PART I-C, LINE 5, PART II-A AND PART II-B, LINE 1 CHRISTUS SPOHN LEADERSHIP MET WITH LOCAL COUNTY OFFICIALS ON ISSUES RELATING TO THE DELIVERY OF HEALTHCARE AND THE INDIGENT CARE PROGRAM IN NUECES COUNTY. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING DESCRIPTION At the federal level, CHRISTUS Health Texas leadership had direct contact with members of the Congress and administration officials through emails, letters, telephone calls and meetings to discuss issues important to our ministry. These issues include, but are not limited to issues related to safety-net providers, access to care, health care reform proposals, quality program implementation, rural hospitals, remote medical technology, 340B Drug Pricing Program, site neutral payments, community project funding, freestanding emergency departments, Medicare advanced payments, value-based payment models, foreign health care workers, children's health issues, CHGME, Medicaid, supplemental payment programs, rural health program reauthorization, and health care for veterans. At the state level, CHRISTUS Health Texas leadership had direct contact with members of the Texas Legislature and administration officials through emails, letters, telephone calls and meetings to discuss issues important to our ministry. These issues include, but are not limited to issues related to Medicaid reimbursement, access to health care and state funding for safety net providers, emergency preparedness, workplace violence, COVID-19 response, graduate medical education, trauma network and services, local provider participation funds, maternal health, children's health issues, behavioral health, Medicaid managed care, prescription drugs costs, pharmacy and prescribing authority, rural hospitals, physician relations, itemized billing, foster care reform, Medicaid directed payment programs, health care staffing, price transparency, and the 1115 waiver program. TOTAL - 5 EXECUTIVE HOURS CHRISTUS SPOHN HEALTH SYSTEM CORPORATION DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDED JUNE 30, 2025. 27314418 27314418 798773044 368429910 430343134 23687203 17897078 5790125 321302730 209787264 111515466 44470195 6548162 37922033 612885176 ROU TRANSACTIONS 38239723 Asset Clearing 6594565 FIN 45 Assets 712740 DEFERRED RENTS 24045 Deposits 22462 OTHERS 15267 45608802 Federal Income Taxes LT PORTION CAPITAL LEASE BLDG/HOSP 47836789 CP LEASE LIABILITY 7657764 OTHER LONG TERM LIABILITIES 2490742 Intercompany Payable 843690 LONG TERM RENT LIABILITIES 32158 Business State Sales Tax Payable 1430 DEFFERED LEASE INCENTIVE 58862573 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 130417452 0 130417452 0.14655 125706407 201766182 0 0.0 0 0.0 0 0 256123859 201766182 130417452 0.14655 9 63027 1501764 0 1501764 0.00169 5 454 732879 0 732879 0.00082 4 2507 3494434 0 3494434 0.00393 0 0 0.0 2 191250 0 191250 0.00021 20 65988 5920327 0 5920327 0.00665 20 65988 262044186 201766182 136337779 0.15321 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 36018 0 36018 0.00004 3 788 85587 0 85587 0.00010 0 0.0 4 788 121605 0 121605 0.00014 true 21494439 118578 120988632 120747710 240922 X true true Corpus Christi Surgicare LTD Outpatient Surgery Center 0.2518 0 0.4945 Shoreline Surgery Center LLP Outpatient Surgery Center 0.2505 0 0.4989 7 1 CHRISTUS SPOHN HOSPITAL SHORELINE 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 WWW.CHRISTUSSPOHN.ORG 000398 X X X X IP REHAB UNIT, IP & OP PHYSICAL THERAPY A 2 CHRISTUS SPOHN HOSPITAL SOUTH 5950 SARATOGA BLVD CORPUS CHRISTI TX 78414 WWW.CHRISTUSSPOHN.ORG 000398 X X X A 3 CHRISTUS SPOHN HOSPITAL ALICE 2500 MAIN STREET ALICE TX 78332 WWW.CHRISTUSSPOHN.ORG 006894 X X X OP PHYSICIAN CLINICS PSYCHIATRY UNIT A 4 CHRISTUS SPOHN HOSPITAL KLEBERG 1311 EAST GENERAL CAVAZOS BLVD KINGSVILLE TX 78363 WWW.CHRISTUSSPOHN.ORG 000216 X X X OUTPATIENT PHYSICAL THERAPY A 5 CHRISTUS SPOHN HOSPITAL BEEVILLE 1500 EAST HOUSTON HIGHWAY BEEVILLE TX 78102 WWW.CHRISTUSSPOHN.ORG 000429 X X X OP PHYSICIAN CLINICS A 6 CHRISTUS SURGICAL HOSPITAL 6130 PARKWAY DR CORPUS CHRISTI TX 78414 WWW.CHRISTUSSPOHN.ORG STATE LICENSE NO. : 000398 X X X OUTPATIENT CENTER A A 6 false false true X X X X X X X X X 25 true false false 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/PATIENT-RESOURCES/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 5 Facility A, 1 Facility A, 1 - SEE SCHEDULE H, PART V, SECTION A. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT WAS COMPLETED, AND THE MINISTRY CEO/PRESIDENT AND EXECUTIVE LEADERSHIP TEAM REVIEWED AND APPROVED THE CHNA PRIOR TO JUNE 30, 2025 (COMPLETION DATE), WITH BOARD OF DIRECTORS' RATIFICATION ON August 1, 2025 (RATIFICATION DATE). CHRISTUS SPOHN DID TAKE INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS IN THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY TEXAS HEALTH INSTITUTE, WHICH CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY PERFORMING ONE-ON-ONE KEY INFORMANT INTERVIEWS, FOCUS GROUP MEETINGS, AND A FINAL NEEDS PRIORITIZATION MEETING. NURSES, COMMUNITY HEALTH WORKERS, PROFESSORS, GRASSROOTS ORGANIZERS, SOCIAL SERVICE PROVIDERS, FQHCS, HEALTHCARE PROFESSIONALS, AND FAITH-BASED PROFESSIONALS PROVIDED COMMUNITY HEALTH NEEDS ASSESSMENT INPUT. THE INTERVIEWS AND MEETINGS INCLUDED REPRESENTATIVES FROM COASTAL BEND CENTER FOR INDEPENDENT LIVING, CHRISTUS SPOHN, AMISTAD COMMUNITY HEALTH CENTER, TEXAS A&M COASTAL BEND HEALTH EDUCATION CENTER, COASTAL BEND NEIGHBORHOOD EMPOWERMENT, DRISCOLL HEALTH PLAN, METHODIST HEALTHCARE MINISTRIES, METRO MINISTRIES, SOUTH COASTAL AREA HEALTH EDUCATION CENTER, AND TEXAS A&M AGRILIFE EXTENSION. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - SEE SCHEDULE H, PART V, SECTION A. FY2023-2025 CHNA Prioritized Needs and Implementation Activities CHRISTUS Spohn Health System completed its prior CHNA on June 30, 2025 (FY2025), establishing priorities for the FY2026-2028 implementation period. Based on extensive community input and analysis of quantitative and qualitative data, the priorities for the communities served by CHRISTUS Spohn Health System during the FY2023-2025 cycle fell into two primary domains: advancing health and well being and building resilient communities by addressing key social determinants of health. Throughout the implementation period, CHRISTUS Spohn Health System, community partners, clinical teams, and trusted local organizations collaborated to design and implement interventions focused on reducing health disparities and improving outcomes, with particular emphasis on populations most impacted by health inequities, including uninsured individuals, low income families, and rural residents across the coastal bend. 1. Advance health and well being 1a. Chronic illness (heart disease, diabetes, obesity) To address chronic illness, CHRISTUS Spohn Health System focused on targeted prevention and management strategies through education, screenings, case management, and community based engagement. During the FY2023-2025 implementation period, community health workers (CHWS) and nurse navigators provided hundreds of individuals with access to free resources, including blood pressure monitors, diabetes education, and ongoing case management support. Diabetes self management education classes were offered at the dr. Hector p. Garcia memorial family health center in partnership with Texas A&M university and the coastal bend health education center. Additional preventive screenings and outreach events were conducted in collaboration with the American heart association and regional clinics. These efforts contributed to measurable improvements in A1C levels for patients receiving case management services, with more than 100 participants receiving diabetes and heart health resources through the community health development team. Free blood pressure monitors were distributed, and participants reported greater confidence and understanding of self monitoring practices. 1b. Behavioral health (mental health and substance use) CHRISTUS Spohn Health System prioritized expanding behavioral health services and integrating mental health and substance use interventions into existing clinical pathways. During the implementation period, free depression screenings (phq 2 and phq 9) were administered at all family health center and quick care clinic visits. Licensed professional counselors and a licensed chemical dependency counselor provided ongoing care to uninsured and underinsured patients. In addition, CHRISTUS Spohn Health System expanded inpatient behavioral health capacity through a partnership with oceans healthcare, increasing access to treatment across the region. As a result of these efforts, thousands of screenings were completed, referrals and utilization of in house counseling services increased, and more individuals across the coastal bend gained access to needed inpatient mental health services. 1c. Access to care To improve access to care, CHRISTUS Spohn Health System expanded clinical access through extended hours, mobile outreach, and enhanced navigation support. A key initiative during the FY2023-2025 cycle was the expansion of the quick care clinic at the DR. Hector P. Garcia memorial family health center, which extended hours to offer evening walk in access. The care van, staffed by an advanced care practitioner and dedicated support team, increased its presence in rural and underserved communities. Collaboration with local organizations and community partners also strengthened referral pathways and connections to preventive care services. These efforts resulted in increased patient volumes, higher satisfaction levels associated with flexible clinic hours, and improved access to primary and chronic care services for hard to reach populations. 2. Build resilient communities and address social determinants of health While not traditionally viewed as clinical services, employment and housing were identified as core social determinants of health impacting individuals and families across the coastal bend. CHRISTUS Spohn Health System expanded its role as a convener, connector, and advocate to address these fundamental community needs. 2a. Improving employment and workforce development To strengthen the local health workforce pipeline, CHRISTUS Spohn Health System expanded clinical training and educational opportunities through partnerships with del mar college, coastal bend college, and Texas A&M university-corpus Christi. Preceptorships for nursing, allied health, and public health students were hosted within CHRISTUS Spohn Health System facilities, and AmeriCorps placements and internships were expanded in community outreach and health navigation roles. During the implementation period, more than 300 students completed clinical rotations at CHRISTUS Spohn Health System facilities. These experiences increased awareness of local career opportunities and strengthened regional workforce retention, while deepening collaboration with regional workforce boards and training partners. 2b. Increasing access to housing To address housing instability, CHRISTUS Spohn Health System invested in wraparound housing supports through grantmaking, coalition building, and advocacy. Through CHRISTUS fund grants, support was provided to the city of Corpus Christi and local shelters addressing emergency housing, eviction prevention, and case management. CHRISTUS Spohn Health System also actively participated in the homeless leaders collaborative, supporting cross agency coordination to address the root causes of homelessness and strengthen the local housing safety net. As a result of these efforts, CHRISTUS fund investments expanded the capacity of housing and social service agencies, including catholic charities, metro ministries, and the salvation army. The homeless leaders collaborative adopted a results based accountability approach, resulting in increased data sharing, service coordination, and cross sector participation, and contributed to improved discharge planning for hospital patients experiencing housing instability. FY2023-2025 CHNA Identified Needs Not Being Addressed To maximize resources available for the priority areas listed above, CHRISTUS Spohn determined that the following issues would not be explicitly included in their community health improvement plan: physician recruitment & retention and transportation. While the needs prioritization committee stressed that these needs remain pressing, they were not ranked high enough for inclusion in the final priority list because committee members either (a) did not feel CHRISTUS Spohn was optimally positioned to address the need in an impactful way, or (b) perceived a relative abundance of capacity and resources already being directed at the need. Through our continued community collaboration with a diverse group of providers, organizations, and engaged community leaders, we will continue to identify areas where we can work together to improve the health and wellness of the coastal bend. CONTINUED Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - SEE SCHEDULE H, PART V, SECTION A (CONTINUED). FY2026-2028 CHNA Prioritized Needs and Implementation Approach The most recent CHNA for CHRISTUS Spohn Health System 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 it serves, CHRISTUS Spohn Health System 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 Spohn Health System 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 our 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, we 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 focusing on year-to-year fluctuations. Through data review and structured discussion, three to five leading indicators were identified for each life stage. They now serve as a shared focus for CHRISTUS Spohn Health System 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 our service area. However, not all of these needs fall within the direct scope of services or resources that CHRISTUS Spohn Health System can lead or sustain independently. Some community issues require a 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: youth suicide, teen pregnancy, youth chronic diseases, youth neurodevelopmental disorders, housing insecurity, food insecurity and poverty. Although CHRISTUS Spohn Health System does 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, CHRISTUS Spohn Health System remains 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 - CHRISTUS SPOHN HOSPITAL SHORELINE. In addition to using the Federal Poverty Guidelines (FPG) as a basis for financial assistance eligibility, CHRISTUS Health provides free or discounted care based on other income-related criteria, including significant medical expenses and financial hardship considerations. A key component of CHRISTUS Health's Financial Assistance Policy is the Hardship Discount, which applies when a patient's balance, including any remaining amount after insurance payments, exceeds 10% of their gross family income. Under this provision, any amount above that 10% threshold is eligible for a 100% charity care discount, effectively eliminating that portion of the patient's financial burden. This ensures that individuals facing substantial medical bills receive appropriate financial relief, regardless of whether their income exceeds standard FPG thresholds. Additionally, CHRISTUS Health evaluates a patient's ability to pay by considering liquid assets and overall financial obligations. Patients who, despite meeting income thresholds, have sufficient non-excluded assets to cover their medical expenses may not qualify for assistance. Conversely, those with limited access to cash or other resources may still be granted financial relief even if their income is above traditional eligibility limits. Presumptive eligibility is also extended to specific patient populations without requiring detailed income verification. This includes individuals experiencing homelessness, those enrolled in Medicaid or other government assistance programs, and patients identified through predictive analytics as financially indigent. These additional eligibility criteria ensure that CHRISTUS Health's financial assistance program is structured to support individuals experiencing genuine financial hardship, providing free or discounted care beyond the standard FPG framework. Schedule H, Part V, Section B, Line 15 Facility A, 1 Facility A, 1 - SEE SCHEDULE H, PART V, SECTION A. FAP APPLICATION FORM'S METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE In addition to regular applications, the hospital also assessed patients for presumptive eligibility to facilitate assisting 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 the electronic screening was used as the basis for presumptive eligibility, the highest discount of complete 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. HOW THE HOSPITAL FACILITY PUBLICIZES THE FINANCIAL ASSISTANCE POLICY A summary of the policy and documents needed to apply for assistance was widely available at www.christushealth.org/charitycare. This website was the first result in google when patients searched for the hospital name and charity care or financial assistance. Effective July 1, 2016, the individual hospital's homepage had a conspicuous financial assistance link directing patients to the charity care homepage. Financial counselors also publicized the availability of financial assistance during one-on-one visits with patients. The hospital attempted to provide all uninsured patients with financial counseling. Spending time face-to-face with patients allowed counselors to facilitate the application process for patients who otherwise might not have sought assistance. Counselors helped complete financial assistance applications and evaluate payment plans for outstanding balances. Uninsured patients were screened for Medicaid eligibility, and counselors 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. The financial assistance policy is introduced when collection calls result in patient contact. The agents performed a verbal screening on the call 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 on 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. 3 CORPUS CHRISTI SURGICARE LTD 15305 DALLAS PARKWAY SUITE 1600 LB2 8 ADDISON TX 75001 OUTPATIENT SURGERY CENTER SHORELINE SURGERY CENTER LLP 15305 DALLAS PARKWAY SUITE 1600 LB2 8 ADDISON TX 75001 OUTPATIENT SURGERY CENTER Christus Heart Center 1521 S Staples Suite 100 Corpus Christi TX 78404 AMBULATORY SURGERY CENTER - CATH LAB Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS DID THE HOSPITAL FACILITY HAVE IN PLACE DURING THE TAX YEAR A SEPARATE BILLING AND COLLECTIONS POLICY, OR A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINED ACTION THE HOSPITAL FACILITY MAY TAKE UPON NON-PAYMENT? The hospital did not engage in extraordinary collection actions during the tax year. The policy strictly prohibited taking legal action against patients and forbade placing a lien on the patient's home. In the event of nonpayment, the hospital and its collections groups would send statements and make phone calls. Schedule H, Part V, Section B, Line 18 Item F The hospital did not engage in any extraordinary collection actions during the tax year. The policy strictly prohibited taking legal action against patients and 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 DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY 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 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 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 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 I, Line 7k PERCENT OF TOTAL EXPENSE Total expense from form 990, part ix, line 25, column (a) is $911,392,587. The bad debt expense included in this amount is $21,494,439. This leaves a total expense of $889,898,148 for calculating line 7, column (f). Schedule H, Part I, Line 7k FIN ASSISTANCE/ OTHER BENEFITS AS A PERCENTAGE 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 28.75%, which exceeds the amount reported in 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 CHRISTUS Spohn Health System 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 $305,000 were provided to two nonprofit organizations in the fiscal year. The grant dollars were used to support programs promoting the health needs of the community CHRISTUS Spohn serves. All grants to outside organizations through the CHRISTUS fund are made to nonprofit organizations supporting community health. These grant dollars are not included on schedule h, part i, line 7(i). Schedule H, Part III, Line 3 BAD DEBT ATTRIBUTABLE TO PTS UNDER CHARITY CARE The filing organization recognizes that some patients are unable or unwilling to seek financial assistance due to barriers such as educational level, literacy, documentation requirements, or being Intimidated by the application process 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 derived from public record sources. For the fiscal year ending June 30, 2011, the organization reported that 30% of bad debt expenses were attributable to patients who may have been eligible for financial assistance but were not responsive to the existing application process. This figure was based on the paro analysis and estimates of patients' financial needs that examined whether patients were characteristic of others who historically qualified for assistance under the traditional application process. The presumptive charity care analysis determined a benchmark of bad debt accounts in CHRISTUS Health that lacked the information to be eligible for charity care under the filing organization's customary process but would have likely qualified for assistance. During the fiscal year, 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. The organization granted presumptive eligibility for these accounts, which 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. It is important to note that the figure calculated for the fiscal year ending June 30, 2011, was estimated and not exact. Therefore, the difference between the amounts qualified as presumptive charity care in any fiscal year may vary from the benchmark established in the fiscal year ending June 30, 2011. Schedule H, Part II COMMUNITY BUILDING ACTIVITIES The CHRISTUS Health advocacy department is working in partnership with local, state, and federal policymakers to ensure activities and programs are in place that will enhance public health and advance general knowledge. During the fiscal year, CHRISTUS Health advocated for improving public policies, working to establish, and in some instances augment, grassroots advocacy and greater access to health care services for our patients. Some leading community-building activities are improving access to health services and building collaborative relationships with other organizations seeking to address chronic conditions that disproportionately impact the poor and underserved. The indigent care health program is a limited benefit plan administered by CHRISTUS Spohn in which certain medical services are covered for eligible Nueces county recipients. Eligibility entitles qualified residents within Nueces county to receive health care services while residing within the county, including major medical expenses, hospitalization, and surgeries, routine medical expenses, office visits, annual exams, medications, and durable medical equipment, all subject to co-payments. CHRISTUS Spohn remains committed to providing the community with access to affordable, quality health care by collaborating with physicians, Spohn family health centers, hospitals, and various local organizations to seek solutions to improve their health and well-being. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (Continuation) 21. As a nonprofit organization and part of CHRISTUS Health, a regional governing board mainly comprised of independent community members Representing the makeup of the area we serve guides CHRISTUS Spohn health system corporation. 22. 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 credentialing and orientation process. 23. All persons employed and affiliated with CHRISTUS Spohn Health System must complete an annual conflict of interest statement. 24. CHRISTUS Health reinvests all surplus funds into the communities it serves through expanded health services, new technologies, and better facilities. 25. During the fiscal year, CHRISTUS Health advocated for improvement in public policies and worked to establish, and in some instances augment, grassroots advocacy for greater access to health care services for all. CHRISTUS Spohn is committed to building healthier communities and will continue to collaborate with organizations throughout the region, whenever possible, to address those needs not explicitly targeted by our system's community health improvement plan. 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 CHRISTUS SPOHN HEALTH SYSTEM CORPORATION REINVESTS ALL SURPLUS FUNDS BACK IN TO THE COMMUNITIES WE SERVE THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/V2FINANCIAL-ASSISTANCE-APPLICATION.ASHX Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2021plainlanguagesummaryhospitalenglish.ashx Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. CHRISTUS HEALTH'S NONPROFIT HOSPITALS LOCATED IN TEXAS FILE A COMMUNITY BENEFIT REPORT IN THE STATE OF TEXAS. THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN ARE FILED WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS) AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. 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 1, 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 1, 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 1, 2025). All related CHNA implementation strategies were approved by the hospital's board of directors on August 1, 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 21494439 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 7G: SUBSIDIZED HEALTH SERVICES COST IS AT FMV Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 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 AN ANALYSIS DETERMINED THAT 3.73% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2025. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.5517% 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 MEDICAL CENTER USES THE MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP. Schedule H, Part V, Section B, Line 16a FAP website A - CHRISTUS SPOHN HOSPITAL SHORELINE: Line 16a URL: HTTPS://WWW.CHRISTUSHEALTH.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - CHRISTUS SPOHN HOSPITAL SHORELINE: Line 16b URL: SEE SUPPLEMENTAL INFO; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - CHRISTUS SPOHN HOSPITAL SHORELINE: Line 16c URL: SEE SUPPLEMENTAL INFO; Schedule H, Part VI, Line 2 Needs assessment CHRISTUS SPOHN HEALTH SYSTEM IS A NON-PROFIT, CATHOLIC, INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT INCLUDES FIVE ACUTE CARE HOSPITALS IN FOUR COUNTIES IN THE COASTAL BEND REGION. CHRISTUS SPOHN'S DEDICATED ASSOCIATES PROVIDE CARE TAILORED TO THE INDIVIDUAL NEEDS OF EVERY PATIENT, AIMING TO DELIVER HIGH-QUALITY SERVICES WITH EXCELLENT CLINICAL OUTCOMES. CHRISTUS SPOHN WORKS CLOSELY WITH THE LOCAL COMMUNITY TO IDENTIFY AND INCORPORATE REGIONAL HEALTH NEEDS INTO SYSTEM-WIDE PLANNING AND STRATEGY. TO THIS END, CHRISTUS SPOHN COMMISSIONED METOPIO TO CONDUCT AND PRODUCE ITS 2023-2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS REQUIRED BY LAW TO BE PERFORMED ONCE EVERY THREE YEARS AS A CONDITION OF 501(C)(3) TAX-EXEMPT STATUS. IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT, METOPIO STAFF, CHRISTUS SPOHN LEADERSHIP, AND COMMUNITY STAKEHOLDERS ANALYZED INDICATORS OF HEALTH NEEDS BASED ON DEMOGRAPHICS AND SOCIOECONOMIC TRENDS; MEASURES OF PHYSICAL, BEHAVIORAL, SOCIAL, AND EMOTIONAL HEALTH; AND RISK FACTORS AND BEHAVIORS THAT PROMOTE HEALTH OR PRODUCE SICKNESS. THE LATTER PROVIDED INSIGHT INTO SOCIAL DETERMINANTS OF HEALTH OPERATING IN THE REPORT AREA, SUCH AS POVERTY RATES, LACK OF AFFORDABLE HOUSING, LACK OF SKILLED LABOR TRAINING, AND FOOD INSECURITY. REPORT FINDINGS COMBINE SECONDARY ANALYSIS FROM PUBLICLY AVAILABLE DATA SOURCES, HOSPITAL UTILIZATION DATA, AND INPUT FROM THOSE WITH INTIMATE KNOWLEDGE OF THE LOCAL PUBLIC HEALTH AND HEALTHCARE SYSTEMS TO PRESENT A COMPREHENSIVE OVERVIEW OF UNMET HEALTH NEEDS IN THE REGION. CHRISTUS SPOHN AND METOPIO GUIDED THE NEEDS ASSESSMENT PROCESS THROUGHOUT THE PROJECT'S LIFE, ENSURING THE DATA AND ANALYSES REMAINED GROUNDED IN THE LOCAL CONTEXT. FOCUS GROUPS AND NEEDS PRIORITIZATION MEETINGS PROVIDED INPUT FROM COMMUNITY MEMBERS AND STAKEHOLDERS REPRESENTING THE COASTAL BEND REGION. A FINAL LIST OF FIVE PRIORITIZED HEALTH NEEDS WAS DEVELOPED THROUGH AN ITERATIVE DEBRIEFING AND REFINEMENT OF FINDINGS. BASED ON COMMUNITY INPUT AND ANALYSIS OF A MYRIAD OF DATA, THE PRIORITIES FOR THE COMMUNITIES SERVED BY CHRISTUS SPOHN HEALTH SYSTEM FOR 2023-2025 FALL INTO TWO DOMAINS UNDERNEATH AN OVERARCHING GOAL OF ACHIEVING HEALTH EQUITY. THE TWO DOMAINS AND CORRESPONDING HEALTH NEEDS ARE: 1) ADVANCE HEALTH AND WELL-BEING BY ADDRESSING: CHRONIC ILLNESS, SPECIFICALLY, HEART DISEASE, DIABETES, AND OBESITY; BEHAVIORAL HEALTH, SPECIFICALLY, MENTAL HEALTH AND SUBSTANCE ABUSE; AND ACCESS TO CARE 2) BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS OF HEALTH BY IMPROVING EMPLOYMENT BY BUILDING EDUCATION AND TRAINING OPPORTUNITIES; INCREASING ACCESS TO HOUSING AND WRAP-AROUND SERVICES. THIS PRIORITY LIST OF HEALTH NEEDS AND THE DATA COMPILED TO SUPPORT THE SELECTION LAYS THE FOUNDATION FOR CHRISTUS SPOHN HEALTH SYSTEM TO REMAIN AN ACTIVE, INFORMED PARTNER IN POPULATION HEALTH IN THE REGION FOR YEARS TO COME. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance CHRISTUS Spohn 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. A new bill is generated if the patient qualifies for charity care or a discount. Patients who do not provide the required documentation are considered ineligible and are billed accordingly. If the documentation is provided later, the patient may be determined to be eligible for charity care or a discount. The billing office retains documentation 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. 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 Spohn Health System is located along the lower Texas coastal area (often called the coastal bend), which includes a 7-county region with a population of 554,877 individuals. The seven counties that make up the CHRISTUS Spohn Health System service area: Aransas, Bee, Brooks, Jim Wells, Kleberg, Nueces and San Patricio. Poverty levels across the service area remain above the statewide average in nearly every county. Brooks County, in particular, has one of the highest poverty rates in the region, with Kleberg and Jim Wells counties not far behind. These economic challenges are likely to contribute to persistent disparities in health outcomes, access to services and social determinants of health. Mortality rates in all seven counties exceed the state average, with Aransas and Brooks counties showing particularly high rates of all-cause mortality. These data point to ongoing health burdens in the region and underscore the importance of community-based strategies that address prevention, early intervention and equitable access to care. The poverty rate in the CHRISTUS Spohn service area exceeds both the state and national averages, with particularly high rates among Non-Hispanic Black, Asian, Pacific Islander/Native Hawaiian, Native American and Hispanic/Latino populations. These disparities suggest that structural inequities continue to disproportionately affect communities of color in the region, impacting long-term health outcomes, educational attainment and economic opportunity. The region is predominantly Hispanic or Latino, who make up 61.6% of the population. Non-Hispanic Whites account for 31.5%, followed by Non-Hispanic Blacks (3.0%) and Asians (1.9%). Native Americans, Pacific Islanders and individuals identifying with two or more races represent a small but present portion of the population. This rich racial and ethnic diversity reflects the unique cultural fabric of the Coastal Bend, underscoring the importance of culturally responsive care and inclusive outreach. Median household income in the CHRISTUS Spohn service area has consistently lagged behind state and national averages. Between 2015 and 2023, income in the region peaked at $63,875.52 but showed signs of decline in more recent years. While both Texas and the United States experienced more robust growth in household income, the local figures reflect persistent economic challenges that can influence access to care, housing stability and overall well-being. Income disparities by race and ethnicity are evident across all geographies. Nationally, the median household income is $78,538, compared to $76,292 in Texas and $63,248 in the CHRISTUS Spohn service area. Asian households report the highest median incomes -reaching $113,106 in the U.S. - while Non-Hispanic Black households report the lowest. In the CHRISTUS Spohn region, Non-Hispanic Black households earn a median income of $40,533, underscoring a significant equity gap that mirrors broader statewide and national trends. High school graduation rates in the CHRISTUS Spohn service area average 84.42%, which is slightly lower than the Texas rate of 85.7% and the national average of 89.39%. While Non-Hispanic White (94.28%) and Asian (90.28%) students show high rates of completion, Hispanic or Latino students graduate at a significantly lower rate (78.25%), pointing to a persistent educational gap that may influence future workforce and health outcomes. Educational attainment beyond high school is lower in the CHRISTUS Spohn region compared to broader benchmarks. Only 32.62% of residents in the area have completed a higher degree, versus 42.29% in Texas and 44.99% nationwide. This gap highlights the need for increased access to post-secondary education and workforce development opportunities that can support long-term community resilience. The overall unemployment rate in the CHRISTUS Spohn service area is relatively low at 4.31%, comparable to the rates in Texas (4.39%) and similar to the U.S. (4.31%). However, significant disparities exist across racial and ethnic groups. Non-Hispanic White residents experience the lowest unemployment in the region at 2.51%, while Non-Hispanic Black residents face the highest at 10.01%. Hispanic or Latino individuals report an unemployment rate of 4.88%, slightly higher than the state average. These patterns reflect systemic barriers to employment and economic mobility among marginalized groups. Uninsured rates in the CHRISTUS Spohn service area remain notably higher than state and national averages across all racial and ethnic groups. Hispanic or Latino residents have the highest uninsured rates, both locally and statewide, highlighting persistent disparities. Native American populations also experience elevated uninsured rates in Texas and nationally. These patterns point to significant gaps in health care access and affordability, particularly among historically marginalized communities. Schedule H, Part VI, Line 5 Promotion of community health CHRISTUS Spohn collaborates with community organizations, churches, businesses, social service organizations, and other healthcare organizations to facilitate and strengthen the accessibility of quality healthcare services for all, especially vulnerable and underserved populations. Activities undertaken by CHRISTUS Spohn to promote the health and wellness of the community include: 1. CHRISTUS Spohn has established healthcare facilities across four cities and four counties in the coastal bend to provide access to healthcare services to as many people as possible. These facilities include three hospital campuses in Corpus Christi: shoreline campus, memorial campus, and south campus. As well as three rural hospitals: Spohn Kleberg in Kingsville, Spohn Alice in Alice, and Spohn Beeville in Beeville. 2. CHRISTUS Spohn's other healthcare facilities include investments in two ambulatory surgery centers (Corpus Christi SurgiCare, ltd. And shoreline surgery center, l.l.p.) 3. CHRISTUS Spohn offers convenient locations for primary care through the CHRISTUS Spohn family health centers and a Care Van mobile Outreach clinic. 4. CHRISTUS Spohn collaborates with the federally qualified health centers (FQHCs) in its region and other nonprofit health clinics in the area that are committed to creating greater access to primary care. 5. CHRISTUS Spohn aids in the recruiting of physicians who ultimately contract with the CHRISTUS provider network, which in turn contracts with CHRISTUS Spohn to provide the physician services in the CHRISTUS Spohn family health centers. Most of the clients who receive primary care and chronic disease management are uninsured or receive coverage from Medicaid/chip/Nueces county hospital district. 6. Implementing the community health worker and care management concept at all CHRISTUS Spohn family health centers establishes an in-house working network to provide continuity of care for the indigent and underserved, from primary care services to in-patient and ambulatory services. This program assists patients in managing their chronic illnesses, providing health education, obtaining community-based resources, preventing unnecessary emergency department use, and avoiding preventable hospitalizations. 7. The CHRISTUS Spohn CareVan is a mobile clinic that delivers OB and women's services four days a week (including prenatal care, pap smears, laboratory and ultra-sound testing, annual exams, and referrals for free mammograms and pre-natal care) to uninsured women. This preventative and wellness care help with early detection that otherwise might result in more serious health issues requiring hospitalization. 8. When not in use for women's services, the CareVan is serving the coastal bend by providing health screenings, immunizations, health education, and counseling to vulnerable and underserved populations throughout the community. 9. The dr. Hector P. Garcia memorial family health center is an entire healthcare complex located on the grounds of CHRISTUS Spohn's memorial hospital. It provides education to coastal bend residents on nights and weekends; offers specialty clinics, laboratory services, and imaging services to insured and uninsured patients; a full pharmacy with walk-in access; and a quick care walk-in clinic operating 9 am to 9 pm Monday through Saturday and 11 am to 5 pm on Sunday. 10. The CHRISTUS Spohn family medicine academic center clinic is within walking distance from CHRISTUS Spohn's memorial hospital. Family medicine residents in a Texas A&M affiliated residency program work alongside the attending physicians of the CHRISTUS provider network to provide care to the underserved and uninsured population of the coastal bend. An average of 100-120 patients are seen daily in the clinic. Most of these patients have Medicaid coverage or lack insurance altogether. 11. In addition to the family medicine academic center clinic and the walk-in quick care clinic, CHRISTUS Spohn has two family health centers located in the greater Corpus Christi area. Each family health center clinic cares for Nueces county hospital district patients and patients with other payor sources. The locations are listed below: a. Christus Spohn family health center - Robstown, 1038 Texas Yes Blvd., Robstown, TX 78380 b. CHRISTUS Spohn family health center - Westside, 4617 Greenwood Drive, Corpus Christi, TX 78416 c. CHRISTUS SPOHN FAMILY HEALTH CENTER - FREER, 111 E. RILEY ST, FREER, TX 78357 12. Specialty clinics are located in the Hector P Garcia memorial family health center. These clinics exist for follow-up care and Specialty care. Physicians/providers offer a centralized area for easy access to cardiovascular, neurology, nephrology, orthopedic, Gynecological, and plastic surgery care. Also, contracts with off-campus providers ensure that other specialty medical services are available for those who would typically not be able to access specialty care outside this controlled setting. 13. The revamping of the Nueces county health department's (NCHD) indigent care program included CHRISTUS Spohn as its partner in providing health care services. In reorganizing its services, a central goal of the NCHD indigent care program is to route eligible participants to the appropriate settings. The CHRISTUS Spohn partnership provides the following programs: (a) um/cm plan; (b) pre-approval of services with verification of medical necessity and a tie-in to the care Management program; (c) an empanelment of clients into a medical home concept; (d) target of populations, i.e., diabetic patients with a1c's greater than 10, into the full-service track; (e) weekly multidisciplinary diabetic clinic to meet target population's need; (f) pharmaceutical case management; (g) preferred provider list with cm/um management; and (h) medical director for the indigent care plan. 14. CHRISTUS Spohn is the designated contract provider for the Nueces center for mental health and Intellectual disabilities (MHID). It provides onsite psychiatric triage as part of its contractual relationships with MHID. This provides an alternative for patients who utilize the Emergency Department as a first resort. 15. CHRISTUS Spohn Freer providing services to the uninsured, underinsured, and broader community. CHRISTUS Spohn employs the staff in these clinics. 16. CHRISTUS Spohn health system hospitals in Alice, Beeville, and Kleberg collaborate with the community action corporation of South Texas' FQHC in its respective areas. These clinics provide primary care to uninsured and underinsured patients. This prevents patients from utilizing the hospital emergency departments as their medical home. 17. Ongoing collaboration with Mission of Mercy, a national nonprofit organization that provides free primary care to uninsured patients. CHRISTUS Spohn provides lab work, diabetes education, and flu vaccinations to patients at no charge. In addition, the CHRISTUS Spohn CareVan refers uninsured patients who need primary care to Mission of Mercy. Likewise, Mission of Mercy refers women needing a mammogram or pre-natal care to the CHRISTUS Spohn CareVan. 18. Diabetes education is provided through diabetes self-management training classes. These classes are offered at the Hector P Garcia memorial family health center through the Texas A&M coastal bend health education center (CBHEC). Diabetes support groups, self-management training classes, and additional diabetes resources are offered through Texas A&M CBHEC in various locations throughout the community. CHRISTUS Spohn collaborates with Texas A&M CBHEC to host diabetes health fairs throughout the coastal bend. CHRISTUS Spohn houses a certified diabetes educator at the Hector P Garcia memorial family health center to provide on-site education and referrals to patients in immediate need. 19. CHRISTUS Spohn is proud to be a teaching hospital committed to educating health professionals (graduate medical education, nursing students, allied health professionals, pharmacists, etc.). Helping to prepare future healthcare professionals is a distinguishing characteristic of nonprofit healthcare. 20. CHRISTUS Spohn also utilizes cash donations as a vehicle to help our communities. CHRISTUS Spohn made cash donations, in addition to grants awarded through the CHRISTUS fund, to support the fight against cancer, diabetes, heart disease, and many other important community initiatives. Schedule H, Part VI, Line 6 Affiliated health care system CHRISTUS SPOHN HEALTH SYSTEM 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, COLOMBIA, AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CHRISTUS SPOHN HEALTH SYSTEM, 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 SPOHN HEALTH SYSTEM, 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 true CHRISTUS Spohn Healthy System Development Foundation 600 Elizabeth St Corpus Christi TX 78404 741906005 501(c)(3) 371025 contribution to Foundation for Salary / Benefit Expense & Premium support HIX American Heart Association 7272 Greenville Ave Dallas TX 752314596 135613797 501(c)(3) 40000 Donation to Heart care 2 0 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. THE FILING ORGANIZATION PROVIDES INDIGENT FUNDING GRANTS TO THE COUNTIES IN WHICH CHRISTUS HEALTH SYSTEM AFFILIATES SERVE VIA GRANTS PAID TO OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS LOCATED WITHIN SUCH COUNTIES. THIS CHARITABLE DONATION HELPS RELIEVE THE ADDITIONAL EXPENSE OF HEALTHCARE FOR THE INDIGENT POPULATION WITHIN OUR COMMUNITIES THAT THE FILING ORGANIZATION MAY NOT DIRECTLY SERVE IN ONE OF ITS HOSPITALS. THIS IS A RESULT OF OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, ESPECIALLY TO THE POOR AND UNDERSERVED. X true true true true false false false false false false false OSBERT BLOW MD PHD FACS MD, PHD, FACS/FORMER PRESIDENT/Chief Executive Officer (TERM 12/22) 0 0 0 0 0 607681 0 0 0 0 0 607681 0 0 Cynthia YBANEZ FORMER SECRETARY (term 12/23) 0 57339 0 1500 0 12203 0 10128 0 13711 0 94881 0 0 DOMINIC DOMINGUEZ Chief Executive Officer 0 794703 0 423801 0 177703 0 15678 0 10184 0 1422069 0 176628 JEFFREY PUCKETT DIRECTOR 0 1659819 0 2929083 0 2234450 0 39670 0 17033 0 6880055 0 1954259 DR OREL EVERETT Chief Medical Officer/Director 0 399281 0 140120 0 16150 0 35212 0 22158 0 612921 0 16080 REBECCA B RIOS Chief Financial Officer 0 331442 0 116351 0 41406 0 8775 0 24493 0 522467 0 40756 Genifer Rucker Former President Spohn Beeville (Term 5/22) 0 289654 0 141946 0 0 0 26761 0 14299 0 472660 0 0 Melinda Soliz Vice President Human Resources 0 134339 0 19361 0 1715 0 19992 0 5229 0 180636 0 0 STEPHEN C KAZANJIAN Vice President MISSION INTEGRATION 0 352524 0 149054 0 111588 0 34653 0 2929 0 650748 0 37905 RAYMON ACEBO Chief Marketing Officer SHORELINE 0 348126 0 122605 0 0 0 36502 0 16582 0 523815 0 0 LANELL SCOTT President Spohn South 0 328672 0 96801 0 0 0 57337 0 8537 0 491347 0 0 Richard Morin President Alice & Kleberg Hospitals 0 282149 0 82606 0 44634 0 45562 0 13706 0 468657 0 43887 CRAIG DESMOND President Spohn Hospital Shoreline & Memorial 0 72632 0 0 0 269045 0 4838 0 31386 0 377901 0 0 LAURA GARCIA Spohn South Chief Networking Officer 0 247378 0 70145 0 650 0 40137 0 7621 0 365931 0 0 KATHY ACUNA Vice President HUMAN RESOURCES 0 203215 0 44940 0 66153 0 30859 0 16091 0 361258 0 0 Jeannie Berry Chief Networking Officer Shoreline 0 279004 0 78787 0 0 0 0 0 2058 0 359849 0 0 MARGOT RIOS Chief Networking Officer Spohn Alice 0 186336 0 54783 0 42665 0 44426 0 9238 0 337448 0 40347 Reyaan Ali Shoreline Vice President Operations 0 201068 0 79463 0 650 0 4271 0 22085 0 307537 0 0 PATRICIA CANO Vice President PHILANTHROPY 0 156328 0 35733 0 0 0 28220 0 7882 0 228163 0 0 Steven Daniel President Surgical Hospital 0 82163 0 4944 0 130026 0 0 0 3623 0 220756 0 0 Thomas Schoenig Associate Chief Information Officer shoreline 0 103914 0 0 0 48450 0 0 0 691 0 153055 0 0 MUDER ALKRISAT PATIENT CARE 195994 0 34441 0 1056 0 27529 0 3074 0 262094 0 0 0 CHAD WRIGHT Director Pharmacy 188939 0 20591 0 2691 0 21279 0 20590 0 254090 0 0 0 JODEE M KERESTES Director Strategy 206072 0 25968 0 1255 0 4788 0 13590 0 251673 0 0 0 JENNIFER S LINDOG RN 80410 0 0 0 122304 0 27380 0 6157 0 236251 0 0 0 MICHELLE REESE RN 119660 0 0 0 109667 0 0 0 5080 0 234407 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 STEVEN DANIEL RECEIVED $123,604 IN SEVERANCE IN CALENDAR YEAR 2024. CRAIG DESMOND RECEIVED $222,862 IN SEVERANCE IN CALENDAR YEAR 2024. THOMAS SCHOENIG RECEIVED $48,450 IN SEVERANCE IN CALENDAR YEAR 2024. OSBERT BLOW, MD, PHD, FACS RECEIVED $594,256 IN SEVERANCE IN 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 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: JEFFREY PUCKETT - $2,234,450 DOMINIC DOMINGUEZ - $176,628 CRAIG DESMOND - $46,183 RICHARD MORIN - $43,887 REBECCA RIOS - $40,756 MARGOT RIOS - $40,347 STEPHEN KAZANJIAN - $37,905 OREL EVERETT - $16,080 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 SUPPLEMENTAL COMPENSATION INFORMATION W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. Schedule J, Part II, Column (B)(ii) SUPPLEMENTAL COMPENSATION INFORMATION BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 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. Shah Islam MD paid as an independent contractor by Spohn HSC 102000 MEDICAL SERVICES false Dawn Everett Family member of Board Member 130809 Compensation paid false Form 990, Part III, Line 1 ORGANIZATION'S MISSION CHRISTUS Spohn Health System is part of CHRISTUS Health, formed in 1999 to strengthen the healthcare ministries of the congregations of the Sisters of Charity of the Incarnate Word of Houston and San Antonio and the Sisters of the Holy Family of Nazareth. Founded on the mission To extend the healing ministry of Jesus Christ, CHRISTUS Spohn serves the entire coastal bend region, striving to help those in need. The vision of CHRISTUS Health, a Catholic health ministry, is to be a leader, a partner, and an advocate in creating innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION PATIENT CARE SERVICES CHRISTUS SPOHN Health System Corporation responds to the health care needs of the community through services provided at 7 campuses: CHRISTUS SPOHN Hospital Shoreline, a 575-bed hospital in Corpus Christi CHRISTUS SPOHN Hospital Memorial, a 667-bed hospital in Corpus Christi CHRISTUS SPOHN Hospital South, a 0-bed hospital in Corpus Christi CHRISTUS SPOHN Hospital Alice ,a 72-bed hospital in Alice CHRISTUS SPOHN Hospital Kleberg, a 50 -bed hospital in Kingsville CHRISTUS SPOHN Hospital Beeville, a 10 -bed hospital in Beeville CHRISTUS Surgical Hospital, a 33-bed Hospital in Corpus Christi Each facility shares the objective of leading the way to a healthier community. CHRISTUS SPOHN Health System Corporation is located in Texas, serving a population of 554,877 individuals in fiscal year 2025. In fiscal year 2025, we served individuals in various ways, including: 179,176 visits to our emergency department 7,441 inpatient surgery procedures 15,090 outpatient surgery procedures 31,824 patients admitted for care 294,448 patients who received outpatient care 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, CHRISTUS SPOHN Health System Corporation provides charity care services in a manner that respects the dignity of the patients and their families. CHRISTUS SPOHN Health System 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, 32,287 uninsured patients at or below 300% of the Federal Poverty Level (FPL) received care at no cost, while 102 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 SPOHN Health System 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 SPOHN Health System 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 SPOHN Health System Corporation invested $6,042,203 in community benefit programs, impacting 66,776 individuals. Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION Other Government Programs CHRISTUS SPOHN Health System 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 SPOHN Health System Corporation served 326,401 patients under these programs, with unreimbursed costs totaling $77,189,681. 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 $ 5,850,682 including grants of $ 423,521)(Revenue $ 0) CHRISTUS SPOHN Health System Corporation also undertook additional activities of comparable importance, including those conducted with volunteer labor or smaller in terms of expenses related to the poor & underserved and broader community. Poor & Underserved: expenses of $4,947,791; Grants of $191,250 Broader community: expenses of $902,891 Additional Grants: Grants of $232,271 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 ITS 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 2 Family/business relationships amongst interested persons DR. OREL EVERETT (board member) and GABE GUERRA (board member and officer) - Family relationship 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 REVIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2025 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 SPOHN HEALTH SYSTEM 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 SPOHN HEALTH SYSTEM 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 IX, Line 11g Other Fees Patient Financial Services Fee - Total Expense: 14347646, Program Service Expense: , Management and General Expenses: 14347646, Fundraising Expenses: ; Repairs & Maintenance Services - Total Expense: 19618874, Program Service Expense: 19448548, Management and General Expenses: 170326, Fundraising Expenses: ; Medical Services - Total Expense: 1803829, Program Service Expense: 2224795, Management and General Expenses: -420966, Fundraising Expenses: ; Collection and Billing Services - Total Expense: 3680300, Program Service Expense: 3680300, Management and General Expenses: , Fundraising Expenses: ; Physician Services - Total Expense: XXX-XX-XXXX, Program Service Expense: 94458366, Management and General Expenses: 5611280, Fundraising Expenses: ; MCCS Expense - Total Expense: 25634796, Program Service Expense: , Management and General Expenses: 25634796, Fundraising Expenses: ; Consulting Services - Total Expense: 459371, Program Service Expense: 376522, Management and General Expenses: 82849, Fundraising Expenses: ; Professional Fees - Total Expense: 37600924, Program Service Expense: 1731853, Management and General Expenses: 35869071, Fundraising Expenses: ; Marketing Fees - Total Expense: 4496, Program Service Expense: 4496, Management and General Expenses: , Fundraising Expenses: ; License/Subscription Fees - Total Expense: 158717, Program Service Expense: 158717, Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part 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 - -85277536; RESTRICTED CONTRIBUTIONS - 2701; Total - -85274835; FORM 990, BOX C DOING BUSINESS AS CHRISTUS Heart Center CHRISTUS Spohn Cancer Center - Alice CHRISTUS Spohn Cancer Center - Calallen CHRISTUS Spohn Cancer Center - Shoreline Christus Spohn Dr. Hector P. Garcia Memorial Family Health Center CHRISTUS Spohn Family Health Center - Freer CHRISTUS Spohn Family Health Center - Northside CHRISTUS Spohn Family Health Center - Padre Island CHRISTUS Spohn Family Health Center - Robstown CHRISTUS Spohn Family Health Center - Westside CHRISTUS Spohn Health System CHRISTUS Spohn Heart Institute CHRISTUS Spohn Hospital Alice CHRISTUS Spohn Hospital Beeville CHRISTUS Spohn Hospital Corpus Christi - Memorial CHRISTUS Spohn Hospital Corpus Christi - Shoreline CHRISTUS Spohn Hospital Corpus Christi - South Christus Spohn Hospital Kleberg CHRISTUS Spohn Medical Clinic - Alice CHRISTUS Spohn Memorial Quick Care CHRISTUS Spohn Neurosciences Center CHRISTUS Spohn Women's Clinic - Alice CHRISTUS Spohn Women's Clinic - Beeville CHRISTUS Surgical Hospital 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 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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 HEALTH CARE CORPORATION 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HEALTHCARE SERVICES TX 501(c)(3) 3 CH 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 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 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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 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