TY 2022 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) Shannon Dacus Board Director / Chairperson	11.0 ................. 29.0	X	X	0	0
(2) Todd Hancock System President/CEO	17.0 ................. 23.0	X	X	865,919	269,993
(3) Andria Cardinalli-Stein MD Board Director	8.0 ................. 32.0	X		476,507	12,200
(4) Bill Chen PhD Board Director	1.0 ................. 10.0	X		19,699	0
(5) Chris Glenney Board Director	20.0 ................. 20.0	X		1,403,929	446,039
(6) Dick Stone Board Director	10.0 ................. 30.0	X		0	0
(7) Fred Harris Jr Board Director	10.0 ................. 30.0	X		0	0
(8) Jean Coleman Board Director	8.0 ................. 32.0	X		0	0
(9) Jeb Jones Board Director	10.0 ................. 30.0	X		0	0
(10) Jeff Puckett Board Director	13.0 ................. 27.0	X		6,548,766	2,426,509
(11) Joe Bob Burgin Board Director	10.0 ................. 30.0	X		0	0
(12) Joe Bob Joyce Board Director (THRU 12/21/2022)	0.0 ................. 0.0	X		0	0
(13) Mark Anderson MD Board Director	11.0 ................. 29.0	X		933,102	271,882
(14) Michael Hallum Board Director	4.0 ................. 36.0	X		0	0
(15) Preston Smith Board Director	11.0 ................. 29.0	X		0	0
(16) Randy Childress Board Director	4.0 ................. 36.0	X		0	0
(17) Sister Guadalupe Ruiz Board Director	4.0 ................. 36.0	X		0	0

(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)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Sister Rita Fanning Board Director	2.0 .......................38.0	X					0	0	0
(19) Sister Rosanne Popp Board Director	4.0 .......................36.0	X					0	231,978	2,672
(20) Sonja Yates Hubbard Board Director	8.0 .......................32.0	X					0	0	0
(21) Steven Keuer MD Board Director	10.0 .......................30.0	X					0	1,293,583	226,672
(22) Amanda Smith Corporate Secretary	20.0 .......................20.0		X				0	48,820	10,141
(23) James Brogan VP Mission Integration	40.0 .......................0.0			X			0	155,460	20,501
(24) Jim Gaton VP Operations	40.0 .......................0.0			X			0	259,757	8,710
(25) Suhel Patel CMO	40.0 .......................0.0			X			0	608,884	103,515
(26) Teresa Halcomb CNO Longview	40.0 .......................0.0			X			0	393,211	81,271
(27) DANIEL D SMITH CRNA	40.0 .......................0.0				X		334,484	0	24,922
(28) Joseph Mcree CRNA	40.0 .......................0.0				X		307,354	0	19,484
(29) LEE A HOLLADAY CRNA TEAM LEAD	40.0 .......................0.0				X		316,247	0	30,155
(30) RICHARD KLIMA CRNA	40.0 .......................0.0				X		383,049	0	25,084
(31) ZACKARY G LISTER CRNA TEAM LEAD	40.0 .......................0.0				X		357,969	0	24,574
(32) Jamie DOWELL Secretary	2.0 .......................38.0					X	135,657	0	7,592
(33) Jason Adams COO (THRU 10/2019)	0.0 .......................40.0					X	0	674,084	144,917
(34) Ken Cunningham VP Gen Counsel (Thru 12/2020)	0.0 .......................40.0					X	0	564,773	78,364
(35) Michael Cheek CFO	40.0 .......................0.0					X	0	495,760	72,748
(36) Scott Smith MD FORMER DIRECTOR (TERM 11/18/2021)	0.0 .......................40.0					X	0	621,000	23,620

- 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

2022

Open to Public
Inspection

Name of the organization

CHRISTUS Good Shepherd Medical Center

Employer identification number

75-0974351

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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (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—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
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
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
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.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

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) 2022

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) 2022

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) 2022

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 2022 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-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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 (Form 990) 2022

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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

OMB No. 1545-0047

2022

Name of the organization

CHRISTUS Good Shepherd Medical Center

Employer identification number

75-0974351

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization CHRISTUS Good Shepherd Medical Center

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization CHRISTUS Good Shepherd Medical Center		Employer identification number 75-0974351

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization CHRISTUS Good Shepherd Medical Center			Employer identification number 75-0974351
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- 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 Good Shepherd Medical Center

Employer identification number

75-0974351

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? ...........................................................................................................

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

2,153

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

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

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

2,153

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 1g LOBBYING DESCRIPTION	AT THE FEDERAL LEVEL, CHRISTUS HEALTH TEXAS LEADERSHIP HAD DIRECT CONTACT WITH MEMBERS OF THE CONGRESS AND ADMINISTRATION OFFICIALS THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND MEETINGS TO DISCUSS ISSUES IMPORTANT TO OUR MINISTRY. THESE ISSUES INCLUDE, BUT ARE NOT LIMITED TO ISSUES RELATED TO SAFETY-NET PROVIDERS, ACCESS TO CARE, HEALTH CARE REFORM PROPOSALS, QUALITY PROGRAM IMPLEMENTATION, RURAL HOSPITALS, REMOTE MEDICAL TECHNOLOGY, 340B DRUG PRICING PROGRAM, SITE NEUTRAL PAYMENTS, COMMUNITY PROJECT FUNDING, FREESTANDING EMERGENCY DEPARTMENTS, MEDICARE ADVANCED PAYMENTS, VALUE-BASED PAYMENT MODELS, FOREIGN HEALTH CARE WORKERS, CHILDREN'S HEALTH ISSUES, CHGME, MEDICAID, SUPPLEMENTAL PAYMENT PROGRAMS, RURAL HEALTH PROGRAM REAUTHORIZATION, AND HEALTH CARE FOR VETERANS. AT THE STATE LEVEL, CHRISTUS HEALTH TEXAS LEADERSHIP HAD DIRECT CONTACT WITH MEMBERS OF THE TEXAS LEGISLATURE AND ADMINISTRATION OFFICIALS THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND MEETINGS TO DISCUSS ISSUES IMPORTANT TO OUR MINISTRY. THESE ISSUES INCLUDE, BUT ARE NOT LIMITED TO ISSUES RELATED TO MEDICAID REIMBURSEMENT, ACCESS TO HEALTH CARE AND STATE FUNDING FOR SAFETY NET PROVIDERS, EMERGENCY PREPAREDNESS, WORKPLACE VIOLENCE, COVID-19 RESPONSE, GRADUATE MEDICAL EDUCATION, TRAUMA NETWORK AND SERVICES, LOCAL PROVIDER PARTICIPATION FUNDS, MATERNAL HEALTH, CHILDREN'S HEALTH ISSUES, BEHAVIORAL HEALTH, MEDICAID MANAGED CARE, PRESCRIPTION DRUGS COSTS, PHARMACY AND PRESCRIBING AUTHORITY, RURAL HOSPITALS, PHYSICIAN RELATIONS, ITEMIZED BILLING, FOSTER CARE REFORM, MEDICAID DIRECTED PAYMENT PROGRAMS, HEALTH CARE STAFFING, PRICE TRANSPARENCY, AND THE 1115 WAIVER PROGRAM. 8 EXECUTIVE HOURS. CHRISTUS GOOD SHEPHERD MEDICAL CENTER DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-23.

Return Reference

Explanation

Schedule C, Part II-B, Line 1g LOBBYING DESCRIPTION

AT THE FEDERAL LEVEL, CHRISTUS HEALTH TEXAS LEADERSHIP HAD DIRECT CONTACT WITH MEMBERS OF THE CONGRESS AND ADMINISTRATION OFFICIALS THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND MEETINGS TO DISCUSS ISSUES IMPORTANT TO OUR MINISTRY. THESE ISSUES INCLUDE, BUT ARE NOT LIMITED TO ISSUES RELATED TO SAFETY-NET PROVIDERS, ACCESS TO CARE, HEALTH CARE REFORM PROPOSALS, QUALITY PROGRAM IMPLEMENTATION, RURAL HOSPITALS, REMOTE MEDICAL TECHNOLOGY, 340B DRUG PRICING PROGRAM, SITE NEUTRAL PAYMENTS, COMMUNITY PROJECT FUNDING, FREESTANDING EMERGENCY DEPARTMENTS, MEDICARE ADVANCED PAYMENTS, VALUE-BASED PAYMENT MODELS, FOREIGN HEALTH CARE WORKERS, CHILDREN'S HEALTH ISSUES, CHGME, MEDICAID, SUPPLEMENTAL PAYMENT PROGRAMS, RURAL HEALTH PROGRAM REAUTHORIZATION, AND HEALTH CARE FOR VETERANS. AT THE STATE LEVEL, CHRISTUS HEALTH TEXAS LEADERSHIP HAD DIRECT CONTACT WITH MEMBERS OF THE TEXAS LEGISLATURE AND ADMINISTRATION OFFICIALS THROUGH EMAILS, LETTERS, TELEPHONE CALLS AND MEETINGS TO DISCUSS ISSUES IMPORTANT TO OUR MINISTRY. THESE ISSUES INCLUDE, BUT ARE NOT LIMITED TO ISSUES RELATED TO MEDICAID REIMBURSEMENT, ACCESS TO HEALTH CARE AND STATE FUNDING FOR SAFETY NET PROVIDERS, EMERGENCY PREPAREDNESS, WORKPLACE VIOLENCE, COVID-19 RESPONSE, GRADUATE MEDICAL EDUCATION, TRAUMA NETWORK AND SERVICES, LOCAL PROVIDER PARTICIPATION FUNDS, MATERNAL HEALTH, CHILDREN'S HEALTH ISSUES, BEHAVIORAL HEALTH, MEDICAID MANAGED CARE, PRESCRIPTION DRUGS COSTS, PHARMACY AND PRESCRIBING AUTHORITY, RURAL HOSPITALS, PHYSICIAN RELATIONS, ITEMIZED BILLING, FOSTER CARE REFORM, MEDICAID DIRECTED PAYMENT PROGRAMS, HEALTH CARE STAFFING, PRICE TRANSPARENCY, AND THE 1115 WAIVER PROGRAM. 8 EXECUTIVE HOURS. CHRISTUS GOOD SHEPHERD MEDICAL CENTER DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-23.

Schedule C (Form 990) 2021

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- 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 Good Shepherd Medical Center

Employer identification number

75-0974351

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 .....	11,254,821		11,254,821
b	Buildings ....	72,430,442	20,725,836	51,704,606
c	Leasehold improvements	12,270,002	2,211,640	10,058,362
d	Equipment ....	140,503,595	67,886,776	72,616,819
e	Other .....	16,276,976	29,080	16,247,896
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				161,882,504

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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

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)ROU TRANSACTIONS				104,007,245
(2)OTHERS				750,894
(3)ASSET CLEARING				3,966,900
(4)INTERCOMPANY ACCOUNTS PAYABLE				226,825
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				108,951,864

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
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	105,037,832
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, 2023 AND 2022.

Schedule D (Form 990) 2021

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

CHRISTUS Good Shepherd Medical Center

Employer identification number

75-0974351

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 30000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	0	0	40,449,960	0	40,449,960	7.31 %
b	Medicaid (from Worksheet 3, column a) . . . . .	0	0	63,071,122	91,432,756	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	103,521,082	91,432,756	40,449,960	7.31 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	11	201,770	1,829,467	0	1,829,467	0.33 %
f	Health professions education (from Worksheet 5) . . .	2	9,844	620,275	0	620,275	0.11 %
g	Subsidized health services (from Worksheet 6) . . . .	0	0	0	0	0	0 %
h	Research (from Worksheet 7) .	0	0	0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	6	2,289	91,232	2,000	89,232	0.02 %
j	Total. Other Benefits . .	19	213,903	2,540,974	2,000	2,538,974	0.46 %
k	Total. Add lines 7d and 7j .	19	213,903	106,062,056	91,434,756	42,988,934	7.77 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing	0	0
2	Economic development	0	0
3	Community support	0	0
4	Environmental improvements	0	0
5	Leadership development and training for community members	0	0
6	Coalition building	0	0
7	Community health improvement advocacy	24,196	24,196
8	Workforce development	0	0
9	Other	0	0
10	Total	24,196	24,196

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

-5,249,967

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

100,157,565

Enter Medicare allowable costs of care relating to payments on line 5.....

94,300,262

Subtract line 6 from line 5. This is the surplus (or shortfall)........

5,857,303

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	CHRISTUS GOOD SHEPHERD MED CTR-LNGVW 700 E MARSHALL AVE LONGVIEW,TX75601 https://www.christushealth.org/locations/longview-hospital 000020	X	X	X	X	A
2	CHRISTUS GOOD SHEPHERD MED CTR-MRSHLL 811 SOUTH WASHINGTON AVE MARSHALL,TX75670 https://www.christushealth.org/locations/marshall-hospital 000020	X	X		X	A

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involve

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): Longview hospital: https://www.christushealth.org/-/media/christus-health/connect-with-christus/file

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.0%
and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See supplemental information

The FAP application form was widely available on a website (list url):

See supplemental information

A plain language summary of the FAP was widely available on a website (list url):
See supplemental information

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. THE CHNA PROCESS INVOLVED ENGAGEMENT WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLECT, CURATE AND INTERPRET PRIMARY AND SECONDARY DATA. THE DATA WAS THEN USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. FOR THIS COMPONENT, CGSMC WORKED WITH METOPIO, A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. CGSMC CONDUCTED ITS CHNA USING AN ADAPTED PROCESS FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK. PRIMARY DATA WAS COLLECTED TROUGH FOUR CHANNELS: 1. COMMUNITY RESIDENT SURVEYS: 683 RESIDENT SURVEYS WERE RETURNED. THE 26-QUESTION SURVEY--AVAILABLE ONLINE AND IN PAPER FORM, IN ENGLISH AND IN SPANISH-SOUGHT INPUT FROM TYPICALLY UNREPRESENTED GROUPS. IT SOLICITED DATA REGARDING: DEMOGRAPHICS OF RESPONDENTS, HEALTH NEEDS OF COMMUNITY FOR DIFFERENT AGE GROUPS, PERCEPTION OF COMMUNITY STRENGTHS, AND UTILIZATION AND PERCEPTION OF LOCAL HEALTH SERVICES. 2. COMMUNITY RESIDENT FOCUS GROUPS: 2 LOCAL IN-PERSON GROUPS ADDRESSING ADULT HEALTH AND MATERNAL AND CHILD HEALTH. FOCUS GROUPS LASTED 90 MINUTES AND HAD UP TO 15 COMMUNITY MEMBERS INCLUDING UNDERSERVED POPULATIONS. COMMUNITY MEMBERS INCLUDED AN ADMINISTRATOR AND PARENTS FROM PINE TREE INDEPENDENT SCHOOL DISTRICT, SEXUAL ASSUAL NURSE EXAMINER (SANE) NURSE, ADMINISTRATOR AND CLIENTS FROM COMMUNITY HEALTH CORE, ADMINISTRATOR AND CLIENTS FROM LONGVIEW COMMUNITY MINISTRIES, OUTREACH WORKERS FROM WOMEN'S CENTER OF EAST TEXAS, AND A RESIDENT OF BUCKNER CHILDREN AND FAMILY SERVICES. 3. HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS: TWO CHRISTUS HEALTH SYSTEM-WIDE FOCUS GROUPS COMPRISED OF BEHAVIORAL HEALTH PROVIDERS AND CASE MANAGERS / SOCIAL WORKERS. 4. KEY INFORMANT INTERVIEWS: 10 KEY INFORMANTS WERE INTERVIEWED VIRTUALLY ONE-ON-ONE. EACH INTERVIEW WAS 30 MINUTES. PARTICIPANTS WERE LEADERS OF GOVERNMENT, HEALTH OR SOCIAL SERVICE AGENCIES SERVING LOW-INCOME GROUPS OR UNDERREPRESENTED GROUPS, INCLUDING: CITY OF LONGVIEW COMMUNITY SERVICES, EMS, AND POLICE PUBLIC SERVICE TEAM; COMMUNITY HEALTHCORE; MARSHALL-HARRISON COUNTY HEALTH DISTRICT; GENESIS PRIME CARE (AN FQHC); AND LONGVIEW COMMUNITY MINISTRIES. SECONDARY DATA FOR THE CHNA WERE AGGREGATED ON A DATA PLATFORM AND INCLUDED: 1. HOSPITAL UTILIZATION DATA 2. SECONDARY SOURCES INCLUDING BUT NOT LIMITED TO THE AMERICAN COMMUNITY SURVEY, THE DECENNIAL CENSUS, THE CENTERS FOR DISEASE CONTROL, THE ENVIRONMENTAL PROTECTION AGENCY, HOUSING AND URBAN DEVELOPMENT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. BASED ON COMMUNITY INPUT AND ANALYSIS OF A MYRIAD OF DATA, THE PRIORITIES FOR THE COMMUNITIES SERVED BY CGSMC FOR FISCAL YEARS 2023 - 2025 FALL INTO TWO DOMAINS UNDERNEATH AN OVERARCHING GOAL OF ACHIEVING HEALTH EQUITY. THE TWO DOMAINS AND CORRESPONDING HEALTH NEEDS ARE: DOMAIN I: ADVANCE HEALTH AND WELLBEING A. SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT: DIABETES, OBESITY, HEART DISEASE 1. PROVIDE SCREENING AND EDUCATION OPPORTUNITIES ABOUT HEART DISEASE, DIABETES, AND OBESITY. 2. EMPOWER COMMUNITY MEMBERS TO MANAGE THEIR HEART DISEASE, DIABETES, AND/OR HEART DISEASE. HIGHLIGHTS FOR SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT: Wellness Scholarships for Institute for Health Living Health educations/screenings: MLK family festival, Homeless Resource Day, Buckner family resource fair Heart to Heart Seminar Grant to Ministry in Music "Your Best Care Day" fostering Breast Cancer awareness Lives impacted: 1,585 B. BEHAVIORAL HEALTH: MENTAL HEALTH, SUBSTANCE ABUSE 1. INCREASE ACCESS TO MENTAL HEALTH RESOURCES. 2. DEVELOP COMMUNITY CONNECTIONS FOR MENTAL HEALTH SERVICES. 3. INCREASE ACCESS TO SUBSTANCE ABUSE TREATMENT. HIGHLIGHTS FOR BEHAVIORAL HEALTH: Community HealthCore Transportation for uninsured patients to behavioral health inpatient facilities. Grant to Heartsway Hospice for the Lewy Body Dementia ($500) lecture Grant to Longview Museum of Fine Arts - Art of Well Being Exhibit Greater Longview Optimal Wellness (GLOW): GLOW is a community collaborative to identify under-resourced individuals who often rely on 911 services (EMS, Emergency Departments) for non-emergent needs. GLOW then works to connect those individuals with the appropriate health or community resource, including behavioral health resources. CGS is a partner member. Lives impacted: 653 C. PRIMARY CARE 1. INCREASE ACCESS TO PRIMARY CARE. 2. REDUCE INEQUITIES CAUSED BY CULTURAL BARRIERS TO CARE OR SOCIAL DETERMINANTS OF HEALTH. HIGHLIGHTS FOR PRIMARY CARE: Sports Medicine/Athletic Trainers Free Saturday Morning Injury Clinic Free Sports Participation Exams Lives impacted: 112,251 D. EDUCATION 1. PROVIDE EDUCATION OPPORTUNITIES FOR CURRENT AND POTENTIAL HEALTHCARE STUDENTS. HIGHLIGHTS FOR EDUCATION: Nursing Education Allied Health Education High School/Non-Collegiate Allied Health Education Lives impacted: 10,044 CHRISTUS HEALTH WILL CONTINUE TO INVEST IN CARE DELIVERY INNOVATIONS AND EXPAND PROGRAMS THAT ADDRESS PREVENTION FOR HEART DISEASE, OBESITY, DIABETES AND IMPROVE ACCESS TO CARE. KEY PARTNERS THAT MAY SUPPORT THESE INITIATIVES ARE WELLNESS POINTE (FQHC), GENESIS PRIME CARE (FQHC), SECONDARY SCHOOLS AND AREA COLLEGES AND UNIVERSITIES WITH HEALTHCARE PROGRAMS, CHAMBERS OF COMMERCE, OUR CHRISTUS TRINITY CLINICS AND CHRISTUS HEALTH DIETICIANS AND EDUCATORS, CATHOLIC CHARITIES PARISH NURSES, AND EVENT SPONSORS WHO SUPPORT PUBLIC HEALTH EDUCATION. CHRISTUS HEALTH WILL FOCUS ON BUILDING A COALITION TO ADDRESS BEHAVIORAL HEALTH ISSUES IN THE SERVICE AREA WITH POTENTIAL PARTNERS: GREGG AND HARRISON COUNTIES; CITIES OF LONGVIEW AND MARSHALL; COMMUNITY HEALTHCORE; OCEANS; GREATER LONGVIEW OPTIMAL WELLNESS; TWELVE WAY; AND BEHAVIORAL HEALTH PARTNER AGENCIES OF THE GREATER LONGVIEW UNITED WAY. DOMAIN II: BUILD RESILENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS A. IMPROVE FOOD ACCESS 1. CULTIVATE AND MAINTAIN PARTNERSHIPS TO IMPROVE ACCESS TO HEALTH FOOD IN FOOD DESERTS. 2. PROVIDE NUTRITION EDUCATION FOR INDIVIDUALS, PATIENTS AND FAMILIES. HIGHLIGHTS FOR IMPROVE FOOD ACCESS: Greater Longview United Way Day of Action Lives impacted: 150 B. REDUCE SMOKING AND VAPING 1. CONTRIBUTE TO COMMUNITY-BASED SMOKING CESSATION EFFORTS. 2. PARTNER WITH SCHOOLS TO REDUCE VAPING AMONG STUDENTS. CHRISTUS HEALTH WILL CONTINUE TO INVEST IN CARE DELIVERY INNOVATIONS AND EXPAND PROGRAMS THAT ADDRESS THE SOCIAL DETERMNANTS OF HEALTH. KEY PARTNERS THAT SUPPORT THESE INITIATIVES ARE GREATER LONGVIEW OPTIMAL WELLNESS, LONGVIEW COMMUNITY MINISTRIES AND OTHER GREATER LONGVIEW UNITED WAY AGENCIES, EAST TEXAS FOOD BANK, CATHOLIC CHARITIES AND PARISH NURSES, AREA INDEPENDENT SCHOOL DISTRICTS, AND MISSION MARSHALL. NEEDS NOT ADDRESSED DURING THE FIRST TAX YEAR OF THE NEW CHNA, CGS INITIATED OR CONTINUED STRATEGIES TO ADDRESS EACH OF THE GOALS TO ADVANCE HEALTH AND WELLBEING (DOMAIN I) AND BUILD RESILIENT COMMUNITIES AND IMPROVE SOCIAL DETERMINANTS (DOMAIN II), EXCEPT TO REDUCE SMOKING AND VAPING UNDER DOMAIN II. IN ORDER TO BEST STEWARD RESOURCES AND BUILD UPON PARNERSHIPS WITH AREA SECONDARY SCHOOLS, PLANS TO REDUCE SMOKING AND VAPING ARE SET TO BE DEVELOPED IN TAX YEAR 2023.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. UNDER THE HOSPITAL'S POLICY, PATIENTS WHO WERE UNINSURED AND MET CERTAIN FINANCIAL CRITERIA WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE POLICY ALSO PROVIDED FOR ASSISTANCE FOR MEDICALLY INDIGENT PATIENTS. IN GENERAL, PATIENTS WHO WERE BELOW 300 OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS WHO WERE UNINSURED AND ABOVE 300 OF THE FEDERAL POVERTY GUIDELINE WERE BILLED RATES CONSISTENT WITH AMOUNTS GENERALLY BILLED TO COMMERCIAL PAYERS. PATIENTS WHO WERE UNINSURED AND BETWEEN 300 AND 400 OF FEDERAL POVERTY GUIDELINES COULD APPLY FOR ADDITIONAL ASSISTANCE TO PAY AMOUNTS LESS THAN AGB.
Schedule H, Part V, Section B, Line 15 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. IN AN EFFORT TO MORE WIDELY PUBLICIZE OUR FINANCIAL ASSISTANCE WITHIN OUR COMMUNITY, INCLUDING PERSONS MORE LIKELY TO REQUIRE FINANCIAL ASSISTANCE, WE SUBMITTED A COPY OF OUR PLAIN LANGUAGE FINANCIAL ASSISTANCE POLICY TO A NUMBER OF ORGANIZATIONS THAT INTERACT WITH POOR POPULATION GROUPS. THESE ORGANIZATIONS INCLUDE COUNTY HEALTH DEPARTMENTS, FQHCS, VARIOUS NON-PROFITS AND MINISTRIES SUPPORTED BY THE UNITED WAY AND OTHER AGENCIES SERVING THE POOR, AND AREA CHURCHES.
Schedule H, Part V, Section B, Line 20 Facility A, 1	Facility A, 1 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER. WHEN COLLECTION CALLS RESULTED IN PATIENT CONTACT, BUSINESS AGENTS PERFORMED A VERBAL SCREENING TO SEE IF THE PATIENT MIGHT BE ELIGIBLE FOR CHARITY CARE. IN ADDITION, BILLING STATEMENTS CONTAINED THE FOLLOWING NOTICE: YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, WE WILL WORK WITH YOU TO SET UP AN ACCEPTABLE PAYMENT PLAN.

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address		Type of Facility (describe)
1	INSTITUTE FOR HEALTHY LIVING 3133 GOOD SHEPHERD WAY LONGVIEW,TX76505	PHYSICAL THERAPY, SPEECH PATHOLOGY, OCCUPATIONAL THERAPY, CARDIAC REHAB CENTER
2	PERFORMANCE REHAB 2220 H G MOSLEY PARKWAY LONGVIEW,TX76504	PHYSICAL THERAPY
3	KILGORE EMERGENCY DEPARTMENT 323 E HAWKINGS PARKWAY LONGVIEW,TX76505	EMERGENCY SERVICES
4	NORTHPARK EMERGENCY DEPARTMENT 323 E HAWKINGS PARKWAY LONGVIEW,TX76505	EMERGENCY SERVICES
5	CHRISTUS GOOD SHEPHERD HOMECARE - LNGVW 103 W LOOP 281 LONGVIEW,TX76501	HOME HEALTH
6	CHRISTUS GOOD SHEPHERD LIFECENTER 612 S GROVE ST MARSHALL,TX75670	HEALTH CLINIC
7	CHRISTUS GOOD SHEPHERD HOME CARE 401 S BOLIVAR ST MARSHALL,TX75670	HOME HEALTH
8
9
10

Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 17	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part V, Section B, Line 22 DETERMINE THE MAX AMOUNTS THAT CAN BE CHARGED TO FAP	THE HOSPITAL USED THE AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT RATE FROM FISCAL YEAR ENDING 6/30/23 TO DETERMINE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS AVERAGE RATE WAS THE AVERAGE REIMBURSEMENT RECEIVED FOR CATEGORIES OF SERVICES FROM ALL PRIVATE INSURERS THAT REIMBURSE HOSPITALS ACROSS THE CHRISTUS HEALTH SYSTEM, EXCEPT FOR ST. VINCENT AND LONG-TERM HOSPITALS, AND EXCLUDING IMPLANT AND DRUG CONTRIBUTION DOLLARS. ALL UNINSURED PATIENTS WERE CHARGED NO MORE THAN 40% OF THE CHARGES FOR THE RELEVANT SERVICE LINE. PATIENTS ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE WERE CHARGED NO MORE THAN THE AVERAGE RATE (FOR INCOME LEVELS FROM 301% TO 400% OF FPL), OR RECEIVED FREE CARE (INCOMES BELOW 300% FPL). FOR LAB SERVICES, ELIGIBLE PATIENTS WERE CHARGED A PERCENTAGE OF THE MEDICARE RATE.
Schedule H, Part I, Line 3c CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE	THE HOSPITAL FOLLOWS FINANCIAL ASSISTANCE POLICIES OF CHRISTUS HEALTH. THE QUALIFICATION THRESHOLD FOR FINANCIAL ASSISTANCE IS 400 PERCENT OF FPG. ELIGIBILITY FOR FREE CARE (100 PERCENT DISCOUNTS) IS AT OR BELOW 300 PERCENT FPG.
Schedule H, Part I, Line 5a BUDGETED CHARITY CARE	THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES.
Schedule H, Part I, Line 6a ANNUAL COMMUNITY BENEFIT REPORT	A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, THE ORGANIZATION'S PARENT COMPANY. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES.
Schedule H, Part I, Line 7 ALLOCATION OF MEDICAID SUPPLEMENTAL PAYMENTS	DURING THE CURRENT REPORTING PERIOD, THE STATE OF TEXAS PARTICIPATED IN A SPECIAL 1115 MEDICAID WAIVER WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). VARIOUS SUPPLEMENTAL PAYMENTS UNDER THE WAIVER ARE INTENDED TO HELP HOSPITALS OFFSET MEDICAID AND UNINSURED LOSSES AND/OR CREATE NEW PROGRAMS DESIGNED TO IMPROVE THE PATIENT CARE EXPERIENCE, ENHANCE HEALTH OUTCOMES AND REDUCE COSTS FOR THESE SAME PATIENT POPULATIONS. SUPPLEMENTAL PAYMENTS ARE CAPPED BY MEDICAID AND UNINSURED LOSSES DETERMINED FROM A SPECIAL UNCOMPENSATED CARE (UC) TOOL DESIGNED BY THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC). CHRISTUS GOOD SHEPHERD MEDICAL CENTER RECOGNIZED $7,108,222 OF MEDICAID SUPPLEMENTAL PAYMENT INCOME IN 2022. THERE WERE $4,297,736 OF EXPENDITURES RECOGNIZED IN 2022 RELATED TO PROVIDER TAXES USED TO GENERATE THE NON-FEDERAL SHARE OF MEDICAID SUPPLEMENTAL PAYMENTS, RESULTING IN A NET P&L BENEFIT OF $2,810,486 RELATED TO MEDICAID SUPPLEMENTAL PAYMENTS UNDER THE TEXAS MEDICAID WAIVER. FOR PURPOSES OF IRS FORM 990 SCHEDULE H REPORTING, CONSISTENT WITH CHRISTUS HEALTH POLICY, 100 OF NET MEDICAID SUPPLEMENTAL PAYMENTS ARE REPORTED AS MEDICAID DIRECT OFFSETING REVENUE.
Schedule H, Part II COMMUNITY BUILDING ACTIVITIES	THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. DURING FY 2023, CHRISTUS HEALTH ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY AND GREATER ACCESS TO HEALTH CARE SERVICES FOR THE PATIENTS WE SERVE. SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES ARE IMPROVING ACCESS TO HEALTH SERVICES AND BUILDING COLLABORATIVE RELATIONSHIPS WITH OTHER ORGANIZATIONS SEEKING TO ADDRESS CHRONIC CONDITIONS THAT DISPROPORTIONATELY IMPACT THE POOR AND UNDERSERVED.
Schedule H, Part V, Section B, Line 18 Line 18f	THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS.
Schedule H, Part I, Line 7	LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS
Schedule H, Part III, Line 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15	CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	A COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HOSPITAL SYSTEM EACH YEAR AND IS SUBMITTED ALONG WITH AN AHA SURVEY TO THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES WITH A COPY PROVIDED TO HARRISON COUNTY AND GREGG COUNTY.
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://WWW.CHRISTUSHEALTH.ORG/-/MEDIA/CHRISTUS-HEALTH/PLAN-CARE/FILES/BILL-PAY/FINANCIAL-ASSISTANCE/FINANCIAL-LANGUAGE-DOCUMENTS/V2FINANCIAL-ASSISTANCE-APPLICATION.ASHX
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language- documents/2021plainlanguagesummaryhospitalenglish.ashx
Schedule H, Part V, Section B, Line 7 HOSPITAL FACILITY'S WEBSITE (LIST URL)	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/good-shepherd-marshall/gshs_marshall_chna_2023.ashx
Schedule H, Part V, Section B, Line 10 IF "YES", (LIST URL)	https://www.christushealth.org/-/media/christus-health/connect-with-christus/files/community-involvement-and-commitment/good-shepherd-marshall/gshs_marshall_chip_2023.ashx
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE HERE	https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/financial-assistance-policy-english.ashx
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	-5249967
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	The organization's total bad debt expense (total of all hospital facilities) is in accordance with the organization's financial statements, which is computed as bad debt net of contractual allowance, payments received and recoveries of bad debt previously written off.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30 PERCENT OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2023, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 3.73 PERCENT OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2023. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 0.508 PERCENT OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2023 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; AND THE PROVISIONS FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAY LIMIT, DISPROPORTIONATE SHARE MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLANS; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS, INCLUDING ASSETS ACQUIRED; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE SOURCE OF INFORMATION ON LINES 5 AND 6 IS THE FYE JUNE 30, 2023 MEDICARE COST REPORT. THE REVENUES WERE DERIVED FROM COST REPORT WORKSHEETS E PART A, E PART B AND E-3, PART III. COST INFORMATION WAS OBTAINED BY SUMMING OF MEDICARE PART A ALLOWABLE COSTS REPORTED ON WORKSHEET D-1, PART II (FOR BOTH INPATIENT ACUTE PPS AND INPATIENT REHAB FACILITY) AND WORKSHEET DV, COLUMNS 5.00 THROUGH 7.00 FOR MEDICARE OUTPATIENT PPS SERVICES. SINCE ALLOWABLE COSTS ARE NOT DETERMINED FOR SERVICES RENDERED TO MEDICARE PATIENTS ENROLLED IN MEDICARE ADVANTAGE (MEDICARE PART C) OR FOR PHYSICIAN SERVICES BILLED UNDER MEDICARE PART B, NEITHER THE REVENUES OR COSTS RELATED TO THESE SERVICES HAVE BEEN INCLUDED ON LINES 5 OR 6. THE COST REPORT USES FINANCIAL AND STATISTICAL DATA TO DEVELOP PER DIEMS AND COST TO CHARGE RATIOS THAT ULTIMATELY DETERMINE ALLOWABLE MEDICARE INPATIENT AND OUTPATIENT COSTS. (NOTE: EFFECTIVE AUGUST 1, 2017, THE LICENSE AND MEDICARE PROVIDER NUMBER OF GOOD SHEPHERD MEDICAL CENTER - LONGVIEW AND GOOD SHEPHERD MEDICAL CENTER - MARSHALL WERE COMBINED. THIS MERGER RESULTED IN ONE COST REPORT FOR THE COMBINED HOSPITALS.)
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP.
Schedule H, Part V, Section B, Line 16a FAP website	A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16a URL: See supplemental information;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16b URL: See supplemental information;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - CHRISTUS GOOD SHEPHERD MED CTR-LNGVW: Line 16c URL: See supplemental information;
Schedule H, Part VI, Line 2 Needs assessment	NO NEED ASSESSMENT OTHER THAN CHNA CONDUCTED IN FY23.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	CHRISTUS GOOD SHEPHERD MEDICAL CENTER MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. DOCUMENTATION IS RETAINED BY THE BILLING OFFICE FOR SEVEN YEARS. A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY IS POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITALS, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREAS AND THE ADMISSIONS OFFICE WAITING AREAS, AS REQUIRED BY BOTH THE STATE OF TEXAS COMMUNITY BENEFIT STANDARD (WHICH ADDRESSES THE DUTIES AND RESPONSIBILITIES OF NONPROFIT HOSPITALS) AND CHRISTUS HEALTH COMMUNITY BENEFIT GUIDELINES #050. IN ADDITION, A PUBLIC NOTICE REGARDING THE CHARITY CARE POLICY AND INFORMATION ON FINANCIAL ASSISTANCE ARE ALSO POSTED ON THE CHRISTUS HEALTH WEBSITE. THE INFORMATION ON FINANCIAL ASSISTANCE INCLUDES EXPLANATIONS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.
Schedule H, Part VI, Line 4 Community information	CHRISTUS GOOD SHEPHERD HEALTH SYSTEM (CGSHS) IS A NON-PROFIT HOSPITAL SYSTEM SERVING THE UPPER EAST TEXAS REGION AND INCLUDES TWO MEDICAL CENTERS ALONG WITH A NUMBER OF OUTPATIENT CENTERS AND MEDICAL CLINICS. CHRISTUS GOOD SHEPHERD MEDICAL CENTER - LONGVIEW IS A LEVEL III TRAUMA CENTER WITH 425 LICENSED BEDS SERVING MEDICAL/SURGICAL PATIENTS, NURSING UNITES AND INPATIENT REHABILITATION. THE MEDICAL CENTER IN LONGVIEW ALSO OPERATES ONE OF THE FIRST NICU'S IN THE REGION. THE LONGVIEW MEDICAL CENTER ALSO HOSTS LEVEL III MATERNAL CARE WHICH INCLUDES A DEDICATED OBSTETRIC EMERGENCY DEPARTMENT. CHRISTUS GOOD SHEPHERD MEDICAL CENTER - MARSHALL IS A 149-BED FACILITY WITH ENDOSCOPY, SURGICAL SERVICES, AN INTERMEDIATE CARE UNIT, A 24-HOUR LEVEL IV TRAUMA CENTER, AND A MEDICAL UNIT UTILIZED FOR OVERFLOW. THE NURSING UNITS SERVE MEDICAL/SURGICAL PATIENTS. IT IS THE ONLY HOSPITAL LOCATED IN HARRISON AND MARION COUNTIES. FOLLOWING IRS GUIDELINES, 501(R) RULES AS REQUIRED BY THE AFFORDABLE CARE ACT, CHRISTUS GOOD SHEPHERD'S PRIMARY SERVICE AREA (PSA) INCLUDES 15 ZIP CODES COVERING 240,000 INDIVIDUALS. THE PSA IS THE GEOGRAPHIC REGION WITH 80% OF HOSPITAL UTILIZATION. THE PSA ZIP CODES ARE LOCATED IN THE FOLLOWING COUNTIES: GREGG, HARRISON, MARION, PANOLA, AND UPSHUR. THE OVERALL POPULATION OF THE PSA HAS GROWN SLIGHTLY (3.5%) OVER THE DECADE 2010-2020, MUCH LOWER THAN THE OVERALL TEXAS POPULATION (15.9%). THE DEMOGRAPHICS OF THE PSA ARE 61.9% NON-HISPANIC WHITE, 18.4% NON-HISPANIC BLACKS, 15.8% HISPANICS/LATINOS, 2.6% OF TWO OR MORE RACES, AND 1.0% ASIAN OR PACIFIC ISLANDER. FEMALES MAKE UP 51.3% OF THE POPULATION AND MALES 48.7%. MEDIAN AGE IS 37.6 YEARS OLD, HIGHER THAN TEXAS OVERALL (34.8 YEARS OLD). ONLY 2.8% OF RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY, AND 15.0% HAVE A DISABILITY. EARNINGS AND EDUCATION ARE TWO IMPORTANT SOCIAL DETERMINANTS OF HEALTH. THE POVERTY RATE FOR THE CGSHS PSA IS 16.7%, HIGHER THAN TEXAS OVERALL (14.2%). NON-HISPANIC BLACKS HAVE A DISPROPORTIONATELY LOWER MEDIAN INCOME ($40,301) COMPARED TO THE OVERALL PSA ($55,870) AND TEXAS OVERALL ($67,267). HIGH SCHOOL GRADUATION RATES (85.3%) ARE SLIGHTLY HIGHER THAN TEXAS (84.4%), BUT THE RATE FOR HISPANICS/LATINOS IN THE PSA IS 58.2%. HIGHER DEGREE RATES IN THE PSA (28.4%) ARE SIGNIFICANTLY LOWER THAN THE STATE (38.1%). THE UNINSURED RATE IN THE CGS PSA IS 17.0%, SIMILAR TO THE STATE (17.3%). HOWEVER THE RATE FOR HISPANICS/LATINOS IS MUCH HIGHER (31.1%). 18.8% OF RESIDENTS IN THE PSA ARE COVERED BY MEDICAID, SLIGHTLY HIGHER THAN THE STATE (16.5%). WHEN COMBINED WITH UNINSURED, OVER 35% OF RESIDENTS IN THE PSA HAVE EITHER NO COVERAGE OR LIMITED COVERAGE THROUGH MEDICAID.
Schedule H, Part VI, Line 5 Promotion of community health	THE MEDICAL CENTERS, INSTITUTES, AND CLINICS OF THE CHRISTUS GOOD SHEPHERD HEALTH SYSTEM WORK TOGETHER TO SERVE THE PEOPLE OF OUR COMMUNITY. THE COUNTIES WE SERVE ARE URBAN BUT ALSO RURAL. TWO GROUPS THAT INCLUDE PUBLIC MEMBERS ARE THE LEADERSHIP COUNCILS OF BOTH MEDICAL CENTERS AND THE COMMUNITY BENEFIT ADVISORY COUNCIL SERVING CGS. THESE GROUPS MEET QUARTERLY. THEY INFLUENCE WHERE FUNDING IS ALLOCATED AS THEY RECEIVE INFORMATION ON GOALS AND OUTCOMES, INCLUDING HEALTH EQUITY STRATEGIES. COMMUNITY HEALTH PROMOTION ACTIVITIES INCLUDE OUR WELLNESS CENTER AND THE PROGRAMS WE OFFER TO KEEP OUR COMMUNITY HEALTHY. THE WELLNESS CENTER IS THE HUB OF OUR PROGRAM OFFERING FITNESS AND WELLNESS PROGRAMS FOR INDIVIDUALS, FAMILIES AND BUSINESSES IN OUR COMMUNITY, INCLUDING HOSPITAL EMPLOYEES AND THEIR FAMILIES. WE ALSO OFFER A VARIETY OF WATER AEROBICS, ADULT AEROBIC CLASSES, SENIOR EXERCISE CLASSES, SPECIALTY CLASSES SUCH AS ZUMBA, CARDIAC REHAB, ETC. WE ALSO OFFER ACUTE, CHRONIC AND PREVENTATIVE EDUCATIONAL PROGRAMS TO OUR COMMUNITY. WE PROVIDE COMMUNITY EDUCATIONAL SERVICES AND PROGRAMS, SUCH AS CERTIFIED DIABETIC EDUCATION PROGRAMS, WOUND CARE EDUCATION AND PREVENTION, AND NUTRITION EDUCATION. WE OFFER HEALTH EDUCATION AT PUBLIC EVENTS THAT PROVIDE BASIC SCREENING EXAMS AT NO COST TO OUR COMMUNITY. OUR CASE MANAGEMENT AND SOCIAL SERVICES PROGRAM OFFERS THE AVAILABILITY OF EXTERNAL SOURCES AND PROGRAMS TO ASSIST PATIENTS AND THEIR FAMILIES, SUCH AS WIC AND OTHER GOVERNMENT AND PRIVATE PROGRAMS. CGS DEDICATES SURPLUS FUNDS TO PROVIDE COMMUNITY BENEFIT GRANTS TO COMMUNITY PARTNERS ADDRESSING THE HEALTH AND SOCIAL DETERMINANT NEEDS IDENTIFIED IN OUR CHNA. CHRISTUS HEALTH, THE SYSTEM SPONSOR OF CGS, AWARDED $275,000 IN CHRISTUS COMMUNITY IMPACT FUND GRANTS TO FOUR PROGRAMS IN THE CGS PSA INCREASING ACCESS TO EDUCATION, HEALTHY FOOD, AND BEHAVIORAL HEALTH SERVICES SPONSORED BY BUCKNER FAMILY SERVICES, EAST TEXAS FOOD BANK, NEWGATE MISSION, AND TWELVE WAY.
Schedule H, Part VI, Line 6 Affiliated health care system	CGSMC IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH-BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG-TERM CARE AFFILIATED HEALTH CARE SYSTEM FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, LOUISIANA, NEW MEXICO, TEXAS, AND IN SIX PROVINCES OF MEXICO, COLOMBIA AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING CGSMC, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM-WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. CGSMC, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED.

Schedule H (Form 990) 2022

Additional Data

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Software Version:	2022v5.0

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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

2022

Open to Public
Inspection

Name of the organization
CHRISTUS Good Shepherd Medical Center

Employer identification number
75-0974351

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	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) Longview Museum of Fine Arts 215 E Tyler St Longview,TX75601	23-7196379	501(c)3	10,000				Quality of life/well-being
(2) Good Shepherd Foundation 700 E Marshall Ave Longview,TX75601	75-2056700	501(c)3	275,016				Operational support

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) 2022

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.	After a need is determined for assistance, a request from the service organization of Good Shepherd is submitted, identifying the funds needed for the program and/or patient. The request is reviewed and approved by the CEO before funds are transferred. A service log is submitted to the CFO to document hours incurred on projects and support use of funds.

Schedule I (Form 990) 2022

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

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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

2022

Open to Public Inspection

Name of the organization

CHRISTUS Good Shepherd Medical Center

Employer identification number

75-0974351

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 .....

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? ....

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) 2022

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)
1Todd Hancock System President/CEO	(i) (ii)	0 ------------- 618,406	0 ------------- 246,863	0 ------------- 650	0 ------------- 250,042	0 ------------- 19,951	0 ------------- 1,135,912	0 ------------- 0
2Jeff Puckett Board Director	(i) (ii)	0 ------------- 3,121,353	0 ------------- 2,702,700	0 ------------- 724,713	0 ------------- 2,412,440	0 ------------- 14,069	0 ------------- 8,975,275	0 ------------- 0
3Chris Glenney Board Director	(i) (ii)	0 ------------- 956,519	0 ------------- 446,760	0 ------------- 650	0 ------------- 431,192	0 ------------- 14,847	0 ------------- 1,849,968	0 ------------- 0
4Steven Keuer MD Board Director	(i) (ii)	0 ------------- 684,551	0 ------------- 410,841	0 ------------- 198,191	0 ------------- 209,400	0 ------------- 17,272	0 ------------- 1,520,255	0 ------------- 0
5Mark Anderson MD Board Director	(i) (ii)	0 ------------- 683,470	0 ------------- 249,632	0 ------------- 0	0 ------------- 199,056	0 ------------- 72,826	0 ------------- 1,204,984	0 ------------- 0
6Andria Cardinalli-Stein MD Board Director	(i) (ii)	0 ------------- 381,927	0 ------------- 94,130	0 ------------- 450	0 ------------- 12,200	0 ------------- 0	0 ------------- 488,707	0 ------------- 0
7Sister Rosanne Popp Board Director	(i) (ii)	0 ------------- 209,944	0 ------------- 3,500	0 ------------- 18,534	0 ------------- 317	0 ------------- 2,355	0 ------------- 234,650	0 ------------- 0
8Teresa Halcomb CNO Longview	(i) (ii)	0 ------------- 298,363	0 ------------- 94,848	0 ------------- 0	0 ------------- 73,614	0 ------------- 7,657	0 ------------- 474,482	0 ------------- 0
9Suhel Patel CMO	(i) (ii)	0 ------------- 385,044	0 ------------- 223,840	0 ------------- 0	0 ------------- 98,190	0 ------------- 5,325	0 ------------- 712,399	0 ------------- 0
10Jim Gaton VP Operations	(i) (ii)	0 ------------- 201,915	0 ------------- 57,842	0 ------------- 0	0 ------------- 0	0 ------------- 8,710	0 ------------- 268,467	0 ------------- 0
11James Brogan VP Mission Integration	(i) (ii)	0 ------------- 112,102	0 ------------- 42,968	0 ------------- 390	0 ------------- 6,706	0 ------------- 13,795	0 ------------- 175,961	0 ------------- 0
12DANIEL D SMITH CRNA	(i) (ii)	296,005 ------------- 0	9,775 ------------- 0	28,704 ------------- 0	12,200 ------------- 0	12,722 ------------- 0	359,406 ------------- 0	0 ------------- 0
13ZACKARY G LISTER CRNA TEAM LEAD	(i) (ii)	301,652 ------------- 0	37,739 ------------- 0	18,578 ------------- 0	12,200 ------------- 0	12,374 ------------- 0	382,543 ------------- 0	0 ------------- 0
14LEE A HOLLADAY CRNA TEAM LEAD	(i) (ii)	261,787 ------------- 0	36,777 ------------- 0	17,683 ------------- 0	12,200 ------------- 0	17,955 ------------- 0	346,402 ------------- 0	0 ------------- 0
15RICHARD KLIMA CRNA	(i) (ii)	295,774 ------------- 0	36,500 ------------- 0	50,775 ------------- 0	12,200 ------------- 0	12,884 ------------- 0	408,133 ------------- 0	0 ------------- 0
16Joseph Mcree CRNA	(i) (ii)	259,358 ------------- 0	23,725 ------------- 0	24,271 ------------- 0	12,200 ------------- 0	7,284 ------------- 0	326,838 ------------- 0	0 ------------- 0
17Jason Adams COO (THRU 10/2019)	(i) (ii)	0 ------------- 445,694	0 ------------- 228,006	0 ------------- 384	0 ------------- 121,795	0 ------------- 23,122	0 ------------- 819,001	0 ------------- 0
18Ken Cunningham VP Gen Counsel (Thru 12/2020)	(i) (ii)	0 ------------- 363,170	0 ------------- 140,893	0 ------------- 60,710	0 ------------- 58,603	0 ------------- 19,761	0 ------------- 643,137	0 ------------- 0
19Jamie DOWELL Secretary	(i) (ii)	118,392 ------------- 0	16,634 ------------- 0	631 ------------- 0	5,493 ------------- 0	2,099 ------------- 0	143,249 ------------- 0	0 ------------- 0
20Scott Smith MD FORMER DIRECTOR (TERM 11/18/2021)	(i) (ii)	0 ------------- 310,500	0 ------------- 0	0 ------------- 310,500	0 ------------- 7,444	0 ------------- 16,176	0 ------------- 644,620	0 ------------- 0
21Michael Cheek CFO	(i) (ii)	0 ------------- 302,540	0 ------------- 129,936	0 ------------- 63,284	0 ------------- 61,054	0 ------------- 11,694	0 ------------- 568,508	0 ------------- 0

Schedule J (Form 990) 2022

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 3 Arrangement used to establish the top management official's compensation	THE FILING ORGANIZATION'S PRESIDENT/CEO IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING THE PRESIDENT/CEO COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: SCOTT SMITH, M.D. $300,000.
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. STEVE KEUER RECEIVED $196,267 DURING CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. KEN CUNNINGHAM RECEIVED $60,710 DURING CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. Michael Cheek RECEIVED $63,284 DURING CALENDAR YEAR 2022 UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN.
Schedule J, Part II	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 MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2022.
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 (Form 990) 2022

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- 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 Good Shepherd Medical Center

Employer identification number

75-0974351

Return Reference	Explanation
Form 990, Part III, Line 4a	THE HOSPITAL'S OPERATING PLAN INCORPORATES PROVISIONS FOR INDIVIDUALS WHO DO NOT POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES TO RECEIVE SERVICES AT THE SAME LEVEL AS ANY OTHER PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. OUR COMMITMENT TO OUR COMMUNITY EXTENDS TO FREE OR SUBSIDIZED INDIVIDUAL CARE, SUBSIDIZED EDUCATION OF HEALTHCARE PROFESSIONALS, DISCOUNTED FEES FOR PARTICIPANTS IN GOVERNMENT PROGRAMS, COMMUNITY HEALTH EDUCATIONS AND TO OTHER COMMUNITY AGENCIES. SPECIFIC COMMUNITY SERVICES AND PROGRAMS INCLUDE: WELLNESS AND PREVENTION EDUCATION PROGRAMS, COMMUNITY DIAGNOSTIC SCREENING PROGRAMS, SENIOR CITIZEN HEALTH AWARENESS PROGRAMS, AWARENESS OF BEHAVIORAL HEALTH NEEDS AND PROGRAMS FOR YOUTH AND ADULTS AT RISK AND AWARENESS PROGRAMS FOR PERSONS WITH SPECIAL PHYSICAL OR MENTAL NEEDS. INDIVIDUALS SERVED INCLUDED 125,608 VISITS TO OUR EMERGENCY DEPARTMENTS, 3,477 INPATIENT SURGERY PROCEDURES, 11,044 OUTPATIENT SURGERY PROCEDURES, 17,391 PATIENTS WHO WERE ADMITTED TO OUR HOSPITALS FOR CARE, AND 364,159 PATIENTS WHO RECEIVED OUTPATIENT CARE.
Form 990, Part III, Line 1	THE CORPORATION'S MISSION SHALL BE TO "EXTEND THE HEALING MINISTRY OF JESUS CHRIST, CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES, AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH. THE CORPORATIONS PURPOSES ARE ALSO TO MAKE GIFTS, GRANTS, AND CONTRIBUTIONS TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNATED TO SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED.
Form 990, Part III, Line 4c	THE SPORTS MEDICINE PROGRAM ALIGNS WITH OUR FOCUS TO IMPROVE ACCESS TO PRIMARY CARE AND TO ADDRESS SPECIALTY NEEDS. BY PROVIDING ATHLETIC TRAINERS ON THE CAMPUSES OF OVER 20 SCHOOLS AND 10,000 ATHLETES IN THE GREGG, HARRISON AND SURROUNDING COUNTIES, THE PROGRAM PROVIDES HEALTH CARE ACCESS TO MANY STUDENTS WHO DO NOT HAVE A PRIMARY CARE PROVIDER NOR THE MEANS TO BE SEEN BY A PROVIDER. WHAT BEGAN AS A WAY TO HELP STUDENTS HEAL FULLY BEFORE ENTERING THE SCHOOL SPORTS PROGRAMS TO EARLY HAS GROWN TO A SERVICE TO HELP STUDENTS STAY HEALTHY. FREE SATURDAY MORNING SPORTS INJURY CLINICS WITH X-RAY AND FREE PREPARTICIPATION SCREENINGS, ARE OFFERED TO ANY PLAYER REGARDLESS OF THEIR ABILITY TO PAY. ALSO, THE PROGRAM HELPS TO: -PREVENT INJURIES AND QUICKLY EVALUATE AND DIAGNOSE INJURIES -DIRECT RAPID REFERRAL TO SPECIALIST PHYSICIANS -REHABILITATION AND FASTER RETURN TO NORMAL LIFE. IT IS THE STUDENT'S FAMILY DECISION WHERE THEY GO FOR CLINICAL CARE BUT INFORMATION ABOUT THE INJURIES IS SHARED WITH ALL PROVIDERS ON EPIC. IF IT IS DETERMINED THE STUDENT NEEDS FOLLOW-UP CARE, ADVANCED IMAGING, A SURGERY, OR ADDITIONAL VISITS, WE ACCEPT THE SCHOOL INSURANCE AS PAID IN FULL. SO, THIS PROGRAM IS SUBSIDIZED HEAVILY BY THE HEALTH SYSTEM. THIS PAST YEAR IN THE CHRISTUS GOOD SHEPHERD REGIONAL ALONE, OVER 2,295 PRE-PARTICIPATION PHYSICALS WERE CONDUCTED FREE OF CHARGE TO STUDENTS FROM ACROSS THE AREA. OF THOSE, 11% WERE REFERRED TO A PRIMARY CARE OR PEDIATRICIAN FOR A FULL PHYSICAL WITH EMPHASIS ON POTENTIAL HEART ISSUES PRIOR TO THEIR BEING ABLE TO PARTICIPATE IN ANY SPORTS PROGRAMS. THESE SAME ATHLETIC TRAINERS REGULARLY ADDRESS HEALTH EATING AND DIABETES ISSUES FOR THESE STUDENTS.
Form 990, Part III, Line 4b	AS PART OF THE EDUCATIONAL FOCUS AREA OF THE CURRENT CHNA, PROVIDING EDUCATIONAL OPPORTUNITIES WITH HOSPITAL AND CLINICAL ROTATIONS FOR MULTIPLE PROGRAMS ACROSS EAST TEXAS IS ONE OF THE LARGE PROGRAMS IN THE CHRISTUS GOOD SHEPHERD MINISTRY. CGS IS ONE OF THE LARGEST SITES FOR STUDENTS PURSING HEALTH CARE CAREERS, PROVIDING CLINICAL SETTINGS AND INTERNSHIPS FOR NURSES, PHYSICAL THERAPISTS, SPEECH THERAPISTS, RESPIRATORY THERAPISTS, EMT, AND LAB. EDUCATION IS PROVIDED AT BOTH LONGVIEW AND MARSHALL CAMPUSES. IN THE FISCAL PERIOD ENDED 06/30/2023, CGSMC PROVIVDED 10,044 TRAINING ENCOUNTERS FOR NURSING/ALLIED HEALTH STUDENTS AT A COST OF $620,275. CGSMC TRAINED 36 INTERNAL MEDICINE RESIDENTS DURING THE FISCAL PERIOD ENDED 06/30/2023. TOTAL DIRECT COST (RESIDENT STIPENDS AND BENEFITS AND OTHER CHARGES FROM THE ACADEMIC PROGRAM SPONSOR) PLUS OVERHEAD ALLOCATIONS ON THE MEDICARE COST REPORT TOTALED $4,297,736 WITH OFFSETTING MEDICARE GRADUATE MEDICAL EDUCATION PAYMENTS OF $7,108,222, RESULTING IN A NET COMMUNITY BENEFIT OF $2,810,486.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 2,081,338 including grants of $ 60,502) Broader Community
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 392,600 including grants of $ 28,730) Poor & Underserved
Form 990, Part III, Line 4d Description of other program services	(Expenses $ including grants of $ 201,784) Additional Grants
Form 990, Part VI, Line 1a DELEGATION OF AUTHORITY	THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF THE ORGANIZATION IS CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CHRISTUS NORTHEAST TEXAS HEALTH SYSTEM CORPORATION, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CHRISTUS HEALTH'S BOARD OF DIRECTORS HAS THE FOLLOWING POWERS: APPROVE, CHANGE AND/OR INTERPRET THE FILING ORGANIZATION'S PHILOSOPHY, MISSION AND VISION; APPROVE THE ADOPTION OR AMENDMENT OF THE FILING ORGANIZATION'S CERTIFICATE OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS; APPOINT AND REMOVE MEMBERS OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS; APPOINT AND REMOVE THE FILING ORGANIZATION'S CHAIR OF THE BOARD OF DIRECTORS; APPROVE INCURRENCE OF DEBT THAT EXCEEDS $20 MILLION PER INCURRENCE; APPROVE ANY MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION BY THE FILING ORGANIZATION; APPROVE SYSTEM WIDE CONSOLIDATED BUDGET AND PERFORMANCE INDICATORS FOR THE FILING ORGANIZATION; APPROVE THE INDEPENDENT AUDIT REPORTS OF THE FILING ORGANIZATION; APPROVE CAPITAL PROJECTS GREATER THAN $20 MILLION FOR THE FILING ORGANIZATION; APPROVE ANY TRANSACTION BY THE FILING ORGANIZATION THE EFFECT OF WHICH IS TO CREATE A NEW LEGAL ENTITY OR JOINT VENTURE, ANY TRANSACTION INVOLVING A SYSTEM ENTITY WHICH CREATES A NEW LEGAL ENTITY OR JOINT VENTURE, OR CHANGES IN BUSINESS PURPOSE OR RELATIONSHIP OF ANY SYSTEM ENTITY; AND APPROVE AND AUTHORIZE ACTIONS RESERVED TO CHRISTUS HEALTH IN ORGANIZATION DOCUMENTS OR SIMILAR GOVERNANCE DOCUMENTS. THE CHRISTUS HEALTH CEO HAS THE FOLLOWING POWERS: POWER TO APPOINT AND REMOVE THE PRESIDENT OF THE FILING ORGANIZATION; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF THE FILING ORGANIZATION'S REAL PROPERTY DESIGNATED AS NON DESIGNATED MINISTRY PROPERTY UNDER $1 MILLION BUT MORE THAN $20 MILLION; APPROVE THE INCURRENCE OF DEBT UP TO A $20 PER INCURRENCE BY THE FILING ORGANIZATION; APPROVE STRATEGIC PLANS OF THE FILING ORGANIZATION; APPROVE THE FILING ORGANIZATION'S BUDGET; APPROVE THE IMPLEMENTATION OF SYSTEM-WIDE POLICIES FOR THE FILING ORGANIZATION; SET THE THRESHOLD OF CAPITAL PROJECTS LESS THAN $20 MILLION BY THE FILING ORGANIZATION; AND APPROVE MANAGEMENT DIRECTIVES FOR THE FILING ORGANIZATION. THE CHRISTUS HEALTH MEMBERS ARE TWO SISTERS APPOINTED BY EACH OF THE FOUNDING SPONSORING CONGREGATIONS OF CHRISTUS HEALTH, THE CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, HOUSTON, TEXAS, AND THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD OF SAN ANTONIO, AND ONE SISTER APPOINTED BY THE SISTERS OF THE HOLY FAMILY OF NAZARETH. THE CHRISTUS HEALTH MEMBERS HAVE THE FOLLOWING POWERS: APPROVE THE ADOPTION AND AMENDMENT OF CERTIFICATES OF FORMATION/ ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION IF THE CHANGE IS RELATED TO MEMBER RESERVED POWERS; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT OR ENCUMBRANCE OF REAL PROPERTY IN EXCESS OF A THRESHOLD DOLLAR AMOUNT REQUIRED BY CANON LAW; APPROVE THE SALE, LEASE, MORTGAGE, TRANSFER, EASEMENT, OR ENCUMBRANCE OF REAL PROPERTY DESIGNATED AS DESIGNATED MINISTRY PROPERTY; APPROVE THE CHANGE OF OWNERSHIP, MANAGEMENT OR CONTROL OF DESIGNATED MINISTRY PROPERTY (EXCEPT IN THE ORDINARY COURSE OF BUSINESS) OR THE FUNDAMENTAL USE OF DESIGNATED MINISTRY PROPERTY BY CHANGE IN LICENSE THAT WOULD SIGNIFICANTLY CHANGE THE NATURE OF A FACILITY, OR THE ELIMINATION OF OB, PED, PSYCH OR EMERGENCY SERVICES ON REAL PROPERTY PROVIDED IN CONNECTION WITH DESIGNATED MINISTRY PROPERTY OWNED BY THE FILING ORGANIZATION; AND APPROVE THE MERGER, CONSOLIDATION, ACQUISITION, DISSOLUTION OR LIQUIDATION OF THE FILING ORGANIZATION IF IT OWNS DESIGNATED MINISTRY PROPERTY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING 2024 VIA EITHER MEETING, CONFERENCE CALL OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
Form 990, Part VI, Line 12c Conflict of interest policy	AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION IS PAID BY A RELATED ORGANIZATION; THEREFORE, THE FILING ORGANIZATION WAS NOT INVOLVED IN THE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. THE RELATED ORGANIZATION DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE RELATED ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE RELATED ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE EXECUTIVE DIRECTOR'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. THE EXECUTIVE DIRECTOR'S SALARY IS SPLIT BETWEEN THE FILING ORGANIZATION AND THE RELATED ORGANIZATION.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION IS PAID BY A RELATED ORGANIZATION; THEREFORE, THE FILING ORGANIZATION WAS NOT INVOLVED IN THE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. THE RELATED ORGANIZATION DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE RELATED ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE RELATED ORGANIZATION. BASED ON THE AFOREMENTIONED PROCEDURE, THE EXECUTIVE DIRECTOR'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE. THE EXECUTIVE DIRECTOR'S SALARY IS SPLIT BETWEEN THE FILING ORGANIZATION AND THE RELATED ORGANIZATION.
Form 990, Part VI, Line 18 How forms are made available to the public	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 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	Shared Savings - Total Revenue: 207624, Related or Exempt Function Revenue: 207624, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Community Benefit Revenue - Total Revenue: 12895168, Related or Exempt Function Revenue: 12895168, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; 340b Retail Pharmacy Program Rev - Total Revenue: 1677396, Related or Exempt Function Revenue: 1677396, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contract Service Revenue - Total Revenue: 90027, Related or Exempt Function Revenue: 90027, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other Revenue - Total Revenue: 369986, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 369986;
Form 990, Part IX, Line 11g Other Fees	Physician Fees - Total Expense: XXX-XX-XXXX, Program Service Expense: 92180650, Management and General Expenses: 54451977, Fundraising Expenses: ; Maintenance - Total Expense: 2284207, Program Service Expense: 2130898, Management and General Expenses: 153745, Fundraising Expenses: -436; Marketing - Total Expense: 36421, Program Service Expense: 36421, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 657714, Program Service Expense: 566814, Management and General Expenses: 90900, Fundraising Expenses: ; Billing - Total Expense: 122937, Program Service Expense: 122937, Management and General Expenses: , Fundraising Expenses: ; Collection - Total Expense: 5035, Program Service Expense: 5035, Management and General Expenses: , Fundraising Expenses: ; Other Fees - Total Expense: 6120609, Program Service Expense: 162693, Management and General Expenses: 5957916, Fundraising Expenses: ; Medical Fees - Total Expense: 633275, Program Service Expense: 633275, Management and General Expenses: , Fundraising Expenses: ; Lobbying Expense - Total Expense: -1911, Program Service Expense: , Management and General Expenses: -1911, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY - -28951208; RESTRICTED CONTRIBUTIONS - 45000;
FORM 990, BOX C DOING BUSINESS AS	DOING BUSINESS AS CHRISTUS GOOD SHEPHERD MEDICAL CENTER OPERATES UNDER THE FOLLOWING NAMES: ACUITY DIAGNOSTICS CHRISTUS GOOD SHEPHERD CHRISTUS Good Shepherd Breast Center CHRISTUS Good Shepherd Health System CHRISTUS Good Shepherd Healthy Living Spa CHRISTUS Good Shepherd Heart & Vascular Institute CHRISTUS Good Shepherd Hospital - NorthPark CHRISTUS Good Shepherd Institute for Healthy Living CHRISTUS Good Shepherd Medical Center - Longview CHRISTUS Good Shepherd Medical Center - Marshall CHRISTUS Good Shepherd Surgery Center CHRISTUS Ortho & Sports Medicine Institute CHRISTUS Orthopedics & Sports Medicine Institute Good Shepherd Medical Center Good Shepherd Occupational Medicine Marshall Life Center Wound Healing Center - MARSHALL (FOR CLIA REGISTRATION ONLY)

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:	22016089
Software Version:	2022v5.0

- 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 Good Shepherd Medical Center

Employer identification number

75-0974351

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)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

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)MARSHALL HOSPITAL FOUNDATION 811 S WASHINGTON AVE MARSHALL,TX75670 75-2605699	SUPPORT	TX	501(c)(3)	Type II	GSMC	Yes
(2)THE GOOD SHEPHERD HOSPITAL INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-1041154	HEALTHCARE	TX	501(c)(3)	3	GSMC	Yes
(3)GSHS ADMINISTRATIVE SERVICES ORG INC 700 E MARSHALL AVE LONGVIEW,TX75601 86-1132471	ADMIN SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(4)GOOD SHEPHERD MEDICAL CENTER - LINDEN INC 404 N KAUFMAN STREET LINDEN,TX75563 01-0829282	HEALTHCARE	TX	501(c)(3)	3	GSMC	Yes
(5)GSMC - LINDEN FOUNDATION INC 404 N KAUFMAN STREET LINDEN,TX75563 20-0845127	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(6)CHRISTUS HEALTH 5101 N OConnor Blvd IRVING,TX75039 76-0590551	SUPT HLTH SVC	TX	501(c)(3)	10	NA		No
(7)GOOD SHEPHERD FOUNDATION 700 E MARSHALL AVE LONGVIEW,TX75601 75-2056700	SUPPORT	TX	501(c)(3)	Type I	GSMC	Yes
(8)CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT RD SULPHUR SPRINGS,TX75482 81-1708177	HLTHCARE SVCS	TX	501(c)(3)	3	CNTHSC	Yes
(9)CHRISTUS HEALTH ARK-LA-TEX 2600 ST MICHAEL DRIVE TEXARKANA,TX75503 75-2796815	HLTHCARE SVCS	TX	501(c)(3)	3	CNTHSC	Yes
(10)CHRISTUS NORTHEAST TX HEALTH SYSTEM CORP 1315 DOCTORS DRIVE TYLER,TX75701 75-2616975	HEALTHCARE	TX	501(c)(3)	Type II	CH		No
(11)TRINCARE INC 1315 DOCTORS DRIVE TYLER,TX75701 75-2161369	HEALTHCARE SVCS	TX	501(c)(3)	10	CNTHSC	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) GSHS CUSTOMER SERVICE BUILDING I LTD 700 E MARSHALL AVE LONGVIEW,TX75601 02-0636726	CUSTOMER SVC	TX	GSMC				No			No

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) GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW,TX75601 75-2027162	HEALTHCARE	TX	GSMC	C Corporation	-4,572	-1,006,951	100 %	Yes
(2) MARSHALL PHYSICIAN HOSPITAL ORGANIZATION 700 E MARSHALL AVE LONGVIEW,TX75602 75-2580689	INACTIVE	TX	GSMC	C Corporation	0	0	100 %	Yes
(3) GSHS CUSTOMER SERVICE BUILDING LLC 700 E MARSHALL AVE LONGVIEW,TX75603 71-0896055	CUSTOMER SERVICES	DE	GSMC	C Corporation	0	0	100 %	Yes
(4) GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW,TX75604 75-2554695	INACTIVE	TX	GSH INC	C Corporation	0	0	100 %	Yes
(5) SERVICE ORGANIZATION OF GOOD SHEPHERD 700 E MARSHALL AVE LONGVIEW,TX75605 38-3914883	MEDICAL SERVICES	TX	GSMC	C Corporation	0	0	100 %	Yes
(6) TRINCARE INC 1315 DOCTORS DRIVE Tyler,TX75071 75-2161369	RETAIL HEALTH	TX	CNTHSC	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) CHRISTUS HEALTH PLAN	M	103,198	ACCRUAL
(2) CHRISTUS TRINITY MOTHER FRANCES FOUNDATION	B	400,000	ACCRUAL
(3) CHRISTUS TRINITY MOTHER FRANCES FOUNDATION	C	400,000	ACCRUAL
(4) GOOD SHEPHERD FOUNDATION INC	B	323,437	ACCRUAL
(5) GOOD SHEPHERD FOUNDATION INC	C	133,333	ACCRUAL
(6) GOOD SHEPHERD NORTH PARK LP	A	1,359,919	ACCRUAL
(7) GOOD SHEPHERD NORTH PARK LP	J	55,928	ACCRUAL
(8) GOOD SHEPHERD NORTH PARK LP	K	1,415,847	ACCRUAL
(9) GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC	M	217,040	ACCRUAL
(10) GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC	O	6,935,074	ACCRUAL
(11) GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC	P	34,781,222	ACCRUAL
(12) GSHS ADMINSTRATIVE SERVICES ORGANIZATION INC	Q	776,256	ACCRUAL
(13) ST VINCENT HOSPITAL	L	222,804	ACCRUAL
(14) TRINCARE INC	L	107,033	ACCRUAL
(15) TRINCARE INC	M	107,033	ACCRUAL
(16) TRINITY CLINIC	L	97,096,494	ACCRUAL
(17) TRINITY CLINIC	M	47,902,139	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:	22016089
Software Version:	2022v5.0

1	Briefly describe the organization’s mission or most significant activities: TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION REGARDLESS OF RACE, SEX, CREED, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	20
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	3,246
6	Total number of volunteers (estimate if necessary) .............	6	25
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	111,764
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,252,237	153,333
9	Program service revenue (Part VIII, line 2g) .........	542,044,830	614,015,683
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,951	337,134
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	43,708,120	1,638,502
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	587,010,138	616,144,652
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	229,303	291,016
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	204,358,426	196,393,436
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 181,933
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	362,118,822	351,482,721
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	566,706,551	548,167,173
19	Revenue less expenses. Subtract line 18 from line 12.......	20,303,587	67,977,479
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	293,895,704	365,007,073
21	Total liabilities (Part X, line 26).............	90,711,288	122,751,387
22	Net assets or fund balances. Subtract line 21 from line 20.....	203,184,416	242,255,686

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 224,360,302 including grants of $ 0 ) (Revenue $ 201,934,166 )
	See schedule O

4b	(Code: ) (Expenses $ 153,788,911 including grants of $ 0 ) (Revenue $ 320,648,761 )
	See schedule O

4c	(Code: ) (Expenses $ 63,071,122 including grants of $ 0 ) (Revenue $ 91,432,756 )
	See schedule O

	(Code: ) (Expenses $ 2,081,338 including grants of $ 60,502 ) (Revenue $ )
	Broader Community

	(Code: ) (Expenses $ 392,600 including grants of $ 28,730 ) (Revenue $ )
	Poor & Underserved

	(Code: ) (Expenses $ including grants of $ 201,784 ) (Revenue $ )
	Additional Grants

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 2,473,938 including grants of $ 291,016 ) (Revenue $ )
4e	Total program service expenses443,694,273

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,834,760	15,595,232	4,331,565

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	133,333
e	Government grants (contributions)		1e	20,000

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

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

h Total. Add lines 1a-1f.......		153,333

		Business Code
2a	Net Patient Service Revenue	621990	552,201,132	552,201,132
b	Physician Support Service	900099	44,371,872	44,371,872
c	Life Wellness Center	713940	2,469,466	2,469,466
d	I/C Shared Service OH Revenue	900099	102,998	102,998
e
f	All other program service revenue.		14,870,215	14,870,215	0	0
g	Total. Add lines 2a–2f .....		614,015,683

3 Investment income (including dividends, interest, and othersimilar amounts) ......			59,525			59,525
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		9,046,579	6a
b	Less: rental expenses		7,819,543	6b
c	Rental income or (loss)	0	1,227,036	6c
d	Net rental income or (loss).......			1,227,036		59,614	1,167,422
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		791,483	7a
b	Less: cost or other basis and sales expenses		513,874	7b
c	Gain or (loss)	0	277,609	7c
d	Net gain or (loss).........			277,609		52,150	225,459
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
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Purchase Discounts		900099	36,397			36,397
b	Spa Revenue		900099	5,083			5,083
c
d	All other revenue ....			369,986	0	0	369,986
e	Total. Add lines 11a–11d ......			411,466
12	Total revenue. See instructions.....			616,144,652	614,015,683	111,764	1,863,872

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	291,016	291,016
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. .............
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	143,249	134,325	8,827	97
7	Other salaries and wages........	163,507,550	153,321,449	10,075,850	110,251
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,331,767	3,242,407	87,008	2,352
9	Other employee benefits .......	18,524,227	17,627,846	879,667	16,714
10	Payroll taxes ...........	10,886,643	10,704,053	176,579	6,011
11	Fees for services (non-employees):
a	Management ......	1,328	1,328
b	Legal .........	444,410	60,057	384,353
c	Accounting ...........
d	Lobbying ...........	2,152		2,152
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	156,490,914	95,838,723	60,652,627	-436
12	Advertising and promotion ....	713,081	713,081
13	Office expenses .......	18,650,193	17,887,341	755,361	7,491
14	Information technology ......	23,847,752		23,847,752
15	Royalties ..
16	Occupancy ...........	23,117,637	22,527,067	590,570
17	Travel ............	188,581	163,817	24,338	426
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	201,688	157,568	13,032	31,088
20	Interest ...........	5,903,279	5,904,005	-726
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	19,991,176	19,991,176
23	Insurance ...	4,373,960	2,510,924	1,863,036
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	84,470,022	84,468,526	707	789
b	Bad Debts	-5,249,967	-5,249,967
c	Tax and Fees	16,674,336	11,762,713	4,911,623
d	Rental	1,440,490	1,431,954	8,418	118
e	All other expenses	221,689	204,864	9,793	7,032
25	Total functional expenses. Add lines 1 through 24e	548,167,173	443,694,273	104,290,967	181,933
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 ........			4,733,649	1	4,718,334
2	Savings and temporary cash investments .........			5,023,103	2	5,082,658
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			61,094,482	4	50,899,528
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 ...........			816,396	7	554,178
8	Inventories for sale or use ............			9,973,058	8	10,997,316
9	Prepaid expenses and deferred charges ......			18,507,351	9	21,920,691
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	252,735,836
b	Less: accumulated depreciation	10b	90,853,332	150,077,290	10c	161,882,504
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			43,670,375	15	108,951,864
16	Total assets. Add lines 1 through 15 (must equal line 33)...			293,895,704	16	365,007,073

17	Accounts payable and accrued expenses .....	18,291,703	17	16,797,094
18	Grants payable ...		18
19	Deferred revenue .........	14,241,466	19	916,461
20	Tax-exempt bond liabilities .........		20
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	58,178,119	25	105,037,832
26	Total liabilities. Add lines 17 through 25..	90,711,288	26	122,751,387

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	203,102,416	27	242,128,686
28	Net assets with donor restrictions ...........	82,000	28	127,000
	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 ...........	203,184,416	32	242,255,686
33	Total liabilities and net assets/fund balances ........	293,895,704	33	365,007,073