TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) DAVID STRONG DIRECTOR/VICE CHAIR	1.0 ................. 0.0	X	X	20,466	0
(2) ERNIE SADAU PRESIDENT & CEO	39.0 ................. 1.0	X	X	11,995,243	5,921,227
(3) MARICELA M BREEDLOVE DIRECTOR/CHAIR	1.0 ................. 0.0	X	X	24,066	0
(4) ALIDE CHASE DIRECTOR	1.0 ................. 0.0	X		12,462	0
(5) ARTHUR SOUTHAM MD DIRECTOR (thru 12/2021)	1.0 ................. 0.0	X		5,951	0
(6) BILL CHEN DIRECTOR	1.0 ................. 0.0	X		14,016	0
(7) CHERYL ALSTON DIRECTOR	1.0 ................. 0.0	X		14,766	0
(8) Eduardo Garcia Luna Martinez Board Director	1.0 ................. 0.0	X		8,140	0
(9) FATHER STEPHEN WORSLEY DIRECTOR	1.0 ................. 0.0	X		12,966	0
(10) J LINDSEY BRADLEY JR DIRECTOR	1.0 ................. 0.0	X		12,216	0
(11) KEVIN J ROY DBA DIRECTOR	1.0 ................. 0.0	X		12,216	0
(12) SISTER CHRISTINA MURPHY DIRECTOR	1.0 ................. 0.0	X		0	0
(13) Sister Kathleen Coughlin DIRECTOR (as of 09/2021)	1.0 ................. 0.0	X		0	0
(14) SISTER LORETTA FELICI DIRECTOR	1.0 ................. 0.0	X		0	0
(15) SISTER YOLANDA TARANGO DIRECTOR (thru 9/21)	1.0 ................. 0.0	X		0	0
(16) STEVEN KEUER MD TMF CHIEF FINANCIAL OFFICER	39.0 ................. 1.0	X		1,252,278	208,728
(17) IRMA PENALOZA ASST. CORP SEC	40.0 ................. 0.0		X	510,366	100,389

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) KAREN OLIVER ASST. CORP SEC	40.0 .......................0.0	X				110,780	12,504
(19) NANCY RODILL DIR OF GOV, ACS	40.0 .......................0.0	X				220,623	26,968
(20) RANDY SAFADY EVP/CHIEF FINANCIAL OFFICER	39.0 .......................1.0	X				5,819,172	2,043,766
(21) CHARLES T HANKINS SVP PEDIATRICS AND CMO, CHOSA	39.0 .......................1.0		X			1,113,121	186,734
(22) CHRIS C DASKEVICH SVP MATERNAL SVCS & CEO, CHOSA	39.0 .......................1.0		X			1,093,073	197,215
(23) CHRISTOPHER KARAM SR VP & REG CEO	39.0 .......................1.0		X			1,150,513	194,670
(24) DEBRA PASLEY SVP, CNO	40.0 .......................0.0		X			829,952	140,332
(25) DOMINIC DOMINGUEZ SVP-GROUP OPERATIONS SO TX	39.0 .......................1.0		X			1,452,080	628,245
(26) GABRIELA SAENZ SVP CORP SERVICES	40.0 .......................0.0		X			929,920	168,051
(27) GERARD F HEELEY SR VP MISSION AND ETHICS	39.0 .......................1.0		X			3,367,840	2,092,928
(28) J CHRIS GLENNEY SVP GROUP OPERATIONS NETX	39.0 .......................1.0		X			1,487,204	575,666
(29) JEANNIE FREY SVP CHIEF LEGAL OFFICER	39.0 .......................1.0		X			1,312,666	211,756
(30) JEFFREY M PUCKETT EVP/COO	39.0 .......................1.0		X			7,055,993	3,578,707
(31) JON MANIS SVP CIO	40.0 .......................0.0		X			1,421,120	271,274
(32) KIM REYNOLDS SVP FINANCE	40.0 .......................0.0		X			1,021,636	270,326
(33) KIMBERLY KING WEBB SVP CHIEF HR OFFICER	40.0 .......................0.0		X			767,661	224,256
(34) M SHANNON STANSBURY SVP POPULATION HEALTH	39.0 .......................1.0		X			1,022,155	159,850
(35) MARTY MARGETTS EVP/CAO	39.0 .......................1.0		X			5,159,614	2,517,996
(36) PAUL D GENERALE EVP/CHIEF STRATEGY OFFICER	39.0 .......................1.0		X			4,611,810	1,976,230
(37) RYAN THOMPSON SVP REVENUE CYCLE	40.0 .......................0.0		X			756,644	210,366
(38) SAM BAGCHI MD EVP/CMO	39.0 .......................1.0		X			2,782,218	740,064
(39) TINA BARKER SVP STRATEGY MARKETING & DIG	40.0 .......................0.0		X			800,055	145,143
(40) ALEJANDRO CANAVATI CEO, CRP CHILE OPERATIONS	40.0 .......................0.0			X		1,385,045	143,250
(41) FADI NASRALLAH SVP CMO TRINITY CLINIC	39.0 .......................1.0			X		1,227,945	219,021
(42) NORMAN TODD HANCOCK Pres/CEO GSHS	40.0 .......................0.0			X		969,435	343,859
(43) PAUL M TREVINO CEO SETX & SWLA	40.0 .......................0.0			X		974,511	302,302
(44) SCOTT SMITH SVP TRINITY CLINIC	39.0 .......................1.0			X		1,743,327	43,130
(45) GEORGE S CONKLIN SVP-CIO (THRU 12/2019)	0.0 .......................0.0				X	658,584	0
(46) JOHN A GILLEAN MD EVP/CHIEF MEDICAL OFFICER	0.0 .......................0.0				X	752,648	0
(47) LINDA K MCCLUNG EVP/CAO (THRU 8/2019)	0.0 .......................0.0				X	623,267	0

(A) Name and business address	(B) Description of services	(C) Compensation
HOSPITAL HOUSEKEEPING SYSTEMS LLC 12495 SILVER CREEK RD DRIPPING SPRINGS,TX78620	HOUSEKEEPING SVCS	74,436,666
CROTHALL HEALTHCARE INCORPORATED 1500 Liberty Ridge Dr Ste 210 Wayne,PA19087	Healthcare SVCS	47,496,348
SOUND PHYSICIANS EMERGENCY MEDICINE OF TEXAS PLLC 2020 N CENTRAL AVE PHOENIX,AZ85004	PHYSICIANS SVCS	28,284,005
KRUCIAL STAFFING LLC 9800 Metcalf Ave 4th Floor Overland Park,KS66212	STAFFING	23,523,568
OCHSNER HEALTH SYSTEM 1221 S Clearview Pkwy New Orleans,LA70121	Healthcare SVCS	14,976,152
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 743

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

Christus Health

Employer identification number

76-0590551

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .			107,384,641	60,002,619	84,003,539	251,390,799
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	840,475,716	651,778,407	831,153,160	617,632,378	630,880,491	3,571,920,152
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....	4,954,555	3,178,662	2,274,612	512,938	1,568,378	12,489,145
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...						0
5	The value of services or facilities furnished by a governmental unit to the organization without charge						0
6	Total. Add lines 1 through 5	845,430,271	654,957,069	940,812,413	678,147,935	716,452,408	3,835,800,096
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons	0	0	0	0	0	0
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.	0	0	0	0	0	0
c	Add lines 7a and 7b..	0	0	0	0	0	0
8	Public support. (Subtract line 7c from line 6.)						3,835,800,096

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...	845,430,271	654,957,069	940,812,413	678,147,935	716,452,408	3,835,800,096
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	96,385,207	46,501,443	31,465,870	100,544,300	129,301,167	404,197,987
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.	595,523	574,001	581,914	501,879	558,538	2,811,855
c	Add lines 10a and 10b.	96,980,730	47,075,444	32,047,784	101,046,179	129,859,705	407,009,842
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.						0
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..	17,515,312	20,324,706	25,564,972	123,582,860	190,203,054	377,190,904
13	Total support. (Add lines 9, 10c, 11, and 12.)..	959,926,313	722,357,219	998,425,169	902,776,974	1,036,515,167	4,620,000,842

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

83.03 %

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

87.35 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

9 %

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

8 %

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Schedule A, Part III, Line 12 Other Income	DESCRIPTION - MANAGED CARE REVENUE, COLUMN A - 3082422.0, COLUMN B - 5592409.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 8674831.0; DESCRIPTION - METHODIST REVENUE, COLUMN A - 1392515.0, COLUMN B - 1141102.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 2533617.0; DESCRIPTION - COBRA INSURANCE - EMPLOYEES, COLUMN A - 1190250.0, COLUMN B - 1189448.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 2379698.0; DESCRIPTION - ACTUARIAL CREDIT, COLUMN A - , COLUMN B - , COLUMN C - 16546857.0, COLUMN D - , COLUMN E - , COLUMN F - 16546857.0; DESCRIPTION - INTERCOMPANY SALARIES, COLUMN A - , COLUMN B - , COLUMN C - 2004393.0, COLUMN D - , COLUMN E - , COLUMN F - 2004393.0; DESCRIPTION - AMBULATORY SERVICE, COLUMN A - , COLUMN B - , COLUMN C - 1013866.0, COLUMN D - , COLUMN E - , COLUMN F - 1013866.0; DESCRIPTION - PATIENT FINANCIAL SERVICES, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 52199849.0, COLUMN E - 97895241.0, COLUMN F - XXX-XX-XXXX.0; DESCRIPTION - ALL OTHER REVENUE, COLUMN A - 11850125.0, COLUMN B - 12401747.0, COLUMN C - 5999856.0, COLUMN D - 71383011.0, COLUMN E - 92307813.0, COLUMN F - XXX-XX-XXXX.0;

Return Reference

Explanation

Schedule A, Part III, Line 12 Other Income

DESCRIPTION - MANAGED CARE REVENUE, COLUMN A - 3082422.0, COLUMN B - 5592409.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 8674831.0; DESCRIPTION - METHODIST REVENUE, COLUMN A - 1392515.0, COLUMN B - 1141102.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 2533617.0; DESCRIPTION - COBRA INSURANCE - EMPLOYEES, COLUMN A - 1190250.0, COLUMN B - 1189448.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 2379698.0; DESCRIPTION - ACTUARIAL CREDIT, COLUMN A - , COLUMN B - , COLUMN C - 16546857.0, COLUMN D - , COLUMN E - , COLUMN F - 16546857.0; DESCRIPTION - INTERCOMPANY SALARIES, COLUMN A - , COLUMN B - , COLUMN C - 2004393.0, COLUMN D - , COLUMN E - , COLUMN F - 2004393.0; DESCRIPTION - AMBULATORY SERVICE, COLUMN A - , COLUMN B - , COLUMN C - 1013866.0, COLUMN D - , COLUMN E - , COLUMN F - 1013866.0; DESCRIPTION - PATIENT FINANCIAL SERVICES, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 52199849.0, COLUMN E - 97895241.0, COLUMN F - XXX-XX-XXXX.0; DESCRIPTION - ALL OTHER REVENUE, COLUMN A - 11850125.0, COLUMN B - 12401747.0, COLUMN C - 5999856.0, COLUMN D - 71383011.0, COLUMN E - 92307813.0, COLUMN F - XXX-XX-XXXX.0;

Schedule A (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Christus Health

Employer identification number

76-0590551

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

2,619

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

865,079

Total. Add lines 1c through 1i ....................................................................................................

867,698

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	At the federal level, CHRISTUS Advocacy had direct contact with members and staff through emails, letters, telephone calls and meetings to discuss 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, COVID-19 antibody testing and vaccines, Medicare advanced payments, bond issuers, value-based payment models, foreign health care workers, children's health issues, the ACE Kids Act, CHGME, Medicaid, rural health program reauthorization, health care for veterans, COVID-19, CARES Funding, liability reform, the Federal Bureau of Prisons and Veterans Affairs unreimbursed claims. TOTAL HOURS: 10 HOURS EXECUTIVE LEVEL

Return Reference

Explanation

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

At the federal level, CHRISTUS Advocacy had direct contact with members and staff through emails, letters, telephone calls and meetings to discuss 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, COVID-19 antibody testing and vaccines, Medicare advanced payments, bond issuers, value-based payment models, foreign health care workers, children's health issues, the ACE Kids Act, CHGME, Medicaid, rural health program reauthorization, health care for veterans, COVID-19, CARES Funding, liability reform, the Federal Bureau of Prisons and Veterans Affairs unreimbursed claims. TOTAL HOURS: 10 HOURS EXECUTIVE LEVEL

Schedule C (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Christus Health

Employer identification number

76-0590551

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	26,406,668		26,406,668
b	Buildings ....	108,729,250	61,123,291	47,605,959
c	Leasehold improvements	17,612,070	14,718,818	2,893,252
d	Equipment ....	154,909,520	121,051,640	33,857,880
e	Other .....	104,048,543	3,419,636	100,628,907
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				211,392,666

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) HEDGE FUNDS
(B) Restricted Funds Permanent	384,196	F
(C) Curr Portion Assets Limited As to Use	21,695,000	F
(D) ST Val Allow Eq Inv MF Hedge Funds	54,320,063	F
(E) ST Eq Inv Managed Funds Hedge Funds	254,584,087	F
(F) Val Allow ST Inv Equity Sec International	-998,626	F
(G) ST Inv Equity Securities International	6,344,953	F
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	336,329,673

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)INVESTMENT IN CONSOL SUBS
(2)Investment in Consolidated Subsidiaries	1,048,838,237	F
(3)Pending Sale Investment	3,512,179	F
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	1,052,350,416

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	323,683,683
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2022 AND 2021.

Schedule D (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization
Christus Health

Employer identification number

76-0590551

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	0	0	Program Services	PROGRAM/BUS TRAVEL	4,736
	East Asia and the Pacific	0	0	Program Services	PROGRAM/BUS TRAVEL	-1,195
	Europe (Including Iceland and Greenland)	0	0	Program Services	PROGRAM/BUS TRAVEL	30,170
	North America (Canada & Mexico only)	0	0	Program Services	PROGRAM/BUS TRAVEL	200,622
	South America	0	0	Program Services	PROGRAM/BUS TRAVEL	25,617
	South Asia	0	0	Program Services	PROGRAM/BUS TRAVEL	49
	Middle East and North Africa	0	0	Program Services	PROGRAM/BUS TRAVEL	3,424










3a	Sub-total ....	0	0			263,423
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			263,423

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
North America (Canada & Mexico only)	DONATION	40,000	WIRE TRANSFER

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	1
3	Enter total number of other organizations or entities .......................	0

Schedule F (Form 990) 2021

Schedule F (Form 990) 2021Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
Schedule F, 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.
Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual
Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements	NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual

Schedule F (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
Christus Health

Employer identification number
76-0590551

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) St Joseph Community Foundation Po Box 6427 Paris,TX75461	31-1016570	501(c)(3)	15,000	Underwriters Ball
(2) Christus Foundation For Healthcare Po Box 1919 Houston,TX77251	61-1500100	501(c)(3)	15,000	2021 NUN RUN / annual Spring Luncheon
(3) Sisters Of Charity Of The Incarnate Word 4503 Broadway ST San Antonio,TX78209	23-7152879	501(c)(3)	10,000	chapter meeting
(4) Christus Santa Rosa Health Care Corp 333 N Santa Rosa Street San Antonio,TX78207	74-1109665	501(c)(3)	452,500	Honorarium for Don Beeler Santa Rosa NTL Speakers Luncheon.
(5) SANTA ROSA'S CHILDREN'S HOSPITAL FOUNDATION 100 Northeast Loop San Antonio,TX78216	74-1224362	501(c)(3)	150,000	Honorarium for Don Beeler
(6) Christus Spohn Development FDN 613 Elizabeth st Corpus Christi,TX78404	74-1906005	501(c)(3)	20,000	Challenge Grant Fundraiser
(7) Christus St Frances Cabrini Foundation 3330 Prescott Avenue Alexandria,LA71301	72-0998302	501(c)(3)	25,000	Healing Garden Project
(8) Christus Cabrini Foundation 3330 Masonic Drive Alexandria,LA71301	23-7255175	501(c)(3)	20,000	Trinity Healing Garden / Cabrini Ball
(9) University Of The Incarnate Word 4301 Broadway Cpo 317 San Antonio,TX78209	74-1109661	501(c)(3)	35,000	2022 Swing In Golf Tournament / 2022 Swing a Thon event
(10) Catholic Charities Of Dallas Inc 1421 Mockingbird Lane Dallas,TX75247	75-2745221	501(c)(3)	75,000	2022 Annual Gala
(11) Visitation House Ministries Po Box 12074 San Antonio,TX78212	74-2447137	501(c)(3)	7,500	2022 Summer Sojourn Gala
(12) Hopkins County Health Care Foundation 115 Airport Road Sulphur Springs,TX75482	75-2845157	501(c)(3)	10,000	Donation for Mammograms for the poor and vulnerable in the county
(13) Sisters Of The Holy Family 310 North River Road Des Plaines,IL60016	20-5728349	501(c)(3)	50,000	to support Sisters in Poland and Ukraine dealing with the impact of the war
(14) Christus Mother Frances Hospital Foundation 100 East Ferguson Street Attention Mr Scott Fossey Tyler,TX75702	75-2028241	501(c)(3)	12,000	Donation
(15) Christus Ochsner Southwestern Louisiana Foundation 524 Dr Michael Debakey Drive Lake Charles,LA70601	47-1496376	501(c)(3)	10,000	Funds for Year End Campaign
(16) The Catholic Foundation 12222 Merit Drive Suit 850 Dallas,TX75251	75-1106620	501(c)(3)	100,000	Title Sponsor FOR The Bishop's Invitational Impact Fund
(17) The Sisters At Benet Hill Monastery 3190 Benet Lane Attn Sister Therese 719 633-065 Colorado Springs,CO80921	84-0523354	501(c)(3)	25,000	Memorial Donation in honor of Father Bob Lampert,
(18) St Vincent Hospital Foundation 455 St MichaelS Drive Santa Fe,NM87505	85-0282847	501(c)(3)	10,000	Associate assistance fund to support associates in need
(19) In My Shoes INC PO Box 227301 Dallas,TX75222	46-3543853	501(c)(3)	10,300	Christus Health Sponsorship
(20) Archdiocese of San Antonio Communications 2718 W Woodlawn Ave San Antonio,TX78228	74-1109740	501(c)(3)	15,000	Donation for honoring Sister Teresa Maya
(21) The Texas Lyceum 1321 Antoine Dr Houston,TX77055	75-1720024	501(c)(3)	15,000	Donation
(22) St Monica Dad's Club 4140 Walnut Hill Ln Dallas,TX75201	75-2730857	501(c)(3)	5,175	Fundraiser donation
(23) Family And Youth Counseling Agency 220 Louie Street Lake Charles,LA70601	74-1321308	501(c)(3)	100,000	Support Pathway to Recovery program
(24) Catholic Charities Of Corpus Christi Po Box 9056 Corpus Christi,TX78469	74-2330464	501(c)(3)	100,000	To support the creation of a homeless discharge plan program
(25) Harvest Texarkana Regional Food Bank Inc Po Box 707 Texarkana,TX75504	75-2671647	501(c)(3)	100,000	To establish on-site pantries and distributions at partnering healthcare and senior care organizations
(26) Ccvi San Antonio 4503 Broadway San Antonio,TX78209	23-7152879	501(c)(3)	134,000	Support the response to the significant influx of human mobility and change across the globe.
(27) Diocese Of Lake Charles 1225 2Nd Street Catholic Charities Jazz Brunch Lake Charles,LA70601	73-6338181	501(c)(3)	100,000	To increase the quantity and quality of the food we distribute.
(28) Legacy Community Health Services Inc Po Box 66308 Houston,TX77266	76-0009637	501(c)(3)	100,000	To expand existing programs that will help extend Legacy Community Health's reach into Beaumont area schools.
(29) Spindletop Mhmr Services Cashier Po Box 3846 Beaumont,TX77704	74-1684198	501(c)(3)	100,000	To fund a new program that focuses on providing education to individuals with autism, their caregivers, and support systems.
(30) Save Cenla Po Box 381 Dupont,LA71329	81-4863849	501(c)(3)	54,000	To expand their existing Applied Suicide Intervention Skills Training workshop.
(31) Shreveport Green 3625 Southern Avenue Shreveport,LA71104	72-0970610	501(c)(3)	50,000	To support their existing Mobile Market and Beyond program.
(32) Solace Crisis Treatment Center 6601 Valentine Way Santa Fe,NM87507	85-0242274	501(c)(3)	100,000	To expand their no-cost therapy program for trauma treatment for children and adult victims of sexual abuse, stalking, teen dating violence, and human trafficking.
(33) Clarity Child Guidance Center 8535 Tom Slick Drive San Antonio,TX78229	74-1153067	501(c)(3)	100,000	Support children ages 3-17 and their families to feel prepared to manage their child's mental illness after discharge.
(34) Regional East Texas Food Bank 3201 Robertson Rd Tyler,TX75701	75-2222686	501(c)(3)	100,000	To expand and increase the accessibility of food assistance and wrap-around services to low-income residents in an area.
(35) Sabine Valley Regional Mhmr Center Dba Community Healthcore 107 Woodbine Longview,TX75601	75-1724017	501(c)(3)	100,000	To implement the Behavioral Health Diversion program.
(36) Community Renewal Po Box 4678 Shreveport,LA71134	72-1213057	501(c)(3)	75,000	To support their initiative of creating a system of relationships and resources that address the social determinants of health.
(37) The Pines Education Group 14833 Midway Rd Ste 210 Addison,TX75001	75-2255462	501(c)(3)	75,000	To implement a new program that will assist in managing mental health among their participants.
(38) Coastal Bend Wellness Foundation 2882 Holly Road Corpus Christi,TX78415	74-2429518	501(c)(3)	99,998	To implement their Red Cord Initiative.
(39) The Salvation Army Of Beaumont 2350 IH-10 East Beaumont,TX77703	58-0660607	501(c)(3)	80,000	To support an existing program that will provide resources and care to their clients.
(40) Mission Marshall Po Box 1806 Marshall,TX75671	45-4040928	501(c)(3)	94,000	To support the Remote Order Ahead program.
(41) St Lukes Episcopal Mobile Medical Ministry Inc P O Box 12550 875 Cotton St Shreveport,LA71101	45-3786377	501(c)(3)	50,000	To provide free preventive health screenings, basic health services, case management, health education, & medical referrals.
(42) The Salvation Army Of The Coastal Bend 1804 Buford Street Corpus Christi,TX78404	58-0660607	501(c)(3)	100,000	To expand a program that will provide resources for homeless patients.
(43) Family Services Of Southeast Texas Inc 3550 Fannin St Beaumont,TX77701	74-1382713	501(c)(3)	94,400	To expand their Family Services Sexual Assault program.
(44) Mission Texarkana 620 W 4Th Street Texarkana,TX75501	75-2678943	501(c)(3)	30,000	To Implement the SOAR program.
(45) Hays-Caldwell Womens Center Po Box 234 San Marcos,TX78667	74-2020505	501(c)(3)	100,000	To Support prevention & counseling program.
(46) Tyler Family Circle Of Care 523 S Fannin Ave Tyler,TX75702	45-2578435	501(c)(3)	100,000	To expand their ED diversion program.
(47) Sfps Adelante 1300 Camino Sierra Vista Santa Fe,NM87505	85-0392417	501(c)(3)	15,000	To address the rate of homelessness and the risks it poses for babies from birth to age five, as well as pregnant teens.
(48) Tan Healthcare 1495 N 7Th St Beaumont,TX77702	76-0226835	501(c)(3)	50,000	To support their Connections 2 Care program.
(49) Fostering Community 3336 Prescott Rd Alexandria,LA71301	82-4148732	501(c)(3)	100,000	To improve the lives of children impacted by foster care.
(50) Meals On Wheels San Antonio 4306 Nw Loop 410 San Antonio,TX78229	74-1948646	501(c)(3)	100,000	To provide access to nutritious meals and personal visits to seniors who are homebound and nutritionally at-risk.
(51) Casa Of Central Texas 1619 E Common St Suite 301 New Braunfels,TX78130	74-2403373	501(c)(3)	43,000	To support their existing Empowered Advocacy for Children Abused and Neglected).
(52) Womens Center Of East Texas Po Box 347 Longview,TX75606	75-1659423	501(c)(3)	53,000	To support their Youth Advocacy Project.
(53) Dallas Business Journal PO Box 840190 Dallas,TX75284	43-1366184	501(c)(3)	6,250	Upcoming event ad space and donation for table.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

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.

Schedule I (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Christus Health

Employer identification number

76-0590551

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ERNIE SADAU PRESIDENT & CEO	(i) (ii)	6,801,708 ------------- 0	5,184,507 ------------- 0	9,028 ------------- 0	5,912,199 ------------- 0	9,028 ------------- 0	17,916,470 ------------- 0	0 ------------- 0
2STEVEN KEUER MD TMF CHIEF FINANCIAL OFFICER	(i) (ii)	672,285 ------------- 0	391,209 ------------- 0	188,784 ------------- 0	200,061 ------------- 0	8,667 ------------- 0	1,461,006 ------------- 0	0 ------------- 0
3RANDY SAFADY EVP/CHIEF FINANCIAL OFFICER	(i) (ii)	3,320,367 ------------- 0	2,430,000 ------------- 0	68,805 ------------- 0	2,032,179 ------------- 0	11,587 ------------- 0	7,862,938 ------------- 0	0 ------------- 0
4IRMA PENALOZA ASST. CORP SEC	(i) (ii)	303,648 ------------- 0	206,068 ------------- 0	650 ------------- 0	85,278 ------------- 0	15,111 ------------- 0	610,755 ------------- 0	0 ------------- 0
5NANCY RODILL DIR OF GOV, ACS	(i) (ii)	166,976 ------------- 0	53,547 ------------- 0	100 ------------- 0	15,638 ------------- 0	11,330 ------------- 0	247,591 ------------- 0	0 ------------- 0
6JEFFREY M PUCKETT EVP/COO	(i) (ii)	4,245,808 ------------- 0	2,574,500 ------------- 0	235,685 ------------- 0	3,565,173 ------------- 0	13,534 ------------- 0	10,634,700 ------------- 0	0 ------------- 0
7PAUL D GENERALE EVP/CHIEF STRATEGY OFFICER	(i) (ii)	2,511,357 ------------- 0	2,016,000 ------------- 0	84,453 ------------- 0	1,964,952 ------------- 0	11,278 ------------- 0	6,588,040 ------------- 0	0 ------------- 0
8MARTY MARGETTS EVP/CAO	(i) (ii)	3,047,290 ------------- 0	2,016,000 ------------- 0	96,324 ------------- 0	2,499,137 ------------- 0	18,859 ------------- 0	7,677,610 ------------- 0	0 ------------- 0
9GERARD F HEELEY SR VP MISSION AND ETHICS	(i) (ii)	1,573,347 ------------- 0	1,337,000 ------------- 0	457,493 ------------- 0	1,338,094 ------------- 0	754,834 ------------- 0	5,460,768 ------------- 0	0 ------------- 0
10SAM BAGCHI MD EVP/CMO	(i) (ii)	1,162,218 ------------- 0	1,620,000 ------------- 0	0 ------------- 0	721,434 ------------- 0	18,630 ------------- 0	3,522,282 ------------- 0	0 ------------- 0
11CHRISTOPHER KARAM SR VP & REG CEO	(i) (ii)	819,907 ------------- 0	330,541 ------------- 0	65 ------------- 0	185,634 ------------- 0	9,036 ------------- 0	1,345,183 ------------- 0	0 ------------- 0
12JEANNIE FREY SVP CHIEF LEGAL OFFICER	(i) (ii)	882,189 ------------- 0	430,477 ------------- 0	0 ------------- 0	203,828 ------------- 0	7,928 ------------- 0	1,524,422 ------------- 0	0 ------------- 0
13J CHRIS GLENNEY SVP GROUP OPERATIONS NETX	(i) (ii)	1,076,553 ------------- 0	409,936 ------------- 0	715 ------------- 0	556,004 ------------- 0	19,662 ------------- 0	2,062,870 ------------- 0	0 ------------- 0
14DOMINIC DOMINGUEZ SVP-GROUP OPERATIONS SO TX	(i) (ii)	1,003,923 ------------- 0	408,565 ------------- 0	39,592 ------------- 0	487,365 ------------- 0	140,880 ------------- 0	2,080,325 ------------- 0	0 ------------- 0
15CHARLES T HANKINS SVP PEDIATRICS AND CMO, CHOSA	(i) (ii)	589,698 ------------- 0	359,796 ------------- 0	163,627 ------------- 0	176,728 ------------- 0	10,006 ------------- 0	1,299,855 ------------- 0	0 ------------- 0
16JON MANIS SVP CIO	(i) (ii)	623,282 ------------- 0	797,838 ------------- 0	0 ------------- 0	257,918 ------------- 0	13,356 ------------- 0	1,692,394 ------------- 0	0 ------------- 0
17CHRIS C DASKEVICH SVP MATERNAL SVCS & CEO, CHOSA	(i) (ii)	587,334 ------------- 0	359,796 ------------- 0	145,943 ------------- 0	178,281 ------------- 0	18,934 ------------- 0	1,290,288 ------------- 0	0 ------------- 0
18M SHANNON STANSBURY SVP POPULATION HEALTH	(i) (ii)	482,157 ------------- 0	279,307 ------------- 0	260,691 ------------- 0	151,864 ------------- 0	7,986 ------------- 0	1,182,005 ------------- 0	0 ------------- 0
19KIM REYNOLDS SVP FINANCE	(i) (ii)	570,938 ------------- 0	437,457 ------------- 0	13,241 ------------- 0	263,975 ------------- 0	6,351 ------------- 0	1,291,962 ------------- 0	0 ------------- 0
20DEBRA PASLEY SVP, CNO	(i) (ii)	434,216 ------------- 0	264,754 ------------- 0	130,982 ------------- 0	133,771 ------------- 0	6,561 ------------- 0	970,284 ------------- 0	0 ------------- 0
21TINA BARKER SVP STRATEGY MARKETING & DIG	(i) (ii)	436,537 ------------- 0	268,648 ------------- 0	94,870 ------------- 0	133,726 ------------- 0	11,417 ------------- 0	945,198 ------------- 0	0 ------------- 0
22KIMBERLY KING WEBB SVP CHIEF HR OFFICER	(i) (ii)	497,603 ------------- 0	267,908 ------------- 0	2,150 ------------- 0	191,239 ------------- 0	33,017 ------------- 0	991,917 ------------- 0	0 ------------- 0
23RYAN THOMPSON SVP REVENUE CYCLE	(i) (ii)	463,567 ------------- 0	292,427 ------------- 0	650 ------------- 0	192,782 ------------- 0	17,584 ------------- 0	967,010 ------------- 0	0 ------------- 0
24GABRIELA SAENZ SVP CORP SERVICES	(i) (ii)	442,672 ------------- 0	390,000 ------------- 0	97,248 ------------- 0	159,922 ------------- 0	8,129 ------------- 0	1,097,971 ------------- 0	0 ------------- 0
25FADI NASRALLAH SVP CMO TRINITY CLINIC	(i) (ii)	687,452 ------------- 0	420,003 ------------- 0	120,490 ------------- 0	207,731 ------------- 0	11,290 ------------- 0	1,446,966 ------------- 0	0 ------------- 0
26SCOTT SMITH SVP TRINITY CLINIC	(i) (ii)	1,042,012 ------------- 0	471,250 ------------- 0	230,065 ------------- 0	28,761 ------------- 0	14,369 ------------- 0	1,786,457 ------------- 0	0 ------------- 0
27ALEJANDRO CANAVATI CEO, CRP CHILE OPERATIONS	(i) (ii)	529,833 ------------- 0	511,436 ------------- 0	343,776 ------------- 0	136,466 ------------- 0	6,784 ------------- 0	1,528,295 ------------- 0	0 ------------- 0
28PAUL M TREVINO CEO SETX & SWLA	(i) (ii)	659,219 ------------- 0	296,460 ------------- 0	18,832 ------------- 0	286,636 ------------- 0	15,666 ------------- 0	1,276,813 ------------- 0	0 ------------- 0
29NORMAN TODD HANCOCK Pres/CEO GSHS	(i) (ii)	693,803 ------------- 0	238,982 ------------- 0	36,650 ------------- 0	330,636 ------------- 0	13,223 ------------- 0	1,313,294 ------------- 0	0 ------------- 0
30GEORGE S CONKLIN SVP-CIO (THRU 12/2019)	(i) (ii)	0 ------------- 0	0 ------------- 0	658,584 ------------- 0	0 ------------- 0	0 ------------- 0	658,584 ------------- 0	0 ------------- 0
31JOHN A GILLEAN MD EVP/CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	752,648 ------------- 0	0 ------------- 0	0 ------------- 0	752,648 ------------- 0	0 ------------- 0
32LINDA K MCCLUNG EVP/CAO (THRU 8/2019)	(i) (ii)	0 ------------- 0	0 ------------- 0	623,267 ------------- 0	0 ------------- 0	0 ------------- 0	623,267 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a First-class or charter travel	CERTAIN EXECUTIVES AND BOARD MEMBERS WERE REIMBURSED UNDER AN ACCOUNTABLE PLAN FOR FIRST CLASS TRAVEL.
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	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 A BI-ANNUAL COMPENSATION SURVEY. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT WITH THE FILING ORGANIZATION.
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUAL(S) RECEIVED A SEVERANCE PAYMENT: Scott Smith - $ 52,500 JOHN A. GILLEAN, M.D. - $752,648 LINDA K. MCCLUNG - $623,267 GEORGE S. CONKLIN - $658,584
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.
Schedule J, Part II FORM 990, PART VII, QUESTION 1A & SCHEDULE J, PART II	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) BONUS AND INCENTIVE COMPENSATION	BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2021.
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.
Schedule J, Part II, Column (F) COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE THE PAYMENTS REPORTED AS REPORTABLE COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) TO THE EXTENT THAT SUCH PAYMENTS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THE AMOUNTS REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (F) ARE A RESULT OF PARTICIPATION IN THE FOLLOWING NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS: PENSION RESTORATION PLAN, DEFERRED INCOME ACCOUNT AND SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN.

Schedule J (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
Christus Health

Employer identification number
76-0590551

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HARRIS COUNTY HEALTH FACILITIES DEV CORP	52-1284201	41315RFV1	11-08-2005	320,620,000	SEE SCH K, PART VI		X		X		X
B	HARRIS COUNTY HEALTH FACILITIES DEV CORP	52-1284201	41315RHY3	12-09-2010	96,654,505	SEE SCH K, PART VI		X		X		X
C	COASTAL BEND HEALTH FACILITIES DEV CORP	74-2352502	19042FAB2	11-08-2005	61,300,000	SEE SCH K, PART VI		X		X		X
D	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399HA7	10-30-2018	70,942,111	SEE SCH K, PART VI		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546398C71	08-12-2009	231,654,638	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TGN7	10-30-2018	481,651,366	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TDF7	12-19-2008	268,560,000	SEE SCH K, PART VI		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399GC4	04-02-2019	53,021,204	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	000000000	10-03-2016	174,304,000	SEE SCH K, PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	242,195,000		70,175,000		24,225,000		4,165,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	320,968,886		96,654,505		62,858,357		72,155,145
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	1,687,416		0		337,093		0
8 Credit enhancement from proceeds .............	4,733,000		0		914,000		0
9 Working capital expenditures from proceeds .............	0		4,505		393,273		0
10 Capital expenditures from proceeds .............	3,624,407		0		18,182,274		32,099,127
11 Other spent proceeds .............	310,924,063		96,650,000		43,031,717		30,942,111
12 Other unspent proceeds .............	0		0		0		9,113,907
13 Year of substantial completion .............	2009				2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X	X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.1 %		0 %		0.1 %		0.1 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.1 %		0 %		0.1 %		0.1 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X	X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X		X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X	X			X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........					CITIBANK NA
c Term of hedge .........					3970 %
d Was the hedge superintegrated? ......						X
e Was the hedge terminated? ........						X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X	X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Schedule K, Part I Page 1	A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS.
Schedule K, Part I page 2	A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). B. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (AUGUST 12, 2009).
Schedule K, Part I Page 3	A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH INCLUDE ONE OR MORE ACUTE CARE HOSPITALS.
Schedule K, Part II page 1	A. LINE 3. INVESTMENT EARNINGS = $348,886 C. LINE 3. INVESTMENT EARNINGS = $1,558,357 D. LINE 3. INVESTMENT EARNINGS = $1,213,034
Schedule K, Part II Page 2	A. LINE 3. INVESTMENT EARNINGS = $1,094,058 B. LINE 3. INVESTMENT EARNINGS = $3,106,408 C. LINE 3. INVESTMENT EARNINGS = $974
Schedule K, Part II page 3	LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS.
Schedule K, Part IV page 1	A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23, 2019. B. LINE 2C - REBATE COMPUTATION PERFORMED NOVEMBER 16, 2022. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23, 2019.
Schedule K, Part IV page 2	A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 1, 2019. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 22, 2019.
Schedule K, Part IV Page 3	A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2020.

Schedule K (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
Christus Health

Employer identification number
76-0590551

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HARRIS COUNTY HEALTH FACILITIES DEV CORP	52-1284201	41315RFV1	11-08-2005	320,620,000	SEE SCH K, PART VI		X		X		X
B	HARRIS COUNTY HEALTH FACILITIES DEV CORP	52-1284201	41315RHY3	12-09-2010	96,654,505	SEE SCH K, PART VI		X		X		X
C	COASTAL BEND HEALTH FACILITIES DEV CORP	74-2352502	19042FAB2	11-08-2005	61,300,000	SEE SCH K, PART VI		X		X		X
D	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399HA7	10-30-2018	70,942,111	SEE SCH K, PART VI		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546398C71	08-12-2009	231,654,638	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TGN7	10-30-2018	481,651,366	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TDF7	12-19-2008	268,560,000	SEE SCH K, PART VI		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399GC4	04-02-2019	53,021,204	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	000000000	10-03-2016	174,304,000	SEE SCH K, PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	242,195,000		70,175,000		24,225,000		4,165,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	320,968,886		96,654,505		62,858,357		72,155,145
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	1,687,416		0		337,093		0
8 Credit enhancement from proceeds .............	4,733,000		0		914,000		0
9 Working capital expenditures from proceeds .............	0		4,505		393,273		0
10 Capital expenditures from proceeds .............	3,624,407		0		18,182,274		32,099,127
11 Other spent proceeds .............	310,924,063		96,650,000		43,031,717		30,942,111
12 Other unspent proceeds .............	0		0		0		9,113,907
13 Year of substantial completion .............	2009				2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X	X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.1 %		0 %		0.1 %		0.1 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.1 %		0 %		0.1 %		0.1 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X	X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X		X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X	X			X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........					CITIBANK NA
c Term of hedge .........					3970 %
d Was the hedge superintegrated? ......						X
e Was the hedge terminated? ........						X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X	X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Schedule K, Part I Page 1	A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS.
Schedule K, Part I page 2	A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). B. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (AUGUST 12, 2009).
Schedule K, Part I Page 3	A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH INCLUDE ONE OR MORE ACUTE CARE HOSPITALS.
Schedule K, Part II page 1	A. LINE 3. INVESTMENT EARNINGS = $348,886 C. LINE 3. INVESTMENT EARNINGS = $1,558,357 D. LINE 3. INVESTMENT EARNINGS = $1,213,034
Schedule K, Part II Page 2	A. LINE 3. INVESTMENT EARNINGS = $1,094,058 B. LINE 3. INVESTMENT EARNINGS = $3,106,408 C. LINE 3. INVESTMENT EARNINGS = $974
Schedule K, Part II page 3	LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS.
Schedule K, Part IV page 1	A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23, 2019. B. LINE 2C - REBATE COMPUTATION PERFORMED NOVEMBER 16, 2022. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23, 2019.
Schedule K, Part IV page 2	A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 1, 2019. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 22, 2019.
Schedule K, Part IV Page 3	A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2020.

Schedule K (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
Christus Health

Employer identification number
76-0590551

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HARRIS COUNTY HEALTH FACILITIES DEV CORP	52-1284201	41315RFV1	11-08-2005	320,620,000	SEE SCH K, PART VI		X		X		X
B	HARRIS COUNTY HEALTH FACILITIES DEV CORP	52-1284201	41315RHY3	12-09-2010	96,654,505	SEE SCH K, PART VI		X		X		X
C	COASTAL BEND HEALTH FACILITIES DEV CORP	74-2352502	19042FAB2	11-08-2005	61,300,000	SEE SCH K, PART VI		X		X		X
D	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399HA7	10-30-2018	70,942,111	SEE SCH K, PART VI		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546398C71	08-12-2009	231,654,638	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TGN7	10-30-2018	481,651,366	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	87638TDF7	12-19-2008	268,560,000	SEE SCH K, PART VI		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399GC4	04-02-2019	53,021,204	SEE SCH K, PART VI		X		X		X
	TARRANT COUNTY CULTURAL EDUCATION FAC FIN CORP	04-3833551	000000000	10-03-2016	174,304,000	SEE SCH K, PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	242,195,000		70,175,000		24,225,000		4,165,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	320,968,886		96,654,505		62,858,357		72,155,145
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	1,687,416		0		337,093		0
8 Credit enhancement from proceeds .............	4,733,000		0		914,000		0
9 Working capital expenditures from proceeds .............	0		4,505		393,273		0
10 Capital expenditures from proceeds .............	3,624,407		0		18,182,274		32,099,127
11 Other spent proceeds .............	310,924,063		96,650,000		43,031,717		30,942,111
12 Other unspent proceeds .............	0		0		0		9,113,907
13 Year of substantial completion .............	2009				2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X	X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.1 %		0 %		0.1 %		0.1 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.1 %		0 %		0.1 %		0.1 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X	X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X		X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X	X			X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........					CITIBANK NA
c Term of hedge .........					3970 %
d Was the hedge superintegrated? ......						X
e Was the hedge terminated? ........						X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X	X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Schedule K, Part I Page 1	A. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CONSTRUCT NEW HEALTHCARE FACILITIES AND ADVANCE REFUND A PRIOR ISSUE (JULY 28, 1999). B. HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (SEPTEMBER 17, 2007). C. COASTAL BEND HEALTH FACILITIES DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 17, 1998) AND CONSTRUCT NEW HEALTHCARE FACILITIES. D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS.
Schedule K, Part I page 2	A. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 20, 2007, DECEMBER 19, 2008). B. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 25, 2008); THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF CAPITAL IMPROVEMENTS FOR HOSPITALS. C. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (NOVEMBER 8, 2005, NOVEMBER 20, 2007). D. LOUISIANA PUBLIC FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUND A PRIOR ISSUE (AUGUST 12, 2009).
Schedule K, Part I Page 3	A. TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION (F) TO FINANCE THE ACQUISITION OF HEALTHCARE FACILITIES WHICH INCLUDE ONE OR MORE ACUTE CARE HOSPITALS.
Schedule K, Part II page 1	A. LINE 3. INVESTMENT EARNINGS = $348,886 C. LINE 3. INVESTMENT EARNINGS = $1,558,357 D. LINE 3. INVESTMENT EARNINGS = $1,213,034
Schedule K, Part II Page 2	A. LINE 3. INVESTMENT EARNINGS = $1,094,058 B. LINE 3. INVESTMENT EARNINGS = $3,106,408 C. LINE 3. INVESTMENT EARNINGS = $974
Schedule K, Part II page 3	LINE 16. REPORTED FINAL ALLOCATION HAS NOT BEEN MADE TO THE EXTENT WE HAVE UNSPENT TRANSFER PROCEEDS.
Schedule K, Part IV page 1	A. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23, 2019. B. LINE 2C - REBATE COMPUTATION PERFORMED NOVEMBER 16, 2022. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 23, 2019.
Schedule K, Part IV page 2	A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 1, 2019. C. LINE 2C - REBATE COMPUTATION PERFORMED JULY 22, 2019.
Schedule K, Part IV Page 3	A. LINE 2C - REBATE COMPUTATION PERFORMED AUGUST 22, 2020.

Schedule K (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Christus Health

Employer identification number

76-0590551

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ROY ALSTON	HUSBAND OF CHERYL ALSTON	370,677	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
Schedule L, Part IV, Column (d) BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	ROY ALSTON IS AN EMPLOYEE OF CHRISTUS HEALTH. HIS WIFE, CHERYL ALSTON IS A DIRECTOR OF CHRISTUS HEALTH.

Schedule L (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

Christus Health

Employer identification number

76-0590551

Return Reference	Explanation
DOING BUSINESS AS	CHRISTUS HEALTH SERVICE CENTER CHRISTUS HEALTH SYSTEM CHRISTUS HEALTHY LIVING SPA CHRISTUS INNOVATIONS INSTITUTE CHRISTUS INSTITUTE FOR INNOVATION AND ADVANCED CLINICAL CARE CHRISTUS ST. JOSEPH VILLAGE CIIACC MARKETPLACE SOLUTIONS TEXAS HEALTH INFORMATION NETWORK COLLABORATIVE TLRA UNIFORMED SERVICES FAMILY HEALTH PLAN US FAMILY HEALTH PLAN USFHP
Form 990, Part III, Line 1 MISSION, CONTINUED	THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS, AND THE ETHICAL AND RELIGIOUS DIRECTORS FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION AND THE SYSTEM PARTICIPANTS FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, THE SYSTEM, THE CORPORATION, THE SYSTEM PARTICIPANTS, AND THE LOCAL ENTITIES. THE CORPORATION'S PURPOSES SHALL ALSO INCLUDE THE MAKING OF GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. THE CORPORATION SHALL ALSO BE AUTHORIZED TO ENGAGE IN SUCH PURSUITS AS MAY BE NECESSARY OR INCIDENTAL, OR WHICH MAY AID AND ASSIST, IN CARRYING OUT THE CORPORATION'S MISSION AND PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF THESE PURPOSES, AS WELL AS THOSE SYSTEM ENTITIES THAT ARE DESCRIBED IN SECTION 501(C)(3), AND SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR CORRESPONDING PROVISIONS OF ANY SUBSEQUENT LAW.
Form 990, Part III, Line 4a	COMMITMENT TO BENEFITING OUR COMMUNITIES CHRISTUS HEALTH WAS FORMED IN 1999 WHEN THE SISTERS OF CHARITY HEALTH SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON, AND THE INCARNATE WORD HEALTH CARE SYSTEM, SPONSORED BY THE SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, BROUGHT THEIR HEALTH MINISTRIES TOGETHER. THE 2016 AFFILIATION WITH TRINITY MOTHER FRANCES HEALTH SYSTEM RESULTED IN A THIRD SPONSORING CONGREGATION OF CHRISTUS HEALTH, THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE VISION OF CHRISTUS HEALTH AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER, A PARTNER AND ADVOCATE IN THE CREATION OF INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED IN 350 FACILITIES, INCLUDING 60 HOSPITALS AND LONG-TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS AND DOZENS OF OTHER HEALTH MINISTRIES AND VENTURES. CHRISTUS SERVICES ARE FOUND IN 60 CITIES IN TEXAS, ARKANSAS, IOWA, LOUISIANA, GEORGIA AND NEW MEXICO IN THE U.S., CHIHUAHUA, COAHUILA, NUEVO LEON, PUEBLA, SAN LUIS, POTOSI AND TAMAULIPAS IN MEXICO AND IN CHILE. WHILE SPECIFIC PROGRAMS AND SERVICES DIFFER FROM FACILITY TO FACILITY TO MEET COMMUNITY NEEDS, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE -- TO FULFILL OUR MISSION OF EXTENDING THE HEALING MINISTRY OF JESUS CHRIST, WHICH INCLUDES LEADING THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS HEALTH PROVIDES VARIOUS ADMINISTRATIVE SERVICES TO THE CHRISTUS REGIONS, INCLUDING EMPLOYEE BENEFITS, WELFARE BENEFITS, COLLECTION SERVICES, COMPUTER SERVICES, INSURANCE, EQUIPMENT MAINTENANCE AND OTHER BUSINESS OFFICE SERVICES. COMBINED, THE CHRISTUS HEALTH SERVICE AREA COMPRISES A POPULATION OF APPROXIMATELY 9,000,000. IN FISCAL YEAR 2021 ALONE, WE WERE PRIVILEGED TO SERVE MANY MEMBERS OF OUR COMMUNITIES IN VARIOUS WAYS, INCLUDING 823,708 VISITS TO OUR EMERGENCY DEPARTMENTS; 40,777 INPATIENT SURGERY PROCEDURES; 95,582 OUTPATIENT SURGERY PROCEDURES; 179,683 PATIENTS ADMITTED TO OUR HOSPITALS FOR CARE; AND 2,788,283 PATIENTS WHO RECEIVED OUTPATIENT CARE AT OUR FACILITIES. TOUCHING THE LIVES OF THE PEOPLE AROUND US IS WHAT MAKES CHRISTUS HEALTH STAND APART. ALLOWING OTHERS TO TOUCH US GIVES CHRISTUS HEALTH A VISION FOR THE MEDICALLY NEEDY IN EACH OF THE COMMUNITIES WE SERVE. WHETHER IT IS THE LIFE OF A CHILD EXPECTING A FUTURE FILLED WITH MIRACLES, THE LIFE OF A MAN IN NEED OF A CRITICAL HEART SURGERY, OR THE LIFE OF A WOMAN ABOUT TO GIVE BIRTH, CHRISTUS HEALTH'S HOSPITALS, CLINICS AND VARIOUS OTHER HEALTH CARE SERVICES PROVIDE THE BEST CARE POSSIBLE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. BY COLLABORATING WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS, CHRISTUS HEALTH'S VARIOUS ENTITIES HAVE STRENGTHENING THEIR ROLES AS MAJOR PROVIDERS OF COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING CHRISTUS CARE FOR THOSE IN NEED. FURTHERMORE, INVESTMENT IN COMMUNITY SERVICES WOULD NOT BE POSSIBLE WITHOUT OUR DEDICATED EMPLOYEES AND VOLUNTEERS. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN THE HOSPITALS AND OTHER HEALTH CARE MINISTRIES AND THE COMMUNITIES, NURTURING CHRISTUS' MISSION TO MEET THE NEEDS OF AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTH CARE FACILITIES AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. UNDERSTANDING THE NEED TO PROVIDE ACCESS TO HEALTH CARE TO AS MUCH OF OUR PUBLIC AS POSSIBLE, CHRISTUS HEALTH PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICAID, MEDICARE, CHAMPUS, TRICARE AND OTHERS. IN ADDITION, WE OFFER SPECIFIC PROGRAMS TO PROVIDE A DISCOUNT ON IMPORTANT SERVICES PROVIDED TO THOSE IN NEED WHO DO NOT HAVE MEDICAL INSURANCE OR WHO DO NOT PARTICIPATE IN GOVERNMENT-SPONSORED PROGRAMS. CHRISTUS HEALTH PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE CONDUCT OUR ACTIVITIES AND PROVIDE HEALTH CARE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. PARTICULAR HEALTH CARE SERVICES VARY BY MARKET AND ARE BASED ON THE NEEDS OF EACH PARTICULAR COMMUNITY. OUR SERVICES RANGE FROM THE MOST SOPHISTICATED RESEARCH AND BREAKTHROUGH MEDICAL TECHNOLOGY SERVICES TO MUCH-NEEDED PRIMARY CARE. EACH OF OUR ACUTE CARE HOSPITALS PROVIDES AN EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. CHRISTUS ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES. CLINICAL TRIALS TO ADVANCE CARE AND PROVIDE CURES FOR CERTAIN DISEASES, AND SOME CHRISTUS HOSPITALS HOST GRADUATE MEDICAL EDUCATION PROGRAMS THAT TRAIN FUTURE HEALTH CARE PROVIDERS AND LEADERS INCLUDING NURSES, PHYSICIANS AND VARIOUS ALLIED HEALTH PROFESSIONALS. AS A NOT-FOR-PROFIT ORGANIZATION, A GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT PROFESSIONALS WHO HELP SHAPE THE STRATEGIES AND POLICIES OF OUR HEALTH SYSTEM GUIDES CHRISTUS HEALTH. IN ADDITION, A BOARD OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE GOVERNS EACH OF OUR HEALTH CARE ENTITIES. WE ARE PRIVILEGED TO HAVE OPEN MEDICAL STAFFS IN EACH OF OUR HOSPITALS AND CLINICS COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS.
Form 990, Part III, Line 4b	OTHER GOVERNMENT SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS INCLUDING MEDICARE, DEPARTMENT OF DEFENSE (DOD) AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF TEXAS BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THIS HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. OUTPATIENT SERVICES ARE REIMBURSED BY MEDICARE BASED ON THEIR FEE SCHEDULE. CHRISTUS HEALTH DBA US FAMILY HEALTH PLAN ALSO PROVIDES THE UNIFORM MEDICAL BENEFIT FOR APPROXIMATELY 15,000 MILITARY FAMILY MEMBERS UNDER CONTRACT WITH THE DOD. UNDER THIS PROGRAM, COMPREHENSIVE MEDICAL SERVICES ARE PROVIDED TO FAMILIES OF ACTIVE DUTY MILITARY PERSONNEL AND TO RETIREES AND THEIR FAMILIES IN ALL AGE CATEGORIES INCLUDING THOSE OVER AGE 65. CHRISTUS HEALTH ALSO PARTICIPATES IN THE TRICARE STANDARD PROGRAM, AND MANY OF OUR HOSPITALS CONTRACT WITH THE MANAGED CARE SUPPORT CONTRACTOR FOR THE SOUTH REGION TO PROVIDE SERVICES UNDER THE PROVISION OF TRICARE PRIME.
Form 990, Part III, Line 4c	COMMUNITY SERVICES - POOR AND UNDERSERVED ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEALTH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM COMMUNITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, TRANSPORTATION SERVICES, HOME REPAIR PROJECTS AND A VARIETY OF OTHER SOCIAL SERVICES. SOME EXAMPLES OF CHRISTUS HEALTH COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI) AND THE CHRISTUS FUND. THE CHRISTUS BOARD OF DIRECTORS APPROVED THE FUNDING OF A CDI LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME THAT WOULD HAVE BEEN EARNED AT THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE TOTAL FOREGONE INTEREST REPORTED AS COMMUNITY BENEFIT FOR FY2022 WAS $0. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES. THESE LOANS ARE PROVIDED TO OTHER NON-PROFIT ORGANIZATIONS. CHRISTUS HEALTH ESTABLISHED THE CHRISTUS FUND TO ADDRESS PREVENTION AND WELLNESS STRATEGIES FOR THE UNINSURED AND UNDERINSURED BY PROVIDING RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTH COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLE'S LIVES AND CREATE SUSTAINABLE HEALTH IMPROVEMENTS IN OUR COMMUNITIES. DURING FY22, $2,497,398 OF GRANT FUNDS WERE DISTRIBUTED FROM THE CHRISTUS FUND.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 1,857,763 including grants of $ 0)(Revenue $ 0) COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS, FEDERALLY QUALIFIED HEALTH CENTERS, RURAL HEALTH PROVIDERS ACROSS EAST AND NORTHEAST TEXAS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2021, 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 CONSTITUENTS WE SERVE.
Form 990, Part VI, Line 18 PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T	CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATION 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	OFFICERS ERNIE SADAU AND RANDY SAFADY - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO, CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON, AND ONE SISTER OF THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE MEMBERS OF CHRISTUS HEALTH INCLUDE TWO SISTERS OF EACH OF THE FOUNDING SPONSORING CORPORATIONS, CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD SAN ANTONIO, CONGREGATION OF THE SISTERS OF CHARITY OF INCARNATE WORD HOUSTON, AND ONE SISTER OF THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE MEMBERS HOLD THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION (OTHER THAN THE FOUNDING SPONSORING CONGREGATION DIRECTORS), WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OR THE NOMINATING COMMITTEE OF THE CORPORATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE MEMBERS HOLD THE AUTHORITY TO: APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD A SPONSORING CONGREGATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY AFFILIATION OR TRANSACTION THE RESULT OF WHICH WILL BE TO ADD AN OTHER-THAN CATHOLIC AFFILIATED ENTITY TO THE SYSTEM, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT, APPROVE AND INTERPRET THE PHILOSOPHY, MISSION AND VISION OF THE CORPORATION, AS WELL AS ANY CHANGES THERETO, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO ADOPT AND APPROVE ANY AMENDMENTS, MODIFICATIONS OR RESTATEMENTS OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER OR ENCUMBRANCE OF REAL PROPERTY OF THE CORPORATION OR ANY SYSTEM PARTICIPANT WHEN THE AMOUNT INVOLVED IS IN EXCESS OF A THRESHOLD DOLLAR AMOUNT AS REQUIRED BY CANON LAW, SUBJECT TO ANY REQUIRED CANONICAL APPROVAL OF THE ORGANIZATIONS CANONICALLY ACCOUNTABLE UNDER THE ROMAN CATHOLIC CHURCH FOR SUCH REAL PROPERTY, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE THE THRESHOLD AGGREGATE AMOUNT OF DEBT TO BE INCURRED BY THE SYSTEM AND ANY INCURRENCE OF DEBT THE EFFECT OF WHICH WOULD BE TO EXCEED SUCH THRESHOLD AGGREGATE AMOUNT, WITH OR WITHOUT PRIOR ACTIONS OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; TO APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, LIQUIDATION OR DISSOLUTION OF ANY SYSTEM PARTICIPANT THAT OWNS DESIGNATED MINISTRY PROPERTY OF THE CORPORATION, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND TO APPROVE ANY COURSE OF ACTION PROPOSED BY A SYSTEM PARTICIPANT, WITH OR WITHOUT PRIOR ACTION OR RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, THE EFFECT OF WHICH WOULD BE TO CHANGE EITHER (A) THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY OR (B) THE TYPE OF SERVICES PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2023 VIA A WEB PORTAL POLLING TOOL BY THE 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	A CONFLICT OF INTEREST QUESTIONNAIRE WAS DISTRIBUTED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES DURING THE FISCAL YEAR. THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT 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. CONFLICT OF INTEREST QUESTIONNAIRE WAS DISTRIBUTED TO THE ORGANIZATION'S OFFICERS, KEY EMPLOYEES AND DIRECTORS DURING THE NEXT FISCAL YEAR BY THE ORGANIZATION'S CORPORATE SECRETARY. 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. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. 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. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. 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 EXECUTIVECOMPENSATION 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.
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. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. CHRISTUS HEALTH CEO'S COMPENSATION IS SUBJECT TO APPROVAL BY THE CHRISTUS HEALTH BOARD, AFTER DISCUSSION BY THE EXECUTIVE COMPENSATION COMMITTEE. 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. COMPLETES A REVIEW OF THE COMPENSATION AND BENEFITS OF THE CEO AND PROVIDES A WRITTEN REPORT, AND APPEARS IN PERSON WITH THE COMMITTEE TO ADDRESS THE ANNUAL COMPENSATION REVIEW AND ANY DECISIONS RELATED TO SUCH COMPENSATION FOR THE CEO. THE CONSULTANT ALSO PROVIDES ALL OF THE COMPARABLE MARKET DATA TO SUPPORT RECOMMENDATIONS AND DECISIONS. 2. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 3. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 4. 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 EXECUTIVECOMPENSATION 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.
Form 990, Part VI, Line 19 Required documents available to the public	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 2f Other Program Service Revenue	SERVICE FEE - Total Revenue: 25264521, Related or Exempt Function Revenue: 25264521, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; WELLNESS - Total Revenue: 10956058, Related or Exempt Function Revenue: 10956058, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other Prof Fee - Total Revenue: 5644310, Related or Exempt Function Revenue: 5644310, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Business Inter. Rev - Total Revenue: 9645348, Related or Exempt Function Revenue: 9645348, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Cobra Prem - Total Revenue: 88485, Related or Exempt Function Revenue: 88485, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Purchase Discounts - Total Revenue: 25453, Related or Exempt Function Revenue: 25453, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Parking Rev - Total Revenue: 12679, Related or Exempt Function Revenue: 12679, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Food Service Rev - Total Revenue: 3347, Related or Exempt Function Revenue: 3347, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Reinsurance Ceded - Total Revenue: -257649, Related or Exempt Function Revenue: -257649, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Misc Exp - Total Revenue: 11943751, Related or Exempt Function Revenue: 11943751, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Non-Control. Int. - Total Revenue: 6226010, Related or Exempt Function Revenue: 6226010, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Operating Revenue - Total Revenue: 18644200, Related or Exempt Function Revenue: 18644200, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 8 FUNCTIONAL EXPENSE, LINE 8, PENSION PLAN CONTRIBUTIONS FORM 990, PART IX	REPORTED IN PENSION PLAN CONTRIBUTIONS IS THE PENSION EXPENSE INCURRED BY THE FILING ORGANIZATION NETTED WITH THE PENSION EXPENSE ALLOCATED TO THE FILING ORGANIZATION'S SUBSIDIARIES. PENSION EXPENSE ALLOCATED EXCEEDED THE PENSION EXPENSE INCURRED FOR FISCAL YEAR ENDING JUNE 30, 2022.
Form 990, Part IX, Line 11g Other Fees	Medical Service - Total Expense: 471571, Program Service Expense: 422948, Management and General Expenses: 48623, Fundraising Expenses: ; R&M - Total Expense: 75757675, Program Service Expense: 75252450, Management and General Expenses: 505225, Fundraising Expenses: ; Professional Fees - Total Expense: 701053, Program Service Expense: 9186, Management and General Expenses: 691867, Fundraising Expenses: ; Other Fees - Total Expense: 10813781, Program Service Expense: 1706568, Management and General Expenses: 9107213, Fundraising Expenses: ; marketing & consul. - Total Expense: 34613136, Program Service Expense: 11226614, Management and General Expenses: 23386522, Fundraising Expenses: ; line of credit fees - Total Expense: 1128752, Program Service Expense: , Management and General Expenses: 1128752, Fundraising Expenses: ; Collection fees - Total Expense: 4960997, Program Service Expense: 4962287, Management and General Expenses: -1290, Fundraising Expenses: ; subscription fees - Total Expense: 26456545, Program Service Expense: 21172575, Management and General Expenses: 5283970, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part X, Line 1 CASH - NON-INTEREST BEARING & SAVINGS & TEMPORARY CASH INVESTMENTS	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 - -XXX-XX-XXXX; CHANGE IN PENSION LIABILITIES - -9951171; CHANGE IN NET ASSETS ATTRIBUTABLE TO NON CONTROLLILNG INTEREST - -6207998; CHANGE IN RESTRICTED NET ASSETS - -8025; OTHER TAX ADJUSTMENTS - -5788651; RECLASS FOR GAAP FOR DONATIONS/GRANTS TO UNRNA - 41620; Interco Subidies - 539199;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Christus Health

Employer identification number

76-0590551

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(f) Direct controlling entity
(1) CH SANTA ROSA QUALITY CARE ALLIANCE LLC 919 HIDDEN RIDGE DR IRVING,TX75038 47-4580155	ACO	TX	CH
(2) CHRISTUS LOUISIANA ACO LLC 919 HIDDEN RIDGE DR IRVING,TX75038 47-4592015	ACO	LA	CH
(3) CH ARK-LA-TEX QUALITY CARE ALLIANCE LLC 919 HIDDEN RIDGE DR IRVING,TX75038 47-4599144	ACO	TX	CH
(4) CHRISTUS QUALITY CARE ALLIANCE LLC 919 HIDDEN RIDGE DR IRVING,TX75038 47-4607533	ACO	TX	CH
(5) PROMPTU IMAGING OF CORPUS CHRISTI 919 HIDDEN RIDGE DR IRVING,TX75038 81-3074600	IMAGING CTR.	TX	ASPG
(6) PROMPTU IMAGING PLLC 919 HIDDEN RIDGE DR IRVING,TX75038 35-2564814	IMAGING CTR.	TX	ASPG
(7) Christus Networks LLC 919 HIDDEN RIDGE DR IRVING,TX75308 85-0760673	Holding Company	TX	CH
(8) CHRISTUS RENDMIENTO LLC 919 HIDDEN RIDGE DR IRVING,TX75038 35-2595288	Holding Company	TX	CHI
(9) CHRISTUS PHO AND AFFILIATED NETWORKS LLC 919 HIDDEN RIDGE DR IRVING,TX75038	Holding Company	TX	CH

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 75-2796815	HLTHCARE SVCS	TX	501(c)(3)	Type II	CH	Yes
(2)CHRISTUS HEALTH CENTRAL LOUISIANA 3330 MASONIC DRIVE ALEXANDRIA,LA71301 72-0408984	HLTHCARE SVCS	LA	501(c)(3)	3	CH	Yes
(3)CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON,TX77292 76-0591592	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes
(4)CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT,LA71101 72-0408982	HLTHCARE SVCS	LA	501(c)(3)	3	CH	Yes
(5)CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-1109836	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes
(6)CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER STREET BEAUMONT,TX77726 76-0591590	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes
(7)CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DR LAKE CHARLES,LA70601 72-0411322	HLTHCARE SVCS	LA	501(c)(3)	3	CH	Yes
(8)CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 74-1109665	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes
(9)CHRISTUS CONTINUING CARE 1700 W LOOP SOUTH SUITE 1100 HOUSTON,TX77027 74-2898615	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes
(10)CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON,TX77027 76-0422435	HLTHCARE SVCS	TX	501(c)(3)	Type I	CH	Yes
(11)CHRISTUS HEALTH FOUNDATION 919 HIDDEN RIDGE DRIVE IRVING,TX75038 61-1500100	SUPP HTH SVCS	TX	501(c)(3)	Type I	CH	Yes
(12)ST FRANCES CABRINI HPL FDN OF ALEXANDRIA 3330 MASONIC DRIVE ALEXANDRIA,LA71301 72-0998302	SUPP HTH SVCS	LA	501(c)(3)	7	CNLA	Yes
(13)CHRISTUS FOUNDATION FOR HEALTHCARE PO BOX 1919 HOUSTON,TX77251 74-6074210	SUPP HTH SVCS	TX	501(c)(3)	7	CH	Yes
(14)CHRISTUS FOUNDATION SHREVEPORT-BOSSIER ONE ST MARY PLACE SHREVEPORT,LA71101 72-1219280	SUPP HTH SVCS	LA	501(c)(3)	7	NOLA	Yes
(15)CHRISTUS SPOHN HTH SYSTEM DEVELOPMENT FD 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-1906005	SUPP HTH SVCS	TX	501(c)(3)	7	SPOHN HS	Yes
(16)CHRISTUS HEALTH FDN OF SOUTHEAST TX 2830 CALDER BEAUMONT,TX77702 76-0136274	SUPP HTH SVCS	TX	501(c)(3)	Type I	SETX	Yes
(17)FRIENDS OF SANTA ROSA FOUNDATION 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 74-2723391	SUPP HTH SVCS	TX	501(c)(3)	Type I	CSRHCC	Yes
(18)SANTA ROSA FAMILY HEALTH CENTER 333 N SANTA ROSA STREET SAN ANTONIO,TX78207 74-2806531	HLTHCARE SVCS	TX	501(c)(3)	10	CSRHCC	Yes
(19)CHRISTUS HEALTH PLAN 919 Hidden Ridge CORPUS CHRISTI,TX78404 45-2106295	HEALTH PLAN	TX	501(c)(4)		CH	Yes
(20)ST FRANCES CABRINI HOSPITAL AUXILIARY 3330 MASONIC DRIVE ALEXANDRIA,LA71301 23-7255175	SUPP HTH SVCS	LA	501(c)(3)	10	CNLA	Yes
(21)CHRISTUS SANTA ROSA MED CTR AUXILIARY 2827 BABOCK ROAD SAN ANTONIO,TX78229 73-1655493	SUPP HTH SVCS	TX	501(c)(3)	10	CSRHCC	Yes
(22)CHRISTUS HEALTH STRATEGIC GROWTH 919 HIDDEN RIDGE DRIVE IRVING,TX75038 46-2798043	SUPP HTH SVCS	TX	501(c)(3)	Type I	CH	Yes
(23)CHRISTUS HEALTH PLAN LOUISIANA 919 HIDDEN RIDGE DRIVE IRVING,TX75038 46-4617988	MEDICAID HMO	LA	501(c)(4)		CH	Yes
(24)CHRISTUS PEDIATRIC PHYSICIAN GROUP 919 HIDDEN RIDGE DRIVE IRVING,TX75038 46-5203505	HLTHCARE SVCS	TX	501(c)(3)	3	CH	Yes
(25)CHRISTUS HEALTH LATIN AMERICA 919 HIDDEN RIDGE DRIVE IRVING,TX75038 46-2816604	SPT HLTH SVCS	TX	501(c)(3)	Type I	CH STRA GRTH	Yes
(26)CHRISTUS HEALTH INTERNATIONAL 919 HIDDEN RIDGE DRIVE IRVING,TX75038 46-2811167	SPT HLTH SVCS	TX	501(c)(3)	Type I	CH STRA GRTH	Yes
(27)CHRISTUS ST MICHAEL FOUNDATION 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 47-1655865	SPT HLTH SVCS	TX	501(c)(3)	7	ALT	Yes
(28)CHRISTUS ST PATRICK FOUNDATION 524 DR MICHAEL DEBAKEY DR LAKE CHARLES,LA70601 47-1496376	SPT HLTH SVCS	LA	501(c)(3)	7	SWLA	Yes
(29)CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS,TX75482 81-1708177	HLTHCARE SVCS	TX	501(c)(3)	3	CNTHSC	Yes
(30)MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER,TX75701 75-1976930	HOSPITAL	TX	501(c)(3)	3	CNTHSC	Yes
(31)CHRISTUS-TRINITY MOTHER FRANCES FDN 1315 DOCTORS DRIVE TYLER,TX75701 75-2028241	SUPPORT	TX	501(c)(3)	Type I	CNTHSC	Yes
(32)REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER,TX75701 75-2511459	HEALTHCARE	TX	501(c)(3)	3	MFH REG	Yes
(33)MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER,TX75701 75-2771569	HOSPITAL	TX	501(c)(3)	3	CNTHSC	Yes
(34)CHRISTUS TRINITY CLINIC 1315 DOCTORS DRIVE TYLER,TX75701 75-2616977	HEALTHCARE	TX	501(c)(3)	3	CH	Yes
(35)MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER,TX75701 75-0818167	HOSPITAL	TX	501(c)(3)	3	CNTHSC	Yes
(36)ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER,TX75701 46-5720165	HEALTHCARE	TX	501(c)(3)	3	MFH REG	Yes
(37)CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION 1315 DOCTORS DRIVE TYLER,TX75701 75-2616975	HLTHCARE SVCS	TX	501(c)(3)	Type II	CH	Yes
(38)CHAMPION EMS 2201 S MOBBERLY AVE LONGVIEW,TX75602 75-2747708	HLTHCARE SVCS	TX	501(c)(3)	10	MFH REG	Yes
(39)GSHS ADMINISTRATIVE SERVICES ORG INC 700 E MARSHALL AVE LONGVIEW,TX75601 86-1132471	ADMIN SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(40)THE GOOD SHEPHERD HOSPITAL INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-1041154	HEALTHCARE	TX	501(c)(3)	3	GSMC	Yes
(41)GOOD SHEPHERD FOUNDATION INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2056700	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(42)GOOD SHEPHERD HOSPITAL AUXILIARY 700 E MARSHALL AVE LONGVIEW,TX75601 23-7203364	SUPPORT	TX	501(c)(3)	10	GSH INC	Yes
(43)MARSHALL HOSPITAL FOUNDATION INC 811 SOUTH WASHINGTON AVE MARSHALL,TX75670 75-2605699	HEALTHCARE	TX	501(c)(3)	7	GSMC	Yes
(44)CHRISTUS GOOD SHEPHERD MEDICAL CENTER 811 SOUTH WASHINGTON AVE MARSHALL,TX75670 75-0974351	HEALTHCARE	TX	501(c)(3)	3	CNTHSC	Yes
(45)BAPTISTST ANTHONY'S HEALTH SYSTEM 1600 WALLACE BLVD AMARILLO,TX79106 75-1858993	SUPPORT	TX	501(c)(3)	Type I	NA		No
(46)CENTRAL TEXAS HEALTHCARE COLLABORATIVE 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 45-3739929	SUPPORT	TX	501(c)(3)	Type I	SRHCC	Yes
(47)SPECIALTY PHYSICIANS OF CENTRAL TEXAS 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 20-8814408	HEALTHCARE	TX	501(c)(3)	3	AHS	Yes
(48)CHRISTUS CONNECTED CARE NETWORK 919 HIDDEN RIDGE DR IRVING,TX75038 47-3403356	SPT HLTH SVCS	TX	501(c)(4)		CH	Yes
(49)GOOD SHEPHERD MED CENTER - LINDEN INC 700 E MARSHALL AVE LONGVIEW,TX75601 01-0829282	HEALTH SVCS	TX	501(c)(3)	3	GSMC	Yes
(50)GSMC - LINDEN FOUNDATION INC 404 N KAUFMAN LINDEN,TX75563 20-0845127	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(51)HOPKINS CTY PHYSICIAN SERVICES 115 AIRPORT RD SULPHUR SPRINGS,TX75482 26-0637742	CLINIC	TX	501(c)(3)	3	CHHA	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) ST ELIZ REHAB PTRS 2830 CALDER STREET BEAUMONT,TX77702 20-5657181	HLTHCARE SVCS	TX	H VENTURES-SETX
(2) SOUTH RYAN MRI LLC 650 DR MICHAEL DEBAKEY DRIVE Lake Charles,LA70601 74-3103662	IMAGING SVCS	LA	OCCUPATIONAL HS
(3) NEW BRN SUG CTR 333 N SANTA ROSA ST SAN ANTONIO,TX78207 81-0571408	HLTHCARE SVCS	TX	CSRHCC
(4) CSR OTPT SUR NB 333 N SANTA ROSA ST SAN ANTONIO,TX78207 81-0571409	HLTHCARE SVCS	TX	CSRHCC
(5) CSR AMB SUR CTR 333 N SANTA ROSA ST SAN ANTONIO,TX78207 41-2092141	HLTHCARE SVCS	TX	CSRHCC
(6) COL ENDO CTR 524 DR MICHAEL DEBAKEY DRIVE lake charles,LA70601 74-1493410	HLTHCARE SVCS	LA	SWLA
(7) IMP CAL S CTR LLC 1757 IMPERIAL RD LAKE CHARLES,LA70605 20-5109610	ASC	LA	SWLA
(8) SAN MARCOS MRI 1330 WONDER WORLD SAN MARCOS,TX78666 77-0597972	IMAGING	TX	CSRHCC
(9) NO LA CAR SVCS LLC 1751 IMPERIAL BLVD LAKE CHARLES,LA70605 81-3198914	SURGICAL CTR	LA	SWLA
(10) CHRIST AMB SURG CTR 100 NE LOOP 410 STE 800 SAN MARCOS,TX78216 38-4092858	SURGICAL CTR	TX	ASPG
(11) GOOD SHEP NORTHP LP 700 E MARSHALL AVE LONGVIEW,TX75601 46-4834106	HLTHCARE SVCS	TX	GSHS
(12) CHRISTUS SURGERY CENTER - VILLAGES LLC 1453 E BERT KOUNS SHEVIPORT,LA71108	SURGICAL CTR	LA	ASPS

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) ARK-LA-TEX HEALTH NETWORK PO BOX 2911 TEXARKANA,TX755042911 75-2562459	HEALTHCARE SV	TX	CH ARK-LA-TEX	C Corporation				Yes
(2) SCH MGMNT SOLUTIONS INC ONE ST MARY PLACE SHREVEPORT,LA71101 72-1270625	MGT JOINT VEN	LA	NOLA	C Corporation				Yes
(3) SPOHN HEALTH NETWORK 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-2616328	HEALTH PLAN A	TX	SPOHN HSC	C Corporation				Yes
(4) SPOHN INVESTMENT CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI,TX78404 74-2322574	RENTALS	TX	SPOHN HSC	C Corporation				Yes
(5) CHRISTUS SOUTHEAST TEXAS PHO 3010 HARRISON STREET SUITE 202 BEAUMONT,TX77702 76-0429902	MEDICAL SVCS	TX	CH SETX	C Corporation				Yes
(6) HEALTH VENTURES OF SE TEXAS 3000 GATES BLVD PORT ARTHUR,TX77640 76-0397263	BUILDING RENT	TX	CH SETX	C Corporation				Yes
(7) OCCUPATIONAL HEALTH SVCS INC 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 72-1217389	MEDICAL SVCS	LA	CH SWLA	C Corporation				Yes
(8) SOUTHWESTERN LOUISIANA PHO 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 72-1274256	HEALTHCARE SV	LA	CH SWLA	C Corporation				Yes
(9) SOUTH RYAN DEVELOPMENT CORP 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES,LA70601 72-1183790	LEASING BLDG	LA	CH SWLA	C Corporation				Yes
(10) MCKENNA PROF BLDG OWNERS ASSOC 598 N UNION ST SUITE 210 NEW BRAUNFELS,TX78130 74-2742934	BUILDING ASSO	TX	CSRHCC	C Corporation				Yes
(11) CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 G40G0 OBISPADO MONTERRE MX	HEALTHCARE SV	MX	CH	C Corporation	53,991,879	327,574,654	91.47 %	Yes
(12) EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMANKY11102 CJ 98-0407545	INSURANCE	CJ	CH	C Corporation	-9,379,147	142,542,014	100 %	Yes
(13) AMBULATORY STRATEGIES PHYSICIAN GROUP 919 HIDDEN RIDGE IRVING,TX75038 47-2897722	HEALTHCARE SV	TX	CCC	C Corporation				Yes
(14) CHRISTUS TEXARKANA UNIT OWNERS ASSOC 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 47-2486362	BUILDING ASSO	TX	ALT	C Corporation				Yes
(15) EVANGELINE CLINICAL SERVICES INC 3330 MASONIC DRIVE ALEXANDIRA,LA71301 46-3977886	HEALTHCARE SV	LA	CNLA	C Corporation				Yes
(16) LTACH CONDOMINIUM UNIT OWNERS ASSOC 600 ELIZABETH STREET CORPUS CHRISTI,TX77726 47-2404808	BUILDING ASSO	TX	SPOHN	C Corporation				Yes
(17) AMATISTA FINANCING COMPANY LTD 3RD FL1ST CARIBBEAN HOUSE GEORGETOWNKY11104 CJ	FINANCING	CJ	CH STRAT GRWTH	C Corporation				Yes
(18) CHRISTUS CHILE SPA MIRAFLORES 222 28TH FLOOR SANTIAGO8320198 CI	INVESTING	CI	CH LATIN AMER	C Corporation				Yes
(19) DEDICATED SYSTEM SUPPORT INC 919 HIDDEN RIDGE DR IRVING,TX75038 81-0861043	MANAGEMENT SV	TX	CCC	C Corporation				Yes
(20) CHRISTUS LOUISIANA QUALITY ALLIANCE 919 HIDDEN RIDGE DR IRVING,TX75038 47-4618648	ACO	LA	CH	C Corporation	0	2,073,223	100 %	Yes
(21) TRINCARE INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2161369	RETAIL HEALTH	TX	CTMFHS	C Corporation				Yes
(22) HEALTHPLAN OF TEXAS INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2636862	THIRD PARTY A	TX	CTMFHS	C Corporation				Yes
(23) THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER,TX75701 75-2484109	PREFER PROVID	TX	CTMFHS	C Corporation
(24) GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2027162	HEALTHCARE	TX	GSHS INC	C Corporation				Yes
(25) GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW,TX75601 75-2554695	INACTIVE	TX	GSH INC	C Corporation				Yes
(26) MARSHALL PHYSICIAN HOSPITAL ORGANIZATION 700 E MARSHALL AVE LONGVIEW,TX75601 75-2580689	INACTIVE	TX	GSMC	C Corporation				Yes
(27) NORTHEAST TEXAS PHYSICIAN SERVICES 700 E MARSHALL AVE LONGVIEW,TX75601 75-2712245	MGMT SERVICES	TX	GSHS ENTERPRISE	C Corporation				Yes
(28) GSHS ENTERPRISES HOLDING INC 700 E MARSHALL AVE LONGVIEW,TX75601 51-0412465	HOLDING COMPA	DE	GSHS ENTERPRISE	C Corporation				Yes
(29) GSHS ENTERPRISES OPERATING 1 700 E MARSHALL AVE LONGVIEW,TX75601 75-2954772	HEALTHCARE	DE	GSHS ENTERPRISE	C Corporation				Yes
(30) GSHS ENTERPRISES OPERATING 2 700 E MARSHALL AVE LONGVIEW,TX75601 75-2954777	HEALTHCARE	DE	GSHS ENTERPRISE	C Corporation				Yes
(31) TYLER COUNTY CLINICAL SERVICES 2801 VIA FORTUNA AUSTIN,TX78746 47-2135795	HEALTHCARE	TX	SETX	C Corporation				Yes
(32) CENTRAL TEXAS MEDICAL ASSOCIATE 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 74-2729873	INACTIVE	TX	NA	C Corporation				Yes
(33) CENTRAL TEXAS PROVIDERS NETWORK 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 74-2827652	PHYSICIAN HOSP	TX	NA	C Corporation				Yes
(34) SAN MARCOS REGIONAL MRI 1301 WONDER WORLD DRIVE SAN MARCOS,TX78666 77-0597968	HEALTHCARE SVCS	TX	NA	C Corporation				Yes
(35) CH COLUMBIA SAS CL 70 A 4 41 BOGATA CO	HEALTHCARE SVCS	CO	CHI	C Corporation				Yes
(36) CLINICA PALMA REAL SAS CARRERA 28 44 35 CALI CO	HEALTHCARE SVCS	CO	CHI	C Corporation				Yes
(37) SINERGIA GLOBAL EN SALUD SAS CARRERA 44 A 9 C 67 CALI CO	HEALTHCARE SVCS	CO	CHI	C Corporation				Yes
(38) GSHS CUSTOMER SERVICE BUILDING LLC 700 E MARSHALL AVE LONGVIEW,TX75601 71-0896055	CUSTOMER SERVICES	DE	GSHS INC	C Corporation				Yes
(39) RELIANCE BENEFITS INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2642104	HEALTH SVCS	TX	TMP	C Corporation				Yes
(40) HCMH RETAIL CLINIC 115 AIRPORT RD SULPHUR SPRINGS,TX75482 47-5417965	HLTHCARE SVCS	TX	CHNA	C Corporation				Yes

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ALIGNED PROVIDERS OF EAST TEXAS	P	150,423	ACCRUAL
(2) ALIGNED PROVIDERS OF EAST TEXAS	Q	458,053	ACCRUAL
(3) AMBULATORY STRATEGIES PHYSICIAN GROUP INC	P	101,264	ACCRUAL
(4) AMBULATORY STRATEGIES PHYSICIAN GROUP INC	Q	515,258	ACCRUAL
(5) AMBULATORY STRATEGIES PHYSICIAN GROUP OF LOUISIANA LLC	P	76,218	ACCRUAL
(6) AMBULATORY STRATEGIES PHYSICIAN GROUP OF LOUISIANA LLC	Q	413,023	ACCRUAL
(7) CENTRAL LOUISIANA SURGICAL HOSPITAL LLC	P	260,177	ACCRUAL
(8) CENTRAL LOUISIANA SURGICAL HOSPITAL LLC	Q	260,177	ACCRUAL
(9) CH WILKINSON PHYSICIAN NETWORK	A	78,027	ACCRUAL
(10) CH WILKINSON PHYSICIAN NETWORK	P	239,876	ACCRUAL
(11) CH WILKINSON PHYSICIAN NETWORK	Q	695,736	ACCRUAL
(12) CH WILKINSON PHYSICIAN NETWORK	S	88,342	ACCRUAL
(13) CHAMPION EMS	P	781,621	ACCRUAL
(14) CHAMPION EMS	Q	3,587,792	ACCRUAL
(15) CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC	Q	53,182	ACCRUAL
(16) CHRISTUS CONNECTED CARE NETWORK	P	290,970	ACCRUAL
(17) CHRISTUS CONNECTED CARE NETWORK	Q	944,459	ACCRUAL
(18) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	A	422,484	ACCRUAL
(19) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	K	438,175	ACCRUAL
(20) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	L	68,718	ACCRUAL
(21) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	M	68,718	ACCRUAL
(22) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	P	71,458	ACCRUAL
(23) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	Q	99,417	ACCRUAL
(24) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	R	4,806,364	ACCRUAL
(25) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	S	6,731,016	ACCRUAL
(26) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	A	5,706,293	ACCRUAL
(27) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	L	181,983	ACCRUAL
(28) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	M	491,603	ACCRUAL
(29) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	P	8,959,645	ACCRUAL
(30) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	Q	57,746,453	ACCRUAL
(31) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	R	4,978,861	ACCRUAL
(32) CHRISTUS GOOD SHEPHERD MEDICAL CENTER	S	11,620,415	ACCRUAL
(33) CHRISTUS HEALTH ARK-LA-TEX	A	4,524,517	ACCRUAL
(34) CHRISTUS HEALTH ARK-LA-TEX	L	395,555	ACCRUAL
(35) CHRISTUS HEALTH ARK-LA-TEX	M	869,308	ACCRUAL
(36) CHRISTUS HEALTH ARK-LA-TEX	P	9,923,296	ACCRUAL
(37) CHRISTUS HEALTH ARK-LA-TEX	Q	61,663,810	ACCRUAL
(38) CHRISTUS HEALTH ARK-LA-TEX	R	66,712	ACCRUAL
(39) CHRISTUS HEALTH ARK-LA-TEX	S	5,554,352	ACCRUAL
(40) CHRISTUS HEALTH CENTRAL LOUISIANA	A	6,771,798	ACCRUAL
(41) CHRISTUS HEALTH CENTRAL LOUISIANA	L	333,267	ACCRUAL
(42) CHRISTUS HEALTH CENTRAL LOUISIANA	M	951,508	ACCRUAL
(43) CHRISTUS HEALTH CENTRAL LOUISIANA	P	8,117,278	ACCRUAL
(44) CHRISTUS HEALTH CENTRAL LOUISIANA	Q	54,372,363	ACCRUAL
(45) CHRISTUS HEALTH CENTRAL LOUISIANA	R	68,358	ACCRUAL
(46) CHRISTUS HEALTH CENTRAL LOUISIANA	S	7,779,866	ACCRUAL
(47) CHRISTUS HEALTH CHILE SPA	A	3,247,777	ACCRUAL
(48) CHRISTUS HEALTH COLOMBIA SAS	A	1,164,527	ACCRUAL
(49) CHRISTUS HEALTH COLOMBIA SAS	S	1,144,849	ACCRUAL
(50) CHRISTUS HEALTH GULF COAST	A	30,981	ACCRUAL
(51) CHRISTUS HEALTH GULF COAST	P	75,635	ACCRUAL
(52) CHRISTUS HEALTH GULF COAST	Q	337,652	ACCRUAL
(53) CHRISTUS HEALTH LATAM HUB CENTER OF EXCELLENCE	L	32,361,126	ACCRUAL
(54) CHRISTUS HEALTH LATAM HUB CENTER OF EXCELLENCE	M	44,660,355	ACCRUAL
(55) CHRISTUS HEALTH NETWORKS LLC	L	590,617	ACCRUAL
(56) CHRISTUS HEALTH NETWORKS LLC	M	97,271	ACCRUAL
(57) CHRISTUS HEALTH NETWORKS LLC	O	2,395,858	ACCRUAL
(58) CHRISTUS HEALTH NORTHERN LOUISIANA	A	7,353,666	ACCRUAL
(59) CHRISTUS HEALTH NORTHERN LOUISIANA	L	303,527	ACCRUAL
(60) CHRISTUS HEALTH NORTHERN LOUISIANA	M	732,113	ACCRUAL
(61) CHRISTUS HEALTH NORTHERN LOUISIANA	P	6,614,539	ACCRUAL
(62) CHRISTUS HEALTH NORTHERN LOUISIANA	Q	42,264,436	ACCRUAL
(63) CHRISTUS HEALTH NORTHERN LOUISIANA	R	914,723	ACCRUAL
(64) CHRISTUS HEALTH NORTHERN LOUISIANA	S	8,139,861	ACCRUAL
(65) CHRISTUS HEALTH PLAN	L	145,347	ACCRUAL
(66) CHRISTUS HEALTH PLAN	M	145,347	ACCRUAL
(67) CHRISTUS HEALTH PLAN	P	69,929	ACCRUAL
(68) CHRISTUS HEALTH PLAN	Q	138,548	ACCRUAL
(69) CHRISTUS HEALTH PLAN	L	14,175,906	ACCRUAL
(70) CHRISTUS HEALTH PLAN	M	26,726,085	ACCRUAL
(71) CHRISTUS HEALTH PLAN	O	10,681,180	ACCRUAL
(72) CHRISTUS HEALTH SOUTHEAST TEXAS	A	5,313,844	ACCRUAL
(73) CHRISTUS HEALTH SOUTHEAST TEXAS	L	325,283	ACCRUAL
(74) CHRISTUS HEALTH SOUTHEAST TEXAS	M	1,209,525	ACCRUAL
(75) CHRISTUS HEALTH SOUTHEAST TEXAS	P	12,202,116	ACCRUAL
(76) CHRISTUS HEALTH SOUTHEAST TEXAS	Q	72,668,948	ACCRUAL
(77) CHRISTUS HEALTH SOUTHEAST TEXAS	R	109,660	ACCRUAL
(78) CHRISTUS HEALTH SOUTHEAST TEXAS	S	6,640,458	ACCRUAL
(79) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA	K	103,551	ACCRUAL
(80) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA	L	560,184	ACCRUAL
(81) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA	M	703,218	ACCRUAL
(82) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA	P	8,208,259	ACCRUAL
(83) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA	Q	43,928,579	ACCRUAL
(84) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA	R	284,763	ACCRUAL
(85) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA	S	1,050,353	ACCRUAL
(86) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA	A	73	ACCRUAL
(87) CHRISTUS HOPKINS HEALTH ALLIANCE	L	2,101,945	ACCRUAL
(88) CHRISTUS HOPKINS HEALTH ALLIANCE	M	1,894,056	ACCRUAL
(89) CHRISTUS HOPKINS HEALTH ALLIANCE	P	2,635,485	ACCRUAL
(90) CHRISTUS HOPKINS HEALTH ALLIANCE	Q	16,522,517	ACCRUAL
(91) CHRISTUS HOPKINS HEALTH ALLIANCE	R	1,401,081	ACCRUAL
(92) CHRISTUS HOPKINS HEALTH ALLIANCE	S	1,709,140	ACCRUAL
(93) CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION	L	323,883	ACCRUAL
(94) CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION	M	323,883	ACCRUAL
(95) CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION	P	12,128,816	ACCRUAL
(96) CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION	Q	13,794,535	ACCRUAL
(97) CHRISTUS PEDIATRIC PHYSICIAN GROUP	A	36,736	ACCRUAL
(98) CHRISTUS PEDIATRIC PHYSICIAN GROUP	P	375,715	ACCRUAL
(99) CHRISTUS PEDIATRIC PHYSICIAN GROUP	Q	1,866,813	ACCRUAL
(100) CHRISTUS PEDIATRIC PHYSICIAN GROUP	S	63,306	ACCRUAL
(101) CHRISTUS SANTA ROSA FAMILY HEALTH CENTER	P	945,646	ACCRUAL
(102) CHRISTUS SANTA ROSA FAMILY HEALTH CENTER	Q	2,073,528	ACCRUAL
(103) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	A	9,303,688	ACCRUAL
(104) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	A	500,000	ACCRUAL
(105) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	B	452,500	ACCRUAL
(106) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	K	161,604	ACCRUAL
(107) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	L	582,436	ACCRUAL
(108) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	M	2,778,018	ACCRUAL
(109) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	P	14,154,956	ACCRUAL
(110) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	Q	91,268,160	ACCRUAL
(111) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	R	1,954,021	ACCRUAL
(112) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	S	13,792,595	ACCRUAL
(113) CHRISTUS SANTA ROSA OUTPATIENT SURGERY CENTER NEW BRAUNFELS LP	P	243,912	ACCRUAL
(114) CHRISTUS SANTA ROSA OUTPATIENT SURGERY CENTER NEW BRAUNFELS LP	Q	903,252	ACCRUAL
(115) CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER SAN ANTONIO LLC	P	351,379	ACCRUAL
(116) CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER SAN ANTONIO LLC	Q	1,075,549	ACCRUAL
(117) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION	A	18,947,140	ACCRUAL
(118) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION	L	423,335	ACCRUAL
(119) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION	M	2,819,040	ACCRUAL
(120) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION	P	19,022,298	ACCRUAL
(121) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION	Q	128,680,150	ACCRUAL
(122) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION	R	3,047,243	ACCRUAL
(123) CHRISTUS SPOHN HEALTH SYSTEM CORPORATION	S	21,409,037	ACCRUAL
(124) COLONNADE ENDOSCOPY CENTER LLC	Q	63,653	ACCRUAL
(125) DEDICATED SYSTEM SUPPORT INC	A	98,921	ACCRUAL
(126) DEDICATED SYSTEM SUPPORT INC	P	332,734	ACCRUAL
(127) DEDICATED SYSTEM SUPPORT INC	Q	1,906,225	ACCRUAL
(128) DEDICATED SYSTEM SUPPORT INC	S	101,312	ACCRUAL
(129) EMERALD ASSURANCE CAYMAN LTD	P	79,598,631	ACCRUAL
(130) EMERALD ASSURANCE CAYMAN LTD	Q	36,728,816	ACCRUAL
(131) EVANGELINE CLINICAL SERVICES INC	P	814,134	ACCRUAL
(132) EVANGELINE CLINICAL SERVICES INC	Q	1,719,541	ACCRUAL
(133) GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC	L	277,766	ACCRUAL
(134) GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC	M	277,766	ACCRUAL
(135) GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC	P	4,307,010	ACCRUAL
(136) GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC	Q	14,848,352	ACCRUAL
(137) GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC	S	312,205	ACCRUAL
(138) HEALTHPLAN OF TEXAS INC	Q	59,186	ACCRUAL
(139) IMPERIAL CALCASIEU SURGICAL CENTER LLC	P	246,019	ACCRUAL
(140) IMPERIAL CALCASIEU SURGICAL CENTER LLC	Q	454,956	ACCRUAL
(141) MOTHER FRANCES HOSPITAL JACKSONVILLE	L	1,233,660	ACCRUAL
(142) MOTHER FRANCES HOSPITAL JACKSONVILLE	M	1,177,721	ACCRUAL
(143) MOTHER FRANCES HOSPITAL JACKSONVILLE	P	1,546,897	ACCRUAL
(144) MOTHER FRANCES HOSPITAL JACKSONVILLE	Q	9,466,433	ACCRUAL
(145) MOTHER FRANCES HOSPITAL JACKSONVILLE	S	247,334	ACCRUAL
(146) MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER	A	7,581,589	ACCRUAL
(147) MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER	L	3,373,064	ACCRUAL
(148) MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER	M	22,676,830	ACCRUAL
(149) MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER	P	20,759,585	ACCRUAL
(150) MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER	Q	122,685,373	ACCRUAL
(151) MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER	R	9,238,710	ACCRUAL
(152) MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER	S	20,224,288	ACCRUAL
(153) MOTHER FRANCES HOSPITAL WINNSBORO	P	548,281	ACCRUAL
(154) MOTHER FRANCES HOSPITAL WINNSBORO	Q	3,361,141	ACCRUAL
(155) MOTHER FRANCES HOSPITAL WINNSBORO	S	55,265	ACCRUAL
(156) NEW MEXICO ANESTHESIA ASSOCIATES LLC	L	183,040	ACCRUAL
(157) NEW MEXICO ANESTHESIA ASSOCIATES LLC	M	183,040	ACCRUAL
(158) SANTA ROSA CHILDREN'S HOSPITAL	A	8,770,513	ACCRUAL
(159) SANTA ROSA CHILDREN'S HOSPITAL	A	15,995	ACCRUAL
(160) SANTA ROSA CHILDREN'S HOSPITAL	B	150,000	ACCRUAL
(161) SANTA ROSA CHILDREN'S HOSPITAL	K	123,299	ACCRUAL
(162) SANTA ROSA CHILDREN'S HOSPITAL	L	311,209	ACCRUAL
(163) SANTA ROSA CHILDREN'S HOSPITAL	M	275,332	ACCRUAL
(164) SANTA ROSA CHILDREN'S HOSPITAL	P	6,752,038	ACCRUAL
(165) SANTA ROSA CHILDREN'S HOSPITAL	Q	45,377,989	ACCRUAL
(166) SANTA ROSA CHILDREN'S HOSPITAL	R	269,501	ACCRUAL
(167) SANTA ROSA CHILDREN'S HOSPITAL	S	9,722,502	ACCRUAL
(168) SPECIALTY PHYSICIANS OF CENTRAL TEXAS INC	P	156,113	ACCRUAL
(169) SPECIALTY PHYSICIANS OF CENTRAL TEXAS INC	Q	452,775	ACCRUAL
(170) SPOHN INVESTMENT CORPORATION	Q	54,280	ACCRUAL
(171) ST VINCENT HOSPITAL	B	1,159,413	ACCRUAL
(172) ST VINCENT HOSPITAL	L	17,019,151	ACCRUAL
(173) ST VINCENT HOSPITAL	M	31,310,362	ACCRUAL
(174) ST VINCENT HOSPITAL	P	30,344,368	ACCRUAL
(175) ST VINCENT HOSPITAL	Q	56,022,157	ACCRUAL
(176) TRINCARE INC	P	77,745	ACCRUAL
(177) TRINCARE INC	Q	352,279	ACCRUAL
(178) TRINITY CLINIC	J	69,764	ACCRUAL
(179) TRINITY CLINIC	L	20,204,343	ACCRUAL
(180) TRINITY CLINIC	M	19,885,698	ACCRUAL
(181) TRINITY CLINIC	P	17,284,386	ACCRUAL
(182) TRINITY CLINIC	Q	67,640,052	ACCRUAL
(183) TRINITY CLINIC	R	2,638,752	ACCRUAL
(184) TRINITY CLINIC	S	4,057,379	ACCRUAL

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

1	Briefly describe the organization’s mission or most significant activities: SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	3,983
6	Total number of volunteers (estimate if necessary) .............	6	4
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	690,442
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	501,685

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	60,002,619	84,003,539
9	Program service revenue (Part VIII, line 2g) .........	617,632,378	630,880,491
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	156,330,736	136,837,604
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	123,930,434	191,351,631
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	957,896,167	1,043,073,265
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,614,568	3,616,123
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	349,396,614	435,443,232
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 252,504
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	501,047,450	437,144,098
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	852,058,632	876,203,453
19	Revenue less expenses. Subtract line 18 from line 12.......	105,837,535	166,869,812
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,027,757,179	2,819,510,612
21	Total liabilities (Part X, line 26).............	2,497,194,199	2,382,942,103
22	Net assets or fund balances. Subtract line 21 from line 20.....	530,562,980	436,568,509

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 466,909,123 including grants of $ 0 ) (Revenue $ 679,052,099 )
	See Schedule O

4b	(Code: ) (Expenses $ 117,094,703 including grants of $ 0 ) (Revenue $ 142,031,446 )
	See Schedule O

4c	(Code: ) (Expenses $ 3,621,128 including grants of $ 3,616,123 ) (Revenue $ 0 )
	See Schedule O

	(Code: ) (Expenses $ 1,857,763 including grants of $ 0 ) (Revenue $ 0 )
	COMMUNITY SERVICES FOR THE BROADER COMMUNITY THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. CHRISTUS HEALTH ALSO USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS IN ADDITION TO GRANTS AWARDED THROUGH THE CHRISTUS FUND TO SUPPORT CAUSES LIKE THE FIGHT AGAINST CANCER, PROVISION OF A CONTINUUM OF CARE FOR THE ELDERLY AND THOSE WITH HIV/AIDS, FEDERALLY QUALIFIED HEALTH CENTERS, RURAL HEALTH PROVIDERS ACROSS EAST AND NORTHEAST TEXAS AND FOR MANY OTHER EQUALLY WORTHY PURPOSES. DURING FY 2021, 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 CONSTITUENTS WE SERVE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 1,857,763 including grants of $ ) (Revenue $ )
4e	Total program service expenses589,482,717

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	66,515,764	0	23,854,953

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	83,996,964

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,575

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		84,003,539

		Business Code
2a	INFO SERVICE FEE	900099	211,712,147	211,021,705	690,442
b	SYSTEM OFFICE FEE	900099	148,826,460	148,826,460
c	INSURANCE PREMIUM	900099	142,956,946	142,956,946
d	Capitation Revenue	621400	63,766,348	63,766,348
e	MANAGEMENT FEE	900099	27,398,011	27,398,011
f	All other program service revenue.		36,220,579	36,220,579	0	0
g	Total. Add lines 2a–2f .....		630,880,491

3 Investment income (including dividends, interest, and othersimilar amounts) ......			128,878,380			128,878,380
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			422,787			422,787
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	0	6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		14,810,429	7a
b	Less: cost or other basis and sales expenses		6,851,205	7b
c	Gain or (loss)	0	7,959,224	7c
d	Net gain or (loss).........			7,959,224			7,959,224
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	1,568,378
b	Less: cost of goods sold ..		10b	842,588
c	Net income or (loss) from sales of inventory..			725,790			725,790
Business Code			Miscellaneous Revenue
11a	patient financial services		900990	97,895,241	97,895,241
b	Acturial Credit		900990	22,252,897	22,252,897
c	TLRA Collection Fee		900990	18,078,982	18,078,982
d	All other revenue ....			51,975,934	51,975,934	0	0
e	Total. Add lines 11a–11d ......			190,203,054
12	Total revenue. See instructions.....			1,043,073,265	820,393,103	690,442	137,986,181

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	3,576,123	3,576,123
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	40,000	40,000
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	80,847,129	47,823,297	32,980,101	43,731
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	370,677	219,265	151,211	201
7	Other salaries and wages........	312,722,222	184,983,785	127,569,285	169,152
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	27,381		27,381
9	Other employee benefits .......	20,475,674	9,984,919	10,469,085	21,670
10	Payroll taxes ...........	21,000,149	14,791,595	6,196,713	11,841
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	4,735,064	796,656	3,938,408
c	Accounting ...........	4,418,219		4,418,219
d	Lobbying ...........	867,776	78	867,698
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	2,841,449	2,109,705	731,744
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	154,903,510	114,752,628	40,150,882	0
12	Advertising and promotion ....	1,209,154	1,207,261	1,893
13	Office expenses .......	100,157,159	79,729,361	20,426,621	1,177
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	8,500,414	7,997,764	502,649	1
17	Travel ............	13,376,661	3,886,195	9,485,686	4,780
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,429,267	211,122	2,218,145
20	Interest ...........	5,649,416	210,445	5,438,971
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	2,995,844	12,905,844	-9,910,000
23	Insurance ...	102,016,912	102,324,669	-307,757
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	1,001,905	723,967	277,987	-49
b	Swap Financing Cost	12,599,291		12,599,291
c	Other Tax Expense	7,938,440	86,858	7,851,582
d	Sales Tax Expense	466,658	273	466,385
e	All other expenses	11,036,959	1,120,907	9,916,052	0
25	Total functional expenses. Add lines 1 through 24e	876,203,453	589,482,717	286,468,232	252,504
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			690,598,152	1	151,653,460
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			49,887,585	4	932,033
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			101,027,428	7	63,156,244
8	Inventories for sale or use ............			5,069,132	8	6,355,568
9	Prepaid expenses and deferred charges ......			54,509,079	9	70,163,839
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	411,706,051
b	Less: accumulated depreciation	10b	200,313,385	148,332,822	10c	211,392,666
11	Investments—publicly traded securities .			890,737,131	11	784,326,011
12	Investments—other securities. See Part IV, line 11 .....			307,367,200	12	336,329,673
13	Investments—program-related. See Part IV, line 11 ..			616,776,985	13	1,052,350,416
14	Intangible assets ...............			1,859,927	14	11,769,927
15	Other assets. See Part IV, line 11 ...........			161,591,738	15	131,080,775
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,027,757,179	16	2,819,510,612

17	Accounts payable and accrued expenses .....	420,459,979	17	403,294,192
18	Grants payable ...		18
19	Deferred revenue .........	86,971,173	19	181,017,059
20	Tax-exempt bond liabilities .........	1,573,455,556	20	1,474,947,169
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	416,307,491	25	323,683,683
26	Total liabilities. Add lines 17 through 25..	2,497,194,199	26	2,382,942,103

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	514,881,059	27	420,894,613
28	Net assets with donor restrictions ...........	15,681,921	28	15,673,896
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	530,562,980	32	436,568,509
33	Total liabilities and net assets/fund balances ........	3,027,757,179	33	2,819,510,612

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No