2026-05-08T10:17:18+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2024-07-01 752771569 Mother Frances Hospital - Winnsboro MOTH 9036065639 5101 N OConnor Blvd IRVING TX 75039 PAUL HARVEY PRESIDENT 2026-05-08 true true Kristen Farr Capizzi P02176875 3128792000 2026-05-04 2024 2025-03-06 01:10:19Z See Schedule O PAUL HARVEY 5101 N OConnor Blvd IRVING TX 75039 21446830 false X WWW.CHRISTUSHEALTH.ORG/TRINITY/WINNSBORO X 1985 TX TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTHCARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 8 3 0 4 0 1957 0 24845891 21060013 -917 0 495640 386817 25342571 21446830 17366 22749 0 0 8447139 8748077 0 0 8128 14166303 12339170 22630808 21109996 2711763 336834 13477214 13128280 2378970 2368885 11098244 10759395 X SEE SCHEDULE O false false 8183998 0 7044108 SEE SCHEDULE O 7920066 0 10559220 SEE SCHEDULE O 730012 0 3456685 SEE SCHEDULE O 181137 22749 0 MOTHER FRANCES HOSPITAL - WINNSBORO ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE POOR & UNDESERVED AND BROADER COMMUNITY. POOR & UNDESERVED: EXPENSES OF $18,300 BROADER COMMUNITY: EXPENSES OF $162,837 ADDITIONAL GRANTS: $22,749 181137 22749 17015213 true false false false false false false false false true true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true true true false false true 0 0 0 false false false false false false false false false false false false X 8 3 false false false false true true true true true false false false true true true true true true true true false false X LEE SONNE 4692822000 5101 N OConnor Blvd IRVING TX 75039 Chris Glenney Director/CHAIRPERSON (EFF 1/25) 20.0 20.0 X X 0 1661685 88961 Paul Harvey President ex-officio w/vote 6.0 34.0 X X 0 376058 57423 Shannon Dacus Director/Chairperson TERM (12/24) 11.0 0.0 X X 0 0 0 Andria Cardinalli-Stein MD Director (TERM 12/24) 8.0 32.0 X 0 493316 16049 Bill Chen PhD Director (TERM 12/24) 4.0 10.0 X 0 17823 0 Dick Stone Director (TERM 12/24) 10.0 0.0 X 0 0 0 Fred Harris Jr Director (TERM 12/24) 10.0 0.0 X 0 0 0 Jean Coleman Director (TERM 12/24) 8.0 0.0 X 0 0 0 Jeb Jones Director 10.0 0.0 X 0 0 0 Jeffrey Puckett Director (TERM 12/24) 13.0 27.0 X 0 6823352 56703 Joe Bob Burgin Director (TERM 12/24) 10.0 0.0 X 0 0 0 Mark Anderson MD Director 11.0 29.0 X 0 942905 101941 Michael Hallum Director (TERM 12/24) 4.0 0.0 X 0 0 0 Preston Smith Director (TERM 12/24) 11.0 0.0 X 0 0 0 Randy Childress Director (TERM 12/24) 4.0 0.0 X 0 0 0 Sister Guadalupe Ruiz Director (TERM 12/24) 4.0 0.0 X 0 0 0 Sister Rita Fanning Director 2.0 0.0 X 0 0 0 Sister Rosanne Popp MD Director 4.0 36.0 X 0 262179 7720 Sonja Yates Hubbard Director (TERM 12/24) 8.0 0.0 X 0 0 0 Steve Keuer MD Director 10.0 30.0 X 0 1383326 63590 Eric Garrison CHIEF FINANCIAL OFFICER 10.0 30.0 X 0 464765 17520 Jaclynn Harrison TREASURER/NETX/NLA HEALTH SYSTEM CHIEF FINANCIAL OFFICER 10.0 40.0 X 0 778681 41355 Janna Garcia-Chapa Corporate Secretary (TERM 09/24) 20.0 20.0 X 0 71074 1509 Sonia Acosta Corporate Secretary (EFF 10/24) 20.0 20.0 X 0 25472 170 Brian Allgaier MD DIRECTOR/CHIEFF OF STAFF (TERM 12/20) 0.0 40.0 X 0 136875 12133 0 13437511 465074 0 true true false 0 0 NET PATIENT SERVICE REVENUE 621110 20336575 20336575 RENTAL REVENUE 531120 70761 70761 PHYSICIAN NON-CONTRACT REVENUE 900099 636024 636024 REBATES 900099 16653 16653 0 0 0 0 21060013 0 0 0 0 OTHER OPERATING REVENUE 900099 386817 386817 0 0 0 0 386817 21446830 21060013 0 386817 X 22749 22749 0 0 7065188 6774749 282311 8128 1179323 1125282 54041 503566 493708 9858 5069 5069 533 533 5988239 3658100 2330139 0 181 181 1429007 1258498 170509 714671 714671 27465 27229 236 2239 2189 50 824677 824677 294357 185846 108511 MEDICAL SUPPLIES 1702532 1693432 9100 Other Tax Expense 1047856 -55 1047911 Management Services 218471 218471 TLRA Collection Fee 73524 73524 10349 9884 465 0 21109996 17015213 4086655 8128 3940 6028 3512611 2359385 0 0 0 0 13794 13794 413724 456640 74706 16051618 5886336 8603970 10165282 0 0 929175 52445 13477214 13128280 2222455 2213253 0 0 156515 155632 2378970 2368885 X 11098244 10759395 11098244 10759395 13477214 13128280 X 336834 -675683 X false true true true true X 7260531 6000 1181508 146011 8302028 5783553 500025 1077616 100663 7260531 4587177 856276 340534 434 5783553 4606929 122490 -123917 18325 4587177 3951360 0 708623 53054 4606929 0.0 0.4207 0.5793 false false 230000 230000 10647847 3594331 7053516 676100 305258 370842 4497671 1986747 2510924 0 0 0 10165282 Federal Income Taxes Asset Retirement Obligations 155632 155632 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, 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 2001544 2001544 0.09481 730012 3456685 0 0.0 0 0.0 0 0 2731556 3456685 2001544 0.09481 11 4116 38573 0 38573 0.00183 1 95 14840 0 14840 0.00070 1 8 13287 0 13287 0.00063 0 0.0 4 13273 118900 118900 0.00563 17 17492 185600 0 185600 0.00879 17 17492 2917156 3456685 2187144 0.10361 0 0.0 0 0.0 2 5205 8428 0 8428 0.00040 0 0.0 0 0.0 0 0.0 1 809 0 809 0.00004 2 115 3406 0 3406 0.00016 0 0.0 5 5320 12643 0 12643 0.00060 false 0 0 6196486 5826957 369529 X true true 1 1 MOTHER FRANCES HOSPITAL - WINNSBORO 719 WEST COKE ROAD WINNSBORO TX 75494 https://www.christushealth.org/locations/winnsboro 0004446 X X X X MOTHER FRANCES HOSPITAL - WINNSBORO 1 false false true X X X X X X X X X 25 true true false true X https://www.christushealth.org/locations/winnsboro SEE SUPPLEMENTAL INFO X true 25 true https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve false true X 300.0 400.0 X X X X X true true X X X X X true X https://www.christushealth.org/plan-care/bill-pay/financial-assistance X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E THE HOSPITAL FACILITY'S MOST RECENT CHNA REPORT INCLUDED A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. 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 JULY 31, 2025 (RATIFICATION DATE). THE CHNA PROCESS INVOLVED ENGAGEMENT WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLECT, CURATE, AND INTERPRET PRIMARY AND SECONDARY DATA. THE DATA WAS THEN USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. FOR THIS COMPONENT, CTMFHS WORKED WITH METOPIO, A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. CTMFHS CONDUCTED ITS CHNA USING AN ADAPTED PROCESS FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK. PRIMARY DATA WAS COLLECTED THROUGH FOUR CHANNELS: 1. COMMUNITY RESIDENT SURVEYS: DISTRIBUTED TO ASSOCIATES, PATIENTS AND RESIDENTS TO GATHER INSIGHTS ON SOCIAL NEEDS AND HEALTH CHALLENGES (ACROSS THE TYLER MINISTRY-TYLER, JACKSONVILLE, SULPHUR SPRINGS, AND WINNSBORO) 2,957 SURVEYS WERE RETURNED. 2. COMMUNITY RESIDENT FOCUS GROUPS (2 LOCAL GROUPS COVERING ADULT HEALTH, TWO ON MATERNAL AND CHILD HEALTH, AND JOINED WITH TWO SYSTEMWIDE FOCUS GROUPS ON HEALTHCARE AND SOCIAL SERVICE PROVIDERS AND BEHAVIORAL HEALTH. FOCUS GROUPS LASTED 90 MINUTES AND HAD 20 GROUPS/INDIVIDUALS ATTENDING INCLUDING: FIRST UNITED METHODIST CHURCH, HYPE - HELPING YOUNG PEOPLE EXCEL - NORTHEAST CHILD ADVOCACY CENTER WC PROTECTION BOARD, WINNSBORO CENTER FOR THE ARTS, WINNSBORO COMMUNITY RESOURCE CENTER, WINNSBORO FIRE DEPARTMENT, WINNSBORO INDEPENDENT SCHOOL DISTRICT, AND CAREVIDE. 3. DICTIONARY WORKGROUPS: ENGAGED STAKEHOLDERS IN IDENTIFYING MEANINGFUL INDICATORS ALIGNED WITH COMMUNITY PRIORITIES. 4. COMMUNITY FOCUS GROUPS: BROUGHT TOGETHER DIVERSE VOICES TO CONTEXTUALIZE THE DATA AND VALIDATE FINDINGS THROUGH LIVED EXPERIENCE. 5. WINDSHIELD SURVEYS: OFFERED DIRECT OBSERVATIONS OF COMMUNITY ENVIRONMENTS TO IDENTIFY PHYSICAL AND SOCIAL DETERMINANTS OF HEALTH. SECONDARY DATA FOR THE CHNA WAS AGGREGATED ON A DATA PLATFORM AND INCLUDED: 1.HOSPITAL UTILIZATION DATA. 2.SECONDARY SOURCES INCLUDING, BUT NOT LIMITED TO, THE AMERICAN COMMUNITY SURVEY, THE DECENNIAL CENSUS, THE CENTERS FOR DISEASE CONTROL, THE ENVIRONMENTAL PROTECTION AGENCY, HOUSING, AND URBAN DEVELOPMENT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS CONDUCTED IN PARTNERSHIP WITH: MOTHER FRANCES REGIONAL HEALTH CARE CENTER, MOTHER FRANCES HOSPITAL - JACKSONVILLE, CHRISTUS HOPKINS HEALTH ALLIANCE, CHRISTUS TRINITY MOTHER FRANCES REHABILITATION HOSPITAL Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. MOTHER FRANCES HOSPITAL - WINNSBORO COMPLETED ITS PREVIOUS CHNA (FY2022) ON JUNE 30, 2022. THE SIGNIFICANT NEEDS THAT WERE PRIORITIZED BY THE HOSPITAL TO ADDRESS THROUGH THE THREEYEAR CHNA AND IMPLEMENTATION STRATEGY (FY2023-FY2025) WERE: A. ADVANCE HEALTH AND WELLBEING 1. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT - PROJECTS AND PROGRAMS FOR OBESITY, HEART DISEASE, DIABETES, AND CANCER WERE ALL IMPLEMENTED WITH COLLABORATION FROM THE COMMUNITY. WE EXCELLED AT PROVIDING SCREENINGS AND EDUCATION OPPORTUNITIES ABOUT HEART DISEASE, DIABETES, AND OBESITY. - OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS(P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: - Year 1 - 3 (P/P) Year 2 - 4 (P/P) Year 3 - 2 (P/P) 2. BEHAVIORAL HEALTH - WORKING ON THESE GOALS WAS DEMANDING FOR ADDITIONAL SERVICES AND PROGRAMS SUCH AS PROVIDING BETTER CONNECTIONS FOR SERVICES, ADDRESSING THE DATA ON SUBSTANCE ABUSE (THE MOST DIFFICULT BECAUSE LACK OF PUBLIC TRACKING IN THE AREA), AND TRYING TO FIND WAYS TO EXPAND SERVICES FOR BEHAVIORAL (WE SUPPORTED EFFORTS IN THE LOCAL COMMUNITY TO GROW ACCESS, AND EXPANDING STATE SUPPORT FOR PROGRAMS). - OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS (P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: - Year 1 - 9(P/P) Year 2 - 8 (P/P) Year 3 - 9 (P/P) 3. PRIMARY CARE - ACCESS TO CARE WAS A TOP PRIORITY AND WE CONTINUED TO FOCUS ON OUR EFFORTS FOR JUNIOR HIGH SCHOOL AND HIGH SCHOOL STUDENTS AND FACULTY WHO ARE ACTIVE AND TRYING TO PREVENT ACCIDENTS AND PROVIDING ON-SITE EFFORTS TO HELP WITH THE HEALING PROCESS WHICH ALSO SUPPORTED REMOVING BARRIERS FOR RURAL COMMUNITIES. AND PROJECT FOR COLLABORATION ALSO INCREASED WITH COMMUNITY LEADERS HELPING US TO IDENTIFY IMMEDIATE NEEDS. - OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECTS AND PROGRAMS(P/P) AND WERE STABLE IN OUR SERVICES AND SUPPORT: - Year 1 - 5 (P/P) Year 2 - 7(P/P) Year 3 - 10 (P/P) 4. EDUCATION - THIS PROVED TO BE A MASSIVE FOCUS AREA FOR US TO SERVE THE COMMUNITY. BOTH THE PROGRAM/PROJECTS AND THE NUMBER OF PEOPLE SERVED GREW ALMOST EVERY YEAR. KEY AREAS WERE COLLABORATION WITH THE COMMUNITY TO EXPAND HEALTH EDUCATION POINTS, ENHANCE FUNDING FOR SCHOLARSHIPS IN ALL AREAS, AND TO SUPPORT LOCAL COMMUNITY EFFORTS TO BUILD LEADERSHIP. - OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECT AND PROGRAMS (P/P) AND GREW OUR SERVICES AND SUPPORT: - Year 1 - 7 (P/P) Year 2 - 10 (P/P) Year 3 - 14 (P/P) B. BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS THERE WERE TWO MAIN FOCUS AREAS: FOOD INSECURITY AND REDUCING SMOKING AND VAPING. 1. FOOD INSECURITY - THIS WAS OUR MOST SUCCESSFUL PROGRAM IN THIS AREA AND WE WERE ABLE TO STRETCH OUR SUPPORT AND INCREASE FUNDING AT A TIME THAT ECONOMICALLY THE NEED WAS GREATEST. - OVER THE THREE-YEAR PERIOD WE PARTICIPATED IN PROJECT AND PROGRAMS(P/P) AND GREW OUR SERVICES AND SUPPORT: - Year 1 - 3 (P/P) Year 2 - 4 (P/P) Year 3 - 5 (P/P) 2. SMOKING AND VAPING - THIS AREA PROVED TO BE THE MOST DIFFICULT TO WORK WITHIN. THE COMMUNITY EFFORTS TO DEVELOP COLLABORATIONS WAS STRONG AND THE NEED WAS GREAT BUT IT WAS DIFFICULT. WE SUPPORTED EFFORTS OF OUR TEXAS LEGISLATURE TO LIMIT AND MONITOR ON CAMPUS SMOKING PROGRAMS IN AN EFFORT TO REDUCE SMOKING AND VAPING. FY2023-2025 CHNA IDENTIFIED NEEDS NOT BEING ADDRESSED CERTAIN COMMUNITY NEEDS, PARTICULARLY THOSE RELATED TO BROADER SOCIAL AND ECONOMIC CONDITIONS, WERE NOT IDENTIFIED AS AREAS WHERE CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM COULD SERVE AS THE PRIMARY LEAD OR ACHIEVE THE GREATEST MEASURABLE IMPACT THROUGH DIRECT HOSPITAL INTERVENTION. THESE NEEDS INCLUDED, BUT WERE NOT LIMITED TO, UPSTREAM SOCIAL DETERMINANTS SUCH AS HOUSING INSTABILITY, TRANSPORTATION ACCESS, AND SELECTED ECONOMIC AND ENVIRONMENTAL CHALLENGES THAT EXTEND BEYOND THE SCOPE OF HOSPITAL OPERATIONS AND CLINICAL PROGRAMMING. CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM DID NOT SERVE AS THE PRIMARY LEAD ON ISSUES THAT WERE NOT PRIORITIZED FOR DIRECT IMPLEMENTATION BECAUSE THE SYSTEM CAREFULLY CONSIDERED ITS ABILITY TO MEANINGFULLY INFLUENCE OUTCOMES, THE PRESENCE OF ESTABLISHED COMMUNITY PARTNERS ALREADY LEADING THIS WORK, AND THE IMPORTANCE OF AVOIDING DUPLICATION OF SERVICES. NEVERTHELESS, THE SYSTEM RECOGNIZES THE SIGNIFICANT IMPACT THESE FACTORS HAVE ON HEALTH OUTCOMES AND THE OVERALL WELL BEING OF PATIENTS AND COMMUNITIES. FOR THIS REASON, THROUGHOUT THE FY2023-2025 CHNA CYCLE, CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM REMAINED DEEPLY COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS WHO ADDRESSED THESE NEEDS, PARTICIPATING IN COMMUNITY COALITIONS, SUPPORTING ALIGNED INITIATIVES, AND ENSURING THAT ITS STRATEGIES COMPLEMENTED AND ENHANCED THE BROADER COMMUNITY RESPONSE. THE MOST RECENTLY CONDUCTED CHNA (FY2025) WAS COMPLETED ON JUNE 30, 2025 TO ADDRESS THE THREE-YEAR CHNA AND IMPLEMENTATION STRATEGY (FY2026-FY2028). TO BETTER UNDERSTAND AND RESPOND TO THE EVOLVING NEEDS OF THE COMMUNITIES WE SERVE, CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM STRUCTURED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (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 - SHIFT AS INDIVIDUALS GROW, AGE AND MOVE THROUGH DIFFERENT PHASES OF LIFE. CHRISTUS TRINITY MOTHER FRANCES 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-UP) KEY INDICATORS THAT CROSS THE LIFE SPAN APPROACH INCLUDE: PRIMARY CARE, BEHAVIORAL, SPECIALITY CARE, EDUCATION, AND FOOD INSECURITY. 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 USING TREND DATA TO UNDERSTAND WHETHER COMMUNITY CONDITIONS ARE IMPROVING OVER TIME, RATHER THAN FOCUSINGON YEAR-TO-YEAR FLUCTUATIONS. BASED ON THESE DISCUSSIONS, EACH WORKGROUP IDENTIFIED THREE TO FIVE LEADING HEALTH INDICATORS FOR THEIR RESPECTIVE LIFE STAGES. THEY NOW SERVE AS A SHARED FOCUS FOR CTMFHS STRATEGIES, INVESTMENTS, AND PARTNERSHIPS OVER THE NEXT THREE YEARS. FY2026-2026 CHNA IDENTIFIED NEEDS NOT BEING ADDRESSED THE CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM FY2026-2028 CHNA IDENTIFIED A BROAD RANGE OF IMPORTANT HEALTH AND SOCIAL NEEDS ACROSS THE SERVICE AREA. HOWEVER, NOT ALL OF THESE NEEDS FALL WITHIN THE DIRECT SCOPE OF SERVICES OR RESOURCES THAT CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM CAN LEAD OR SUSTAIN INDEPENDENTLY. SOME COMMUNITY ISSUES REQUIRE THE SPECIALIZED FOCUS, INFRASTRUCTURE, OR MISSION ALIGNMENT OF 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, SOCIAL MEDIA USE AND SOCIAL ISOLATION, INABILITY TO PERFORM ACTIVITIES OF DAILY LIVING, LONG-TERM CARE AFFORDABILITY, PHONE ADDICTION, EXCESSIVE SCREEN TIME. ALTHOUGH CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM DOES NOT SERVE AS THE PRIMARY LEAD ON THESE ISSUES, THE SYSTEM RECOGNIZES THEIR DIRECT IMPACT ON HEALTH OUTCOMES AND THE OVERALL WELL-BEING OF PATIENTS AND COMMUNITIES. FOR THIS REASON, CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM REMAINS DEEPLY COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS WHO ADDRESS THESE NEEDS, PARTICIPATING IN COALITIONS, SUPPORTING ALIGNED INITIATIVES, AND ENSURING THAT ITS STRATEGIES COMPLEMENT AND ENHANCE THE WORK OF OTHERS. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300% OF THE FEDERAL POVERTY GUIDELINES WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB. Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. THE HOSPITAL POSTED SIGNS TO INFORM PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY FOR AVAILABILITY OF CHARITY CARE IN THE EMERGENCY DEPARTMENT, LOBBY AND ADMISSIONS AREAS. IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE). EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITAL'S HOMEPAGE HAD A CONSPICUOUS FINANCIAL ASSISTANCE LINK DIRECTING PATIENTS TO THE CHARITY CARE HOMEPAGE. FINANCIAL COUNSELORS ALSO PUBLICIZED THE AVAILABILITY OF FINANCIAL ONE-ON-ONE VISITS WITH PATIENTS. THE HOSPITAL ATTEMPTED TO PROVIDE ALL UNINSURED PATIENTS WITH FINANCIAL COUNSELING. SPENDING THE TIME FACE-TO-FACE WITH PATIENTS ALLOWED COUNSELORS TO FACILITATE THE APPLICATION PROCESS FOR PATIENTS WHO OTHERWISE MIGHT NOT HAVE SOUGHT ASSISTANCE. COUNSELORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - MOTHER FRANCES HOSPITAL - WINNSBORO. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN . 0 Schedule H, Part V, Section B, Line 17 DID NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS THE HOSPITAL DOES NOT HAVE A POLICY THAT ADDRESSES ACTIONS IN THE EVENT OF NONPAYMENT. THE ORGANIZATION DOES NOT PURSUE ANY OF THE LISTED ACTIONS AT LINES 18 OR 19 IN PURSUIT OF COLLECTIONS FROM INDIVIDUALS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHRISTUS HEALTH MANAGEMENT DIRECTIVE 11. Schedule H, Part V, Section B, Line 18 ACTIONS REGARDING ELIGIBILITY UNDER FAP THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. Schedule H, Part V, Section B, Line 22 FAP-ELIGIBLE EMERGENCY OR OTHER MEDICAL CARE THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR 2025 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 40% OF CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL) OR RECEIVED FREE CARE (FOR INCOMES AT OR BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE. Schedule H, Part I, Line 3c ASSISTANCE ELIGIBILITY CRITERIA FACTORS OTHER THAN THE FPG DETERMINING FREE OR DISCOUNTED CARE THE HOSPITALS USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE DISCOUNTED CARE: 1) INCOME LEVEL 2) ASSET LEVEL 3) MEDICAL INDIGENCY 4) INSURANCE STATUS 5) UNDER INSURANCE STATUS 6) RESIDENCY Schedule H, Part I, Line 5a BUDGETED CHARITY CARE THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES. Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. Schedule H, Part I, Line 7k PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $21,109,996. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $0. THIS LEAVES A TOTAL EXPENSE OF $21,109,996 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). Schedule H, Part I, Line 7k FIN ASSISTANCE/OTHER BENEFITS AS PERCENTAGE OF COST THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 13.74%, WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. Schedule H, Part I, Line 7i CASH AND IN-KIND CONTRIBUTIONS THE HOSPITAL MADE CASH AND IN-KIND CONTRIBUTIONS DURING THE FISCAL YEAR. THE AMOUNT IS CALCULATED FOLLOWING REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. THIS AMOUNT DIFFERS FROM GRANTS REPORTED IN FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS, AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES, AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $315,000 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY SERVED BY [INSERT FILING ORGANIZATIONS NAME]. THE GRANT DOLLARS WERE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT CHRISTUS [INSERT FILING ORGANIZATIONS NAME] SERVES. ALL GRANTS MADE TO OUTSIDE ORGANIZATIONS THROUGH THE CHRISTUS FUND ARE MADE TO NONPROFIT ORGANIZATIONS THAT SUPPORT THE COMMUNITY. Schedule H, Part III, Line 2 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. Schedule H, Part II COMMUNITY BUILDING ACTIVITIES THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2025, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES, AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE PATIENTS WE SERVE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES ARE IMPROVING ACCESS TO HEALTH SERVICES AND BUILDING COLLABORATIVE RELATIONSHIPS WITH OTHER ORGANIZATIONS SEEKING TO ADDRESS CHRONIC CONDITIONS THAT DISPROPORTIONATELY IMPACT THE POOR AND UNDERSERVED. Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS Schedule H, Part V, Section B, Line 7 OTHER WEBSITE https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/trinity-mother-frances-tyler/2026-2028-community-health-needs-assessment-christus-trinity-mother-frances-health-system.ashx Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/v2financial-assistance-application.ashx Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2021plainlanguagesummaryhospitalenglish.ashx Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. A COMMUNITY BENEFIT REPORT IS FILED FOR THE STATE OF TEXAS IN THE FORM OF THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE CODE REQUIRES NONPROFIT HOSPITALS TO FILE THE ASCBS FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS). THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. Schedule H, Part 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 July 31, 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 July 31, 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 (July 31, 2025). All related CHNA implementation strategies were approved by the hospital's board of directors on July 31, 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 7b UNREIMBURSED MEDICAID THE HOSPITAL REINVESTS SURPLUS FUNDS BACK IN TO THE COMMUNITIES IT SERVES THROUGH EXPANDED HEALTH SERVICES, NEW TECHNOLOGIES, AND BETTER FACILITIES. 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 DURING THE TAXABLE YEAR, THE HOSPITAL FACILITY DID NOT REPORT ANY BAD DEBT EXPENSE. ACCORDINGLY, THE HOSPITAL DID NOT USE A METHODOLOGY TO ESTIMATE BAD DEBT AS A COMMUNITY BENEFIT FOR SCHEDULE H REPORTING PURPOSES. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH UNITED STATES GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY AT THE DATE OF THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENTS AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP. Schedule H, Part V, Section B, Line 16a FAP website - MOTHER FRANCES HOSPITAL - WINNSBORO: Line 16a URL: https://www.christushealth.org/plan-care/bill-pay/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - MOTHER FRANCES HOSPITAL - WINNSBORO: Line 16b URL: SEE SUPPLEMENTAL INFO; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - MOTHER FRANCES HOSPITAL - WINNSBORO: Line 16c URL: SEE SUPPLEMENTAL INFO; Schedule H, Part VI, Line 2 Needs assessment ONE OF THE KEY AREAS USED TO GET INPUT FROM OUR COMMUNITIES IS TO HAVE ASSOCIATES SERVE ON LOCAL BOARDS AND ATTEND COMMUNITY PARTNER MEETINGS TO HEAR FIRSTHAND WHAT THEIR ISSUES ARE AND HOW THEY ARE TRYING TO ADDRESS THEM. OUR HOSPITAL COMMUNITY BENEFIT ADVISORY COUNCIL HOLDS 2 MEETINGS A YEAR INCLUDING AN ANNUAL MEETING WITH GUESTS FROM THE AREA COMMUNITIES WHO COULD IMPACT THE NEXT YEAR'S GOALS AND THE ENTIRE GROUP EVALUATES THE PERFORMANCE OF THE HOSPITAL IN THE CURRENT YEAR. AWARDS ARE GIVEN TO GROUPS WHO HAVE EXCELLED IN A SPECIFIC AREA. THE COMMUNITY BENEFIT TEAM ALSO HOSTS ROUND-TABLE DISCUSSIONS DURING THE YEAR TO GET INPUT ON ISSUES OR CHANGES THAT OCCUR FROM THE COMMUNITY. THE HOSPITAL ADVISORY COUNCIL AND THE COMMUNITY BENEFITS ADVISORY COUNCIL MEMBERS HAVE INFLUENCE ON DECIDING WHERE TO ALLOCATE RESOURCES AND ADDRESS HEALTH INEQUALITIES. ALL ENTITY ADVOCATES USE NATIONAL, STATE, AND LOCAL SECONDARY AND PRIMARY DATA SOURCES TO PROVIDE A CURRENT OVERVIEW OF LOCAL HEALTH NEEDS, FACTORS IMPACTING DISEASE AND INJURY BURDEN, SOCIOECONOMIC STATUS, ACCESS TO HEALTH CARE, AGE DISTRIBUTION, INDICATORS AND LIFESTYLE BEHAVIORS. THIS DATA IS USED TO GALVANIZE JOINT COMMUNITY HEALTH EFFORTS TO IMPROVE HEALTH AND REDUCE INEQUALITIES AND EMPOWER THE GREATER COMMUNITY. CMFH WORKED ON GROWING THEIR PRESENCE IN THE COMMUNITY THIS YEAR ABOVE AND BEYOND TARGETED PROGRAMS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance MOTHER FRANCES HOSPITAL - WINNSBORO MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information CIVIC MINDED CITIZENS BUILD WINNSBORO MEMORIAL HOSPITAL IN 1960 TO SERVE THE PEOPLE OF NORTHEAST AND PARTICULARLY THOSE IN WOOD, FRANKLIN AND CAMP COUNTIES. IN DECEMBER OF 1983, THE HOSPITAL MERGED WITH PRESBYTERIAN MEDICAL CENTER IN DALLAS AND TWO YEARS LATER OPENED A NEW FACILITY. IN 2010, THE HOSPITAL JOINED THE TRINITY MOTHER FRANCES HEALTH SYSTEM AND IS A 25-BED CRITICAL ACCESS HOSPITAL. THE PRIMARY SERVICE AREA IS 75773 BUT SERVES ALL OF WOOD COUNTY (7 WOOD ZIP CODES TITUS 75455, AND FRANKLIN 75457). IT COVERS MAINLY SMALL TOWNS AND RURAL COUNTIES. THESE COUNTIES ARE EXPERIENCING POPULATION DECLINE OR MINIMAL GROWTH WITH DISPROPORTIONATELY HIGH MORTALITY RATES. MORE THAN 23% OF CHILDREN LIVE IN POVERTY IN TITUS COUNTY. THE LARGEST AGE GROUP IS THE 40 -64-YEAR-OLDS FOLLOWED BY THE 18-39. THEN THE 0-17-YEAR-OLDS AT ALMOST THE SAME NUMBER OF INDIVIDUALS AS THE 18 - 39-YEAR-OLDS. ALL THESE TRENDS UNDERSCORE THE URGENT NEED FOR TARGETED HEALTH INTERVENTIONS, EARLY CHILDHOOD SUPPORT, AND SUSTAINABLE COMMUNITY INVESTMENTS THAT ADDRESS THE ROOT CAUSES OF POOR HEALTH AND PROMOTE EQUITY ACROSS ALL GROUPS. AS THE 18-39-YEAR-OLDS. Schedule H, Part VI, Line 5 Promotion of community health MOTHER FRANCES HOSPITAL WINNSBORO WORKS TO SERVE THE PEOPLE NOT ONLY IN ITS PRIMARY AND SECONDARY SERVICE AREA BUT ALL OF NORTHEAST TEXAS, WHICH COVERS OVER 20 COUNTIES WHEN NEEDED AND CALLED UPON AT TIME SUCH AS THE COVID OUTBREAK. THOSE COUNTIES ARE BOTH RURAL AND SMALL URBAN, BUT MOSTLY RURAL. KEY HEALTH INDICATORS FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND THE STATE. A KEY GROUP THAT INCLUDES PUBLIC MEMBERS IS THE COMMUNITY BENEFIT ADVISORY COUNCIL OF EACH HOSPITAL. THEY INFLUENCE WHERE FUNDING IS ALLOCATED AS THEY RECEIVE INFORMATION ON GOALS AND OUTCOMES. HEALTH EQUITY IS ONE OF THE OTHER TOPICS INCLUDED IN THEIR MEETINGS. IN EACH MARKET, OUR FACILITIES ARE THE ONLY NON-PROFIT HEALTHCARE ENTITIES IN THIS MINISTRY AND ARE SEEN AS THE GO-TO FOR ASSISTANCE AND SUPPORT TO CARE FOR THOSE WHO DO NOT HAVE RESOURCES. SAMPLES OF KEY PROGRAMS AND PROJECTS ARE INCLUDED, BUT ARE NOT LIMITED TO, THOSE LISTED BELOW: 1. SUPPORT GROUP - COMMUNITY HEALTH EDUCATION/COMMUNITY HEALTH SUPPORT GROUP - SC PURPOSE: TO PROVIDE THE OPPORTUNITY FOR COMMUNITY EDUCATION MEETINGS ON HEALTH CARE ISSUES WITH EXPERTS IN THE COMMUNITY. DESCRIPTION: CHRISTUS HEALTH HOSTED AND PARTNERED WITH LOCAL PHARMACISTS TO DISCUSS ISSUES WITH HEALTH PLANS, MEDICARE, DRUG PLANS, AND ACCESS TO CARE. KEY QUESTIONS ON THE DIFFERENCE BETWEEN GENERIC AND BRAND NAMES, AS WELL AS KEY DATES FOR ENROLLMENT IN MEDICARE, WERE DISCUSSED. 2. NORTHEAST TEXAS CHILD ADVOCACY CENTER (NETCAC) - GRANT - BH PURPOSE: TO SUPPORT THE NETCAC IN THE WOOD COUNTY AREA TO BE ABLE TO PROVIDE SUPPORT SERVICES DIRECTLY AND AS A RESOURCE REFERRAL CENTER. FUNDING FOR THE PROGRAM COMES FROM A VARIETY OF SOURCES. THE FOCUS IS PEDIATRIC CHILDREN. DESCRIPTION: CHRISTUS HEALTH WINNSBORO PARTNERED WITH NETCAC BY FUNDING A GRANT TO SUPPORT SERVICES. THOSE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, REDUCING TRAUMA FOR THE CHILD AND NON-OFFENDING FAMILY MEMBERS, AND SUPPORTING THROUGH INVESTIGATION AND TRIAL. 3. BLOOD DRIVE - PC PURPOSE: TO EVALUATE HOW TO IMPROVE BLOOD DRIVES IN RURAL AREAS. BLOOD IS NEEDED IN ALL AREAS OF NORTHEAST TEXAS. FINDING DONORS AND LOCATIONS TO DO A BLOOD DRIVE CAN BE DIFFICULT AND VERY ACCESSIBLE. DESCRIPTION: A BLOOD DRIVE WAS HELD ON HOSPITAL PROPERTY IN THE FRONT PARKING LOT WHICH IS VERY VISIBLE TO THE COMMUNITY, PATIENTS, FAMILIES, AND ASSOCIATES. THERE WERE 22 DONORS WHO PARTICIPATED. CARTER BLOOD CENTER PARTNERED WITH CHRISTUS HEALTH TO MEET THIS NEED. 4. PROFESSIONS - RADIOLOGY STUDENTS - ED PURPOSE: TO PROVIDE THE NECESSARY PRECEPTOR SUPPORT AT NO CHARGE TO THE EDUCATIONAL ENTITY. THE GOAL IS FOR STUDENTS TO RECEIVE EDUCATIONAL REQUIREMENTS FOR THEIR PROGRAM. DESCRIPTION: CHRISTUS HEALTH RADIOLOGY DEPARTMENT IS A TRAINING SITE FOR STUDENTS FROM SEVERAL AREA SCHOOLS LIKE PARIS JUNIOR COLLEGE. RADIOLOGISTS SERVE AS FORMAL PRECEPTORS TO THESE STUDENTS WHILE ON SITE. THE PROGRAM DOES NOT PROVIDE ANY FINANCIAL SUPPORT FOR THESE PRECEPTORS OR THE COSTS OF STUDENTS ON SITE. 5. WINNSBORO VOLUNTEER FIRE DEPARTMENT - GRANT - FA PURPOSE: FOOD INSECURITY IS A MAJOR PROBLEM DURING THE HOLIDAY SEASON. SUPPORT IS NEEDED BY LOCAL COMMUNITY GROUPS AS THEY WORK TO PROVIDE FOOD TO LOW-INCOME FAMILIES WITH STUDENTS IDENTIFIED WITH FOOD INSECURITY BY THE SCHOOL. DESCRIPTION: CHRISTUS HEALTH PARTNERED WITH THE LOCAL FIRE DEPARTMENT TO PROVIDE TURKEYS TO FAMILIES OF LOW-INCOME STUDENTS AT WISD FOR CHRISTMAS. A GRANT WAS MADE TO THE FIRE DEPARTMENT TO PURCHASE TURKEYS FOR FAMILIES. ASSOCIATES VOLUNTEERED TO HELP GIVE THOSE TURKEYS AWAY. Schedule H, Part VI, Line 6 Affiliated health care system MOTHER FRANCES HOSPITAL-WINNSBORO IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION. CHRISTUS NORTHEAST TEXAS IS A FAITH-BASED ORGANIZATION DEDICATED TO CREATING HEALTHY LIVES FOR PEOPLE AND COMMUNITIES. MFH-WINNSBORO AND ITS AFFILIATES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING ACUTE CARE FACILITIES AND CRITICAL ACCESS FACILITIES, WHOSE OPERATIONS CONSIST PRIMARILY OF PROVIDING INPATIENT AND OUTPATIENT ACUTE CARE AND MEDICAL SERVICES TO PATIENTS RESIDING IN EAST TEXAS. Schedule H, Part VI, Line 7 State filing of community benefit report TX true WINNSBORO VOLUNTEER FIRE DEPARTMENT PO BOX 595 WINNSBORO TX 75494 752353664 7175 BLANKETS FOR TOY DRIVE 0 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY. X true true X X X X X false true false false false false false false false Chris Glenney Director/CHAIRPERSON (EFF 1/25) 0 852427 0 632258 0 177000 0 70531 0 18430 0 1750646 0 176296 Paul Harvey President ex-officio w/vote 0 282535 0 92873 0 650 0 31927 0 25496 0 433481 0 0 Brian Allgaier MD DIRECTOR/CHIEFF OF STAFF (TERM 12/20) 0 118800 0 0 0 18075 0 5639 0 6494 0 149008 0 0 Mark Anderson MD Director 0 575731 0 268639 0 98535 0 34301 0 67640 0 1044846 0 0 Andria Cardinalli-Stein MD Director (TERM 12/24) 0 397136 0 95510 0 670 0 13801 0 2248 0 509365 0 0 Steve Keuer MD Director 0 712901 0 429357 0 241068 0 51823 0 11767 0 1446916 0 240068 Sister Rosanne Popp MD Director 0 225619 0 0 0 36560 0 1026 0 6694 0 269899 0 0 Jeffrey Puckett Director (TERM 12/24) 0 1659819 0 2929083 0 2234450 0 39670 0 17033 0 6880055 0 1954259 Eric Garrison CHIEF FINANCIAL OFFICER 0 281963 0 131184 0 51618 0 0 0 17520 0 482285 0 0 Jaclynn Harrison TREASURER/NETX/NLA HEALTH SYSTEM CHIEF FINANCIAL OFFICER 0 396736 0 363741 0 18204 0 25473 0 15882 0 820036 0 17274 Schedule J, Part I, Line 1a Travel for companions TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation RELATED ORGANIZATION DETERMINING CEO/EXECUTIVE DIRECTOR'S COMPENSATION THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6 OF PENSIONABLE EARNING WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR 2024: JEFFREY PUCKETT - $2,234,450 Steven Keuer, M.D. - $240,068 CHRIS GLENNEY - $176,296 MARK ANDERSON, M.D. - $98,481 JACLYNN HARRISON - $17,274 Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSON IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETING AND FUNCTIONS. Schedule J, Part II SUPPLEMENTAL COMPENSATION INFORMATION W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. Schedule J, Part II, Column (B)(ii) SUPPLEMENTAL COMPENSATION INFORMATION BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 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. Form 990, Part III, Line 1 BRIEF MISSION THE CORPORATIONS' MISSION SHALL BE TO "EXTEND THE HEALING MINISTRY OF JESUS CHRIST", AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES, OF CHRISTUS HEALTH. THE CORPORATION'S PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION Charity Care and Community Benefit Activity In keeping with the mission, values, and vision of CHRISTUS Health, MOTHER FRANCES HOSPITAL - WINNSBORO provides charity care services in a manner that respects the dignity of the patients and their families. MOTHER FRANCES HOSPITAL - WINNSBORO 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 FY 2025, 885 uninsured patients at or below 300% of the Federal Poverty Level (FPL) received care at no cost, while 11 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. MOTHER FRANCES HOSPITAL - WINNSBORO 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 qualifications. MOTHER FRANCES HOSPITAL - WINNSBORO 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 FY 2025, MOTHER FRANCES HOSPITAL - WINNSBORO invested $198,243 in community benefit programs, impacting potentially 22,812 individuals. Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION OTHER GOVERNMENT PROGRAMS MOTHER FRANCES HOSPITAL - WINNSBORO 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 FY 2025, MOTHER FRANCES HOSPITAL - WINNSBORO served 47,468 patients under these programs, with unreimbursed costs totaling 0. 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 4a PROGRAM SERVICE DESCRIPTION PATIENT CARE SERVICES MOTHER FRANCES HOSPITAL - WINNSBORO responds to the health care needs of the community through services provided at 1 campus. - MOTHER FRANCES HOSPITAL - WINNSBORO is, a 25 -bed Critical Access Hospital in Winnsboro, Texas. Each facility shares the objective of leading the way to a healthier community. MOTHER FRANCES HOSPITAL - WINNSBORO, located in Wood County, has a service area that includes Delta, Rains, Franklin, Hopkins, Titus, and Wood counties serving a population of 84,080 individuals in Fiscal Year 2025, we served individuals in various ways, including: - 9,413 visits to our emergency department - 19 inpatient surgery procedures - 63 outpatient surgery procedures - 339 patients admitted for care - 27,126 patients who received outpatient care. Form 990, Part III, Line 4d Description of other program services (Expenses $ 181,137 including grants of $ 22,749)(Revenue $ 0) MOTHER FRANCES HOSPITAL - WINNSBORO ALSO UNDERTOOK ADDITIONAL ACTIVITIES OF COMPARABLE IMPORTANCE, INCLUDING THOSE CONDUCTED WITH VOLUNTEER LABOR OR SMALLER IN TERMS OF EXPENSES RELATED TO THE POOR & UNDESERVED AND BROADER COMMUNITY. POOR & UNDESERVED: EXPENSES OF $18,300 BROADER COMMUNITY: EXPENSES OF $162,837 ADDITIONAL GRANTS: $22,749 Form 990, Part VI, Line 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF THE CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VI, Line 6 Classes of members or stockholders CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL - WINNSBORO. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER, CHRISTUS NORTHEAST HEALTH SYSTEM CORPORATION, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 MILLION PER INCURRENCE BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $20 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE TWO SISTERS APPOINTED BY EACH OF THE FOUNDING SPONSORING CONGREGATIONS OF CHRISTUS HEALTH, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, AND ONE SISTER APPOINTED BY THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF CERTIFICATES OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO MEMBER RESERVED POWERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY (EXCEPT IN THE ORDINARY COURSE OF BUSINESS) OR THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING 2025 VIA WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. Form 990, Part VI, Line 12c Conflict of interest policy AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING MOTHER FRANCES HOSPITAL WINNSBORO. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF THE INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES OF RELATED ORGANIZATIONS, INCLUDING MOTHER FRANCES HOSPITAL WINNSBORO. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF THE INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. Form 990, Part VI, Line 19 Required documents available to the public THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part IX, Line 11g Other Fees PURCHASE SERVICES - Total Expense: 166117, Program Service Expense: 165876, Management and General Expenses: 241, Fundraising Expenses: 0; MEDICAL SERVICE - Total Expense: 2641849, Program Service Expense: 2641849, Management and General Expenses: 0, Fundraising Expenses: 0; REPAIR & MAINTENANCE - Total Expense: 452246, Program Service Expense: 452052, Management and General Expenses: 194, Fundraising Expenses: 0; SUBSCRIPTION FEES - Total Expense: 108710, Program Service Expense: 108710, Management and General Expenses: 0, Fundraising Expenses: 0; MARKETING FEES - Total Expense: 3940, Program Service Expense: 3940, Management and General Expenses: 0, Fundraising Expenses: 0; PROFESSIONAL FEES - Total Expense: 285673, Program Service Expense: 285673, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER FEES - Total Expense: 2329704, Program Service Expense: 0, Management and General Expenses: 2329704, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTERCOMPANY ASSETS - -675683; Total - -675683; FORM 990, BOX C DOING BUSINESS AS MOTHER FRANCES HOSPITAL - WINNSBORO IS DOING BUSINESS AS: CHRISTUS MOTHER FRANCES HOSPITAL - WINNSBORO CHRISTUS TRINITY CLINIC ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER TX 75701 465720165 HEALTHCARE SERVICES TX 501(c)(3) 3 MFH REG true CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HEALTHCARE SERVICES TX 501(c)(3) Type I CH true CHAMPION EMS 2201 S MOBBERLY AVE LONGVIEW TX 75602 752747708 HEALTHCARE SERVICES TX 501(c)(3) 10 MFH REG true CHRISTUS CONNECTED CARE NETWORK 5101 N OCONNOR BLVD IRVING TX 75039 473403356 SUPP HEALTHCARE SERVICES TX 501(c)(4) CH true CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100 HOUSTON TX 77027 742898615 HEALTHCARE SERVICES TX 501(c)(3) 3 CH true CHRISTUS FOUNDATION FOR HEALTHCARE PO BOX 1919 HOUSTON TX 77251 746074210 SUPP HEALTHCARE 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